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Imaging & Diagnostics

Azụ Clinic Imaging & Diagnostics Team. Dr. Alex Jimenez na-arụ ọrụ na ndị ọkachamara na-achọpụta ọrịa na ndị ọkachamara na-ese foto. Na mkpakọrịta anyị, ndị ọkachamara ịse foto na-enye nsonaazụ ngwa ngwa, dị mma na nke kachasị mma. Na mmekorita ya na ụlọ ọrụ anyị, anyị na-enye ọrụ dị mma nke ndị ọrịa anyị nyere na nke kwesịrị. Ihe onyonyo nyocha ọrịa (DOI) bụ ụlọ ọrụ Radiology ọgbara ọhụrụ na El Paso, TX. Ọ bụ naanị ebe etiti ụdị ya na El Paso, nke onye na-ahụ maka redio nwere ma na-arụ ya.

Nke a pụtara mgbe ị bịarutere DOI maka ule rediologic, nkọwa niile, site na imewe ụlọ, nhọrọ akụrụngwa, ndị teknụzụ ejiri aka họrọ, na sọftụwia nke na-arụ ụlọ ọrụ, onye na-ahụ maka redio na-ahọrọ nke ọma ma ọ bụ hazie ya. ma ọ bụghị site n'aka onye na-akwụ ụgwọ. Niche ahịa anyị bụ otu ebe kacha mma. Ụkpụrụ anyị metụtara nlekọta ndị ọrịa bụ: Anyị kwenyere na ịgwọ ndị ọrịa otu anyị ga-esi emeso ezinụlọ anyị, anyị ga-eme ike anyị niile iji hụ na ị nwere ahụmahụ dị mma na ụlọ ọgwụ anyị.

Ịkwado Nchekwa Ndị Ọrịa: Ụzọ Ọgwụgwọ na Ụlọ Ọgwụ Chiropractic

Ịkwado Nchekwa Ndị Ọrịa: Ụzọ Ọgwụgwọ na Ụlọ Ọgwụ Chiropractic

by | Chiropractic, Nnyocha nke Chiropractic, Akụkọ Chiropractic, -adịghị ala ala Pain, Imaging & Diagnostics, Ọgwụ

Kedu ka ndị ọkachamara na-ahụ maka ahụike na ụlọ ọgwụ chiropractic si enye usoro ọgwụgwọ iji gbochie mmejọ ahụike maka ndị mmadụ n'otu n'otu na mgbu?

Okwu Mmalite

Njehie ọgwụ butere 44,000-98,000 n'ụlọ ọgwụ na-anwụ ndị America kwa afọ, na ọtụtụ ndị ọzọ kpatara mmerụ ahụ dị egwu. (Kohn et al., 2000) Nke a karịrị ọnụ ọgụgụ ndị na-anwụ kwa afọ n’ihi ọrịa AIDS, ọrịa cancer ara, na ihe mberede ụgbọ ala n’oge ahụ. Dị ka nnyocha e mesịrị si kwuo, ọnụ ọgụgụ ndị nwụrụ n'ezie nwere ike ịbịaru nso 400,000, na-etinye njehie ahụike dịka nke atọ kachasị akpata ọnwụ na US. Ugboro ugboro, mmejọ ndị a abụghị ihe sitere n'aka ndị ọkachamara ahụike bụ ndị na-adịghị mma; kama, ha bụ nsonaazụ nke nsogbu usoro na usoro nlekọta ahụike, dị ka usoro omume ndị na-enye ndị na-enye ọrụ na-ekwekọghị ekwekọ, netwọk mkpuchi dị iche iche, ejighi ya ma ọ bụ enweghị usoro nchekwa nchekwa, na nlekọta na-enweghị isi. Edemede taa na-eleba anya na usoro ọgwụgwọ iji gbochie njehie ahụike na ọnọdụ ụlọ ọgwụ. Anyị na-atụle ndị na-ahụ maka ahụike metụtara ọkachamara na usoro ọgwụgwọ dị iche iche iji nyere ndị mmadụ na-enwe nsogbu na-adịghị ala ala aka. Anyị na-eduzikwa ndị ọrịa anyị site n'ikwe ka ha jụọ ndị na-ahụ maka ahụike ha nwere ajụjụ dị oke mkpa na mgbagwoju anya. Dr. Alex Jimenez, DC, na-eji ozi a naanị dịka ọrụ nkuzi. Disclaimer

Ịkọwapụta mperi ahụike

Ịchọpụta njehie ahụike bụ nzọụkwụ kachasị mkpa na mkparịta ụka ọ bụla gbasara igbochi mmejọ ahụike. Ị nwere ike iche na nke a bụ ọrụ dị mfe, mana nke ahụ bụ naanị ruo mgbe ị nyochara n'ọtụtụ okwu okwu ejiri. A na-eji ọtụtụ okwu eme ihe n'otu oge (mgbe ụfọdụ na-ezighi ezi) ebe ọ bụ na okwu ụfọdụ na-agbanwe agbanwe, na mgbe ụfọdụ, ihe okwu pụtara na-adabere na ọpụrụiche a na-atụle.

 

 

Ọ bụ ezie na ngalaba ahụike kwuru na nchekwa ndị ọrịa na iwepụ ma ọ bụ ibelata mmejọ ahụike bụ ihe kacha mkpa, Grober na Bohnen kwuru na nso nso a dị ka 2005 na ha adaala n'otu mpaghara dị oke mkpa: ikpebi nkọwa nke “ikekwe ajụjụ kachasị mkpa… Gịnị bụ a njehie ọgwụ? Njehie ahụike bụ ọdịda imezu ihe emere atụmatụ na ọnọdụ ahụike. (Grober & Bohnen, 2005Otú ọ dị, ọ dịghị nke ọ bụla n'ime okwu ndị mmadụ na-ejikarị akọwapụta n'ụzọ doro anya na njehie ahụike - ndị ọrịa, ahụike, ma ọ bụ ihe ọ bụla ọzọ - ka a kpọtụrụ aha na nkọwa a. N'agbanyeghị nke a, nkọwa ahụ na-enye usoro siri ike maka mmepe ọzọ. Dịka ị na-ahụ, nkọwa ahụ akọwapụtara nwere akụkụ abụọ:

  • Njehie mkpochapụ: Ọdịda imezu ihe emere atụmatụ dịka ebumnobi ya.
  • Njehie atụmatụ: bụ usoro nke, ọbụlagodi na igbu ya zuru oke, anaghị arụpụta ihe achọrọ.

Echiche nke mmejọ nke ogbugbu na mmejọ atụmatụ ezughi oke ma ọ bụrụ na anyị ga-akọwapụta njehie ahụike nke ọma. Ndị a nwere ike ime ebe ọ bụla, ọ bụghị naanị na ụlọ ọrụ ahụike. A ghaghị ịgbakwunye akụkụ nke nlekọta ahụike. Nke a na-ebute echiche nke ihe omume na-adịghị mma, nke a maara dị ka ihe ọjọọ. Nkọwa kachasị maka ihe ọjọọ bụ mmerụ ahụ n'amaghị ama nye ndị ọrịa ọgwụgwọ ahụike butere kama ọrịa ha na-akpata. Nkọwa a enwetala nnabata mba ụwa n'otu ụzọ ma ọ bụ ọzọ. Dịka ọmụmaatụ, n'Australia, a kọwapụtara okwu ahụ merenụ dị ka nke mmerụ ahụ butere mmadụ na-enweta nlekọta ahụike. Ndị a bụ ọrịa na-efe efe, ọdịda na-akpata mmerụ ahụ, yana okwu metụtara ọgwụ ndenye ọgwụ na akụrụngwa ọgwụ. Enwere ike izere ụfọdụ ọnọdụ adịghị mma.

 

Ụdị mmejọ ọgwụ na-emekarị

Naanị ihe dị na echiche a bụ na ọ bụghị ihe ọjọọ niile na-eme na mberede ma ọ bụ kpachapụrụ anya. N'ihi na onye ọrịa ahụ nwere ike irite uru n'ikpeazụ, ihe ọjọọ a tụrụ anya ya mana nke anakwere nwere ike ime. N'oge chemotherapy, ọgbụgbọ na ntutu isi bụ ihe atụ abụọ. N'ihe atụ a, ịjụ ọgwụgwọ akwadoro ga-abụ naanị ụzọ ezi uche dị na ya iji gbochie nsonaazụ na-adịghị mma. Anyị si otú a bịarute n'echiche nke ihe ọjọọ nwere ike igbochi na nke a na-apụghị igbochi egbochi ka anyị na-emeziwanye nkọwa anyị. Ọ dịghị mfe ịhazi nhọrọ ịnabata otu mmetụta mgbe ekpebie na mmetụta dị mma ga-eme n'otu oge. Mana ebumnuche naanị abụghị ihe ngọpụ. (Network Safety Network, 2016, para.3) Ihe atụ ọzọ nke mmejọ a na-eme atụmatụ ga-abụ nkwụsị ụkwụ aka nri n'ihi ụbụrụ dị n'aka ekpe, nke ga-anabata ihe omume na-adịghị mma nke a maara na buru amụma na olileanya nke uru bara uru ebe ọ dịghị nke ọ bụla bilitere. Enweghị ihe akaebe na-akwado atụmanya nke nsonaazụ dị mma.

 

Njehie ọgwụ na-akpatara onye ọrịa ahụ bụ ihe a na-elekwasị anya na nyocha anyị. Ka o sina dị, mmejọ ahụike nwere ike ime ma ọ bụrụ na onye ọrịa adịghị emerụ ahụ. Ihe omume nke na-efunahụ nso nwere ike ịnye data bara uru mgbe ị na-eme atụmatụ ka esi belata njehie ahụike na ụlọ ọrụ ahụike. N'agbanyeghị nke ahụ, ugboro ole ihe omume ndị a ma e jiri ya tụnyere ndị dọkịta ugboro ugboro na-akọ na ọ dị mkpa ka enyocha ya. Ihe na-efunahụ ya bụ njehie ahụike nwere ike ịkpata mmerụ ahụ mana emeghị onye ọrịa ahụ, ọ bụrụgodị na onye ọrịa ahụ na-eme nke ọma. (Martinez et al., 2017) Gịnị mere ị ga-eji kweta ihe nwere ike ime ka a gbaa gị akwụkwọ n'ụlọikpe? Tụlee ihe atụ ebe onye nọọsụ, n'ihi ihe ọ bụla kpatara ya, ka nọ na-ele foto nke ọgwụ dị iche iche ma na-achọ ịnye ọgwụ. Ma eleghị anya, ọ dị ihe na-echeta ya, ma o kpebiri na ọ bụghị otú ahụ ka otu ọgwụ si ele ya anya. Mgbe ọ nyochachara, ọ chọpụtara na a na-enye ọgwụ ndị ahụ ezighi ezi. Mgbe o lechara akwụkwọ niile ahụ, ọ na-edozi ihie ụzọ ma nye onye ọrịa ahụ ọgwụ ziri ezi. Ọ ga-ekwe omume izere njehie n'ọdịnihu ma ọ bụrụ na ndekọ nchịkwa gụnyere foto nke ọgwụ kwesịrị ekwesị? Ọ dị mfe ichefu na enwere mmejọ na ohere maka mmerụ ahụ. Eziokwu ahụ ka bụ eziokwu n'agbanyeghị ma anyị nwere ihe ndabara nke ọma ịchọta ya ka oge na-aga ma ọ bụ nweta nsonaazụ ọjọọ ọ bụla.

 

Njehie nke nsonaazụ & Usoro

Anyị chọrọ data zuru oke iji mepụta ihe ngwọta na-eme ka nchekwa ndị ọrịa dịkwuo mma ma belata njehie ahụike. Ma ọ dịkarịa ala, mgbe onye ọrịa nọ n'ụlọ ọgwụ, ihe niile a ga-eme iji gbochie mmerụ ahụ ma tinye ha n'ihe ize ndụ kwesịrị ịkọ. Ọtụtụ ndị dọkịta ekpebiwo na iji nkebi ahịrịokwu na-ezighị ezi na ihe ọjọọ mere ihe zuru oke ma dabara adaba mgbe ha nyochachara mmejọ na ihe ọjọọ na nlekọta ahụike ma na-ekwurịta ike ha na adịghị ike ha na 2003. Nkọwa a jikọtara ọnụ ga-eme ka nchịkọta data dịkwuo elu, gụnyere mmejọ, oku nso, nso. na-atụ uche, na mperi arụ ọrụ na nke zoro ezo. Na mgbakwunye, okwu ahụ bụ ihe ọjọọ gụnyere okwu ndị na-egosikarị mmerụ ahụ onye ọrịa, dị ka mmerụ ahụ ahụike na mmerụ ahụ iatrogenic. Naanị ihe fọdụrụ bụ ikpebi ma bọọdụ nyocha ọ bụ ahụ kwesịrị ekwesị iji dozie nkewa nke ihe ọjọọ na-egbochi egbochi na enweghị mgbochi.

 

Ihe omume sentinel bụ ihe omume ebe achọrọ mkpesa na Kọmishọna Njikọta. Kọmịshọna Njikọta na-ekwu na ihe omume sentinel bụ ihe a na-atụghị anya ya nke metụtara mmerụ ahụ dị njọ nke anụ ahụ ma ọ bụ nke uche. ("Ihe omume Sentinel," 2004, p.35) Enweghị nhọrọ, dịka ọ dị mkpa ka edepụta ya. Ọtụtụ ụlọ ọrụ ahụike, Otú ọ dị, na-edobe ndekọ ha na-akọwapụta ihe ndị mere sentinel na ihe ha ga-eme ma ọ bụrụ na e nwere onye ga-ekwe nkwa na a na-ezute ụkpụrụ Kọmịshọn Njikọ. Nke a bụ otu n'ime ọnọdụ ndị ahụ mgbe ọ ka mma ịnọ na nchekwa karịa mwute. Ebe ọ bụ na "dị njọ" bụ echiche nke ikwu, enwere ike ịnwe ụlọ mgbagha mgbe ị na-agbachitere onye ọrụ ibe ma ọ bụ onye were gị n'ọrụ. N'aka nke ọzọ, ịkọ akụkọ ihe omume sentinel na-ezighi ezi dị mma karịa ịghara ịkọ akụkọ ihe omume sentinel. Ịhapụ igosipụta nwere ike ịkpata nnukwu nsonaazụ, gụnyere nkwụsị ọrụ.

 

Mgbe ị na-atụle mmejọ ahụike, ndị mmadụ na-emehie ugboro ugboro nke ilekwasị anya naanị na njehie ndenye ọgwụ. Obi abụọ adịghị ya na njehie ọgwụ na-abụkarị ugboro ugboro ma na-agụnye ọtụtụ ntụpọ usoro dị ka njehie ọgwụ ndị ọzọ. Nzaghachi na nzikọrịta ozi, mmejọ emere n'oge ndenye ọgwụ ma ọ bụ inye ya, yana ọtụtụ ihe ndị ọzọ ga-ekwe omume. Ma anyị ga na-ekwuhie okwu ahụ nke ukwuu ma ọ bụrụ na anyị ewere na njehie ọgwụ ọjọọ bụ nanị ihe na-akpata mmerụ ahụ onye ọrịa. Otu nnukwu ihe ịma aka n'ịwapụta njehie ahụike dị iche iche bụ ikpebi ma a ga-ekewa njehie ahụ dabere na usoro metụtara ma ọ bụ ihe ga-esi na ya pụta. Ọ bụ ihe a na-anabata iji nyochaa nhazi ọkwa ndị ahụ ebe a, n'ihi na e meela ọtụtụ mgbalị iji mepụta nkọwa ọrụ na-agụnye ma usoro ahụ na nsonaazụ ya, ọtụtụ n'ime ha dabere na ọrụ Lucian Leape site na 1990s. 

