Ukuba ungumzali womntwana omncinci, amathuba okuba mhlawumbi uhlangabezane naloo mzuzu owothusayo xa umntwana wakho eqhubeka nokuwa okanye enye inzakalo, kwaye kufuneka wenze isigqibo sokuba umele ungene kwi-ER.
Ukuba umntwana wakho ushaya intloko yakhe kodwa engenayo impawu ebonakalayo yokwenzakalisa ukulimala, ukulahleka kwengqondo, okanye ukuguquka kokuziphatha, kunokuba nzima ukufumanisa ukuba ufuna uncedo lwonyango.
Nangona ukulimala kwentloko kunomsa kakhulu ukujamelana nomzali, indlela eyona yodwa yokuvavanya ukulimala kwentloko yenziwa nge-CT scan. Kodwa oogqirha abangakumbi bancomela ukuba abazali nabaqeqeshi bezonyango baqaphele ingozi ebonakalayo eyenziwa yi-CT. Ukuba ungumzali kwaye umntwana wakho unobungozi bentloko, ngaba ufanele ucinge ukunika imvume ye-CT scan? Nakhu okufuneka ukwazi.
Yintoni i-CT Scan?
Kungadanisa ukuba kutheni sithi "i-CAT" iskena xa idlalwa ngokukhawuleza ngokuthi "CT" iskripthi, kodwa kukho inkcazelo elula: "I-CAT" imele i-computing axial tomography, ichaza indlela esetshenziselwa ukuyihlola ukuze ivelise umfanekiso, kodwa i-scan "kunye ne" CAT "isetshenziselwa ngokungafaniyo.
I-scan ye-CT ingumxholo onamandla ngakumbi we-X-ray. Ngokungafani ne-X-rays efana neyo, ekhangelelana nomzimba ukusuka kwinqanaba "elijongene ngqo", i-CT isebenzisa ii-X-ray ezithatha umfanekiso "zetyana" zomzimba okanye indawo yomzimba ukwakha umfanekiso opheleleyo.
Oku kuvumela oogqirha ukuba babone ukulimala kwangaphakathi kunye nezakhiwo ngokucacileyo ngakumbi. Kwakhona kuninzi kuncedo ekujongeni izicubu ezithambileyo kunamathambo, oko kuthetha ukuba ii-CT izicatshulwa zisetyenziselwa ukuxilonga ukulimala kwengqondo kunye neengxaki. Ukususela ekuwa kwezemidlalo ukwenzakalo kwiingozi, ii-CT zikwazi ukujonga kakuhle ingqondo ukunceda oogqirha ukuba babone oko kwenzekayo ngaphakathi.
Oogqirha basebenzisa ii-CT ukuhlola kwingqondo ukuxilonga izicubu zeengqondo okanye ukubonakala ukulimala, ukuphuma kwamanzi, okanye nayiphi na utshintsho lwezakhiwo kunye nezifo ezinokuthi zenzeke kwaye kunzima ukubona nge-X-ray okanye uvavanyo oluqhelekileyo. Xa ucinga malunga nokuba abantwana abancinci kakhulu abakwazi ukukuxelela ngokucacileyo ukuba intloko yabo yenzakalisa okanye ingenza uvavanyo lube nzima kuba bafumana inkcinky okanye bakhathele okanye benze ngendlela ongenakukwazi ukuyenza ngayo "ukuziphatha okuqhelekileyo" Kuyaqondakala ukuba i-CT scan ingakunceda kakhulu ekufumaneni ukulimala kwengqondo.
I-Scan Scan ingaba yingozi njani kubantwana?
Nangona i-CT i-scans ibonakala iyisiluleko esinokubaluleka sezokwelapha kwaye inendima ebalulekileyo ekukhuseleni nasekuphatheni ukulimala, nayo isisitye esifanele sisetyenziswe ngokucokisekileyo kuba ngelishwa, xa isetyenziswe kumaqondo aphezulu kakhulu, ingabangela umdlavuza.
Uphando lwe-2012 kwiLancet , iphephandaba laseBrithani lezokwelapha, lafumanisa ukuba xa ukuhlolwa kwe-CT kuhanjiswa nge dose ye-50 mGY, umngcipheko we-leukemia uphindwe kabini; ngokuphindwe kabini i-dose ukuya kwi-60 mGY iphindela kabili ingozi yomhlaza wengqondo.
Leyo manani ayimangalisa ukuva, kodwa ingozi enkulu yokufumana loo kancinci kubantwana kusezantsi kakhulu. Uphononongo lubhala ukuba kwiminyaka eyi-10 emva kokuqala kwee-CT scans zisetyenziswe kwizigulane ezingaphantsi kweminyaka eyi-10, kukho kuphela "imeko engaphezu kweyodwa" ye-leukemia kunye nesifo sengqondo esisodwa (kwi-10,000 scans CT scans).
Nangona oko kuqinisekisayo, kuyingozi enkulu xa ucinga malunga nokuba i-CT scan ingasetyenziselwa into elula njengokuwa kwebunkbed. Umngcipheko awusoloko uzuze.
