Fluorography thaum cev xeeb tub: qhia thiab qhov tshwm sim
Fluorography thaum cev xeeb tub: qhia thiab qhov tshwm sim
Anonim

Kev cev xeeb tub rau txhua tus poj niam yog theem tseem ceeb thiab lub luag haujlwm hauv lub neej. Lub sijhawm no, nws txhawj xeeb tsis yog nws txoj kev noj qab haus huv nkaus xwb, tab sis kuj tseem hais txog lub neej thiab kev nplij siab ntawm tus menyuam mos, uas tseem muaj kev loj hlob hauv nws. Txoj kev loj hlob ntawm tus me nyuam yog ncaj qha ntsig txog txoj kev ua neej ntawm leej niam expectant (kev noj haus, kev ua si). Cov yam tsis zoo kuj cuam tshuam rau kev noj qab haus huv ntawm tus menyuam, ib qho uas suav tias yog fluorography.

Vim li cas thiaj ua fluorography

Tus ntxhais ua fluorography
Tus ntxhais ua fluorography

Ntau tus poj niam xav paub seb puas tuaj yeem ua fluorography thaum cev xeeb tub. Txhawm rau teb cov lus nug no, koj yuav tsum paub tias vim li cas qhov txheej txheem no tau ua tiav. Txhawm rau txhawm rau txhawm rau tshawb xyuas qee yam kab mob hauv tebchaws Russia, kev tshuaj xyuas txhua xyoo ntawm tib neeg lub hauv siab tau ua tiav. Qhov no yog ua tiav nrog kev pab los ntawm kev tshawb fawb fluorographic. Yog ib tug pej xeem tsis muaj daim ntawv pov thawj, ces nws yuav tsis raug ntiav, yuav tsis mus kawm nyob rau hauv ib lub tsev kawm ntawv, nws yuav tsis tau txais daim ntawv tsav tsheb. Ntxiv nrog rau kev tshuaj xyuas kev tiv thaiv, tus kws kho mob nws tus kheej muab tshuaj fluorography rau cov neeg mob uas muaj cov tsos mob ntawm tus kab mob ntsws.

Thaum tus poj niam raug xa mus rau x-ray thaum cev xeeb tub, nws pib txhawj xeeb, vim nws ntseeg tau tias kev kuaj x-ray ntawm cov cuab yeej kho mob tuaj yeem ua mob rau tus menyuam hauv plab. Feem ntau cov ntxhais, vim lawv txoj kev xav tsis zoo, tsis kam kawm li no. Puas tsim nyog tsis quav ntsej koj txoj kev noj qab haus huv thiab tsis kam ua qhov txheej txheem no? Yuav ua li cas yog tias koj ua fluorography thaum cev xeeb tub? Tag nrho cov lus nug no yuav raug teb los ntawm kev nyeem cov ntaub ntawv hauv qab no.

tshawb fawb txog dab tsi

Poj niam tab tom ua tus txheej txheem
Poj niam tab tom ua tus txheej txheem

Ua ntej nkag siab tias yog vim li cas fluorography muaj teeb meem, nws yog ib qho tseem ceeb kom nkag siab qhov twg cov cuab yeej siv tshuaj no tuaj ntawm. Lub discovery ntawm x-rays revolutionized tshuaj. Ua tsaug rau cov kws tshawb fawb, kws kho mob tuaj yeem kawm cov qauv sab hauv ntawm tus neeg, nws lub cev. Tsis tas li ntawd, nrog kev pab ntawm x-rays, kev sib txawv tuaj yeem kuaj pom kom pab tib neeg muaj ntau yam kev raug mob thiab kev tsis txaus ntseeg. Ntau xyoo dhau los txij li kev tshawb pom ntawm X-ray hluav taws xob, tab sis cov kws kho mob tseem siv nws los kuaj xyuas tus neeg mob.

kev kuaj fluorography yog ua los ntawm kev siv hluav taws xob xoo hluav taws xob, uas yog qhia rau tus neeg. Raws li qhov tshwm sim ntawm cov txheej txheem, tus kws tshaj lij tau txais cov duab ntawm cov kabmob sab hauv ntawm lub vijtsam, uas tom qab ntawd hloov mus rau cov yeeb yaj kiab. Tus kws kho mob hluav taws xob siv cov duab no tuaj yeem sau cov lus xaus txog qhov muaj lossis tsis muaj cov kab mob.

