Lumbar MRI scan
Sesebelisoa sa lumbar magnetic resonance imaging (MRI) se sebelisa matla a tsoang ho makenete a matla ho etsa litšoantšo tsa karolo e ka tlase ea mokokotlo (lumbar spine).
MRI ha e sebelise radiation (x-rays).
Litšoantšo tse le 'ngoe tsa MRI li bitsoa lilae. Litšoantšo li ka bolokoa ka har'a komporo kapa tsa hatisoa ka filimi. Teko e le 'ngoe e hlahisa litšoantšo tse ngata.
Litlhahlobo tse amanang li kenyelletsa:
- Sesepa sa Cervical MRI (molala oa MRI)
- MRI
O tla apara mose oa sepetlele kapa liaparo tse se nang lithupa tsa tšepe kapa li-zipper (joalo ka borikhoe le sekipa). Etsa bonnete ba hore o hlobola oache, mabenyane le litebelo. Mefuta e meng ea tšepe e ka baka litšoantšo tse lerootho.
U tla robala tafoleng e moqotetsane e kenang ka har'a tube e kholo e joalo ka kotopo.
Litlhahlobo tse ling li hloka dae e khethehileng (phapang). Boholo ba nako, o tla fumana dae ka mothapong (IV) letsohong kapa sephakeng pele ho tlhahlobo. U ka fumana dae ka ente. Dae e thusa radiologist ho bona libaka tse ling ka ho hlaka.
Nakong ea MRI, motho ea sebelisang mochini o tla u shebella a le kamoreng e 'ngoe. Teko hangata e nka metsotso e 30 ho isa ho e 60, empa e ka nka nako e teletsana.
O ka kopuoa ho se je kapa ho noa letho lihora tse 4 ho isa ho tse 6 pele ho scan.
Bolella mofani oa tlhokomelo ea bophelo haeba u tšaba libaka tse koetsoeng (na claustrophobia). U ka fuoa moriana ho u thusa hore u tšoaroe ke boroko le ho se tšoenyehe. Mofani oa hau a ka fana ka tlhahiso ea "bulehileng" MRI, moo mochini o seng haufi le 'mele.
Pele ho tlhahlobo, bolella mofani oa hau haeba u na le:
- Likoto tsa aneurysm tsa boko
- Mefuta e meng ea li-valve tsa pelo tsa maiketsetso
- Heart defibrillator kapa pacemaker
- Lisebelisoa tsa tsebe ea ka hare (cochlear)
- Lefu la liphio kapa dialysis (o kanna oa se khone ho fumana phapang)
- Manonyeletso a maiketsetso a sa tsoa beoa
- Mefuta e meng ea methapo ea methapo
- O sebelitse ka tšepe nakong e fetileng (o kanna oa hloka liteko ho lekola likotoana tsa tšepe mahlong a hau)
Hobane MRI e na le limakete tse matla, lisebelisoa tsa tšepe ha lia lumelloa ho kena ka phapusing e nang le sekena sa MRI:
- Lipene, mekotla e mekotla le likhalase tsa mahlo li ka fofa ka phapusing.
- Lintho tse kang mabenyane, lioache, likarete tsa mokitlane le lithuso tsa kutlo li ka senyeha.
- Lithakhisa, lithipa tsa moriri, li-zipper tsa tšepe le lintho tse ling tsa tšepe li ka sotha litšoantšo.
- Mosebetsi oa meno o tlosoang o lokela ho ntšoa pele ho scan.
Tlhahlobo ea MRI ha e bake bohloko. U tla hloka ho robala joalo ha motsamao o mongata o ka fifatsa litšoantšo tsa MRI mme oa baka liphoso.
Tafole e kanna ea ba thata kapa ea bata, empa u ka kopa kobo kapa mosamo. Mochini o etsa lerata le lerata ha o buletsoe. U ka roala lipolaka tsa tsebe ho thusa ho thibela lerata.
Intercom ka kamoreng eu lumella ho bua le motho neng kapa neng. Li-MRIs tse ling li na le lithelevishene le li-headphone tse khethehileng tseo u ka li sebelisang ho thusa nako hore e fete.
Ha ho na nako ea ho hlaphoheloa ntle le haeba u filoe moriana oa ho phomola. Kamora ho hlahloba MRI, o ka khutlela lijong tsa hau tse tloaelehileng, mesebetsing le meriana.