 

Mee ka ndụ gị dịkwuo mma taa- Vidiyo

Nyocha na igbochi mmejọ ahụike

Ndị na-arụ ọrụ na ndị na-adịghị arụ ọrụ bụ akụkụ abụọ bụ isi nke ihe ọjọọ nke Leape na ndị ọrụ ibe ya pụrụ iche n'ọmụmụ ihe a. (Leape et al., 1991) Nsogbu ndị na-arụ ọrụ gụnyere ọrịa ọnya, ọdịda ịwa ahụ, okwu ndị na-abụghị nkà na ụzụ, nsogbu oge na-adịghị anya, na nsogbu ọrụ aka. Ndị na-adịghị arụ ọrụ: isiokwu ndị dị ka ọgwụ metụtara ọgwụ, nchọpụta na-ezighị ezi, mmeso ọjọọ, usoro usoro, ọdịda, mgbaji, mgbatị ahụ, metụtara nhụsianya, nwa ọhụrụ, na njide-isi niile nke usoro a gụnyere n'okpuru ụdị ihe ọjọọ a. Leape kọwakwara mperi site n'ịtụ aka n'isi nbibi nke usoro. Ọ chịkọtakwara ndị a n'isi ise, nke gụnyere: 

  • System
  • Performance
  • Ọgwụgwọ Ọgwụ
  • diagnostic
  • Mgbochi

Ọtụtụ mmejọ usoro na-adaba n'okpuru ihe karịrị otu isiokwu, mana ha niile na-enyere aka ịkọwa kpọmkwem ihe kpatara nsogbu ahụ. Ọ bụrụ na ihe karịrị otu dibịa na-arụ ọrụ n'ịchọpụta kpọmkwem mpaghara chọrọ nkwalite, mgbe ahụ enwere ike ịchọ ajụjụ ọzọ.

 

 

Na teknụzụ, onye ọrụ ọ bụla nwere ike ime njehie ahụike n'ụlọ ọgwụ. Ọ bụghị naanị ndị ọkachamara ahụike dịka ndị dibịa na ndị nọọsụ. Onye nchịkwa nwere ike ịtọghe ụzọ, ma ọ bụ onye ọrụ na-ehicha ihe nwere ike ịhapụ kemịkal n'ime nwata. Ihe dị mkpa karịa njirimara onye mere ihe ahụ bụ ihe kpatara ya. Gịnị tupu ya? Oleekwa otú anyị ga-esi hụ na nke ahụ agaghị eme ọzọ? Mgbe ịchịkọtachara data niile dị n'elu yana ọtụtụ ihe ndị ọzọ, oge eruola ka ị chọpụta otu esi egbochi mmejọ ndị yiri ya. Banyere ihe omume sentinel, Òtù Na-ahụ Maka Njikọ enyela iwu kamgbe 1997 na ihe omume ndị a niile ga-agbaso usoro akpọrọ Root Cause Analysis (RCA). Agbanyeghị, iji usoro a maka ihe mere ekwesịrị ịkọrọ ndị ọzọ na mpụga ga-adị mkpa ka edozi ya.

 

Kedu ihe bụ nyocha ihe kpatara mgbọrọgwụ?

Ndị RCA "weghara nkọwa ya yana nnukwu ihe onyonyo." Ha na-eme ka nyocha usoro dị mfe, na-enyocha ma imezigharị ọ dị mkpa, yana usoro nsochi. (Williams, 2001) Otú ọ dị, gịnị kpọmkwem bụ RCA? Site n'inyocha ihe omume ndị butere njehie ahụ, RCA nwere ike ilekwasị anya na ihe omume na usoro kama ịtụle ma ọ bụ ịtụba ndị mmadụ ụta. (AHRQ, 2017) Ọ bụ ya mere o ji dị oké mkpa. Otu RCA na-ejikarị ngwa ọrụ akpọrọ Five Whys. Nke a bụ usoro nke na-aga n'ihu na-ajụ onwe gị "ihe kpatara ya" mgbe ị kwenyere na ị chọpụtala ihe kpatara esemokwu.

 

Ihe kpatara eji akpọ ya "ihe kpatara ise" bụ n'ihi na, ebe ise bụ mmalite mmalite, ị kwesịrị ị na-ajụkarị ihe kpatara ya ruo mgbe ị ga-achọpụta ihe kpatara nsogbu ahụ. Ịjụ ihe kpatara ya ugboro ugboro nwere ike ikpughe ọtụtụ mmejọ usoro na ọkwa dị iche iche, mana ị ga-anọgide na-ajụ ihe kpatara maka akụkụ ọ bụla nke okwu ahụ ruo mgbe ị kwụsịrị ihe ndị ọzọ nwere ike imezi iji nye nsonaazụ na-achọsi ike. Agbanyeghị, enwere ike iji ngwaọrụ dị iche iche na-abụghị nke a na nyocha ihe kpatara ya. Ọtụtụ ndị ọzọ dị. Ndị RCA ga-abụrịrị usoro mmụta dị iche iche ma na-agbanwe agbanwe ma na-etinye aka na ndị niile metụtara njehie ahụ iji zere nghọtahie ma ọ bụ ịkọ akụkọ na-ezighi ezi nke ihe omume.

 

mmechi

Njehie ọgwụ na ụlọ ọrụ ahụike na-abụkarị ihe omume anaghị ekwupụta nke na-eyi ahụike ndị ọrịa egwu. A na-eche na ihe ruru otu ụzọ n'ụzọ anọ nke nde mmadụ ga-anwụ kwa afọ n'ihi mmejọ ọgwụ. Ọnụọgụ ndị a agaghị anabata n'oge a na-eche na nchekwa ndị ọrịa bụ ihe kacha mkpa, mana ọ bụghị ọtụtụ ihe a na-eme iji gbanwee omume. Ọ bụrụ na akọwapụtara njehie ahụike n'ụzọ ziri ezi ma chọpụta ihe kpatara nsogbu ahụ na-ekenyeghị ndị ọrụ kpọmkwem ụta, nke a adịghị mkpa. Enwere ike ịme mgbanwe ndị dị mkpa mgbe achọpụtara ihe ndị bụ isi kpatara sistemụ ma ọ bụ mmejọ usoro. A na-agbanwe agbanwe, multidisciplinary ụzọ na-akpata mgbọrọgwụ nyocha nke na-eji frameworks dị ka ise mere na-deve ala ruo mgbe niile okwu na ntụpọ na-ekpughe bụ ngwá ọrụ na-enye aka. Ọ bụ ezie na ọ dị mkpa ugbu a maka edemede nke sentinel ihe omume, Mgbọrọgwụ Cause Analysis nwere ike na kwesịrị itinye n'ọrụ na ihe niile na-akpata mmejọ, gụnyere nso efu efu.

 

References

Agency for Health Care Research and Quality. (2016). Mgbọrọgwụ Analysis. Eweghachitere Maachị 20, 2017, site na psnet.ahrq.gov/primer/root-cause-analysis

Grober, ED, & Bohnen, JM (2005). Na-akọwa njehie ahụike. Nwere ike J Surg, 48(1), 39-44. www.ncbi.nlm.nih.gov/pubmed/15757035

Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Kọmiti na ogo nlekọta ahụike na America. (2000). Ihie ụzọ bụ mmadụ: iwulite usoro ahụike dị mma. National Academy Press. books.nap.edu/books/0309068371/html/index.html

Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Ọdịdị nke ihe ọjọọ na ndị ọrịa ụlọ ọgwụ. Nsonaazụ nke Harvard Medical Practice Study II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605

Lippincott ® NursingCenter®. Ụlọ ọrụ nọọsụ. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132

Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Usoro maka Ịmata na Nyochaa Ihe Ọjọọ yana Ọgbaghara dị nso na Ụlọ Ọrụ Ahụike Ọmụmụ. Jt Comm J Qual onye ọrịa Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001

Netwọk nchekwa ndị ọrịa. (2016). Ihe omume ọjọọ, nso efu, yana mperi. Eweghachitere Maachị 20, 2017, site na psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

Williams, PM (2001). Usoro maka nyocha ihe kpatara mgbọrọgwụ. Proc (Bayl Univ Med Cent), 14(2), 154-157. doi.org/10.1080/08998280.2001.11927753

Disclaimer

Spinal Stenosis MRI: Back Clinic Chiropractor

Spinal Stenosis MRI: Back Clinic Chiropractor

by | Imaging & Diagnostics, Ntinye ntinye

Ọkpụkpụ azụ azụ bụ mgbe oghere ebe n'akụkụ ma ọ bụ n'ime ọkpụkpụ azụ malitere ibelata, na-emechi ike nke ijegharị nkịtị / ntụsara ahụ na mgbasa akwara. Ọ nwere ike imetụta mpaghara dị iche iche, gụnyere ndị cervical / olu, lumbar / ala azụ, na, na-adịkarịghị, mpaghara thoracic / elu ma ọ bụ etiti azụ na-eme ka tingling, ntachi, mgbakasị ahụ, mgbu, adịghị ike ahụ ike, ma ọ bụ ngwakọta na azụ, ụkwụ / s, apata ụkwụ, na isi. Enwere ike inwe ihe dị iche iche na-akpata stenosis; nchọpụta ziri ezi bụ nzọụkwụ mbụ, na ebe ọkpụkpụ azụ azụ MRI abata.

Spinal Stenosis MRI: Chiropractor Medical mmerụ ahụ

Ọkpụkpụ Stenosis MRI

Stenosis nwere ike bụrụ ihe ịma aka ịchọpụta dị ka ọ bụ ihe mgbaàmà / mgbagwoju anya karịa ọnọdụ, nke na-emekarị site na diski herniated, ọkpụkpụ ọkpụkpụ, ọnọdụ ọmụmụ, post-ịwa ahụ, ma ọ bụ mgbe ọrịa gasịrị. Imaging resonance magnetik/MRI bụ ule a na-ejikarị eme nchọpụta.

nchoputa

  • Onye ọkachamara ahụike, dị ka chiropractor, onye na-agwọ ọrịa anụ ahụ, ọkachamara n'ọkpụkpụ azụ, ma ọ bụ dọkịta, ga-amalite site n'ịghọta mgbaàmà na akụkọ ahụike.
  • A ga-eme nyocha ahụike iji mụtakwuo maka ọnọdụ, ogologo oge, ọnọdụ, ma ọ bụ ihe omume ndị na-ebelata ma ọ bụ na-eme ka mgbaàmà ahụ dịkwuo njọ.
  • Nnwale ndị ọzọ gụnyere ike akwara, nweta nyocha, na nyocha nguzozi iji nyere aka ghọta nke ọma ebe mgbu na-abịa.
  • Iji kwado nchoputa, a ga-achọ onyonyo iji hụ ihe na-eme.
  • MRI na-eji onyonyo sitere na kọmputa iji mepụta ihe oyiyi na-egosi ọkpụkpụ na anụ ahụ dị nro, dị ka mọzụlụ, irighiri akwara, na akwara, ma ọ bụrụ na ha na-akpakọ ma ọ bụ na-ewe iwe.
  • Ọkachamara ahụike na MRI ọkachamara ga-agafe ihe nchekwa chọrọ tupu eserese ahụ.
  • N'ihi na igwe na-eji magnetik dị ike, enweghị ike ịnweta ígwè na ma ọ bụ n'ime ahụ, dị ka prostheses etinyere ma ọ bụ ngwaọrụ ndị gụnyere:
  • Ndị na-emegharị ihe
  • Cochlear amalite
  • Nfuli infusion ọgwụ
  • Ọgwụ mgbochi ime intrauterine
  • Ndị neurostimulators
  • Mpempe akwụkwọ aneurysm intracranial
  • Ihe na-akpali akpali ọkpụkpụ
  • Enwere ike iji ule onyonyo dị iche ma ọ bụrụ na mmadụ enweghị ike ịnwe MRI dị ka a CT nyocha.

MRI nwere ike ịdị site na ọtụtụ nkeji ruo otu awa ma ọ bụ karịa, dabere na ọnọdụ ole dị mkpa iji kewapụ ebe ahụ merụrụ ahụ ma nweta onyinyo doro anya. Nnwale ahụ enweghị ihe mgbu, ma mgbe ụfọdụ, a na-agwa ndị mmadụ ka ha nọgide na-enwe otu ọnọdụ nke nwere ike ghara iru ala. Onye ọrụ nka ga-ajụ ma ọ bụrụ na ahụ erughị ala ma nye aka ọ bụla iji mee ka ahụmịhe ahụ dị mfe dịka o kwere mee.

Ọgwụgwọ

Ọ bụghị ikpe niile nke stenosis na-akpata mgbaàmà, mana enwere nhọrọ ọgwụgwọ nke ọkachamara ahụike nwere ike ịkwado.

  • Nlekọta nchekwa nchekwa bụ ndụmọdụ mbụ nke gụnyere chiropractic, decompression, traction, na ọgwụgwọ anụ ahụ.
  • Ọgwụgwọ na-abawanye ike anụ ahụ, na-eme ka mmegharị ahụ dị iche iche dịkwuo mma, na-eme ka ọnọdụ na nguzozi dịkwuo mma, na-ebelata ihe mgbaàmà ahụ erughị ala, ma tinye usoro iji gbochie na jikwaa mgbaàmà.
  • Ọgwụ ndenye ọgwụ nwere ike ịbụ akụkụ nke atụmatụ ọgwụgwọ buru ibu.
  • Ịwa ahụ nwere ike ịghọ nhọrọ n'ọnọdụ ndị ka njọ ebe nlekọta nchekwa adịghị arụ ọrụ.

Ọkpụkpụ Spinal

References

Database of Abstracts of Reviews of Effects (DARE): Nlebanya enyochala nke ọma [Internet]. York (UK): Center for Review and Dissemination (UK); 1995-. Nchọpụta nchọpụta nke spinal spinal stenosis: nyocha usoro emelitere nke ziri ezi nke nyocha nchọpụta. 2013. Dị na: www.ncbi.nlm.nih.gov/books/NBK142906/

Ghadimi M, Sapra A. Igwe Igwe Igwe Ọdụdọ Igwe Ọdụdọ. [Emelitere 2022 Mee 8]. Na: StatPearls [Internet]. Treasure Island (FL): Mbipụta StatPearls; 2022 Jenụwarị -. Dị na: www.ncbi.nlm.nih.gov/books/NBK551669/

Gofur EM, Singh P. Anatomi, Back, Vertebral Canal Blood Supply. [Emelitere 2021 Jul 26]. Na: StatPearls [Internet]. Treasure Island (FL): Mbipụta StatPearls; 2022 Jenụwarị -. Dị na: www.ncbi.nlm.nih.gov/books/NBK541083/

Lurie, Jon, na Christy Tomkins-Lane. "Nchịkwa nke lumbar spinal stenosis." BMJ (Nchọpụta ụlọ ọgwụ ed.) vol. 352h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234

Stuber, Kent, et al. "Ngwọta chiropractic nke ọkpụkpụ azụ azụ nke lumbar: nyochaa akwụkwọ." Akwụkwọ akụkọ ọgwụ chiropractic vol. 8,2 (2009): 77-85 . doi:10.1016/j.jcm.2009.02.001

Atụmanya ọgwụ ịla azụ azụ

Atụmanya ọgwụ ịla azụ azụ

by | Imaging & Diagnostics

Ndị chiropractors na ndị ọkachamara n'ọkpụkpụ azụ na-eji nyocha nke ọkpụkpụ azụ site na X-ray, MRIs, ma ọ bụ CT nyocha iji chọpụta ihe na-akpata nsogbu azụ na mgbu. Ihe onyonyo a na-ahụkarị. Ma chiropractic ma ọ bụ ịwa ahụ ọkpụkpụ, ha na-enyere aka ịchọpụta nsogbu azụ ma kwe ka onye ahụ hụ ihe na-eme. Ụdị ikpe gụnyere azụ mgbu na:

  • si na trauma
  • Ọ nọrọla izu anọ ruo isii
  • Akụkọ ihe mere eme nke:
  • cancer
  • ahụ ọkụ
  • Sati abalị

Ndị dọkịta na-eji ihe oyiyi ndị a mgbe na-achọpụta ọnọdụ azụ azụ. Nke a bụ ụfọdụ nghọta gbasara onyonyo ọkpụkpụ azụ.

