Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo ngaphandle kwesizathu, ngokungathi uphefumla nzima? Mhlawumbi unengxaki yokuphefumla xa unyuka izinyuko ezincinci okanye uhamba umgama omfutshane. Zininzi izizathu zoku. Kodwa ingxaki ayisoloko ikwimiphunga yethu kuphela. Kukho umsipha omnye oyintloko, onamandla kakhulu osinceda siphefumle, kwaye yi-diaphragm. Ngoko ke, namhlanje siza kuthetha ngovavanyo olukhethekileyo nolulula ukubona ukuba le diaphragm isebenza kakuhle na. Oku kubizwa ngokuba yi-'Sniff Test'.
Ngamafutshane, yintoni le 'Sniff Test'?
Kulungile, masiyihlalutye le nto ngokulula. 'Uvavanyo lokukrwela' luhlobo olukhethekileyo lovavanyo lwe-X-ray. Ngokusisiseko lujonga ukuba i-diaphragm yakho isebenza kakuhle kangakanani.
Ngoku mhlawumbi uyazibuza ukuba yintoni le diaphragm. Sisihlunu esikhulu, esithe tyaba esiphakathi kwesifuba nesisu sethu. Sifana nesambrela. Esi sihlunu senza umsebenzi ophambili ngalo lonke ixesha siphefumla. Ngoko ke, kolu vavanyo, ugqirha okanye ingcali ithatha uthotho lwemifanekiso ye-X-ray, njengevidiyo, njengoko uphefumlela ngaphakathi nangaphandle. Ngokujonga loo mifanekiso, banokubona ukuba kukho ubuthathaka kwidiaphragm yakho, okanye ukuba ikhubazekile .
Kukho amanye amagama amabini asetyenzisiweyo kolu vavanyo. La ngamagama athi Chest Fluoroscopy kunye neDiaphragm Fluoroscopy . Ukuba uva omabini la magama, oko kuthetha ukuba olu luvavanyo olufanayo.
Kufuneka kwenziwe nini uvavanyo lokukrwela?
Ukuba ugqirha wakho ukrokrela ukuba imithambo-luvo elawula ukuphefumla kwakho inokuchaphazeleka, angacebisa olu vavanyo. Oku kubaluleke kakhulu kwiimeko ezithile zemithambo-luvo.
Khawucinge nje, kukho umntu ogama linguNimal. Ubenengxaki yokuphefumla ixesha elide. Oogqirha benze uvavanyo oluninzi, kodwa abakwazanga ukufumana unobangela omkhulu. Ekugqibeleni, ugqirha ukrokrela ukuba kukho ubuthathaka kwimithambo-luvo elawula i-diaphragm yakhe. Kulapho ke olu 'vavanyo lokufutha' luba luncedo kakhulu.
Itheyibhile engezantsi ibonisa ezinye zeemeko zempilo ezidla ngokufuna olu vavanyo.
| Imeko | Ingcaciso elula |
|---|---|
| I-Amyotrophic lateral sclerosis (ALS) | Isifo esiye sinciphise kancinci kancinci iiseli zemithambo-luvo engqondweni nasemgogodleni. |
| I-Chronic inflammatory demyelinating polyneuropathy (CIDP) | Imeko ehlala ixesha elide eyonakalisa imingxunya yemithambo-luvo yomzimba. |
| I-Dermatyositis | Imeko ebangela ubuthathaka bemisipha kunye nosulelo lolusu. |
| Isifo sikaGuillain-Barré | Imeko apho inkqubo yomzimba yokuzikhusela ihlasela imithambo-luvo. |
| Isifo sikaLambert-Eaton | Imeko ephazamisa ukudluliselwa kwemiqondiso phakathi kwemithambo-luvo kunye nemisipha. |
| I-Multiple sclerosis (MS) | Isifo esichaphazela ingqondo kunye nomqolo, sonakalisa imingxunya yemithambo-luvo. |
| Ukungakwazi kwemisipha | Iqela lezifo apho izihlunu zibuthathaka kancinci kancinci kwaye ziphele amandla. |
| I-Myasthenia gravis | Isifo esiphazamisa unxibelelwano phakathi kwemithambo-luvo kunye nemisipha. |
| Isifo sePompe | Imeko yemfuza apho izihlunu ziba buthathaka ngenxa yokuqokelelana kweswekile kwiiseli zomzimba. |
| I-Post-polio syndrome | Umntu owayekhe waba nepoliyo ngaphambili unokuba buthathaka kwizihlunu emva kweminyaka emininzi. |
| Ukulimala komqolo | Ukuphazamiseka kokusebenza kwemithambo-luvo ngenxa yokwenzakala kwintambo yomqolo. |
Ukongeza kwezi meko zonyango, olu vavanyo lunokwenziwa kwezinye iimeko ezimbini:
