Ib x-ray ntawm cov sinuses yog kws kho mob tau sau tseg yog tias tus neeg mob xav tias muaj mob sinusitis (tus txheej txheem inflammatory hauv lub maxillary sinuses). Kev kuaj xyuas pab txheeb xyuas tus kab mob nyob rau theem pib ntawm nws txoj kev loj hlob thiab pib kho kom zoo uas yuav pab kom tsis txhob muaj qhov mob thiab tiv thaiv qhov tshwm sim ntawm cov teeb meem. Nws yog ib qho tseem ceeb los txiav txim siab qhov twg yuav thaij duab ntawm cov sinuses.
txheej txheem piav qhia
Cov txheej txheem tau ua hauv ntau qhov kev kwv yees:
- chin;
- axial;
- naso-chin.
Ib daim duab ntawm kev noj qab haus huv sinuses yog ua nyob rau hauv lub naso-chin projection, thaum lub sij hawm tus txheej txheem, tus neeg mob so ntawm lub sawv ntawm lub radiographic ntaus ntawv nrog nws lub puab tsaig thiab qhov ntswg. X-ray pab txiav txim siab qhov xwm txheej ntawm maxillary sinuses thiab txheeb xyuas tag nrho cov kev ua txhaum cai uas tshwm sim hauv lawv.
Main indications
Ib daim duab ntawm cov sinuses yog ib txoj kev kuaj mob zoo uas koj tuaj yeem tau txais tag nrho cov ntaub ntawv tsim nyog hais txog lub xeev ntawm lub cev kuaj thiab cov pob txha circumosseous. Cov txheej txheem no tau muab rau cov neeg mob hauv cov xwm txheej hauv qab no:
- nrog qhov ntswg qhov ntswg uas tshwm sim vim qhov tsis nkag siabvim;
- qhib lossis kaw kev puas tsuaj rau pob txha lossis cranial ntawm lub ntsej muag;
- muaj kev pheej hmoo siab ntawm sinusitis (nrog cov tsos mob hauv qab no tshwm sim hauv ib tus neeg: mob taub hau, mob rhinitis, ua npaws, ua pa nyuaj);
- lwm qhov kev qhia rau kev kuaj mob yog qhov tsis txaus ntseeg ntawm lub xub ntiag ntawm polyps, cysts, qog tsim, adenoids thiab lwm yam txawv teb chaws tsim nyob rau hauv lub qhov ntswg kab noj hniav;
- txhawm rau ntsuas qhov ua tau zoo ntawm kev kho mob;
- npaj rau kev phais.
X-ray contraindications
Nws yog tsis yooj yim sua rau qee cov neeg tuaj yeem thaij duab ntawm paranasal sinuses vim muaj qee yam contraindications rau cov txheej txheem. Nws yog txwv tsis pub rau cov poj niam cev xeeb tub thiab cov menyuam yaus hnub nyoog qis dua xya xyoo. Cov txheej txheem tsis provoke kev loj hlob ntawm mob syndrome thiab yog yus muaj los ntawm ib tug me me koob tshuaj ntawm hluav taws xob nkag mus rau hauv tib neeg lub cev. Xws li kev ntsuam xyuas yog contraindicated rau cov poj niam cev xeeb tub, txij li thaum lub sij hawm no lub fetus yog rhiab heev rau lwm yam tsis zoo. Qee zaum, radiography thaum cev xeeb tub ua rau muaj qhov txawv txav hauv cov qauv ntawm lub cev hauv tus menyuam mos.
Cov menyuam yaus hnub nyoog qis dua xya xyoo tau txais x-ray nyob rau hauv cov xwm txheej tsawg heev, vim tias gamma rays tuaj yeem cuam tshuam rau kev loj hlob thiab kev loj hlob ntawm tus menyuam pob txha. Hauv qhov xwm txheej hnyav, cov kws kho mob tshwj xeeb los tshuaj xyuas cov sinuses hauv tus menyuam siv txoj kev no (yog tias kuajmuaj txiaj ntsig ntau dua li qhov tau txais kev puas tsuaj tom qab nws).
Sinusitis on x-ray
Nyob rau hauv daim duab ntawm cov sinuses nrog sinusitis, tus kws kho mob tuaj yeem kuaj pom cov cheeb tsam tsaus nti ntawm sab sauv kab rov tav nyob rau hauv qis thiab nruab nrab degrees - qhov no yuav yog ib qho cim ntawm tus neeg mob tus kab mob. Nyob rau hauv lub xub ntiag ntawm cov kab mob ua xua, hauv ncoo-zoo li tus protrusions ntawm mucous daim nyias nyias tuaj yeem pom hauv daim duab. Tej zaum lawv yuav zoo li x-ray syndromes (kev loj hlob ntxiv ntawm qhov nruab nrab lossis kev siv zog ntxiv).
