Ukuskena kwe-CT esiswini

Umxholo

• Kutheni kwenziwa i-CT esiswini
• Ukuskena kwe-CT ngokuchasene neMRI vs X-ray
• Uyilungiselela njani isisu se-CT esiswini
• Malunga umahluko kunye nokwaliwa
• Indlela eyenziwa ngayo i-CT esiswini
• Iziphumo ebezingalindelekanga ezinokubakho zokuvavanywa kwesisu esiswini
• Umngcipheko wokuvavanywa kwesisu esiswini
• Ukuphendula ngokuchaseneyo
• Iziphene zokuzalwa
• Kancinci umngcipheko womhlaza
• Emva kokuvavanywa kwesisu esiswini

Yintoni i-CT esiswini?

Ukuskena i-CT (computed tomography), ekwabizwa ngokuba yi-CAT scan, luhlobo lwe-X-ray ekhethekileyo. Ukuskena kunokubonisa imifanekiso enqamlezayo yendawo ethile yomzimba.

Nge-CT scan, umatshini ujikelezisa umzimba aze athumele imifanekiso kwikhompyuter, apho ijongwa ligcisa.

Ukuvavanywa kwesisu esiswini kunceda ugqirha wakho abone amalungu, imithambo yegazi, kunye namathambo kwisisu sakho esiswini. Imifanekiso emininzi ebonelelweyo inika ugqirha wakho iimbono ezahlukeneyo zomzimba wakho.

Qhubeka ufunda ukuze ufunde ukuba kutheni ugqirha wakho enoku-odola isisu se-CT esiswini, indlela yokulungiselela inkqubo yakho, nayo nayiphi na ingozi enokubakho kunye neengxaki.

Kutheni kwenziwa i-CT esiswini

Ukuskena kwe-CT esiswini kusetyenziswa xa ugqirha ekrokrela ukuba into inokuba ingalunganga kwindawo yesisu kodwa akakwazi ukufumana ulwazi olwaneleyo ngovavanyo lomzimba okanye uvavanyo lwelebhu.

Ezinye zezizathu zokuba ugqirha afune ukuba ube nesisu se-CT esiswini kubandakanya:

• intlungu zesisu
• ubunzima esiswini sakho onokukuva
• amatye ezintso (ukukhangela ubungakanani kunye nendawo akuyo amatye)
• ukwehla kobunzima obungachazwanga
• usulelo, njenge-appendicitis
• ukujonga ukuphazamiseka kwamathumbu
• ukudumba kwamathumbu, njengesifo sikaCrohn
• ukwenzakala kulandela umothuko
• ukuxilongwa komhlaza kwangoko

Ukuskena kwe-CT ngokuchasene neMRI vs X-ray

Usenokuba uvile ngezinye iimviwo zokucinga kwaye uzibuze ukuba kutheni ugqirha wakho ekhethe ukuskena kwe-CT ngaphezulu kwezinye iindlela.

Ugqirha wakho unokukhetha ukuskena kwe-CT ngaphezulu kwe-MRI (imaging resonance imaging) yokuskena kuba i-CT scan ikhawuleza kune-MRI. Kwaye xa ungonwabanga kwiindawo ezincinci, i-CT scan iya kuba lukhetho olungcono.

I-MRI ifuna ukuba ube ngaphakathi kwendawo evaliweyo ngelixa ingxolo enkulu isenzeka macala onke kuwe. Ukongeza, i-MRI ibiza kakhulu kune-CT scan.

Ugqirha wakho unokukhetha i-CT scan kwi-X-ray kuba inika iinkcukacha ngakumbi kune-X-ray. Iskena se-CT sihamba sijikeleza umzimba wakho kwaye sithatha imifanekiso kwii-engile ezahlukeneyo. IX-reyi ithatha imifanekiso kwi-engile enye kuphela.

Uyilungiselela njani isisu se-CT esiswini

Ugqirha wakho uya kucela ukuba ukhawuleze (ungatyi) iiyure ezimbini ukuya kwezine ngaphambi kokuskena. Unokucelwa ukuba uyeke ukuthatha amayeza athile ngaphambi kovavanyo lwakho.

