Uyafuna ukwazi nge-fluoroscopy? Ake sixoxe ngakho kalula!

Ngezinye izikhathi odokotela badinga ukubona kahle ukuthi kwenzekani emizimbeni yethu, akunjalo? Yilapho-ke ukuhlolwa okukhethekile okubizwa ngokuthi i-fluoroscopy kuba usizo khona. Kufana nokubuka i-movie emzimbeni. Akumangalisi yini?

Manje ungase ucabange, "Ngakho-ke lokhu kufana ne-X-ray evamile?" Kufana kancane, kodwa kunomehluko omkhulu . I-X-ray evamile ifana nokuthatha isithombe. Okusho ukuthi, ubona kuphela ukuthi sibukeka kanjani ngesikhathi esisodwa. Kodwa i-fluoroscopy ingaphezu kwalokho. Kufana nokuqopha ngekhamera yevidiyo. Okusho ukuthi, ungabona izitho zomzimba ngaphakathi komzimba wakho zisebenza, zihamba, ziphila ngaleso sikhathi. Uyawuqonda umehluko? Kufana nomehluko phakathi kwesithombe esinganyakazi nevidiyo ehambayo.

I-fluoroscopy isetshenziswa kanjani ngokuyinhloko?

Kulungile, manje ake sibone ukuthi odokotela benzani ngalokhu okubizwa ngokuthi ukuhlolwa kwe-fluoroscopy. Kusetshenziswa ngezinhloso ezimbili eziyinhloko.

1. Ukuxilongwa (i-Diagnostic Fluoroscopy)

Enye iwukuthola ukuthi yiziphi izinkinga, okungukuthi, izifo, ezisezingxenyeni ezahlukene zomzimba wethu. Kufana nomseshi obheka ngaphakathi emzimbeni. Nazi izibonelo ezimbalwa:

• I-Angiography: Lokhu kusetshenziselwa ukuthola ukuthi kukhona yini ukuvaleka noma ukuncishiswa noma yikuphi ngaphakathi kwemithambo yethu yegazi, okungukuthi, imithambo yegazi. Cabanga ukuthi uma ipayipi lamanzi livalekile, amanzi awagelezi, futhi kunjalo nangemithambo yegazi.
• Ukugwinya kwe-Barium noma i-Esophagogram: Lokhu kuhlola noma yiziphi izinkinga emgudwini wokugaya ukudla ongaphezulu, oqala emphinjeni wethu uye esiswini sethu. Njengoba nje sigwinya ukudla, kuhlola noma yiziphi izinkinga endleleni.
• I-Barium Enema: Lokhu kuhlola izinkinga emathunjini kanye nase-rectum, okuyizitho ezibalulekile engxenyeni engezansi yesistimu yethu yokugaya ukudla.
• I-Cystography: Lolu vivinyo lwenziwa ukuthola ukuthi kukhona yini izinkinga ngesinyi sakho. Olunye uhlobo lokuhlolwa lubizwa ngokuthi i-voiding cystourethrogram (VCUG) . Luhlola ukuthi umchamo uphuma kahle futhi ngokuphelele yini esinyeni.
• I-Hysterosalpingogram: Lolu uhlobo lokuhlolwa olwenzelwe abesifazane ngqo. Lusetshenziselwa ukuhlola isimo sesibeletho kanye nama-fallopian tubes, njengokwakheka kwawo nokuthi ngabe kukhona yini ukuvaleka.
• I-Myelography: Lokhu kuthatha izithombe zomgogodla, izimpande zemizwa eziphuma kuwo, kanye nolwelwesi olumboza umgogodla (ama-meninges). Lokhu kungasiza ekutholeni imbangela yezinto ezifana nobuhlungu bomhlane kanye nobuhlungu bomlenze.
• Ukuhlolwa Kokuhogela:Lokhu kuzwakala kungavamile, akunjalo? Lokhu kuhlola ukuthi i-diaphragm yethu, umsipha omkhulu ophakathi kwesifuba sethu nesisu osisiza ukuphefumula, isebenza kahle yini. Abantu abanobunzima bokuphefumula bangakwenza lokhu.

2. I-Fluoroscopy yesiqondiso senqubo

Isizathu sesibili ukuthi phakathi nokwelashwa okuthile, njengokuhlinzwa, udokotela usebenzisa lokhu ukuhlola ukuthi izinsimbi noma izinto ezifakwa emzimbeni zisendaweni yazo futhi zisebenza kahle yini. Kufana nokubuka ebumnyameni ngethoshi esikhundleni sokuzulazula.

