I-MRI ye-ankle: yini ekhombisa ukuthi kufanele yenze kanjani, kungakanani?

Akukho ukulimala okuqinisekisiwe ngokulimala noma ukulimala. Ngaphezu kwalokho, zikhona izingxenye ezihlukene zomzimba ezisengozini enkulu yokuthuthukisa izifo ezihlukahlukene. Enye yalezi zihlanganiso ze-ankle. Ukuhlukaniswa, ukubonakala kokuvuvukala, ububele kanye nezinye izimpawu ezingathandeki ziyisibonakaliso sokuxwayisa, okubonisa isidingo sokufuna usizo lwezokwelapha esikhathini esizayo esiseduze.

Ngaphambi kokuqala ukwelashwa, ochwepheshe bazokwabela isiguli ukuba sidlule izinqubo zokuxilonga. Ukuhlola okufika ngesikhathi kuzosiza ekutholeni imbangela yesimo sokugula esihlangene. I-MRI iyindlela yokwenza ucwaningo olujulile futhi olunolwazi, enikeza isithombe esicacile sezakhiwo zangaphakathi nokuhlola isimo semisipha nama-soft tissues. Ukwenza ucwaningo olunembile ngaphandle kwe-tomography kunzima. Ngaphezu kwalokho, izimbangela zokuthuthukiswa kwezifo zingaba yizinto ezihlukahlukene.

Izinzuzo ze-imagination resonance magnetic for pathology joint

Ukuskena kwe-MRI kwe-ankle kunenzuzo enkulu kunezinye izinhlobo zocwaningo. Izinzuzo zalo yikhono lokuthola izithombe eziphakeme kakhulu, okuvumela ochwepheshe ukuba bazise imininingwane ngesithombe esithile. Eziphethweni zesifo sokuxilonga, umuntu angathola ukuhlolwa okuhloswe ngesimo samathambo, izixhobo zomzimba, izicubu ezithambile, izigulane. Phakathi nenqubo, ochwepheshe banethuba lokubuka ngokucacile izici zokugeleza kwegazi esimweni esithile somtholampilo.

Ngokulimala okunzima nakakhulu kanye nokulimala komlenze, ukucabangela kwe-magnetic resonance yiloluhlobo olulodwa locwaningo oluqinisekisa umphumela onembile. Ngaphezu kwalokho, i-MRI ye-ankle ayithathi isikhathi esiningi: ukuskena kuthatha imizuzu engama-20-30, uma usebenzisa ukuphambene - akukho ngaphezu kwehora. Inqubo yesiguli idlula ngaphandle kwemiphumela emibi futhi ayibuhlungu ngokuphelele, ngakho-ke, ekuqedeni kwayo, umcwaningi angabuyela endleleni yokuphila evamile. I-MRI iyindlela engavumeleki evumela ukuthi ubheke ngaphakathi komzimba womuntu futhi uthole ulwazi oluphakeme mayelana nesimo salo.

Ukulandela ukuhlinzekwa kosizo lokuqala uma kwenzeka ukulimala kwe-ankle, isisulu sithunyelwe ukuze sihlolwe. Udokotela ohlinzayo noma isifo sezinambuzane ukhetha isifundo. Ngaphandle kwe-MRI yokuqala, ukwelapha ukwelashwa akunakwenziwa, ngakho-ke i-tomography iyadingeka ezigulini eziboniswa ukuthi zikhona ukungenelela kokuhlinzwa.

Izinkomba ze-MRI ezinqeni

Ezinye izinkomba zokuhamba kwenqubo yocwaningo yizimo nezifo ezilandelayo:

• Ubukhona be-neoplasms ye-histology engaziwa (nge-tumor esicatshangelwayo enobunzima noma ebulalayo);
• Ama-fractures kanye nokuxoshwa komhlangane we-ankle;
• Amapayipi, ligaments kanye namathenda;
• I-syndrome yezinhlungu ze-etiology engacacisiwe engxenyeni engezansi;
• Ukuzikhandla nokunyakaza okulinganiselwe kwezinyawo;
• I-nerve enezinyosi ezinyaweni.

