mob ntsws yog ib yam kab mob txaus ntshai heev rau tus neeg mob lub neej thiab kev noj qab haus huv. Yuav xaiv dab tsi rau nws qhov kev kuaj mob sai, fluorography lossis x-ray? Ib tug kws kho mob uas tsim nyog yuav tsis xav txog lo lus nug no, txij li cov lus teb yog pom tseeb rau nws. Tab sis nws yog ib qho nyuaj rau ib tug neeg nyob deb ntawm thaj tsam ntawm cov tshuaj kom nkag siab qhov sib txawv tseem ceeb ntawm ob txoj kev zoo sib xws. Puas yog fluorography qhia tias mob ntsws? Peb yuav mob siab rau ib feem ntawm cov khoom siv rau qhov teeb meem no. Peb tseem yuav tshuaj xyuas txoj hauv kev zoo los kuaj tus kab mob.
fluorography yog dab tsi?
Ua ntej tshaj, koj yuav tsum nkag siab txog cov yam ntxwv ntawm txoj kev kuaj mob no txhawm rau nkag siab seb fluorography puas yuav kuaj mob ntsws.
Fluorography twb yog ib txoj kev tshuaj ntsuam xyuas kev noj qab haus huv ntawm pej xeem. Thiab peb tam sim ntawd nco ntsoov tias qhov no yog txoj kev tiv thaiv. Qhov ntawd yog, nws tsis raug xaiv los ua qhov kev kuaj mob tshwj xeeb, tab sis muab cov ntaub ntawv dav dav hauv tib lub xyoo kho mobkev kuaj mob (kev kuaj mob).
Yuav ua li cas fluorography qhia mob ntsws nyob rau theem pib? Cov lus teb yuav zoo. Lub hom phiaj tseem ceeb ntawm txoj kev no yog qhov tseeb txhawm rau kuaj kab mob ntsws, mob qog noj ntshav thiab mob ntsws thaum ntxov.
Thawj khoom siv
Puas fluorography qhia tias mob ntsws thiab mob ntsws? Cov lus nug no tau muaj kev txaus siab rau cov neeg mob tau ntev, uas yog txij li kev qhia txog thawj fluoroscopes. Cov khoom siv tau tsim los ua kom pom lub ntsws ntug ntawm qhov tshwj xeeb luminous saib.
Txawm tias cov txheej txheem no, dhau los ua tiav hauv qhov tseeb niaj hnub no, tau pab txheeb xyuas qhov txaus ntshai infiltrative foci hauv lub ntsws. Tsis tas li ntawd, txhawm rau txiav txim siab qhov ua rau lawv tshwm sim, cov kws kho mob siv X-rays nyob rau sab nraud, ncaj qha thiab ntxiv qhov projections.
Cov khoom siv thawj zaug kuj muaj qhov tsis zoo: lawv tsis muaj kev phom sij. Nco qab tias qhov tshuaj tiv thaiv kev nyab xeeb ntawm kev raug hluav taws xob yog 1 mSv ib xyoo. Thiab thaum tau txais fluorography, ib tug neeg twb tau txais 0.5 mSv ntawm hluav taws xob.
Puas fluorography qhia tias mob ntsws? Txoj kev classical tuaj yeem txiav txim siab tus kab mob, tab sis kev ntsuam xyuas tsis yog qhov tsis zoo rau tus neeg mob. Yog li ntawd, dhau sij hawm, rau kev kuaj pom ntxov ntawm cov kab mob txaus ntshai rau lub ntsws, cov tshuaj maj mam hloov mus rau cov txheej txheem digital.
Qhov zoo ntawm cov fluorography
Yog tias peb tig mus rau tam sim no, feem ntau cov chaw kho mob tau nruab nrog cov khoom siv fluorographic. Lawv thawj qhov zoo dua yog qhov txo qistus neeg mob hluav taws xob koob tshuaj. Qhov thib ob tau txhaj tshuaj zoo dua.