Ua tiav qhov tsaus ntuj ntawm cov maxillary sinuses tshwm thaum cov kua dej ntau ntawm cov kab mob sib sau ua ke nyob rau hauv kev cuam tshuam ntawm pneumococcus thiab streptococcus.
X-ray ntawm lub puab tsaig projection yog ua raws li nram no: ib tug neeg sawv ntsug thiab leans nws lub puab tsaig tiv thaiv ib tug tshwj xeeb sawv ntsug. Txoj hauj lwm no pab kom pom tseeb pom qhov qis maxillary sinuses hauv cov duab uas tshwm sim, thiab ua kom tsaus rau sab sauv me ntsis.
Kev pom hauv daim duab
Kev piav qhia ntawm daim duab ntawm cov sinuses yog ua los ntawm tus kws kho mob tshwj xeeb. Qhov projection no zoo pom cov lattice labyrinths nyob ze ntawm lub qhov ntswg, uas ua paug thaum lub sij hawm inflammatory txheej txheem nyob rau hauv dej los yog maxillary sinuses:
- pyramids ntawm lub cev pob txha;
- maxillary sinuses hla tag nrho saum npoo.
Piv rau qhov pom ntawm naso-chin, lub puab tsaig-tuck pom pom tseeb ntawm ib nrab ntawm ob lub qhov txhab, uas tau sib tshooj los ntawm lub cev ntawm lub cev.
Qhov nyuaj tshaj plaws kom pomyog lub lattice labyrinth. X-ray anterior raug coj mus kuaj xws li pathology.
Koj tuaj yeem pom dab tsi hauv daim duab?
X-ray rau sinusitis pab pom cov qauv hauv qab no:
- qhov ntswg qhov ntswg;
- npog hauv cov kab noj hniav;
- ocular orbit;
- chaw ntxoov ntxoo;
- pob txha taub hau;
- ncig maze.
CT scan ntawm cov sinuses pab txheeb xyuas txhua qhov txawv txav hauv qhov ntswg. Kev sib sau ntawm cov kua dej ntau tuaj yeem pom meej ntawm lub xov tooj cua. Thaum xav txog cov qauv ntawm ethmoidal labyrinth, tshwj xeeb yuav tsum tau them nyiaj tshwj xeeb tsis yog ntau npaum li cas rau qhov mob hnyav, tab sis kom meej meej ntawm cov contours ntawm txhua lub cell.
Nyob rau hauv ib tug neeg laus, lub hlwb ntawm cribriform labyrinth txawv ntawm cov yam ntxwv hauv qab no:
- tus nqi me;
- hais ciam teb;
- nruab nrab phab ntsa thickness;
- kev ua txhaum hauv cov qauv ntawm intercostal septa;
- tsis paub meej tus qauv ntawm lub labyrinth.
X-ray duab pab kom pom tseeb pom txhua qhov cim cim. Lawv tau piav qhia los ntawm tus kws ntsuas hluav taws xob.
Ntawm qhov ntswg qhov ntswg
Thaum tus txheej txheem, tus kws kho mob tau txais daim duab tseeb ntawm lub qhov ntswg nrog qhov chaw tsaus. Pom tus duab ntxoov ntxoo nyob rau hauv qhov projection ntawm adnexal formations, tus kws kho mob txiav txim siab tias tus neeg mob muaj sinusitis. Yog tias muaj cov kab noj hniav nrog cov kua hauv, qhov muaj qhov maxillary cyst tuaj yeem xav tau.
X-ray kuaj kom kuaj taupuffiness thiab purulent formations nyob rau hauv paranasal sinuses. Yog hais tias, tom qab tus txheej txheem, tus kws kho mob pom cov kua paug nyob rau hauv lawv, nws yuav muab ib tug complex kev kho mob nrog tshuaj tua kab mob. Thoob plaws hauv chav kawm ntawm kev noj cov nyiaj, kev siv hluav taws xob ntxiv yog ua, uas pab txiav txim siab cov txiaj ntsig ntawm kev kho mob.
Nyob rau hauv daim duab thaum lub sij hawm sinusitis, koj tuaj yeem pom qhov tsaus muag nyob rau theem kab rov tav. Thaum pib ntawm txoj kev loj hlob ntawm tus kab mob, ib qho me me ntawm cov kua dej infiltrative tuaj yeem kuaj pom ntawm x-ray.
