Ngaba ugqirha wakho ukuxelele ukuba wenze i-MRCP scan kuba awukwazi ukufumana unobangela ochanekileyo wentlungu yesisu sakho? Umele ukuba woyika kancinci xa usiva igama, akunjalo? Umele ukuba wacinga, "Hayi indlela olu vavanyo lukhulu ngayo olu." Ungakhathazeki, kuqhelekile. Enyanisweni ayoyikisi njengoko ucinga. Namhlanje, siza kuthetha ngokulula malunga nokuba yintoni le MRCP, indlela eyenziwa ngayo, kunye nendlela yokuyilungiselela.
Kalula nje, yintoni i-MRCP?
I-MRCP, ukuba inyanisekile, sisifinyezo samagama amade athi Magnetic Resonance Cholangiopancreatography . Kulungile, kulungile, eli gama liyinkimbinkimbi kancinci. Masilibale ngaloo nto size siyiqonde.
Olu luhlobo lwe-MRI scan. Kodwa yenzelwe ngokukodwa ukuhlola imibhobho kwinkqubo yenyongo yomzimba wethu kunye nepancreas . Kufana nokuthatha ikhamera ekumgangatho ophezulu uze uthathe umfanekiso ocacileyo wangaphakathi kwezi zitho.
Ngexesha lovavanyo, kufakwa i-cannula encinci emthanjeni osengalweni yakho kwaye kufakwa ulwelo olukhethekileyo (i-arhente yokwahlulahlula) emzimbeni wakho ngalo. Musa ukoyika oku, kuba olu lwelo lulwelo oluyenza imibhobho yakho yenyongo kunye nemibhobho ye-pancreatic ibonakale icacile kwimifanekiso yeskeni. Ngokujonga le mifanekiso, ugqirha wakho unokuchonga kanye imeko yakho.
Zeziphi izifo ezinokufunyaniswa nge-MRCP scan?
Ugqirha uhlala eyalela i-MRCP ukuba akafumani sizathu sentlungu yesisu sakho. Olu vavanyo lunokuxilonga ezi meko zilandelayo:
| Imeko yezonyango enokuxilongwa | Ingcaciso elula |
|---|---|
| Amatye enyongo | Ungajonga ukuba akukho matye aqulunqwe kwi-gallbladder okanye kwi-bile ducts. |
| Ukuqiniswa kwenyongo (ukuvaleka okanye ukucutheka kwemibhobho yenyongo) | Ungajonga ukuba imibhobho evela kwinyongo ivalekile okanye inciphile na. |
| I-Pancreatitis | Ungafumanisa ukuba ipancreas idumbile kwaye inentsholongwane. |
| Umhlaza wePancreatic okanye Bile Duct | Oku kunceda ekufumaneni iimpawu zokuqala zezifo zomhlaza (umz., i-cholangiocarcinoma) kwezi zitho zomzimba. |
| Amaqhuma okanye ii-cysts ezizaliswe lulwelo (ii-Cysts kunye nee-Pseudocysts) | Ungajonga amaqhuma angaqhelekanga kunye namaqhuma kwi-pancreas okanye kwi-bile ducts. |
Ngubani owenza olu vavanyo?
Olu vavanyo ludla ngokwenziwa yingcali ye-radiology . Nangona kunjalo, ingcali ye-radiology ikwakho ngaxeshanye. Ihlalutya imifanekiso yeskeni ize ilungiselele ingxelo. Olu luvavanyo oludla ngokwenziwa esibhedlele okanye ekliniki ngaphandle kwesibhedlele.
Iintlobo zeeskena ezisetyenziselwa i-MRCP
Kukho iintlobo ezimbini eziphambili zeeskena ze-MRI ezisetyenziselwa i-MRCP.
1. I-Closed-bore MRI: Olu lolona hlobo silubona rhoqo. Ulala ebhedini, kwaye ibhedi ingena kwisilinda enkulu, njengequla elikhulu, ngaphakathi komatshini . Intloko yakho nesisu sakho zingaphakathi komatshini.
2. I-MRI evulekileyo: Lo matshini unamacala amabini avulekileyo. Iimagnethi zingaphezulu nangaphantsi kwakho kuphela. Olu hlobo lweskena lulungele kakhulu abantu aboyika ukuba kwiindawo ezincinci (i-claustrophobia) .
Ufanele uzilungiselele njani ngaphambi kokuba uskene?
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngaphambi kolu vavanyo. Ezi zizinto abadla ngokukuxelela ukuba uzenze.
| Kwenziwe ntoni | Kutheni kunjalo? |
|---|---|
| Ukuzila ukutya | Uza kucelwa ukuba ungatyi okanye ungaseli kangangeeyure ezimbalwa ngaphambi kovavanyo. Kulapho ke imifanekiso iza kucaca khona. |
| Ukususa izinto zesinyithi | Ngenxa yokuba iskena sinamandla amakhulu emagnethi, kufuneka ususe zonke izinto zesinyithi ezifana namacici, imigexo, iiringi, iiwotshi kunye namazinyo okufakelwa. |
| Isaziso sezixhobo ezifakelweyo | Ukuba unesixhobo sesinyithi esifakwe emzimbeni wakho, esifana ne -pacemaker , i-cochlear implant , okanye amalungu angengowokwenziwa, qiniseka ukuba uxelele ugqirha wakho ngaso kwangaphambili. |
| Ukwazisa malunga nee-allergies | Xelela ugqirha wakho ukuba une-asthma, ezinye ii-allergies, okanye ukhe waba ne-allergy ngaphambili kwinto ethile. Oku kubalulekile kuba kukho umngcipheko omncinci kakhulu we-allergy reaction kwi-contrast fluid. |
| Ukuthomalalisa | Ukuba unoloyiko, olufana ne-claustrophobia, xelela abasebenzi ngalo mba. Baza kukunika ipilisi okanye inaliti ukuze uzole. Ukuba kunjalo, zisa umntu oza kukuthatha akuse ekhaya emva kovavanyo. |
Kwenzeka ntoni ngexesha leskeni?