1. Ukuba unengxaki yokuphefumla engachazekiyo (ukuphelelwa ngamandla).
2. Ukujonga ukusebenza kwe-diaphragm ngaphambi okanye emva kotyando .
Olu 'vavanyo lokufutha' lusebenza njani kanye kanye?
Le yinkqubo enomdla kakhulu. Khawuthelekelele umi phambi komatshini we-X-ray. Ugqirha okanye ingcali iya kukuxelela ukuba uphefumle ngeendlela ezahlukeneyo. Ngelo xesha, ikhamera ye-X-ray ingabona ngaphakathi esifubeni sakho, ingakumbi i-diaphragm, ishukuma bukhoma.
Nazi izinto oxelelwa ukuba uzenze:
- Phefumla ngoxolo nangendlela eqhelekileyo .
- Phefumla nzulu kangangoko unako.
- Khupha umoya ngokupheleleyo kangangoko unako.
- Phefumla ngokukhawuleza ngempumlo yakho . Njengokungathi uphefumla into enzima ukunuka. Yiloo nto uyibiza ngokuba "kukurhogela." Olu vavanyo lubizwa ngokuba "luvavanyo lokurhogela" ngenxa yesi senzo.
Ngoko ke ufumana ntoni koku?
Ngokwesiqhelo, xa umntu ophilileyo ephefumla, i-diaphragm iyehla (isiya esiswini) ize ithambe. Oku kuvumela imiphunga ukuba izalise umoya. Xa uphefumla, i-diaphragm iyenyuka kwakhona (isiya esifubeni) ize ifane ne-dome (arch).
Nangona kunjalo, ukuba i-diaphragm ayehli xa umntu ephefumla, kodwa iyenyuka (iphakanyisiwe) , oko kuthetha ukuba kunokubakho ingxaki kwi-diaphragm okanye kwi-phrenic nerve eyilawulayo. Olu vavanyo lukhangela kakhulu loo ntshukumo ingaqhelekanga.
Ndingazilungiselela njani ezi vavanyo?
Le yeyona nto ilungileyo. Olu vavanyo aludingi lungiselelo lukhethekileyo . Akunyanzelekanga ukuba uzile ukutya okanye uthathe amayeza akhethekileyo. Ungenza nje imisebenzi yakho yesiqhelo uze uye esibhedlele ngexesha elicwangcisiweyo lovavanyo.
Kwenzeka ntoni ngexesha lovavanyo?
Xa usiya kwigumbi lovavanyo, la manyathelo adla ngokwenzeka:
1. Ukulungisa indlela yokuma:Ingcali iza kukucela ukuba ume phambi kwekhamera ye-X-ray. Ukuba unengxaki yokuma, uza kucelwa ukuba uhlale esitulweni okanye ulale etafileni egobileyo. Iintambo zingasetyenziselwa ukukugcina ukhuselekile kwaye zikuthintele ukuba ungatyibiliki. Ungakhathazeki ngaloo nto.
2. Imiyalelo yokuphefumla: Okulandelayo, baya kukufundisa ukuba uphefumle ngeendlela ezahlukeneyo (umzekelo, ngesiqhelo, nzulu, ukukhupha umoya, ukufutha ngokukhawuleza). Kubaluleke kakhulu ukulandela imiyalelo yabo ngokusondeleyo kangangoko kunokwenzeka .
3. Ukuthatha imifanekiso ye-X-reyi: Ngelixa uphefumla ngolu hlobo, bayaqhubeka nokuthatha imifanekiso ye-X-reyi.
Lonke eli xesha lithatha ixesha elifutshane kakhulu, malunga nemizuzu eli-15 , ngoko ke akukho mfuneko yokukhathazeka ngexesha.
Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga koku?
Olu vavanyo alunazo iziphumo ebezingalindelekanga kwaye alunantlungu kwaphela.
