Inofungidzirwa nguva yekuverenga: 4 Mineti
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Nhanganyaya yeX-ray Diagnosis
Mifananidzo yeX-ray yakakosha zvikuru uye zvine nharo imwe yezvishandiso zvakakosha mukuongororwa kwezvirwere zve thoracic. Iyo thoracic x-ray inopa ruzivo rwakanyanya kupfuura nhoroondo yekurapa uye kuongororwa kwekiriniki, haina kudhura, uye inogona kuitwa nekukurumidza. Ruzivo rwakawanikwa rwakakosha mukugadzira runyoro rwekugona kusiyanisa kuongororwa.
X-rays inoitawo basa rinokosha pakuongorora chirwere chemwoyo. Muchirevo chechinyorwa ichi, akasiyana mabasa eX-rays anosanganisira:
• Ongororo yehukuru uye chimiro chemoyo
• Kuongororwa kwezviwanikwa zvekusangana uye saka kuoma kwechirwere
• Kuongororwa kwehutano hwekurapa
• Kuongororwa kwemapapu parenchyma, nzvimbo dzepleural uye nzvimbo dzepakati
• Kuonekwa kwezvirwere zvisiri zvemwoyo zvine chekuita nekufema system
Nokudaro, X-rays inokosha mubatsiri kune echocardiography, sezvo chete X-rays inogona kuratidza migumisiro yechirwere chemoyo, zvakadai sepulmonary edema. Uyezve, vanogona kupa zvakakosha mutsauko wekuongorora zviratidzo mu dyspneic (kupfupika kwekufema) varwere.
X-ray nzira
Yakanaka X-ray tekinoroji yakakosha pakuita kuongororwa chaiko. Paunenge uchiongorora mifananidzo yeX-ray, munhu anofanira kugara achitanga nekuongorora maitiro ekufungidzira. Heano mamwe akakosha ekufunga nezvawo:
• Nzvimbo ichaongororwa yakasarudzwa nemazvo uye zvese zvimiro zvine chekuita nazvo zvinosanganisirwa mumufananidzo?
• Nzvimbo yacho ndeyechokwadi here? Yakarereka (isina kurongeka zvakanaka) mifananidzo, semuenzaniso, inogona kutungamirira kuongororo isina kururama yehukuru hwemoyo.
• Kuratidzwa kwakanaka here? Kunyanya- kana kuderera-kuratidzwa kunogona kudzivirira kuongororwa kwakakwana kweminda yemapapu kunyanya.
• Chinhu chakakosha mumifananidzo ye thorax: Mufananidzo, Yakatorwa panguva yekufemerwa (kufema mukati) kana kupera (kufema)? Mifananidzo chete yakatorwa panguva yekufemerwa ndiyo inofanirwa kuongororwa. Mifananidzo inotorwa panguva yekupedza nguva inowanzotaridza interstitial shadowing (blurring) munzvimbo ye caudal (kumashure) yemapapu. Izvi zvinogona kutsausa kutsvaga, sezvo pasina pathology munzvimbo ino. Uyezve, mwoyo unowanzoonekwa wakakura kupfuura zvauri pamifananidzo inopera.
Standard Imaging Protocol
Kubva kumhuka nguva dzose X-rays mundege mbiri dzakasiyana inofanira kutorwa. Mukuongorora kwemwoyo, kazhinji Laterolateral (divi) uye dorsoventral (DV) kana ventrodorsal (VD) fungidziro preferred.
Standard projections Ndizvo sezvinotevera:
• Side position (laterolateral) x-ray
• DV (dorsoventral) kana VD (ventrodorsal) fungidziro
Metastasis kutsvaga Kana izvi zvikaitwa, zvinowanzokurudzirwa kuwana lateral fungidziro dzemativi ese (kurudyi nekuruboshwe). Izvi zvinoderedza njodzi yekushayikwa kungangoita metastatic maronda.
Zvemichina
• Kushandiswa kwemaitiro emagetsi epamusoro: Iyi nzira inokurudzirwa kuderedza musiyano pakati pembabvu yebhoni nemapapu akazara nemhepo.
• Nguva yekusadzivirirwa: Haifanire kunge yakareba kupfuura 0,02 seconds. Izvi zvinobatsira kudzivirira kusvibiswa kwekufamba uye kuve nechokwadi chemifananidzo yakajeka.
Zvinhu zvekuteerera
• Kupfura nzvimbo mumhuka duku: Kupfura kazhinji munzvimbo yekumashure kana yekumashure Izvi zvinoitwa. Zvisinei, munzvimbo iyi, mapapu ezasi akabatana netafura anove akamanikidzwa uye hypostatic (kuderedzwa kweropa), zvichiita kuti zvive zvakaoma kuongorora nzvimbo iyi yemapapu. Muchiitiko ichi, chete mapapu epamusoro anogona kuongororwa.
• Kuonekwa kwepakati lobe marondaMuzviitiko apo lobe yepakati inobatanidzwa zvakaderera, shanduko dzakaita semhara kana mabayo mune ino lobe inogona kusaonekwa. Naizvozvo, kufungidzira mune ese ari maviri ekurudyi uye kuruboshwe lateral maonero anodiwa kuti udzivise kushaikwa pathologies senge metastases kana hutachiona.
• Kuonekwa kwemaitiro e thoracic kunoshandukaTsoka dze diaphragmatic uye mamwe maitiro e intrathoracic anogona kuonekwa zvakasiyana zvichienderana nechinzvimbo chemhuka (lateral, supine). Izvi zvinofanirwa kuverengerwa pakuturikira radiographs.
Aya maitiro, akasanganiswa nekuratidzwa kwakaringana, fungidziro yakakodzera, uye kurongeka kwemurwere, inobvumira kunyatsoonekwa kwe thoracic pathologies.
Zvimwe Zvinyorwa Zvaunogona Kufarira
"Chokwadi chakafanana nezuva. Unogona kumbochirega asi hachiperi."
Elvis Presley