X-ray lub hauv siab pab txhawm rau txheeb xyuas ntau yam kab mob loj:

  1. mob ntsws.
  2. mob qog nqaij hlav hauv siab.
  3. tuberculosis.
  4. Kab mob plawv, diaphragm thiab pleura.

Tshuaj tiv thaiv kab mob

Tus kws kho mob tshuaj xyuas daim duab uas tau txais
Tus kws kho mob tshuaj xyuas daim duab uas tau txais

Yuav kom paub seb qhov twg yog qhov chaw zoo tshaj plaws kom tau txais fluorography, koj yuav tsum paub tias thaum lub sijhawm kawm no, tus neeg mob hauv tsev kho mob tau txais ib koob tshuaj me me (kwv yees li 0.2 millisieverts). Ntawm cov khoom siv dhau los, cov koob tshuaj hluav taws xob nce mus rau 0.8 millisieverts. Tam sim no, cov cuab yeej ua yeeb yaj kiab rau fluorography tau hloov pauv los ntawm cov niaj hnub ntau dua. Lawv tawm hluav taws xob tsis ntau tshaj 0.06 millisieverts.

Qhov txawv ntawm x-ray thiab fluorography

Ua ntej koj paub tias nws puas tuaj yeem ua fluorography thaum cev xeeb tub, koj yuav tsum paub seb qhov sib txawv ntawm x-ray thiab fluorography yog dab tsi. X-ray kuaj thiab fluorography yog cov txheej txheem zoo sib xws. Lub hauv paus ntsiab lus ntawm kev ua haujlwm yog irradiate nrog X-rays, tab sis qhov raug ntawm lub tshuab X-ray yog tsawg, nws tsis txawm ncav cuag 0.3 millisieverts.

Lub hauv siab fluorography yog sau rau ib qho laj thawj - cov khoom siv rau cov txheej txheem no pheej yig dua. Yog tias qhov kev ntshai ntawm tus kws kho mob tuaj koom yog tsim nyog thiab pom muaj kab mob hauv tus neeg mob, nws tuaj yeem raug xa mus rau X-ray rau kev tshawb fawb ntxaws txog tus kab mob.

X-ray ntaus ntawv muaj qhov zoo dua qub - nws yog qhov sib zog ntau dua li X-ray, nws tuaj yeem muab tso rau hauv lub tsheb lossis tsheb npav rau kev kuaj mob ntawm qhov chaw.

Radiation Hazard

Txawm hais tias thaum lub sijhawm kuaj lub ntsws nkag mus rau tib neeg lub cevhluav taws xob me me, ntau tus kws tshaj lij tsis pom zoo fluorography thaum cev xeeb tub. Qee tus kws kho mob txawm hais kom rho menyuam yog tias tus poj niam tau muaj txoj kev tsis paub tias nws xeeb tub.

Gynecologists hais tias txij li 1st mus rau 20 lub lim tiam txij li lub sijhawm xeeb tub, tus menyuam hauv plab tshwj xeeb tshaj yog cuam tshuam rau sab nraud tsis zoo. Cov hluav taws xob hluav taws xob tuaj yeem ua rau muaj qhov txawv txav ntawm tus menyuam hauv plab. Nyob rau hnub tom qab (tom qab lub lim tiam 20), tag nrho cov khoom nruab nrog cev ntawm koj tus menyuam yav tom ntej tau tsim tag nrho. Lub sijhawm no, qhov kev pheej hmoo ntawm kev hloov pauv tau txo qis.

