Dokotala wanu mwina anakulemberani 'Cisternogram Scan'. Mwina munachita mantha pang'ono mutamva dzinalo, eti? "Kodi dzina lachilendoli ndi chiyani? Nchifukwa chiyani likuchitidwa? Kodi n'kovuta?" Mwina mukudabwa. Musadandaule. Ndizachibadwa kukhala ndi mafunso ngati awa. Lero, tikambirana za mayesowa m'njira yosavuta, m'njira yomwe mungamvetse, ngati kuti mukulankhula ndi mnzanu wapamtima.
Kodi Cisternogram Scan ndi chiyani kwenikweni?
Tisanamvetse izi, tiyeni tiphunzire pang'ono za chinthu chofunikira kwambiri m'thupi lathu. Tangoganizani kuti ubongo wathu ndi msana wathu zili ngati zinthu zamtengo wapatali zagalasi. Kuti titeteze zinthu zamtengo wapatalizi, pali chophimba chamadzimadzi, chozungulira iwo. Mu zamankhwala, timatcha izi 'cerebrospinal fluid' kapena Cerebrospinal Fluid (CSF) . Madzi a CSF awa amagwira ntchito zingapo zofunika kwambiri m'thupi lathu.
- Amapereka chakudya: Madzi awa amapereka chakudya ku ubongo wathu ndi msana womwe umayenda m'mbali mwa msana.
- Zimathandiza pakugwira ntchito bwino: Izi ndizofunikira kwambiri kuti dongosolo lathu la mitsempha lapakati (CNS) ligwire ntchito bwino.
- Amachotsa poizoni: Amathandiza kuchotsa ndi kuyeretsa poizoni wosafunikira amene amasonkhana m'thupi lozungulira.
- Amapereka chitetezo: Tikathamanga, kulumpha, kapena kugunda mutu kwinakwake, zimagwira ntchito ngati pilo yomwe imateteza ubongo ku mantha.
Kotero, chomwe chimachitika ndi scanner iyi ndikuwona ngati madzi a CSF m'thupi lanu akuyenda bwino, ngati pali kutsekeka kwinakwake, kapena ngati pali kutuluka madzi kwinakwake.
Uwu ndi mtundu wa mayeso otchedwa nuclear medicine imaging . Izi zikutanthauza kuti zinthu zochepa zowononga mpweya zimalowetsedwa msana mwanu. Musadandaule, sizingakupwetekeni. Zinthuzi zimathandiza kuti njira ya CSF fluid iwoneke bwino, mwamtundu, pazithunzi zojambulidwa.
Kodi mayeso amenewa ndi ofunikira pazochitika ziti?
Mwachidule, mayesowa amalamulidwa ngati dokotala wanu akukayikira kuti madzi a CSF anu akutuluka kuchokera kwinakwake (kutuluka kwa CSF) kapena kuti muli ochulukirapo muubongo mwanu (kuchuluka kwa CSF). Matenda onsewa angayambitse zizindikiro zofanana.
Chongani tebulo ili m'munsimu kuti muwone ngati muli ndi zizindikiro izi.
| Chizindikiro | Kodi izi zimamveka bwanji? |
|---|---|
| Mutu | Mutu waukulu womwe umakula kwambiri, makamaka ukaimirira kapena ukadzuka. Ungawoneke ngati ukuchepa pang'ono ukagona. |
| Mavuto a Chizungulire ndi Kusamala | Kumva ngati simungathe kuyimirira ndipo mukusuntha, kumva chizungulire. |
| Kusanza ndi kusanza | Kumva m'mimba mukugwedezeka komanso kusanza. |
| Kupweteka kwa khosi | Kuuma kapena kupweteka kumbuyo kwa khosi. |
| Kuwonjezeka kwa chidwi | Kukhala womvera kwambiri ngakhale kuwala wamba ndi mawu. Izi zikutanthauza kuti ngakhale kuwala kowala kapena phokoso laling'ono kungakhale kovuta kulipirira. |
| Kutaya kumva | Kutaya kumva kapena kumva mawu osiyanasiyana m'makutu. |
| Kuganiza movutikira | Kuvuta kuganizira kwambiri chinthu china chake, kumva ngati maganizo anu sakuyenda bwino. |
Ngati muli ndi zizindikiro izi, dokotala wanu angakulangizeni kuti muyesedwe kuti apeze chifukwa chenicheni.
Kodi ndiyenera kukonzekera bwanji mayeso asanayambe?
Nthawi zambiri, izi sizimafuna kukonzekera kwapadera. Komabe, ndikofunikira kwambiri kutsatira malangizo omwe dokotala wanu kapena chipatala chanu amapereka molondola.