 

Atụmanya ọgwụ ịla azụ azụ

Ejiri X

X-ray maka mgbu azụ nwere ike inye aka nke ukwuu. A X-ray dabeere na radieshon na-eji na-enyocha ọnọdụ nke ọkpụkpụ ọkpụkpụ. X-ray kacha mma maka ọkpụkpụ ọkpụkpụ ma ọ bụ anụ ahụ ndị ossified ma ọ bụ calcified. Ha na-arụ ọrụ kacha mma na anụ ahụ siri ike, kpọmkwem ọkpụkpụ. Anụ ahụ dị nro dị ka mọzụlụ, akwara, ma ọ bụ diski intravertebral adịghị adịkwa.

A ga-enyocha ndị mmadụ na-eme X-ray azụ site na igwe nke na-emepụta beam. Onye nnata na-ahọrọ na-edebanye aha osisi ahụ mgbe ọ gafere n'ime ahụ wee mepụta onyonyo. Ọ na-ewe ihe dị ka nkeji ise iji wuchaa mana ọ nwere ike ịdị ogologo dabere na ọnụọgụ onyonyo nke dọkịta. X-ray na-enyere aka maka ebumnuche mkpuchi ma wepụ ọnọdụ ọkpụkpụ dịka mgbaji mgbaji na / ma ọ bụ ọkpụkpụ ọkpụkpụ. A na-enye iwu ụzarị X-ray maka ebumnuche ụfọdụ ma na-abụkarị akụkụ nke nyocha nyocha nke ahụ dum. Nke a gụnyere MRI na/ma ọ bụ CT scan.

CT Iṅomi

CT na-anọchi anya gụpụtara tomography. Ọ bụ usoro X-ray nke ejiri kọmpụta were dejit na foto. Uru nke nyocha CT na ụzarị X-ụzarị ọkọlọtọ bụ na ọ na-enye echiche / akụkụ dị iche iche nke ahụ ma nwee ike ịdị na 3D. A na-ejikarị nyocha CT eme ihe n'ọnọdụ trauma ma ọ bụ ndị a wara ahụ. Ha na-ewe ihe dị ka nkeji ise. Maka ụzarị X, ndị mmadụ n'otu n'otu na-ebili ma ọ bụ dinara n'okpuru igwe X-ray ka ọ na-enyocha ahụ. Nyocha CT na-eme ka onye ahụ dinara ala n'igwe na-ele anya okirikiri nke na-enyocha mgbe ọ na-atụgharị n'oge eserese. A na-atụ aro ndị mmadụ n'otu n'otu ka ha na-eyi uwe na-adịghị mma na nke dị mma. Mgbe ụfọdụ a na-eji agba agba, ma ọ bụ ọdịiche dị n'imewa, mee ka anụ ahụ vaskụla pụta ìhè, na-emepụta ihe oyiyi doro anya.

MRI

MRI dị mkpụmkpụ maka imaging resonance magnetik. MRI na-eji magnets mepụta ihe oyiyi. A na-ejikarị ihe onyonyo MRI eme ihe na ndị mmadụ emerela ịwa ahụ. Ha na-ewe ogologo oge, na-adịkarị ihe dịka nkeji 30 ruo 45. A naghị anabata ihe ọla na MRI. A na-agwa ndị ọrịa ka ha wepụ ihe ndị dị ka eriri, ọla, wdg. Agba dị iche nwere ike ịbụ akụkụ nke MRI. Igwe a dị ka ọwara. Nke a nwere ike bụrụ ihe ịma aka maka ndị nwere claustrophobia. Kpọtụrụ dọkịta ma chọpụta otú ị ga-esi nweta ahụ iru ala n'oge usoro ahụ.

Ụdị ndị ọzọ nke eserese azụ azụ

Ụdị onyonyo ndị ọzọ gụnyere:

CT igodo

  • Ntugharị CT na-egosi nyocha CT ozugbo n'oge usoro ahụ.

Fluoroscopy

  • Fluoroscopy gụnyere ụzarị X-ray nke na-agafe ozugbo na ahụ nke na-egosi ndụ, onyonyo na-akpụ akpụ.

A na-eji ụdị onyonyo azụ azụ abụọ a n'oge ịwa ahụ. Maka ụfọdụ, onyonyo intraoperative eji. Ụdị onyonyo a na-eji ígwè ọrụ rọbọtụ dị elu iji nyere ndị dọkịta na-awa ahụ aka ịgafe oghere ndị siri ike n'oge usoro ahụ. Nke a na-abawanye izi ezi nke dọkịta na-awa ahụ ma na-ebelata oke mbepụ ahụ.

Ultrasound

Enwere ike iji ultrasound mee ihe maka ọnọdụ azụ azụ. Nke a bụ ule onyonyo nke na-eji ebili mmiri na-emepụta onyonyo. Agbanyeghị, ule onyonyo nke a na-eji na eserese azụ azụ bụ isi X-ray na MRI.

Onyonyo Nhọpụta

Gwa dọkịta gị ma ọ bụ chiropractor tupu oge eruo ịghọta ihe ị ga-atụ anya ya n'oge usoro onyonyo. Ha ga-eme ka ị mara ka esi akwado na ntuziaka pụrụ iche tupu oge nhọpụta. Tinyere akụkọ ahụike ahụike na nyocha anụ ahụ, nyocha nke ọkpụkpụ azụ bụ akụkụ dị mkpa nke usoro nchọpụta ahụ iji chọpụta ihe na-akpata mgbu na ịmepụta usoro ọgwụgwọ kachasị mma.

Akpụkpọ ahụ

Mmetụta dị mkpirikpi nke kọfị na ọnyà ọbara

Caffeine dị na kọfị bụ ihe na-akpali akpali ma ọ bụ ihe na-akpali usoro ahụ. Mgbe a na-eri caffeine, ndị mmadụ n'otu n'otu na-enwe mmụba nke obi ụtọ, karịsịa na usoro obi. Ọṅụ a na-eme ka ọ̀tụ̀tụ̀ obi na ọ̀tụ̀tụ̀ ọbara ji eruo elu wee gbadaa azụ n'ọkwa ndabere maka ndị ahụ́ siri ike. Kọfị na-abawanye ntakịrị ọbara mgbali elu. Oriri kọfị na-agafeghị oke dị mma maka ndị na-enweghị ọnọdụ obi dị adịbu.

References

Kọmịshọna Nhazi Nuklia United States. (Mee 2021) “Doses na ndụ anyị kwa ụbọchị” www.nrc.gov/about-nrc/radiation/around-us/doses-daily-lives.html

X-ray maka mgbu azụ: Nlebanya ugbu a na ọgwụ Musculoskeletal. (Eprel 2009) "Gịnị bụ ọrụ ịse foto na nnukwu mgbu azụ?" www.ncbi.nlm.nih.gov/pmc/articles/PMC2697333/

Mkpesa Ọrịa Ụmụaka Mgbatị Ọhụụ Diagnostic | El Paso, TX.

Mkpesa Ọrịa Ụmụaka Mgbatị Ọhụụ Diagnostic | El Paso, TX.

by | Imaging & Diagnostics

  • Nke a bụ nyocha dị mkpirikpi nke ụfọdụ mkpesa dị mkpa ụmụaka na-ahụkarị na omume ụlọ ọgwụ.
  • Nnukwu trauma gụnyere nnukwu isi trauma
  • Nsogbu ọghọm trauma na ụmụaka (nwatakịrị a na-eti ihe)
  • Mkpesa Eke ọkpụkpụ (Nrụrụ Idiopathic ogbu), scoliosis,
  • Neoplasms pediatric nkịtị (CNS & ndị ọzọ)
  • Ofufe ọrịa
  • Ọrịa metabolic

Nnukwu Ahụ edimụaka trauma:

pediatric dialog imaging el paso, tx.
  • EGWESORO FOOSH (wdg.
  • Mgbakwunye Fx, ikpere. Na-ebute trauma mberede. <10-yo
  • Fx ọzọ
  • Nkpukpo Gartland ka akara mmerụala dị nwayọ nwayọ na - agwọ ọrịa site na obere usoro ihu aka agbatị
  • Ihe nwere ike imebi ischemic ikwere ma oburu na elele ya anya (Volkmann contraind)
  • Nnyocha redio ahụ dị oké mkpa: akara ngosi ụgbọ mmiri & akara ngosi mpempe akwụkwọ abụba na akara ihu ihu na-enweghị ike ịbanye n'etiti / 2/3 nke Capitellum.

Ezighi ezi ulo ogwu gbasara umuaka:

pediatric dialog imaging el paso, tx.
  • Ọtụtụ n'ime <10 yo Greenstick, Torus, Plastic aka Bowing deformity
  • A na-ahụkarị nke ọma, ejiri ọgwụgwọ mee ihe site na iji ọgwụ mgbochi anwụ
  • Nrụrụ plastik ma ọ bụrụ na> ogo 20 chọrọ mbelata emechiri emechi
  • Ping pong pull skull nwere ike ịmalite site na trauma, belata nnyefe na nsogbu nke trauma ịmụ nwa. Nwere ike ịlele site pediatric neurosurgeo.n
pediatric dialog imaging el paso, tx.
  • Saldị Salter-Harris nke physeal uto nke mmerụ ahụ
  • Pịnye 1-slid. dịka ọmụmaatụ, Efuphysis Capital Slipped. Achọpụtaghị imebi ọkpụkpụ ọ bụla
  • Pịnye 2-M / C nwere ezigbo amụma
  • Xdị 3 - intra-articular, si otu a na-eburu ihe egwu nke akaghi aka osteoarthritis enwere ike ịchọ nlekọta ọrụ d / t na-akwụghị chịm
  • Pịnye 4- Fx site na mpaghara niile gbasara physis. Prognosis na - aka mkpụkpụ ụkwụ
  • NUMdị 5- ọtụtụ mgbe ọ nweghị ihe akaebe nke na-enwe ọkpụkpụ gbajiri agbaji. Ogbenye prognosis d / t na-emerụ mmerụ ahụ yana mmerụ ahụ na -emebi yana mkpụmkpụ aka
  • Nyochaa nlele di nkpa

Ndị merụrụ emerụ ahụ (NAI) na .mụaka

pediatric dialog imaging el paso, tx.
  • E nwere ụdị mmetọ ụmụaka dị iche iche. Mmekpa ahụ nwere ike ịbụ ọnya anụ ahụ na mmerụ ahụ MSK / usoro dị iche iche na-emetụta ọkpụkpụ na anụ ahụ dị nro. Se ihe dị oke mkpa ma nwee ike ịchọpụta akara doro anya na-elebara ndị na-ahụ maka ụlọ ọgwụ anya na ịgwa ndị ọrụ nchedo ụmụaka yana ndị ọrụ mmanye iwu gbasara mmetọ anụ ahụ.
  • N'ime nwa ọhụrụ: Ọrịa nwa na-ama jijiji nwere ike ịpụta na akara CNS d/t na-adọka vein na-eto eto na hematoma subdural nke nwere ike ịnwụ. Ọbara ọbara nke retina na-abụkarị ihe ngosi. Isi CT dị oke mkpa.
  • Ọkọlọtọ Uhie Redku MSK:
  • 1) isi ọkpụkpụ Fx na nwatakịrị ambulatory adịghị obere (0-12 mo)
  • 2) ọgịrịga ọgịrịga Fx: na-adaghị adaghị mberede mberede d / t. Usoro yikarịrị: ịdọta nwatakịrị ma ọ bụ tigbuo ya kpọmkwem.
  • 3) Otutu ọgwara nke na-agwọ oge nke dị iche, ya bụ, ọkpụkpọ akpọkupụtara na-egosi mmerụ ahụ ugboro ugboro
  • 4) Metaphyseal akuku Fx aka Bucket jide Fx, oge pathognomonic maka NAI na ụmụaka. Ọ na - eme mgbe ejidere oke nke emetụtara ya ma na - agbagọ agbagọ.
  • 5) Ndọpu ọkpụkpụ ogologo n’ọkpụkpụ nwata bụ ihe atụ ọzọ nke NAI.
  • Ihe ozo di nkpa banyere NAI. Akụkọ mgbe ochie na-esighị n’aka ndị na-echekwa / ndị na-elekọta ya. Onweghi ihe akaebe banyere agwo oria metabolicital dika Osteogenesis Imperfecta ma obu Rickets / osteomalacia wdg.
  • NB Mgbe ndị nlekọta ụmụaka na-akọwa akụkọ banyere ọdịda na ihe mberede dị n'ụlọ, Ọ dị mkpa ịmara na o doro anya na ọtụtụ ihe mberede/ọdịda n'ime ụlọ adịghị adịkarị ma ọ bụ na ọ gaghị ebute nnukwu mgbaji ọkpụkpụ.
  • Kpesa mmetuta ụmụaka na Illinois:
  • www2.illinois.gov/dcfs/safekids/reporting/pages/index.aspx

Ntinye uche nke MSK na umuaka

pediatric dialog imaging el paso, tx.
  • Ọrịa Arthritis Ndị Na-eto Eto (JIA)- a na-atụle M / C ọrịa na-adịghị ala ala nke nwata. Clinical Dx: nkwonkwo mgbu / ọzịza maka izu 6 ma ọ bụ karịa na nwatakịrị <16-yo Differentdị dị iche iche dị: Early Dx dị mkpa iji gbochie nsogbu igbu oge
  • Dị JIA kachasị mara:
  • 1) Ọrịa Pauciarticular (40%) - m / c ụdị JIA. Mụ agbọghọ nọ n’ihe ize ndụ ka ukwuu. Nweta dị ka ọrịa ogbu na nkwonkwo na <4 nkwonkwo: ikpere, nkwonkwo ụkwụ, nkwojiaka. ikiaka. Typedị a na-egosi mkpakọrịta dị elu na itinye aka na ụbụrụ dịka iridocyclitis (25%) nke nwere ike ibute ìsì. Labs: RF-ve, ANA nke oma.
  • 2) Ọrịa Polyarticular (25%): RF-ve. Girlsmụ agbọghọ nọ n'ihe ize ndụ ka ukwuu. Na-emetụta obere nkwonkwo ukwu na nnukwu ihe na-emetụtakarị Cervical spine
  • 3) icdị sistemu nke JIA (20%): na-egosipụtakarị ngosipụta sistemụ nnukwu dị ka feiking fevers, arthralgias, myalgias, lymphadeno [way, hepatosplenomegaly, polyserositis (pericardial / pleural effusion). Ihe njiri mara Dx dị mkpa na-acha uhie uhie rosh pink rash na nsọtụ na akpati. Systemdị Sisti nwere ụdị mmekpa ahụ dị iche. Ọkpụkpụ na-abụkarị akpụkpọ ụkwụ adịghị ala ma e jiri ya tụnyere ụdị ndị ọzọ. N'ihi ya, mbibi nkwonkwo a anaghị ahụkarị

Onyonyo na JIA

pediatric dialog imaging el paso, tx.
  • Ọkpụkpụ nkwonkwo nkwonkwo nkwonkwo nke patella cartilage / ọkpụkpụ na-egbochi DJD
  • Mkpịsị aka na ogologo ọkpụkpụ na-emechi mmechi mbụ ahụ
  • Rad DDx ikpere / nkwonkwo ụkwụ: Hemophilic arthropathy Rx: DMARD.
  • Nsogbu nwere ike ibute mbibi nkwonkwo, ibelata mmerụ ụkwụ, ikpu ìsì, nsogbu usoro, nkwarụ.