Kev txiav txim siab ntawm tus mob ntawm maxillary sinuses
Yuav kom nkag siab yog tias muaj kua hauv tus neeg lub qhov txhab maxillary, ib tus yuav tsum nco ntsoov tias dej coj li cas hauv khob. Nws ib txwm tswj xyuas cov kab rov tav ntawm cov kua qaij txawm tias thaum lub hom phiaj hloov pauv.
X-ray ntawm lub qhov ntswg thiab cov kab mob paranasal tseem qhia tau tias puas yuav tsum tau txhaj tshuaj kom tshem tawm cov kua paug uas tsis tuaj yeem tshem tawm yooj yim los ntawm kev noj tshuaj.
Nws muaj peev xwm txiav txim siab kom meej txog thaj tsam ntawm tsub zuj zuj ntawm cov kab mob purulent los ntawm cov duab tsis zoo ntawm lub qhov ntswg kab noj hniav thiab cov kab mob paranasal. Daim duab x-ray yuav pab tus kws kho mob kom paub meej qhov kev kuaj mob thiab ua kom muaj kev kho mob ntau dua rau ib kis. Nyob rau hauv daim duab ntawm lub sinuses ntawm tus neeg noj qab haus huv, tsis muaj qhov tsaus ntuj nti thiab ntxiv formations.
qog hlav thiab x-rays
Ib daim duab ntawm paranasal sinuses pab txiav txim qhov muaj nyob hauv lub cevCov khoom siv: sarcoma, chondroma lossis osteoma. Xws li neoplasms feem ntau pom los ntawm lub caij nyoog thaum kuaj cov duab. Thaum txheeb xyuas cov duab uas tau tshwm sim, tus kws tshaj lij tau them nyiaj tshwj xeeb tsis yog rau qhov chaw ntawm dab noj hnub thiab nws qhov loj me xwb, tab sis kuj rau "plus-shadows".
Nyob rau hauv daim duab classic, koj tuaj yeem pom qhov pom tseeb ntawm cov kua dej ntau ntxiv, uas yuav pab ua kom qhov tseeb ntawm tus kab mob. Qee zaum, cov duab ntxoov ntxoo pom tseeb, uas yog nyob ntawm cov npoo.
Yog hais tias muaj cov lus hais thickenings nyob rau hauv lub qhov ntswg mucosa, ces qhov no yuav qhia tau hais tias muaj cov kab mob hauv qab no nyob rau hauv tib neeg:
- catarrhal mob;
- ua xua;
- kab mob chronic;
- o tom qab sinusitis.
X-ray ntawm cov kab noj hniav ntawm lub qhov ntswg tsis muaj hluav taws xob muaj zog ntawm tib neeg lub cev. Nws raug suav hais tias tsuas yog txoj hauv kev raug rau kev kuaj mob ntxov ntawm cov txheej txheem inflammatory hauv paranasal sinuses.
Ntau zaus ntawm cov txheej txheem
Ntau tus neeg mob xav paub ntau npaum li cas x-rays ntawm paranasal sinuses tau tso cai. Tom qab ib qho kev kawm uas siv gamma rays, cov ntaub ntawv hais txog hnub ntawm cov txheej txheem hluav taws xob tau nkag mus rau hauv daim npav sab nraud ntawm tus neeg mob.
Yog tus kws kho mob pom tias cov kev tshawb fawb no tau ua ntau dhau lawm, nws yuav txwv tsis pub tus txheej txheem thib ob. Nws muaj ib tug txawv feature:X-rays ntawm lub qhov ntswg yog tus cwj pwm los ntawm kev siv hluav taws xob tsawg heev, yog li qhov xwm txheej zoo li no tuaj yeem ua tau ntau zaus raws li qhov tsim nyog los kuaj xyuas qhov tseeb.
Txoj kev tshawb fawb cov txiaj ntsig
Ntawm cov duab tau txais tom qab kuaj pom, tus kws tshaj lij tuaj yeem txheeb xyuas cov txheej txheem inflammatory, qog tsim, txawv teb chaws lub cev, hlwv, curvature ntawm lub qhov ntswg septum, thiab anatomical cuam tshuam qhov chaw ntawm lub ntsej muag pob txha. Tsis tas li ntawd, cov txheej txheem no feem ntau siv los ntawm cov kws kho mob los txiav txim siab tus neeg mob lub sinusitis - cov txheej txheem inflammatory uas txuas mus rau daim nyias nyias ntawm cov kab mob paranasal sinuses.
