Kumayambiriro kwa mimba, maphunziro ambiri amatsutsana ndi mayi wamtsogolo. Madokotala, akuopa kuti chitukuko ndi thanzi la mwana wawo adzikonzekere, atha kupeza njira zina zozindikiritsira. Motero, kutuluka kwa mimba kumatuluka kumayambiriro, ngati pali zizindikiro zina.
Kusinthasintha - ndi chiyani?
Kumva mawu awa, amayi nthawi zambiri amakhala ndi chidwi ndi madokotala pa zomwe zimachitika m'mapapu ndi cholinga chomwe chikuchitika. Maziko a njira iyi yopenda ndi zotsatira za X-ray pa thupi - kuthekera kuti alowe mkati mwa minofu, kupanga chifaniziro cha mthunzi pa wonyamulira mafilimu. Ndipotu, izi ndi zofanana ndi X-ray, koma mlingo wa kuyera ndi njirayi ndizochepa.
Mafilimu sangagwiritsidwe ntchito pokhapokha kuti azindikire momwe zimakhalira. Ndi chithandizo chake, madokotala amadziwa zomwe zimachitika pamtima, ziwalo za mediastinum. Zina mwa zolakwira zomwe zimathandiza kuzindikira fluorography:
- zochitika ngati zotupa;
- foci wa matenda ndi kutupa;
- kusintha kwa ziwalo mkati.
Kodi chimachititsa fluorography?
Poganizira za cholinga cha kusankhidwa, atsikana nthawi zambiri amamufunsa dokotala za momwe madzi akuwonetsera. Maseŵerawa amapezeka ndi njira imeneyi ya matenda aakulu. Kawirikawiri, kupweteka kwapadera kumagwiritsidwa ntchito monga phunziro lowonjezera kuti tifotokoze zotsatira za ultrasound zomwe zilipo. Zina mwa matenda omwe amachitidwa ndi kafukufukuyu:
- chitsulo ;
- chifuwa chachikulu;
- ziphuphu za mapapo;
- UAC;
- matenda a mtima;
- kumamatira mu cavity pleural;
- Zotsatira za kukhumudwa kwa nthiti, kumtundu wa msana wa thoracic.
Kusintha kwapadera - miyeso
Kwa odwala ambiri ndikofunikira kudziŵa kuti radiation fluorography ili ndi thupi liti. Kuwopa kwawo sikulibe maziko - X-ray imakhudza thupi molakwika, makamaka pa mwana. Komabe, madokotala amati zipangizo zakono zamakono zamakono zimakhala ndi zotsatira zochepa za radioactive thupi, popanda kuvulaza thanzi lathunthu ndi thanzi lathu.
Choncho, potsatira njira imodzi ya filimu yotentha, thupi limalandira 0,5 mSv (milisivert). Kuyerekezera: pamene mukupanga filimu ya X ray pa malo ophunzira, thupi limalandira 0.3 mSv. Zowopsya kwambiri kuchokera pakuwona momwe zimakhudzira ziwalo zowonjezera ma radioactive ndi computed tomography (CT). Njira zotetezedwa kwambiri zopezeka X-ray ndi digito fluorography - yokha 0.05mSv. Njira imeneyi imagwiritsidwa ntchito pamene chimbudzi chimapangidwa panthawi yomwe mayi ali ndi pakati.
Zamatsenga - zizindikiro ndi zotsutsana
M'mayiko ambiri, phunziro ili limaphatikizapo kufufuza kwa chaka ndi chaka. Choncho, madokotala akuchita zoteteza matenda a chifuwa chachikulu, kufotokoza matenda kumayambiriro. Komabe, nthawi zina, kafukufukuyo ndi woyenera ndipo amayendetsedwa mwamsanga. Odwala amapatsidwa chidziwitso, zizindikiro zotsatiridwa ndi izi:
- kufooka;
- mpweya wochepa;
- chifuwa chotopetsa.
Nthawi zambiri masewerawa amapezeka panthawi yopanga mimba. Koma zotsutsana, palibe zotsutsana zenizeni pa kukhazikitsidwa kwa fluorography. Phunzirolo silofunika pamene:
- vuto lalikulu;
- mantha a malo ozungulira;
- dyspnea;
- mimba.
