Mitundu ya Studies ya Barium Yogwiritsidwa Ntchito Poyesa Tsamba Labwino
Barium x-rays amadziwika kuti x-rays kumene agamu amagwiritsira ntchito kuti azindikire zoperewera za kapangidwe ka zakudya .
Mitundu ya Barium X-Rays
Ngati dokotala wamuuza phunziro la barium, ndikofunika kudziwa kuti pali njira zosiyanasiyana zomwe zimaonedwa ngati barium x-rays. Izi zikuphatikizapo:
- Barium swallow (akufotokozedwa pansipa)
- Buluu laling'ono la Barium likutsatira (kutchulidwa pansipa)
- Barium Enema (Lower GI mndandanda)
Barium Swallow
Majekesi a Barium kapena ma GI angapo angapangidwe kuti ayang'ane kumbuyo kwa mmero, mimba ndi m'mimba. Ndi chimbudzi cha Barium mudzapemphedwa kumwa zakumwa zobiriwira zomwe zili ndi barium. Anthu ena adanena izi monga kumwa mowa wosakaniza sitiroberi.
Zizindikiro zomwe zingayambitse dokotala wanu kulamula chimbudzi cha Barium kuti:
- Zovuta kumeza
- Kupweteka m'mimba
- Zosintha zachilendo
- Kusanza kosadziwika
- Kutayika kosayembekezereka
The barium amavala makoma a mimba ndi m'mimba, zomwe zimawonekera pa x-ray. Kuyezetsa sikoyenera kumagwiritsidwa ntchito ngati odalirika kuti ayesedwe kuti apeze matenda a reflux (GERD) koma akhoza kuthandizira kupeza zitsamba, zilonda zam'mimba , ziwalo zowonongeka , zilonda za m'mimba kapena m'mimba, matenda osokonezeka monga achalasia , ndi zovuta zina monga zotupa. Nthawi zina amagwiritsidwa ntchito kuti azindikire khansa yowopsya .
Barium Small Bowel Kupitilira
Kafukufuku wa Barium angagwiritsidwenso ntchito kuti apitirizebe kulowa m'mimba. Mu bokosi laling'ono la barium likutsatirani monga barium mumamwa mopitirira kupyola m'mimba mwanu, ndipo potsirizira pake imapanga njira yanu kumtunda wanu. Muzitsamba inu nthawi zambiri mumagwiritsidwa ntchito kuti muwone bwino zazing'ono kapena matumbo aang'ono.
Zilonda zazing'ono zomwe zimawoneka kuti zikhoza kupangidwa kuti zithandizire kupeza zithunzithunzi za thumba laling'onoting'ono , choletsedwa chaching'ono , kapena matenda opweteka a m'matumbo aang'ono monga Crohn's disease.
Kukonzekera ndi Ndondomeko
Ngati dokotala wanu wamulamula kuti agwiritsidwe ndi barium kapena kachilombo kakang'ono, mutha kukayikira zomwe muyenera kuyembekezera. Mayesero onse awiriwa amalamulidwa ngati ndondomeko yotuluka kuchipatala m'chipinda cha radiology kuchipatala. M'munsimu muli nthawi yeniyeni ya momwe zinthu ziti zidzachitikire:
- Nthawi zambiri mumalangizidwa kuti musadye kapena kumwa kanthu kamodzi pakati pausiku usiku usanathe. Zosiyana ndi ngati mutenga mankhwala alionse. Onetsetsani kuti mukulankhulana ndi dokotala wanu, koma adzakulangizani kuti mutenge mankhwala aliwonse omwe mumakhala nawo nthawi yayitali m'mawa omwe mukuyesa. Izi ndizothandiza ngati mukumwa mankhwala monga matenda a mtima.
- Kuti mukhale ndi malungo a Barium, mudzatsutsana ndi galasi loyera la x-ray kutsogolo kwa fluoroscope, chipangizo chomwe chisonyezeratu chithunzi choyendayenda. Kenaka, mudzamwa zakumwa za Barium ndikumeza kuphika kabokosi.
- Radiologist akhoza kuyang'ana bariamu kutuluka m'magazi. Mukhoza kupemphedwa kuti musamuke m'malo osiyanasiyana pamene ma x-rays achotsedwa kuti dokotala azitha kuyang'anitsitsa barium kuchokera kumtunda wosiyana pamene akuyenda pansi pa mimba ndi m'mimba.
- Popeza bhalaum ikhoza kuyambitsa kumwa, imwani madzi ambiri ndipo idyani chakudya chokwanira kwambiri tsiku lotsatira kapena awiri mpaka bhalaum ikuchoka mthupi.
Kuchenjeza ndi Zotsatira Zomwe Zingatheke
Kawirikawiri zimakhala zochepa zokhudzana ndi maphunziro a barium, kupatula kudzimbidwa. Anthu ena satha kulekerera barium ndi kusanza, koma izi si zachilendo. Kutentha kwa njira yothetsera barium m'mapapu siwodziwikiranso.
Zofufuza za Barium siziyenera kuchitidwa kwa amayi apakati, mwa iwo amene angakhale ndi vuto la kupweteka kwa zakudya, mwa anthu omwe ali ndi vuto lopweteka kwambiri, ndi omwe ali ndi vuto lalikulu lomeza (chifukwa izi zingapangitse chiopsezo chachikulu.)
Njira Zina
Kafukufuku wa Barium amachitidwa nthawi zambiri kuphatikizapo mayesero ena okhudza kugaya. Izi zingaphatikizepo kumapeto kwaposcopy , pH kufufuza ndi kuyang'anira, manometry, kapena maphunziro ena ojambula.
Zotsatira:
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
Kilcoyne, A., Kaplan, J., ndi M. Gee. Maganizo Opopa Matenda a Magulu: Machitidwe Akale ndi Matsogolomu. World Journal of Gastroenterology . 2016. 22 (3): 917-32.
Levine, M., ndi S. Rubesin. Mbiri ndi Kusinthika kwa Barium Swallow kuti Ziganizire za Pharynx ndi Esophagus. Dyphagia . 2017. 32 (1): 55-72.