Unokufuna ukunxiba impahla evulekileyo, ekhululekile kuba kuya kufuneka ulale phantsi kwitafile yenkqubo. Unokunikwa kwakhona isambatho esibhedlele ukuba unxibe. Uya kuyalelwa ukuba ususe izinto ezinje:

• iiglasi zamehlo
• ubucwebe, kubandakanya ukugqobhoza umzimba
• iinwele kliphu
• amazinyo emboleko
• izixhobo zokuva
• iibras zentsimbi underwire

Kuxhomekeka kwisizathu sokuba ufumane i-CT scan, kusenokufuneka ukuba usele iglasi enkulu yokuthelekisa ngomlomo. Olu lulwelo oluqukethe i-barium okanye into ebizwa ngokuba yiGastrografin (diatrizoate meglumine kunye ne-diatrizoate sodium liquid).

I-Barium kunye neGastrografin zombini ziikhemikhali ezinceda oogqirha ukuba bafumane imifanekiso engcono yesisu sakho kunye namathumbu. I-Barium inomdla kunye ne-chalky. Uya kulinda phakathi kwe-60 kunye ne-90 imizuzu emva kokusela umahluko ukuze uhambe emzimbeni wakho.

Ngaphambi kokuya kwi-CT scan yakho, xelela ugqirha wakho ukuba:

• i-aleji kwi-barium, iodine, okanye naluphi na uhlobo lwedayi eyahlukileyo (qiniseka ukuxelela ugqirha wakho kwaye abasebenzi beX-reyi)
• unesifo seswekile (ukuzila ukutya kunokwehlisa amanqanaba eswekile yegazi)
• ukhulelwe

Malunga umahluko kunye nokwaliwa

Ukongeza kwi-barium, ugqirha wakho unokufuna ukuba ube ne-intravenous (IV) idayi yokuqaqambisa imithambo yegazi, amalungu kunye nolunye ulwakhiwo. Oku kunokuba yidayi esekwe kwi-iodine.

Ukuba une-iodine ye-allergies okanye une-reaction kwi-IV eyahlukileyo yedayi kwixa elidlulileyo, usenakho ukuskena i-CT ngokwahluka kwe-IV. Kungenxa yokuba idayi yala maxesha ye-IV ayinakufane ibangele ukusabela kuneenguqulelo ezindala zedayi esekwe kwi-iodine.

Kwakhona, ukuba uvakalelo lwe-iodine, umboneleli wakho wezempilo unokukunikezela nge-steroids ukunciphisa umngcipheko wokuphendula.

Konke kunjalo, qiniseka ukuxelela ugqirha wakho kunye negcisa malunga naluphi na u-allergies onawo.

Indlela eyenziwa ngayo i-CT esiswini

Iskena se-CT esiswini esiqhelekileyo sithatha ukusuka kwimizuzu eli-10 ukuya kwengama-30. Yenziwa kwisebe le-radiology yesibhedlele okanye iklinikhi egxile kwiinkqubo zokuqonda isifo.

1. Nje ukuba unxibe impahla yakho yesibhedlele, umchwephesha we-CT uya kukulala phantsi kwitafile yenkqubo. Ngokuxhomekeke kwisizathu sokuskena kwakho, unokuxhonywa kwi-IV ukuze idayi eyahlukileyo ibekwe kwimithambo yakho. Ngokuqinisekileyo uya kuziva ulusu olufudumeleyo emzimbeni wakho xa idayi ifakwa kwimithambo yakho.
2. Ingcali inokufuna ukuba ulale kwindawo ethile ngexesha lovavanyo. Banokusebenzisa imiqamelo okanye imitya ukuze baqiniseke ukuba uhlala kwindawo elungileyo ixesha elide ngokwaneleyo ukufumana umfanekiso olungileyo. Kuya kufuneka ubambe umphefumlo wakho ngokufutshane ngexesha lesikena.
3. Sebenzisa iremote control ukusuka kwigumbi elahlukileyo, igcisa liza kuyisa itafile kumatshini we-CT, okhangeleka ngathi ngumrhwebi omkhulu owenziwe ngeplastiki nentsimbi. Uya kudlula kumatshini amatyeli aliqela.
4. Emva kwesangqa sokujikeleza, unokucelwa ukuba ulinde ngelixa ingcali ijonga imifanekiso ukuqinisekisa ukuba icacile ngokwaneleyo ukuba ugqirha wakho ayifunde.

Iziphumo ebezingalindelekanga ezinokubakho zokuvavanywa kwesisu esiswini

Iziphumo ebezingalindelekanga zokuvavanywa kwesisu esiswini zihlala zibangelwa kukusabela nakowuphi umahluko osetyenzisiweyo. Kwiimeko ezininzi, banobulali. Nangona kunjalo, ukuba ziba nzima kakhulu, kuya kufuneka ubize ugqirha wakho kwangoko.