Ngaphezu kwalokho, imbangela evame kakhulu ye-MRI izifo ezithile ezingapheli. Isibonelo, i-tomography inconywa i-arthrosis noma i- arthritis ye-ankle, izimpawu kanye nokwelashwa okudinga ukuqapha ngezikhathi ezithile odokotela abaqeqeshiwe. Ucwaningo lukuvumela ukuba ubone izinkinga ngisho nalapho ezinye izinqubo zocwaningo zibonise imiphumela engathandeki, kuhlanganise nalabo abahambisana nokuphazamiseka kwegazi emlenzeni.

Ngakho-ke, ukucabangela kwamagnetic resonance kuyindlela eyinkimbinkimbi yokuxilonga, ukuphawula ukuthuthukiswa kwenqubo yokwelapha ezinyathelweni zayo zakuqala nokuqala ukuqeda ukwehluka ngokushesha ngangokunokwenzeka.

Ukungafani nokuqapha

Naphezu kokuphepha kwenqubo, ngezinye izikhathi kunconywa ukuba ubaleke kwi-MRI. Indlela yokuhlolisisa umzimba, okusho ukufakwa kwesimo sokuphambene, njengombuso, kunokuphikisana okuningi kune-scanning standard. Ngokucophelela kuqaphele ekuhambeni kwenqubo yokuxilonga kumele kuhanjiswe iziguli ezinomlando wezinto ezithintekayo ekuphenduleni kwemizwa. Ngesikhathi sokukhulelwa, njengokuncelisa, ukuphathwa kohlobo lokuphambene nakho akumukeleki, ngisho nokulinganisa okuncane. I-Gadolinium, engxenyeni yokubunjwa kwayo, iyathinteka kakhulu umsebenzi wezinso, ngakho-ke akuyona into engathandeki ukubhekana nalesi sifo sokuxilongwa kubantu abahlukunyezwa izinso.

Ngenxa yezici ezikhethekile ze-MRI yokuhlangana kwe-ankle kanye nesimiso sokusebenza kwemishini, kubalulekile ukunamathela eminye imikhawulo:

• Isisindo sesiguli akumele sidlule 120 kg.
• Ukuqhuba ucwaningo kubantu abahlukunyezwa yi-claustrophobia noma ukuphazamiseka kwengqondo, kungcono ku-tomograph evulekile.
• Ungaphenyi iziguli ezinezakhiwo zensimbi emzimbeni. Kungakhathaliseki ukuthi i-valve yenhliziyo, i-pacemaker, ipompo ye-insulin, i-prosthesis noma nje ukubhoboza-noma yiziphi izakhi zensimbi zingaphazamisa imiphumela ye-diagnosis.
• Lapho umbhede ubhapathizwa ekamelweni, umzimba wesiguli unamathele ngokubamba amabhande ukuze ugweme ukunyakaza okungazibandakanyi.

Ngingakwenza i-MRI ebuntwaneni?

Ngokuvamile, le ndlela yokucwaninga isetshenziselwa izingane, lapho kunezizathu eziningi. Ngaphezu kokulimaza kusuka kusizinda sokuphambene, kunezinye izici ezivimbela inqubo esemncane kakhulu. Ukugcinwa kwezimoto ezingahambi kahle, okuyinto edingekayo ekufanekisweni kwemifanekiso yamagnetic, ngokuvamile kuyinto engenakwenzeka ezinganeni. Uma kunesidingo esikhulu sokuxilongwa, ingane ihlolwe ngaphansi kwe-anesthesia ejwayelekile. Yingakho kungcono ukufeza i-MRT kuphela kulezo zimo lapho inzuzo okulindelekile yokuthola ukuxilonga idlula ingozi engaba khona empilweni yengane.

Inqubo efundisayo: i-MRI izobonisa ini?

Uma i-ankle ivuvukala, kodwa imbangela yokugula ingaziwa, i-MRI inqunywe ngamaphesenti angu-90 amacala. Ngenxa yobuningi besifundo, odokotela bathola ulwazi oluthe xaxa mayelana nesimo:

• Amangqamuzana, njengoba i-tomography ikuvumela ukuba uhlole ngokubukeka izingxenye eziphansi ze-tibia, ingxenye yesithende kanye ne-ramming;
• Amadivaysi ase-Ligamentous - ama-tendon kanye nemigqa ekwazi ukudubula nokwelula, ngisho nangaphandle kokuzikhandla ngokweqile, ngokuvamile kubangelwa ubuhlungu besikhathi eside;
• Isisindo - ukuqinisekisa noma ukuqeda inqubo yokuvuvukala noma yokutheleleka kwezicubu ezithambile zomlenze nezinyawo ezincane;
• Izicubu ze-cartilaginous - ngokutholakala okutholakala ngesikhathi sokugqoka, ukuphahlazeka nezinye iziphambeko esigulini kunamathuba okuvimbela isifo samathambo esivumelwaneni sezinyolo.

