Kodi VQ Scan ndi chiyani? Tiyeni tikambirane mwachidule!

Monga mukudziwa, madokotala amagwiritsa ntchito mayeso osiyanasiyana kuti apeze mavuto m'thupi lathu. Mwina mukudziwa zinthu monga X-ray ndi CT scans. Lero tikambirana za mtundu wosiyana pang'ono wa scan womwe umagwiritsidwanso ntchito pofufuza mozama momwe mapapo athu amagwirira ntchito. Izi zimatchedwa VQ scan. Ngakhale dzinalo lingamveke ngati lovuta pang'ono, kwenikweni ndi losavuta.

Mwachidule, kodi VQ scan ndi chiyani?

Kujambula kwa VQ ndi njira yoyesera ya magawo awiri, yosavulaza yomwe imajambula zithunzi za mapapu anu ndikuyesa kayendedwe ka mpweya ndi magazi m'mapapo.

'V' m'dzina lake imayimira Ventilation , yomwe ndi momwe mpweya umalowera ndi kutuluka m'mapapu anu. 'Q' imayimira Perfusion , yomwe ndi kuchuluka kwa magazi omwe amatsikira ku mitsempha yaying'ono yamagazi m'mapapu anu. Chifukwa chake nthawi zina imatchedwa Ventilation-Perfusion scan, lung scan, kapena lung scintigraphy.

Kodi scan iyi imagwiritsidwa ntchito pazochitika ziti?

Madokotala nthawi zambiri amagwiritsa ntchito VQ scan kuti aone ngati magazi aundana m'mapapo mwanu (Pulmonary Embolism, kapena PE) . Izi zitha kukhala zoopsa ngati sizikuthandizidwa bwino. Zimagwiritsidwanso ntchito pozindikira CTEPH (Chronic Thromboembolic Pulmonary Hypertension) , vuto lomwe limayambitsa kuthamanga kwa magazi m'mitsempha yamagazi ya m'mapapo.

Si zokhazo, komanso kusanthula kumeneku kumathandizanso kuwona momwe mapapu anu amagwirira ntchito m'njira zina zingapo.

• Pambuyo pomuika mapapo.
• Musanachite opaleshoni, chotsani mapapo kapena gawo lake.
• Pozindikira kapena kuchiza matenda ena a m'mapapo, monga COPD (Chronic Obstructive Pulmonary Disease) .

Kodi kusiyana pakati pa VQ scan ndi CT scan ndi kotani?

Ngakhale kuti mitundu yonse iwiri ya ma scan imatenga zithunzi za mapapo ndikuthandizira kuzindikira mavuto monga magazi kuundana, pali kusiyana koonekeratu pakati pa ziwirizi. Tiyeni tiwone patebulo.

Kodi ndiyenera kukonzekera bwanji ndisanajambule?

Ndipotu, kusanthula kumeneku sikufuna kukonzekera kwapadera. Mutha kudya bwino komanso kumwa mankhwala anu. Komabe, muyenera kuuza dokotala wanu za izi:

• Ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati: Kujambula kumeneku kumagwiritsa ntchito mphamvu ya kuwala pang'ono, kotero sikotetezeka kwa mwana wosabadwayo. Zikatero, dokotala wanu angakulangizeni mayeso ena.
• Ngati ndinu mayi woyamwitsa: Popeza chinthu chomwe chimagwiritsidwa ntchito pojambula chimatha kulowa mu mkaka wa m'mawere, dokotala wanu adzakupatsani malangizo apadera okhudza momwe mungayamwitsire mwana wanu kwa tsiku limodzi kapena awiri mutatha kujambula.
• Ngati mukuvutika kukhala chete pamalo amodzi kwa mphindi zingapo: Ngati musuntha panthawi yojambula, zithunzi sizidzamveka bwino. Chifukwa chake ndikofunikira kutiuza za izi pasadakhale.

Nthawi zambiri X-ray ya pachifuwa imayitanidwa mkati mwa maola 24 kuchokera pamene VQ scan yachitika. Chidziwitso chomwe chapezeka kuchokera pamenepa chithandiza dokotala kumvetsetsa zotsatira za VQ scan.

