I-CT Scan yesisu

-Delile

• Kungani kwenziwa i-CT esiswini
• I-CT scan ne-MRI ne-X-ray
• Ungayilungiselela kanjani i-CT scan esiswini
• Mayelana nokuphikisana nokwaliwa komzimba
• Kwenziwa kanjani ukuskena kwe-CT esiswini
• Imiphumela emibi engaba khona yesikena se-CT esiswini
• Izingozi zokuhlolwa kwesisu kwe-CT
• Ukusabela okweqile
• Izinkinga zokuzalwa
• Ingozi eyanda kakhulu yomdlavuza
• Ngemuva kokuhlolwa kwe-CT esiswini

Kuyini ukuskena kwe-CT esiswini?

Iskena se-CT (computed tomography), esibizwa nangokuthi yi-CAT scan, siwuhlobo lwe-X-ray ekhethekile. Iskena singabonisa izithombe ezihlukanisayo zendawo ethile yomzimba.

Ngokuhlolwa kwe-CT, umshini uzungeza umzimba bese uthumela izithombe kwikhompyutha, lapho zibhekwa nguchwepheshe.

Iskena se-CT esiswini sisiza udokotela wakho ukuthi abone izitho, imithambo yegazi, namathambo esiswini sakho esiswini. Izithombe eziningi ezinikeziwe zinika udokotela wakho imibono eminingi ehlukene ngomzimba wakho.

Qhubeka ufunda ukuze ufunde ukuthi kungani udokotela wakho anga-oda i-CT scan esiswini, ukuthi ungayilungiselela kanjani inqubo yakho, kanye nanoma iziphi izingozi nezinkinga ezikhona.

Kungani kwenziwa i-CT esiswini

Ukuskena kwe-CT esiswini kuyasetshenziswa lapho udokotela esola ukuthi kukhona okungahambi kahle endaweni yesisu kepha akakwazi ukuthola ulwazi olwanele ngokuhlolwa ngokomzimba noma ngokuhlolwa kwelebhu.

Ezinye zezizathu udokotela wakho angafuna ukuthi ube ne-CT scan esiswini zifaka:

• ubuhlungu besisu
• isisindo esiswini sakho ongasizwa
• amatshe ezinso (ukuhlola ubukhulu nendawo amatshe)
• ukuncipha kwesisindo okungaqondakali
• izifo, njenge-appendicitis
• ukuhlola ukuvinjelwa kwamathumbu
• ukuvuvukala kwamathumbu, njengesifo sikaCrohn
• ukulimala kulandela ukuhlukumezeka
• ukuxilongwa komdlavuza muva nje

I-CT scan ne-MRI ne-X-ray

Kungenzeka ukuthi uzwile ngezinye izivivinyo ze-imaging futhi uzibuze ukuthi kungani udokotela wakho akhethe ukuskena kwe-CT ngaphezu kwezinye izinketho.

Udokotela wakho angakhetha ukuskena kwe-CT ngaphezulu kokuskena kwe-MRI (magnetic resonance imaging) ngoba ukuskena kwe-CT kuyashesha kune-MRI. Futhi, uma ungakhululekile ezindaweni ezincane, i-CT scan kungenzeka ibe yindlela engcono.

I-MRI idinga ukuthi ube ngaphakathi kwesikhala esivaliwe ngenkathi umsindo omkhulu uvela nxazonke zakho. Ngaphezu kwalokho, i-MRI ibiza kakhulu kune-CT scan.

Udokotela wakho angakhetha i-CT scan phezu kwe-X-ray ngoba inikeza imininingwane eminingi kune-X-ray. Iskena se-CT sihamba sizungeza umzimba wakho futhi sithatha izithombe ezinhlangothini eziningi ezahlukene. I-X-ray ithwebula izithombe kusuka ohlangothini olulodwa kuphela.

Ungayilungiselela kanjani i-CT scan esiswini

Udokotela wakho uzokucela ukuthi uzile ukudla (ungadli) amahora amabili kuya kwamane ngaphambi kokuthwebula. Ungacelwa ukuthi uyeke ukuthatha imishanguzo ethile ngaphambi kokuhlolwa kwakho.