Indlela yokuxelela ukuba umntwana ufuna i-Scan Scan
Ngolwazi lokuba ii-CT ziyakwenza umngcipheko womhlaza, nanku umbuzo omkhulu: Ungathini na ukuba unomntwana ofuna i-CT okanye akunjalo? Ucwaningo lwangaphambili lwe- Lancet luhlalutye idatha ukusuka kubantwana abangaphezulu kwama-42,000 ukuba bafike uluhlu lweengcebiso kwizinto oogqirha abanokuziqwalasela ngaphambi kokuyalela i-CT scan. Olu pho nonongo luphelile ukuba oogqirha kufuneka baqwalasele oku kulandelayo:
- Ubudala bomntwana
- Ubulumko
- Shintsha ku ziphatha
- Intloko
- Ukuvutha
Iimeko ezinobungozi obunomntwana, ukuphakama komngcipheko wokulimala kwengqondo, oko kuthetha ukuba ugqirha kufuneka ucinge ukuba u-CT.
Icandelo elincomekayo
Ingxaki ye-CT ingxabano ifika xa ugqirha kufuneka aqikelele umngcipheko we-radiation-causing causing radiation ukusuka kwi-scan kunye nomngcipheko ongenakho wokufumanisa ngokufanelekileyo ukulimala okanye enye ingxaki yonyango. Kuye kwaba nolwazi oluninzi phakathi koogqirha nabazali malunga nokuba iingozi ze-CT ziba njani-nangona uphando luye lwabonisa ukuba oogqirha basebenzisa ii-CT kaninzi.
Ngokomzekelo, isibhedlele esixakekileyo singenakho ixesha lokuzama "ukulinda nokulinda" kumntwana, ngoko i-CT scan ingalawulwa ukuba ixilongwe ngokukhawuleza. Okanye ugqirha asenokuthi angathathi ixesha lokufunda emlandweni wengane kwaye ubone ukuba unayo i-CT scan scans ngaphambili. Okanye mhlawumbi umkhathaleli akazi kakuhle imbali yengonyango yomntwana. Okanye ugqirha unokukhathazeka ngokulahleka ukuxilongwa kwingozi yokuphila kwaye kufuneka aqiniseke ukuba u-CT scan, ngoko akukho mbuzo malunga nokunyamekela kwakhe. Okanye umzali onenkxalabo unokufuna ukutshekisha "xa kwenzeka." Kukho iziganeko ezininzi esizicingayo, kodwa umphumo wokugqibela ufana okufanayo: ii-CT izicatshulwa zisetyenziselwa abantwana, kwaye yingxaki.
Iingcali ezininzi zezobugqirha zixhoxisa oogqirha kunye noluntu ukuba luqaphele ingozi, ukusebenzisa i dose ephantsi kakhulu xa i-CT ifanelekile, kwaye uhlolisise ezinye iintlobo zezixhobo zokuxilonga ezingasetyenziselwa ukuba zingengozi kwaye zingathwali ithuba elifanayo lomhlaza.
Igama elivela kwi-Verywell
Nangona umngcipheko uncinci kwaye naluphi na umphumo osisiseko, njengomdlavuza, uncinci kakhulu, kukho umngcipheko ochaphazelekayo usebenzisa i-CT scans kubantwana ngenxa yemisebe esetyenzisiweyo kwisisombululo. Umngcipheko uphakamileyo kunye nemimandla enamandla kwaye ngokucacileyo, umngcipheko uya kwandisa kunye ne-CT esicatshulwa ngumntwana. Ukunciphisa ingozi yemiphumo emibi, zikulungele ukuthetha nodokotela wakho malunga nokuba kuyimfuneko kangakanani i-CT scan kumntwana wakho. Kwezinye iimeko, ugqirha unokufuneka uqikelele iingeniso kunye nobungozi ngaphambi kokwenza isincomo.
Kwaye, ekugqibeleni, kuhlala kuwe kuba ngumzali ukuba unike imvume yakho kumntwana wakho ukuba abe novavanyo lokuhlola ngaluphi uhlobo, ngoko ke kubalulekile ukuba uzive unikwe amandla ngolwazi lwakho. Iimvavanyo ze-CT zilungele ukukhathazeka okukhulu kwentloko kunye neemeko ezithile zonyango, kodwa kufuneka zisetyenziswe ngokukhawuleza kwaye ziqwalaselwe ngqalelo kubantwana.
> Imithombo:
> Pearce, uMark S et al. (2012). Ukugqithiswa kwemitha kwi-CT ukuhlolwa kwintsana kunye nomngcipheko we-leukemia kunye neengxaki zeengqondo: i-recrospective study cohort. Lancet . 380 (9840): 499 - 505.
> Kupperman, N. et al. (2009). Ukuchongwa kwabantwana abasemngciphekweni ophantsi kakhulu wezonyango ezibalulekileyo zengqondo emva kweengxaki zentloko: umntu ozakufunda ngokubanzi. I-Lancet, 374: 1160-70 Ishicilelwe kwiSeptemba 15, 2009 INGXELO: 10.1016 / S0140- 6736 (09) 61558-0.