Ọrịa Neoplasms Ọrịa ụmụaka na-ahụkarị

pediatric dialog imaging el paso, tx.
  • Osteosarcoma (OSA) na Ewing sarcoma (ES) bụ 1 st na 2nd M / C bụ ihe nhụsianya nke nkenke ọkpụkpụ siri ike nke nwata (ọnụ ọgụgụ kachasị elu na 10-20 yo) Clinical: ihe mgbu ọkpụkpụ, mgbanwe na ọrụ, metastasis mbido ọkachasị mpụta nwere ike ime. Prognosis na-adịghị mma
  • Ewing nwere ike ịpụta na mgbu ọkpụkpụ, ahụ ọkụ yana ọrịa ESR/CRP dị elu. Dx mbụ nwere onyonyo na nhazi dị oke mkpa.
  • Imaging nke OSA & ES: x-ray, na-esote MRI, obi CT, PET / CT. Na ụzarị ọkụ: OSA nwere ike imetụta ọkpụkpụ ọ bụla mana ọtụtụ dị ugbu a dị ka ọkpụkpụ na-eme ihe ike na-eme neoplasms banyere ikpere (50% ikpe) ọkachasị dị ka osteoid na-akpụ ọnya na-eme ihe ike na metaphysis na nkọwa / sunburst periostitis & Codman triangle Akara akara anụ ahụ dị nro.
  • ES nwere ike iweta n’amị ma gosipụta ngwa ngwa anụ ahụ gbasaa. MRI dị ezigbo mkpa iji kpughee ókè ọkpụkpụ na ọgụ wakporo ST, MRI chọrọ maka ịwa ahụ
  • OSA & ES Rx: Nchikota ịwa ahụ, radieshon, chemo. A na-eme usoro ịgbapụta akụkụ ụfọdụ n'ọnọdụ ụfọdụ. Ọrịa na-adịghị mma ma ọ bụrụ na achọpụtara n'oge.
pediatric dialog imaging el paso, tx.
  • Ihe onyonyo nke Ewing's sarcoma
  • Ihe ndọpụ uche nke ọkpụkpụ
  • Mwakpo anụ ahụ na mbido oge gboo
  • Mmeghachi omume anụrị na-ewe iwe na mmeghachi azụ (yabasị anụ ahụ)
  • Saucerisation nke cortical ọkpụkpụ (oroma akụ)
  • A na –emekarị Lesion bụ diaphseal na mgbakwunye usoro ụfọdụ
  • Mara dịka akpụ akpụ Round na ọtụtụ Myeloma na Lymphoma

Malmụaka Ezigbo Nwa

pediatric dialog imaging el paso, tx.
  • Neuroblastoma (NBL) Ọrịa M / C nke nwata. Na-enweta site na mkpụrụ ndụ mkpụrụ ndụ akwara aka PNET (dịka, ganglia ọmịiko). Imirikiti na-eme ụmụaka <24-ọnwa. Fọdụ na-egosi ezi amụma ma> 50% ikpe dị ugbu a na ọrịa dị elu. 70-80% mgbe ọ dị ọnwa 18 ma ọ bụ karịa nwere ogo metastasis. NBL nwere ike ịmalite na adrenal medulla, ọmịiko ganglia na ọnọdụ ndị ọzọ. Na-egosi dị ka afọ abdominal, na-agbọ agbọ. > 50% na-enye ihe mgbu nke ọkpụkpụ d / t metastasis. Clinical: nyocha anụ ahụ, labs, imaging: obi na ụzarị ọkụ, afọ CT na obi dị mkpa maka Dx. MRI nwere ike inyere aka. NBL nwere ike metastasize na okpokoro isi ma na-adaba na sutures na njirimara ngosi dị ka pathology sutural diastasis.
  • Nnukwu Ọrịa Lymphoblastic Ọrịa bụ m / c malignancy nke nwata. Ọrịa ụbụrụ: ụkwara ụkọ ọbara nke ụmị ọkpụkpụ na-eduga na mgbu mgbu na nnọchi nke ụmị nkịtị ndị ọzọ yana anaemia, thrombocytopenia, neutropenia na nsogbu ndị metụtara. Mkpụrụ ndụ ọrịa leukemic nwere ike banye na saịtị ndị ọzọ gụnyere CNS, spleen, ọkpụkpụ na mpaghara ndị ọzọ. Dx: CBC, ọkwa ọbara nke mmiri ọgwụ lactate, okpukpo ụmị ụrọ nke ụrọ bụ isi. Maynweta onyonyo nwere ike inye aka mana ọdịghị mkpa maka nchọpụta nchọpụta. Na ihe onyonyo onyonyo, agwo n’ọkiri nke okpukpu bu oria nwere ike puta dika ihe mmirikiti nke di na okirikiri etolite. Rx: ogwu na ogwu
pediatric dialog imaging el paso, tx.
  • Medulloblastoma: M / C ọjọọ CNS neoplasm n'ime ụmụaka
  • Otutu na-etolite n’ihu 10-yo
  • Ọnọdụ M / C: cerebellum na posterior fossa
  • Histologically nọchiri anya ụdị akpụ PNET abụghị ihe na-efe efe dịka e siri chee na mbụ
  • MBL, yana Ependymoma na CNS lymphoma, nwere ike ibute metastasis site na CSF na mgbakwunye na-anọchite anya ihe pụrụ iche nke na-adịghị ka ụgbụ CNS ndị ọzọ na-egosipụta mgbasa metastatic na mpụga CNS, m / c na ọkpụkpụ
  • 50% nke MBL nwere ike ịdị n’otu
  • Ọ bụrụ na Dx na ọgwụgwọ amalite tupu metastasis, nlanarị afọ 5 bụ 80%
  • Onyonyo dị oke mkpa: Enwere ike iji nyocha CT mana ọdịdị onyonyo nke nhọrọ bụ MRI ga - tụkwasị na nyocha nke kachasị nke neuraxis maka metastasis.
  • MBL na-egosipụtakarị dị ka hyte heterogenous, iso na hyperintense ọnya na T1, T2 na FLAIR nyocha (ihe onyonyo dị elu) ma ọ bụrụ na atụnyere anụ ahụ ụbụrụ gbara ya gburugburu. Ọtụtụ mgbe ventricle 4th nwere hydrocephalus mgbochi. Akpụ ahụ na - egosi nkwalite iche na T1 + C gad (onyinyo nke aka ekpe). Wepu metastasis site na MBL site na T1 + C na-eme ka ọnya dịkwuo ike na ụdọ

Ọrịa Pediatric dị mkpa

pediatric dialog imaging el paso, tx.
  • Na neonate / infant <1month: fever> 100.4 (38C) nwere ike igosi nje na ụfọdụ ọrịa nje. Strep B, Listeria, E. Coli nwere ike ibute sepsis, meningitis. Uzo: obi x-ray, mgbapu lumbar na omenala, omenala ọbara, CBC, urinalysis.
  • N'ime ụmụaka, Hemophilus influenza ụdị B (HIB) nwere ike ibute Epiglottitis ọrịa na - adịghị ahụkebe mana nnukwu nsogbu. Ọgwụ dị ugbu a na-enyere aka belata ọnụ ọgụgụ nke Epiglottitis na ọrịa ndị ọzọ metụtara HIB.
  • Parainfluenza ma ọ bụ RSV virus nwere ike ibute Kroup ma ọ bụ nnukwu ọrịa Laryngotracheobronchitis.
  • Epiglottitis na croup bụ Dx clinically mana AP na akụkụ dị n’akpụkpọ anụ olu ụzarị ọkụ na-enyere gị aka
  • Epiglottis na-egosi njirimara akara mkpịsị aka nke dabara na epiglottis d/t epiglottic edema gbara ọkpụrụkpụ. Nke a nwere ike ịbụ ụzọ ikuku na-emebi ihe mberede na-eyi ndụ egwu (n'elu aka ekpe)
  • Kpoo croup nwere ike igosi akara steeple ma ọ bụ karama mmanya nwere distended hypopharynx dị ka nnukwu mbelata nke ụzọ ikuku subglottic na AP na x-ray anụ ahụ dị nro (n'elu aka nri)
  • Nje Virus na Ntanetị (RSV) yana oria nwere ike ibute oria na-efe efe nwere ike ibute ọrịa na-eyi ndụ egwu na immunocompromised, obere ụmụaka na ụmụaka nwere nsogbu. CXR di nkpa (etiti aka ekpe)
  • Ọrịa phaptongccal ya na ọrịa GABHS nwere ike ibute ụfọdụ nsogbu ma ọ bụ na-egbu oge (dịka ọmụmaatụ, Rheumatic fever)
  • Ọkpụkpụ Peritonsillar (nke dị n'etiti etiti aka nri) nwere ike ibilite n'ọnọdụ ụfọdụ ma bụrụ ihe mgbagha site na ịgbasa n'ụgbọ anụ ahụ dị nro n'olu nwere ike ibute banye na sublingual / submandibular oghere (Ludwig Angina) mgbe ọ dị mkpa ịchịkwa ụzọ ikuku d / t isi nke ire edema.
  • Mmepe nke ọgịga azụ nwere ike bute ịgbasa ọrịa ahụ site na ịkọwa n'olu na-ekwu okwu n'enweghị nsogbu, ọrịa syndrome Lemmier na mwakpo nke oghere carotid (ha niile nwere ike ibute ọrịa egwu)
  • Ọrịa Griesel- (nke ala ala aka ekpe) Ọrịa ụkọ na - adịkarị iche na mpaghara ọrịa nje nwere ike ịgbasa na oghere prevertebral na - eduga na oghere ụdọ C1-2 na enweghị ike
  • Ọrịa ndị ọzọ dị mkpa na ụmụaka bụ ọrịa nje (Pneumococcal) na-efe efe, ọrịa ọnya afọ na ọrịa Pyelonephritis (karịsịa ụmụ agbọghọ) na Meningococcal Meningitis
pediatric dialog imaging el paso, tx.
  • Ọrịa Metabolic Ọrịa
  • Rickets: atụle osteomalacia na ọmụmụ akabeghị aka. Mpaghara mpaghara nke etolite etolite etolite na-emetụta oke
  • Egosiputa n’adighi ogwu n’iru uto, oke ikpere n’ala, chaplet rosary, obi nduru, ọgwogria ara, nkwojiaka na ariri aka na nkwonkwo, nkwonkwo isi, okpokoro isi
  • Ọrịa ụbụrụ: Vit D na oke ara ehi bụ ihe m / c kpatara. Enweghi ekpughe anyanwụ. Onye nwere agba gbara ọchịchịrị, uwe na -eme ka mmadụ nwude ọkụ, inyefe nwa ara, ogologo oge, nsogbu nke ụmụ ahụhụ, mmebi akụrụngwa na ndị ọzọ
  • Onyonyo: fraphula metaphysis aka agba ahịhịa metaphysis na flaring, na-ebuwanye ibu nke uto, bulbous costochondral junction dị ka rosary rachitic, oke ịkpọ isi ala
  • Rx: na -eme ihe kpatara akpata nri, ụkọ nri ziri ezi, wdg.

References

Abdom: Ọdịdị Imaging Diagnostic | El Paso, TX.

Abdom: Ọdịdị Imaging Diagnostic | El Paso, TX.

by | Imaging & Diagnostics

 

  • A nyochaa ọrịa nke afọ na:
  • Ihe ojoo nke eriri afọ tract (esophagus, afọ, obere & nnukwu eriri afọ, na mgbakwunye)
  • Ọdịiche nke akụkụ nri ndị na-agbari nri (ọrịa Hepatobiliary & pancreatic)
  • Abnormalities nke genitourinary & omumu akụkụ
  • Ihe ojoo nke mgbidi abdominal na nnukwu ụgbọ
  • Ihe ngosi a bu iji nye nkenke kachasi ihe banyere izugbe nchọpụta diagnostic ịbịakwute na nlekọta ahụike kwesịrị ekwesị nke ndị ọrịa nwere ọrịa ndị kachasị dị n'ime afọ
  • Ihe eji eche echiche nke a na - eme mgbe a na - eme nchọpụta banyere mkpesa abdominal:
  • AP afọ (BỤ) na CXR ziri ezi
  • Abdominal CT scanning (na ọnụ na IV iche na w / ọdịiche)
  • Ihe omumu GI Barium na elu
  • Ultrasonography
  • MRI (ọtụtụ ndị dị ka MRI Imeju)
  • MRI enterography & ihe atụ
  • MR okpuru
  • Endoscopic Retrograde Cholangiopancreatography (ERCP) - ọtụtụ ọrịa hepatobiliary na pancreatic ductal pathology
  • Nyocha nyocha

Gịnị mere ị ga-eji mee ka ọ bụrụ na ị ga-eme ka ọ bụrụ ihe ị ga-eme?

abdomen diagnostic imaging el paso tx.

 

  • Gụnye nyocha nke mbụ nke bowel gas na ọnọdụ na-adịghị mma. Dịka ọmụmaatụ, nchọpụta na-adịghị mma na ọrịa nwere ike ime ka ọ ghara ime ka ọ dị mkpa maka usoro CT ma ọ bụ usoro ndị ọzọ na-eme mkpesa
  • Nyocha nke tubes, lines, and radiopaque of foreign bodies
  • Usoro nyocha nke na-ezite akwụkwọ / retroperitoneal free gas
  • Nyochaa ego nke bowel gas na mkpebi nke postoperative (adynamic) ileus
  • Nyochaa ebe ọdịiche dị site na obi
  • Usoro ihe omumu nke ndi ozo
  • Nyochaa mkpịsị ụkwụ na-atụgharị

 

abdomen diagnostic imaging el paso tx.

 

Ihe ị ga-ahụ na AP abdomen: Supine vs. Rightright vs. Decubitus

  • Ikuku efu (pneumoperitoneum)
  • Mgbachi nke bowel: Loops na-arụ ọrụ: SBO vs LBO (3-6-9 rule) SB - oke-3-cm, LB-oke-6-cm, Caecum-upper limit-9-cm. Ndaba ama nke ahihia, akwukwo dilation (odidi) nke valvule conivente (plica semilunaris) na SBO
  • SBO: rịba ama ọkwa dị elu dị elu ikuku-mmiri n'elu ubube ihe nkiri kwụ ọtọ, nke SBO.
  • Rịba ama njedebe nke ikuku / ikuku gas (evacuated) na SBO

 

abdomen diagnostic imaging el paso tx.

 

  • Abdominal CT scanning -achọpụta ihe na-adịghị mma mgbe ị na-enyocha mkparịta ụka oke na nke na-adịghị ala ala karịsịa ndị okenye. Dịka ọmụmaatụ, enwere ike ịchọta ụbụrụ na abdominal nke ọma ma mee ka ị nweta ihe ọmụma gbasara nlekọta maka nlekọta
  • Abdominal, renal na pelvic ultrasound enwere ike ịrụ iji nyere aka nyocha nke appendicitis (esp. na ụmụaka), nnukwu & adịghị ala ala vaskụla ọrịa, hepatobiliary ndiiche, obstetric and gynecological pathology
  • Ojiji nke ionizing radieshon (x-ụzarị & CT) kwesịrị belata na ụmụaka na ndị ọzọ na-adịghị ike.

 

abdomen diagnostic imaging el paso tx.

