Lumbar qaum pob CT scan

Kev suav tomography (CT) thaij duab ntawm tus caj qaum lumbar ua rau pom duab sib tshooj ntawm sab nraub qaum (qaum caj qaum). Nws siv xoo hluav taws xob los tsim cov duab.

Koj yuav raug hais kom pw ntawm lub rooj nqaim uas txav mus rau hauv nruab nrab ntawm CT scanner.

Thaum koj nyob sab hauv lub scanner, lub tshuab xoo hluav taws xob tau tig ib ncig ntawm koj. (Niaj hnub nimno "muab kauv" scanner tuaj yeem ua qhov kev soj ntsuam yam tsis txwv.)

Ib lub koos pis tawj tsim cov duab sib txawv ntawm qhov chaw qaum, hu ua cov nplais. Cov duab no tuaj yeem khaws cia, saib hauv lub ntsuas, lossis luam tawm ntawm zaj duab xis. Cov qauv peb-seem ntawm lub nraub qaum tuaj yeem tsim los ntawm kev ntxiv cov hlais ua ke.

Koj yuav tsum tseem nyob thaum kev kuaj mob. Zog tuaj yeem ua rau cov duab fim. Tej zaum yuav hais kom koj tuav koj cov pa kom txog lub sijhawm luv.

Kev thaij duab yuav tsum siv sijhawm ntev li 10 mus rau 15 feeb xwb.

Qee qhov kev kuaj mob siv cov zas xim tshwj xeeb, hu ua sib piv uas tau muab tso rau hauv koj lub cev ua ntej pib xeem. Lub ntsej muag pab tau qee qhov chaw kom pom zoo dua ntawm kev xoo hluav taws xob.

Cov khoom sib piv tuaj yeem muab rau hauv cov qauv sib txawv.

• Nws muab tau txoj leeg ntshav IV rau ntawm koj txhais tes lossis sab caj npab.
• Nws muab tau tso tawm raws li kev txhaj tshuaj rau qhov chaw nyob ib ncig ntawm tus txha caj qaum.

Yog tias siv tshuaj sib txawv, koj yuav raug hais kom tsis txhob noj lossis haus dab tsi rau 4 rau 6 teev ua ntej ntsuas.

Qhia rau koj tus kws kho mob paub yog tias koj muaj qhov tsis haum tshuaj dua. Koj yuav tsum tau noj tshuaj ua ntej kev kuaj mob txhawm rau kom zam dhau cov teeb meem no.

Yog tias koj hnyav dua 300 phaus (135 phaus), nrhiav seb lub tshuab CT puas muaj qhov nyhav tshaj. Lub cev nyhav dhau lawm yuav ua rau lub scanner qhov ua haujlwm puas ntsoog.

Koj yuav raug hais kom tshem cov hniav nyiaj hniav kub thiab hnav lub tsho tshaj sab hauv tsev kho mob thaum qhov kev kawm.

Qee tus neeg yuav muaj qhov tsis xis nyob ntawm dag ntawm lub rooj noj mov nyuaj.

Qhov sib piv tau muab los ntawm ib qho IV tuaj yeem ua rau me ntsis zoo nkaus li hnov ​​qab, lub suab nrov hauv lub qhov ncauj, thiab sov lub cev. Cov kev xav zoo li qub thiab ploj mus hauv ob peb feeb.

Cov ntawv ntsuas CT sai sai ua cov ncauj lus kom ntxaws ntawm daim duab qaum. Kev ntsuas yuav raug siv los saib rau:

• Kev yug los ntawm caj qaum hauv cov menyuam yaus
• Raug mob hauv qab qaum qaum
• Cov teeb meem pob txha thaum MRI siv tsis tau
• Kho teeb meem lossis caws pliav tom qab phais tas

Qhov kev kuaj no tseem tuaj yeem siv tau thaum lub sijhawm lossis tom qab xoo hluav taws xob ntawm pob txha caj qaum thiab pob txha nraub qaum (myelography) lossis xoo hluav taws xob ntawm lub disk (discography).