Cov duab ua ke nrog cov txheej txheem classical ntawm kev kuaj fluorographic li cas? X-ray ionizing rays dhau los ntawm tib neeg lub cev, xav txog ntawm zaj duab xis. Yog hais tias tus kws kho mob tsis raug xaiv qhov raug hom, tshuaj ntsuam kab sib chaws, ces qhov tshwm sim yog ib daim duab tsis zoo. Tab sis rau tus neeg mob, nws "tus nqi", raws li koj nco qab, ib nrab ntawm cov tshuaj tiv thaiv hluav taws xob tso cai.
Nrog rau txoj kev digital, koj tuaj yeem tau txais cov duab zoo, saib xyuas qhov tsawg kawg nkaus. Puas yog fluorography qhia pom mob ntsws thaum siv? Yog lawm, nws tso cai rau koj los txiav txim qhov kev loj hlob ntawm tus kab mob thaum ntxov.
Qhov zoo ntawm x-rays
Peb twb tau hais tias fluorography (ob qho tib si classical thiab digital) feem ntau yog kev tiv thaiv. Tus neeg mob tuaj rau tus kws kho mob nrog cov tsos mob ntawm mob ntsws. X-ray lossis fluorography raug sau rau hauv qhov no? Txoj kev kawm tsim nyog tshaj plaws rau kev kuaj pom qhov pom kev nkag mus rau hauv lub ntsws yog x-ray coj mus rau ob qhov kev kwv yees.
Txawm tias daim duab hluav taws xob classic, tsis zoo li fluorography, qhia pom cov duab pom tseeb. Piv txwv li, nws tso cai rau koj los ua cov duab ntxoov ntxoo txog li 5 hli hauv txoj kab uas hla. Namely, lawv paub qhov txawv ntawm txoj kev loj hlob ntawm tej yam txaus ntshai pathologies xws li mob ntsws, sarcoma, tuberculosis.
Vim li cas x-rays ntawm lub hauv siab cov kab mob hauv ob lub qhov muag? Qhov no tso cai rau kev kawm tiav tag nrho ntawm cov qauv ntawm cov ntaub so ntswg puas,uas yog kev txiav txim siab hauv kev txiav txim siab qhov tseeb. Piv txwv li, qhov projection ncaj qha tsis tuaj yeem pom calcification ntawm tav, tab sis lateral projection pom lawv zoo heev.
Yog li fluorography qhia tias mob ntsws? Yog, tab sis tsuas yog "daim duab" tsis meej, nws tsis tso cai rau koj los txiav txim qhov xwm txheej ntawm qhov txhab (duab ntxoov ntxoo, blackouts) nrog rau kev kuaj X-ray. Ib qho fluorogram txaus los pom cov kev hloov pauv hauv lub ntsws, tab sis tsis txaus los txiav txim siab qhov tseeb, qhov kev ua tiav ntawm kev kho mob yuav nyob ntawm.
Thaum twg x-ray teem sijhawm?
X-ray kuaj ntawm lub hauv siab plab hnyuv siab raum yog muab rau ob kis:
- Yog tias kev tshuaj tiv thaiv kab mob (fluorography) ua ib feem ntawm kev kuaj mob tau pom tias muaj kev xav tias mob ntsws cancer, mob ntsws lossis mob ntsws. Yuav tsum muaj x-ray ntawm no kom paub meej lossis tsis lees paub qhov kev kuaj mob.
- Yog tus neeg mob mus rau tus kws kho mob nrog cov lus tsis txaus siab uas yog cov cim qhia tias mob ntsws loj. Nws tau teem sijhawm rau lub hauv siab x-ray tam sim ntawd. Fluorography tsis muaj peev xwm qhia meej ciam teb ntawm qhov chaw infiltrative nyob rau hauv cov ntaub ntawv ntawm focal o ntawm lub cev, tuberculosis tuberculosis, thiab lwm yam.
Yog li, kev tshawb fawb siv fluorography rau mob ntsws tsis yog ua tiav vim tsis muaj txiaj ntsig ntawm cov txheej txheem, uas tsim nyog tsuas yog rau kev kuaj mob ntxov ntawm pathologies.