 

Mmetụta nke nchọpụta nke ọrịa ndị bụ isi nke usoro ahụ gastrointestinal

  • 1) Nsogbu esophageal
  • 2) Gastric carcinoma
  • 3) Gluten Sensitive Enteropathy
  • 4) Ọrịa inflammatory Ọrịa
  • 5) Pancreatic ductal adenocarcinoma
  • 6) Carcinoma dị ọcha
  • 7) Nnukwu Appendicitis
  • 8) Nkwụsịtụ ikpo ụkwụ
  • 9) Volvulus

Ọrịa ịba

  • Achalasia (isi achalasia): ọdịda nke esophageal peristalsis a haziri ahazi na-eme ka ahụ ghara izu ike nke sphincter esophageal dị ala (LOS) na mmụba akara nke esophagus na stasis nri. A na-akpọ ihe mgbochi nke esophagus distal (nke na-abụkarị n'ihi etuto ahụ) "achalasia nke abụọ" ma ọ bụ "pseudoachalasia." Peristalsis na akụkụ ahụ dị nro dị nro nke esophagus nwere ike ịla n'iyi n'ihi ọdịdị nke Auerbach plexus (nke na-ahụ maka ntụrụndụ dị nro) . A pụkwara imetụta neurons Vagus
  • Isi: 30 -70s, M: F hà
  • Ọrịa Chagas (ọrịa Trypanosoma Cruzi) na mbibi nke Myenteric plexus neurons nke usoro GI (megacolon & esophagus)
  • Otú ọ dị, obi bụ akụkụ M / C metụtara
  • Clinically: Dysphagia maka ma ihe siri ike na mmiri, ma e jiri ya tụnyere dysphagia maka ndị na-edozi naanị na ihe gbasara caricoma esophageal. Ihe mgbu na regurgitation. M / C n'etiti carcinoma cellular esophageal squamous na ihe dịka 5% n'ihi na mgbakasị nke mucosa site na njedebe nke nri na nzuzo. Mmanya nwere ike ịmalite. Candida esophagitis
  • Onyonyo: �Nnụnụ-beak� na mgbago GI barium ilo, esophagus gbasasịrị, mfu nke peristalsis. Nyocha endoscopic dị oke mkpa.
  • Rx: siri ike. Ndị na - egbochi ndị na - emepụta calcium (obere oge) .Bilatation, nke dị irè na 85% nke ndị ọrịa na 3 -5% ihe ize ndụ nke ọbara ọgbụgba / nkwụsị. Ngwunye ogwu botulinum na-adịru naanị ihe ruru. Ọnwa 12 kwa ọgwụgwọ. Enwere ike ịchọta submucosa nke na-eduga n'inwekwu ihe ize ndụ dị ukwuu mgbe ọ na-esote ụbụrụ m. Ọkpụkpụ myotomy (Heller myotomy)
  • 10 -30% nke ndị ọrịa na-etolite reflux gastroesophage (GERD)

 

abdomen diagnostic imaging el paso tx.

 

  • Presbyesophagus: ejiri kọwaa ngosipụta nke arụ ọrụ mmebi na akpịrị na-aka nká> 80-yo N'ihi nkwụsị nke arc reflex na-enwe mmetụta nke uche na mgbatị na mgbanwe na peristalsis.
  • Ndị ọrịa nwere ike ịka mkpesa nke dysphagia ma ọ bụ ihe mgbu obi, ma ọtụtụ ndị na-eme ka ọ dị ka ha
  • Diffuse / distal esophageal spasm (DES) bụ ihe na-eme mkparịta ụka nke esophagus nke nwere ike ịpụta dịka onye na-ejikọta ma ọ bụ rosary bead esophagus na barium.
  • 2% nke ihe mgbu obi na-abụghị nke obi
  • Manometry bụ ule nyocha nke edo edo.
abdomen diagnostic imaging el paso tx.

 

  • Zenker diverticulum (ZD) aka pharyngeal pouch
  • Ọpụpụ dị na ọkwa hypopharynx, dị nso na sphincter esophageal nke elu, nke a maara dị ka Killian dehiscence ma ọ bụ triangle Killian
  • Ndị ọrịa bụ 60-80 yo na ugbu a na dysphagia, regurgitation, creatosis, globus sensation
  • Nwere ike itinye aka na ihe mgbapụta na mgbagha
  • Ndị ọrịa nwere ike ikpokọta ọgwụ
  • ZD - bụ pseudodiverticulum ma ọ bụ ihe mgbagwoju anya nke na-esi na herniation nke submucosa site na Killian dehiscence, na-ebu akpa ebe nri na ọdịnaya ndị ọzọ nwere ike ịgbakọta.
abdomen diagnostic imaging el paso tx.

 

  • Mallory-Weiss ọrịa na-ezo aka na mmiri mucosal na submucosal nke distal oesophageal venous plexus nke na-ejikọta na retract / vomiting na-eme ihe ike ma na-atụgharị ihe dị egwu nke dị na esophagus. Ndị na-aṅụ mmanya na-aba n'ihe ize ndụ. Ihe ndị dị ugbu a na hematemesis na-enweghị mgbu. Ọgwụgwọ na-akwado nkwado.
  • Dx: ima ese foto anaghị arụ ọrụ, ma esophagram dị iche iche nwere ike igosi na ụfọdụ anya mmiri nke mucosal jupụtara na ya (ọdịda ala dị ala). CT scanning nwere ike inyere aka wepu ihe ndị ọzọ kpatara ọbara ọgbụgba GI
abdomen diagnostic imaging el paso tx.

 

  • Ọrịa Boerhaave: Ọkpụkpụ esophage na-agbagha nke abụọ na-agbọpu ike
  • Ihe ngosi: M> F, Vomiting, obi mgbu, mediastinitis, septic mediastinum, pneumomediastinum, pneumothorax pleural effusion
  • N'oge gara aga, ọ na-egbu mgbe niile
  • Ihe ndị na-emepụta gụnyere ịchụpụ nke ụyọkọ nke ụyọkọ nke ọma karịsịa site na nnukwu nri ndị a na-adịghị edozi ma ọ bụrụ na esophagus na-eme ihe megidere glottis mechiri emechi na 90%
abdomen diagnostic imaging el paso tx.

 

  • Hiatus hernias (HH): nyocha nke ọdịnaya abdominal site na mkpịsị ụkwụ esophageal nke diaphragm n'ime uzo ogwu.
  • Ọtụtụ ndị ọrịa na HH bụ ndị na-akpakọrịta, ọ bụkwa ihe na-achọpụta ihe. Otú ọ dị, ihe mgbaàmà nwere ike ịgụnye ọrịa epigastric / obi, ọhụụ ezumike, ọgbụgbọ na vomiting
  • Mgbe ụfọdụ, a na-ewere HH dị ka ọrịa na-egbu egbu nke ọrịa ogwu na-egbu egbu (GORD), ma enwere mmekọrịta dị njọ n'etiti ọnọdụ abụọ ahụ!
  • -Dị 2: slid hiatus hernia 90% & Rolling (paraoesophageal) hernia 10%. Nke ikpeazu nwere ike iju anya nke na-eduga na ischemia na nsogbu.
abdomen diagnostic imaging el paso tx.

 

  • Leiomyoma ọrịa ịba bụ M / C benign esophageal neoplasm. Ọ na-abụkarị nnukwu ma na-anaghị egbochi. Ọkpụkpụ stromal gastrointestinal (GIST) bụ ndị kasị nta na esophagus. Kwesịrị ịdị iche na carcinomas Esophageal.
  • Imaging: esophagram dị iche, GI barium buru ibu na-elo, CT scanning. Gastroesophagoscopy bụ nhọrọ Dx.

abdomen diagnostic imaging el paso tx.

  • Ekuo na-agba esophageal: nke dysphagia na-arịwanye elu, na mbụ iji mee ka ọ dị ọcha ma na-enwe ọganihu na-egbochi ihe mgbochi n'ọnọdụ ndị ka njọ
  • <1% nke ọrịa cancer niile na 4-10% nke nsogbu niile GI. A ghọtara ikike nwoke na nwanyị nwere obere cell subtype n'ihi ị smokingụ sịga na mmanya. Barrett esophagus na adenocarcinoma
  • M: F 4: 1. Ndị na-acha oji anaghị adị mfe karịa ndị 2 White: 1. Ogbenye prognosis!
  • Achịlịm na-elo nwere ike ịkpachara anya n'ịchọpụta ikuku esophageal. Gastroesophagoscopy (endoscopy) kwadoro nchoputa na biopsy anụ ahụ
  • N'ozuzu, malignancy kachasị na ya bụ 2ndary gastric fundal carcinoma na-ebute distal esophagus
  • A na-ahụkarị mkpụrụ ndụ squamous n'etiti midophogus, Adenocarcinoma na mpaghara distal
abdomen diagnostic imaging el paso tx.
  • Gastric carcinoma: isi nke isi nke epithelium gastric. Ọ dị obere tupu afọ 40. Ogologo afọ na nchoputa na United States bụ afọ 70 maka ụmụ nwoke na afọ 74 maka ụmụ nwanyị. Japan, South Korea, Chile, na mba dị n'Ebe Ọwụwa Anyanwụ Europe nwere otu n'ime ọnụ ọgụgụ kasị elu nke ọrịa cancer na ụwa. Ọnụ cancer cancer na-arịwanye elu n'ụwa nile. Ọrịa gastric bụ ọrịa 5th kpatara ọnwụ cancer. Njikọ na Helicobacter pylori ọrịa 60- 80%, ma naanị 2% ndị bi na H. Pyloris na-emepe Ọrịa ọrịa. 8-10% nwere otu akụrụngwa ezinụlọ.
  • A na-ejikọta Lymphoma Gastric na ọrịa H. Pyloris. Ọkpụkpụ Ụbụrụ Stromal Gastrointestinal ma ọ bụ GIST bụ nchịkwa ọzọ na-emetụta afo
  • Clinically: Enweghị ihe mgbaàmà mgbe ọ dị elu ma nwee ike ịgwọta ya. Ruo 50% nke ndị ọrịa nwere ike ịnwe mkpesa GI ndị na-abụghị kpọmkwem. Ndị ọrịa nwere ike ịbịa na enweghi ihe ngọngọ na nha (95%) nakwa yana mgbu abdominal. Nausea, vomiting, na ịmalite ịda mbà n'obi nke mbụ nwere ike ime na ọnyá ọjọọ ma ọ bụ ọnyá ndị na-emetụta ihe na-emetụta ụfụ ime.
  • Nyocha: Ọtụtụ ọrịa cancer nwere ike ịhụ na ọ ga-egbu oge, ọ pụkwara ikpughe mmegide obodo na adenopathy mpaghara, imeju, na mgbasa ozi. Mkpụrụ ndụ 5 afọ ndụ nke 20% ma ọ bụ obere. Na Japan na S. Korea, mmemme nyocha mbụ na-eme ka ndụ na 60%
  • Onyonyo: Barium elu GI ọmụmụ, CT scanning. Nnyocha nke endoscopic bụ ụzọ nke ịhọrọ maka nyocha. Na onyonyo, ọrịa cancer nwere ike ịpụta dị ka mkpụrụ nke exophytic (polypoid) ma ọ bụ Ụdị Fungative, Ulcerative or Infiltrative / diffuse type (Linitis Plastica). CT scanning dị mkpa iji nyochaa mbuso agha obodo (ọnụ, nyocha, imeju, wdg)
abdomen diagnostic imaging el paso tx.
  • Celiac ọrịa aka non-tropical sprue aka Gluten-sensitive enteropathy: Ntube nke T-cell na-ejigide gluten nke na-adịghị ala ala na-akpata mmetọ ọjọọ nke na-akpata mmerụ nke obere bowel na eriri afọ nke na-egbuke egbuke (ya bụ, sprue). A na-ewere ya na ọ bụ ụbụrụ ígwè nke anaghi enwe nsogbu. Ndị nkịtị na Caucasians (1 na 200) mana obere na ndị Asia na ndị oji. Ugwu abụọ: obere ụyọkọ mgbe ị bụ nwata. Dịka na 3rd na 4th ọtụtụ afọ nke ndụ.
  • Clinically: Abdominal mgbu bụ m / c mgbaàmà, malabsorption nke nri / vitamin: IDA na guaiac-mma stools, afọ ọsịsa, constipation, steatorrhea, ọnwụ, osteoporosis / osteomalacia, dermatitis herpetiformis. Mmekọrịta dịkwuo na T-cell lymphoma, Mmekọrịta dị elu na esophageal squamous cell carcinoma, SBO
  • Dx: A na-ewere ihe dị elu nke GI na-ejikọta ọtụtụ biopsies duodenal usoro nyocha maka ọrịa Celiac. Histology na-ekpughe ụbụrụ T-cell na lymphoplasmacytosis, Villi atrophy, hyperplasia Crypts, Submucosa, na Serosa. Rx: mkpochapụ nke ngwaahịa na-eri gluten
  • Imaging: Ọ bụghị ihe achọrọ maka Dx kama na Barium emetụ mkpụrụ ndụ: eriri na-agba na mucosal na mkpochapụ nke ụyọkọ mucosal (ihe dị elu). SB dilation bụ ihe kachasị achọpụta. Nodularity nke duodenum (bubbly duodenum). Nweghari nke ụlọikpe na ileal mucosal folds:
  • �Jejunum dị ka ileum, ileum dị ka jejunum, duodenum dị ka hell.
abdomen diagnostic imaging el paso tx.

Ọrịa bowel inflammatory: Crohn Disease (CD) & Ulcerative Colitis (UC)

