Kodi VQ scan ndi chiyani? N’chifukwa chiyani mayesowa ndi ofunikira kudziwa za mapapu anu? (VQ Scan)

Kodi mwadzidzidzi munavutika kupuma kapena kupweteka pachifuwa ndipo dokotala anakuuzani kuti muchite VQ scan? Mwina munachita mantha pang'ono pamene ananena zimenezo. "Kodi VQ scan iyi ndi chiyani?" "Ikuwoneka bwanji?" "Kodi ikupweteka?" Mafunso ambiri angabwere m'maganizo mwanu. Musadandaule, tikambirana izi mosavuta lero, m'njira yomwe mungamvetse.

Mwachidule, kodi VQ scan ndi chiyani?

Kujambula kwa VQ ndi njira yopanda ululu, yoyezera magawo awiri yomwe imajambula momwe mapapo anu amagwirira ntchito. Imayang'ana makamaka momwe mapapo anu akugwirira ntchito komanso momwe magazi anu akuyenderera kudzera m'mapapo .

Ichi ndi tanthauzo la zilembo ziwiri zomwe zili m'dzina lake.

• Chilembo "V" chikuyimira Mpweya wopumira . Ndi njira yomwe mpweya umalowa ndikutuluka m'mapapo mukapuma.
• Chilembo "Q" chikuyimira Kutuluka kwa Magazi . Chimatanthauza kuchuluka ndi kuyenda kwa magazi komwe kumaperekedwa ku mitsempha yaying'ono yamagazi m'mapapo.

Mwachidule, izi zili ngati kufufuza ngati misewu mumzinda (ndege) ili bwino komanso ngati palibe kuchuluka kwa magalimoto m'misewu imeneyo (kuyenda kwa magazi).

N’chifukwa chiyani dokotala angalimbikitse kujambulidwa kwa VQ?

Chifukwa chachikulu komanso chofala kwambiri chomwe dokotala amalamula kuti ayesedwe ndi pamene akukayikira kuti magazi aundana m'mapapo. Matendawa amadziwika kuti pulmonary embolism (PE) . Izi zitha kukhala vuto loopsa kwambiri , choncho ndikofunikira kupeza matenda ndi chithandizo mwachangu momwe zingathere.

Kuphatikiza apo, VQ scan iyi imagwiritsidwa ntchito m'mikhalidwe ina ingapo:

• Dziwani matenda otchedwa ``Chronic Thromboembolic Pulmonary Hypertension (CTEPH),`` omwe ndi matenda omwe amawonjezera kuthamanga kwa magazi m'mapapo.
• Yang'anani momwe mapapo amagwirira ntchito mutaika mapapo ena.
• Musanachotse mbali kapena mapapo onse mwa opaleshoni, yang'anani momwe mapapo otsalawo akugwirira ntchito.
• Yesani momwe mapapo amagwirira ntchito mwa munthu amene ali ndi matenda ena a m'mapapo, monga COPD.

Kodi chimachitika ndi chiyani kwenikweni mu mayeso awa?

Chabwino, tsopano tiyeni tiwone zomwe zikuchitika mkati mwa mayeso awa. Izi zimachitika m'magawo awiri tsiku lomwelo, gawo limodzi limachitidwa nthawi yomweyo lina likamalizidwa.

1. Gawo Loyamba (Kupuma mpweya - kuyang'ana kayendedwe ka mpweya):Mu izi, mumavala chipangizo chapadera chopumira (monga chigoba). Mumapuma kudzera mu icho. Chinthu chaching'ono kwambiri, chotetezeka cha radioactive chotchedwa ``tracer'' chimawonjezeredwa ku mpweya womwe mumapuma. Izi zili ngati kuyika ''tag'' yaying'ono mumlengalenga. Kenako kamera yapadera imatenga zithunzi. Chifukwa cha ''tag'', malo omwe mpweya umadutsa m'mapapu anu amatha kuwoneka bwino pazithunzi.

2. Gawo 2 (Kutulutsa Magazi): Mu izi, chinthu chotetezeka chofanana ndi ichi (tracer) chimalowetsedwa mu mtsempha womwe uli m'dzanja lanu. 'Chizindikiro' ichi chimayenda ndi magazi m'thupi lanu lonse komanso m'mapapo anu. Kamera yomweyi yomwe idagwiritsidwa ntchito kale imatenganso zithunzi. Izi zikuwonetsa komwe magazi akuyenda m'mapapo anu.

Poyerekeza zithunzi ziwirizi, dokotala adzazindikira ngati pali vuto ndi mapapu anu.

