Ukuqhathanisa kuzogqamisa izindawo zokuvuvukala okusebenzayo
Kwabaningi benu, ukubhekana ne-MRIs ebuchosheni bakho kanye / noma intambo yomgogodla yingxenye eyamukelekile ye-MS yakho yokuxilongwa. Kodwa ngisho ne-MRIs ingaba yinselele ukuqonda, njengoba kunezinhlobo ezahlukene, kanti ezinye zinikezwa ngokuphambene kanti ezinye zingekho.
Ngalokho, nansi isifinyeto sokuthi kungani futhi "ukuphambene" (gadolinium) kanjani futhi kanjani "kusetshenziswa" ku-MRIs ukuxilongwa noma ukuqapha izifo eziningi.
Sibutsetelo sikaGadolinium nokuthi kungani ibizwa ngokuthi "umehluko"
I-Gadolinium, ebizwa nangokuthi "ukuphambene," iyinhlanganisela enkulu, yamakhemikhali ejoqweni emzimbeni womuntu ngesikhathi sokuhlolwa kwe- MRI ngumchwepheshe.
I-Gadolinium ngokuvamile ayikwazi ukudlula egazini egazini ukuya ebuchosheni noma intambo yomgogodla ngenxa yendwangu yokuvikelwa emzimbeni womuntu obizwa ngokuthi umgoqo wegazi-ubuchopho. Kodwa ngesikhathi sokuvuvukala okusebenzayo ngaphakathi kobuchopho noma intambo yomgogodla, njengesikhathi sokuphindaphinda kwe-MS, ukuvinjelwa kwegazi kwengqondo kuphazanyiswa, kuvumela i-gadolinium ukuba idlule.
I-Gadolinium ingabe ingena ebuchosheni noma emthonjeni womgogodla bese ivuza ngaphakathi kwe-MS lesion, ikukhanyisa iphinde idale indawo evelele ku-MRI.
Okushoyo Behind an MS Lesion ukuthi "Lights Up"
Inhloso ye-imagery ye-gonolinium-enhanced resonance imaging (MRI) ukuskena ukunikeza udokotela wakho inkomba yobudala bezilonda zakho ze-MS, njengokuthi i-MS iphinda ibuyele manje noma ngabe kwenzeka okwenzeka esikhathini esithile edlule.
Uma i-lesion ku-MRI ikhanya, kusho ukuthi ukuvuvukala okusebenzayo kwenzeke ngokuvamile ezinyangeni ezimbili kuya kwezintathu zokugcina. Ukuvuvukala okusebenzayo kusho ukuthi i-myelin (umgogodla onamafutha obangelwa ama-nerve fibers) ubonakaliswe futhi / noma ubhujiswe ngamasosha omzimba omuntu.
Uma i-lesion kwi-MRI ingabe ikhanya emva kokugaya i-gadolinium, cishe cishe i-lesion-eyadala eyenzeke ngaphezu kwezinyanga ezimbili kuya kwezingu-3 ezedlule.
Ngamanye amazwi, ukusetshenziswa kokuphambene kusiza isazi sezinzwa sithole iminyaka yobudala.
Noma kunjalo, kubalulekile ukuqonda ukuthi i-MS lesion eyabonwa kwi-MRI ayibangeli izimpawu. Lezi zilonda zibhekwa ngokuthi "izilonda" ezingenalutho. Ngokufanayo, kungaba yinto ekhohlisayo ngezinye izikhathi ukuhlobanisa uphawu oluthile ngesilonda esithile ebuchosheni noma emthonjeni.
Futhi, akuzona zonke izilonda ezimelela i-MS, yingakho i-MRI ingasetshenziswanga yodwa ukuxilonga noma ukuqapha i-MS yomuntu. Izilonda ezitholakala kwi-MRI zingabangela ukuguga noma ezinye izimo zezempilo ezinjengokushaya, ukulimala, ukutheleleka, noma i-migraine. Ngezinye izikhathi, abantu banesisindo esisodwa noma ngaphezulu kuma-MRIs abo, kanti odokotela abakwazi ukuchaza ukuthi kungani.
Ngaphezu kwalokho, izilonda zenza izinto ezithakazelisayo. Ngezinye izikhathi zivutha ngokuphindaphindiwe futhi ekugcineni zakha izimbobo ezimnyama, ezimelela izindawo zokulimala okungapheli noma ezinzima ze-myelin ne-axon. Ucwaningo lubonisa ukuthi izimbobo ezimnyama zihambisana nokukhubazeka okuhlobene nomuntu. Ngezinye izikhathi izilonda ziyakwazi ukuphulukisa nokuzilungisa ngokwazo (futhi zize ziphele).
Kungani Ukuhlukanisa Kungase Kubekwe Isazi Sakho Sezinzwa Zegazi
Ekugcineni, i-neurologist yakho iyohlehlisa nje ukuthi ihlukaniswe ngokunikezwa nge-MRI yakho uma ecabanga ukuthi isifo sakho sisebenza-okusho ukuthi ubuyela emuva (izimpawu ezintsha noma ezibuhlungu ze-neurological) noma kamuva nje ubuyela emuva.
Uma ungena ukuze uthole i-MRI yakho ngezikhathi ukuze unqume ukuthi isifo sakho sithuthuka kanjani, ngakho-ke ukungafani ngokuvamile kuvunyelwe. Kulesi simo, udokotela wakho uzobona ukuthi i-MRI yakho ikhombisa yini imisebenzi eminingi ye-MS, okusho ukuthi i-aggress and more lesions.
Kulesi sibonelo, udokotela wakho angase asikisele ukushintsha ukwelashwa kwakho -ukuguqula isifo , nakuba lokhu kuyinkinga enkulu. Esikhundleni salokho, ezinye izazi ze-neurologists zikhetha ukushintsha imithi yomuntu kuphela uma engeke ibe nomphumela wemiphumela emibi noma izimpawu zabo ziyanda (ukubeka izinqumo emfanekisweni womtholampilo womuntu kunalokho okuboniswa yi-MRI).
Izwi elivela
Nakuba kuhle ukuqonda ubuchopho bakho nomgogodla we-umgogodla we-MRIs, zama ukungafaki namba kunombolo noma indawo yezilonda noma izindawo zakho. Kunalokho, kungcono ukugxila ekuthuthukiseni izimpawu zakho, uzizwe uhle, futhi uhlale uzijabule futhi uphilile ngangokunokwenzeka. Hlala unolwazi ngesifo sakho kanye namathuluzi asetshenziselwa ukuyifinyelela, ikakhulukazi i-MRIs, eyenzeka kakhulu futhi ngaleyo ndlela iyasebenza nakakhulu.
Imithombo:
Birnbaum, MD George. (2013). I-Multiple Sclerosis: Umhlahlandlela Womtholampilo Wokuthola Ukuxilongwa Nezokwelapha, Edition 2. ENew York, eNew York. I-Oxford University Press.
> Giorgio A et al. Ukubheka ubuchopho be-MRI ebuchosheni be-hypointense ukuguga kakhudlwana kakhubazekile emitholampilo ekubuyiseni kabusha izifo eziningi ze-sclerosis. > Mult Scler 2014 Feb; 20 (2): 214-9
I-National MS Society. Ukufaniswa kwe-Magnetic Resonance.