Iingcebiso ezivela kwi-American College of Radiology
Xa isigulane sinesifo esiyingozi, oogqirha baya kulandelelanisa ukucinga kwengqondo. Le ngcamango iya kubonisa ukuba kukho imeko embi ejikeleza ingqondo, njengegazi.
Kodwa luhlobo luni loyilo oza kugqirha ugqirha? I- CT scan okanye i- MRI ? Okanye i- magnetic resonance angiography (MRA) yengqondo, eyona nto i-MRI yemitshini yegazi yengqondo.
I-American College of Radiology ineziphakamiso ezithile zokuncedisa uhlobo olulungileyo lweengcinga zobuchopho ezifunekayo ukuze kube nekhanda elibi. Ezi ngcebiso zinokukunceda uqonde ukuba kutheni ugqirha wakho eyala uvavanyo olulodwa kwelinye.
Intloko kuMntu Ongaxilwanga
I-immunocompromised ithetha ukuba umntu unesistim somzimba sokukhubazeka, obuthathaka amandla abo okukhusela isifo. Isistim somzimba sokukhubazeka singaba sesibini kwizinto ezinjengezifo (isib. Isifo sikashukela, i-HIV) okanye iziyobisi (umz. Steroids, i-chemotherapy).
Kule meko, i-MRI yentloko kunye kunye nokungafaniyo kweendaba kunconywa.
Intloko kubantu Abantu abadala kunama-60 kunye ne-Giant Cell Arteritis
I-cell arteritis enkulu ihlobo lwe-vasculitis (ukuvuvukala kwemithambo yegazi) ngokuqhelekileyo kubangelwa intloko kwimeko yetempileni kwaye inokuhamba kunye nezinye iimpawu eziquka ukukhathala, ubuhlungu besangqumbo, kunye neentlungu zomzimba.
Into ebaluleke kakhulu yeGCA yilahlekelwa yimbono.
Kule meko, i-MRI yentloko kunye kunye nokungafaniyo kweendaba kunconywa.
Intloko Ejongene ne-Meningitis exhaswayo
I-Meningitis yintsholongwane yeembumba ezijikeleze ingqondo kunye nomtya womgca. Ngokuqhelekileyo kubangelwa yi-bhakteria okanye intsholongwane, kwaye ayifumanekanga i-fungus.
Ukucinga ngeBrain kwenziwa xa umntu one-meningitis ecatshulwayo engozini enkulu yokwakheka kwengqondo-kodwa ekugqibeleni ukugqithwa kwe - lumbar kwenziwa ukwenzela ukuxilongwa kwe-meningitis.
Kule meko, i-CT okanye i-MRI yentloko ngaphandle kokupakishwa kweendaba kunconywa.
Intloko ekhuselekileyo ekukhulelweni
Nangona uninzi lweentloko ekukhulelwe lunobungozi, ugqirha unokuyalela i-brain imaging ukuba intloko yomeleleyo okanye inxulumene nezinye iimpawu ezinzima ezifana neempawu ze-neurological.
Kule meko, i-CT okanye i-MRI yentloko ngaphandle kokupakishwa kweendaba kunconywa.
Eyona ntsholongwane, Inwele entloko eneCandelo eliKhuselwe yiNgcaciso yeCandelo eliPhezulu
Ukutshatyalaliswa kukubhekiselele ekubhubhiseni udonga lwangaphakathi lwemithambo yegazi enika ingqondo. Ukutshatyalaliswa kwemibhobho ye-carotid kunye ne-vertebral kuvame ukubangela iintlungu zentloko kunye / okanye intamo kunye nesimo esisongela ubomi, njengoko kunokukhokelela ekubetheni.
Kule meko, i-MRI yentloko kunye nangaphandle kweendaba, i-MRA yentloko nentamo, okanye i-CTA yentloko nentamo inconywa.
Ukukhangela ngokukhawuleza okanye kwiNtloko yeNtloko
Intloko enzima kwaye / okanye iqala ngokukhawuleza ixakeka ngokugqithisekayo kwi-ingqondo (oko kukuthi i- subarachnoid i-hemorrhage ) kwaye iqinisekisa ukuba ucinga ngengqondo.
Kule meko, i-CT yentloko ngaphandle kokungafaniyo kweendaba, i-CTA yentloko kunye neendaba ezahlukeneyo, i-MRA yentloko kunye okanye ngaphandle kwemediyo, okanye i-MRI yentloko ngaphandle kokuchasene neendaba kunconywa.
ILizwi
Ukuba ubona ugqirha okanye uhamba eklasini yongxamiseko kunye neentloko ezinobungozi, ukucingwa kwengqondo kuya kulawulwa. Nangona akudingeki ukuba ukwazi ukuba uyayilula-yeso sizathu oogqirha-kuyaqinisekisa ukuba kukho iziphakamiso ugqirha wakho alandelayo.
> Imithombo:
> Gonzalez-Gay MA, Barros S, Lopez-Diaz MJ, Garcia-Porrua C, iSanchez-Andrade A, i-Llorca J. Giant cell cell arteritis: iipatheni zezifo zenkcazelo yekliniki kwimilo yezigulane ezingama-240. Amachiza (iBaltimore) . 2005 Sep; 84 (5): 269-76.
> Hainer BL & Matheson EM. Indlela yokuya kwiNtloko yeZihloko eziPhambili kwiAdala . I-Phys Physician. 2013 Meyi 15; 87 (10): 682-87.
> Silbert PL, Mokri B, uSchievink WI. > Intloko yesifo > nentlungu yentamo kwi-carotid yangaphakathi kunye nokwehlukana kwemithambo ye-vertebral. Neurology. 1995 Aug; 45 (8): 1517-22.
> Strain JD, et al. Intloko. Ikholeji yaseMelika yaseRadio. Iimpawu zokufaneleka ze ACR. Radiology . 2000; 215 (i-suppl): 855-860.