Chofunika kwambiri ndikulankhula ndi dokotala wanu za nkhawa zanu zonse ndi mantha anu. Musachite manyazi kunena kuti, "Ndikuopa izi, dokotala."
Musanayesedwe, onetsetsani kuti mwadziwitsa dokotala wanu za izi:
- Matenda a ziwengo: Ngati muli ndi vuto lililonse la ziwengo chifukwa cha mankhwala oletsa ululu kapena mankhwala ena oletsa ululu, onetsetsani kuti mwatchula zimenezo.
- Mimba: Ngati muli ndi pakati kapena mukuyamwitsa, ndikofunikira kwambiri kuuza dokotala wanu pasadakhale, chifukwa mayesowa amagwiritsa ntchito mankhwala owopsa.
- Mankhwala omwe mukumwa: Uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mukumwa. Mankhwala ena, monga ochepetsa magazi (monga aspirin ndi warfarin) , angafunike kuyimitsidwa masiku angapo mayeso asanachitike.
- Malangizo othandiza: Mungapeze kuti n'kovuta kuyendetsa galimoto mutatha mayeso. Chifukwa chake, ndi bwino kutenga munthu wina. Komanso, popeza mayesowo amachitika kwa masiku angapo, konzani zochita zanu moyenerera.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Mayesowa ali ndi magawo awiri akuluakulu: choyamba, kulowetsa singano mu msana, kenako kujambula zithunzi.
Gawo loyamba: Kuboola m'chiuno
Ngakhale kuti ndinachita mantha nditamva izi, izi zimachitika mosamala kwambiri ndi dokotala wodziwa bwino ntchito yake.
1. Choyamba, mudzagonekedwa patebulo, chafufumimba kapena chammbali, mawondo anu atakokedwa mpaka pachifuwa panu.
2. Kenako, malo omwe munabayira jakisoni kumbuyo kwanu adzatsukidwa bwino ndipo mudzabayidwa mankhwala oletsa ululu m'deralo. Izi zidzapangitsa kuti malowo asamveke bwino. Anthu ena angapatsidwenso mankhwala ochepetsa ululu kuti akhale chete.
3. Tsopano dokotala adzaika singano yopyapyala mosamala pakati pa mafupa awiri m'munsi mwa msana wanu. Panthawiyi, njira yeniyeni ya X-ray yotchedwa fluoroscopy idzagwiritsidwa ntchito kuti iwonetsetse kuti singanoyo ili pamalo oyenera.
4. Singano ikafika pamalo oyenera, mankhwala owopsa omwe atchulidwa kale amalowetsedwa pang'onopang'ono mu madzi anu a CSF kudzera mu singano.
5. Kenako singano imachotsedwa mosamala ndipo pulasitala yaying'ono imayikidwa pamalopo.
Gawo Lachiwiri: Kujambula Zithunzi Zojambulidwa
1. Mukayika singano, mudzapemphedwa kuti mugone chete kwa ola limodzi. Izi zimathandiza kuti zinthu zotulutsa ma radiation zidutse mu CSF fluid.
2. Kujambula koyamba kudzatenga ola limodzi mpaka asanu ndi limodzi. Mudzagona pansi pa sikirini yokhala ndi kamera yapadera ya gamma. Nthawi zina CT scan kapena MRI ikhoza kuchitidwa nthawi imodzi.
3. Mutha kupita kunyumba mukamaliza kujambulidwa koyamba. Komabe, muyenera kubweranso kujambulidwanso patatha maola 24 , chifukwa zimatenga pafupifupi tsiku limodzi kuti zinthu zotulutsa ma radiation zifike m'mabowo onse muubongo.
4. Anthu ena angafunike kujambulidwa patatha maola 48 kapena 72. Izi zidzatsimikiziridwa ndi dokotala wanu.
Chofunika kwambiri ndichakuti simuyenera kuyika singano kumbuyo nthawi iliyonse mukachita scan iyi. Singano imayikidwa tsiku loyamba lokha. Masiku ena, chomwe muyenera kuchita ndikubwera kudzagona pansi pa scanner.
Kodi izi zimapweteka? Kodi pali zotsatirapo zilizonse?
- Ululu: Mungamve kupweteka pang'ono mukabayidwa mankhwala oletsa kumva dzanzi. Mungamve kupweteka kwambiri singano ikayikidwa kumbuyo kwanu, koma sikuyenera kukhala kowawa kwambiri . Ngati mukumva kupweteka kulikonse, uzani dokotala kapena namwino nthawi yomweyo. Kujambula kokha sikupweteka konse.