txoj kev tsis txaus ntshai

Chav tsev fluoroscopy ntawm lub tsheb npav
Chav tsev fluoroscopy ntawm lub tsheb npav

Txawm hais tias cov kws kho mob tau ceeb toom, ntau pua tus neeg tau raug kaw hauv ntiaj teb thaum tus niam uas xav tau tshuaj fluorography thaum ntxov cev xeeb tub. Cov poj niam yug tau cov me nyuam noj qab nyob zoo. Txog niaj hnub no, tsis muaj ntaub ntawv lees paub tias muaj kev cuam tshuam loj heev rau kev noj qab haus huv ntawm tus menyuam hauv plab tom qab raug rau kev kho mob. Txawm hais tias pathologies tau pom hauv tus menyuam tom qab yug los, lawv tsis tuaj yeem cuam tshuam nrog kev raug x-rays. Txawm hais tias tag nrho cov lus tseeb saum toj no, cov kws kho mob tsis pom zoo kom muaj kev pheej hmoo, vim tias hluav taws xob muaj kev phom sij rau tib neeg lub neej, ntxiv rau, qhov tshwm sim ntawm lub cev tsis tau kawm tag nrho.

Yuav ua li cas yog tias X-ray twb dhau lawm

Daim duab ntawm lub plab ntawm tus poj niam cev xeeb tub
Daim duab ntawm lub plab ntawm tus poj niam cev xeeb tub

Cov poj niam cev xeeb tub yuav tsum ua li cas yog tias fluorography thaum cev xeeb tub twb tau ua lawm? Ua ntej, tsis txhob txhawj thiab ntshai, vimtxhua yam kev paub ntawm leej niam tuaj yeem cuam tshuam tsis zoo rau tus menyuam hauv plab. Thaum nqa tus menyuam, koj yuav tsum xav txog tej yam zoo. Txhawm rau ua pov thawj tias koj yuav tsum tsis txhob rho menyuam tam sim ntawd, ntawm no yog ob peb yam piv txwv uas yuav pab tau koj siab.

  1. Ntau tus ntseeg tias cov poj niam uas tau kuaj x-ray thaum cev xeeb tub thaum ntxov yuav poob ib tug menyuam. Lub fetus qe, raug hluav taws xob, yuav tsis muaj peev xwm nce foothold nyob rau hauv lub tsev menyuam, uas yuav provoke ib tug nchuav menyuam. Cov xwm txheej zoo li no tau tshwm sim, tab sis lawv tsis tshua muaj nyob rau hauv kev kho mob. Yog hais tias tus poj niam tsis muaj teeb meem tom qab tus txheej txheem, ces lub embryo yuav tsis muaj kev phom sij.
  2. Tus kws kho mob rov kuaj xyuas qhov txawv txav nrog cov khoom siv ultrasound. Yog tias lawv pom, nws tuaj yeem muab tso tseg tus menyuam hauv plab thiab rho menyuam tawm. Nws tsis tsim nyog txiav cev xeeb tub ua ntej, koj yuav tsum xyuas kom meej tias tus menyuam hauv plab tsis tsim kom raug.
  3. Cov koob tshuaj hluav taws xob thaum kuaj fluorographic tsawg dhau, thiab cov txheej txheem tsuas yog siv sijhawm 1-2 vib nas this. Lub hauv siab cheeb tsam tau txais cov koob tshuaj tseem ceeb ntawm cov hluav taws xob, thaum lub cev nqaij daim tawv raug tiv thaiv los ntawm cov kab hlau lead tshwj xeeb. Ua tsaug rau cov lus tseeb no, nws tuaj yeem sib cav tias tsis muaj kev hem thawj rau kev noj qab haus huv ntawm embryo.

