Izincomo Ezivela ku-American College of Radiology
Uma isiguli sinenhlopho ekhanda, odokotela bazobe beyala ukucabangela kobuchopho. Lezi zithombe zizoveza ukuthi kukhona isimo esibucayi esiqhubekayo esizungeze ubuchopho, njengegazi.
Kodwa yiluphi uhlobo lwezithombe ozokwenza udokotela wakho awenze? Iskena se-CT noma i- MRI ? Noma i- angiography yama- magnetic resonance (MRA) , okuyi-MRI yemithwalo yegazi yengqondo.
I-American College of Radiology inezincomo eziqondile zokusiza ukucacisa uhlobo olufanele lokucabangela ubuchopho oludingekayo ukuze uhlolwe ikhanda. Lezi zincomo zingakusiza ukuthi uqonde kangcono ukuthi kungani udokotela wakho eyala ukuhlolwa okunye kwesinye.
Inhloko emuntwini ongenakuqhathaniswa
I-immunocompromised isho ukuthi umuntu unesisindo somzimba sokukhubazeka, okwehlisa amandla abo okuzivikela ngokumelene nokutheleleka. Amasosha omzimba angakhubazekile angase abe eseceleni kunezinto eziningana nezifo (isifo sikashukela, i-HIV) noma izidakamizwa (isb. Steroids, chemotherapy).
Kulesi simo, kunconywa i-MRI yekhanda kanye nangaphandle kwemithombo yezindaba.
Inhloko kubantu Abadala kunama-60 ne-Giant Cell Arteritis ekhangelwe
I-giant cell arteritis wuhlobo lwe-vasculitis (ukuvuvukala kwemithambo yegazi) okuvame ukudala ikhanda endaweni ethempelini futhi kungahle kuhambisane nezinye izimpawu ezifaka ukukhathala, ubuhlungu bomhlathi kanye namafutha omzimba.
Isici esibuhlungu kunazo zonke se-GCA ukulahleka kombono.
Kulesi simo, kunconywa i-MRI yekhanda kanye nangaphandle kwemithombo yezindaba.
Ukhanda Nge-Meningitis Esolwa
I-Meningitis iyisifo sezinambuzane ezizungezile ubuchopho nomgogodla. Kuvame ukubangelwa ibhaktheriya noma igciwane, futhi akuvamile ukuthi i-fungus.
Ukucabangela ubuchopho kwenziwa lapho umuntu one-meningitis ecatshangelwayo engozini enkulu yokuhlambalaza ubuchopho-kodwa ekugcineni ukukhishwa kwe-lumbar kwenziwa ukuze kutholakale ukuxilongwa kwe-meningitis.
Kulokhu, i-CT noma i-MRI yekhanda ngaphandle kokusatshalaliswa kwezindaba kunconywa.
Ukuphathwa Kwekhanda Olukhulu Emkhunjini
Ngenkathi iningi lekhanda ekukhulelwe liyingozi, udokotela angalawula ukucabangela kobuchopho uma ikhanda lisikhuni noma lihambisana nezinye izimpawu ezibuhlungu njengezimpawu ze-neurological.
Kulokhu, i-CT noma i-MRI yekhanda ngaphandle kokusatshalaliswa kwezindaba kunconywa.
Ngokukhululekile, ikhanda elilodwa lamakhanda elilodwa elibangelwa yi-Dissection engenzeka ekhona
Ukususwa kwe-dissection kubhekisela ekusweleni kwendonga yangaphakathi yemithambo yegazi enikeza ubuchopho. Ukuxoshwa kwemibhoshongo ye-carotid ne-vertebral ngokuvamile kubangela ubuhlungu bekhanda kanye / noma intamo futhi isimo esisongela ukuphila, ngoba singabangela ukushaywa yisisu.
Kulokhu, i-MRI yekhanda kanye nokungafani nemithombo yezindaba, i-MRA yekhanda nentamo, noma i-CTA yekhanda nentamo ituswa.
Ukwehliswa Okungazelelwe Kancane noma Ukuphathwa Kwekhanda Elikhulu
Ikhanda elibi kakhulu futhi / noma liqala ngokuzumayo libuhlungu ngokukhethekile ngenxa yokuphuza igazi ebuchosheni (isib. Ukuchithwa kwesisu ) futhi kuvumela ukucabangela ubuchopho obuseduze.
Kulokhu, i-CT yekhanda ngaphandle kokukhathanisa imithombo yezindaba, i-CTA yekhanda ngezindaba ezihlukile, i-MRA yekhanda noma ngaphandle kwezinto ezihlukile, noma i-MRI yekhanda ngaphandle kokusikisela kwezindaba kunconywa.
Izwi kusuka
Uma ubona udokotela wakho noma uye ekamelweni eliphuthumayo ngekhanda elingase libe yingozi, ukucabangela kobuchopho kuyothathwa. Nakuba akudingeki ukuthi wazi ukuthi yini ozoyiyala-yingakho sinamadokotela - kuyasiqinisekisa ukuthi kuneziphakamiso udokotela wakho alandelayo.
> Imithombo:
> Gonzalez-Gay MA, Barros S, Lopez-Diaz MJ, Garcia-Porrua C, Sanchez-Andrade A, i-Llorca J. Giant cell arteritis: amaphethini wezifo ezethulwa emitholampilo ngeziguli ezingu-240. Imithi (Baltimore) . 2005 Sep; 84 (5): 269-76.
> Hainer BL & Matheson EM. Indlela yokuya enhlokweni ekhanda e-Adult . Am Fam Physician. 2013 Meyi 15; 87 (10): 682-87.
> Silbert PL, Mokri B, uSchievink WI. > Ubuhlungu bekhanda > nobuhlungu bezintamo ngokungahambisani okungajwayelekile ngaphakathi kwe-carotid kanye ne-vertebral artery dissections. I-Neurology. 1995 Aug; 45 (8): 1517-22.
> Strain JD, et al. Izinwele. I-American College of Radiology. Izindlela zokufaneleka ze-ACR. I-Radiology . 2000; 215 (suppl): 855-860.