Tom qab txiav txim siab tsim nyob rau hauv lub puab tsaig sab sauv, tus kws kho mob tshwj xeeb kuaj tus neeg mob nrog sinusitis, qee zaum - ethmoiditis, frontal sinusitis lossis sphenoiditis. Yog tias tus kws kho mob tshwj xeeb tuaj yeem kuaj pom tus kab mob hauv lub sijhawm, tom qab ntawd nws muaj feem ntau ntawm cov txiaj ntsig zoo thiab tiv thaiv kev txhim kho ntawm cov teeb meem (piv txwv li, o ntawm lub paj hlwb). Txhua qhov kev tsim ntawm cov kab mob pathological, uas tau qhia hauv daim duab, tau ntxiv los ntawm cov kws kho mob tshwj xeeb rau daim ntawv tshaj tawm kho mob tshwj xeeb, uas tom qab tus neeg mob raug xa mus rau kev teem sijhawm nrog tus kws kho mob tsim nyog.
Digital x-ray yog suav tias yog cov ntaub ntawv ntau dua thiab nce qib. Daim duab ntawm cov sinuses yog npaj rau hauv lub computer, uas yuav pab ua kom paub meej ntxiv ntawm lub cev. Tsis tas li ntawd, nrog rau cov txheej txheem no, tus kws tshaj lij yuav tuaj yeem txuag cov txiaj ntsig hauv digital hom thiab hloov lawv, yog tias tsim nyog, hauv Internet.
Rau lub ntsiab rho tawmHom kev kuaj no yog kim heev. Tsis tas yuav ntshai ntawm kev kho hluav taws xob thiab sim zam kev kuaj x-ray. Daim duab yuav pab tus kws kho mob xaiv txoj kev kho mob zoo rau tus kab mob.
Qhov txheej txheem tshwm sim
Qhov twg yuav thaij duab ntawm cov sinuses? Kev kuaj mob ntawm lub qhov ntswg thiab nws tus kheej qhov chaw tuaj yeem ua tiav hauv ib lub chaw kho mob pej xeem lossis ntiag tug hauv Moscow, St. Petersburg thiab lwm lub nroog ntawm lub tebchaws. Tsis tas li ntawd, qee tus nqi tau teem rau cov txheej txheem zoo li no, uas yuav nyob ntawm qhov chaw kho mob tshwj xeeb:
- X-ray ntawm paranasal sinuses (hauv ib qhov projection_ - txog 1300 rubles;
- Daim duab ntawm qhov ntswg qhov ntswg (hauv ob peb qhov projections) - los ntawm 1700 rubles.
X-ray ntawm lub sinuses yog qhov tseem ceeb hauv cov xwm txheej hauv qab no: txhawm rau txiav txim siab txawv teb chaws, qog, hlwv, pob txha puas, nrog teeb meem nrog kev loj hlob ntawm cov hniav, deformities ntawm lub ntsej muag pob txha, thaum tsis muaj sinuses lossis lawv underdevelopment, nrog rau thaum lub sij hawm inflammatory txheej txheem nyob rau hauv paranasal sinuses.
Qhov twg yuav thaij duab ntawm cov sinuses? Muaj cov chaw kho mob hauv Moscow hauv qab no uas koj tuaj yeem kuaj xyuas qhov no:
- SHIFA Medical and Dental Clinic;
- Orange Clinic Medical Center;
- "Miracle Doctor" ntawm Shkolnaya 49;
- chaw kho mob "Tus kws kho mob nyob ze" hauv Strogino;
- Clinic 1 in Lublino.
Kev ua tub rog
X-rays ntawm sinuses hauv cov menyuam yaus hnub nyoog qis dua 7 xyoos tsuas yogthaum muaj cov qhia tshwj xeeb, xws li qee qhov txheej txheem no ua rau cov pob txha loj hlob qeeb thiab teeb meem nrog osteogenesis.
Tsuas yog kws kho mob tuaj yeem sau cov txheej txheem no. Nws yuav tsum raug sau tseg tias qhov kev tsis txaus siab ntawm adenoiditis lossis sinusitis tsis suav nrog hauv cov npe qhia rau cov txheej txheem no thaum tseem hluas.
Cov menyuam yaus hnub nyoog qis dua 7 xyoo, cov txheej txheem ua tiav yam tsis muaj kev txhawj xeeb ntau. Tab sis yog hais tias nws muaj peev xwm hloov nws nrog ultrasound diagnostics los yog magnetic resonance imaging, ces ob txoj kev kawg raug xaiv.
Yog tias vim nws muaj hnub nyoog lossis vim muaj kab mob, tus menyuam kho tsis tau nws lub taub hau hauv ib txoj haujlwm ntawm nws tus kheej, ces tus niam txiv pab nws, uas yav tas los muab ib lub tsho tshwj xeeb nrog cov hlau lead.
