I-MRI defecography isebenzisa umshini we-MRI ukuze uthole ulwazi mayelana nokusebenza kwemisipha yesiteji sakho se- pelvic ukuze uqonde ukuthi kungani ungase ubhekene nezinkinga ngokunyakaza kwakho kwamathumbu. Lokhu kuvumela kuvumela udokotela wakho ukuba aqonde kangcono indlela ama-rectum akho nezinye izitho zomzimba ezisebenza ngayo (noma usebenza ngokungasebenzi) njengoba uphuma esitokisini.
Njengawo wonke ama-MRIs, i-MRI defecography isebenzisa amagagasi omsakazo namaginethi ukuthatha izithombe zezicubu ezithambile zezingaphakathi zakho.
Uma i-MRI Defecography isetshenziswa nini?
I-MRI defecography inqubo engavamile futhi ayikho izindawo eziningi lapho kwenziwa khona inqubo. Nokho, uma itholakala, inganikeza ulwazi lokuxilonga mayelana nemibandela elandelayo yempilo. Khumbula ukuthi iningi lalezi zimo litholakala ngokuhlanganiswa kwezivivinyo kanye nombiko wakho wesifo nomlando wezokwelapha.
- Ukuhlaselwa kwe-perineal syndrome (ubuthakathaka nokuwa kwemisipha ye-pelvic)
- Faka i-Enterocele (i-bulging ye-amathumba amancane kuya kwesiswini kanye ne-rectum)
- Ukuhlukunyezwa kwe-Dyssynergic
- Ukungathembeki kwamaFecal
- I-Rectocele (i-bulging kodonga lomugqa wesibindi ngaphakathi kwesiswini)
I-MRI Defecography Versus Defecography
Ukuhlukunyezwa kwendabuko kusetshenziswa i-X-rays ukuhlola isizathu esenza izifo ze-defecation zizwakale. I-MRI defecography kucatshangwa ukuthi inikeze ngolwazi oluthe xaxa mayelana nokuthi izitho ezihlukahlukene (kufaka phakathi i-anal sphincter, isisu, isisu, isisu kanye nesiswini) emagqumeni ahlangana ngesikhathi sokunyakaza kwesisu.
Ngaphezu kwalokho, ukusebenzisa i-MRI phezu kwe-X-ray kukuvikela ekuvezeni imisebe.
Esikhathini esedlule, ukuhlukunyezwa kwe-MRI kwakunciphile ngoba kwakufuneka ulale ngesikhathi senqubo, engazange inikeze ngolwazi oluhle lokuthi kwenzekani empeleni ngesikhathi sokunyakaza kwamathumbu. I-MRIs evulekile manje itholakale ngenqubo, ngaleyo ndlela ikuvumela ukuba uhlale uqondile nodokotela wakho ukubona ngesikhathi sangempela okwenzekayo nomzimba wakho uma uhlambalaza.
Ngakolunye uhlangothi, i-defecography ibonakala sengathi iyabiza kakhulu, iyatholakala kakhulu futhi ilula ukuziphatha.
Njengomthetho jikelele wesithupha, ukuhlukunyezwa kwe-MRI kungase kube ukuhlolwa okuphakeme uma ukuhlinzekwa kubhekwa njengokungathi ukwelashwa kwezinkinga zakho zokugezela.
Lokho Okuzokwenza
Ungase ukhululeke uma ufunda ukuthi ngokungafani ne- colonoscopy , akudingeki ukuba uhambisane nanoma yimaphi ama-prep yokuhlanza amathumba ngaphambi kokuqokwa. Futhi ngeke udinga ukuzila ukudla. Njengawo wonke ama-MRIs, akukho zensimbi ezivunyelwe futhi uzocelwa nganoma yiziphi izinto zensimbi okungenzeka zibe ngaphakathi komzimba wakho. Isivivinyo asibuhlungu, nakuba abanye abantu babika ezinye ze-cramping ezincane noma eziqhakazile. Isivivinyo singase sikhulu, ngokuzwakalayo njengoba umshini uthatha izithombe.
I-gel, egcwele isixazululo sokuphambene, izofakwa ngobumnene ku-rectum yakho. (Uma ungowesifazana, isixazululo singase sifakwe emkhatsini wakho wesifazane.) Uma unesi-MRI evulekile, uzohlala ngesikhathi sokuhlolwa, ngaphandle kwalokho uzobe ubeke phansi emhlane wakho. Okuthile okubizwa ngokuthi "i-coil imaging", equkethe izinzwa, kuzothungwa ngesikhumba sakho uma uhlezi, noma ubeke njengesembatho esiswini sakho noma emuva.
Phakathi nenqubo uzonikezwa izikhombisi-ndlela mayelana nokuthi ungabamba nini noma ususe isixazululo.
Ungase uceliwe ukuba "ubuthwale phansi," noma ngokunye ukuze ukhululeke endaweni yakho ye-pelvic.
Inqubo ngokwayo ithatha imizuzu engaba ngu-30.
Obeye aziwe njengo:
- Ukucabangela kwe-coil magnetic resonance (MR) Endorectal
- MR defecography
> Imithombo:
> Hetzer, F., et. al. "UMnu Defecography ngeziguli ezine-Fecal Incontinence: Ukufanekisa Okutholakele Nemiphumela Yabo Ekuphathweni Kokuhlinza" I- Radiology 2006 240: 449-457.
> Olson, C. "Ukuhlolwa kokuhlolwa kwe-Fecal Incontinence" Imitholampilo e-Colon ne-Rectal Surgery 2014 27: 85-90.
> Roos, J., et. al. "Ukuhlangenwe nakho kweminyaka engu-4 nge-Open MR Defecography: Ukubukezwa Kwama-Pictorial of Anorectal Anatomy kanye Nezifo" I- RadioGraphics 2002 22: 4, 817-832.