CT angiography - pamimba ndi m'chiuno

CT angiography imaphatikiza CT scan ndi jakisoni wa utoto. Njira imeneyi imatha kupanga zithunzi zamitsempha yamagazi m'mimba mwanu (m'mimba) kapena m'chiuno. CT imayimira computed tomography.

Mudzagona pa tebulo laling'ono lomwe limalowa pakati pa chojambulira cha CT. Nthawi zambiri, mumagona chagada mikono yanu itakwezedwa pamwamba pamutu panu.

Mukakhala mkati mwa sikani, makina a x-ray azungulira mozungulira. Makina amakono "ozungulira" amatha kuchita mayeso osayima.

Kompyutayi imapanga zithunzi zapadera zam'mimba, zotchedwa magawo. Zithunzi izi zitha kusungidwa, kuwonedwa pa polojekiti, kapena kusindikizidwa pafilimu. Mitundu yazithunzi zitatu zam'mimba imatha kupangidwa ndikulunga magawo palimodzi.

Muyenera kukhala bata pakamayesa, chifukwa mayendedwe amayambitsa zithunzi zolakwika. Mutha kuuzidwa kuti musunge mpweya wanu kwakanthawi kochepa.

Kuwunika kumayenera kutenga mphindi zosachepera 30.

Muyenera kukhala ndi utoto wapadera, wotchedwa kusiyanitsa, woikidwa mthupi lanu mayeso ena asanachitike. Kusiyanitsa kumathandizira madera ena kuwonekera bwino pama x-ray.

• Kusiyanitsa kumatha kuperekedwa kudzera mumitsempha (IV) m'manja mwanu kapena m'manja. Ngati kusiyanitsa kumagwiritsidwa ntchito, mungapemphedwenso kuti musadye kapena kumwa chilichonse kwa maola 4 kapena 6 musanayesedwe.
• Muyeneranso kumwa zakumwa zosiyana musanayese mayeso. Mukamwa kusiyana kumatengera mtundu wamayeso omwe akuchitika. Kusiyanitsa kuli ndi kukoma kosasangalatsa, ngakhale ena ali ndi zonunkhira kotero kuti amve kukoma pang'ono. Kusiyanako kudutsa mthupi lanu kudzera m'mipando yanu.
• Lolani wothandizira zaumoyo wanu adziwe ngati mudachitapo kanthu posiyanitsa. Mungafunike kumwa mankhwala musanayezedwe kuti mulandire mankhwalawa mosavutikira.
• Musanalandire kusiyana, uzani omwe akukuthandizani ngati mumamwa mankhwala a shuga metformin (Glucophage). Anthu omwe amamwa mankhwalawa amatha kusiya kumwa kwakanthawi kaye asanayezedwe.

Kusiyanaku kumatha kukulitsa vuto la impso kwa odwala omwe ali ndi impso zosagwira bwino ntchito. Lankhulani ndi omwe amakupatsani ngati muli ndi vuto la impso.

Kulemera kwambiri kumatha kuwononga sikani. Ngati mukulemera makilogalamu opitilira 300 (135 kilograms), lankhulani ndi omwe amakupatsirani za malire anu asanayesedwe.

Muyenera kuvula zodzikongoletsera zanu ndi kuvala mkanjo wachipatala panthawi yophunzira.

Kugona patebulo lolimba kumatha kukhala kovuta pang'ono.

Ngati muli ndi kusiyana pamitsempha, mutha kukhala ndi:

• Kutentha pang'ono
• Kukoma kwachitsulo mkamwa mwako
• Kutentha kwa thupi lanu

Zomverera izi ndi zachilendo ndipo zimatha pakangopita masekondi ochepa.

Kujambula kwa CT angiography kumapanga zithunzi mwatsatanetsatane zamitsempha yamagazi mkati mwa mimba kapena m'chiuno mwanu.

