Radiology eJalimane

Ngenxa isiyalo ngokulinganiswa ayemncane, okungase kubhekwe kokutholakala kwama-X ray e 1895, ukuzalwa, Radiology eJalimane nakwamanye amazwe abakhuluma isiJalimane iyingxenye kwesifo kanye nokwelashwa kwezifo eziningi ukukhathazeka njengoba Oncology, kanye nezinye specialisation abaningi bezokwelapha.

Radiology Modern German sehlukaniswe tincenye, kuye ngokuthi isitho eziqondiwe yobudala nesineke. Lezi zihlanganisa, isibonelo, Neuroradiology, elibhekene nomse- isimiso sezinzwa, mammography (ucwaningo nezindlala zesifazane mammary), Radiology ezingane, njll
It iye yakhetha Radiology odokotela ukuxilonga 80% izifo ezingathi sína kwababhemayo. Lokhu kuyaqondakala, ngoba esikhathini sethu, sibonga ekuthuthukiseni Radiology, ngokuphelele ngaphandle kwegazi zokwazi ukuphila konke umbala isithombe ezintathu-ntathu of kabi noma isiphi isitho noma indawo embhedeni semithambo uhlelo zemisipha, futhi silihlobanise kusuka kunoma iyiphi i-engeli futhi kusukela kunoma yiluphi uhlangothi. Futhi iyatholakala odokotela kungase kuhlinzekwe, futhi izigaba olubonakalayo izakhiwo okukhulunywe ngaye ngenhla, 0.5 mm obukhulu. Akubuzwa, ezifana ukunemba uphethwe hhayi kuphela ngcono izinga, kodwa futhi lula ukuhlela ukungenelela kuhlinzwa, uma kunesidingo?

Yiqiniso, akunakwenzeka ukuba akhulume US - mhlawumbe ihadiwe inqubo kuphela zokuxilonga okuyinto akanayo imiphumela emibi. Namuhla, ngenxa sonography Doppler, hhayi kuphela "ukuhlola" izitho zangaphakathi futhi imithambo yegazi, kodwa futhi ukunquma isimo ukugeleza kwegazi kuzo, kuze ukucacisa nokwanela kwenhliziyo eyinhloko valve.

Ngandlela-thile ngaphandle, it is Nokho, kufakwe kuwufanele Radiology eJalimane okuthiwa "yenuzi imithi» (Nuklearmedizin), isetshenziselwa emisebeni kungakanani abakwaziyo kanye nokuhlola ezelaphayo. Lesi simo esiyingqayizivele sibangelwa yemvelo kwatholakala Genri Bekkerelem ngonyaka emva kuvulwa Conrad Roentgen-X ray, okuyinto kamuva ngegama lakhe. Ngokungafani-X ray, ukusetshenziswa emisebeni zabo ezisebenzayo ezitholakala engu-24 kuphela kamuva, ngesandla ukukhanya usokhemisi Georges de Heves. Wasebenzisa izakhi enemisebe ngoba kophawu ukudla, yena bafaka wekhaya, ukuze uhlole ukuze ubone ukuthi yena uzithoba kuye okusalile izolo ngosuku olulandelayo? - Yilokho yakwenza.

Namuhla kwafakwa isilinganiso esincane semithi izinto radioactive nge short kakhulu nengxenye-ukuphila asetshenziselwa ekuxilongweni izimila kanye izinto exchange. Le nqubo kusekelwe ekuqongeleleni noma ukuncishiswa inani lezi izinto ezindaweni ezithile emzimbeni. Isigaba sokuqala sihlanganisa, phakathi kokunye, isimila, futhi owesibili okuthiwa "abandayo" yegilo Izigaxana, athwala yingozi umdlavuza.

Inhlanganisela izindlela zokuthwebula izithombe zokwelapha kanye nezincazelo exchange ezingeni eyenziwe ngo-1990, ama-PET noma positron ekushayweni tomography, onikeza isithombe esinembile okungaphezu enye indlela ngokwehlukile. Okwamanje, ama-PET libhekisela izinqubo ejwayelekile, hhayi kuphela e Oncology, kodwa futhi uphethwe isifo senhliziyo (isib, isilethikusebenza), isifo i-Parkinson, isithuthwane futhi ukuze kuhlonzwe umehluko phakathi kwesifo sokudangala kanye komqondo (komqondo). Libuye kude ngaphambi nezinye amasu ukuthola ukuphumelela ukwelashwa futhi wenze izinguquko uma kudingeka. Ngakho, ama-PET okungenani kubaluleke kakhulu ukuba ngenkuthalo asathuthuka e-Germany, indlela siqu ekwelapheni isiguli ngasinye, okuyinto legumbi Paradigm entsha wemithi yaseNtshonalanga.

Kanye uphethwe, izinto radioactive kabanzi ukwelapha izifo eziningi. Ngo ukusetshenziswa zokwelapha ß-imisebe ungasabalalisa ezicutshini ezizungezile kuphela kwangu futhi, ngenxa yalokhu, akusho ezokwazi ukuthwebula kahle lonke umzimba cishe akukho-brainer. Ngakho kusukela forties kwekhulu lamashumi amabili therapy yegilo isetshenziswa iodine enemisebe.

Inkambu empeleni esasisesisha kwesicelo izidakamizwa enemisebe kukhona radiosinoviortezy ukuthi endaweni ehlukile imithi enuzi, futhi ngo-1993 isicelo eJalimane ngoba impatho sinenkonzo yokunakekela iziguli emakhaya arthritis kanye rheumatism.