Kodi n'zotheka kupanga fluorography panthawi ya mimba?
Pakati pa madokotala palibe malingaliro osaganizira. Ena amanena kuti phunziroli likuletsedwa pa nthawi yonseyi, ena amanena kuti n'zotheka kupanga chiwonongeko pa nthawi ya mimba, koma kwa nthawi yaitali. Pachifukwa ichi, madokotala onse akuvomereza kuti sangavomereze kuti apange kafukufuku mwamsanga, mpaka masabata makumi awiri. X-ray imakhudza zoipa zomwe zimachitika pa intrauterine chitukuko.
Kodi kutentha kwa thupi kumakhudza bwanji mimba?
Kuchita masewera olimbitsa thupi panthawi ya mimba kumachitika pokhapokha pali zizindikiro zina, pamene njira zina zozindikiritsira zilibe mphamvu kapena sizingatheke. Zoopsya za madokotala zimagwirizana ndi zotsatira za munda wa radiation pa mwanayo. Kupyola minofu, maselo omwe ali pa siteji ya chitukuko ndi kugawa, X-rays kuwonongeka kuchokera mkati. Zipangizo za jini zowonongeka koposa zonse, choncho, kupweteka kwapakati pa mimba kungapangitse kuti chromosomal isasinthe.
Mafunde amatha kuthyola ndi kupasula zida za DNA, kotero kuti kutentha kwapakati pa nthawi yomwe ali ndi pakati kumatsutsana. Mofananamo, pali ionisation pang'ono ya madzi mu maselo. Izi zimapangitsa kuti pakhale mapangidwe ambiri, omwe ali ndi mankhwala akuluakulu (H + ndi HO-). Zomwe zimayambitsa nucleic acid ndi mapuloteni a selo, zikuwombera iwo mbali zosiyana. Zotsatira zake zimakhudza kufa kwa selo kapena kupangidwa kwa chigawo cha mutant.
Kodi fluorography ndi yoopsa pamayambiriro a mimba?
Madokotala amavomereza bwino funso ili. Panthawi imodzimodziyo, zimadziwika kuti kutuluka kwa mimba kumayambiriro koyambirira kwa mimba ndi koopsa kwambiri - zotsatira za kafukufukuyu zingakhale zomvetsa chisoni. Motsogoleredwa ndi X-rays, pali kuphwanya njira yowakhazikitsidwa , yomwe imapezeka pa tsiku la 7-12 kuchokera pakulera. N'zosatheka kulepheretseratu chikoka cha intrauterine, chifukwa cha chiopsezo chochotsera mimba mwadzidzidzi kumawonjezera phanga zingapo.
N'chifukwa chiyani mukufunikira fluorography?
Kupezeka pa nkhani yokhudzana ndi pakati pa amayi ndi amayi, amayi omwe ali ndi pakati ayenera kupereka chigamulo pa kuyendera ndime ya wokwatirana. Izi zikukweza funsoli pa zomwe zimafunikira kuti fluorography ya mwamuna. Madokotala mwanjira imeneyi samapewa njira yowonekera ya chifuwa chachikulu cha TB, chomwe sichipezeka kunja kwa nthawi yaitali. Ngati banja lili ndi mayi wokhala ndi achibale omwe ali ndi matendawa, adokotala angafunse zotsatira za kufufuza kwawo, ndipo chiwerengero cha mwamuna pamene ali ndi mimba ndi chovomerezeka.
Kodi chingachitike n'chiyani kuti mutenge mimba?
Zosafunika pa nthawi yomwe mwana ali ndi pakati, kutuluka kwa mimba kumayambiriro koyambirira kwa mimba kungatengedwe ndi digito X. Choncho, madokotala akhoza kuchepetsa kwambiri mlingo wa mankhwala. Nthaŵi zina, n'zotheka kuchita chinyengo chogwiritsira ntchito pogwiritsa ntchito makina a ultrasound. Poganizira mfundo ina ya opaleshoniyi, madokotala amagwiritsa ntchito njirayi pamene pakufunika kufufuza ziwalo zamkati, monga:
- mtima;
- impso;
- mimba;
- chiberekero ndi mapulogalamu.