Cabanga ngomngane wakho ehlinzwa ukuze kususwe isimila engxenyeni eyinkimbinkimbi kakhulu yobuchopho bakhe. Odokotela baqaphile kakhulu ekwenzeni ukuhlinzwa. Kodwa bazi kanjani ngokuqinisekile ukuthi isimila sisusiwe ngokuphelele noma ukuthi kukhona ingxenye encane esele? Ngemva kokuhlinzwa, uma uphinde uskene ngemva kwezinsuku ezimbalwa, ungazi ngokuqinisekile. Uma kukhona ngisho nengxenye encane esele, kuzodingeka wenze olunye ukuhlinzwa, akunjalo? Lobu buchwepheshe obukhethekile esikhuluma ngabo namuhla busetshenziswa njengesixazululo sezinkinga ezinjalo.
Kalula nje, iyini i-iMRI?
Igama eliphelele le-iMRI yi -Intraoperative Magnetic Resonance Imaging . Igama elithi "Intraoperative" lisho "ngesikhathi sokuhlinzwa." Lokhu kusho ukuthi yi -MRI scan eyenziwa ngesikhathi sokuhlinzwa . Lokhu kuvumela ithimba lakho lokuhlinzwa ukuthi libone izitho zomzimba, izicubu, nezinye izinto emzimbeni wakho ngokucacile ngesikhathi sokuhlinzwa.
Cabanga ngodokotela esusa isimila ebuchosheni. Angenza i-MRI scan ngokushesha ngemva kokususwa kwesimila, ngaphambi kokuba kuqedwe ukuhlinzwa, ukuze abone ukuthi, "Ngisisuse sonke isimila? Noma ingabe kusenezingcezu ezincane ezisele?" Uma i-scan ikhombisa ukuthi kusele ingxenye encane, angasusa leyo ngxenye ngokushesha.
Inzuzo enkulu yalokhu ukuthi ukwazi ukuthi kunezingxenye zesimila ezisele ngemva kokuhlinzwa kunganciphisa kakhulu ingozi yokudinga ukuhlinzwa kwesibili.
Uyini umehluko phakathi kwe-MRI evamile ne-iMRI?
Umehluko omkhulu nowukuphela kwawo phakathi kwalokhu okubili isikhathi esithathayo ukukwenza .
- I-MRI ejwayelekile: Lokhu kwenzelwa ukuxilonga isifo noma ukuhlela ukuhlinzwa. Ungena emshinini we-MRI njengenjwayelo bese wenza lokhu kuskenwa.
- I-iMRI: Lokhu kwenziwa ngesikhathi kwenziwa ukuhlinzwa , khona kanye ngaphakathi kwehholo lokuhlinza.
Kalula nje, okunye kwenziwa ngaphambi kokuhlinzwa, kanti okunye kwenziwa ngesikhathi sokuhlinzwa ngokwako.
Kungani odokotela besebenzisa lobu buchwepheshe ngesikhathi sokuhlinzwa?
Ezinye izindlela zokuhlinzwa, ikakhulukazi ukuhlinzwa kobuchopho, ziyinkimbinkimbi kakhulu. Ngisho nomehluko wemilimitha ungaba nomthelela omkhulu. Udokotela udinga isithombe esicacile nesicacile ngesikhathi sokuhlinzwa kunalokho angakubona ngamehlo akhe noma nge-microscope. Yilapho inani le-iMRI licaca khona.
Nazi ezinye zezindlela ezivame kakhulu zokusebenzisa ubuchwepheshe be-iMRI:
| Uhlobo lokuhlinzwa | Usizo oluvela ku-iMRI |
|---|---|
| Ukususwa Kwesimila Sobuchopho | Ukuqinisekisa ukuthi isimila sisusiwe ngokuphelele, noma ukuthi izingxenye ezengeziwe zingasuswa ngaphandle kokulimaza izicubu ezinempilo. Lokhu kubaluleke kakhulu ezimilaneni ezifana ne -glioma . |
| Isimila se-pituitary | Uma ususa izimila ezizungeze i-pituitary gland, ingxenye ebucayi kakhulu yobuchopho, hlola umonakalo ezinzwa ezibalulekile kanye nemithambo yegazi eseduze. |
| Ukukhuthazwa Kobuchopho Obujulile (i-DBS) | Uma ufaka ama-electrode ajulile ebuchosheni ezimweni ezifana nesifo sikaParkinson , ukuqinisekisa ukuthi abekwe endaweni efanele. |
| Ukuhlinzwa Kwesithuthwane | Ukuhlonza ngokunembile ingxenye engavamile yobuchopho ebangela isifo sokuwa nokuhlola ukuthi isusiwe ngokuphelele yini. |
| Ukuhlinzwa kwe-craniotomy | Kunoma yikuphi ukuhlinzwa okuyinkimbinkimbi okubandakanya ubuchopho, ukuhlola isimo sobuchopho (ukuvuvukala, ukopha) ekupheleni kokuhlinzwa. |
Lo mshini we-iMRI usebenza kanjani?
I-MRI scan umshini osebenzisa omaginethi namagagasi omsakazo ukuthatha izithombe zengaphakathi lomzimba. Yilokho okwenzekayo ku-iMRI. Ngeke uzizwe ngoba ungaphansi kwe-anesthesia futhi uvame ukungazi lutho nhlobo.
