Chest MRI

Chifuva MRI (magnetic resonance imaging) scan imiyedzo yekufungidzira iyo inoshandisa magineti ane simba uye masaisai eredhiyo kugadzira mifananidzo yechipfuva (thoracic nzvimbo). Izvo hazvishandise radiation (x-rays).

Muedzo unoitwa nenzira inotevera:

• Unogona kubvunzwa kupfeka jasi rechipatara kana zvipfeko zvisina zvekusunga simbi (senge juzi neteki). Dzimwe mhando dzesimbi dzinogona kukonzera mifananidzo yakajeka kana kuve nenjodzi yekuve nayo mukamuri ye scanner.
• Iwe unorara patafura nhete, iyo inotsvedza kupinda mune hombe tangi-yakaita scanner.
• Iwe unofanirwa kunge wakanyarara panguva yebvunzo, nekuti kufamba kunokonzeresa mifananidzo. Unogona kuudzwa kuti ubate mweya wako kwenguva pfupi.

Mimwe bvunzo inoda chaiyo dhayi inonzi musiyano. Dhayi rinowanzo kupihwa usati waedzwa kuburikidza netsinga (IV) iri muruoko kana ruoko. Iyo dhayi inobatsira iyo radiologist kuona dzimwe nzvimbo zvakajeka. Kuongororwa kweropa kuyera basa rako reitsvo kunogona kuitwa usati waedzwa. Izvi ndezvekuve nechokwadi chekuti itsvo dzako dzakagwinya zvakakwana kusefa musiyano.

Munguva yeMRI, munhu anoshandisa muchina anozokutarisa kubva kune imwe kamuri. Muedzo unowanzo kutora maminetsi makumi matatu kusvika makumi matanhatu, asi zvinogona kutora nguva yakareba.

Iwe unogona kubvunzwa kuti usadye kana kunwa chero chinhu kwemaawa mana kusvika matanhatu usati scan.

Udza mupiki wako kana iwe uri claustrophobic (uchitya nzvimbo dzakavharwa). Unogona kupihwa mushonga wekukubatsira kuti unzwe kurara uye usanyanya kunetseka Mupi wako anogona kupa "yakavhurika" MRI, umo muchina wacho usiri padhuze nemuviri wako.

Usati waedzwa, udza mupi wako wezvehutano kana iwe uine:

• Brain aneurysm clip
• Chakagadzirwa mwoyo mavharuvhu
• Mwoyo defibrillator kana pacemaker
• Nzeve yemukati (cochlear) implants
• Hosha yeitsvo kana iri pane dialysis (unogona kusakwanisa kugamuchira musiyano)
• Ichangobva kuiswa majoini ekugadzira
• Vascular stents
• Inoshanda nesheet simbi munguva yakapfuura (ungangoda bvunzo kuti utarise zvidimbu zvesimbi mumaziso ako)

Iyo MRI ine magineti akasimba, saka zvinhu zvesimbi hazvitenderwe kupinda mukamuri ine MRI scanner. Izvi zvinodaro nekuti pane njodzi yekuti vachatorwa kubva mumuviri wako kuenda kune iyo scanner. Mienzaniso yezvinhu zvesimbi zvauchazoda kubvisa ndeiyi:

• Peni, mapanga muhomwe, uye magirazi emaziso
• Zvinhu zvakaita seishongo, mawachi, makadhi echikwereti, uye rubatsiro rwekunzwa
• Pini, vhudzi remusoro, uye zipi yesimbi
• Rinobvisika mazino basa

Mimwe michina mitsva inotsanangurwa pamusoro apa inoenderana neMRI, saka radiologist inoda kutarisa mugadziri wezvigadzirwa kuti ione kana MRI ichiita.

Kuongorora kweMRI kunokonzera kurwadziwa. Kana uchinetseka kurara wakadzikama kana kutya zvakanyanya, unogona kupihwa mishonga yekuzorora. Kufamba kwakawandisa kunogona kukanganisa mifananidzo yeMRI uye kukonzera zvikanganiso kana chiremba akatarisa mifananidzo.

Tafura yacho inogona kunge yakaoma kana kutonhora, asi iwe unogona kukumbira gumbeze kana mutsago. Muchina unoburitsa ruzha rukuru uye ruzha kana ichivhurwa. Iwe unogona kupfeka nzeve plugs kubatsira kudzikisa ruzha.

Intercom iri mumba inokutendera kuti utaure nemumwe munhu chero nguva. Mamwe maMRI ane materevhizheni uye akasarudzika mahedhifoni aunogona kushandisa kubatsira nguva kupfuura.

