Sesepa sa Cervical MRI
Sesepa sa mokokotlo oa MRI (magnetic resonance imaging) se sebelisa matla a tsoang ho makenete a matla ho etsa litšoantšo tsa karolo ea mokokotlo e fetang molaleng (mokokotlo oa mokokotlo).
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.
O tla apara mose oa sepetlele kapa liaparo tse se nang li-zipper tsa tšepe kapa li-snaps (joalo ka borikhoe le sekipa). Etsa bonnete ba hore o hlobola oache ea hao, mabenyane le sepache. Mefuta e meng ea tšepe e ka baka litšoantšo tse lerootho.
U tla robala tafoleng e moqotetsane e kenang ka har'a skena se bōpehileng joaloka kotopo.
Litlhahlobo tse ling li sebelisa dae e khethehileng (phapang). Boholo ba nako, o tla fumana dae ka mothapong o letsohong la hao kapa letsohong pele ho tlhahlobo. Dae e ka boela ea fanoa 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 bua leshano. 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 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.
Mabaka a tloaelehileng a tlhahlobo ena ke:
- Bohloko bo bohloko ba molala, lehetla kapa letsoho bo sa ntlafoleng kamora kalafo
- Ho opeloa ke molala hammoho le bofokoli ba leoto, ho ba shohlo, kapa matšoao a mang
Ho hlahlojoa ha li-cervical MRI ho ka boela ha etsoa bakeng sa:
- Mathata a tlhaho ea mokokotlo
- Tšoaetso e amanang le mokokotlo oa hau
- Ho lematsa kapa ho sithabela mokokotlong
- Multiple sclerosis
- Scoliosis e matla
- Hlahala kapa mofetše mokokotlong
- Ramatiki mokokotlong
MRI e sebetsa betere ho feta CT scan ho fumana mathata ana boholo ba nako.
MRI ea mokokotlo e kanna ea etsoa le pele ho ts'ebetso ea mokokotlo.
Sephetho se tloaelehileng se bolela hore karolo ea mokokotlo e fetang molaleng oa hau mme methapo e haufi e bonahala e tloaelehile.
Mabaka a atileng haholo a sephetho se sa tloaelehang ke:
- Herniated kapa "e thellisoa" disk (mokokotlo oa radiculopathy)
- Ho khutsufatsa mokokotlo oa mokokotlo (spinal stenosis)
- Ho apara ka mokhoa o sa tloaelehang oa masapo le lefufuru molaleng (cervical spondylosis)
Liphetho tse sa tloaelehang li kanna tsa bakoa ke:
- Liphetoho tse senyehang ka lebaka la lilemo
- Tšoaetso ea masapo (osteomyelitis)
- Ho ruruha ha disk (diskitis)
- Tšoaetso ea mokokotlo
- Multiple sclerosis
- Mokokotlo oa mokokotlo kapa khatello
- Ho robeha ha mokokotlo
- Sefuba sa mokokotlo
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 tsa alejiki ho ntho eo 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 baka sengoathoana sa tšepe kahare ho mmele oa hau ho sisinyeha kapa ho sutha. Bakeng sa mabaka a polokeho, ka kopo o seke oa tlisa letho le nang le tšepe ka phapusing ea sekena.
MRI - mokokotlo oa mokokotlo; MRI - molala
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)
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