Kutheni i-MRI ingeyona into eqhelekileyo yovavanyo olungxamisekileyo?

Kwicandelo lezonyango lokufota, kukho izigulana ezine-“emergency list” ze-MRI (MR) ukuze zenze uhlolo, zize zithi kufuneka zenze oko ngokukhawuleza. Kule meko ingxamisekileyo, ugqirha ofotayo udla ngokuthi, “Nceda wenze idinga kuqala”. Sithini isizathu?

Okokuqala, makhe sijonge izinto ezichaseneyo:

Ekuqaleni,Izichaso ezipheleleyo

1. Izigulana ezine-pacemakers zentliziyo, ii-neurostimulators, ii-valve zentliziyo ezenziwe ngentsimbi, njl.njl.;

2. Nge-aneurysm clip (ngaphandle kwe-paramagnetism, efana ne-titanium alloy);

3. Abantu abanemizimba yangaphandle yentsimbi engaphakathi kweliso, ii-implants zendlebe yangaphakathi, i-metal prosthesis, ii-metal prostheses, ii-metal joints, kunye nemizimba yangaphandle ye-ferromagnetic emzimbeni;

4. Ukukhulelwa kwangethuba kwiinyanga ezintathu emva kokukhulelwa;

5. Izigulana ezinomkhuhlane omkhulu kakhulu.

Ngoko ke, yintoni isizathu sokuba i-MRI ingathwali isinyithi?

Okokuqala, kukho amandla amakhulu emagnethi kwigumbi lomatshini we-MRI, anokubangela ukutshintsha kwesinyithi kwaye abangele ukuba izinto zesinyithi zibhabhe ziye kwiziko lezixhobo kwaye zenze ingozi kwizigulana.

Okwesibini, intsimi ye-MRI RF enamandla inokuvelisa isiphumo sobushushu, ngaloo ndlela ibangele ukufudumeza kwezinto zesinyithi, uvavanyo lwe-MRI, kufutshane kakhulu nentsimi yemagnethi, okanye kwintsimi yemagnethi kunokubangela ukutsha kwezicubu zasekuhlaleni okanye kubeke ubomi bezigulane emngciphekweni.

Okwesithathu, yintsimi yemagnethi ezinzileyo nefanayo kuphela enokufumana umfanekiso ocacileyo. Xa kuhlolwa ngezinto zesinyithi, izinto zasekhaya zinokuveliswa kwindawo yesinyithi, nto leyo echaphazela ukufana kwentsimi yemagnethi kwaye ayinakubonisa ngokucacileyo umahluko wemiqondiso yezicubu eziqhelekileyo ezijikelezileyo kunye nezicubu ezingaqhelekanga, nto leyo echaphazela ukuchongwa kwesifo.

Isibini,Izichaso ezinxulumene noko

1. Izigulane ezinemizimba yangaphandle yesinyithi (ii-implants zesinyithi, amazinyo okufakelwa, iiringi zokuthintela ukukhulelwa), iimpompo ze-insulin, njl.njl., ekufuneka zihlolwe yi-MR, kufuneka ziqaphele okanye zijonge emva kokususwa;

2. Izigulane ezigula kakhulu ezifuna ukusetyenziswa kweenkqubo zokuxhasa ubomi;

3. Izigulane ezine-epilepsy (i-MRI kufuneka yenziwe phantsi kwengqikelelo yokuba iimpawu ziyalawuleka ngokupheleleyo);

4. Kwizigulane ezine-claustrophobia, ukuba kuyimfuneko uVavanyo lwe-MR, kufuneka lwenziwe emva kokunika isixa esifanelekileyo se-sedative;

5. Izigulane ezinengxaki yokusebenzisana, njengabantwana, kufuneka zinikwe amayeza okuthomalalisa afanelekileyo emva koko;

6. Abafazi abakhulelweyo kunye neentsana kufuneka bahlolwe ngemvume kagqirha, yesigulana kunye nosapho.

Okwesithathu, yintoni ubudlelwane phakathi kwezi zinto zingavumelekanga kunye nokungenzi i-emergency nuclear magnetism?

Okokuqala, izigulana ezingxamisekileyo zikwimeko embi kakhulu kwaye ziza kusebenzisa i-ECG, i-respiration monitoring kunye nezinye izixhobo nangaliphi na ixesha, kwaye uninzi lwezi zixhobo alunakungeniswa kwigumbi le-magnetic resonance, kwaye ukuhlolwa okunyanzelekileyo kuneengozi ezinkulu ekukhuseleni ukhuseleko lobomi bezigulane.

Okwesibini, xa kuthelekiswa novavanyo lwe-CT, ixesha le-MRI scan lide, uvavanyo lwesikhumba olukhawulezayo luthatha ubuncinane imizuzu eli-10, ezinye iindawo zexesha lovavanyo lide. Ke ngoko, kwizigulana ezigula kakhulu ezineempawu zokungazi nto, i-coma, ukudinwa, okanye ukushukuma, kunzima ukugqiba i-MRI kule meko.

Okwesithathu, i-MRI inokuba yingozi kwizigulana ezingakwaziyo ukuchaza ngokuchanekileyo utyando lwazo lwangaphambili okanye imbali yazo yezonyango.

Okwesine, kwizigulana ezingxamisekileyo ezidibana neengozi zeemoto, ukwenzakala kokuqhekeka, ukuwa, njl.njl., ukunciphisa ukuhamba kwezigulana, xa kungekho nkxaso yokuhlolwa ethembekileyo, oogqirha abanakukwazi ukumisela ukuba isigulana sinamaqhekeza, ukuqhekeka kwamalungu angaphakathi nokopha, kwaye abanakuqinisekisa ukuba kukho imizimba yangaphandle yesinyithi ebangelwa kukwenzakala. Uvavanyo lwe-CT lufanelekile ngakumbi kwizigulana ezinale meko ukunceda ukusindisa izigulana okokuqala.

Ngenxa yobuchule bovavanyo lwe-MRI, izigulane ezikwimeko embi kakhulu kufuneka zilinde imeko yazo izinzile kunye novavanyo lwesebe ngaphambi kovavanyo lwe-MRI, kwaye kukwanethemba lokuba uninzi lwezigulane lunokunika ukuqonda okungakumbi.

—— ...-

I-LnkMed ngumboneleli weemveliso kunye neenkonzo kwicandelo le-radiology kwicandelo lezonyango. Iisirinji ezinoxinzelelo oluphezulu oluphakathi eziveliswe kwaye zaveliswa yinkampani yethu, kuqukaI-CT injector, (intloko enye nembini),Inaliti ye-MRIkwayeIi-injector ze-DSA(angiography), zithengiswe kwiiyunithi ezimalunga nama-300 ekhaya nakwamanye amazwe, kwaye zifumene udumo kubathengi. Kwangaxeshanye, iLnkMed ikwabonelela ngeenaliti kunye neetyhubhu ezixhasayo ezifana nezinto ezisetyenziswayo kwezi mpawu zilandelayo:IMedrad,I-Guerbet,I-Nemoto, njl., kunye namalungu oxinzelelo oluhle, izixhobo zokubona i-ferromagnetic kunye nezinye iimveliso zonyango. I-LnkMed ibisoloko ikholelwa ukuba umgangatho yeyona nto ibalulekileyo kuphuhliso, kwaye ibisebenza nzima ukubonelela abathengi ngeemveliso kunye neenkonzo ezikumgangatho ophezulu. Ukuba ufuna iimveliso zomfanekiso wezonyango, wamkelekile ukuba udibane nathi okanye uxoxisane nathi.