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Kev xeeb tub yog lub sijhawm tshwj xeeb hauv poj niam lub neej. Tus niam uas muaj kev cia siab yuav tsum ua tib zoo saib xyuas nws txoj kev noj qab haus huv, noj kom raug thiab tshem tawm txhua yam tsis zoo uas tuaj yeem ua rau tus menyuam tsis zoo. Ib tug ntawm lawv yog hluav taws xob. Qee tus poj niam tig mus rau gynecologist nrog cov lus nug: "Kuv tau ua fluorography, tsis paub tias kuv cev xeeb tub." Cov kev xav ntawm cov kws kho mob yuav tham ntxiv.
Qhov no yog dab tsi?
Tus kws kho mob tuaj yeem sau cov txheej txheem no rau ntau yam yog tias tus poj niam tsis paub tias nws xeeb tub. Fluorography yog ib hom kev kuaj mob uas tau ua los ntawm x-rays. Cov ntaub so ntswg translucent tsim cov duab ntxoov ntxoo ntawm zaj duab xis. Cov koob tshuaj hluav taws xob rau fluorography tsawg dua rau x-rays. Txawm hais tias qhov ntsuas no feem ntau nyob ntawm cov khoom siv nws tus kheej. Cov cuab yeej siv niaj hnub tso cai rau koj kom ua tiav cov duab zoo dua nrog qhov raug tsawg dua.
Fluorography yog ua los tshuaj xyuas lub ntsws rau ntau yam kab mob. Siv cov txheej txheem no, nws kuj tseem tuaj yeem txheeb xyuas lub plawv pathologies, qog cov txheej txheem, kab mob thiab mob, kev hloov pauv hauv lub hauv siab hauv nruab nrog cev.
Qee zaum, fluorography yog siv los qhia meej qhov kev kuaj mob tau los ntawm ultrasound. Yog li, siv cov txheej txheem no, koj tuaj yeem txiav txim siab qhov muaj mob bronchitis, plawv pathology, tuberculosis, qog nqaij hlav hauv lub ntsws, adhesions hauv pleural kab noj hniav. Tsis tas li ntawd, daim duab yuav qhia txog qhov tshwm sim ntawm kev raug mob txha caj qaum hauv cheeb tsam thoracic lossis tav.
Txoj kev ua haujlwm
Yog tias tus poj niam cev xeeb tub ua fluorography, qhov no ua rau tsis muaj kev ntshai. Qhov tseeb yog tias X-rays tuaj yeem ua rau muaj teeb meem loj rau tus menyuam hauv plab. Hom hluav taws xob no muaj zog tshwj xeeb rau cov hlwb loj hlob. Txij li thaum lub fetus muaj cov hlwb sib faib ntawm tus nqi siab, nws yog lawv cov uas muaj feem cuam tshuam rau qhov tsis zoo.
Txawm li cas los xij, nws tsim nyog xav tias qhov raug thaum siv cov cuab yeej sib txawv yuav txawv. Muaj ntau thiab tsawg txoj kev txaus ntshai los mus kuaj qhov no. Cov cuab yeej tshiab no muaj qhov cuam tshuam tsawg kawg nkaus rau tib neeg lub cev.
Nws yog ib qho tsim nyog sau cia tias hauv ib txoj haujlwm ib qho kev ua yeeb yaj kiab fluorographic apparatus irradiates lub cev nrog 0.5 mSv. Ntawm cov no, 0.3 mSv poob rau ntawm thaj chaw kawm. Rau kev sib piv, nyob rau hauv tus txheej txheem ntawm xam tomography, ib tug neeg tau txaiskoob tshuaj 5-7 mSv.
Cov cuab yeej siv niaj hnub tso cai rau koj ua cov txheej txheem uas muaj kev pheej hmoo tsawg rau kev noj qab haus huv. Cov fluorography yog nyob deb ntawm qhov kev nyab xeeb tshaj plaws ntawm kev tshuaj xyuas siv x-rays. Rau ib txoj kev, tib neeg lub cev tau txais tsuas yog 0.05 mSv. Thaum cev xeeb tub, koob tshuaj hluav taws xob no suav hais tias muaj kev nyab xeeb.
Tus kws kho mob lub tswv yim
Yog tus poj niam ua fluorography, tsis paub tias nws cev xeeb tub, qhov no ua rau muaj kev hem thawj rau tus menyuam hauv plab. Thaum ntxov, nws tau xyaum tsis muaj kev tiv thaiv los ntawm qhov tsis zoo sab nraud. Hauv thawj peb lub hlis twg, tag nrho cov kab ke hauv lub cev tau tso. Yog li ntawd, nws yog nyob rau theem pib uas cov txheej txheem no tuaj yeem ua rau muaj kev phom sij.
