Radiology ku Germany

Monga chilango wamng'ono, amene tinganene kuti anapeza X-ray mu 1895, kubadwa, Radiology ku Germany ndi mayiko ena German olankhula ndi mbali yofunika ya matenda ndi mankhwala a matenda ambiri a nkhawa ngati Oncology, komanso zina zambiri specializations zachipatala.

Modern German Radiology lagawidwa m'zigawo, malingana ndi chandamale limba ndi zaka mtima. Zikuphatikizapo Mwachitsanzo, Neuroradiology, omwe amachita ndi wamanjenje dongosolo, mammography (kuphunzira zopangitsa wamkazi mammary), Dokotala Radiology, etc.
Iwo wayambira Radiology madokotala oterewa 80% matenda aakulu. Zimenezi n'zomveka, chifukwa mu nthawi yathu, chifukwa cha chitukuko cha Radiology, yopanda magazi mwamtheradi kupeza moyo mtundu atatu azithunzi omwe tikunena chifanizo cha chiwalo kapena dera kama mtima wa dongosolo minofu ndi mafupa, ndiponso kuona mbali iliyonse ndipo ku mbali iliyonse. Likupezeka kwa asing'anga zingakhalepo, ndi zigawo pafupifupi nyumba tatchulazi, ndi mamilimita 0.5 wakuda. Nkosafuna kunena, monga yolondola matenda osati bwino quality, komanso zimatithandiza mapulani a zikunena opaleshoni, ngati n'koyenera?

Kumene, n'kosatheka kutchula US - mwina yekha hardware yodziwira yomwe alibe zovuta zilizonse. Lero, chifukwa cha Doppler sonography, zikhoza "kufufuza" ziwalo ndi mitsempha, komanso kudziwa boma la magazi mwa iwo, mpaka kudziwa adequacy kuli nthambi mtima chachikulu.

Chinachake popanda, izo Komabe, m'gulu la mtengo Radiology ku Germany otchedwa "mankhwala nyukiliya» (Nuklearmedizin), ntchito kuchipatala matenda zikunena achire. chodabwitsa zachilengedwe anapeza mwa Genri Bekkerelem mu chaka kutsegula kwa Conrad Roentgen X-ray, amene pambuyo dzina lake. Mosiyana ndi X-ray, othandiza ntchito cheza awo anapeza zaka 24 kenaka, ndi dzanja kuwala kwa sayansi Georges de A Heves. Iye anagwiritsa ntchito zinthu nyukiliya kwa olemba chakudya, umene akadandaule wapabanja, kuti aone ngati iye amagonjera iye zotsala dzulo tsiku lotsatira? - Ndicho chimene iye anachita.

Masiku ano Mlingo ka zinthu nyukiliya ndi yochepa kwambiri theka moyo ntchito Kupeza Vuto zotupa ndi zinthu kuwombola. njira zachokera kudzikundikira kapena kuchepetsa kuchuluka kwa zinthu zimenezi m'madera ena a thupi. Gulu loyamba zikuphatikizapo Mwa zina, chotupacho, ndi wachiwiri otchedwa "ozizira" chithokomiro tinatake tozungulira, amene azinyamula choopsa cha chotupa chija.

Kuphatikiza njira kulingalira ndi matanthauzo kuwombola mlingo kwaiye mu 1990s, PET kapena positron umuna tomography, amene amapereka chithunzi zambiri molondola kuposa njira ina payokha. Panopa PET amatanthauza njira muyezo, osati Oncology, komanso matenda a matenda a mtima (mwachitsanzo, m'mnyewa wamtima infarction), matenda Parkinson, khunyu ndi masiyanidwe matenda pakati pa maganizo ndi maganizo (maganizo). Pontho kuposa njira zina akhoza kukhazikitsa mphamvu ya mankhwala ndi kusintha ngati kuli kofunika. Choncho, PET ndi osachepera zofunika kwambiri popanga mwachangu Germany, njira munthu ku matenda a wodwala aliyense, yomwe ndi ngodya ya mawonedwe latsopano la mankhwala Western.

Pamodzi ndi matenda, zinthu nyukiliya ankagwiritsa ntchito zochizira matenda ambiri. Mu achire ntchito yotchedwa ß-cheza kuti ingafalire kuti zimakhala ozungulira millimeters yekha ndipo chifukwa cha izi, si angabweretse zina za thupi ndi pafupifupi palibe brainer-. Kotero, pokhala makumi anai wa mzaka zana makumi awiri mu mankhwala a chithokomiro ntchito nyukiliya ayodini.

Munda watsopano wa ntchito mankhwala nyukiliya ndi radiosinoviortezy kuti mu malo osiyana mankhwala nyukiliya, ndipo mu 1993 ntchito Germany kwa outpatient chithandizo nyamakazi ndi vuto la misempha.