Kodi chimachitika ndi chiyani panthawi yojambula?

Mayesowa amatenga pakati pa mphindi 30 ndi 60 kuti amalize. Ali ndi magawo awiri. Anthu ena achita gawo limodzi lokha, koma anthu ambiri achita magawo onse awiri tsiku limodzi.

Gawo Loyamba: Kujambula Mpweya Wopanda Mphamvu

Izi zikuphatikizapo kuyang'ana momwe mpweya umalowera m'mapapo mwanu.

1. Choyamba, mudzavekedwa chophimba pakamwa kapena chophimba chophimba pakamwa chomwe chimaphimba pakamwa ndi mphuno yanu. Mungafunikenso kuyika kachidutswa kakang'ono pamphuno yanu kuti muwonetsetse kuti mukupuma kudzera pakamwa panu pokha.

2. Kenako, kudzera mu chubu cholumikizidwa ndi chipangizochi, pang'ono kwambiri ya radioactive (tracer) imawonjezeredwa ku mpweya womwe mumapuma. Taganizirani izi ngati kuyika chizindikiro chaching'ono chamtundu pa mpweya womwe mumapuma.

3. Mudzagonekedwa pabedi lapadera ndikutumizidwa mkati mwa makina omwe amaoneka ngati silinda. Kapena mudzakhalitsidwa pampando ndikuyikidwa patsogolo pa kamera.

4. Mukapuma kudzera mu chigoba ichi, kamera yapadera idzajambula mapapu anu. Mutha kusinthidwa kukhala malo osiyanasiyana kuti mujambule zithunzi zofunikira.

Gawo Lachiwiri: Kujambula Mafuta Ochokera M'thupi

Gawoli limamalizidwa akangomaliza kusanthula mpweya. Gawoli likuyang'ana momwe magazi amayendera kupita ku mapapo.

• Nthawi ino, mankhwala owopsa (tracer) sapumidwa. M'malo mwake, amalowetsedwa mu mtsempha womwe uli m'dzanja lanu kudzera mu IV .
• Kenako, pogwiritsa ntchito kamera yomweyi monga kale, amajambula zithunzi za magazi akuyenda m'mapapo mwanu.

Kodi ndingapeze bwanji zotsatira pambuyo pa scan?

Mukhoza kubwerera ku ntchito zanu zachizolowezi mutatha kusanthula. Zinthu zowononga zomwe zinalowetsedwa m'thupi lanu zimatuluka m'thupi lanu kudzera mu mpweya wanu, mkodzo, ndi ndowe mkati mwa maola kapena masiku angapo. Nthawi zambiri mudzalandira zotsatira zanu mkati mwa maola 24.

Ngati lipoti la zotsatira likunena kuti "Zachizolowezi" kapena "Zochepa," zikutanthauza kuti palibe magazi omwe amaundana. Ngati likunena kuti "Zotheka zapakati," zikutanthauza kuti sizikudziwika bwino, ndipo mayeso ena angafunike. Ngati likunena kuti "Zotheka zazikulu," zikutanthauza kuti pali mwayi waukulu woti magazi aundana, ndipo dokotala wanu adzakambirana nanu za chithandizo chomwe mukufuna.

Kodi ndi liti pamene muyenera kupita kwa dokotala mwachangu?

Ngati mukumva zizindikiro za magazi kuundana m'mapapo mwanu (pulmonary embolism) , ndi vuto ladzidzidzi.Imbani dokotala wanu nthawi yomweyo, kapena pitani ku chipinda chapafupi chadzidzidzi cha chipatala (ETU). Samalani zizindikiro izi:

• Kuvuta kupuma mwadzidzidzi.
• Kupweteka kwambiri pachifuwa, mkono, phewa, khosi, kapena nsagwada.
• Kutsokomola ndi kapena popanda magazi.
• Khungu lotumbululuka ndi thukuta lomata.
• Kusintha kwa mtundu wa buluu wa khungu, milomo, kapena misomali (cyanosis).
• Kugunda kwa mtima kumawonjezeka.
• Kutuluka thukuta kwambiri.