Nakhu ukuthi kusebenza kanjani, masithi nje:
Imizimba yethu engaphezu kwengxenye yakhiwe ngamanzi. Amanzi akhiwe ngama-athomu e-hydrogen ne-oxygen. Ngaphakathi kwale athomu ye-hydrogen kukhona inhlayiya ebizwa ngokuthi i-proton . Lawa ma-proton aneshaja kagesi, futhi ayajikeleza.
Umshini we-MRI uthumela amandla kazibuthe anamandla emzimbeni wakho. Okwenzekayo ukuthi wonke la ma-proton emzimbeni wakho aqonde ohlangothini olufanayo, njengenaliti yekhampasi ekhomba enyakatho.
Ngemuva kwalokho, umshini we-MRI uthumela igagasi lamagagasi omsakazo ngale nsimu yamagnetic. Lokhu kufana ne-shutter yekhamera ethatha isithombe. Lawa magagasi omsakazo aphazamisa okwesikhashana ukuhambisana kwama-proton. Lapho amagagasi omsakazo ema, ama-proton abuyela ekuhambisaneni kwawo kwasekuqaleni. Lolu shintsho luthathwa yisikena emshinini. Idatha ithunyelwa kukhompyutha, edala isithombe esicacile kakhulu esinezinhlangothi ezintathu (3D).
Ngilungiselela kanjani i-iMRI?
Empeleni, awudingi ukulungiselela i-iMRI ngoba kwenzeka ngesikhathi sokuhlinzwa kwakho. Okudingeka ukwenze nje ukulungiselela ukuhlinzwa kwakho kahle. Landela imiyalelo kadokotela wakho njengoba nje ezokutshela.
Uzobe ungaphansi kwe-anesthesia ngesikhathi senqubo, ngakho-ke cishe uzobe ulele. Kuzoba nomsindo lapho umshini we-MRI usebenza, kodwa ngeke uwuzwe ngenxa ye-anesthesia. Ngezinye izikhathi, kunezinqubo zokuvuka. Ezimweni ezinjalo, ithimba lezokwelapha lizokulungiselela inqubo futhi liqinisekise ukuthi ukhululekile ngesikhathi sokuskena.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuhlinzwa:
- Okusho ukuthi, uma ukhulelwe .
- Uma unento enensimbi efakwe emzimbeni wakho. Isibonelo, i-pacemaker, amapuleti ensimbi afakwe emzimbeni, amalunga okwenziwa, njll. Ama-magnet aqinile ku-MRI angabangela ukuthi lokhu kushukume noma kungasebenzi kahle. Lokhu kuyingozi. Ngakho-ke, uma waziswa ngalokhu kusenesikhathi, ithimba lezokwelapha lizothatha izinyathelo zokuphepha ezidingekayo.
- Ngaphambi kokuhlinzwa, kufanele ususe zonke izinto zensimbi emzimbeni wakho, njengobucwebe , amacici, izikhonkwane zezinwele, kanye nezintambo zensimbi ezingaphansi kwezingubo zakho zangaphansi .
Yiziphi izinzuzo ze-iMRI?
Kunezinzuzo eziningana ezibalulekile zokusebenzisa ubuchwepheshe be-iMRI.
- Izithombe ezicacile kakhulu: Indawo yomzimba ohlinzwayo ingabonakala ngokucacile nangokuningiliziwe.
- Ulwazi lwesikhathi sangempela: Lezi zithombe zingabukwa ngesikhathi sokuhlinzwa, okuvumela ukuthi kwenziwe izinqumo ngokushesha.
- Ukuhlola izinguquko: Ungabona ngokushesha ukuthi indawo ishintshe kanjani ngesikhathi sokuhlinzwa (isib. ngemva kokususwa kwesimila).
- Ukuvimbela izinkinga: Lezi zithombe ezicacile zinganciphisa kakhulu izinkinga ezingase zenzeke ngemva kokuhlinzwa.
- Akusebenzi ngemisebe: Ubuchwepheshe be-MRI abusebenzisi imisebe njenge-X-ray noma i-CT scans, ngakho-ke ayilimazi umzimba.
Udokotela angayibona le miphumela ngemizuzwana embalwa ngemva kokuskena, okumvumela ukuthi aqhubekele esinyathelweni esilandelayo sokuhlinzwa ngaphandle kokulibala.
Umlayezo Wokuya Nawe Ekhaya
- I-iMRI iyi-MRI scan ekhethekile eyenziwa ngesikhathi sokuhlinzwa.
- Inhloso eyinhloko yalokhu ukunikeza odokotela abenza ukuhlinzwa ithuba lokubona ngaphakathi emzimbeni ngokucacile futhi baphile.
- Lokhu kusiza ukuqinisekisa ngokushesha ukuthi isimila sisusiwe ngokuphelele yini, ikakhulukazi ekuhlinzeni okuyinkimbinkimbi njengokususwa kwesimila sobuchopho.
- Lokhu kunciphisa kakhulu isidingo sokuhlinzwa kwesibili.
- Uma uzohlinzwa nge-iMRI, qiniseka ukuthi wazisa udokotela wakho kusenesikhathi nganoma yimaphi amadivayisi ensimbi, njenge-pacemaker, owafake emzimbeni wakho.
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