  • CD: nkwụghachi azụ na-adịghị ala ala-na-enyefe mmịfu autoimmune nke na-emetụta akụkụ ọ bụla nke traktị GI site na ọnụ gaa na ụzụ ma mgbe ọ na-amalitekarị na-agụnye ọnụ ala. M / C ngosi: abdominal mgbu / cramping na afọ ọsịsa. Ụzọ: nhazi nke granulomata nke na -adịghị ka UC bụ akụkụ dị nfe, nke nwere ike ịmalite ime njem. Akụkụ nke mmetụ ahụ na-emetụta bụ ihe na-emechi
  • Ihe nrịkota dị ọtụtụ: ịba ụba nke nri / vitamin (anaemia, osteoporosis, oge ịmepụta ihe na ụmụaka, ịdaba na GI malignancy, igbochi mmechi, nkuzi mgbagwoju anya, mmepụta ihe abdominal: uveitis, ọrịa ogbu na nkwonkwo, AS, erythema nodosum na ndị ọzọ .. 10- 20% nwere ike ịchọ ịwa ahụ abdominal mgbe 10-afọ nke CD na-ejikarị eme ihe, imegharị, BO.
  • Dx: Clinical, CBC, CMP, CRP, ESR, test serological: DDx nke IBD: ọgwụ nje Saccharomyces cerevisiae (ASCA), antibodyutrophil cytoplasmic antibody (p-ANCA) histologically or in serum. Ihe nlele Calprotectin na-enyere aka na DDx IBS ma nyochaa nzaghachi na ọgwụgwọ, ọrụ ọrịa / nlọghachite.
  • Dx ịhọrọ: endoscopy, ụlọoscopy, na ọtụtụ biopsies nwere ike ikpughe mgbanwe endoscopic na akụkọ ihe mere eme. Capsule endoscopy video (VCE), Imaging nwere ike inye aka na Dx nke nsogbu. Rx: ọgwụ ndị na-egbochi ọrịa ọgwụ, ọgwụ na-arụkọ ọrụ ọnụ, nri, probiotics, ọrụ. Enweghị ọgwụgwọ ma ebumnuche bụ ime ka mgbaghaghachị, mgbaàmà nchịkwa ma gbochie / mesoo nsogbu
  • Dxx Imaging: Bubata na DDx SBO, Barium enema (otu na okpukpu abụọ), obere ọnyá na-agbaso. Nchoputa: ọnyá na-efe efe, aphthous / ulcerations, fistula / tracts sinus, akara eriri, abụba na-akpụ akpụ na-ebugharị bọtịnụ nke LB, ọnyá na-egbuke egbuke na-eme ka mucosa, CT scanning with aral and IV contrast.
abdomen diagnostic imaging el paso tx.
  • Echiche sitere n'aka onye Crohn nke nwere obere ọnụọgụ ọnyá afọ maka igbochi.
  • (A) CT na-egosiputa na-enweghị ntụpọ
  • (B) MRE nke otu mpaghara na-egosi fibrosisi na ụbụrụ
abdomen diagnostic imaging el paso tx.
  • UC: ihe omume na-agụnye naanị colon ma backwash ileitis nwere ike ịmalite. Ihe na-emekarị bụ na 15-40s ma bụrụ ndị jupụtara na ụmụ nwoke, ma mmalite mgbe 50 dị afọ. Karịa karịa na North America na Europe (echiche hygiene). Etiology: Ejikọta ihe gbasara gburugburu ebe obibi, mkpụrụ ndụ na mkpịsị ugbo microbiome. Ịṅụ sịga na ngwa ngwa ngwa ngwa na-egosi na ị na-eso UC na-akpakọrịta, n'adịghị ka CD na-ele ụfọdụ n'ime ihe ize ndụ anya.
  • Atụmatụ Ahụike: Ọrịa na-egbu ọbara (nkịtị), afọ ọsịsa, nnyefe mgbochi ikuku, tenesmus (mgbe ụfọdụ), ihe mgbu abdominal nke nta na oké mmiri mmiri na-egbu egbu site na purulent rectal discharge (n'ọnọdụ ndị siri ike, karịsịa ndị agadi), fulminant colitis na megacolon na-egbu egbu nwere ike ịbụ nwa ebu n'afọ mana nsogbu . Ihe omuma: Enweghi granulomata. Ulcerations na-emetụta mucosa na submucosa. Pseudopolyps dị ka elu na-echebe mucosa.
  • Usoro nke mbụ na-emetụta ntụpọ ma nọgide na-arịa ọrịa mpaghara (proctitis) n'ime (25%). 30% Mgbatị ọrịa nso nso nwere ike ime. UC nwere ike chee dịka aka ekpe (55%) na pancolitis (10%). Otutu n'ime okwu di nwayo n'adighi nma
  • Dx: colonoscopy na ụlọoscopy na otutu biopsies kwenye Dx. Labs: CBC, CRP, ESR, Ụbụrụ calprotectin, Mgbaàmà: anaemia, megacolon na-egbu egbu, ọrịa cancer colon, ọrịa ndị ọzọ-ọrịa: ọrịa ogbu na nkwonkwo, uveitis, AS, Pyoderma gangrenosum, Primary sclerosing cholangitis. Rx: 5-aminosalicylic acid orral medicine, corticosteroids, ọgwụ immunomodulatory, colectomy bụ curative.
  • Onyonyo: achọghị maka Dx mana barium enema nwere ike ikpughe ọnya, mkpịsị mkpịsị aka, n'ọnọdụ ndị dị elu mfu nke haustra na mbelata nke eriri afọ na-emepụta eriri ndu-pipe. ikpe. CT nwere ike inye aka na nke Dx nke nsogbu. Ihe onyonyo a na-ahụ anya nke ọma na-ekpughe �paịpụ eriri afọ na sacroiliitis dị ka ọrịa ogbu na nkwonkwo Enteropathic (AS)
abdomen diagnostic imaging el paso tx.
  • Carcinoma na-adịghị mma (CRC) m / c ọrịa cancer nke traktị GI na 2nd kachasị njọ na ndị okenye. Dx: endoscopy na biopsy. CT bụ ụdị ọnọdụ a na-ejikarị eme ihe. Igwe na-arụ ọrụ nke ọma nwere ike ịgwọ ọrịa ọ bụ ezie na afọ ise ịlanarị bụ 40- 50% dabere na nhazi. Ihe ize ndụ: obere eriri na nnukwu abụba na nri anụmanụ, oke ibu (karịsịa ndị ikom), ọrịa ulcerative colitis. Colonic adenomas (polyps). Ọgba aghara polyposis ezinụlọ (ọrịa mkpụrụ osisi) na ọrịa Lynch dị ka ndị polyposis na-abụghị ndị ezinụlọ.
  • Clinically: nkwụsị dị egwu na àgwà obi ọjọọ, ọbara ọhụrụ ma ọ bụ melena, eriri ụkọ ígwè site na ụfụ ọbara mgbaasị na-adịghị ala ala karịsịa na ụbụrụ aka nri. Mgbochi nke bowel, ịmalite ịmata ihe, ọbara ọgbụgba dị arọ na ọrịa metastatic karịsịa na Imeju nwere ike ịbụ ihe ngosi mbụ. Ụzọ: 98% bụ adenocarcinomas, na-ebute site na adenomas colony (neoplastic polyps) tupu oge ochie. Afọ ndụ afọ ndụ bụ 40-50%, na-arụ ọrụ na otu ihe kacha mkpa na-emetụta prognosis. M / C etuto ahụ (55%),
  • NB Ụfọdụ adenocarcinomas esp. ụdị mgbu na-ebute na mbubreyo ma na-ebukarị nchọpụta na-adịghị mma site na ngwụsị oge na nchịkọta ọjọọ na mpaghara ebe dị anya
  • Echiche: Barium enema bụ mmetụta uche maka polyps> 1 cm, otu iche: 77-94%, ọdịiche abụọ: 82-98%. Colonoscopy bụ usoro nhọrọ maka mgbochi, nchọpụta, na njirimara nke carcinoma colorectal. A na-eji nyocha CT dị iche iche dị iche iche maka nyocha na nyocha nyocha nke mets.
  • Nyocha: colonoscopy: afọ 50 afọ 10 ma ọ bụrụ na ọ dị mma, afọ 5 ma ọ bụrụ na polypectomy, FOB, 1st ogo dị na CA na-amalite nyocha na 40 yo
abdomen diagnostic imaging el paso tx.

 

abdomen diagnostic imaging el paso tx.
  • Ọrịa cancer Pancreatic: ọrịa cancer nke epithelial ductal (90%), nyocha nke dara ogbenye nke dị elu. Ọrịa abdominal nke 3rd M / C. Colon bụ #1, afọ #2. Ọrịa Pancreatic na-akọ 22% nke ọnwụ niile n'ihi ọrịa maliri afọ, na 5% nke ọrịa cancer niile. 80% nke ikpe na 60 +. Ịṅụ sịga na-eme ka ịṅụ sịga bụ ihe kachasị ize ndụ gburugburu ebe obibi, ihe oriri bara ụba na abụba na protein. Ibu oke. Akụkọ ezinụlọ. Achọpụtara M / C na isi na usoro na-adịghị mma.
  • Dx: Nyocha CT dị oke mkpa. Mwakpo nke akwara akwara dị elu (SMA) na-egosi ọrịa a na-apụghị ịgbagha agbagha. 90% nke adenocarcinomas nke pancreatic bụ nke a na-apụghị ịkọwapụta na Dx. Ọtụtụ ndị ọrịa na-anwụ n'ime afọ 1 nke Dx. Clinically: jaundice na-enweghị mgbu, abd. Mgbu, gallbladder Courvoisier: jaundice na-enweghị mgbu na nnukwu gallbladder, ọrịa Trousseau: ọrịa thrombophlebitis migratory, ọrịa shuga mellitus ọhụrụ amalite, mpaghara na metastasis dị anya.
  • CT Dx: ngalaba pancreatic na mmeghachi omume siri ike, mmezigharị na-adịghị mma, na nkwụsịtụ ntakịrị ala tụnyere nke na-adabaghị na nkịtị, mwakpo SMA.
abdomen diagnostic imaging el paso tx.
  • Nkwado: ọ bụ ọnọdụ dịkarịsịrị na usoro redio usoro na ọ bụ isi ihe kpatara ịwa ahụ abdominal na-eto eto
  • CT bụ usoro kachasị mma iji chọpụta ngwa ngwa
  • E kwesịrị iji ọrụ ndị na-eto eto na ụmụ ha rụọ ọrụ na ultrasound
  • Igwe redio nwere ike ghara itinye aka na nchoputa nke appendicitis
  • Na onyogho, appendicitis na-ekpughe appendix na-ere ọkụ nke nwere mkpụkọ mgbidi, mmụba, na abụba periappendiceal stranding. Achọpụtara nchoputa ndị yiri nke ahụ maka mkpụkọ na ịgbasa mgbidi na US. A na-ahụta akara ngosi � ebumnuche n'ọnọdụ nyocha US dị mkpụmkpụ.
  • Ọ bụrụ na ihe odide ahụ bụ ihe nchịkọta ihe karịa US nwere ike ịhapụ inye nkọwa Dx na CT ziri ezi
  • Rx: ịrụ ọrụ iji zere nsogbu
abdomen diagnostic imaging el paso tx.
  • Obere nkwụsị ikuku (SBO) -80% nke nchikota ogwu ogwu; ihe fọdụrụ na 20% sitere na nkwụsị nnukwu bowel. Ọ nwere ọnụ ọgụgụ ọnụọgụ nke 5.5%
  • Ihe M / C: ihe ọ bụla Hx nke ịwa ahụ abdominal na mbu na adhesions
  • Ihe ngosi oge ochie bụ afọ ntachi, mgbagwoju anya abdominal na ọgbụ na vomiting
  • Radiographs bụ naanị 50% nwere mmetụta maka SBO
  • CT ga-egosi ihe kpatara SBO na 80% nke ikpe
  • Enwere mpempe akwụkwọ dị iche iche maka ikpuchi obere nkwụsị nke bowel, mana 3.5 cm bụ atụmatụ nlezianya nke obi gụgọrọ
  • Na Abd x-ray: elu elu vs. kwụ ọtọ. eriri afọ gbawara agbawa, agbatị valvulae conivente (mpịakọta mucosal), ọkwa mmiri ikuku ọzọ �nrịba ọkwa ọkwa.
  • Rx: na-arụ ọrụ dị ka nnukwu afọ.�
abdomen diagnostic imaging el paso tx.
  • Volvulus-m / c na Sigmoid colon esp. ndị agadi. Isi ihe kpatara ya: afọ ntachi na-adịghị ala ala na-agbagharị agbagọ sigmoid na sigmoid mesocolon. Na-eduga na nnukwu mgbochi ọnyá (LBO). Ihe ndị ọzọ na-akpata: ụbụrụ okpokoro. Sigmoid vs. Caecum volvulus
  • Nyocha ahụike: LBO nke mgbagwoju anya, afọ ntachi, mgbu, ọgbụgbọ, na vomiting. Isi mmalite nwere ike buru ibu ma ọ bụ na-adịghị ala ala
  • Radiographically: ọnwụ nke haustra na LB, LB distension (> 6-cm), �kọfị agwa� slide na-esote, njedebe ala nke volvulus na-atụ aka na pelvis.
  • NB: Iwu isi mkpịsị aka maka eriri afọ kwesịrị ịbụ 3-6-9 ebe 3-cm SB, 6-cm LB & 9-cm Coecum
  • Rx: arụ ọrụ dị ka nnukwu afọ.�
abdomen diagnostic imaging el paso tx.

References

 

Ọrịa nke Ụzọ Ọkpụkpụ Na-abịakwute Nchọpụta Diagnostic

Ọrịa nke Ụzọ Ọkpụkpụ Na-abịakwute Nchọpụta Diagnostic

by | Imaging & Diagnostics

Ọdịdị ahụ

  • Rịba ama ọgbọ nke osisi tracheal-bronchial, lobes, akụkụ, na fissures. Rịba ama lobule pulmonary nke abụọ (1.5-2-cm) - akụkụ arụ ọrụ nke akpa ume hụrụ na HRCT. Rịba ama nhazi nhazi dị mkpa nke oghere alveolar nwere nkwukọrịta n'etiti (pores nke Kohn & ọwa mmiri Lambert) nke na-enye ohere ịfefe ikuku ma site n'otu usoro ahụ na-ekwe ka mmiri exudative ma ọ bụ transudative gbasaa site na ngụgụ wee kwụsị na fissure. Rịba ama anatomi nke pleura: parietal nke bụ akụkụ nke endothoracic fascia na visceral nke na-etolite ọnụ ngụgụ - oghere oghere dị n'etiti.

 

obi diagnostic imaging el paso tx.

 

  • Mediastinum: ihe mkpuchi na ahihia gbara gburugburu. Ịnweta akụkụ ndị dị elu nwere ọtụtụ lymph ọnụ (lee ihe ngosi nke na-egosi ntụgharị mgbasa ozi na itinye aka na Lymphoma

 

obi diagnostic imaging el paso tx.

 

Ụzọ Mgbochi Na-enyocha Ule Ebubo

  • Nnyocha redio (Ahịa X-ray CXR); nzọụkwụ 1st kacha mma. Ọnụ ala dị ala, obere mgbasa ozi radiation, ọtụtụ nchọpụta mkpesa
  • CT scanning: CT CT, High-Resolution CT (HRCT)
  • Ụdị usoro ọgwụgwọ azụ:
  • Nsogbu
  • Ofufe ọrịa
  • Neoplasms
  • akpa ume edema
  • Phymonary emphysema
  • Atelectasis
  • Ụdị ihe omuma
  • Mediastinum

PA & Mpụta CXR

obi diagnostic imaging el paso tx.

 

  • Enwere ike iji ihe ndi ozo:
  • Echiche Lordotic: enyere aka nyochaa mpaghara apical
  • Akwụkwọ Decubitus n'aka nri na aka ekpe: aka iji nyochaa ngwongwo aghụghọ, pneumothorax na ọgwụ ndị ọzọ

 

obi diagnostic imaging el paso tx.

 

obi diagnostic imaging el paso tx.

 

  • Nkịtị CXR PA & Anya echiche. Gbaa mbọ hụ na ekpughere dị mma: A na-ahụ diski T-azụ na arịa dị n'ime obi na ele PA. Gụa ọgịrịga 9-10 nke dị n'azụ iji gosipụta ezigbo mbọ inspiratory. Bido nyochaa nke ọma site n'iji usoro a: Enwere ọtụtụ ọnya ọnya A-abdominal / diaphragm, mgbidi T-thorax, M-mediastinum, L-lung iche iche, Lungs-both. Zụlite usoro ọchụchọ dị mma

 

obi diagnostic imaging el paso tx.

 

  • 1) Ọrịa Airspace aka ọrịa ọrịa alveolar? Na-ejupụta alveoli anụ ọkụkụ, acin ma mechaa lobe niile na mmiri ma ọ bụ ihe ọ bụla mepụtara (ọbara, ihe, mmiri, ihe nchekwa ma ọ bụ ọbụna mkpụrụ ndụ) Radiographically: ịba ụlọnga ma ọ bụ akụkụ nke akụkụ, airspace nodules nwere ike ịkọtara, àgwà nke coalesce, ikuku bronchograms na akara ngosi silhouette. A na-atụle (nru ububa) nkesa dịka (CHF). Na-agbanwe ngwa ngwa na oge, ya bụ, mụbaa ma ọ bụ belata (ụbọchị)
  • 2) Ọrịa nke mbụ: mmịnye nke mgbagha nke mgbagwoju anya (alveoli septum, paungyma pulmonary, mgbanaka ụlọ, wdg) site na ihe atụ site na nje, obere bacteria, protozoans. Nakwa ụkwara site na mkpụrụ ndụ dịka mkpụrụ ndụ na-egbu egbu / ahụ ọjọọ (dịka, lymphocytes) E gosipụtara dị ka nkwenye nke mgbagwoju anya na anụ ọkụkọ na-agbanye mgbọrọgwụ, nodular, nke a na-ejikọta ya na reticulonodular. Ụdị etiologies dị iche iche: mkpali ọrịa autoimmune, ọrịa fibrosing na-egbu anụ, ọrịa nchịkwa nke ọrụ, nje nje / ọrịa mycoplasma, TB, sarcoidosis lymphoma / leukemia na ọtụtụ ndị ọzọ.

 

obi diagnostic imaging el paso tx.

 

  • Ịmata usoro dị iche iche nke ọrịa ọrịa na-efe efe pụrụ inyere DDx aka. Mass vs. Consolidation (aka ekpe). Rịba ama ihe dị iche iche nke ọrịa ọrịa na-efe efe: ọrịa oke ikuku dịka nkwakọba ụlọnga nke na-egosi na oyi baa, mgbatị dị iche iche nke na-egosi pulmonary edema. Atelectasis (ida na oke nha). Ụdị nkwonkwo nke ọrịa mgbọnwụ: azụ azụ, nodular ma ọ bụ agwakọta. SPN vs. Nchikota nhazi nke otutu (nodules) nwere ike na-anọchite anya mets na-abanye na vs. septic infiltrates

 

obi diagnostic imaging el paso tx.

 

  • A = intraparenchymal
  • B = ihe obula
  • C = mmezi
  • Ghọta ọnọdụ dị mkpa nke ọnya obi

 

obi diagnostic imaging el paso tx.

 

  • Ihe ịrịba ama ndị dị mkpa: Ihe ịrịba ama silhouette: enyemaka na localization na DDx. Ihe Nlereanya: N'ala ala aka ekpe: rediocity na nsị ziri ezi, ebee ka ọ dị? Right MM n'ihi na a hụghi ezi obi obi nke dị n'akụkụ aka nri n'etiti lobe (silhouetted) Igwe ikuku air: ikuku nwere bronchi / bronchioles nke mmiri gbara gburugburu

 

obi diagnostic imaging el paso tx.

