Twese tuzi ko ibizamini byerekana amashusho, harimo X-ray, ultrasound,MRI, ubuvuzi bwa kirimbuzi na X-ray, nuburyo bwingenzi bwabafasha mugusuzuma kwisuzumisha kandi bigira uruhare runini mukumenya indwara zidakira no kurwanya ikwirakwizwa ryindwara. Birumvikana ko kimwe kimwe no kubagore bafite inda zemejwe cyangwa zitaremezwa.Ariko, mugihe ubu buryo bwo gufata amashusho bukoreshwa kubagore batwite cyangwa bonsa, abantu benshi bazahangayikishwa nikibazo, bizagira ingaruka kubuzima bwuruhinja cyangwa umwana? Birashobora gukurura ibibazo byinshi kubagore nkabo ubwabo?
Biterwa rwose nuko ibintu bimeze. Abashinzwe radiologue hamwe nabashinzwe ubuzima bazi neza amashusho yubuvuzi hamwe nimirasire ishobora guhura nabagore batwite ndetse ninda. Kurugero, igituza X-ray yerekana umwana utaravuka kumirasire itatanye, mugihe X-inda yo munda yerekana umugore utwite kumirasire yibanze. Nubwo imishwarara ituruka kuri ubwo buryo bwo kuvura amashusho ishobora kuba nto, gukomeza guhura bishobora kugira ingaruka mbi kuri nyina no ku mwana. Imirasire ntarengwa abagore batwite bashobora guhura ni 100msV.
Ariko na none, aya mashusho yubuvuzi arashobora kugirira akamaro abagore batwite, bifasha abaganga gutanga isuzuma ryukuri no kwandika imiti ikwiye. N'ubundi kandi, ni ngombwa ku buzima bw'abagore batwite ndetse n'impinja zabo zitaravuka.
Ni izihe ngaruka n'ingamba z'umutekano z'uburyo butandukanye bwo gufata amashusho?Reka tubigenzure.
Ingamba
1.CT
CT bikubiyemo gukoresha imirasire ya ionizing kandi bigira uruhare runini mugutwita, hamwe no gukoresha scan ya CT yiyongereyeho 25% kuva 2010 kugeza 2020, nkuko imibare yemewe yabigaragaje. Kuberako CT ifitanye isano nimirasire ikabije yibyara, ni ngombwa gusuzuma ubundi buryo mugihe utekereza ikoreshwa rya CT kubarwayi batwite. Kurinda isasu ni ingamba zikenewe kugirango hagabanuke ingaruka ziterwa nimirasire ya CT.
Nubuhe buryo bwiza bushoboka kuri CT?
MRI ifatwa nkuburyo bwiza kuri CT. Nta kimenyetso cyerekana ko imishwarara iri munsi ya 100 mGy mugihe utwite ifitanye isano no kwiyongera kwimikorere mibi ivuka, kubyara, kubyara, gukuramo inda, gukura, cyangwa ubumuga bwo mumutwe.
2.MRI
Ugereranije na CT, inyungu nini yaMRIni uko ishobora gusikana ibice byimbitse kandi byoroshye mumubiri idakoresheje imirasire ya ionizing, kubwibyo rero nta kwirinda cyangwa kwivuguruza ku barwayi batwite.
Igihe cyose uburyo bubiri bwo gufata amashusho buhari, MRI igomba gutekerezwa kandi igakundwa kubera igipimo cyayo cyo hasi kitagaragara. Nubwo ubushakashatsi bumwe bwerekanye ingaruka zifata uruhinja mugihe ukoresheje MRI, nka teratogenicity, gushyushya tissue, no kwangirika kwa acoustic, nta kimenyetso cyerekana ko MRI ishobora kwangiza akayoya. Ugereranije na CT, MRI irashobora kurushaho kwerekana neza kandi bihagije ishusho yimbitse yoroheje idakoresheje imiti itandukanye.