Izimpawu kanye nokwelashwa kwezibalo eziningi ezitholakalayo ngesikhathi sokuhlonza zidinga indlela eqondile kanye nokubhekwa okuqhubekayo ngongcweti. Sebenzisa le ndlela yokuhlolisisa umlenze futhi uma usola ukuthi unama-cystic noma ama-oncological formations. Ngaphezu kokuthi i-MRI ye-ankle ibonisa ukuthi kukhona izifo, inqubo ingabelwa isiguli ukuze iqaphe ukusebenza kahle kokwelashwa kwamanje, futhi ngemuva kokuqedwa kwayo.

Indlela yokulungiselela kahle ukuxilongwa okuhlangene?

Uma isiguli sithunyelwe okokuqala, akusikho isidingo sokumkhathazeka. Ukukhathazeka mayelana nenqubo ezayo, abaningi bayabhekene nokufuna izimpendulo mayelana nendlela yokwenza i-MRI ehlangene ne-ankle. Empeleni, akukho ukuqeqeshwa okukhethekile okudingekayo ukuhlola le ngxenye yomzimba. Ukuthumela i-ankle scan, isiguli singase sikwenze ngokuqokwa ngokushesha ngemuva kokuba sithole ukudluliselwa kwadokotela oya khona. Uma i-gridolinium engadingekile idingeke ukuba i-MRI ihluke, kuphakanyiswa ukuba eze esifundeni kancane kancane, ngoba isikhathi esengeziwe sidingeka ukusabalaliswa kwempahla kuwo wonke umzimba nasemzimbeni ongenalutho.

Kuyini ukuhlolwa kwe-ankle?

Inqubo ngokwayo ngokuvamile ayikho imbangela. Ngamafuphi, ukuqhubekela phambili kwesifundo kungenziwa kanje:

• Ngaphambi kokungena ehhovisi, isiguli sithatha zonke izinto zensimbi, kufaka phakathi ubucwebe, ubucwebe, kukhubaza ifoni ephathekayo.
• Esikhathini sokuqala sokukhulelwa, i-ankle scan ngaphandle kwe-agent ehlukile ivunyelwe, kodwa ngaphambi kokuba inqubo idingeke ukuxwayisa udokotela ngesimo esikhethekile sesiguli.
• Khona-ke isiguli siyocelwa ukuba silale phansi embhedeni wesithwebuli, isazi sizoziqinisa ngokuqinile izandla, izinyawo, ikhanda ngosizo lwamabhande nama rollers. Ukuze unciphise umsindo (idivaysi isebenza ngokuzwakalayo), isiguli singanikezwa izingcingo.
• Emva kwalokhu, itafula liphonswa ekamelweni ukuya kude kangangokuthi unyawo lwesiguli nesiguli liwa ngqo ngaphansi kwe-trajectory ye-torsion ye-ring tomograph.

Imiphumela yocwaningo kanye nokucacisa kwabo: yini okufanele uyenze ngokulandelayo?

Inqubo ayithinti izinzwa zendaba, noma ngabe ukujoyina kwakhe kwe-ankle kuvimba. Phakathi nenkathi yokucwaninga, udokotela uzobe ebuka ekamelweni elilandelayo, ongathintana naye nganoma yisiphi isikhathi bese umisa inqubo yokuskena ngaphansi kwezimo ezingalindelekile. Lapho sekuqedile ukuhlolwa, udokotela uzonikeza isiguli imiphumela yenkambiso. Ngokuzimela ukubheka kuzo izimbangela ze-pathologies nokuhlola ubunzima bomonakalo ohlangene we-ankle akudingekile: ukucaciswa kwezinhla zezifundo kuzothathwa udokotela oya khona.

Ziyini izifo eziyinhloko ezihlushwa yi-tomography?