- Zotsatirapo zake: Zotsatirapo zake zofala kwambiri ndi kupweteka pang'ono komanso mutu wopweteka pamalo obayira jakisoni. Nthawi zina CSF yochepa imatha kutuluka kuchokera pamalo omwe singano idalowetsedwa msana. Izi zingayambitse kuchepa pang'ono kwa kuthamanga kwa magazi muubongo ndikuyambitsa mutu woopsa. Izi nthawi zambiri zimatha zokha mkati mwa maola ochepa kapena masiku awiri kapena atatu. Kumwa madzi ambiri ndi kupuma kungathandize.
Kodi zoopsa za mayeso a cistenogram ndi ziti?
Mavuto aakulu ochokera mu mayesowa ndi osowa kwambiri . Komabe, monga momwe zimakhalira ndi mayeso ena aliwonse azachipatala, pali zoopsa zina zazing'ono, choncho tiyenera kuzidziwa.
- Matenda a ziwengo ku zinthu zowononga mpweya kapena mankhwala oletsa ululu.
- Kutuluka magazi mu ubongo kapena msana (kutuluka magazi) .
- Matenda pamalo pomwe singano yalowetsedwa.
- Kuwonongeka kwa mitsempha kumakhala kosowa kwambiri.
- Kutuluka kwa ubongo (umenewu ndi vuto losowa kwambiri. Ndi vuto lomwe minofu ya ubongo imatuluka chifukwa cha kukakamizidwa mkati mwa chigaza).
Ngakhale kuti mugwiritsa ntchito mankhwala owononga mphamvu ya dzuwa, mudzakumana ndi mphamvu ya kuwala kochepa kwambiri . Musachite mantha ndi zimenezo mopanda chifukwa.
Kodi zotsatira zake zikuti chiyani?
Mungalandire zotsatira zanu (lipotilo) pasanathe masiku angapo kapena sabata imodzi mutamaliza kujambula komaliza. Mukalandira, dokotala wanu adzakufotokozerani tanthauzo lake kwa inu.
- Zotsatira Zabwinobwino: Ngati lipoti lanu labwerera bwino, zikutanthauza kuti madzi anu a CSF akuyenda bwino mozungulira ubongo wanu ndi msana wanu popanda zopinga kapena kutuluka madzi.
- Zotsatira Zosazolowereka: Ngati zotsatira zake sizizolowereka, zingasonyeze chimodzi kapena zingapo mwa izi.
| Matenda osazolowereka (Mkhalidwe) | Kufotokoza mwachidule |
|---|---|
| Kutuluka kwa CSF | Madzi a CSF amatuluka kuchokera kwinakwake. Izi zitha kuchitika mutavulala mutu kwambiri, mutasweka chigaza, kapena mutachitidwa opaleshoni. |
| Hydrocephalus | Kuchuluka kwa madzi a CSF muubongo, zomwe zimapangitsa kuti ubongo ukhale wopanikizika. |
| Kupanikizika kwabwinobwino kwa hydrocephalus (NPH) | Vuto lapadera lomwe kuthamanga kwa magazi muubongo sikukwera ngakhale kuti madzi a CSF amasonkhana. |
| Mavuto a CSF shunt | Vuto ndi kugwira ntchito kwa chubu chaching'ono (shunt) chomwe chimayikidwa muubongo ngati chithandizo cha matenda a hydrocephalus. |
| Pseudotumor cerebri | Kuwonjezeka kwa kupanikizika kwa ubongo popanda chifukwa chomveka. Izi zimatchedwanso 'chotupa cha ubongo'. |
Uthenga Wopita Nawo Kunyumba
- Kujambula kwa cisternegram ndi kujambula kwapadera komwe kumayesa kuyenda kwa madzi a CSF kuzungulira ubongo ndi msana wanu.
- Izi zimathandiza kudziwa ngati zizindikiro monga mutu ndi chizungulire zomwe zimakula kwambiri munthu akaima zimayambitsidwa ndi kutuluka kapena kusonkhana kwa CSF.
- Pa mayeso awa, singano yopyapyala imalowetsedwa mu msana ndipo chinthu chapadera chimabayidwa. Kenako, zithunzi zojambulidwa zimatengedwa maola angapo ndi masiku angapo pambuyo pake.
- Izi sizipweteka kwambiri, ndipo mavuto aakulu ndi osowa kwambiri.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayesowa, lankhulani ndi dokotala wanu momasuka za izi. Kudziwa zambiri zoyenera kungathandize kuchepetsa mantha osafunikira.










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