Nyamara, ibikoresho bishingiye kuri gadolinium, kimwe mubintu bibiri nyamukuru bitandukanya bikoreshwa muri MRI, byagaragaye ko ari bibi ku bagore batwite. Abagore batwite rimwe na rimwe bagira ingaruka zikomeye kubitangazamakuru bitandukanye, nko gutinda gutinda kugaruka, bradycardia igihe kirekire, no kubyara imburagihe.
3. Ultrasonography
Ultrasound nayo itanga imirasire ya ionizing. Nta raporo y’ubuvuzi yigeze igaragaza ingaruka mbi ziterwa na ultrasound ku barwayi batwite ndetse n'inda zabo.
Ikizamini cya ultrasound gikubiyemo iki ku bagore batwite? Icya mbere, irashobora kwemeza niba koko umugore utwite atwite; Reba imyaka n'imikurire y'uruyoya hanyuma ubare itariki yagenwe, hanyuma urebe uko umutima utera, imiterere y'imitsi, kugenda, n'iterambere muri rusange. Byongeye kandi, genzura niba umubyeyi atwite impanga, batatu cyangwa benshi bavutse, reba niba akayoya kari mu mwanya wa mbere mbere yo kubyara, hanyuma urebe niba intanga ngore na nyababyeyi ari ibisanzwe.
Mu gusoza, iyo imashini n'ibikoresho bya ultrasound byashyizweho neza, inzira ya ultrasound ntabwo itera ingaruka kubuzima ku bagore batwite ndetse n'inda.
4. Imirasire ya kirimbuzi
Kwerekana imiti ya kirimbuzi bikubiyemo gutera radiofarma umurwayi, ikwirakwizwa mu mubiri kandi ikanatanga imirasire ahantu runaka mu mubiri. Ababyeyi benshi bahangayikishijwe no kumva ijambo imirasire ya kirimbuzi, ariko imishwarara y’uruhinja hamwe n’imiti ya kirimbuzi biterwa n’imihindagurikire itandukanye, nko gusohora kwa nyina, kwinjiza imiti ya radiofarmaceuticals, no gukwirakwiza uruhinja rwa radiofarmaceuticals, urugero rwa trakers zikoresha radiyo, nubwoko bwimirasire. yoherejwe na radiyo ikora, kandi ntishobora kuba rusange.
Umwanzuro
Muri make, amashusho yubuvuzi atanga amakuru yingenzi kubuzima. Mugihe cyo gutwita, umubiri wumugore uhora uhinduka kandi ushobora kwibasirwa nindwara zitandukanye. Gusuzuma n'imiti ikwiye ku bagore batwite ni ingenzi ku buzima bwabo ndetse no ku bana babo bataravuka. Kugira ngo hafatwe ibyemezo byiza, bisobanutse neza, abahanga mu bya radiologue n’abandi bahanga mu by'ubuvuzi bagomba gusobanukirwa neza n’ingaruka n'ingaruka mbi z’uburyo butandukanye bwo gufata amashusho y’ubuvuzi hamwe n’imirasire ku bagore batwite. Igihe cyose abarwayi batwite n'inda zabo bahuye nimirasire mugihe cyo gufata amashusho, abahanga mu bya radiologue n'abaganga bagomba gutanga imyitwarire isobanutse muri buri nzira. Ingaruka zishobora kuvuka zijyanye no gufata amashusho zirimo gukura buhoro buhoro no gukura, gukuramo inda, malformation, imikorere mibi yubwonko, imikurire idasanzwe kubana, hamwe niterambere rya neurode. Uburyo bwo gufata amashusho yubuvuzi ntibushobora kwangiza abarwayi batwite ndetse ninda. Nyamara, guhora kandi igihe kirekire guhura nimirasire no gufata amashusho birashobora kugira ingaruka mbi kubarwayi no ku mwana. Kubwibyo, kugirango ugabanye ibyago byo kwipimisha kwa muganga no kurinda umutekano w’uruhinja mugihe cyo gusuzuma amashusho, impande zose zigomba kumva urwego rwimirasire yibice bitandukanye byo gutwita.
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Igihe cyo kohereza: Gashyantare-27-2024
