Ke, nankuya esibhedlele, ujongene noxinzelelo lwemeko yonyango olungxamisekileyo oluzisiweyo. Ugqirha ubonakala emilebe eqinile kodwa uyalele iimvavanyo ezininzi zemifanekiso, njenge-X-ray yesifuba okanye i-CT scan.
Kungenjalo, unokuba ne-mammogram ecwangciselwe iveki ezayo kwaye ngoku ukhumbula iX-reyi yamazinyo obusandula ukuyifumana. Okanye, emva kokuxilongwa ngokwesiqhelo kwempilo, ugqirha wakho unokucebisa ukuba wenze iskeni sePET ngenxa yento engaqhelekanga eye yavela.
Ukuba ukhe wazifumana kwenye yezi meko, mhlawumbi ukhe wazibuza: Ngaba kunokwenzeka ukuba ube sesichengeni semitha eninzi kakhulu? Ngaba inokukhokelela kumhlaza? Yaye ngaba kuyimfuneko ukuphakamisa iinkxalabo, ngakumbi ukuba awukhulelwanga?
YIMANZI I-RADI EBANDLEKILEYO?
“Amanqanaba emitha anokwahluka kakhulu ngokuxhomekeke kuvavanyo,” ucacise watsho uNjingalwazi uLionel Cheng, umcebisi omkhulu kunye nentloko yeDiagnostic Radiology kwiSibhedlele Jikelele saseSingapore.
Ubungakanani bemitha yemitha ngenene buxhomekeke kuvavanyo lokucinga oluthile olusetyenziswayo. Ngokomzekelo, idosi ye-radiation evela kwi-X-ray yesiqhelo, i-bone density scan, okanye i-mammogram iphantsi kakhulu xa kuthelekiswa ne-CT scan okanye i-PET scan, ngokutsho kwe-Assoc Prof Cheng.
IX-reyi eqhelekileyo yamazinyo, isifuba, okanye amalungu akho ibandakanya ingozi ephantsi kakhulu yokusasazeka kwemitha—malunga nomntu omnye kwabasisi-1,000,000, nto leyo ephantse ilingane nemitha onokuyifumana kwiintsuku ezimbalwa kwimithombo yendalo. Ewe, sonke sisoloko sichanabeke kwimvelaphi yendalo yokusasazeka kwemitha ephuma emhlabeni, emoyeni, kwizinto zokwakha, kunye nemitha yecosmic evela emajukujukwini.
Kwanamanqanaba aphezulu emitha emitha avela kwiCT okanye kwi-PET scan afika nengozi encinane yomhlaza, enoluhlu olususela kwisi-1 kwali-10 000 ukuya kosi-1 kwabali-1 000. Oku kuthelekiseka neminyaka embalwa yokuvezwa kwimitha yendalo. Ngokutsho kweParkway Radiology, ezinye izinto, ezinjengendawo ethile ebonwayo (njengengalo nje xa uthelekiswa nomzimba wakho wonke) kunye nokuba umfanekiso uthatha ixesha elingakanani, nako kuchaphazela ukuvezwa kwemitha egcweleyo.
INGABA KUKHO UMDA KWINANI LEZINKUKANISO ONOKUBA NAZO NGONYAKA?
Ngokuka-Assoc uProf Cheng, akukho nani libekiweyo lokuskena umntu anokuba nalo ngonyaka. "Ezinye izigulana ezineemeko ezinzima okanye ezingxamisekileyo zinokuqhuba izifundo ezininzi zokucinga ngexesha elifutshane, ngelixa ezinye zinokufuna enye okanye ezimbini kwithuba leminyaka."
Endaweni yokugxila kwinani elithile, wagxininisa ukuba kubalulekile ukuba izigulana zazise oogqirha bazo ukuba zikhe zahlolwa mva nje. "Ukuba izikrini zenziwa kwi-polyclinic okanye kwisibhedlele sikarhulumente, ugqirha unokufikelela kwezo rekhodi ngokusebenzisa inkqubo yokunakekelwa kwezempilo karhulumente, ukukhusela iimvavanyo eziphindwe kabini kunye nokucwangcisa ukulandelelana kokulandelela xa kufuneka," kusho u-Assoc Prof Cheng.