• Ukufakwa kwe-catheter ngaphakathi kwemithambo yegazi: Kulokhu, udokotela angahlola ukugeleza kwegazi ngaphakathi kwemithambo yegazi, ukuthi kukhona yini ukuvaleka endaweni ethile, noma ukuthi i-catheter isendaweni efanele yini.
• Ukufaka noma ukulungisa i-catheter: I-catheter iyipayipi elincane. Isetshenziselwa ukuletha uketshezi emzimbeni noma ukukhipha uketshezi emzimbeni. Ingafakwa ezindaweni ezifana nomgudu womchamo, imithambo yegazi, kanye nemisele ye-bile. Isibonelo, ivame ukusetshenziswa ezinqubweni ezifana ne -angioplasty, okwenziwa emithanjeni yegazi enhliziyweni.
• Ukubekwa kwe-stent: Ama-stent amadivayisi amancane afana ne-mesh asiza ukuvula imithambo yegazi evalekile noma enciphile. I-Fluoroscopy iyindlela enhle yokusiza ukuqinisekisa ukuthi ibekwe endaweni efanele.
• Ukuhlinzwa Kwamathambo: Udokotela wakho ohlinzayo angase asebenzise i-fluoroscopy njengesiqondiso ngesikhathi sokuhlinzwa kwamathambo, njengokufakwa esikhundleni kwamalunga noma ukulungiswa kokuphuka. Lokhu kungasiza ekuqinisekiseni ukuthi amathambo aphukile aqiniswe kahle.

Isebenza kanjani i-fluoroscopy?

Nakuba kungase kubonakale kulula kakhulu, kunobuchwepheshe obuthuthukisiwe ngemuva kwakho. I-Fluoroscopy yenziwa kusetshenziswa ikhamera ekhethekile. Le khamera ithatha izithombe ngokuthumela inani elincane lemisebe ye-X-ray, ebizwa ngokuthi ama-pulse, emzimbeni. Lokhu kufana nokuthatha uchungechunge lwezithombe bese uzibonisa ndawonye. Yilapho izithombe ezihambayo zibonakala njengevidiyo. Lokhu kungenzeka lapho izitho zakho zomzimba zisebenza kahle, noma lapho udokotela enza inqubo.

Kwezinye izivivinyo, udokotela usebenzisa uketshezi olukhethekile olubizwa ngokuthi i-contrast agent ukusiza udokotela abone izitho zomzimba nezinye izinto ezingaphakathi emzimbeni ngokucacile. Abanye abantu bakubiza ngokuthi 'udayi', kodwa akufani nodayi ongcolisa izingubo. Lo mkhiqizo uzwela kakhulu kuma-X-ray, ngakho-ke indlela ohamba ngayo, noma lapho uqongelela khona, ungabonakala ngokucacile. Kunezindlela eziningana udokotela angakunika ngazo lolu ketshezi:

• Ungayifaka emthanjeni wakho.
• Unganikwa lolu ketshezi ukuthi uluphuze (isibonelo, ku-barium swallow).
• Ingafakwa futhi ku-rectum yakho njenge-enema (isibonelo, ku-enema ye-barium).

Ulungiselela kanjani ukuhlolwa kwe-fluoroscopy?

Indlela ozilungiselela ngayo incike ohlotsheni lwe-fluoroscopy olwenzayo nokuthi kungani lwenziwa. Ezinye izivivinyo azidingi noma yikuphi ukulungiswa okukhethekile. Kodwa-ke, kwabanye, udokotela wakho angakutshela ukuthi uyeke ukuthatha imithi ethile (njengemithi yokunciphisa igazi) izinsuku ezimbalwa noma uzile ukudla (ungadli noma uphuze lutho) amahora ambalwa ngaphambi kokuhlolwa. Kubaluleke kakhulu ukuthi ulandele le miyalelo ngqo. Uma unemibuzo ngalokhu, qiniseka ukuthi ubuza udokotela wakho.

Ungakhohlwa ukutshela udokotela wakho ngalezi zinto kusenesikhathi:

• Uma une -allergy kudayi yokuhlukanisa okukhulunywe ngayo ngenhla , noma uke waba nezinkinga ngayo esikhathini esidlule (isib. ukulunywa, ubunzima bokuphefumula).
• Uma ukhulelwe noma ungase ukhulelwe . Lokhu kungenxa yokuthi imisebe evela ku-fluoroscopy ingaba yingozi enganeni engakazalwa. Yingakho odokotela beqaphela kakhulu ngakho.
• Uma unezinye izifo, njengesifo sikashukela, sitshele ngazo futhi.

Kwenzekani ngesikhathi sokuhlolwa kwe-fluoroscopy?