Kodi VQ scan imasiyana bwanji ndi CT scan?

Funso limeneli ndi limene anthu ambiri amakhala nalo. Ngakhale kuti ma VQ scan ndi CT scan onse amajambula zithunzi za mapapo, pali kusiyana kwakukulu pakati pa awiriwa.

Kodi ndiyenera kukonzekera mayeso asanayambe?

Ichi ndiye chinthu chabwino kwambiri. Palibe kukonzekera kwapadera kofunikira pa VQ scan. Mutha kudya, kumwa, ndi kumwa mankhwala anu mwachizolowezi. Komabe, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu:

• Ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati: Dokotala wanu angakulangizeni mayeso ena, chifukwa kuwala kwa dzuwa kungakhudze mwana wosabadwayo.
• Ngati ndinu mayi woyamwitsa: Popeza kuti kuwala kwa dzuwa kumatha kupita kwa mwana wanu kudzera mu mkaka wa m'mawere, mungapemphedwe kuti musiye kuyamwitsa kwa maola angapo kapena tsiku limodzi mutatha kuyeza ndikutulutsa mkaka wa m'mawere ndikutaya. Dokotala wanu adzakupatsani malangizo pa izi.
• Ngati mukuvutika kukhala chete kwa nthawi yayitali: Ndi bwino kusasuntha pamene mukujambula zithunzi. Kuchita zimenezi kungapangitse kuti zithunzi zisaoneke bwino komanso kuti lipoti lanu likhale loipa.

Kawirikawiri, X-ray ya pachifuwa imachitika maola 24 VQ isanajambulidwe. Chidziwitso chomwe chapezeka kuchokera pamenepa chingathandizenso kumvetsetsa lipoti la VQ scan.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Mayeso onse amatenga pakati pa mphindi 30 ndi 60.

Gawo Loyamba: Kujambula Mpweya Wopanda Mphamvu

Mu izi, mudzakhala pampando kapena mutagona patebulo. Mudzapatsidwa chophimba pakamwa kuti mupume. Kenako, kamera idzajambula zithunzi pamene mukupuma. Muthanso kutembenuzidwa mbali zosiyanasiyana kuti mujambule zithunzi.

Gawo Lachiwiri: Kujambula Mafuta Ochokera M'thupi

Izi ziyamba gawo loyamba likangotha. Izi zikuphatikizapo kuyika IV mumtsempha m'dzanja lanu ndikulowetsamo mankhwala owopsa. Kenako, monga kale, zithunzi zimatengedwa ndi kamera.

Kodi chimachitika ndi chiyani pambuyo pa mayeso? Kodi lipotilo likuti chiyani?

Mayeso akatha, mutha kuchita zinthu zanu zachizolowezi. Zinthu zowononga zomwe zinayikidwa m'thupi lanu zidzasiya thupi lanu mu mkodzo ndi ndowe zanu mkati mwa maola kapena masiku angapo.

Lipotilo nthawi zambiri limalandiridwa mkati mwa maola 24. Tiyeni tiwone zomwe lipotilo likunena.

Kodi pali chiopsezo chilichonse pa izi?

Zoopsa za VQ scan ndizochepa kwambiri . Zoopsa zomwe zingatheke ndi izi:

• Kukhudzidwa ndi kuwala kwa dzuwa: Izi zimagwiritsa ntchito kuwala kochepa komanso kotetezeka. Kumachotsedwa kwathunthu m'thupi patatha masiku ochepa.
• Matenda a ziwengo: Chiwopsezo chokhala ndi vuto la ziwengo ndi katemera n'chochepa kwambiri, koma nthawi zambiri chimakhala chocheperako.
• Kusamva bwino pang'ono: Pakhoza kukhala kupweteka pang'ono panthawi ya jakisoni ndipo muyenera kukhala chete panthawi yoyezetsa.

Kodi ndi nthawi iti yomwe muyenera kupita kwa dokotala mwachangu?

Ngati muli ndi zizindikiro zotsatirazi, zikhoza kukhala chizindikiro cha magazi kuundana m'mapapo (Pulmonary Embolism). Ngati zili choncho , pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo.

• Kupuma movutikira mwadzidzidzi
• Kupweteka kwambiri pachifuwa, mkono, phewa, khosi, kapena nsagwada
• Kutsokomola ndi kapena popanda magazi
• Khungu lotumbululuka ndi thukuta
• Kusintha kwa mtundu wa buluu wa khungu, milomo, kapena misomali (Cyanosis)
• Kugunda kwa mtima
• Thukuta kwambiri