Kana chiremba akakuudza kuti uite ultrasound scan, chinhu chakajairika kwatiri ikozvino. Asi dzimwe nguva paanoti "Ndinofanira kuita ultrasound scan ine contrast," unotya zvishoma uye unoda kuziva, handiti? Chii chinonzi "contrast"? Zvichakuvadza here? Sei ultrasound yenguva dzose isina kukwana? Nhasi, tichataura nezvemhinduro dzemibvunzo iyi yese mupfungwa dzako nenzira iri nyore muchinyorwa chino.
Zvichitaurwa zviri nyore, chii chinonzi Contrast-Enhanced Ultrasound (CEUS)?
Kuti tinzwisise izvi, ngatitangei tiyeuke kuti chii chinonzi ultrasound scan. Ultrasound scan inosanganisira kutumira mafungu eruzha ane frequency yakakwira atisingakwanise kunzwa mumuviri, uye mafungu acho anosvetuka kubva munhengo dziri mukati ogadzira mufananidzo pakombiyuta.
Ultrasound Inovandudzwa neContrast (CEUS) imhando yepamusoro zvishoma yemaitiro aya. Pano, mvura yakakosha inopinzwa mutsinga yako kuburikidza necannula diki (IV line). Izvi ndizvo zvatinodaidza kuti "contrast." Mvura iyi ine mamiriyoni emabubbles emhepo, madiki pane masero ako eropa. Izvi zvinonzi "microbubbles" kuti zvive pachena.
Mabhubhu aya paanofamba nemutsinga dzeropa rako achienda kunhengo dzakasiyana-siyana, kana mafungu eruzha anobva mumuchina we ultrasound arova mabhubhu aya, anodedera zvine simba, achidzosa mafungu eruzha nesimba guru. Nekuda kweizvozvo, nzvimbo dzine musiyano uyu dzinoonekwa dzakapenya uye dzakajeka mumufananidzo waunoona pachikirini chekombuta.
Zvichitaurwa zviri nyore, musiyano uyu unoita sekunge unobatidza 'tochi' diki panhengo dziri mukati memuviri. Izvi zvinoita kuti chiremba aone kufamba kweropa richienda kunhengo idzi zvakajeka.
Chii chinonyanya kutariswa nebvunzo yeCEUS?
Vanachiremba vanoshandisa bvunzo iyi kakawanda kuti vaongorore mamwe mamiriro ezvinhu muchiropa neitsvo, asi inoshandiswawo kuongorora dzimwe nhengo dzakasiyana-siyana.
| Nhengo yekuongorora | Mamiriro ezvinhu anozivikanwa |
|---|---|
| Chiropa | Kuzivikanwa kwezvironda zvegomarara nezvisiri zvegomarara. |
| Itsvo | Kuongorora kenza yeitsvo, mavanga, uye hutachiona. |
| Dzimwe nhengo dzemuviri | Kuongorora mashandiro uye kuyerera kweropa munhengo dzakadai setsinga dzeropa, moyo, gallbladder, pancreas, spleen, uye dundira. |
| Kurapa kenza | Kutarisa maitiro egomarara pakurapwa. |
Ndezvipi zvakanakira CEUS pane mamwe marudzi ekuskena?
Dzimwe nguva vanachiremba vanoshandisa CEUS pamwe chete kana seimwe nzira yekuyedza senge CT scans uye MRI scans nekuti ine zvakanakira zvakasiyana.
- Yakachengeteka kuitsvo: Kusiyanisa kunoshandiswa paCT scan dzimwe nguva kunogona kukanganisa itsvo. Saka, CEUS isarudzo yakachengeteka zvikuru kune munhu ane chirwere cheitsvo kana ane allergies kune CT contrast.
- Zviri nani kuvana vadiki: Kuongororwa kweCT kunoshandisa X-rays. Ultrasound haishandisi X-rays. Saka, CEUS yakachengeteka kuvana vadiki, ichidzivirira kusvibiswa nemwaranzi zvisina kufanira.
Bvunzo iyi iri kufamba sei? Unonzwa sei?
Maitiro ese aya ari nyore kwazvo. Anoitika muzvikamu zviviri.
Danho 1: Kuongororwa kweUltrasound Nguva Dzose
Kutanga, nyanzvi yezvehutano ichaisa gel yakajeka paganda rako yoisa mudziyo unobatwa nemaoko unonzi transducer pamusoro paro. Munguva iyi, vachaona nzvimbo chaiyo yenhengo iri kutaurwa nezvayo votora mifananidzo mishoma. Hauzonzwi kurwadziwa panguva iyi, kunze kwekunzwa kunhuhwirira kudiki.
Danho rechipiri: Kuongororwa kweUltrasound ne contrast
Zvadaro, chiremba kana nesi achaisa kannula kadiki (IV) mutsinga iri muruoko rwako kana muruoko rwako obaya mvura inosiyanisa muviri wako. Unganzwa kurwadza zvishoma kana tsono yaiswa uye ruoko rwako runganzwa kutonhora mvura yacho painopinda.
