Zimene Testing Imaging Can and Can not Tell Us
Ngati dokotala akudandaula kuti muli ndi matenda obisala m'mimba (COPD) , mwina mukufunsidwa kuti mukhale ndi chifuwa cha X-ray. Chida X-ray ndi njira yosavuta yojambula yomwe imagwiritsa ntchito mafunde a magetsi kuti apange chithunzi chimodzi cha mtima, mapapo, ndi chifuwa.
Ngakhale chifuwa cha X-ray sichitha kupeza matenda a COPD , makamaka pa matenda oyambirira, akhoza kuthandizira.
Kawirikawiri, chifuwa chosadziwika cha X-ray nthawi zambiri chimangowonongeka pamene kuwonongeka kwa mapapo kuli kwakukulu.
Kodi Chida Chachifuwa Chingatiuze Chiyani?
Pa matenda oyambirira, chifuwa cha X-ray chimaoneka ngati chachilendo. Izi sizikutanthauza kuti palibe chowonongeko; Ndizowona kuti mayesero ali ndi zoperewera za momwe zingatiwonetsere zambiri. Sungathe kufotokozera mphamvu yanu yamapapu kapena mphamvu yomwe mungathe kuikamo kapena kutulutsa mpweya.
Chimene chingakhoze kuchita ndikutipatsa ife zolemba zofotokozera zomwe tingathe kuyerekezera kusintha kulikonse komwe kungapangitse patapita nthawi. Momwemo, madokotala amalimbikitsa chifuwa cha X-ray iliyonse pakatha zaka ziwiri kapena ziwiri malinga ndi momwe COPD yanu iliri kutali.
Pambuyo pake matenda, maonekedwe akusintha adzakhala oonekera. Chimodzi mwa zinthu zooneka bwino kwambiri chidzakhala chomwe chimatchedwa hyperinflation m'mapapu. Izi zikachitika, dokotala adzawona zinthu zingapo pa X-ray:
- Kuphatikizika kwa phokoso pamene mapapo amatsitsa pansi pa minofu
- Kuwonjezeka kwa chifuwa cha chifuwa monga momwe anayezera kuyambira kutsogolo kupita kumbuyo
- Mtima wambiri komanso wopapatiza
- Mitsempha ya mpweya yotchedwa bullae pafupifupi theka la inchi kukula kapena yayikulu
Ngati dokotala akufunikira kuwona zambiri za mapapu ndi kuwonongeka, pulogalamu ya tomato (CT) ingapangidwe. Pamene chifuwa cha X-ray chidzangopereka chithunzi chimodzi cha mapapo, CT imagwiritsa ntchito zithunzi zojambula kuti zikhale zoimira zitatu.
Pochita zimenezi, CT scan ingatenge mwatsatanetsatane bwino ndikupatsa madokotala zithunzi zambiri za COPD.
Momwe COPD Imadziwira
Kuti mudziwe bwinobwino za COPD, kufufuza kwakukulu kungapangidwe kuti mupereke kafukufuku woyambirira wa thanzi lanu, mbiri yanu ya banja lanu, malo anu osuta fodya, ndi zowonongeka kapena zochitika zapadera zomwe mwakhala mukuziwona.
Kuphatikiza pa chifuwa cha X-ray, mungapemphedwe kuti muyesedwe chimodzi kapena zingapo zotsatirazi:
- Magazi a magazi amatha kudziwa momwe mpweya ndi CO2 ziliri m'magazi anu
- Kuyeza kwa mapulaneti kuti muyese momwe mapapu anu amathandizira ndi kutulutsa bwino momwe amasamutsira oksijeni m'magazi
- Bronchoscopy pogwiritsa ntchito malo osinthika, opotoka kuti aziwoneke m'mapapo
- Kokani oximetry kuti muyese kukwanira kwa oxygen m'magazi anu
- Mayeso a kuyenda kwa mphindi zisanu ndi chimodzi kuti muyese yankho lanu lopuma pochita masewera olimbitsa thupi
- Kulephera kwa AAT kuyesa kudziwa ngati pali kusowa kwa mapuloteni a alpha-1 antitrypsin (AAT) omwe amathandiza kuteteza mapapo ndi chiwindi
Ngati chithandizo chobwezetsa magazi chikubwezeretsedwa, dokotala wanu adzalandireni njira yoyenera ya matenda anu ndikukonzekera njira yothandizira kuchepetsa kukula kwa COPD.
> Chitsime:
> Vogelmeier, C .; Wowononga, G .; Martinez, F. et al. "Mchitidwe Wadziko Lonse Wofufuza, Kuteteza, ndi Kupewa Matenda Ochepetsa Matenda a Mphungu 2017 Report. GOLD Executive Summary." Magazini ya American Respiratory and Critical Care Management. 2017; 195 (5): DOI 10.1164 / rccm.201701-0218PP.