Txoj kev ntawm kev kuaj X-ray digital
Peb pom tias fluorography tuaj yeem ua rau moblub ntsws. Nws kuj tseem ceeb kom paub qhov txawv ntawm nws cov txheej txheem digital los ntawm kev kuaj x-ray digital. Ob txoj kev no yog lub xeev ntawm kos duab, tab sis muaj qhov sib txawv tseem ceeb ntawm lawv.
Digital x-ray kuaj txawv ntawm classical ib qho uas cov duab tsis kaw rau hauv zaj duab xis, tab sis yog tsau rau ntawm qhov tshwj xeeb transducer-sensor. Cov thav ntawv tau txais tau yooj yim nyeem los ntawm cov khoom siv hluav taws xob thiab ntau yam kev siv software.
Hnub no, cov nram qab no hom niaj hnub (digital) kuaj X-ray yog qhov txawv:
- YFluorescent radiography.
- YSelenium.
- X-ray los ntawm cov duab intensifier tube.
Qhov zoo ntawm cov txheej txheem tshiab tsis yog hauv kev yooj yim ntawm kev kaw cov duab ntawm qhov nruab nrab cia. Lub ntsiab kom zoo dua yog txo cov koob tshuaj hluav taws xob ntawm tus neeg kuaj. Li no lub npe thib ob ntawm cov txheej txheem digital niaj hnub no yog cov tshuaj xoo hluav taws xob tsawg ntawm lub ntsws.
Sib piv ntawm fluorography thiab radiography
Yuav fluorography puas qhia mob ntsws (pneumonia)? Yog lawm, feem ntau nyob rau hauv ob qho xwm txheej:
- Qhov loj ntawm cov kab mob infiltrative ntau dua 5 hli.
- Cov kab mob nyob hauv thaj chaw ntshiab ntawm lub ntsws.
Txawm li cas los xij, muaj ntau zaus thaum fluorography pom qhov tsis tseeb ntawm cov kab mob. Nws tau tsis lees paub los ntawm kev kuaj X-ray tom ntej, uas yog qhov tseeb dua, zoo dua. Nws yuav txiav txim siab hauv kev kuaj mob.
Tsis zoo rau fluorography thiab meejresulting duab - nws daws teeb meem yuav tsawg heev. Txawm hais tias siv cov thev naus laus zis niaj hnub no. Los ntawm no, qhov chaw infiltrative tau kuaj ntxiv ntawm x-rays.
Muaj tseeb tus nyeem ntawv muaj lus nug: "Yog hais tias radiography yog qhov kev kuaj pom tseeb dua thiab ua tau zoo uas tam sim ntawd tso cai rau koj los kuaj xyuas, vim li cas lawv yuav tsis hloov fluorography ntawm kev kuaj mob?" Qhov no yuav pab txuag sijhawm thiab nyiaj txiag rau kev tshawb fawb.
Nws yog hais txog tus neeg mob lub koob tshuaj hluav taws xob. Qhov ntsuas no txawm tias cov duab hluav taws xob digital tshiab yuav ua tau zoo dua li qhov ntsuas ntawm fluorography. Yog li ntawd, qhov txiaj ntsig tsis txaus ntseeg ntawm qhov kawg yog nyob rau hauv kev ruaj ntseg ntau dua (tshwj xeeb tshaj yog rau cov txheej txheem digital).
Thaum tus neeg mob muaj cov tsos mob ntawm mob qog noj ntshav, mob ntsws, nws yuav raug tshuaj x-ray - qhov tseem ceeb hauv kev kuaj mob rau cov kab mob no. Tom qab ntawd lawv siv nws los saib xyuas lub xeev kev noj qab haus huv, kev ua tiav ntawm kev xaiv kho.
Yuav ua li cas pom cov kab mob pathology hauv daim duab?
Yuav fluorography puas pom mob ntsws hauv daim duab? Qhov no yog qhov nthuav kom paub rau ntau tus neeg mob kuaj. Txawm li cas los xij, tsuas yog tus kws tshaj lij uas tsim nyog nrog kev cob qhia thiab kev paub dhau los tuaj yeem txhais cov duab kom raug.
Tab sis x-ray qhia cov tsos mob hauv qab no:
- Ib leeg focal blackout. Nws tsuas yog tso cai rau koj los txiav txim qhov kev loj hlob ntawm mob ntsws.