Mayesowa angagwiritsidwe ntchito poyang'ana:

• Kukulitsa modabwitsa kapena kuwerengera gawo la mtsempha wamagazi (aneurysm)
• Magwero a magazi omwe amayambira m'matumbo kapena kwina kulikonse m'mimba kapena m'chiuno
• Misa ndi zotupa m'mimba kapena m'chiuno, kuphatikiza khansa, zikafunika kuthandizira kukonzekera chithandizo chamankhwala
• Zomwe zimapweteka m'mimba zimaganiziridwa kuti zimachitika chifukwa chakuchepetsa kapena kutsekeka kwa imodzi kapena zingapo za mitsempha yomwe imapereka matumbo ang'ono ndi akulu
• Kupweteka kwa miyendo kumaganiziridwa kuti kumachitika chifukwa cha kuchepa kwa mitsempha yamagazi yomwe imapereka miyendo ndi mapazi
• Kuthamanga kwa magazi chifukwa cha kuchepa kwa mitsempha yomwe imanyamula magazi kupita ku impso

Mayeso atha kugwiritsidwanso ntchito kale:

• Kuchita opaleshoni pamitsempha yamagazi ya chiwindi
• Kuika impso

Zotsatira zimawonedwa ngati zabwinobwino ngati palibe zovuta zowoneka.

Zotsatira zachilendo zitha kuwonetsa:

• Gwero la magazi mkati mwa mimba kapena m'chiuno
• Kupendeketsa kwa mtsempha womwe umapereka impso
• Kupindika kwa mitsempha yomwe imapereka matumbo
• Kupindika kwa mitsempha yomwe imapereka miyendo
• Kusintha kapena kutupa kwa mtsempha wamagazi (aneurysm), kuphatikiza msempha
• Misozi pakhoma la aorta

Zowopsa pazowunikira za CT ndi izi:

• Matupi awo akusiyanitsa utoto
• Chiwonetsero cha radiation
• Kuwonongeka kwa impso kuchokera ku utoto wosiyanasiyana

Kujambula kwa CT kumakuwonetsani ku radiation yambiri kuposa ma x-ray wamba. Ma x-ray ambiri kapena ma CT scan pakapita nthawi amatha kuwonjezera chiopsezo cha khansa. Komabe, chiwopsezo chojambulidwa kamodzi ndichaching'ono. Lankhulani ndi omwe amakuthandizani zaumoyo za chiopsezo chimenechi komanso phindu la mayeso kuti mupeze vuto lanu lachipatala. Makina ambiri amakono amagwiritsa ntchito njira zochepa poyerekeza ndi ma radiation.

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 muli ndi vuto la ayodini, mutha kukhala ndi nseru kapena kusanza, kuyetsemula, kuyabwa, kapena ming'oma mukapeza kusiyana kotere.

Ngati mukuyenera kupatsidwa kusiyana kotere, omwe amakupatsani akhoza kukupatsani ma antihistamine (monga Benadryl) kapena steroids musanayesedwe.

Impso zanu zimathandiza kuchotsa ayodini m'thupi. Mungafunike madzi owonjezera pambuyo pa mayeso kuti muthane ndi ayodini mthupi lanu ngati muli ndi matenda a impso kapena matenda ashuga.

Kawirikawiri, utoto ungayambitse matenda omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Uzani opangayo nthawi yomweyo ngati zikukuvutani kupuma panthawi yoyezetsa. Zitsulo zofufuzira zidazo zimabwera ndi intakomu ndiponso masipika, kuti munthu azimvanso nthawi zonse.

Kujambula tomography angiography - pamimba ndi m'chiuno; CTA - pamimba ndi m'chiuno; Mtsempha wamagazi - CTA; Aortic - CTA; CTA ya Mesenteric; PAD - CTA; PVD - CTA; Matenda a m'mitsempha - CTA; Zotumphukira mtsempha wamagazi matenda; CTA; Kutanthauzira - CTA

• Kujambula kwa CT

Levine MS, Gore RM. Njira zojambulira kuzindikira mu gastroenterology. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 124.

Singh MJ, Makaroun MS. Matenda a thoracic ndi thoracoabdominal: chithandizo cham'mitsempha. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: chap 78.

Weinstein JL, Lewis T. Kugwiritsa ntchito njira zowongoleredwa ndi zithunzi pakuzindikira komanso kuchiza: ma radiology othandizira. Mu: Herring W, mkonzi. Kuphunzira Radiology: Kuzindikira Zoyambira. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 29.