Iko hakuna nguva yekudzoreredza, kunze kwekunge iwe ukapihwa mushonga wekuzorora. Mushure meMRI scan, unogona kutangazve chako chakajairwa chikafu, chiitiko, uye mishonga.

Chifuva MRI inopa yakadzama mifananidzo yematuru mukati mechipfuva nzvimbo. Muzhinji, haina kunaka kutarisa pamapapu seCT chest scan, asi inogona kuve iri nani kune mamwe matishu.

Chifuva MRI chingaitwe ku:

• Ipa imwe nzira kune angiography, kana kudzivirira kudzokororwa kuratidzwa kune radiation
• Tsanangura zvakawanikwa kubva kune yekutanga x-rays kana CT scans
• Ziva kukura kwakasarudzika mubhokisi
• Ongorora kuyerera kweropa
• Ratidza lymph nodes nemidziyo yeropa
• Ratidza zvivakwa zvechipfuva kubva pamakona mazhinji
• Tarisa uone kana gomarara mubhokisi rapararira kune dzimwe nzvimbo dzemuviri (izvi zvinonzi staging - zvinobatsira kutungamira kurapwa kwekutevera nekutevera, uye zvinokupa pfungwa yezvaunotarisira mune ramangwana)
• Tsvaga mamota

Mhedzisiro mhedzisiro zvinoreva kuti chipfuva chako chinowanzoonekwa.

Chifuva chisina kujairika MRI inogona kunge iri nekuda kwe:

• Kubvarura pamadziro, kuwedzera zvisina kujairika kana kubharuni, kana kudzikisira kwetsinga huru inoburitsa ropa kunze kwemoyo (aorta)
• Dzimwe shanduko dzisina kujairika dzemidziyo mikuru yeropa mumapapu kana muchipfuva
• Kuvaka kweropa kana mvura yakatenderedza moyo kana mapapu
• Kenza yemapapu kana gomarara rakapararira kumapapu kubva kune imwe nzvimbo mumuviri
• Kenza kana mamota emoyo
• Kenza kana mamota echipfuva, senge thymus bundu
• Chirwere umo tsandanyama yemoyo inoshaya simba, yakatambanudzwa, kana iine rimwe dambudziko rehurongwa (cardiomyopathy)
• Unganidzo yemvura yakatenderedza mapapu (pleural effusion)
• Kukuvadza, uye kuwedzerwa kwenzira huru dzemapapu (bronchiectasis)
• Yakawedzera lymph node
• Kubatwa kweiyo yemoyo tishu kana moyo vharuvhu
• Kenza yesophageal
• Lymphoma mubhokisi
• Kuremara kwekuzvarwa kwemoyo
• Tumota, maqhuqhu, kana cysts mubhokisi

MRI haishandisi radiation. Parizvino, hapana mhedzisiro kubva kumagineti minda uye masaisai eredhiyo akataurwa.

Rudzi rwakanyanya kujairika rwekusiyanisa (dhayi) rinoshandiswa gadolinium. Zvakachengeteka chaizvo. Allergic reaction kune icho chinhu kashoma kuitika. Nekudaro, gadolinium inogona kukuvadza kune vanhu vane matambudziko eitsvo avo vanoda dialysis. Kana uine matambudziko eitsvo, udza mupi wako usati waedzwa.

Iwo akasimba magineti maseru akagadzirwa panguva yeMRI anogona kukonzera kugadzikana kwemoyo uye zvimwe zvinodyara kuti zvirege kushanda zvakare. Inogona zvakare kukonzera chidimbu chesimbi mukati memuviri wako kufamba kana kuchinja.

Parizvino, MRI haina kutaridzwa sechinhu chakakosha chishandiso chekuona kana kuongorora kushanduka kudiki mumapapu emapapu. Mapapu ane mweya uye akaomarara. CT scan inowanzo kuve iri nani yekutarisa idzi shanduko.

Kukanganisa kweMRI kunosanganisira:

• Mari yakakwira
• Yakareba kureba kwekutarisa
• Kunzwisisa kufamba

Nyukliya magnetic resonance - chifuva; Magnetic resonance imaging - chipfuva; NMR - chifuva; MRI yechipfuva; Thoracic MRI

• Abdominal aortic aneurysm kugadzirisa - kuvhura - kubuda

• MRI inoongorora
• Vertebra, thoracic (pakati kumashure)
• Thoracic nhengo

Ackman JB. Thoracic magnetic resonance imaging: maitiro uye maitiro ekuongorora. Mune: Shephard J-AO, rakanyorwa. TKufananidza kwehoracic: Zvinodikanwa. 3rd ed. Philadelphia, PA: Elsevier; 2019: chits. 3.

Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology: noninvasive yekufungidzira imaging. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.