Kana musiyano wacho wapinda mumuviri, nyanzvi yezvekurapa ichaongorora zvakare yotora mifananidzo. Apa ndipo pavanogona kuona zvakajeka kuti ropa riri kuyerera sei richienda kunhengo dzemuviri.
Usazvidya moyo! Mafuro aya emhepo (`mabhurobhu emuchadenga`) akasiyana haagari mumuviri kwenguva yakareba. Anoputika mushure mechinguva, uye gasi risingakuvadzi rinonyungudika muropa robuda mumuviri paunofema.
Kana bvunzo yapera, gel ichabviswa uye cannula iri muruoko rwako ichabviswa. Mushure meizvozvo, unogona kuenda kumba pasina matambudziko.
Ndinofanira kugadzirira sei bvunzo isati yaitwa?
Kazhinji, izvi hazvidi kugadzirira kwakawanda. Chinongodiwa chete kupfeka mbatya dzakanaka uye dzisina kusimba. Zvisinei, zvichienderana nenhengo iri kuongororwa, dzimwe nguva unogona kuwana mirayiridzo yakakosha.
- Kutsanya: Kana kuri kuongororwa kwedumbu, uchakurudzirwa kuti usadye kana kunwa kwemaawa mashoma bvunzo isati yaitwa.
- Dundira rakazara: Kana uri kuongororwa dundira, unogona kukumbirwa kuti unwe mvura wozouya kuzoongororwa dundira rako razara.
Chinhu chinonyanya kukosha ndechekutevedzera mirairo yakapihwa nachiremba wako kana chipatara nemazvo.
Pane njodzi here kana kuti migumisiro yakaipa pane izvi?
Chekutanga, tekinoroji ye ultrasound inzira yakachengeteka zvikuru isina migumisiro yakaipa.
Zvisinei, vamwe vanhu vanogona kusangana nemigumisiro inobva mucontrast fluid. Zvisinei, izvi hazviwanzoitiki . Migumisiro iyi inowanzova midiki. Ngationei kuti chii.
| Chikamu chemhedzisiro yedivi | Zviratidzo zvinogona kuitika |
|---|---|
| Migumisiro isina kunaka (kazhinji kuzvirapa) | Musoro, kuda kurutsa, kuvaviwa kana mapundu paganda, kurwadziwa kana kudziya panzvimbo yekubaiwa jekiseni, kunzwa kupisa mumuviri, kusagadzikana pachipfuva, dzungu, kuravira kusinganzwisisike mumuromo. |
| Migumisiro ine mwero (Kurapwa kwechiremba kungadiwa) | Kusvotwa zvakanyanya kana kurutsa, kutetepa kwenzira dzekufema (bronchospasm), kuzvimba kwechiso, kupera simba, BP yakaderera. |
| Migumisiro yakaipa (Hazviwanzoitiki) | Anaphylaxis - Iyi iallergy yakanyanya inogona kuisa hupenyu panjodzi. Zvisinei, izvi hazviwanzoitiki. Vashandi vezvehutano vanogara vakagadzirira kubata nematambudziko akadaro. |
Zvichienderana nehuwandu, migumisiro midiki inowanikwa muvanhu vashoma vanosvika vashanu pavanhu zana (5%). Kuitika kwakanyanya kunoitika muvanhu vasingasviki mumwe pavanhu zviuru gumi (vasingasviki 0.01%). Saka usanyanya kunetseka neizvi.
Ndichagamuchira riini mushumo wacho?
Mifananidzo yakawanikwa kubva pakuongororwa inodzidzwa nokungwarira nachiremba weX-ray uye mushumo unogadzirwa. Zvadaro, mushumo iwoyo unopihwa kuna chiremba wako ari kurapa. Pakupedzisira, chiremba wako achakutsanangurira zvabuda mumushumo iwoyo.
Mharidzo Yekuenda Nayo Kumba
- Contrast-Enhanced Ultrasound (CEUS) iultrasound scan yepamusoro inoshandisa mvura ine mabubbles madiki emhepo kuti ione zvakajeka kuti ropa rinoyerera sei munhengo dzemuviri.
- Izvi zvinonyanya kubatsira pakuongorora zvirwere zvechiropa neitsvo. Ndiyo imwe nzira yakachengeteka pane CT scan yevarwere veitsvo nevana vadiki.
- Kuongororwa uku kuri nyore kwazvo. Hapana kurwadza kunze kwekunge kannula kadiki kachiiswa muruoko uye mvura yekuenzanisa ichipihwa.
- Migumisiro yakaipa inobva mucontrast fluid haiwanzoitiki. Usatya. Kana uine allergies, zivisa chiremba wako usati waongororwa.
- Zvakakosha kutevedzera mirairo yakapihwa nechipatara kana nachiremba wako (semuenzaniso kutsanya) kuti uwane mhinduro chaiyo.
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