Kuye ngohlobo lokuhlolwa olwenzayo, lokhu kungenziwa esikhungweni seziguli ezingalaliswa esibhedlela, noma njengengxenye yokuhlala kwakho esibhedlela. Ngaphambi kokuhlolwa, uzocelwa ukuthi ugqoke ingubo abakunikezayo, futhi ukhumule noma yibuphi ubucwebe.

Izinyathelo ezilandelayo zivame ukwenzeka ngesikhathi sokuhlolwa kwe-fluoroscopy:

• Uzolaliswa etafuleni le-X-ray noma uhlale esihlalweni esikhethekile.
• Uma uzolala ngesikhathi senqubo, udokotela wezinzwa uzofaka umuthi oqeda izinhlungu emthanjeni osengalweni yakho. Ngemuva kwalokho ngeke uzwe lutho.
• Uma ukuhlolwa kudinga idayi yokuhlukanisa umbala, uzonikwa yona ukuthi uyiphuze, noma uzonikezwa umjovo noma i-enema njengoba kufanele.
• Kuye ngohlobo lokuhlolwa, udokotela wakho angakucela ukuthi uphendule umzimba wakho ngezindlela ezahlukene, okusho ukuthi uthathe izikhundla ezahlukene. Ngezinye izikhathi angakucela nokuthi ubambe umoya wakho isikhashana. Kubaluleke kakhulu ukulandela le miyalelo ngokucophelela ukuze uthole izithombe ezicacile.
• Uma ukuhlolwa kwakho kuhilela ukufaka i-catheter, udokotela wakho uzohlanza futhi aqede isikhumba sakho endaweni efanele, njenge-groin noma i-elbow yakho, bese efaka inaliti.
• Udokotela ube esesebenzisa isithwebuli se-X-ray ukuthatha izithombe ze-fluoroscopy. Babuka lezi zithombe esikrinini sekhompyutha.

Ingabe sivukile uma senza lokhu kuhlolwa?

Kuncike nasekuhlolweni okwenziwayo. Ezinye izivivinyo ze-fluoroscopy zidinga ukuthi uvukile, kanti ezinye zidinga ukuthi ulaliswe noma ulaliswe ngaphansi kwe-anesthesia . Isibonelo, uma udokotela ekusebenzisa njengesiqondiso ngesikhathi sokuhlinzwa noma lapho efaka i-stent, kungenzeka ukuthi ulaliswe.

Kodwa-ke, kunezinye izivivinyo ze-fluoroscopy ezingebuhlungu kangako. Isibonelo, ukuhlolwa kokugwinya kwe-barium. Kubalulekile ukuthi uhlale uphapheme phakathi nalezi zivivinyo ngoba kuzodingeka ulandele imiyalelo kadokotela (isb., 'gwinya manje', 'bamba umoya wakho'). Udokotela wakho uzokutshela kusengaphambili ukuthi uzonikezwa yini i-anesthesia yokuhlolwa noma cha. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Ingabe zikhona izingozi ngokuhlolwa kwe-fluoroscopy?

Kukhona ingozi encane kunoma yikuphi ukuhlolwa kwezokwelapha, akunjalo? Ingozi enkulu nge-fluoroscopy ukuchayeka emisebeni . Kodwa kukhona okufanele ukuqonde lapha. I-Fluoroscopy, esetshenziselwa ukuxilonga izifo, isebenzisa amazinga aphansi kakhulu emisebeni . Ayibangeli monakalo omkhulu. Odokotela bahlala bezama ukusebenzisa inani elincane kakhulu lemisebe ngangokunokwenzeka.

Kodwa-ke, uma odokotela besebenzisa i-fluoroscopy ngesikhathi sokuhlinzwa, ungase uvezwe emisebeni eyengeziwe. Ezimweni ezinjalo, okulandelayo kungenzeka kakhulu :

• Isikhumba sakho kanye nezicubu ezingaphansi zingalimala (njengokusha nje).
• Ngokuhamba kwesikhathi, ingozi yokuba nomdlavuza inganda kancane .
• Uma ukhulelwe, kungalimaza ingane engakazalwa (yingakho kubalulekile ukutshela udokotela wakho kusenesikhathi).

Kodwa-ke, khumbula ukuthi amathuba okuba le miphumela emibi yenzeke mancane kakhulu . Uma ukuhlolwa kuyadingeka ngokwezokwelapha, izinzuzo zidlula kakhulu izingozi ezincane. Odokotela bahlala befuna ukwenza okungcono kakhulu kuwe.