Cov kws kho mob pom zoo tias nws tsis tuaj yeem muab tshuaj fluorography rau tus poj niam cev xeeb tub ua ntej 20 lub lis piam. X-rays tuaj yeem cuam tshuam rau cov txheej txheem ntawm kev loj hlob intrauterine. Tsuas yog thaum muaj xwm txheej ceev thiab hnub tom qab, tus kws kho mob tuaj yeem sau ib txoj kev kuaj mob zoo sib xws.
Feem ntau, X-rays puas hlwb uas nyob rau theem ntawm kev faib, cuam tshuam rau cov cuab yeej gene. Vim li no, chromosomal txawv txav tuaj yeem tsim. Vim li no, DNA chains tawg thiab deformed. Cov dej hauv cov hlwb yog ib feem ionized, uas ua rau cov tsos ntawm ntau tus radicals. Lawv muaj cov tshuaj lom neeg ua haujlwm siab. Cov qauv zoo li no tawm tsam ntawm nucleic acids, cell proteins. Lawv raug rhuav tshem. Cov cell hauv qhov no yog ob qho tib situag los sis hloov.
Risk factors
Yog tus poj niam tsis paub tias nws cev xeeb tub, tau txais fluorography thaum ntxov, qhov no tuaj yeem ua rau muaj qhov tshwm sim, loj lossis tsis zoo. Feem ntau tsis muaj qhov tshwm sim. Qhov no cuam tshuam los ntawm kev siv hluav taws xob, lub xeev ntawm lub cev ntawm tus poj niam cev xeeb tub, thiab cov yam ntxwv ntawm txoj kev loj hlob ntawm intrauterine.
Ib tug poj niam uas tau dhau los ua tus txheej txheem zoo sib xws tuaj yeem yug tau tus menyuam noj qab nyob zoo (uas tshwm sim feem ntau). Tab sis nrog rau lub hav zoov ntawm ib tug hereditary predisposition rau txoj kev loj hlob ntawm congenital anomalies, qhov kev pheej hmoo ntawm ib tug unfavorable tshwm sim nce markedly. Lub hnub nyoog ntawm cov niam txiv hnub nyoog tshaj 35 kuj suav hais tias yog ib qho kev pheej hmoo.
Txhais tau
Hauv kev kho mob, nws tsis yog qhov tsis yooj yim rau tus poj niam ua fluorography yam tsis paub tias nws xeeb tub. Cov txiaj ntsig tsis zoo tuaj yeem ua raws li hauv qab no:
- Abortion. Thaum ntxov, kev nchuav menyuam tshwm sim ntau zaus. Lub qe fertilized tseem tsis tau ruaj khov rau hauv phab ntsa ntawm lub tsev menyuam. Xwm muab ib tug mechanism uas ib tug mutated kab mob los yog ib tug uas muaj ntau puas hlwb tuag. Qhov tshwm sim yog nchuav menyuam.
- Missed cev xeeb tub. Lub fetus puas tuag, nres tsis loj hlob.
- Congenital pathologies. Yog li ntawd, qee lub cev thiab lub cev yuav tsis tuaj yeem tsim tau zoo. Ntau zaus cov no yog me me sib txawv uas yooj yim kho tom qab yug me nyuam. Kev sib txawv loj yuav txo tau lub neej zoo ntawm tus menyuam.
- kab mob oncological. Rau ib tug neeg laus, qhov koob tshuaj hluav taws xob tsawg tsawg, tab sis rau tus me nyuam hauv plab nws loj heev. Feem ntau cuam tshuam yog lymphatic thiab circulatory systems.
Yuav ua li cas rau qhov no?
Ib tug poj niam tsis tas yuav paub tam sim txog kev txhim kho lub neej tshiab hauv nws lub plab. Yog li, qhov xwm txheej yuav tshwm sim thaum tus poj niam cev xeeb tub tau ua fluorography. Yuav ua li cas rau qhov no? Koj yuav tsum mus rau npe nrog kws kho mob gynecologist kom sai li sai tau, piav qhia qhov xwm txheej rau tus kws kho mob.