Cov txiaj ntsig tau txiav txim siab ib txwm muaj yog tias tsis muaj teeb meem tau pom hauv thaj tsam lumbar hauv cov duab.

Qhov ntsuas tsis zoo yuav yog vim:

• Kev hloov pauv hloov vim lub hnub nyoog
• Kev yug los ntawm caj qaum
• Cov teeb meem pob txha
• Puas
• Lumbar disk herniation
• Qog txha caj qaum txha caj qaum
• Spondylolisthesis
• Kho mob lossis kev loj hlob ntawm caws pliav tom qab kev phais mob

Kev phom sij rau CT scans suav nrog:

• Raug rau hluav taws xob
• Kev fab tshuaj rau qhov sib txawv zas
• Kev xeeb menyuam yog tias ua thaum cev xeeb tub

Kev ntsuas duab CT qhia kom koj raug hluav taws xob ntau dua li xoo hluav taws xob. Muaj ntau xoo duab hluav taws xob lossis CT scan ntau dhau sijhawm yuav ua rau koj muaj feem mob qog nqaij hlav cancer. Txawm li cas los xij, kev pheej hmoo los ntawm kev tshuaj ntsuam ib qho me me. Tham nrog koj tus kws kho mob txog qhov kev pheej hmoo no thiab seb nws hnyav li cas rau cov txiaj ntsig ntawm kev sim rau koj cov teeb meem kev kho mob.

Qee tus neeg siv ua xua rau kev zas xim txawv. Qhia rau koj tus kws kho mob paub yog tias koj tau muaj kev fab tshuaj rau kev zas xim txawv.

• Feem ntau ntawm kev sib xyaw uas tau muab rau hauv txoj hlab ntsha muaj iodine. Yog hais tias ib tus neeg uas muaj kev fab tshuaj iodine tau txais hom tshuaj no txawv, xeev siab lossis ntuav, txham, ua pob khaus, lossis khaus.
• Yog tias koj yuav tsum muaj qhov sib piv ntawm no, koj yuav tau txais tshuaj antihistamines (xws li Benadryl) lossis steroids ua ntej sim.
• Lub raum pab tshem tawm iodine tawm hauv lub cev. Cov neeg muaj kab mob hauv lub raum lossis ntshav qab zib yuav tsum tau haus dej ntxiv tom qab kuaj xyuas los pab yaug iodine tawm ntawm lub cev.

Tsis tshua muaj, qhov zas xim tuaj yeem ua rau lub neej puas tsuaj uas tsis haum tshuaj hu ua anaphylaxis. Yog tias koj muaj teeb meem ua pa ntawm qhov kev xeem, koj yuav tsum qhia tus neeg ua haujlwm lub scanner tam sim ntawd. Cov tshuaj txig tuaj nrog lub intercom thiab hais lus, yog li tus neeg teb xov tooj tuaj yeem hnov ​​koj txhua lub sijhawm.

Kev ntsuas CT lumbar yog qhov zoo rau kev ntsuam xyuas cov kab mob herniated loj, tab sis nws tuaj yeem nco cov lej me dua. Qhov kev sim no tuaj yeem ua ke nrog myelogram kom tau txais cov duab zoo dua ntawm cov hlab ntsha caws pliav thiab khaws cov raug mob me.

CAT scan - txha caj qaum sab qaum; Xam tau axial tomography scan - lumbar qaum; Tham tomography scan - txha nqaj qaum; CT - qis rov qab

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Lej AS, Prokop M. Xam tomography. Hauv: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology: Phau Ntawv Qhia Txog Kev Kho MobCov. 6 tus ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: chap 4.

Thomsen HS, Reimer P. Intravascular qhov sib piv tawm rau radiography, CT, MRI thiab ultrasound. Hauv: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology: Phau Ntawv Qhia Txog Kev Kho MobCov. 6 tus ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: chap 2.

Williams KD. Kev ua pob txha lov, nti tawm, thiab pob txha tawg-txav ntawm qhov qaum qaum. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chaaj 41.