Nangona kunjalo, izikena ezenziwe kwiikliniki zabucala okanye phesheya zisenokungafumaneki kumanqaku ekliniki kagqirha. Kwiimeko ezinjalo, wagxininisa ukubaluleka kwezigulane ezinikezela olu lwazi. "Oku kuvumela ugqirha ukuba athathele ingqalelo iziphumo ze-imaging zangaphambili xa esenza isigqibo malunga novavanyo olongezelelweyo lwe-imaging yezonyango," wachaza.
KUTHENI OOGQIRHA NGAMAXESHA BA-odole IINTLOBO EZININZI ZOVAVANYO LWEMIFANEKISO?
Kukho iimeko apho iskena esinye singaboneleli ngolwazi olwaneleyo lokuxilongwa ngokuchanekileyo, wachaza uBetty Matthew, inqununu ephezulu yeradiographer kwiSATA CommHealth.
"Ukusebenzisa iindlela ezahlukeneyo zokucinga kunye kuvumela uphononongo olugqibeleleyo, ukuqinisekiswa koxilongo oluchanekileyo, izicwangciso zonyango olusebenzayo, kunye nokubek' esweni imeko yesigulana."
Ngokomzekelo, i-X-ray inokuchonga ukuphuka kwamathambo kwingozi, kodwa ayiyi kubonakalisa ukuphuma kwegazi kwangaphakathi okanye umonakalo womzimba-imibandela i-CT okanye i-MRI scan. UMateyu unika imizekelo eyongezelelweyo yeemeko apho uvavanyo lwemifanekiso emininzi lunokufuneka:
Ukuqinisekisa ukuxilongwa: Kwiimeko ezifana nomhlaza wemiphunga, i-X-reyi yesifuba inokutyhila ubunzima, kodwa i-CT okanye i-MRI scan inokunika umbono ocacileyo noneenkcukacha ezithe chatha. Kwizigulane ze-stroke, i-CT scan inokuchonga ukopha kwengqondo, ngelixa i-MRI scan inokuhlola ubungakanani bomonakalo wobuchopho.
Ukubeka iliso kwiNkqubela yeZifo: Iindlela zokucinga ezifana ne-PET, CT, kunye ne-MRI zisetyenziselwa ukulandelela ukukhula kwethumba okanye ukusasazeka komhlaza. Kwiimeko ezingapheliyo ezifana ne-multiple sclerosis, ii-MRI eziphindaphindiweyo ziyimfuneko ukujonga izilonda ezintsha.
Ukufumanisa usulelo okanye uKudumba: IiUltrasound, iCT scans, okanye iPET scans zinokunceda ekuboneni umthombo wentsholongwane okanye ukudumba.
Ngaba iZikena ezahlukeneyo zithelekiseka?
Kutheni i-CT scan inoku-odolwa nge-X-reyi? Ngaba inqanaba lemitha liphezulu kwimammogram xa kuthelekiswa neX-reyi eqhelekileyo? Makhe siphonononge umahluko phakathi kolunye lolona vavanyo luqhelekileyo lomfanekiso.
1. I-Computed Tomography (CT Scan)
Yintoni:
I-CT scans idla ngokunxulunyaniswa nomatshini omkhulu, ofana nomsesane okhupha imiqadi yeX-reyi emininzi. Le miqadi isebenzisana ukwenza imifanekiso enemigangatho emithathu yamalungu angaphakathi, njengoko kuchazwa nguGqr. Lee.
Xa Isetyenziswa:
I-CT scan inika imifanekiso eneenkcukacha ezininzi, nto leyo eyenza ibe luncedo ekuboneni phantse onke amalungu angaphakathi. Ngokuhambela phambili kwetekhnoloji, izigulana ngoku zinokujongwa umzimba opheleleyo ngaphantsi kwemizuzwana engama-20, rhoqo ngokubamba nje umphefumlo omnye.