Koj yuav tsum tau muab cov ntaub ntawv ntawm lub cuab yeej twg uas fluorography tau ua rau. Koj kuj yuav tsum tau txais daim ntawv pov thawj txog qhov koob tshuaj ntawm cov hluav taws xob siv rau qhov kev kuaj ntawd. Tom qab tau txais cov ntaub ntawv tsim nyog, tus kws kho mob gynecologist yuav muab tshuaj ntsuam xyuas ultrasound. Qhov no yuav ua kom paub tseeb tias txhua yam nyob rau hauv kev txiav txim nrog lub embryo. Yog tias muaj qee qhov tsis ntseeg, kev sab laj nrog tus kws kho caj ces yuav xav tau. Koj yuav tsum tau mus kuaj ultrasound ntawm 11 thiab 16 lub lis piam ntawm cev xeeb tub.
Tsis txhob txhawj ua ntej. Cov cuab yeej siv niaj hnub no tso tawm qhov tsawg kawg nkaus ntawm x-rays. Raws li kev txheeb xyuas, feem ntau, cov poj niam uas tau txais fluorography thaum ntxov tau yug me nyuam noj qab nyob zoo. Muaj qhov tshwm sim ntawm qhov tshwm sim tsis zoo, tab sis ntau zaus txhua yam xaus zoo.
Thaum twg yog tus txheej txheem ntxov qhia?
Qee zaus, tus poj niam cev xeeb tub yuav tsum tau txhaj tshuaj fluorography. Hauv qhov no, qhov kev pheej hmoo rau nws txoj kev noj qab haus huv yog siab dua qhov kev puas tsuaj rau tus menyuam hauv plab. Muaj qee qhov tshwj xeeb uas tus kws kho mob tau sau tsegx-ray kuaj tus poj niam nqa tus menyuam:
- Nws muaj qhov mob hnyav uas tsis tuaj yeem kuaj pom lossis taug qab lwm yam. Cov kab mob no muaj xws li tuberculosis, oncology hauv siab, mob ntsws ntsws.
- Tus poj niam cev xeeb tub tau nyob ze nrog cov neeg kis tus kab mob.
- Kuv tus txiv tau kuaj mob tuberculosis.
- Cov neeg kis tus kab mob nyob hauv tib chav tsev ib yam li tus poj niam cev xeeb tub.
Yog tsis muaj kev sib tham ua ntej nrog tus kws kho mob gynecologist, nws yog txwv tsis pub sau npe rau fluorography ntawm koj tus kheej.
Yuav tiv thaiv koj tus kheej li cas?
Yog tias tus poj niam muaj fluorography ua tiav yam tsis paub tias nws cev xeeb tub, qhov no tuaj yeem ua rau muaj qhov tshwm sim tsis zoo. Txhawm rau tiv thaiv koj tus kheej, tsis txhob txhawj xeeb txog txoj hmoo yav tom ntej ntawm koj tus menyuam hauv plab, koj yuav tsum tau kuaj fluorographic ua ntej xeeb tub. Yuav tsum tau npaj cev xeeb tub, yog li koj yuav tsum tau kuaj nrog koj tus khub.
Yog tias qhov kev xav tsis tau npaj tseg, qhov teeb meem tsis tau pom dua yuav tshwm sim. Yog tias muaj cov cim qhia txog kev noj tshuaj fluorography thaum ntxov, cov txheej txheem no yuav raug muab rau tus poj niam. Yog tias nws tsis pom zoo rau kev kuaj xyuas zoo li no, tus poj niam cev xeeb tub tuaj yeem sau ntawv tsis lees paub. Tab sis tib lub sijhawm, tus kws kho mob yuav qhia nws paub txog qhov tshwm sim ntawm qhov kev txiav txim no.
Yog tias koj tseem xav tau cov txheej txheem, koj yuav tsum hu rau lub tsev kho mob uas ua cov tshuaj fluorography. Qhov chaw ntawm lub tsev menyuam kuj tseem tiv thaiv nrog cov hlau lead apron.
Kev xaiv
Xav txog qhov xwm txheej uas tus poj niam uafluorography, tsis paub tias nws cev xeeb tub, nws tsim nyog xav txog ib qho ntxiv. Nws yuav luag tsis yooj yim sua kom hloov cov txheej txheem zoo li no nrog lwm qhov kev ntsuam xyuas. Lwm cov txheej txheem kuaj mob tuaj yeem ua tau. Tab sis yog tias lawv ib feem lees paub qhov kev kuaj mob, tsuas yog fluorography thaum kawg tuaj yeem ua rau nws.
Pom zoo:
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