Ekuqaleni kokukhulelwa, izifundo eziningi ziba yi-contraindication kumama ozayo. Odokotela, besaba ukuthuthukiswa kanye nempilo yengane ezayo, basebenzisa izindlela ezihlukile zokuxilongwa. Ngakho-ke, ukuguquka kwesifo somzimba ekukhulunyweni kunqunywe ezimweni ezimbi kakhulu, uma kunezinkomba ezithile.
I-Fluorography - iyini?
Ezwa leli gama, abesifazane bavame ukuthakazelisa odokotela ngokuthi yikuphi uketshezi lwamapayipi nokuthi yini eyenziwa. Isisekelo salendlela yokwenza uphenyo ngumphumela we-X-ray emzimbeni - ikhono lokungena phakathi kwezicubu, ukudala umfanekiso wesithunzi kumphathi wefilimu. Eqinisweni, lokhu kuyi-X-ray efanayo, kodwa umthamo we-irradiation ngale ndlela ingaphansi.
I-fluorography ingasetshenziselwa nje ukuxilonga isimo sesimo sokuphefumula. Ngesizo salo, odokotela banquma ukuthi izifo zenhliziyo ziphi, izinhlaka ze-mediastinum. Phakathi kokuphulwa okusiza ukubona ukuthi i-fluorography:
- izinqubo ezinjenge-tumor;
- foci ukutheleleka nokuvuvukala;
- Izinguquko zesakhiwo ezithombeni zangaphakathi.
Yini enquma ukushintsha kwamanzi?
Uma ucabanga ngenhloso yokuqokwa, amantombazane avame ukubuza udokotela ngalokho okuvezwa khona ukukhanya kwamanzi. I-spectrum itholakala ngale ndlela ye-pathologies. Ngokuvamile, i-fluorography isetshenziswa njengesifundo esengeziwe sokucacisa imiphumela etholakalayo ye-ultrasound. Phakathi kwezifo ezichazwe yile nhlolovo:
- i-bronchitis ;
- isifo sofuba;
- izicubu zamaphaphu;
- UAC;
- ukukhubazeka kwenhliziyo;
- ukunamathela emgodini wesikhala;
- imiphumela yokuhlukumezeka kuya kwezimbambo, ama-vertebrae omgogodla we-thoracic.
I-fluorography - imisebe
Kuziguli eziningi kubaluleke kakhulu ukwazi ukuthi imishanguzo ye-radiation inephi emzimbeni. Ukwesaba kwabo akulona iqiniso - ama-X-rays athinta umzimba ngokungalungile, ikakhulukazi emntwaneni. Kodwa-ke, odokotela bathi amadivaysi anamuhla e-fluorography anemiphumela emincane emsakazweni emzimbeni, ngaphandle kokulimaza impilo yonke nempilo.
Ngakho-ke, ngenqubo eyodwa yefilimu i-fluorography, umzimba uthola u-0.5 mSv (i-milisivert). Ukuqhathanisa: lapho udlala ifilimu ye-X-ray endaweni yokucwaninga, umzimba uthola u-0.3 mSv. Okuyingozi kunazo zonke kusukela ekubukeni komphumela ezingxenyeni ze-radialization irradiation kubalwa tomography (CT). Izindlela eziphephe kakhulu kunazo zonke zokuhlolwa kwe-X-ray yi-digital fluorography - kuphela ngu-0.05mSv. Le nqubo isetshenziswa uma uketsheziza kwenziwa ngesikhathi sokukhulelwa kwamanje.
I-Fluorography - izinkomba nokuphikisana
Emazweni amaningi, lolu cwaningo lubhekisela ekuhloleni kwaminyaka yonke okudingekayo. Ngakho-ke, odokotela benza isondlo sokuvikela isifo sofuba, ukuveza izifo ekuqaleni. Kodwa-ke, kwezinye izimo, ucwaningo luyadingeka futhi lwenziwe ngokushesha. Iziguli zinikezwa u-fluorography, izinkomba zokuqaliswa okulandelayo:
- ubuthakathaka;
- ukuphefumula;
- ukukhwehlela okukhwehlelayo.
I-fluorography ivame ukwenza ngesikhathi sokukhulelwa. Ngokuqondene nokuphikisana, akukho ukuvinjelwa okuphelele ekusetshenzisweni kwe-fluorography. Ucwaningo alufisi lapho:
- isimo esibi kakhulu;
- ukwesaba kwezikhala ezivaliwe;
- i-dyspnea eqinile;
- ukukhulelwa.
