Iskena sePelvis MRI

I-pelvis MRI (imaging resonance imaging) yovavanyo lokuhlola olusebenzisa umatshini onemagnethi anamandla kunye namaza erediyo ukwenza imifanekiso yommandla ophakathi kwamathambo esinqe. Eli candelo lomzimba libizwa ngokuba yindawo ye-pelvic.

Ulwakhiwo lwangaphakathi kunye nolusondeleyo kubandakanya isinyi, iprostate kunye namanye amalungu okuzala awesilisa, amalungu okuzala ababhinqileyo, ii-lymph node, amathumbu amakhulu, amathumbu amancinci kunye namathambo e-pelvic.

I-MRI ayisebenzisi imitha. Imifanekiso enye ye-MRI ibizwa ngokuba zizilayi. Imifanekiso igcinwe kwikhompyuter okanye iprintwe kwifilimu. Olunye uvavanyo luvelisa uninzi okanye ngamanye amaxesha amakhulu emifanekiso.

Unokucelwa ukuba unxibe ilokhwe yasesibhedlele okanye impahla ngaphandle kwezinto zokuqinisa. Iindidi ezithile zentsimbi zinokubangela imifanekiso engachanekanga.

Ulala ngomqolo etafileni emxinwa. Itafile ityibilika embindini womatshini weMRI.

Izixhobo ezincinci, ezibizwa ngokuba ziikhoyili, zinokubekwa zijikeleze indawo yakho yehip. Ezi zixhobo zinceda ekuthumeleni nasekufumaneni amaza erediyo. Baye baphucule umgangatho wemifanekiso. Ukuba imifanekiso yeprostate kunye ne-rectum iyafuneka, i-coil encinci inokufakwa kwi-rectum yakho. Le coil kufuneka ihlale endaweni kangangemizuzu engama-30 ngelixa kuthathwa imifanekiso.

Ezinye iimviwo zifuna idayi ekhethekileyo, ebizwa ngokuba yimidiya eyahlukileyo. Idayi ihlala inikwa ngaphambi kovavanyo ngokusebenzisa umthambo (IV) esandleni sakho okanye kwingalo yakho. Idayi inceda i-radiologist ibone iindawo ezithile ngokucacileyo.

Ngexesha le-MRI, umntu osebenza kumatshini uya kukujonga ukwelinye igumbi. Uvavanyo luhlala imizuzu engama-30 ukuya kwengama-60, kodwa lungathatha ixesha elide.

Unokucelwa ukuba ungatyi okanye usele nantoni na iiyure ezi-4 ukuya kwezi-6 ngaphambi kokuskena.

Xelela umboneleli wakho wezempilo ukuba woyika iindawo ezikufutshane (une-claustrophobia). Unokunikwa iyeza lokukunceda uphumle kwaye ungabi naxhala. Okanye, umboneleli wakho unokucebisa nge-MRI evulekileyo, apho umatshini ungekho kufutshane nomzimba.

Ngaphambi kovavanyo, xelela umboneleli wakho ukuba unayo:

• Iiklip ze-aneurysm zengqondo
• Iintsholongwane zentliziyo ezingezizo
• Intliziyo defibrillator okanye ipacemaker
• Ukufakwa kwendlebe ngaphakathi (cochlear)
• Isifo sezintso okanye i-dialysis (ngekhe ukwazi ukufumana umahluko)
• Kutshanje kubekwe amalungu anganyanisekanga
• Iimpawu zemithambo
• Iimpompo zentlungu
• Ukusebenza ngesinyithi kwiphepha elidlulileyo (unokufuna iimvavanyo ukujonga iziqwenga zentsimbi emehlweni akho)

Ngenxa yokuba i-MRI iqulethe iimagnethi ezinamandla, izinto zesinyithi azivumelekanga kwigumbi elinesikena se-MRI:

• Iipeni, iimela zeepokotho, kunye neiglasi zamehlo zingabhabha ngaphaya kwegumbi.
• Izinto ezinje ngezacholo, iiwotshi, amakhadi etyala kunye nezinto zokuva zinokonakaliswa.
• Izikhonkwane, izikhonkwane zeenwele, iiziphu zentsimbi, kunye nezinto ezifanayo zesinyithi zinokuyigqwetha imifanekiso.
• Umsebenzi osuswayo wamazinyo kufuneka ukhutshwe ngaphambi nje kokuskena.

Uvavanyo lwe-MRI alubangeli zintlungu. Ukuba unobunzima bokulala uzolile okanye unovalo kakhulu, unokunikwa iyeza lokukuphumla. Ukuhamba kakhulu kunokuphazamisa imifanekiso ye-MRI kwaye kubangele iimpazamo.

Itafile inokuba nzima okanye ibanda, kodwa ungacela ingubo okanye umqamelo. Umatshini uvelisa ingxolo enkulu kunye nengxolo xa kuvuliwe. Unganxiba iiplagi zendlebe ukunceda ukunciphisa ingxolo.

I-intercom egumbini ikuvumela ukuba uthethe nomntu nangaliphi na ixesha. Ezinye ii-MRIs zinomabonakude kunye neefowuni ezizodwa onokuzisebenzisa ukunceda ixesha lidlule.

Akukho xesha lokufumana kwakhona, ngaphandle kokuba unikwe iyeza lokuphumla. Emva kokuvavanywa kweMRI, unokuphinda uqalise ukutya okuqhelekileyo, umsebenzi kunye namayeza.