Ungahle uthande ukugqoka izingubo ezikhululekile, ezinethezekile ngoba uzodinga ukulala phansi etafuleni elilandelwayo. Unganikezwa futhi ingubo yokugqoka esibhedlela. Uzokwaziswa ukuthi ususe izinto ezifana nokuthi:

• izibuko zamehlo
• ubucwebe, kufaka phakathi ukubhoboza umzimba
• izinwele iziqeshana
• amazinyo okufakelwa
• izinsiza-kuzwa
• amabras anensimbi underwire

Ngokuya ngesizathu sokuthi kungani uthola i-CT scan, ungahle udinge ukuphuza ingilazi enkulu yokuqhathanisa ngomlomo. Lolu uketshezi oluqukethe i-barium noma into ebizwa nge-Gastrografin (diatrizoate meglumine ne-diatrizoate sodium liquid).

I-Barium neGastrografin womabili amakhemikhali asiza odokotela ukuthola izithombe ezingcono zesisu sakho namathumbu akho. I-Barium inokunambitheka okuchachambile nokuthungwa. Uzolinda phakathi kwemizuzu engama-60 nengama-90 ngemuva kokuphuza okwehlukile ukuze kudlule emzimbeni wakho.

Ngaphambi kokuya ku-CT scan yakho, tshela udokotela wakho uma:

• ayizwani ne-barium, iodine, noma yiluphi uhlobo lwedayi yokuqhathanisa (qiniseka ukutshela udokotela wakho futhi abasebenzi be-X-ray)
• unesifo sikashukela (ukuzila ukudla kunganciphisa amazinga kashukela egazini)
• abakhulelwe

Mayelana nokuphikisana nokwaliwa komzimba

Ngaphandle kwe-barium, udokotela wakho angafuna ukuthi ube nodayi wokuqhathanisa we-intravenous (IV) ukugqamisa imithambo yegazi, izitho, nezinye izakhiwo. Lokhu kungenzeka kube idayi esekwe iodine.

Uma une-iodine yokungezwani komzimba noma uke wasabela kudayi wokuqhathanisa we-IV esikhathini esedlule, usengakwazi ukuba ne-CT scan ngokuqhathanisa kwe-IV. Lokhu kungenxa yokuthi idayi yokuqhathanisa yesimanje ye-IV mancane amathuba okuthi ibangele ukusabela kunezinhlobo ezindala zedayi yokuqhathanisa esekwe iodine.

Futhi, uma unokuzwela kwe-iodine, umhlinzeki wakho wezokunakekelwa kwempilo angakusiza nge-steroids ukunciphisa ingozi yokuphendula.

Noma kunjalo, qiniseka ukuthi utshela udokotela wakho kanye nochwepheshe nganoma yikuphi ukungezwani komzimba onakho.

Kwenziwa kanjani ukuskena kwe-CT esiswini

Ukuskena okujwayelekile kwesisu kwe-CT kuthatha imizuzu eyi-10 kuye kwengu-30. Kwenziwa emnyangweni we-radiology esibhedlela noma emtholampilo ogxile ezinkambisweni zokuxilonga.

1. Uma usugqoke ingubo yakho yasesibhedlela, uchwepheshe we-CT uzokulala phansi etafuleni elilandelwayo. Ngokuya ngesizathu sokuskena kwakho, ungaxhunywa ku-IV ukuze udayi wokuqhathanisa ungafakwa emithanjeni yakho. Cishe uzozwa ukuzwa okufudumele emzimbeni wakho wonke lapho idayi ifakwa emithanjeni yakho.
2. Uchwepheshe angadinga ukuthi ulale endaweni ethile ngesikhathi sokuhlolwa. Bangasebenzisa imicamelo noma imichilo ukuze baqiniseke ukuthi uhlala endaweni efanele isikhathi eside ngokwanele ukuthola isithombe esihle sekhwalithi. Kungase kudingeke nokuthi ubambe umoya wakho kafushane ngesikhathi sezingxenye zokuskena.
3. Kusetshenziswa irimothi kusuka egumbini elihlukile, uchwepheshe uzodlulisela itafula emshinini we-CT, obukeka njenge-donut enkulu eyenziwe ngepulasitiki nensimbi. Ngokuvamile uzodlula emshinini izikhathi eziningana.
4. Ngemuva kokujikeleza okuningi, kungadingeka ukuthi ulinde ngenkathi uchwepheshe ebukeza izithombe ukuze aqiniseke ukuthi zicace ngokwanele ukuthi udokotela wakho azifunde.

Imiphumela emibi engaba khona yesikena se-CT esiswini

Imiphumela emibi yokuhlolwa kwesisu kwe-CT ivame ukubangelwa ukusabela kunoma yikuphi ukungafani okusetshenzisiwe. Ezimweni eziningi, zimnene. Kodwa-ke, uma ziba nzima kakhulu, kufanele ushayele udokotela wakho ngokushesha.