Kulungile, ngoku masibone ukuba kwenzeka ntoni ngexesha lokuskena.
1. Okokuqala, uza kunikwa ii-earplugs okanye ii-headphones ukunciphisa ingxolo evela kwiskena. Nangona kunjalo, uza kukwazi ukuva oko kuthethwa ngabasebenzi.
2. Okulandelayo, uza kubekwa ujonge phezulu etafileni yokuskena kwaye imitya okanye iikhushini ziya kusetyenziselwa ukukunceda uhlale ungashukumi.
3. Emva koko, i-cannula ifakwa emthanjeni osengalweni yakho kwaye i-contrast fluid ifakwa. Usenokuziva upholile kancinci ngelo xesha.
4. Ngoku ingcali iya kwigumbi lolawulo ize ithumele ibhedi yokuskena kumatshini. Kodwa inokukubona ngeglasi, kwaye inokuthetha nawe nge-intercom.
5. Xa i-scan iqala, uza kuva ingxolo enkulu. Ungaziva nobushushu obuncinci. Eyona nto ibalulekileyo ngeli xesha kukuhlala ungashukumi . Ngamanye amaxesha uza kucelwa ukuba ubambe umphefumlo wakho okwethutyana.
Olu vavanyo ludla ngokuthatha malunga nemizuzu eli-15. Kungathatha eminye imizuzu engama-30 ukuba kwenziwa i-MRI eqhelekileyo yesisu ngaxeshanye.
Kwenzeka ntoni emva kokuskena?
Xa uvavanyo luphelile, ukuba unikwe iyeza lokuthomalalisa, kuya kufuneka ulinde ixesha elithile ukuze iziphumo ziphele. Emva koko, ungagoduka. Ungatya, usele, kwaye wenze imisebenzi yakho yesiqhelo.
Iziphumo ebezingalindelekanga ezivela kolu vavanyo aziqhelekanga. Nangona kunjalo, ukuba ufumana isicaphucaphu, intloko ebuhlungu, okanye iintlungu zomzimba emva kokuba ubuyile ekhaya, yazisa ugqirha wakho ngoko nangoko.
Yintoni umahluko phakathi kwe-MRCP kunye ne-ERCP?
Usenokuba ukhe weva ngovavanyo olubizwa ngokuba yi-ERCP. Nangona zombini ezi mvavanyo zijonga inkqubo yomzimba efanayo, kukho umahluko omkhulu phakathi kwezi mvavanyo zimbini.
| Uphawu | I-MRCP (leyo ikweli nqaku) | I-ERCP (i-Endoscopic Retrograde Cholangiopancreatography) |
|---|---|---|
| Indlela yokusebenza | Akukho zixhobo zifakwayo emzimbeni. Yi-MRI scan eyenziwa ngaphandle. | Ityhubhu enekhamera eqhotyoshelweyo (i-endoscope) ifakwa ngomlomo, esiswini, nakwimibhobho yenyongo. |
| Ukungena ngokungenanjongo | Ayihlaseli. | Ukuhlasela. |
| I-Anesthesia | Akufuneki rhoqo (imithi yokuthomalalisa inikwa kuphela abo boyikayo). | Ngokuqinisekileyo kuyimfuneko. |
| Amandla onyango | Ngeenjongo zokuxilonga kuphela. Ayinakusetyenziselwa unyango. | Unyango olufana nokususa amatye, ukufaka iityhubhu (i-stents) kwimithambo yegazi emincinci, kunye nokuthatha iisampulu zezicubu (ii-biopsies) lunokwenziwa ngexesha lovavanyo. |
Zithini iingozi kunye neenzuzo ze-MRCP?
Eyona nzuzo iphambili kukuba akukho kuvezwa kwimitha ye-X-ray. Isebenzisa amandla emagnethi kunye namaza erediyo. Ke ngoko, luvavanyo olukhuselekileyo kakhulu.
Umngcipheko uphantsi kakhulu.
- Ii-Allergy: Ii-allergy ukuya kulwelo oluchaseneyo azifumaneki rhoqo.
- I-Claustrophobia: Uloyiko lokuba kwindawo encinci yeyona nto iphambili ebangela ukungakhululeki. Kodwa kukho izisombululo zayo.
Kubalulekile: Ukuba unesifo sezintso okanye ukhulelwe, kufuneka uxelele ugqirha wakho ngaphambi kokuba wenze olu vavanyo.
Umyalezo Wokuya Ekhaya
- I-MRCP siskeni se-MRI esikhuselekileyo, esingena-radioactive, esikhethekileyo esihlola imibhobho yenyongo kunye nepancreas yakho.
- Oku kunokubona izifo ezinje ngamatye enyongo, ukuvaleka kwemibhobho, i-pancreatitis, kunye nomhlaza.
- Landela imiyalelo kagqirha (ukuzila ukutya, ukususa izinto zesinyithi) kanye ngaphambi kovavanyo.
- Ukuba une-claustrophobia, xelela abasebenzi kwangaphambili. Baza kukunceda.
- Musa ukoyika ngokungeyomfuneko olu vavanyo. Zive ukhululekile ukuxoxa ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo nogqirha.
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