Ngubani engamfanelanga:
Ngenxa yokuba ii-CT scans zifuna umlinganiselo omkhulu wemitha, ngokuqhelekileyo ziyaphetshwa ebantwaneni, kumabhinqa akhulelweyo, nakubantu abadala abaselula ngaphandle kokuba kuyimfuneko. Ukongezelela, abantu abane-asthma, i-allergies, okanye imiba yezintso basenokungafaneleki kolu hlobo lokuskena, njengoko kufuneka idayi eyahlukileyo, enokubangela ukusabela. Nangona kunjalo, i-steroids inokunceda ukunciphisa umngcipheko kwezi zigulana, kwaye enye indlela yokucinga inokucetyiswa ukuba kuyimfuneko.
2. IMagnetic Resonance imaging (MRI)
Yintoni:
Ngokungafaniyo ne-CT scans, iiMRIs zibandakanya iskena esikhulu esinecylindrical apho izigulana zichitha ixesha elingakumbi. I-MRI isebenza ngokuvelisa amaza ombane avelisa imifanekiso eneenkcukacha ezininzi, enemigangatho emithathu yamalungu angaphakathi, kwaye iqhayisa ngesona sisombululo siphezulu kuzo zonke iindlela zokucinga.
Xa Isetyenziswa:
I-MRI iqhele ukusetyenziselwa iimeko ezithile ezinjengokuvavanya ukunyanzeliswa kwemithambo-luvo kumqolo, ukufumanisa amathumba amancinci kumalungu afana nesibindi, okanye ukuvavanya izakhiwo ezibuthathaka njengephecana lomchamo kunye nebilebile ducts.
Ngubani engamfanelanga:
I-MRI scan ayifanelekanga kwizigulane ezine-claustrophobia okanye ezingakwaziyo ukuhlala zithe cwaka ixesha elide, njengoko inkqubo inokuthatha naphi na ukusuka kwimizuzu eli-15 ukuya kwimizuzu engama-30, kuxhomekeka kwindawo eskeniweyo. Ukongezelela, izigulane ezinezixhobo zetsimbi (umzekelo, i-stents zentliziyo, iikliphu, okanye izinto zetsimbi zangaphandle) zisenokungafaneleki kwi-MRIs ngenxa yombane oqinileyo osetyenziswayo ngexesha lenkqubo.
Izinto eziluncedo:
I-MRI ayibandakanyi imitha, nto leyo eyenza kube yinto ekhethwayo kwizigulane eziselula kunye nabo bakhulelweyo. Iiarhente ezintsha zokuchasa i-MRI zikhuselekile kakhulu, nakubantu abaneengxaki zezintso.
3. I-X-Ray
Yintoni:
I-X-reyi isebenzisa imitha ye-electromagnetic ene-energy ephezulu ukwenza imifanekiso ecacileyo yezakhiwo zangaphakathi zomzimba. Nangona kubandakanya imitha ye-ionizing, ukuchanabeka kwi-X-reyi kulawulwa ngononophelo ukunciphisa ingozi.
Xa Isetyenziswa:
Ii-X-reyi ziqhele ukusetyenziselwa ukuxilonga ukophuka, ukudityaniswa kwamalungu, usulelo lwemiphunga olufana nenyumoniya, kunye neemeko ezithile zesisu.
Ngubani engamfanelanga:
Ngelixa iiX-reyi zikhuselekile ngokubanzi kuyo yonke iminyaka, abasetyhini abakhulelweyo bacetyiswa ukuba bangazenzi kuba le mitha inokuchaphazela ukukhula komntwana. Nangona kunjalo, ii-X-reyi ziyalelwa kuphela xa iinzuzo ezinokubakho zomfanekiso zigqithise imingcipheko.