Olu vavanyo lunokwenziwa ukuba owasetyhini unazo naziphi na iimpawu okanye iimpawu ezilandelayo:

• Ukopha ngokungaqhelekanga kwilungu lobufazi
• Ubunzima kwi-pelvis (baziva ngexesha lovavanyo lwe-pelvic okanye babonwa kolunye uvavanyo lokucinga)
• Iifibroids
• Ubunzima be-pelvic obenzeka ngexesha lokukhulelwa
• I-Endometriosis (ihlala yenziwe kuphela emva kwe-ultrasound)
• Intlungu kwisisu esisezantsi (esiswini) indawo
• Ukungachumi okungachazwanga (kuhlala kwenziwa kuphela emva kwe-ultrasound)
• Intlungu engachazwanga ye-pelvic (ihlala yenziwa kuphela emva kwe-ultrasound)

Olu vavanyo lunokwenziwa ukuba indoda inale miqondiso okanye iimpawu ezilandelayo:

• Amaqhuma okanye ukudumba kumatyhalarha okanye isende
• Ityhalarha elingaphantsi (alinakubonwa ngokusebenzisa i-ultrasound)
• I-pelvic engachazwanga okanye iintlungu ezisezantsi esiswini
• Iingxaki zokuchama ezingachazwanga, kubandakanya ingxaki yokuqala okanye ukuyeka ukuchama

I-MRI ye-pelvic inokwenziwa kumadoda nakwabasetyhini abane:

• Iziphumo ezingaqhelekanga kwi-x-ray ye-pelvis
• Iziphene zokuzalwa ezinqeni
• Ukulimala okanye ukwenzakala kwindawo yehip
• Intlungu engachazwanga ye-hip

I-MRI ye-pelvic ihlala isenziwa ukubona ukuba umhlaza othile usasazekile nakwezinye iindawo zomzimba. Oku kubizwa ngokuba yistage. Ukubeka esiteji kunceda ukukhokelela kunyango lwexesha elizayo kunye nokulandela.Inika umbono wokuba ungalindela ntoni kwixesha elizayo. I-MRI ye-pelvic ingasetyenziselwa ukunceda isigaba somlomo wesibeleko, i-uterine, i-bladder, i-rectal, i-prostate kunye ne-cancer ye-testicular.

Iziphumo eziqhelekileyo zithetha ukuba indawo yakho yeplastiki ibonakala iqhelekile.

Iziphumo ezingaqhelekanga kumfazi zinokubangelwa:

• Adenomyosis wesibeleko
• Umhlaza wesinyi
• Umhlaza womlomo wesibeleko
• Umhlaza womzimba
• Isiphene sokuzalwa samalungu okuzala
• Umhlaza we-Endometrial
• Endometriosis
• Umhlaza we-Ovarian
• Ukukhula kwe-Ovarian
• Ingxaki kulwakhiwo lwamalungu okuzala, anjengee-fallopian tubes
• Zesibeleko fibroids

Iziphumo ezingaqhelekanga kwindoda zinokubangelwa:

• Umhlaza wesinyi
• Umhlaza womzimba
• Umhlaza wedlala lobudoda
• Umhlaza wamatyhalarha

Iziphumo ezingaqhelekanga kumadoda nabasetyhini zinokubangelwa:

• I-avascular necrosis yenyonga
• Iziphene zokuzalwa zelungu lomlenze
• Ithumba
• Ukuqhekeka kwe-Hip
• Osteoarthritis
• Osteomyelitis

Thetha nomboneleli wakho ukuba unemibuzo kunye neenkxalabo.

I-MRI ayiqulathanga imitha. Ukuza kuthi ga ngoku, akukho ziphumo bezingalindelekanga ezivela kumazibuthe kunye namaza erediyo axeliweyo.

Uhlobo oluqhelekileyo lokuchasana (idayi) elisetyenzisiweyo yi-gadolinium. Kukhuselekile kakhulu. Ukuphendula ngokuchaseneyo nento leyo kunqabile ukwenzeka. Kodwa i-gadolinium inokuba yingozi kubantu abaneengxaki zezintso abafuna i-dialysis. Ukuba unengxaki yezintso, xelela umboneleli wakho phambi kovavanyo.

Iindawo ezinamandla zemagneti ezenziweyo ngexesha le-MRI zinokuphazamisa i-pacemaker kunye nezinye izinto ezifakwayo. Abantu abanezinto ezininzi zentliziyo abanakho ukuba ne-MRI kwaye akufuneki bangene kwindawo ye-MRI. Abanye abenza iicememaker ezintsha bakhuselekile ngeMRI. Uya kudinga ukuqinisekisa nomboneleli wakho ukuba ngaba umenzi wenhliziyo ukhuselekile kwi-MRI.

Uvavanyo olunokwenziwa endaweni ye-MRI ye-pelvic lubandakanya:

• Ukuvavanywa kwe-CT kwendawo ye-pelvic
• I-ultrasound yelungu lobufazi (kwabasetyhini)
• I-X-ray yendawo ye-pelvic

Iskena se-CT singenziwa kwiimeko zongxamiseko, kuba iyakhawuleza kwaye ihlala ifumaneka kwigumbi likaxakeka.

MRI - isinqe; I-Pelvic MRI eneprostate probe; Imagnetic resonance imaging-isinqe

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