Umlobi: Joan Hall
Usuku Lokudalwa: 25 Ufebhuwari 2021
Ukuvuselela Usuku: 20 Unovemba 2024
Anonim
The EXCRUCIATING Anatomy of Bowel Obstructions
Ividiyo: The EXCRUCIATING Anatomy of Bowel Obstructions

Iskena sekhompiyutha se-tomography (CT) se-pelvis siyindlela yokucabanga esebenzisa ama-x-ray ukwenza izithombe ezihlukanisayo zale ndawo phakathi kwamathambo enqunu. Le ngxenye yomzimba ibizwa nge-pelvic area.

Izakhiwo ngaphakathi nangaseduze kwe-pelvis zifaka phakathi isinye, indlala yesinye nezinye izitho zokuzala zabesilisa, izitho zabesifazane zokuzala, ama-lymph node namathambo okhalo.

Izithombe ze-CT eyodwa zibizwa ngokuthi izingcezu. Izithombe zigcinwa kukhompyutha, zibukwa kumonitha, noma ziphrintiwe kwifilimu.Amamodeli amathathu-ntathu endawo yomzimba angakhiwa ngokufaka izingcezu ndawonye.

Uyacelwa ukuba ulale etafuleni elincane elingena phakathi kwesithwebuli se-CT.

Uma usungaphakathi kwesithwebuli, ugongolo lomshini lwe-x-ray luzungeza eduze kwakho. Ngeke ubone imishayo ye-x-ray ejikelezayo.

Kufanele uthule ngesikhathi sokuhlolwa, ngoba ukunyakaza kubangela izithombe ezifiphalisiwe. Ungatshelwa ukuthi ubambe umoya wakho isikhathi esifushane.

Iskena kufanele sithathe ngaphansi kwemizuzu engama-30.

Izivivinyo ezithile zidinga udayi okhethekile. Ibizwa ngokuthi imidiya yokuqhathanisa. Kufanele ilethwe emzimbeni ngaphambi kokuqala kokuhlolwa. Umehluko usiza izindawo ezithile ukuthi zibonakale kangcono kuma-x-ray.


  • Umehluko unganikezwa ngomthambo (IV) osesandleni sakho noma engalweni. Noma ungacelwa ukuthi uphuze uhlobo loketshezi lokuqhathanisa. Uma kusetshenziswa umehluko, ungacelwa futhi ukuthi ungadli noma uphuze noma yini amahora amane kuya kwayisithupha ngaphambi kokuhlolwa.
  • Yazisa umhlinzeki wakho wezokunakekelwa kwempilo uma ngabe uke waba nokusabela kokungafani. Ungadinga ukuthatha imithi ngaphambi kokuhlolwa ukuze uthole le nto ngokuphepha.
  • Ngaphambi kokuthola umehluko, tshela umhlinzeki wakho uma uthatha umuthi wesifo sikashukela i-metformin (Glucophage) ngoba ungadinga ukuthatha izinyathelo ezithile zokuqapha.

Ngaphambi kokuthola umehluko, tshela umhlinzeki wakho uma unezinkinga zezinso. Ungahle ungakwazi ukuthola umehluko we-IV uma kunjalo.

Uma unesisindo esingaphezu kwamakhilogremu angama-300 (136 kilograms), thola ukuthi umshini we-CT unomkhawulo wesisindo. Isisindo esiningi kakhulu singalimaza izingxenye zokusebenza zesithwebuli.

Uzocelwa ukuthi ususe ubucwebe futhi ugqoke ingubo yasesibhedlela ngesikhathi kufundwa.

Ungacelwa ukuthi uphuze isisombululo sokuqhathanisa somlomo.


Abanye abantu bangase bangakhululeki ngokulala etafuleni eliqinile.

Umehluko onikezwe nge-IV ungadala:

  • Ukuzwa okushisa kancane
  • Ukunambitheka kwensimbi emlonyeni
  • Ukushiswa komzimba okufudumele

Le mizwa ijwayelekile futhi imvamisa iyahamba ngemizuzwana embalwa.

