I-MRIs ingase isetshenziswe ngokweqile futhi engadingekile ezimweni ezithile
"Kuzodingeka uthole i-MRI." Lokho kuyimilayezo evamile enikezwe iziguli eziya kudokotela ngezinhlungu ezihlanganyelwe kanye ne-arthritis. Kodwa, ingabe umyalelo we-MRI unikezwa ngaphambi kokuba udokotela akhulume nesiguli futhi athola umlando wabo wezokwelapha? Ingabe i-MRI ilandele ukuhlolwa kwangokwenyama? Ingabe i-x-ray ithathwa ngaphambi kokusebenzisa i-MRI?
Leyo yimibuzo ephakanyisiwe ocwaningweni olwethulwa eMhlanganweni Wonyaka Wama-75 we-American Academy of Orthopedic Surgeons.
Iphakamisa ukuthi i-MRIs isetshenziswe ngokweqile ukuxilonga i-osteoarthritis endaweni yomlando wezokwelapha, ukuhlola ngokomzimba, kanye nobufakazi be-x ray .
Izindleko ze-MRI v. X-ray
Ukusetshenziswa ngokweqile kwe-MRI kuyabiza futhi kuyonakalisa, ngokusho kwabacwaningi. Isibonelo, ulwazi oludingekayo ukuhlolisisa i- knee osteoarthritis lungatholakala ngokusebenzisa i-x-ray. Ngenkathi i-x-ray ingadla imali engaphansi kuka-$ 150, izindleko ze-MRI cishe ngama-$ 2,500.
Ama-akhawunti okucabangela ngezokwelapha ama-10 kuya kwezingu-15% okukhokhelwa kweMedariya odokotela. Eminyakeni eyishumi eyedlule, ukucabanga ngezokwelapha kwakungaphansi kuka-5%. Izindleko ze-imaging yezokwelapha kulindeleke ukuthi ziqhubeke zikhula ngesilinganiso saminyaka okungenani 20%. Okufanele ukusho, ibhizinisi elibiza kakhulu.
Ngo-2008, odokotela bazokhokhelwa okungaphezu kwamaRandi ayi-400 ku-MRI ngamunye nge-Medicare. I-x-ray engama-4, ephumelela kakhulu ekubukeni i-osteoarthritis futhi isetshenziswa odokotela abaningi bamazinyo, izobuyisela odokotela okungaphezulu kwamaRandi 43.
Ukufunda Ukusebenzisa ngokweqile iMRI
Abacwaningi baphinde bahlola iqembu leziguli ezingu-50 ezazingena esikhundleni sokuguqa ngamadolo ngenxa ye-osteoarthritis ukuze zibone ukuthi zine-MRI eminyakeni emibili ngaphambi kokuhlinzwa. Kulezi ziguli ezingu-50, abangu-32 babephethe i-MRI eyala ngokunakekela kwabo okuyinhloko noma udokotela wamazinyo. Abacwaningi baphetha ngokuthi i-MRI ayizange inikeze noma yiluphi ulwazi olungatholakali ngo-x-ray.
Ngaphezulu kwengxenye yeqembu lalingenalo x-rays ngaphambi kokubonisana ngokuhlinzwa.
Amaphuzu Okumele Awakhumbule
Iziguli ezinamahlombe amadolo kufanele zibe nemibala engu-x ngaphambi kokuba i-MRI ibhekwe, ngaphandle uma kukhona ukusola ngesimo esingathí sina noma esingavamile, njenge- necrosis ye-avascular . Njengoba i-MRI ithungisiwe njengethuluzi lokuqala lokuhlola, iziguli nodokotela kudingeka bafundiswe futhi bacabange kabusha inqubo yokuxilonga. I-X-ray kufanele ifike ngaphambi kwe-MRI kuningi lamacala e-knee osteoarthritis. Ungesabi ukubuza udokotela wakho ukuthi kungani eyala i-MRI. Kubalulekile ukuba nezwi elisebenzayo ezinqumweni ezenziwe mayelana nokunakekelwa kwezempilo.
Umthombo:
Ukusetshenziswa ngokweqile kwe-MRI kwesiguli se-osteoarthritis. Umhlangano we-AAOS ka-2008. I-Gordon AC, et al.