Iingozi kunye namanyathelo okhuseleko kwiindlela ezahlukeneyo zokuthatha imifanekiso yezonyango kwizigulana ezikhulelweyo

Sonke siyazi ukuba uhlolo lwemifanekiso yezonyango, kuquka ii-X-ray, i-ultrasound,I-MRI, amayeza enyukliya kunye nee-X-reyi, ziyindlela ebalulekileyo yokuncedisa uvavanyo lokuxilonga kwaye zidlala indima ebalulekileyo ekuchongeni izifo ezingapheliyo nasekulweni nokusasazeka kwezifo. Kakade ke, oku kuyasebenza nakubafazi abakhulelweyo abaqinisekisiweyo okanye abangaqinisekiswanga..Nangona kunjalo, xa ezi ndlela zokuthatha imifanekiso zisetyenziswa kubafazi abakhulelweyo okanye abancancisayo, abantu abaninzi baya kuba nexhala ngengxaki, ngaba iya kuyichaphazela impilo yosana olungekazalwa okanye yosana? Ngaba oku kungakhokelela kwiingxaki ezingakumbi kubafazi abanjalo ngokwabo?

Kuxhomekeke ngokwenene kwimeko leyo. Iingcali ze-radiology kunye nababoneleli bezempilo bayazi ngemifanekiso yezonyango kunye neengozi zokuchatshazelwa yimitha kubasetyhini abakhulelweyo kunye nabantwana abasandul' ukuzalwa. Umzekelo, i-X-ray yesifuba ichatshazelwa umntwana ongakazalwa kwimitha esasazekileyo, ngelixa i-X-ray yesisu ichatshazelwa ngumfazi okhulelweyo kwimitha yokuqala. Nangona ukuvezwa yimitha kwezi ndlela zokujonga ngezonyango kunokuba kuncinci, ukuvezwa okuqhubekayo kunokuba nemiphumo emibi kumama nakwimveku. Umlinganiselo ophezulu wemitha onokuthi ubonakaliswe kubafazi abakhulelweyo yi-100.msV.

Kodwa kwakhona, le mifanekiso yezonyango inokuba luncedo kubafazi abakhulelweyo, incede oogqirha ukuba banike uxilongo oluchanekileyo kwaye banike amayeza afanelekileyo. Kaloku, ibalulekile kwimpilo yabasetyhini abakhulelweyo kunye neentsana zabo ezingekazalwa.

Zithini iingozi kunye neendlela zokhuseleko zeendlela ezahlukeneyo zokuthatha imifanekiso yezonyango??Makhe sihlolisise loo nto.

Amanyathelo

1.CT

CT ibandakanya ukusetyenziswa kwemitha ye-ionizing kwaye idlala indima ebalulekileyo ekukhulelweni, kunye nokusetyenziswa kwe-CT scans kunyuke nge-25% ukusuka ngo-2010 ukuya ku-2020, ngokwezibalo ezifanelekileyo ezifanelekileyo. Ngenxa yokuba i-CT inxulunyaniswa nokuvezwa okukhulu kwemitha ye-fetal, kubalulekile ukuqwalasela ezinye iindlela xa kucingwa ngokusetyenziswa kwe-CT kwizigulana ezikhulelweyo. Ukukhusela i-lead lukhuseleko oluyimfuneko ukunciphisa umngcipheko wemitha ye-CT.

Ziziphi ezinye iindlela ezilungileyo zokuthatha indawo ye-CT?

I-MRI ithathwa njengeyona ndlela ingcono kune-CT. Akukho bungqina bokuba iidosi zemitha ezingaphantsi kwe-100 mGy ngexesha lokukhulelwa zinxulunyaniswa nokwanda kweziganeko zokukhubazeka kokuzalwa, ukuzalwa komntwana eswelekile, ukuphuphuma kwesisu, ukukhula, okanye ukukhubazeka kwengqondo.

2. I-MRI

Xa kuthelekiswa ne-CT, eyona nzuzo inkuluI-MRIkukuba iyakwazi ukuskena izicubu ezinzulu nezithambileyo emzimbeni ngaphandle kokusebenzisa imitha ye-ionizing, ngoko ke akukho manyathelo okhuseleko okanye ukuphikisana kwabaguli abakhulelweyo.

Nanini na xa kukho iindlela ezimbini zokuthatha imifanekiso, i-MRI kufuneka iqwalaselwe kwaye ikhethwe ngenxa yokuba iphantsi kakhulu xa ingabonakali. Nangona ezinye izifundo zibonise iziphumo ezithiyori ze-fetal xa kusetyenziswa i-MRI, ezifana ne-teratogenicity, ukufudumeza izicubu, kunye nomonakalo we-acoustic, akukho bungqina bokuba i-MRI inokuba yingozi kwi-fetus. Xa ithelekiswa ne-CT, i-MRI inokuyifota ngokuchanekileyo nangokufanelekileyo izicubu ezithambileyo ezinzulu ngaphandle kokusebenzisa ii-contrast agents.