Imiphumela emibi yokungafani kwe-barium ingafaka:

• ukuqunjelwa esiswini
• isifo sohudo
• isicanucanu noma ukuhlanza
• ukuqunjelwa

Imiphumela emibi yokungafani kwe-iodine ingafaka:

• ukuqubuka kwesikhumba noma isifuba
• ukulunywa
• ikhanda

Uma unikezwa noma yiluphi uhlobo lokuqhathanisa futhi unezimpawu ezinzima, shayela udokotela wakho noma uye egumbini lezimo eziphuthumayo ngokushesha. Lezi zimpawu zifaka:

• inkinga yokuphefumula
• ukushaya kwenhliziyo okusheshayo
• ukuvuvukala komphimbo wakho noma ezinye izitho zomzimba

Izingozi zokuhlolwa kwesisu kwe-CT

I-CT yesisu iyinqubo ephephile uma kuqhathaniswa, kepha kunezingozi. Lokhu kuyiqiniso ikakhulukazi ezinganeni, ezizwela kakhulu ekuvezweni ngemisebe kunabantu abadala. Udokotela wengane yakho anga-oda i-CT scan kuphela njengesinqumo sokugcina, futhi kuphela uma ezinye izivivinyo zingakwazi ukuqinisekisa ukuxilongwa.

Izingozi zokuhlolwa kwesisu kwe-CT zifaka okulandelayo:

Ukusabela okweqile

Ungahle uhlasele ukuqubuka kwesikhumba noma ukulunywa uma ungezwani nokuphikisana komlomo. Ukungezwani komzimba okusongela impilo nakho kungenzeka, kepha lokhu akuvamile.

Tshela udokotela wakho nganoma yikuphi ukuzwela emithini noma yiziphi izinkinga zezinso onazo. Ukwahluka kwe-IV kuphakamisa ubungozi bokuhluleka kwezinso uma uphelelwe amanzi emzimbeni noma unenkinga yezinso esivele ikhona.

Izinkinga zokuzalwa

Ngoba ukuchayeka emisebeni ngesikhathi sokukhulelwa kwandisa ubungozi bokukhubazeka kokuzalwa, kubalulekile ukutshela udokotela wakho ukuthi ukhulelwe noma kungenzeka ukhulelwe. Njengendlela yokuqapha, udokotela wakho angase asikisele okunye ukuhlolwa kwe-imaging esikhundleni salokho, njenge-MRI noma i-ultrasound.

Ingozi eyanda kakhulu yomdlavuza

Uzokwaziswa ngemisebe ngesikhathi sokuhlolwa. Inani lemisebe liphakeme kunenani elisetshenziswe nge-X-ray. Ngenxa yalokhu, ukuskena kwe-CT esiswini kwandisa kancane ingozi yokuba nomdlavuza.

Kodwa-ke, khumbula ukuthi ukulinganisela ukuthi ubungozi bomuntu oyedwa womdlavuza ovela ku-CT scan buphansi kakhulu kunengozi yabo yokuthola umdlavuza ngokwemvelo.

Ngemuva kokuhlolwa kwe-CT esiswini

Ngemuva kokuhlolwa kwe-CT yakho esiswini, ungahle ubuyele emisebenzini yakho ejwayelekile yansuku zonke.

Imiphumela ye-CT scan esiswini ithatha usuku olulodwa ukuyicubungula. Udokotela wakho uzohlela isikhathi sokuqokwa ukuze axoxe ngemiphumela yakho. Uma imiphumela yakho ingavamile, kungaba ngezizathu eziningana. Isivivinyo besingathola izinkinga, njenge:

• Izinkinga zezinso ezinjengamatshe ezinso noma ukutheleleka
• Izinkinga zesibindi njengezifo zesibindi ezihlobene notshwala
• Isifo sikaCrohn
• isisu se-aortic aneurysm
• umdlavuza, njengokholoni noma amanyikwe

Ngomphumela ongajwayelekile, udokotela wakho kungenzeka akuhlelele ukuhlolwa okwengeziwe ukuthola okwengeziwe ngenkinga. Lapho benolwazi lonke abaludingayo, udokotela wakho uzoxoxa nawe ngezindlela ongakhetha kuzo zokwelashwa. Ngokubambisana, ningakha uhlelo lokuphatha noma lokwelapha isimo senu.