Yog tias tom qab cov ntaub ntawv saum toj no koj tseem txhawj xeeb txog kev kis ntawm fluorography thaum cev xeeb tub, koj tuaj yeem sab laj nrog kws kho mob. Nws yuav kawm txog qhov xwm txheej, ua kev ntsuam xyuas thiab muab nws cov lus pom zoo. Raws li txoj cai, tus kws kho mob yuav qhia koj kom tos rau qhov kev npaj ultrasound, uas yuav siv qhov chawntawm 12-15 lub lis piam ntawm cev xeeb tub. Tsis tas li ntawd, lub tsev kho mob tuaj yeem xa tus poj niam mus kuaj biochemical. Tom qab tau txais cov txiaj ntsig los ntawm cov txheej txheem no, cov kws kho mob yuav tuaj yeem txiav txim siab txog qhov xwm txheej ntawm tus menyuam hauv plab.

Lwm yam txaus ntshai

Ntxiv rau qhov cuam tshuam tsis zoo ntawm fluorography ntawm cev xeeb tub, nws tsim nyog nco ntsoov tias muaj ntau lwm yam uas cuam tshuam rau lub neej ntawm tus menyuam hauv plab: ntau yam tshuaj tiv thaiv thaum cev xeeb tub, tshuaj tua kab mob, haus thiab haus luam yeeb. Txawm li cas los xij, qhov kev hem thawj sab nraud tsis tshua ua rau muaj kev hloov pauv txawv txav hauv tus menyuam hauv plab yog tias cov xwm txheej tsis zoo saum toj no nres tam sim ntawd tom qab tus niam uas xav paub txog kev xeeb tub.

Cov kws tshaj lij piav qhia tias yog qhov tsis zoo tshwm sim thawj 12 hnub ntawm tus menyuam hauv plab, ces yuav muaj ob qhov tshwm sim. Hauv thawj kis, yuav tsis muaj kev phom sij, kev xeeb tub yuav tshwm sim yam tsis muaj teeb meem. Hauv qhov thib ob, kev nchuav menyuam yuav tshwm sim.

Txawm hais tias dab tsi ua rau muaj kev ntxhov siab rau leej niam - fluorography, tus cwj pwm tsis zoo lossis noj tshuaj muaj zog, kev saib xyuas kev kho mob, ultrasound thiab kev ntsuam xyuas yuav qhia qhov sib txawv ntawm kev loj hlob ntawm tus menyuam hauv lub sijhawm. Yog vim li ntawd nws thiaj li yuav tsum tsis txhob xav txog qhov phem thaum lub neej tshiab tau tshwm sim hauv koj.

Yog tias tus kws kho mob gynecologist pom zoo kom txiav cev xeeb tub, tom qab ntawd koj yuav tsum sab laj nrog lwm tus kws kho mob ua ntej mus rau qhov ntsuas huab cua. Cov kws kho mob uas paub txog cov kev kho mob niaj hnub no thiab muaj cov cuab yeej tsim nyog yuav tsis muab rau koj ua ib yam dab tsi uas tsis tuaj yeem kho yog tias muaj kev hem thawj ntawm cev xeeb tub.tsuas yog nyob rau hauv txoj kev ntawm fluorography ntawm ib tug thaum ntxov theem.

tshuaj kho mob

fluorography thaum cev xeeb tub tsis pom zoo
fluorography thaum cev xeeb tub tsis pom zoo

Fluorography rau cov poj niam cev xeeb tub nyob rau theem pib tsuas yog siv los ua qhov kawg nkaus xwb, thaum nws los cawm txoj sia ntawm leej niam leej niam. Nws yog qhov yuav tsum tau kuaj xyuas yog tias:

  • ib tug txheeb ze raug kuaj pom muaj mob hnyav tom qab fluorography;
  • poj niam cev xeeb tub tau tiv nrog tus neeg mob tuberculosis;
  • ib tug txheeb ze tau pom tias muaj qhov tsis zoo ntawm kev xeem mantoux;
  • ze ze txheeb ze kuaj tau tus kab mob ntsws pulmonary;
  • tus poj niam cev xeeb tub nyob hauv lossis nyuam qhuav tau mus xyuas thaj chaw uas muaj tus kab mob khaub thuas tshwm sim.
menyuam hauv plab
menyuam hauv plab