Ngokususelwa ekuxilongweni, futhi ngokusekelwe ezimpawu ezichazwe ngesiguli, lochwepheshe uzokwazi ukuhlola kahle. Ngokwehlukana, ukulimala okuyisisindo esincane noma ukuhlukana okuncane kwamalungu e-ankle, isiguli kulindeleke ukuthi sithole ukwelashwa okuphelele okuhlanganisa, njengomthetho, wezinkambo zemithi yokubuyisela kanye nokuzivocavoca kwemithi nokwenyama. Uma i-neoplasm itholakale ukuthi inqume imvelo yayo, isiguli sithunyelwa ku-biopsy ukuze ihlolwe ngokuyisisekelo ngamasampuli amathishu athathwa.

I-pathologies ejwayelekile kakhulu engakwazi ukubona i-MRI ye-ankle, singacabanga ngalokhu okulandelayo:

• I-arthrosis nezifo ze-rheumatic (kuhlanganise nezifo ezithathelwanayo, igciwane, isifo samathambo e-juvenile rheumatoid arthritis);
• Ukulimala kwamaphilisi ahlangene, i-ligament iphula futhi i-sprain;
• Ukushona kwegazi kuhlangene;
• Ukuphakama kwe-syndesmosis (okuvame ngokwengeziwe ngenxa yokuchithwa kwe-ankle phakathi kwe-tibia encane nekhulu);
• Ukungahleleki kokuthuthukiswa kwamabriyoni;
• I-Chondrosarcoma - umdlavuza wamathambo ahlangene;
• I-Synovium - isisu esinonya se-synovium.

Yikuphi okungcono: i-MRI noma i-CT? Uyini umehluko phakathi kwabo?

Lapho ukhetha indlela yokuxilongwa ezimweni eziningi, odokotela bakhetha i-MRI. Kwezinye izimo, kungase kube yinto ehlukile kumathemikhali wekhompyutha. Kunzima ukucacisa ukuthi yiziphi izinhlobo zokukhishwa kwesikhumba okuhlangene okungcono futhi okuphumelelayo, ngoba inqubo yazo zombili izinqubo ngokuyinhloko incike ezinkomba.

Ngakho-ke, i-CT idlula ngesimiso sokuhlolwa kwe-radiographic, i.e. I-Radiographing ingxenye yomzimba ngemisebe. Ngakho-ke, lolu hlobo lokuxilongwa lusebenza kangcono ekuguquleni kwamathambo emathanjeni amathambo. Esithombeni se-tomography yethambo itholwa ngezithunzi ezimhlophe, nezinye izikhala ezizobekwa umbala omnyama. Ukumaka okunjalo kuphumelela ekuboneni isayithi le-fracture, i-cyst, umzimba wangaphandle.

Ukuze ubone ukuthi imiphi imisipha ye-ankle ingaphakathi, kungcono ukumisa i-MRI. Iskena ukuhlanganiswa ngokwawo, i-ligamentous apparatus kanye nezicubu ezithambile ezizungezile zizovezwa ngokwengeziwe kune-tomography ehlanganisiwe.

Zingaki izikhathi zokujoyina ezingasetshenziswa nge-MRI?

Naphezu kokucabanga okucacile nokuqonda izingozi zemifanekiso yamagnetic resonance yempilo yabantu, lolu hlobo lokuxilonga luphephile ngokuphelele emzimbeni. Uma kungekho ukuphikisana nokugcinwa kwazo zonke izinyathelo ezidingekayo, umuntu akufanele ahlangabezane nalokhu: isifundo asikwazi ukuphazamisa inkinga yesifo, kubika isimo sesiguli jikelele. Ngokungafani ne-rayography ne-CT, i-MRI ingenziwa kaningi kakhulu. Phakathi naleso sikhathi, isinqumo ngesidingo sokuxilongwa nokuphindaphindiwe kwenqubo sithathwa kuphela ngumchwepheshe.

Ngakanani inani le-aneurysm ye-ankle eRussia elibiza?

Enye iphuzu elifanelwe ukunakwa yizindleko ze-MRI enezinyosi. Ngabe kunzima kangakanani ukuxilongwa eRussia, njengoba intengo yenqubo ingaba nokungafani okuphawulekayo kwezifundo ezahlukene zeRussia Federation. Ngokwesilinganiso, izindleko ze-tomography ziyashintsha nxazonke ze-ruble 4000-5000. Uma kunenqubomgomo yomshwalense wezokwelapha okuphoqelekile, iziguli zinezithuba zokuhamba ngenqubo mahhala endaweni yokuhlala. Imininingwane kufanele icaciswe ngudokotela oya khona noma inkampani yomshuwalense eyakhishwe inqubomgomo.