U kanna ua hloka MRI ea lumbar haeba u na le:
- Ho opeloa ke mokokotlo kapa bohloko ba pelvic bo sa ntlafoleng kamora kalafo
- Bofokoli ba leoto, ho ba shohlo, kapa matšoao a mang a sa ntlafatseng kapa ho mpefala
Mofani oa hau a ka boela a laela MRI ea lumbar haeba u na le:
- Bohloko ba morao le feberu
- Liphoso tsa tlhaho ea mokokotlo o ka tlase
- Ho lematsa kapa ho sithabela mokokotlong
- Ho opeloa ke mokokotlo le nalane kapa matšoao a mofets'e
- Multiple sclerosis
- Mathata a ho laola kapa ho tlosa senya sa hau
- Hlalosa disk
Sephetho se tloaelehileng se bolela hore mokokotlo oa hau le methapo e haufi li shebahala li lokile.
Boholo ba nako, liphetho tse sa tloaelehang li bakoa ke:
- Herniated kapa "e thelletse" disk (lumbar radiculopathy)
- Ho khutsufatsa ha mokokotlo oa mokokotlo (spinal stenosis)
- Ho apara ka mokhoa o sa tloaelehang masapong le lefufuru mokokotlong (spondylitis)
Liphetho tse ling tse sa tloaelehang li ka bakoa ke:
- Liphetoho tse senyehang ka lebaka la lilemo
- Ankylosing spondylitis, mofuta oa ramatiki
- Tšoaetso ea masapo
- Cauda equina lefu
- Ho robeha hoa mokokotlo oa mokokotlo ka lebaka la ho fokola ha masapo
- Ho ruruha ha disk (diskitis)
- Mokokotlo oa mokokotlo
- Mokokotlo oa mokokotlo
- Sefuba sa mokokotlo
- Syringomyelia
Bua le mofani oa hau ka lipotso tsa hau le lintho tse u tšoenyang.
MRI ha e na radiation. Ha ho so be le litla-morao tse tlalehiloeng ho tsoa ho makenete le maqhubu a radio.
Ho bolokehile hape ho ba le MRI nakong ea bokhachane. Ha ho litla-morao kapa mathata a netefalitsoeng.
Mofuta o tloaelehileng oa phapano (dae) o sebelisitsoeng ke gadolinium. E bolokehile haholo. Liketso tse fokolang tsa 'mala ho dae ena ha li fumanehe hangata. Leha ho le joalo, gadolinium e ka ba kotsi ho batho ba nang le mathata a liphio a hlokang dialysis. Haeba u na le mathata a liphio, ka kopo bolella mofani oa litšebeletso pele ho tlhahlobo.
Matla a matla a khoheli a entsoeng nakong ea MRI a ka etsa hore li-pacemaker tsa pelo le lisebelisoa tse ling li se sebetse hantle. E ka boela ea etsa hore likarolo tse ling tsa tšepe kahare ho mmele oa hau li sisinyehe kapa li sothehe. Bakeng sa mabaka a polokeho, ka kopo o seke oa tlisa letho le nang le tšepe ka phapusing ea sekena.
Litšoantšo tsa matla a khoheli - lumbar mokokotlo; MRI - mokokotlo o tlase
Chou R, Qaseem A, Owens DK, Shekelle P; Komiti ea Tataiso ea Bongaka ea Koleji ea Amerika ea Lingaka. Litšoantšo tsa ho lemoha bohloko bo bohloko ba morao: likeletso bakeng sa tlhokomelo ea bophelo bo botle bo phahameng ho tsoa American College of Physicians. Ann Intern Med. 2011; 154 (3): 181-189. PMID: 21282698 www.ncbi.nlm.nih.gov/pubmed/21282698. (Lebokose)
Curry BP, Rosner MK. Tlhatlhobo le kalafo ea lefu la lumbar disk. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 286.
Gardocki RJ, Park AL. Mathata a fokolang a mokokotlo oa thoracic le lumbar. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 39.
Sayah A, Berkowitz F. Litšoantšo tsa hlooho le mokokotlo. Ka: Miller MD, Thompson SR, lihlopha. DeLee le Drez's Orthopedic Sports Medicine. La 4 ed. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 124.
ID ea Wilkinson, Mabitla MJ. Litšoantšo tsa matla a khoheli. Ka: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, bahlophisi. Grainger & Allison’s Diagnostic Radiology: Buka ea Litšoantšo ea Bongaka ea Bongaka. La 6th. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: khaolo ea 5.