Uvavanyo lwe-X-ray lubeka umzimba wakho esichengeni sokufumana imitha encinci kakhulu . Kodwa luncinci kakhulu, phantse alunamsebenzi. Ugqirha wakho ucebisa olu vavanyo kuba ixabiso kunye neenzuzo zolwazi olufunyenwe kolu vavanyo zingaphezulu kakhulu kunomngcipheko omncinci. Ngoko ke akukho mfuneko yokukhathazeka kakhulu ngemitha.
Ungayiqonda njani ingxelo 'yovavanyo lokukrwela'?
Isiphumo 'sovavanyo lokukrwela' silula kakhulu. Silungile okanye sibi.
| Isiphumo | Intsingiselo elula |
|---|---|
| Ilungile (+ ) | Oku kuthetha ukuba i-diaphragm yakho inyuka ngokungaqhelekanga xa uphefumla. Oku kunokubonisa ukuba inxalenye okanye yonke i-diaphragm yakho ikhubazekile. |
| Okungalunganga (-) / Okuqhelekileyo | Oku kuthetha ukuba i-diaphragm yakho ihamba kakuhle, kanye njengoko kufanele. Oko kuthetha ukuba akukho ngxaki ngokusebenza kwayo. |
Ugqirha wakho unokukwazi ukukuxelela iziphumo ngoko nangoko. Okanye, kungathatha iintsuku ezimbalwa ukuba ingcali ye-radiologist ihlole imifanekiso, ilungiselele ingxelo, ize iyithumele kugqirha wakho.
Khumbula into ebalulekileyo.
Ngamanye amaxesha kukho ithuba elincinci lokuba kubekho 'i-false positive' (xa kungekho ngxaki, kodwa kubonakala ngathi ikhona) kunye 'ne-false negative' (xa kukho ingxaki, kodwa uvavanyo alubonisi). Ke ngoko, ugqirha akayi kwenza isigqibo ngokusekelwe kule ngxelo yodwa. Uza kuthatha yonke into, kuquka iimpawu zakho kunye nezinye iziphumo zovavanyo, ukuze afikelele kwisigqibo sokugqibela.
Ukuba iziphumo aziqhelekanga, kuza kwenzeka ntoni emva koko?
Ukuba uvavanyo lwakho lokunuka luthi lukhona, nto leyo ethetha ukuba iziphumo aziqhelekanga, ungakhathazeki. Ugqirha wakho uza kuthetha nawe aze akuchazele ukuba iziphumo zithetha ukuthini xa ujongene nemeko yakho.
Esi asisosigqibo esisekelwe kuphando olunye. Esi sisiqendu nje esinye somfanekiso omkhulu.
Ugqirha wakho uza kuthelekisa le ngxelo neempawu zakho kunye nezinye iimvavanyo ukuze agqibe ukuba zeziphi amanyathelo oza kuwathatha ngokulandelayo. Usenokuyalela ezinye iimvavanyo okanye aqalise isicwangciso sonyango. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngale nto kwaye ubuze nayiphi na imibuzo onokuba nayo.
Uvavanyo lokufunxa luyindlela ekhawulezayo nengenabuhlungu yokuba ugqirha wakho abone indlela esebenza ngayo imithambo-luvo kunye nezihlunu ezikuncedayo ukuphefumla. Oku kunokunceda ekuchongeni unobangela weengxaki zakho zokuphefumla kwangethuba, ukuze kunyangwe okanye ukuqhubela phambili kwesi sifo kulawulwe.
Umyalezo Wokuya Ekhaya
- 'Uvavanyo lweSniff' luvavanyo lwe-X-ray olulula nolungenabuhlungu olujonga ukusebenza kwe-diaphragm yakho, umsipha oyintloko okuncedayo ukuphefumla.
- Oku kuthatha malunga nemizuzu eli-15, kwaye akukho lungiselelo likhethekileyo lifunekayo ngaphambi kovavanyo.
- Olu vavanyo lubaluleke kakhulu ekuxilongeni ubunzima bokuphefumla obungachazekiyo kunye nezinye iimeko zemithambo-luvo.
- Musa ukutsiba ugqibe ngeziphumo zovavanyo (ezilungileyo okanye ezimbi) ngokwakho. Buza ugqirha wakho ukuba akunike ingcaciso epheleleyo kunye nento omawuyenze emva koko.
- Ukuvezwa kwimitha yolu vavanyo kuphantsi kakhulu. Iingenelo zovavanyo zingaphezulu kakhulu kunomngcipheko omncinci.
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