I-CT yakha ngokushesha izithombe ezinemininingwane zomzimba, kufaka phakathi i-pelvis kanye nezindawo eziseduze ne-pelvis. Ukuhlola kungasetshenziselwa ukuxilonga noma ukuthola:

  • IMisa noma izicubu, kufaka phakathi umdlavuza
  • Imbangela yobuhlungu be-pelvic
  • Ukulimala okhalweni

Lokhu kuhlolwa kungasiza futhi:

  • Qondisa udokotela ohlinzayo endaweni efanele ngesikhathi se-biopsy noma ezinye izinqubo
  • Umhlinzeki wakho uhlela ukuhlinzwa
  • Hlela ukwelashwa ngemisebe ngomdlavuza

Imiphumela ibhekwa njengejwayelekile uma izitho zesisu ezihloliswayo zibukeka ngendlela ejwayelekile.

Imiphumela engajwayelekile ingabangelwa:

  • Ithumba (ukuqoqwa kobomvu)
  • Amatshe esinye
  • Ithambo eliphukile
  • Umdlavuza
  • I-Diverticulitis

Izingozi zokuhlolwa kwe-CT zifaka:


  • Ukuvezwa yimisebe
  • Ukusabela okweqile ekuqhathaniseni udayi

Ukuskena kwe-CT kukuvezela imisebe engaphezulu kwama-x-ray avamile. Ukuba nama-x-ray amaningi noma ama-CT scan ngokuhamba kwesikhathi kungakhuphula ingozi yokuba nomdlavuza. Kodwa ingozi evela kunoma yikuphi ukuskena okukodwa incane. Wena nomhlinzeki wakho kufanele nilinganise le ngozi ngezinzuzo zokuthola ukuxilongwa okulungile kwenkinga yezokwelapha.

Abanye abantu banokungezwani komzimba nokuqhathanisa udayi. Yazisa umhlinzeki wakho uma ngabe uke waba nokungezwani komzimba nodayi wokuqhathanisa ojojowe.

  • Uhlobo oluvame kakhulu lokungafani olunikezwe emthanjeni luqukethe iodine. Uma umuntu one-iodine yokungezwani komzimba anikezwe lolu hlobo lokuqhathanisa, isicanucanu noma ukuhlanza, ukuthimula, ukulunywa, noma isifuba kungenzeka.
  • Uma kufanele unikezwe umehluko onjalo, unganikezwa ama-antihistamine (njengeBenadryl) noma ama-steroids ngaphambi kokuhlolwa.
  • Izinso zisiza ukususa i-iodine emzimbeni. Labo abanesifo sezinso noma isifo sikashukela kungadingeka bathole uketshezi oluthe xaxa ngemuva kokuhlolwa ukusiza ukukhipha iodine emzimbeni.

Ezimweni ezingavamile, udayi ubangela impendulo yokungezwani komzimba esongela impilo ebizwa nge-anaphylaxis. Uma unenkinga yokuphefumula ngesikhathi sokuhlolwa, kufanele utshele opharetha besithwebuli khona manjalo. Ama-scanner eza ne-intercom nezipikha, ngakho-ke opharetha angakuzwa ngaso sonke isikhathi.

Ukuskena i-CAT - ukhalo; Iskena se-axial tomography esibaliwe - i-pelvis; Iskena se-computed tomography - ukhalo; I-CT scan - ukhalo

IBishoff JT, iRastinehad AR. I-Urinary tract imaging: imigomo eyisisekelo ye-computed tomography, imaging resonance imaging, nefilimu ecacile. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 2.

IChernecky CC, iBerger BJ. I-tomography ehlanganisiwe yomzimba (spiral [helical], i-electron beam [EBCT, ultrafast], ukulungiswa okuphezulu [HRCT], 64-slice multidetector [MDCT]). Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2013: 375-376.

UHering W. Ukuqaphela isisu esijwayelekile nesinqe ku-computed tomography. Ku: Herring W, ed. Ukufunda Radiology. 3rd ed. IPhiladelphia, PA: Elsevier; 2016: isahluko 15.

UNicholas JR, uPuskarich MA. Ukuhlukumezeka esiswini. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 39.

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