Kujambula kwa pelvic CT
Kujambula kwamakina pamiyeso ndi njira yojambulira yomwe imagwiritsa ntchito ma x-ray kupanga zithunzi zamagawo azigawo zapakati pa mafupa amchiuno. Gawo ili la thupi limatchedwa m'chiuno.
Mapangidwe mkati ndi pafupi ndi mafupa a chiuno amaphatikizapo chikhodzodzo, prostate ndi ziwalo zina zoberekera zamwamuna, ziwalo zoberekera zazimayi, ma lymph node, ndi mafupa a m'chiuno.
Zithunzi za CT imodzi zimatchedwa magawo. Zithunzizo zimasungidwa pakompyuta, kuwonedwa pa polojekiti, kapena kusindikizidwa pafilimu.Mitundu yazithunzi zitatu za thupi imatha kupangidwa ndikulumikiza magawo palimodzi.
Mukufunsidwa kuti mugone patebulo locheperako lomwe limalowa pakati pa chojambulira cha CT.
Mukakhala mkati mwa sikani, makina a x-ray azungulira mozungulira. Simudzawona mizere yozungulira ya x-ray.
Muyenera kukhala bata pakamayesa, chifukwa mayendedwe amayambitsa zithunzi zolakwika. Mutha kuuzidwa kuti musunge mpweya wanu kwakanthawi kochepa.
Kuwunika kumayenera kutenga mphindi zosachepera 30.
Mayeso ena amafuna utoto wapadera. Amatchedwa media media. Iyenera kuperekedwa m'thupi mayeso asanayambe. Kusiyanitsa kumathandizira madera ena kuwonekera bwino pama x-ray.
- Kusiyanitsa kumatha kuperekedwa kudzera mumitsempha (IV) m'manja mwanu kapena m'manja. Kapenanso mungafunsidwe kuti mumwe zakumwa zosiyana. Ngati kusiyanitsa kumagwiritsidwa ntchito, mungapemphedwenso kuti musadye kapena kumwa chilichonse kwa maola 4 kapena 6 musanayesedwe.
- Lolani wothandizira zaumoyo wanu adziwe ngati mudachitapo kanthu posiyanitsa. Mungafunike kumwa mankhwala musanayezedwe kuti mulandire mankhwalawa mosavutikira.
- Musanalandire kusiyana, auzeni omwe akukuthandizani ngati mutamwa mankhwala a shuga metformin (Glucophage) chifukwa mungafunike kusamala kwambiri.
Musanalandire kusiyana, auzeni omwe akukuthandizani ngati muli ndi vuto la impso. Simungathe kusiyanitsa IV ngati ndi choncho.
Ngati mukulemera makilogalamu opitilira 300 (136 kilograms), fufuzani ngati makina a CT ali ndi malire. Kulemera kwambiri kumatha kuwononga mbali zogwirira ntchito za sikani.
Mudzafunsidwa kuti muchotse zodzikongoletsera ndikuvala chovala chachipatala munthawi ya kafukufukuyu.
Mutha kupemphedwa kuti mumwe yankho losiyanitsa pakamwa.
Anthu ena atha kukhala osasangalala pogona patebulo lolimba.
Kusiyanitsa komwe kumaperekedwa kudzera mu IV kumatha kuyambitsa:
- Kutentha pang'ono
- Kukoma kwachitsulo mkamwa
- Kutentha kwa thupi
Zomverera izi ndi zachilendo ndipo nthawi zambiri zimatha patangopita masekondi ochepa.
CT imapanga zithunzi mwatsatanetsatane za thupi, kuphatikiza m'chiuno ndi madera oyandikira. Kuyesaku kungagwiritsidwe ntchito kuzindikira kapena kuzindikira:
- Misa kapena zotupa, kuphatikizapo khansa
- Chifukwa cha kupweteka kwa m'chiuno
- Kuvulala m'chiuno
Mayesowa atha kuthandizanso:
- Atsogolere dokotalayo kudera lamanja panthawi yolemba kapena njira zina
- Wopereka wanu akukonzekera opaleshoni
- Konzani chithandizo cha radiation kwa khansa
Zotsatira zimawoneka ngati zabwinobwino ngati ziwalo za m'chiuno zomwe zikuwunikiridwa ndizowoneka bwino.
Zotsatira zachilendo zitha kukhala chifukwa cha:
- Kutupa (kusonkhanitsa mafinya)
- Miyala ya chikhodzodzo
- Fupa losweka
- Khansa
- Zosintha
Zowopsa pazowunikira za CT ndi izi:
- Kuwonetsedwa ndi radiation
- Thupi lawo siligwirizana ndi utoto wosiyanitsa
Kujambula kwa CT kumakuwonetsani ku radiation yambiri kuposa ma x-ray wamba. Kukhala ndi ma x-ray ambiri kapena ma CT scan pakapita nthawi kumatha kuwonjezera chiopsezo cha khansa. Koma chiwopsezo chojambulidwa kamodzi ndichaching'ono. Inu ndi omwe akukuthandizani muyenera kuyeza izi kuti musapindule ndi kupeza matenda oyenera.
Anthu ena ali ndi chifuwa chosiyanitsa utoto. Lolani wothandizira wanu adziwe ngati munayamba mwadwalapo utoto wosiyanitsa ndi jakisoni.
- Mtundu wofala kwambiri womwe umaperekedwa mumtsinje uli ndi ayodini. Ngati munthu yemwe ali ndi vuto la ayodini wapatsidwa kusiyana kotere, nseru kapena kusanza, kuyetsemula, kuyabwa, kapena ming'oma kumatha kuchitika.
- Ngati mukuyenera kusiyanitsidwa motere, mutha kupatsidwa antihistamines (monga Benadryl) kapena steroids musanayesedwe.
- Impso zimathandiza kuchotsa ayodini m'thupi. Omwe ali ndi matenda a impso kapena matenda ashuga angafunikire kulandira madzi ena pambuyo poyesedwa kuti athandize ayodini kunja kwa thupi.
Nthawi zambiri, utoto umayambitsa matenda omwe amawopsa kwambiri otchedwa anaphylaxis. Ngati mukuvutika kupuma panthawi yoyezetsa magazi, muyenera kuuza opareshoni nthawi yomweyo. Zitsulo zofufuzira zidazo zimabwera ndi intakomu ndiponso masipika, kuti munthu azimvanso nthawi zonse.
Kujambula kwa CAT - m'chiuno; Kuwerengera axial tomography scan - mafupa a chiuno; Kuwerengera kwa tomography - m'chiuno; CT scan - m'chiuno
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Chernecky CC, Berger BJ. Ma tomography owerengera thupi (spiral [helical], mtengo wa elekitironi [EBCT, ultrafast], resolution yayikulu [HRCT], 64-kagawo ka multidetector [MDCT]). Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2013: 375-376.
Herring W. Kuzindikira mimba yachibadwa ndi mafupa a chiuno pa computed tomography. Mu: Herring W, mkonzi. Kuphunzira Radiology. Wachitatu ed. Philadelphia, PA: Elsevier; 2016: chap 15.
Nicholas JR, Puskarich MA. Kusokonezeka kwa m'mimba. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 39.