Isishwankathelo, ubuchule bomfanekiso ngamnye buneempawu zabo ezizodwa, iingenelo kunye nemida. Ukuqonda iintlobo ezahlukeneyo zokuskena kunye neengozi zabo kunokunceda izigulane zenze izigqibo ezinolwazi kwaye ziqinisekise ukuba zifumana ukhathalelo olufanelekileyo.
4. Ultrasound
Isishwankathelo:
I-Ultrasound idla ngokuhambelana nokubeka iliso kwiintsana ngexesha lokukhulelwa, kwaye ngesizathu esihle. Njengoko uMatthew ecacisa, “Yindlela ekhuselekileyo, nengaphangiyo yokucinga engabandakanyi imitha.”
Endaweni yokusebenzisa imitha, i-ultrasound ixhomekeke kumaza esandi esisuka phezulu ukuze ivelise imifanekiso yokwenyani yamalungu angaphakathi omzimba kunye nemithambo yegazi. Ukubamba le mifanekiso, i-gel isetyenziswe kwesikhumba, kwaye isixhobo esincinci sishukunyiswa kwindawo enomdla, njengesisu okanye umva.
Xa Isetyenziswa:
I-Ultrasound isetyenziswa rhoqo kwi-obstetrics kunye ne-gynecology ukulandelela ukuphuhliswa komntwana. Ikwabalulekile ekuvavanyeni uluhlu lweemeko zonyango. "Igqwesile ekuvavanyeni izicubu ezithambileyo, ukujonga ukukhulelwa, ukuvavanya amalungu esisu, ukuchonga amatye enyongo, kunye nokuvavanya ukuhamba kwegazi ngaphakathi kwemithambo yegazi," utshilo uMatthew. Ukongezelela, i-ultrasound isetyenziselwa iinkqubo ezikhokelwayo ezifana ne-biopsies.
Ngubani oMakayiphephe:
Nangona kunjalo, i-ultrasound inemida. Ayinakungena kwithambo, ngoko ayikwazi ukubona ngeso lengqondo iindawo ezithile. Ikwasokola nomoya, oku kuthetha ukuba ayisebenzi kangako ekuhloleni amalungu afana nesisu okanye amathumbu. Izihlunu ezinzulu, ezifana ne-pancreas okanye i-aorta, kunokuba nzima ukuzivavanya, ngakumbi kwizigulana ezityebe kakhulu ngenxa yokuncipha kwamaza omsindo njengoko zihamba ngezicubu zomzimba.
5. IMammogram
Isishwankathelo:
I-mammogram yiX-reyi ekhethekileyo yamabele eyenzelwe ukubona izinto ezingaqhelekanga, rhoqo phambi kokuba kuvele naziphi na iimpawu. “Idlala indima ebalulekileyo ekuphuculeni iziphumo zonyango ngokuchonga imiba kwangethuba,” utsho uMatthew.
Esona scan sikhawuleza, sihlala imizuzwana nje embalwa. Nangona kunjalo, ukubeka ibele kwimifanekiso efanelekileyo kunokuthatha imizuzu emi-5 ukuya kweli-10, kuxhomekeke ekubeni mingaphi imifanekiso efunekayo. "Njengoko ukunyanzeliswa kuyadingeka ukuze ufumane imifanekiso ecacileyo, izigulane zinokufumana ukungathandeki," uGqr Lee wongezelela.
Xa Isetyenziswa:
I-mammograms ayisetyenziselwa kuphela ukuhlolwa kwesiqhelo kodwa zikwasetyenziselwa ukuphanda iimpawu ezifana namaqhuma okanye intlungu yebele ukufumanisa nayiphi na imiba enokubakho.
Ngubani oMakayiphephe:
Ngenxa yemitha ebandakanyekayo, i-mammograms ayikhuthazwa ngabasetyhini abancinci de bafikelele kwiminyaka ecetyiswayo yokuhlolwa rhoqo, njengoko uGqr Lee ecacisa.