German Radiology ayenera kunyadira ndi ena amene walandira zaposachedwapa, chitukuko mofulumira m'deralo. Tikuyankhula zokhudza Radiology interventional, womwenso uli alowererepo asang'ambe miyezo kwenikweni achindunji opaleshoni. kusokonezedwa otere kwambiri ankagwiritsa ntchito - kuchokera ziwiya mwapang'ono zotupa. Ndipo ngati kulambalala kapena stenting wa ziwiya inatsekeratu mitima, ife azoloŵera kuwonongedwa kwa stenosis (kuchepetsa) Mitsempha ya chala chachikulu Mwachitsanzo, shuga, kutenga nkhani awiri awo osachepera mwina ndikondwera Amateurs ngakhale ozindikira. Tikumbukenso kuti mpaka posachedwapa ngati matenda zambiri anatanthauza amputation wa osachepera chala.

Mankhwala a zotupa akhoza kusanduka zotsatira pa Mitsempha, koma pano chirichonse anyamata. Stenosis Mitsempha kudyetsa minofu kusinthidwa analenga chongopeka. Kudzera yaing'ono (kuchokera millimeters angapo 1 - 2 cm) ang'ambe thupilo catheter, patsogolo kwa chotupa kenako kupyolera kwa chotengera anakhumba mikanda tosaoneka tikuuzidwa otchedwa wothandizila embolic. Chotupa salinso aziwapatsa magazi ndi pansi m'malo mwa minofu yovulazidwa. Alandire monga fibroids uterine lero, pamene si kawirikawiri moyo kuwaopseza, akhoza kupulumutsa kwambiri mavuto mkazi. Mpaka posachedwapa, mankhwala munali mu kuchotsa mtima wabwino chotupa, ndi izo, chabwino, ndi gawo la chiberekero.

Njira ina ndi coagulation adasandulika minofu Mwachitsanzo, mu zina zotupa chiwindi. Pankhaniyi mwachindunji chotupa mwa khungu mwachindunji mwachidule probes pafupifupi 1.5 mm awiri, amene ali pa nthawi yomweyo emitters wa mafurikwense wailesi kapena kulankhulana. Bakuman panamveka mwa iwo kwenikweni welded neoplasm monga mu uvuni mayikirowevu. Popeza minofu chiwindi alibe kupweteka kwa mitsempha mathero, mpheto mtima pafupifupi sabweretsa chisoni. Mphindi 15 Patapita ulamuliro CT aone kapena Kujambula imagwiridwa pambuyo alowererepo, ndi kulola kukhazikitsa ngati onse minofu matenda waonongeka. Ngati ayi, coagulation chachiwiri.

Ndi pafupifupi molondola likugwiranso lero ndi radiotherapy. Mwachitsanzo, mu zotupa ku prostate zambiri chindiletsa walitsa zikadzatha opaleshoni kuchitira incontinence mkodzo, ndipo ngakhale kukhala potency. The ntchito cheza kwa zotupa za m'phuno nthawi zambiri angapulumutse mawu wodwalayo pafupifupi unaltered. Opaleshoni chithandizo Zikatero zambiri zimathandiza munthu imfa ya mawu. Nthawi zambiri, monga zotupa za m'mawere pamene opaleshoni mosalephera, ndi walitsa akhoza zayamba kuchepetsa minofu kuchotsedwa, chotero ntchito kuti madokotala okha poyamba unkatchedwa 'wadzaoneni' asiye kukhala anthu otero.

Pogwiritsa ntchito kompyuta ndi kutukula maluso a CT ndi Kujambula, kupanga mankhwala cheza motsimikiza motere njira ya kuchepetsa ndiponso kuukonza ofunsira (tikulankhula millimeters), lomwe lero amalola irradiate ndi mtima pansi zotupa ndi masautso kochepa kwa ozungulira minofu wathanzi, ie, . kuchepetsa zovuta ndi mavuto mu Zikatero.

The zomveka kupitiriza atengera ndi otchedwa brachytherapy. Mawu amenewa anazindikira kuwayika gwero la cheza mwachindunji mu chotupa minofu. njira izi zikhoza Mwachitsanzo, mankhwala a mitundu ina ya zotupa za prostate.

Chifukwa chitukuko mofulumira ndi oyamba mu ntchito zachipatala la zotsogola "omwe siali a chipatala" luso, lero oposa theka a khansa mankhwala ochiritsa, kapena, n'zotheka kuti apindule ndi awa kugonjetsedwa ndi yokhalitsa normalization wa (chikhululukiro). Radiology ku Germany tithe mwa madera mofulumira kwambiri osauka. kupambana kwake monga mbali ya mankhwala amakono, tiyeni ndikuyembekeza kuti matenda oopsa ambiri ndi woopsa posachedwapa kwambiri kuti achoka mndandanda wa moyo pachiswe.