Iziphumo ezichaseneyo zokungafaniyo kwe-barium zingabandakanya:

• ukuxinwa esiswini
• urhudo
• isicaphucaphu okanye ukugabha
• ukuqhina

Iziphumo ezingafaniyo ze-iodine zibandakanya:

• irhashalala okanye urticaria
• ukurhawuzelela
• intloko ebuhlungu

Ukuba unikwe naluphi na uhlobo lokwahluka kwaye uneempawu ezinzima, tsalela ugqirha wakho okanye uye kwigumbi likaxakeka kwangoko. Ezi mpawu zibandakanya:

• ingxaki yokuphefumla
• ukukhawuleza kwentliziyo
• ukudumba komqala wakho okanye amanye amalungu omzimba

Umngcipheko wokuvavanywa kwesisu esiswini

I-CT yesisu yinkqubo ekhuselekileyo, kodwa kukho umngcipheko. Oku kuyinyani ngakumbi ebantwaneni, abanolwazelelelo ngakumbi ekuvezeni imitha kunabantu abadala. Ugqirha womntwana wakho unoku-odola i-CT scan kuphela njengecebo lokugqibela, kwaye kuphela ukuba ezinye iimvavanyo azinakuqinisekisa ukuxilongwa.

Iingozi zokuvavanywa kwesisu esiswini zibandakanya oku kulandelayo:

Ukuphendula ngokuchaseneyo

Unokuphuhlisa irhashalala okanye ukurhawuzelela ukuba ngaba uxabana nokuchasana ngomlomo. Ukusabela okusongela ubomi kunokukwenzeka, kodwa oku kunqabile.

Tshela ugqirha wakho malunga naluphi na uvakalelo kumayeza okanye naziphi na iingxaki zezintso onazo. Umahluko we-IV uphakamisa umngcipheko wokusilela kwezintso ukuba uphelelwe ngamanzi emzimbeni okanye unengxaki yezintso esele ikho.

Iziphene zokuzalwa

Ngenxa yokuba ukubonakaliswa kwimitha ngexesha lokukhulelwa kwandisa umngcipheko weziphene zokuzalwa, kubalulekile ukuba uxelele ugqirha wakho ukuba ukhulelwe okanye ukhulelwe. Njengokuthintela, ugqirha wakho unokucebisa olunye uvavanyo lokucinga endaweni yoko, njengeMRI okanye i-ultrasound.

Kancinci umngcipheko womhlaza

Uya kuvezwa kwimitha ngexesha lovavanyo. Ixabiso lemitha liphezulu kunexabiso elisetyenziswe kwiX-reyi. Ngenxa yoko, isisu se-CT esiswini sonyusa kancinci umngcipheko womhlaza.

Nangona kunjalo, gcinani engqondweni ukuba uqikelelo lokuba nawuphi na umntu omngcipheko womhlaza ovela kwi-CT scan ungaphantsi kakhulu komngcipheko wokufumana umhlaza ngokwendalo.

Emva kokuvavanywa kwesisu esiswini

Emva kokuvavanywa kwesisu sakho esiswini, unokubuyela kwimisebenzi yakho yesiqhelo yemihla ngemihla.

Iziphumo zovavanyo lwe-CT esiswini zithatha usuku olunye ukwenza inkqubo. Ugqirha wakho uya kucwangcisa ukuqeshwa ukuze ulandele iziphumo zakho. Ukuba iziphumo zakho aziqhelekanga, kunokuba zizizathu ezininzi. Uvavanyo lunokufumana iingxaki, ezinje:

• iingxaki zezintso njengamatye ezintso okanye usulelo
• iingxaki zesibindi ezifana nezifo zesibindi ezinxulumene notywala
• Isifo sikaCrohn
• isisu se-aortic aneurysm
• umhlaza, njengakwikholoni okanye kwipancreas

Ngesiphumo esingaqhelekanga, ugqirha wakho uya kukucwangcisa uvavanyo oluninzi ukuze ufumane okungakumbi malunga nengxaki. Xa benalo lonke ulwazi abaludingayo, ugqirha wakho uya kuxoxa nawe ngeendlela zokhetho. Ngokudibeneyo, unokwenza isicwangciso sokulawula okanye ukunyanga imeko yakho.