6. Ukuxinana kweBone Scan
Isishwankathelo:
Ukuxilonga ukuxinana kwamathambo, njengoko uGqr. Lee echaza, “yiX-reyi ekhethekileyo esetyenziselwa ukuhlola ukomelela kwamathambo.” Ngokuqhelekileyo igxininisa kwi-hip okanye esihlahleni, kwaye inkqubo yokuskena ithatha imizuzu embalwa kuphela.
Xa Isetyenziswa:
Olu vavanyo luqhele ukwenziwa kwizigulane ezisele zikhulile ezisengozini ye-osteoporosis. Nangona kunjalo, kunokuba yimfuneko kwizigulane ezincinci kumayeza achaphazela ukuxinana kwamathambo, utsho uDkt Lee.
Ngubani oMakayiphephe:
Abasetyhini abakhulelweyo bafanele bakuphephe oku kuhlolwa ngenxa yemitha echaphazelekayo. Ukongezelela, abantu abanotyando olukhulu lwamva nje okanye ukungahambi kakuhle komgudu, njenge-scoliosis, abanakuba ngabaviwa abafanelekileyo, njengoko iziphumo zingachanekanga.
7. I-Positron Emission Tomography (PET) Scan
Isishwankathelo:
IPET scan bubuchule obuphambili bokwenza umfanekiso obonisa umzimba wonke. UGqr. Lee uthi: “Kubandakanya ukutofwa ngedayi ekhethekileyo enemitha yeathom, yaye njengoko idayi ifunxwa ngamalungu ahlukahlukeneyo, ibonwa ngescanner.
Le nkqubo ithatha malunga neeyure ezimbini ukuya kwezintathu kuba idayi ifuna ixesha lokufunxwa kumalungu ngaphambi kokuba kuqhutywe iskeni.
Xa Isetyenziswa:
I-PET scans isetyenziselwa ukufumanisa umhlaza kunye nokuvavanya ukusasazeka kwawo. Nangona kunjalo, zinokunceda ekuchongeni imithombo yosulelo.
Ngubani oMakayiphephe:
Ngenxa yemitha ebandakanyekayo, ukuskena kwePET akukhuthazwa ngabantwana okanye abantu abakhulelweyo, uGqr. Lee ucebisa.
Esinye isihloko esifuna ukuhoywa kukuba xa uskena isigulana, kuyafuneka ukuba utofe iarhente yokuchasana emzimbeni wesigulana. Kwaye oku kufuneka kuphunyezwe ngoncedo lwe-aisitofu searhente yokuchasana.LnkMedngumvelisi ogxile ekwenzeni, ekuphuhliseni, nasekuthengiseni iisirinji zearhente yokuchasa. Ibekwe eShenzhen, eGuangdong, eTshayina. Ineminyaka emi-6 yamava ophuhliso ukuza kuthi ga ngoku, kwaye inkokeli yeqela le-LnkMed R&D inePh.D. kwaye uneminyaka engaphezu kweshumi yamava kolu shishino. Iinkqubo zemveliso yenkampani yethu zonke zibhalwe nguye. Ukusukela ekusekweni kwayo, ii-ejenti zokuchasana ze-LnkMed zibandakanyaI-CT yesitofu semidiya eyahlukileyo,CT isitofu sentloko ezimbini,I-MRI yokuchasa i-media injector,I-Angiography yoxinzelelo oluphezulu, (kwaye kunye nesirinji kunye neetyhubhu ezihambelana neempawu ezivela eMedrad, Guerbet, Nemoto, LF, Medtron, Nemoto, Bracco, SINO, Seacrown) zamkelwa kakuhle zizibhedlele, kwaye ngaphezu kweeyunithi ze-300 ziye zathengiswa ekhaya nakwamanye amazwe. I-LnkMed ihlala igxininisa ekusebenziseni umgangatho olungileyo njengeyona nto iphambili ye-bargaining chip ukuphumelela ukuthembela kubathengi. Esi sesona sizathu sibalulekileyo sokuba kutheni iimveliso zethu zesirinji ezinoxinzelelo oluphezulu zibonwa yimarike.
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Ixesha lokuposa: Feb-23-2025