Ua ntej xav txog qhov tshwm sim ntawm fluorography thaum cev xeeb tub, nws yuav tsum tau muab sau tseg tias tag nrho cov xwm txheej saum toj no tsis tshua muaj nyob hauv peb lub tebchaws, yog li txawm tias koj tau ntsib nrog ib qho ntawm cov xwm txheej no, ua ntej ntawm tag nrho cov, koj xav tau. tiv tauj koj tus kws kho mob kom tau txais kev pab tswv yim. Tsuas yog tus kws kho mob thiaj tuaj yeem lees paub lossis tsis lees paub qhov kev ntshai ntawm nws tus neeg mob los ntawm kev tshuaj xyuas qhov tsim nyog ntawm tus poj niam thiab nws tus menyuam hauv plab.

Yog tias qhov kev ntsuam xyuas tuaj yeem pom cov kab mob txaus ntshai hauv tus poj niam cev xeeb tub, koj yuav tsum tsis txhob tso tseg txoj kev. Irradiation hauv koob tshuaj meager yog qhov pheej hmoo tsawg dua li qhov tshwm sim ntawm, piv txwv li, mob ntsws lossis mob ntsws hnyav. Cov kab mob zoo li noKev cuam tshuam raws sij hawm los ntawm kws kho mob tuaj yeem ua rau tuag taus.

Yog tias ib tug poj niam tsis muaj sijhawm los mus rau qhov yuav tsum tau ua fluorography ua ntej pib cev xeeb tub, thaum nws hnov zoo, cov kws kho mob tsis xav tias muaj kab mob ntsws, ces koj tuaj yeem hnov qab txog cov txheej txheem no mus txog thaum tus menyuam yug los. Txawm li cas los xij, nws tsim nyog paub tias ob peb hnub tom qab yug me nyuam, nws yuav raug xa mus rau kev kawm fluorographic. Yog tsis kuaj xyuas tus mob ntsws, lawv tsis muaj cai tso tus poj niam hauv plab mus tsev.

X-ray kev tiv thaiv

Txhawm rau txo qhov kev pheej hmoo ntawm hluav taws xob tsawg, nws yuav tsum ua raws li cov lus pom zoo thaum lub sijhawm fluorography.

  1. Ua ntej kev ntsuam xyuas, nws yuav tsum tau qhia meej tias qhov twg zoo dua thiab muaj kev nyab xeeb dua rau kev siv tshuaj fluorography. Koj yuav tsum xaiv lub tsev kho mob qhov twg cov cuab yeej tshiab niaj hnub raug teeb tsa. Cov koob tshuaj hluav taws xob ntawm cov khoom siv digital yog ob peb zaug qis dua, yog li ntawd, lawv muaj kev nyab xeeb ntau dua li cov yeeb yaj kiab uas tsis dhau los.
  2. Yog tias tsis muaj lwm txoj hauv kev, koj yuav tsum tau thaij duab ntawm cov cuab yeej qub, thaum koj yuav tsum tau ceeb toom rau tus kws kho hluav taws xob txog koj cev xeeb tub. Kom kev nyab xeeb, tus neeg mob hnav lub kaus mom tiv thaiv.
  3. Tus kws kho mob uas sau koj daim ntawv xa mus rau chav X-ray yuav tsum tau ceeb toom txog koj cev xeeb tub. Hauv qhov no, nws yuav txiav txim siab txog kev tawm tswv yim ntawm kev ua cov txheej txheem no. Tej zaum hom kev kuaj mob no yuav tsum tau hloov nrog ib qho maj mam lossis kev kho mob yuav tsum tau ncua mus txog hnub tom qab.

Kev txiav txim siab ua tus txheej txheem yog ua los ntawm tus neeg mob nws tus kheej, teb nws cov lus nug, koj puas xav tauseb fluorography thaum cev xeeb tub yog qhov no. Txhua tus poj niam yuav tsum paub tias tsis muaj leej twg muaj cai yuam nws mus txhaj tshuaj fluorography lossis x-ray.

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