 

Ụdọ Trauma

  • Pneumothorax (PTX): ikuku (gas) n'ime oghere ihe. Ọtụtụ akpata. Nsogbu:
  • PTX mgbagwoju anya: mmụba na-aga n'ihu na mbara igwe nke na-agba ọsọ na-eme ka mediastinum na ọkụ na-eme ngwa ngwa belata obi ọjọọ. Ọ nwere ike bụrụ ọnwu ma ọ bụrụ na a gaghị emeso ya ngwa ngwa
  • PTX ozugbo: isi (ndị na-eto eto (30-40) karịsịa ndị toro ogologo, ndị ikom dị gịrịgịrị. Ihe ndị ọzọ: Marfans syndrome, EDS, Homocystinuria, a-1-antitrypsin deficiency. Nke abụọ: okenye pts nwere ọrịa parenchymal: neoplasms, abscess, emphysema. , fibrosis nku ume na mmanụ aṅụ, catamenial PTX d/t endometriosis na ndị ọzọ.
  • Plenumothorax traumatic: nchịkọta anụ ọkụkụ, ọnyá na-eme ihere, ikuku ahụ na ihe ndị ọzọ.
  • CXR. Enweghị nke anụ ahụ na arịa karịrị akarị nke visceral. Enwere ike ihichapu pneumothorax. N'ebe okwesiri, ebili elu na PTX ga-achọ n'elu.
  • Akpụkpụ ụfụ: v.common. (Dịka, mets, MM) usoro ntanetị x - ụzarị adịghị aba uru n'ihi na CXR na / ma ọ bụ CT scanning dị mkpa iji nyochaa posttraumatic PTX (nkwụ aka ekpe) nkuchi na isi ụzọ ọzọ

 

obi diagnostic imaging el paso tx.

 

Ofufe ọrịa

  • Pneumonia: nje bacteria ma ọ bụ nje virus ma ọ bụ ndị na-adịghị ahụ maka nje (eg, Cryptococcus in HIV / AIDS) TB Pulmonary

 

obi diagnostic imaging el paso tx.

 

  • Nneonia: obodo-enweta vs. ụlọ ọgwụ-enwetara. Ụdị oyi na-egbu nje ma ọ bụ Lobar (na-abụghị akụkụ) na oyi baa na purulent ihe na-ejuputa alveoli ma gbasaa lobe niile. M / C organismStreptococcus Pneumonia ma ọ bụ Pneumococcus
  • Ndị ọzọ: (Staph, Pseudomonas, Klebsiella esp. Na ndị aṅụrụma nwere ike na-eduga na necroSIS / eriri gangrene) Mycoplasma (20-30s) na-eje ije na oyi n'ahụ, wdg.
  • Clinically: ụbụrụ na-emepụta ahụ, ọkụ, painurursis mgbe ụfọdụ na-egbu mgbu.
  • CXR: ikuku obacity na-ejikọta ọnụ na-agbanyeghị na lobe niile. Igwe ọkụ na-acha ọkụ. Silhouette akara aka na ebe.
  • Grenoji: Influenza, VZV, HSV, EBV, RSV, wdg na-enye dịka ọrịa nke nkwonkwo nke etiti nke nwere ike ịbụ bilateral. Nwere ike ime ka mwepụ iku ume
  • Pneumonia na-egbu egbu na Fungal Pneumonia: Mycoplasma, ọrịa Legionnaire, na ọrịa ụfọdụ / Cryptococcus pneumonia nwere ike ibute ọrịa ọrịa interstitial.
  • Anwụrụ Pulmonary: nchịkọta nke purulent ihe na ngụgụ nke na-emekarị necrotizes. O nwere ike ibute nsogbu dị egwu na usoro nsogbu / egwu ndụ.
  • Na CXR ma ọ bụ CT: mkpokọta gburugburu na oke ala na etiti necrosis nke nwere ikuku ikuku. DDx sitere na mgbapụta nke na-egbochi ikuku na ndabere
  • Rx: ọgwụ nje, ọgwụ ọjọọ, ndị na-agwọ ọrịa antiviral.
  • Akpanyere ya na imeghari CXR ka o wee nwee ike ime mkpebi
  • Enweghị mmịnye redio nke mmịnye oyi nwere ike na-anọchi anya ịghara ịlụ ọgụ, nguzogide nke nje, mkpịsị na-agba ume ma ọ bụ ihe ndị ọzọ na-enye nsogbu

TB Pulmonary

obi diagnostic imaging el paso tx.

 

  • Ọrịa a na-ahụkarị n'ụwa niile (mba ụwa 3rd). 1 na 3 ndị mmadụ n'ụwa nile na-emetụta ụkwara nta. TB sitere na Mycobacterium TB ma ọ bụ Mycobacterium Bovis. Mkpụrụ obi na-egbuke egbuke. Macrophage na-arụ ọrụ dị mkpa.
  • Primary akpa ume TB & Post-isi TB. Chọrọ ikpughere ugboro ugboro site na inhalation. N'ọtụtụ usuu ndị na-enweghị ikike, ọrịa na-arụ ọrụ anaghị etolite
  • TB dị ka 1) nke onye ọbịa, 2) kpochapụrụ n'ime Latent Ụkwara nta Ọrịa (LTBI) 3) na-eme ka ọrịa TB. Ndị ọrịa na LTBI adịghị agbasa TB.
  • Echiche: CXR, HRCT. Primary TB: akpa ume ikuku ikuku (60%) obere lobes, lymphadenopathy (95% - hilar & paratracheal), pleural effusion (10%). Mgbasa nke TB kachasị yikarịrị ka ọ na-egbochi ụmụaka na ụmụaka.
  • Mkpụrụ Tropiary Tria: mkparịta ụka na usoro mgbasa ozi na-emepụta ihe nke nwere ike ịnwụ
  • Ihe nrịba nke mbụ (nke abụọ) ma ọ bụ mmeghachi omume nke ọrịa: Ọtụtụ n'ime ihe ndị dị na akwa na nke ikpeazụ nke lobes elu) elu PO2), 40% -abịa ọnya, ọnyá ma ọ bụ ọrịa na-ejikọta ọnụ, fibrocalcific. Ọnọdụ Latent: nkọwa nodal.
  • Dx: Acid-fast bacilli (AFB) smear na omenala (sputum). Ọrịa HIV na-arịa ọrịa niile na-arịa TB na amaghị HIV
  • Rx: Usoro ọgwụ nje 4: isoniazid, rifampin, pyrazinamide, na ethambutol ma ọ bụ streptomycin.

Neoplasms nke Pulmonary (bụ isi cancer cancer na-akpata.)

  • Ọrịa cancer: m / c cancer na ụmụ mmadụ na 6th ọtụtụ ugboro cancer na ụmụ nwanyị. Mkpakọrịta siri ike na inhalation nke carcinogens. Clinically: nchọpụta oge, dabere na ọnọdụ nke tumor. Ụdị ọgwụ (ụdị): obere cell (SCC) vs. obere carcinoma obere obere
  • Obere sel: (20%) na-amalite site na neuroendocrine aka Kultchitsky cell, si otú ahụ nwere ike ichebe ihe ndị dị ndụ na-emepụta na-arịa ọrịa paraneoplastic. A na-ahụkarị ya (95%) na ma ọ bụ dị nso na bronchus isi / lobar. Ihe ka ọtụtụ na-egosi ogbenye prognosis na unresectable.
  • Nke na-abụghị obere cell: Adenocarcinoma anụ ọkụ (40%) (M / C cancer cancer), M / C na ụmụ nwanyị na ndị na-eseghị anwụrụ. Ndị ọzọ: Squamous cell (nwere ike ibute ya na cavitating lesion), nnukwu cell na ụfọdụ ndị ọzọ
  • Ihe nkiri dị iche iche (CXR): ọhụụ ọhụrụ ma ọ bụ bukwuo ibu, gbasaa mgbasa ozi nke na-enye echiche banyere itinye aka na ngwongwo lymph, ngosipụta zuru oke, atelectasis, na nkwenye. SPN-nwere ike na-anọchi anya ọrịa cancer na-akpa ike karịsịa ma ọ bụrụ na o nwere ala ndị na-adịghị agafe agafe, nri mmiri, mgbidi siri ike, na akpa ume. Otutu otutu nodu nwere otutu ihe ndi ozo.
  • Ụdị kacha mma: HRCT dị iche.
  • Ndị ọzọ obi neoplasms: Lymphoma bụ v. Na-ahụkarị n'ime obi karịsịa na akwụkwọ mgbasa ozi na esịtidem mammary.
  • N'ozuzu M/C pulmonary neoplasms bụ metastasis. Ụfọdụ etuto ahụ na-egosi ọkwa dị elu maka nku ume mets, dịka, Melanoma, mana ọrịa kansa ọ bụla nwere ike ịbata na ngụgụ. Ụfọdụ mets na-ezo aka dị ka �Cannonball� metastasis
  • Rx: radiation, chemotherapy, resection

 

obi diagnostic imaging el paso tx.

 

  • Egwuregwu Pulmonary: otu okwu n'ozuzu na-akọwa ngwakọta nke mmiri na-abaghị uru n'èzí akụkụ dị iche iche. Okewa na-ekewa n'ime Cardiogenic (dịka, CHF, mitral regurgitation) na ndị na-abụghị cardiogenic na ọtụtụ ihe kpatara (dịka, mmụba mmiri, transfusion, ihe ndị na-akpata ọrịa, ARDS, dị ka mmiri na-egbu mmiri / ọgwụ ọjọọ, heroin overdose, na ndị ọzọ)
  • Ihe kpatara ya: ọganihu mmiri na-arịwanye elu na-ebelata na nrụgide oncotic.
  • Echiche: CXR na CT: Mpịakọta Interstitial na Alveolar nke 2. Nkwupụta echiche na-adabere na nkebi
  • Na CHF: Nkeji 1: redistribution nke vaskụla eruba (10-18-mm Hg) kwuru dị ka �cephalization� nke pulmonary vasculature. Nkeji 2: Interstitial edema (18-25-mm Hg) Edema interstitial: peribronchial cuffing, Kerley ahịrị (lymphatics jupụtara na mmiri mmiri) A, B, C ahịrị. Nkeji 3: Alveolar edema: ọrịa ikuku ikuku: patchy consolidations na-etolite n'ime ọrịa ikuku na-agbasa: Batwing edema, bronchograms ikuku.
  • Rx: 3 isi ihe mgbaru ọsọ: O2 mbụ iji mee ka O2 na 90% saturation
  • Nke ọzọ: (1) Mbelata nchịghachi azụ anụ ọkụkụ (ntinye mbelata), (2) Mbelata nke nkwụsị mgbagwoju anya (mbelata na mbelata), na (3) nkwado nkwado. Na-emeso ihe ndị kpatara (dịka, CHF)

 

obi diagnostic imaging el paso tx.

 

  • Mkpụrụ obi ọkụ elelectasis: ezughị ezu nke parenchyma pulmonary. A na-echekwa okwu ahụ bụ "ọkpụkpụ na-ada mbà" mgbe ọ na-ada ụda niile
  • 1) Nri na-edozi (obstructive) atestasis na-eme n'ihi nkwụsịtụ zuru oke nke ụgbọelu (dịka tumato, ihe ndị e kpochara ekpo, wdg.)
  • 2) Ngabiga (izu ike) atelectasis na-eme mgbe a na-akụghasị kọntaktị dị n'etiti parietal na visceral pleura (pleural effusion & pneumothorax)
  • 3) Mmetụta ihe oriri na-agwụ aghara na-emepụta n'ihi ọnyà ọ bụla ọ bụla-na-ebute ọnya na-eme ka mkpuru ọkụ na-agbasasị ma na-amanye ikuku si alveoli
  • 4) Cicatricial atelectasis: eme ka ọ bụrụ ụfụ ma ọ bụ fibrosis nke na-ebelata mmụba anụ ọkụkụ dị ka ọrịa granulomatous, necrotizing na oyi baa, na fibrosis radiation
  • 5) Nchịkọta anụ ọkụkọ na-emepụta ihe na-apụta site na ụda surfactant na ọdịda alveolar
  • 6) A na-etolitekarị ma ọ bụ chọpụta ihe ọkpụkpụ mgbe ị gbasịrị nchịkọta izugbe
  • 7) Ihe gbasara ima: mkparisi ugbo, migration nke nku ume, imepu nke mediastinum, nrịgo nke diaphragm, hyperinflation nke na-esighi na odighi anu aru

 

obi diagnostic imaging el paso tx.

 

  • Mediastinum: A pụrụ ịkọwa ihe ndị metụtara ọrịa na ndị na-eme ka ndị mmadụ nwee nsogbu ma ọ bụ ndị na-akpata ọrịa dị iche iche metụtara mgbasa ozi. Tụkwasị na nke a, ikuku nwere ike ịbanye na mediastinum na pneumomediastinum. Ịmara banyere mmekorita usoro mgbasa ozi na-enyere Dx aka.
  • Nkịtị mgbasa ozi dị iche iche: thyroid, thymus, teratoma / germ cell tumors, lymphoma, lymphadenopathy, arịgo aortic aneurysms
  • Usoro mgbasa ozi nke etiti: lymphadenopathy, vascular, bronchial injuries etc.
  • Nkịtị nke mgbasa ozi: ụbụrụ neurogenic, anorysms aortic, ìgwè esophageal, ọkpụkpụ azụ, aortic chain adenopathy

 

obi diagnostic imaging el paso tx.

 

  • Phymonary emphysema: ụfụ nke anụ ahụ na-agbanwe agbanwe / nsị nke anụ ọkụkụ na mbibi capillaries na alveolar septum / interstitium.
  • Mbibi nke ahịhịa na-eme parenchyma n'ihi na-adịghị ala ala mbufụt. Mgbapụta nke elastin. Mfe ikuku nke ikuku, ikuku hyperinflation, mgbatị ọbara mgbatị, na mgbanwe ndị ọzọ. Clinical: dyspnea na-aga n'ihu, na-enweghị ike ime. Ka ọ na - erule oge mpịakọta mmanye a na-agba na 1 nke abụọ (FEV1) adabala na 50% onye ọrịa ahụ na-enweghị ume n'emeghị mgbalị ọ bụla ma gbanwee ndụ.
  • COPD bụ isi nke atọ kpatara ọnwụ ụwa. Na-emetụta 1.4% nke ndị okenye na United States. M: F = 1: 0.9. Pts 45 afọ na okenye
  • Na-akpata: Ịṅụ sịga na a-1-Antitrypsin erughi (kewara n'ime centrilobular (ise siga) na panacinar.
  • Foto; ihe ịrịba ama nke hyperinflation, ọnyà ikuku, bullae, ọbara mgbali elu.

 

obi diagnostic imaging el paso tx.