Nangona kunjalo, ii-arhente ezisekelwe kwi-gadolinium, enye yezona arhente zimbini ziphambili zokungafani ezisetyenziswa kwi-MRI, ziye zabonakaliswa ziyingozi kubafazi abakhulelweyo. Abafazi abakhulelweyo ngamanye amaxesha bafumana iimpendulo ezinzulu kwi-contrast media, ezifana nokuhla kwesantya okuphindaphindiweyo, i-fetal bradycardia ende, kunye nokuzala ngaphambi kwexesha.

3. I-Ultrasonography

I-ultrasound ayivelisi mitha ye-ionizing. Akukho ngxelo zeklinikhi zeziphumo ezimbi zeenkqubo ze-ultrasound kwizigulana ezikhulelweyo kunye neemveku zabo.

Uvavanyo lwe-ultrasound lugubungela ntoni abafazi abakhulelweyo? Okokuqala, lunokuqinisekisa ukuba umfazi okhulelweyo ukhulelwe ngokwenene na; Jonga ubudala nokukhula komntwana ongekazalwa uze ubale umhla wokuzalwa, uze ujonge ukubetha kwentliziyo komntwana ongekazalwa, ithoni yemisipha, intshukumo, kunye nophuhliso lulonke. Ukongeza, jonga ukuba umama ukhulelwe na ngamawele, amawele amathathu okanye ngaphezulu, jonga ukuba umntwana ongekazalwa ukwindawo engaphambili na ngaphambi kokuba azalwe, uze ujonge ukuba ama-ovari kunye nesibeleko sikamama ziqhelekile na.

Ukuqukumbela, xa oomatshini nezixhobo ze-ultrasound zenziwe ngokuchanekileyo, iinkqubo ze-ultrasound azibeki mngcipheko kwimpilo yabasetyhini abakhulelweyo kunye nabantwana abasandul’ ukuzalwa.

4. Imisebe yeNyukliya

Uvavanyo lwezonyango lwenyukliya lubandakanya ukufakwa kwe-radiopharma kwisigulana, esasazwa emzimbeni wonke ize ikhuphe imitha kwindawo ekujoliswe kuyo emzimbeni. Oomama abaninzi bayaxhalaba xa besiva igama elithi i-nuclear radiation, kodwa ukuvezwa kwimitha ye-fetus ngokusebenzisa amayeza enyukliya kuxhomekeke kwizinto ezahlukeneyo, ezifana nokukhupha i-maternal, ukufunxwa kwe-radiopharmaceuticals, kunye nokusasazwa kwe-radiopharmaceuticals kwi-fetus, idosi ye-radioactive tracers, kunye nohlobo lwemitha ekhutshwa yi-radioactive tracers, kwaye ayinakwenziwa ngokubanzi.

Isiphelo

Ngamafutshane, imifanekiso yezonyango inika ulwazi olubalulekileyo malunga neemeko zempilo. Ngexesha lokukhulelwa, umzimba womfazi utshintsha rhoqo kwaye usengozini yosulelo nezifo ezahlukeneyo. Ukuxilongwa kunye namayeza afanelekileyo kubafazi abakhulelweyo kubalulekile kwimpilo yabo neyeentsana zabo ezingakazalwa. Ukuze benze izigqibo ezingcono nezinolwazi oluthe kratya, iingcali ze-radiology kunye nezinye iingcali zonyango ezifanelekileyo kufuneka ziqonde ngokupheleleyo iingenelo kunye nemiphumo emibi yeepateni ezahlukeneyo zemifanekiso yezonyango kunye nokuvezwa kwemitha kubafazi abakhulelweyo. Nanini na xa izigulana ezikhulelweyo kunye neemveku zabo zivezwa kwimitha ngexesha lemifanekiso yezonyango, iingcali ze-radiology kunye noogqirha kufuneka banike imigaqo ecacileyo kwinkqubo nganye. Iingozi zomntwana ongekazalwa ezinxulumene nemifanekiso yezonyango ziquka ukukhula kancinci kunye nophuhliso lomntwana ongekazalwa, ukukhulelwa okuphuthileyo, ukukhubazeka, ukusebenza kwengqondo okungasebenzi kakuhle, ukukhula okungaqhelekanga ebantwaneni, kunye nophuhliso lwe-neurological. Inkqubo yemifanekiso yezonyango ayinakubangela ingozi kwizigulana ezikhulelweyo kunye neemveku. Nangona kunjalo, ukuvezwa rhoqo kunye nexesha elide kwimitha kunye nemifanekiso kunokuba nemiphumo emibi kwizigulana kunye neemveku. Ke ngoko, ukuze kuncitshiswe umngcipheko wemifanekiso yezonyango kwaye kuqinisekiswe ukhuseleko lomntwana ongekazalwa ngexesha lenkqubo yemifanekiso yokuxilonga, onke amaqela kufuneka aqonde inqanaba lomngcipheko wemitha kumanqanaba ahlukeneyo okukhulelwa.

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I-LnkMed, umenzi oyingcali kwimveliso nophuhliso lweii-injector ze-contrast agent ezinoxinzelelo oluphezuluSikwabonelelaiisirinji kunye neetyhubhuegubungela phantse zonke iimodeli ezidumileyo kwimarike. Nceda unxibelelane nathi ukuze ufumane ulwazi oluthe kratya ngeinfo@lnk-med.com