German Radiology bangaziqhayisa kanye nezinye okuyinto lithole eminyakeni yamuva, ukuthuthukiswa ngokushesha endaweni. Sikhuluma Radiology interventional, okubandakanya kokungenela kancane koda izinyathelo ngokoqobo iphuzu-kuhlinzwa. nokugxambukela is kabanzi kakhulu esetshenziswa - izitsha ayisesemikhulu ukuba izimila. Futhi uma ku dlula noma stenting izitsha yenhliziyo kwenhliziyo, thina sesinomkhuba nokuqedwa a stenosis (ukuvaleka) ka imithambo yegazi yomuntu lezwaneni olukhulu, isibonelo, isifo sikashukela, ikhumbula ubukhulu babo ubuncane kungenzeka sokujabulisa kahle nayizimfundamakhwela ngisho oqondayo. Kufanele kuqashelwe ukuthi, kuze kube muva ngokuvamile kokutshelwa ngokukhubazeka kwengane kwakusho ukunqunywa okungenani umunwe.

Ukwelashwa izimila kungabuye sehliselwe imiphumela ku imithambo yegazi, kodwa lapha konke sishintshile. Stenosis yegazi ukusuthisa izicubu Ushintshe kudalwa eyayenziwe. Through ezincane (kusuka kwangu ambalwa 1 - 2 cm) imbobo ipayipi, saqhubekela isimila bese ngokusebenzisa yona isitsha oyifunayo ubuhlalu ezincane yethulwe okuthiwa ejenti embolic. Ithumba ayisaxhunyanisiwe enikeziwe ngegazi futhi equliswa esikhundleni ngu isibanda izicubu. It lithathwa njengenye lesizalo fibroids namuhla ukuthi, ngenkathi okusongela akuvamile ukuphila, angabakhulula eningi ehlushwa owesifazane. Kuze kube muva nje, ukuphathwa sasihlanganisa ukususwa isimila kungavamile ukuba ingozi, futhi nalo, kakhulu, futhi ingxenye kwesibeletho.

Enye Indlela coagulation okushintshiwe izicubu, isibonelo, izimila ezithile isibindi. Kulokhu ngqo isimila ngesikhumba ngqo wafingqa iphenya ka mayelana 1.5 mm ububanzi, okuyizinto ngesikhathi esifanayo lo emitters radio noma zokuxhumana amaza. Waves wukukhanya kubo ngokoqobo ashiselwe neoplasm njengoba e-microwave oven. Njengoba ijwabu isibindi ayinakho ubuhlungu kwalapho, ukuxhaphaza nesineke cishe kobuhlungu. Ngemva kwemizuzu engu-15 ama-CT control scan noma i-MRI wenziwa emva kokungenela, okuvumela ukuba sithole ukuthi zonke izicubu onesifo libhujiswa. Uma kungenjalo, i-coagulation yesibili.

Nge cishe kunemba aphethwe namuhla futhi welashwa ngemisebe. Ngokwesibonelo, e izimila endlaleni engasesinyeni ngokuvamile kuvimbela ngemisebe kwenzeka ngemva surgically ekwelapheni incontinence urinary, ngisho silondoloze potency. Ukusetshenziswa emisebeni for izimila amalaka kungaba ngokuvamile ulondoloze izwi lesiguli cishe angashintshiwe. ukwelashwa Steel ezimweni ezinjalo ngokuvamile kuholela ephelele ukulahlekelwa izwi. Ezimweni eziningi, ezifana e izimila webele uma ukusebenza akunakugwenywa, le ngemisebe kungaba kakhulu inciphise izicubu zisuswe, futhi ngaleyo ndlela imisebenzi ukuthi odokotela bona ngaphambili yayibizwa ngokuthi 'ugogekile' yekani ukuba ezinjalo.

Ngokusetshenziswa ikhompyutha namasu ekuthuthukiseni ka CT nama-MRI, ukuthuthukiswa ukwelashwa ngemisebe ngokuqiniseka ilandela indlela lokwehliswa kanye intuthuko kwezicelo (sikhuluma amamilimitha angu), okuyinto namuhla evumela ukuba irradiate ezithile nezimila olujulile nge umonakalo okuncane zezicubu ezizungezile enempilo, okungukuthi, . ukunciphisa ububi besimo sokuguquka kanye nezinkinga ezimweni ezinjalo.

Ukuqhubeka okunengqondo we mkhuba okuthiwa brachytherapy. Leli gama waqonda ukubeka umthombo emisebeni ngqo nezicubu lwesimila. Le ndlela may, isibonelo, ukuphathwa kwezinhlobo ezithile izimila wendlala.

Ngenxa ukuthuthukiswa ngokushesha futhi yethula zokwelapha eziphambili kakhulu "ezingezona ezokwelapha" ubuchwepheshe, namuhla abantu abangaphezu kwengxenye zomdlavuza ingelapheka, noma okungenani, kungenzeka lokufinyelela nalezi ukuzinza ukumelana ehlala njalo yalolu (ukuthethelelwa). Radiology eJalimane lifaka phakathi izindawo ithuthuka ngokushesha kakhulu. impumelelo yakhe njengengxenye wokuphila emkhakheni wamuva wezokwelapha, ake Ngethemba ukuthi izifo eziningi ezinkulu ngisho eziyingozi maduze kakhulu zizodonswa ku uhlu okuyisimo esisongela ukuphila.