 

Ọkpụkpụ Isi na Mmetụta Na-ahụ Maka Ọrịa Na-akpata Intra-Cranial Pathology

Ọkpụkpụ Isi na Mmetụta Na-ahụ Maka Ọrịa Na-akpata Intra-Cranial Pathology

by | Imaging & Diagnostics

Ọkpụkpụ isi: Ụkwụ ụkwụ

isi ihe oyiyi na-ekpo ọkụ na tx.
  • SKULL FX: KWESỊRỊ KWESỊRỊ ỤBỌDỤ NKE MGBE AHỤ. SKULL FX OFTEN POINT TOE NDỊ NTỤRỤ NDỊ NA-EBE NDỊ NA-EBE EKWU: INTRA-CRANALHEMORRHAGING, CLASSED TRAUMATIC BRAIN ENJURY NA MAMA OBI
  • SKULL X-RAYS BỤ EZIOKWU NDỊ NA-AGBANYE NA-AGBANYE. CT AHỤRỤ W / O ỤLỌ BỤ NTỤKWU NDỊ KWESỊRỊ ỤBỌCHỊ NA-EBE EBE TRAUMA. MRI NA-AHỤ ỤLỌ AHỤRỤ ỊKWEGHỊ ỤLỌ NA-ECHICHE, NA BỤGHỊ EYI EBE EBE EBE EKWU NDỊ ỌZỌ KWESỊRỊ TRAUMA.
  • SKULL FX BỤ ỤBỌDỤ NKE SKULL VAULT, SKULL NA NA KWESỊRỊ SKELETON KWESỊRỊ ECHICHE NA ECHICHE ECHICHE NA-ENYE NDỊ NA-EBE NDỊ MGBE ECHICHE.
  • LINEAR SKULL FX: SKULL VAULT. M / C FX. CT NKWUKWU BỤ ECHICHE NA-EZI AKWỤKWỌ ỤLỌ NCHE ỌZỌ
  • X-RAY DDX: VLỌ VS LINEAR SKULL FX. FX B TH THINNER, BLACKER IE ỌZỌ INWETA, CROSSESSUTURES, AND VASCULAR GROOVES, LACKSSERRATIONS
  • RX: Ọ BỤRỤ na NDỊ BỤRỤ N'ỤLỌ NCHE BỤ N'ỤLỌ NCHE. OCHIKE NKA NA-ECHIKE Ọ BỤRỤ NA CT SCANNING KWESỊRỊ
isi ihe oyiyi na-ekpo ọkụ na tx.
  • SKULL FX AJỤDỤ: 75% NA VAULT. ANYỊ NA-ECHI. KWESỊRỊ ỤBỌDỤ AHỤ. Ihe kachasị mkpa bụ NEUROSURGICALEXPLORATION EMPLOYMENT EXPRESSIONS> 1-CM.COMPLICATIONS: VASCULAR INJURY / HEMATOMAS, PNEUMOCEPHALUS, MENINGITIS, TBI, CSF LEAK, BRAIN HERNIATION ETC.
  • IMAGARỊ: CT SCANNING W / O CONTRAST
isi ihe oyiyi na-ekpo ọkụ na tx.
  • BASILAR SKULL FX: Nwere ike ịnwụ. ỌTỤTỤTỤ NDỊ ỌZỌ ỌZỌ ỌZỌ ỌZỌ ISI NDỊ AHỤ MMADỤ NKE VAULT NA FACIALSKELETON, na-ejikarị TBI NA MAJORINTRACRANIAL HEMORRHAGING. Ọtụtụ mgbe, ọ na - eme dị ka �Hidband� nke mmetụta na usoro ọrụ na - arụ ọrụ na obere ọkpụkpụ site na sphenoid na isi ndị ọzọ nke ọkpụkpụ ndị ọzọ. CLINICALY: ANYỊ RACCOON, AKWỤKWỌ BATTEL, CSFRHINO/OTORRHEA.

Akpụkpọ anya ihu

isi ihe oyiyi na-ekpo ọkụ na tx.
  • NASAL BONES FX: 45% OF ALLFACEFXM / C mmetụta BỤ mpụta (aka Fụọnụ wdg) Ọ BỤRỤ UNDISPLACEDNO MESOO, Ọ BỤRỤ ekpochapụ ỤFỌDỤ siere ikuku eruba na akụkụ okuku ume na akụkụ Akwụkwọ Nsọ, e nwere ike Associated na ndị ọzọ ihu / okpokoro isi mmerụ. X-RAYS 80% AGBANYEGHỊ, BỤ N'ỤLỌ NTỤRỤ INCOMPLEX CT.
  • ORBITAL BỤ EKWU NDỊ: AHMR IN AKWMKWỌ AH D D / T NA-EME NA GLOBE NA / MA Ọ B OR ỌB OR. FX OF ORBITAL OLỌ INTOMAXILLARY SINUS VS. Mgbidi Mgbasaozi n'ime ETHMOID SINUS. Mmeju: ENTRAPPEDINFERIOR RECTUS M, PROLAPSEORBITAL Abụba, AND Adị Nro, HEMORRHAGING NA OPTIC NERVE ỌJỌ. RX: Nchegbu nke mmebi iwu nke ụwa dị mkpa, na-emeso ya n'ụzọ zuru ezu ma ọ bụrụ na ọ dịghị nsogbu ọ bụla
isi ihe oyiyi na-ekpo ọkụ na tx.
  • TRIPOD FX: 2ND M / C FACIAL FX # MGBE NASAL (40% OF MIDFACEFX) 3-POINT FX-ZYGOMATICARCH, NKWUKWU ỌR OF NKE ZYGOMATIC BONE & SITE nke MAXILLARY SINUS WALL, MAXILLARY PROSESS OF ZYGOMATIC BONE.COMVE. CT nyocha bụ ihe ọmụma gbasara X-Rays (WATER S VIEW).
  • Obi ụtọ FX: AKWỤKWỌ NDỊ MGBE NA-ECHICHE PETYGOID PLATES, MGBE A GA-EKWESỊTA OKWU NA NTỤKWU ỤLỌ NTỤTA NA ECHI NKE SKULL. Na-eche: AIRWAYS, HEMOSTASIS, NERVE ENJURIES. CT NKWUKWU NA-AJỤ. AKWỤKWỌ NDỊ SKULL FX BASILAR
isi ihe oyiyi na-ekpo ọkụ na tx.
  • PING-PONG FX:Naanị ụmụ ọhụrụ. FX D/T FOCALDEPRESSION ENWEGHỊ EZIOKWU: Nnyefe MMADỤ, ỌRỤ NA-ECHICHE wdg. FOCALTRABECULAR MICROFRACTURIING NA-ahapụ ịda mbà n'obi dị ka APING-PONG. A na-ele DX anya ka ụlọ ọgwụ dị ka ntụpọ ntụpọ - ịda mbà n'obi� n'ime okpokoro isi. TYPICALLYNEUROLOGICALY EDUCATION. CT nwere ike inye aka ma ọ bụrụ na echere mmerụ ahụ ụbụrụ. RX: Nhụjuanya VS. Ịwa ahụ na mmerụ ahụ dị mgbagwoju anya. AKWỤKWỌ MKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKW ahụ
isi ihe oyiyi na-ekpo ọkụ na tx.
  • CYST LEPOMENINGEAL (BỤ SKULL FX) - BỤ N'ỤLỌDỤ SKULL FRACTURE IHE NDỊ ỌZỌ NA-EME POSTTRAUMATIC ENCEPHALOMALACIA
  • Ọ na-adịghị A ahu otutu, KAMA AN Ndọtị OF THEENCEPHALOMALACIA EMI hụrụ A ọnwa ole na ole Post-Nsogbu gara aga Okpokoro Isi FX FOLLOWEDBY HERNIATION NKE MENINGES NA ADJACENTBRAIN nwere PULSATIONS NKE CSF. CT dị mma ATDX A PATHOLOGY. IHE NDỊ A GA-ECHICHE: NDỤKWU NDỊ NA-EME ENCEPHALOMALACIA AS FOCALHYPOATTENUATING LESION.
  • NKỌKWU: PALPABLE CALVARIAL ENLARGEMENT, PAIN, NTANYA NCHANGE / SEIZURES. RX: A NA-EKWU NDỊ NA-ECHICHE
  • DDX: ECHICHE / METS / OTHER NEOPLASMSINTO SUTURES, EG, INFECTION ETC.
isi ihe oyiyi na-ekpo ọkụ na tx.
  • FXS MANDIBULAR: COMMON. NDỊ KWESỊRỊ IHE D / T INTRA-ORALEXTENSION. 40% FOCAL BREAK DESPITEMANDIBLE BE RING. IMPACT IMMODEL (ASSAULT) M / C MECHANISM
  • PATHOLOGICAL FX D / T BONE NEOPLASMS, INFECTION ETC. IATROGENIC N'ỤLỌ ỌTỤRỤ ỌTỤRỤ (NTỤKWỌ NTỌ)
  • IMAGARỊ: NDỊ AHỤRỤ X-RAYS, PANOREX, CT SCANNING ESP. N'OGE OF ASSOCIATEDFACE / AHỤ ỤWA
  • Nsogbu: AIRWAY mgbochi, HEMOSTASIS bụ isi echiche, mmebi MANDIBULAR N, OSTEOMYELITIS / CELLULITIS ma nwere agbasa site n'ala nke ọnụ (LUDWIGANGINA) na olu FASCIAL adụ anụ ahụ INTOMEDIASTINUM. ANYỊ BỤGHỊ KWESỊRỊ ỤBỌDỤ D / T KWESỊRỊ ỤBỌCHỊ.
  • RX: VS.. AHỤ

Ọrịa ọgbụgba na-egbuke egbuke

isi ihe oyiyi na-ekpo ọkụ na tx.
  • AKWỤKWỌ AKA AKA AKA: (EDH) RAPATRAATIC RAPING OF MENINGEAL ARTERIES (MMA CLASSIC) NA-EME IHE KWES FORROMA HEMATOMA N'AGBATA INU SKULL NA M DTA DURA. CT nyocha bụ igodo nke DX: E gosipụtara dị ka LENTIFORM IE BICONVEX Nchịkọta AKW (KWỌ (HYPERDENSE) Ọ B THATR THAT NA-AD NOTGH CR KWESOSR AND KWES ANDR AND NA EBERE CLINICALLY: HA, LUCID EPISODE INITIALLY AND DETERIORATING IN A AOUR HOURS.COMPLationsations: BRAIN HERNIATION, CN PALSY. O / A NA-AM IFMA Ọ B IFR EV NA Ọ B Q NA AKA.
  • HEMATOMA SUBDURAL (SDH): Mwewe nke BRIDGINGVEINS N'etiti DURA Ime na ARACHNOID. Onwere ike imetụta ndị na-eto eto na ndị agadi na ndị nọ n'afọ ndụ niile (MVA, Falls etc.) nwere ike ịmalite n'ime BABY SYNDROME. DX nwere ike igbu oge wee mee ka amụma ahụ dịwanye njọ site n'ihe ndị dị egwu. N'AKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKW ỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWỤKWASỊ Ịmalite na CT dị mkpa. Na-egosi dị ka mkpokọta n'ụdị crescenta nke nwere ike ịgafe akwa akwa mana kwụsịrị na ntụgharị uche. NKWUKWU dị iche iche na CT D/T ỌZỌ dị iche iche nke Ọbara: ACUTE, SUBACUTE, NA CHRONIC.nwere ike ịmalite mkpokọta oge-CYSTICHYGROMA. Ụlọ ọgwụ: Ngosipụta dị iche iche, 45-60% dị ugbu a na ọnọdụ CNS dara mbà n'obi, ezughị oke ụmụ akwụkwọ. ỌTỤTỤ oge, ọ na-enwe ọganihu ụbụrụ nke mbụ, emesia ihe omume dị mma tupu ọ na-emebi emebi nke ukwuu. N'okwu 30% nke ndị ọrịa na-emerụ ụbụrụ na-egbu egbu nwere SDH. RX: EKWU OKWU ỤWA.
isi ihe oyiyi na-ekpo ọkụ na tx.
  • SUBARACHNOID HEMORRHAGE (SAH): Ọbara dị n'ime oghere SUB-ARACHNOID N'IHE NDỊ NA-ECHICHE NA-ANYA MA Ọ BỤ ỌZỌ ỌZỌ: BERRY ANEURYSMS Gburugburu OGE WILLIS.SAH 3% nke ọrịa strok, 5% nke ọrịa strok, 1% . AKWỤKWỌ isi ọwụwa. PT agbada nwere ike ma ọ bụ enweghị ike nwetaghachi akọ. PATHOGY: NA-agbasa Ọbara INSA Oghere 2) SUPRASELLAR CISTERN nwere Mgbasa MGBE MGBE, 3) PERIMESENCEPHALIC, XNUMX) BASAL CISTERNS. Ọbara na-agbaba n'ime mbara ala SA Oghere NDỤMỌDỤ na-ebute mmụba zuru ụwa ọnụ na nrụgide intracranial, CUTE GLOBAL ISCHEMIA nke VASOSPASM na-agbanwe na mgbanwe ndị ọzọ.
  • DX: IMAG: NDỊ NA-ECHICHE AHỤRỤ WWỤKWỌ NDỊ NA-ECHICHE, CT ANGIOGRAPHY PỤRỤ NTỤRỤ NDỊ 99% SAH. LUMBAR PUNCTUREMAY ANYỊ NA-ENYERE NDỊ NA-AGBANYE. MGBE NTỤKWỌ DX: MR ANGIOGRAPHY NA-AHỤRỤ ỊBỤ SITE NA ỤMỤKWU NDỊ DỊ YA
  • IMAGING ECHICHE: EKWU ỤLỌ BỤ HYPERDENSE ON CT. BỤ N'ỤLỌ NCHE: PERIMESENCEPHALIC, SUPRASELLA, BASAL, VENTRICLES,
  • RX: NDỊ MEDS ANTIHYERS, NA-ECHICHE (MANNITOL) TO DECREASEICP. MGBE ECHICHE NA NDỊ MGBE NA-ECHICHE.

CNS Neoplasms: Benign vs. Malignant

isi ihe oyiyi na-ekpo ọkụ na tx.
  • BRAIN TUMORS 2% NDỊ KWESỊRỊ AKWỤKWỌ. Otu okpukpu atọ dị na ya, NKE METASTATIC BININ DESIONS BỤ KWESỊRỊ KWESỊRỊ
  • IHE NDIN KWESINR WITH KWES WITHR WITH KWES WITHR WITH N'WITHLỌ ỌR CN SB ABR IN CNS, INCARA ICP, INTRACEREBRAL BLEEDING wdg EZINAMLỌ: VON-HIPPEL-LANDAU, TUBEROUS SCLEROSIS, TURCOT SYNDROME, NF1 & NF2 BATARA ỌNIS AH R. NA CHMIL: M / C ASTROCYTOMAS, EPENDYMOMAS, PNETNEOPLASMS (EG MEDULLOBLASTOMA) ETC. DX: Dabere na WHO Nhazi.
  • Okenye: M / C BENIGN NEOPLASM: MENINGIOMA. M / C PRIMARY: GLIOBLASTOMA MULTIFORME (GBM) METSESPAYI SITE LUNG, MELANOMA, AND BREAST.OTHERS: CNS LYMPHOMA
  • MGBE NA-EKWU NDỊ NA-ECHIKE: NDỤMỌDỤ NA-ECHICHE NA-ECHERE EKWERE, ICP SIGNS HA. NDỊ NA-ECHICHE NA BỤ EBE EBE NA GỤDỤ GADOLINIUM.
  • IMAGING DETERMINES: INTRA-AXIAL VS. EXTRA-AXIALNEOPLASMS. MGBE NDỊ NA-ECHICHE NDỊ MAOPA MAOPO MAYO CCUR VIA CSF NA MGBE AHỤ ỤLỌ
  • GỤKWU AKWỤKWỌ AHỤKWỤKWỤKWỤKWỌ ỤLỌ MENINGIOMA NA ECHICHE ỤLỌ.
  • AXIAL MRI ON FLAIR PULSE SEQUENCE REVEALED EXNENS NEOPLASM AND MARKED CYTOTOXIC EDEMA OF PARINCHYMA BRAINY Njirimara nke mkpụrụ akwụkwọ GLIOMA (GBM) NA ỤBỌCHỊ ECHICHE. KWESỊTA OKWU IME: AXIAL MRI FLAIR: BRAIN MASTASTASIS FROM BREAST CANCER. MELANOMA NA-AGBA ỌZỌ AHỤTA (BỤ AHỤ SPECIMEN) MRI BỤ DIAGNOSTIC D / T SIGNAL ON T1 NA CONTRAST ENGLISHMENT.
  • RX: NEUROSURGICAL, RADIATION, CHEMOTHERAPY, IMMUNOTHERAPY TECHNIQUES Na-apụta

Ngwurugwu nke CNS inflammatory

isi ihe oyiyi na-ekpo ọkụ na tx.

CNS na-efe efe

  • BACTERIAL
  • MYCOBACTERIAL
  • FUNGAL
  • VIRAL
  • PARASITIC