Okunye, uma usebenzisa idayi yokuhlukanisa imibala ku-fluoroscopy yakho, kunethuba elincane kakhulu lokuba nokusabela kokungezwani komzimba kuyo. Yingakho kuthiwa njalo uma une-allergies noma uke waba nezinkinga ngedayi yokuhlukanisa imibala esikhathini esidlule, tshela udokotela wakho.

Ngakho-ke yiziphi izinzuzo ze-fluoroscopy?

Inzuzo enkulu yalokhu ukuthi odokotela bangabona ukuthi izitho zakho zisebenza kanjani, noma ukuthi izinto zikuphi, ngesikhathi sangempela, ngenkathi benza ukwelashwa.Okokuqala. Lokhu akufani nezinye izindlela zokuthwebula izithombe zezokwelapha. Isibonelo, i-CT scan ibonisa kuphela isimo esithile ngesikhathi esithile. Kodwa i-fluoroscopy iyinto ehluke kakhulu, ewusizo kakhulu. Lokhu kuvumela ukwelashwa okunembe kakhulu nokuphephile.

Iyini imiphumela yokuhlolwa kwe-fluoroscopy?

Imiphumela oyitholayo izoncika ohlotsheni lokuhlolwa olwenzayo. Uma imiphumela ikhombisa ukuthi ingxenye yomzimba wakho ayisebenzi kahle, kungadingeka ukuthi wenze ezinye izivivinyo zokuxilonga noma uqale ukwelashwa. Kungcono ukubuza udokotela wakho ukuthi hlobo luni lwemiphumela ongayilindela.

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Futhi kuya ngohlobo lwe-fluoroscopy olwenzayo nokuthi luyingxenye yokuhlinzwa noma cha. Ungathola imiphumela yalokhu okulandelayo:

• Kungakhathaliseki ukuthi udokotela wenza ukuhlolwa noma ngemva nje kokuhlolwa.
• Uma ubuyela engqondweni ngemva kokuhlinzwa.
• Ngemva kokuba udokotela we-radiology noma uchwepheshe wakho esebukeze izithombe, lokhu kungathatha noma yikuphi kusukela osukwini kuya esontweni.

Ungakhohlwa ukubuza udokotela wakho ukuthi ungalindela nini ukwazi imiphumela yakho.

Kufanele ngixhumane nini nodokotela wami?

Uma unemibuzo mayelana nokuthi ungalungiselela kanjani ukuhlolwa noma ukuthi imiphumela isho ukuthini, ungangabazi ukuxhumana nodokotela wakho. Bakhona ukukusiza. Futhi, uma uzizwa noma yini engavamile ngemva kokuhlolwa (isib. ubuhlungu obukhulu, ukuvuvukala, umkhuhlane), mtshele ngokushesha.

Ingabe ukuhlolwa kwe-fluoroscopy kubuhlungu?

I-Fluoroscopy ayibuhlungu futhi ayihlaseli. Kodwa-ke, uma udokotela wakho eyisebenzisa ukuqondisa inqubo, njengokuhlinzwa, ungase uzwe ubuhlungu obuthile. Kodwa ubuhlungu abuveli ku-fluoroscopy, kodwa buvela enkambisweni uqobo. Udokotela wakho uzokutshela kusengaphambili ukuthi hlobo luni lobuhlungu ongalulindela ngesikhathi nangemva kwenqubo yakho. Bazokunikeza nemithi yobuhlungu uma kudingeka.

Okokugcina, izinto okufanele uzikhumbule

Uma uke wayiyisa imoto yakho kumakhanikha, uyazi ukuthi abakwazi ukukutshela ukuthi yini engalungile ngemoto yakho ngokubuka nje isithombe sayo. Kungase kudingeke bayiqale, babone ukuthi isebenza kanjani, futhi bathole ukuthi kwenzekani. I-Fluoroscopy ingumqondo ofanayo. Udokotela wakho udinga futhi ukubona ukuthi umzimba wakho usebenza kanjani, ukuze azi kahle ukuthi inkinga ikuphi, nokuthi angayelapha kanjani. Iphinde ibasize babeke amadivayisi ezokwelapha ngqo emzimbeni wakho.

Ngakho-ke, buza udokotela wakho ukuthi kwenziwa kanjani lokhu kuhlolwa, noma ukuthi imiphumela isho ukuthini.Unganqikazi nhlobo . Bazokuchazela konke ngamagama alula. Asikho isizathu sokwesaba! Lezi zivivinyo zikhona ukuze zikusize uthuthukise impilo yakho.

I- Fluoroscopy, i-X-ray, i-X-ray, ukuhlolwa kwezokwelapha, ukuxilongwa, izithombe ezibukhoma, izinto ezikhanyayo, i-contrast agent, isiqondiso sezokwelapha