- Y Tuberculomas. Tuberculous txwv lub ntsws kab noj hniav.
- Bronchial cysts. Kev nthuav dav ntawm cov kab noj hniav ntawm phab ntsa ntawm lub bronchi.
- Hamartoma. Ib hom qog nqaij hlav uas cuam tshuam rau pob txha mos.
- Cancer metastases hauv ntsws.
Nco ntsoov tias tus kws tshaj lij yuav pom pom qhov tsaus ntuj ntawm ob qho tib si ntawm fluorogram thiab ntawm lub xov tooj cua.
Txawm li cas los xij, cov chaw kuaj pom tsis tuaj yeem qhia meej txog kev loj hlob ntawm cov kab mob loj xws li mob ntsws cancer lossis mob ntsws. Tus neeg mob yuav tsum tau mus kuaj xyuas ntxiv. Ib qho tseem ceeb ntawm lawv yog kev sim kuaj.
Tsis tas li, tus kws tshaj lij ib txwm tsis hnov qab kuaj xyuas qhov chaw focal pom rau nws qhov zoo. Qhov no yog qhov ua rau nws tuaj yeem kuaj pom cov qog nqaij hlav cancer nyob rau theem pib.
Tus kws tshaj lij pom kev mob ntsws hauv daim duab li cas?
Txhawm rau txiav txim siab tus yam ntxwv ntawm kev mob ntsws ntawm daim duab x-ray, tus kws kho mob siv ntau cov tswv yim. Cov kev sib txawv hauv qab no tau ntes ntawm cov thav duab yuav yog qhov tseem ceeb ntawm no:
- Ib pob - focal pneumonia, ntau pob - mob ntsws.
- Segmental seals - ib sab, ob sab.
- Tus cwj pwm ntawm qhov ci ntsa iab thiab tsaus ntuj hauv cov duab.
- Kev hloov pauv pom hauv cov hauv paus hniav ntawm lub ntsws.
X-ray hauv lub ntsws "pom" dab tsi?
Puas fluorography thiab x-rays qhia mob ntsws hauv cov duab? Raws li peb tau sau tseg lawm, fluorography tuaj yeem "nco" me me infiltrative me ntsis hauv lub ntsws cov ntaub so ntswg,qhov loj me dua 5 mm. Lawv taug qab tsis zoo ntawm lub xov tooj cua. Tsuas yog thaum cov foci sib koom ua ke, tsim cov chav loj dua, cov duab tuaj yeem siv los txiav txim cov cim tshwj xeeb ntawm kev mob ntsws (focal lossis segmental).
Yog li, tsis yog x-ray lossis fluorography yuav yog tib txoj kev kuaj mob kom raug. Yam tsawg kawg nkaus uas cov cuab yeej niaj hnub tuaj yeem ntes tau yog focal pneumonia.
kev kuaj x-ray hnub no tseem tsis tuaj yeem kuaj pom cov kab mob ntsws hauv qab no:
- Small focal pneumonia.
- Me me infiltrates uas nyob tob hauv lub ntsws cov ntaub so ntswg.
- Txoj huab cua ntawm lub cev nqaij daim tawv.
Cov cim hluav taws xob tseem ceeb ntawm kev mob ntsws
Hauv kev xaus, peb yuav qhia koj los ntawm cov cim tseem ceeb ntawm daim duab X-ray nws muaj peev xwm los txiav txim qhov mob ntawm lub ntsws. Nov yog:
- Medium-intensity foci-infiltrates.
- Fuzzy contours ntawm infiltrative me ntsis.
- Txhim kho lub ntsws (tej zaum yuav ncav cuag ciam teb ntawm lub ntsws).
- Compacted, expanded root organs.
Yog li, fluorography pab txhawm rau kuaj mob ntsws, mob ntsws thiab mob ntsws cancer nyob rau theem pib. Yog li ntawd, nws yog ib qho kev tiv thaiv kev kuaj mob. Kev kuaj pom tseeb yog tsim los ntawm kev x-ray. Txawm li cas los xij, qee zaum nws tsis txaus, yog li kev kuaj mob yuav tsum tau kuaj xyuas qee hom kab mob.