Kungenzeka yini ukwenza uketshezi komzimba ngesikhathi sokukhulelwa?
Phakathi odokotela akukho umbono ongacabangi. Abanye bathi lolu cwaningo luvinjelwe ngokweqile kulo lonke leli gama, abanye bathi kungenzeka ukwenza ukushintshashintsha kwemvelo ngesikhathi sokukhulelwa, kodwa isikhathi eside. Kulesi simo, bonke odokotela bayakuvumela ukungenasidingo sokwenza ucwaningo ngesaziso esifushane, kuze kube amasonto angama-20. Ama-ray ayishumi ayithinta kabi izinqubo zokuthuthukiswa kwe-intrauterine.
I-fluorography ithinta kanjani ukukhulelwa?
I-fluorography ngesikhathi sokukhulelwa yenziwa kuphela lapho kukhona khona izinkomba ezithile, lapho ezinye izindlela zokuxilonga zingenamandla noma azikwazi ukushintshwa. Ukwesaba odokotela kuhlotshaniswa nomphumela wensimu yemisebe ebusweni. Kudlula izicubu, amangqamuzana awo asezingeni lokuthuthukiswa nokuhlukaniswa, ukulimala kwe-X-ray kusuka ngaphakathi. Izisetshenziswa zegesi zonakaliswe kakhulu, ngakho-ke, i-fluorography ngesikhathi sokukhulelwa ingabangela ukungajwayelekile kwe-chromosomal.
I-radiation iyakwazi ukudiliza nokuguqula izintambo ze-DNA, ngakho-ke ukushisa komzimba ngesikhathi sokukhulelwa ekuqaleni kunqatshelwe. Ngokufanayo, kune-ionization encane yamanzi amangqamuzana. Lokhu kuholela ekusungulweni kwenani elikhulu lama-radicals, anemisebenzi yamakhemikhali ephezulu (H + ne-HO-). Lezi zakhiwo zihlasela ama-nucleic acid nama cell proteins, ziwahlupha zibe izingxenye ezihlukene. Umphumela womthelela onjalo ukufa kweseli noma ukwakhiwa kweyunithi yokwakhiwa kwe-mutant.
Ingabe i-fluorography iyingozi ezinkathini zokuqala zokukhulelwa?
Odokotela basabela kahle kulo mbuzo. Ngesikhathi esifanayo, kuphawulwe ukuthi ukushisa kwe-fluorography ezinyathelo zokuqala zokukhulelwa kuyingozi kakhulu - imiphumela yalolu hlobo lokuhlolwa ingadabukisa. Ngaphansi kwethonya lama-X-ray, kukhona ukwephulwa kwenqubo yokufakelwa , eyenzeka ngosuku lwama-7-12 kusukela ekukhulelwe. Akunakwenzeka ukukhipha ngokuphelele ithonya ezindleleni zokuthuthukiswa kwe-intrauterine, ngenxa yengozi yokukhipha isisu ngokuzenzekelayo kwandisa iminyango eminingana.
Kungani udinga i-fluorography?
Ukuba i-akhawuntini ekukhulelwe kanye nezinhlobo zokubonisana kwabesifazane, owesifazane okhulelwe kumele anikeze isiphetho ekuhlolweni kokushade naye. Lokhu kuphakamisa umbuzo ngokuthi yini edingekayo ekufakeni umfutho womyeni. Odokotela ngaleyo ndlela bawukhiphi indlela yokufihla isifo sofuba, esihlala isikhathi eside singabonakali ngaphandle. Uma umndeni unewesifazane okhulelwe enezihlobo eziye zabhekana nalesi sifo, udokotela angase abuze imiphumela yokuhlolwa kwabo, futhi ukushintsha komzimba ngesikhathi sokukhulelwa kuyimpoqo.
Yini engayenza esikhundleni se-fluorography ngesikhathi sokukhulelwa?
Okungafunwa ngesikhathi sokubeletha kwengane, ukuguquka kwesimo somzimba ezinyangeni zokuqala zokukhulelwa kungafakwa esikhundleni se-X ray. Ngakho, odokotela banganciphisa kakhulu umthamo we-radiation. Kwezinye izimo, kungenzeka ukwenza ukuxhaphazwa kokuxilongwa ngosizo lomshini we-ultrasound. Uma sicabanga ngesinye isimiso sokusebenza kwedivayisi, odokotela basebenzisa indlela lapho kudingeka khona ukuhlola izitho zangaphakathi, njenge:
- inhliziyo;
- izinso;
- isisu;
- isibeletho kanye nezinhlelo zokusebenza.