Radiology mu Germany

Somunhu kuranga mudiki, izvo zvinogona kunzi kuwanikwa maekisirei muna 1895, kuzvarwa, radiology muGermany uye dzimwe nyika chiGerman chinhu chinokosha nechirwere uye kurapwa zvirwere zvakawanda hanya sezvo oncology, uyewo dzimwe zvokurapa specializations.

Modern Radiology German rakakamurwa zvinoriumba, zvichienderana kubaya nhengo murwere zera uye. Izvi zvinosanganisira Somuenzaniso, Neuroradiology, iyo anobata tsinga, mammography (kudzidza munhukadzi mammary mumasero), chiremba radiology, etc.
Chakasimudzira vava Radiology vanachiremba rokuongorora 80% zvirwere zvakakomba. Izvi zvinonzwisisika, nokuti nguva yedu, nemhaka pave radiology, zvachose ropa ngavawane hwose ruvara-dimensional matatu mufananidzo upi nhengo kana nzvimbo vascular pamubhedha womunhu zvetsandanyama nemapfupa hurongwa, uye kufunga izvozvo chero pakona uye chero divi. Uyewo kuwanikwa n'anga inogona akapa, uye rakapotsa zvikamu zvivako dzataurwa pamusoro apa, 0.5 mm paukobvu. Hatigoni kutaura, dzakadai kwenhoroondo nechirwere kwete chete kunonatsiridza quality, asiwo nyore kuronga kuti zvomusejari kupindira, kana zvakakodzera?

Zvechokwadi, hazvibviri tisingatauri US - zvichida chete Hardware chirwere nzira iyo hazvina nemishonga. Nhasi, nokuda Doppler sonography, kwete chete anogona "kuongorora" nhengo dzomukati nemidziyo ropa, asiwo kuona mamiriro ropa aibuda mavari, kusvikira kuona adequacy chinonyanya mwoyo mavharuvhu.

Zvishoma kunze, zvinonzi Zvisinei, kushandiswa radiology seanokosha Germany dzinonzi "renyukireya mushonga» (Nuklearmedizin), rinoshandiswa kuti chirwere uye dzokurapwa kupindira nemwaranzi. Izvi dzinongoitika Fani sezvayakawanikwa ne Genri Bekkerelem pagore pashure Panovhurwa Conrad rontgen maekisirei, iyo gare gare vakanga zita vanomutevera. Kusiyana maekisirei, avo anobatsira kushandiswa nemwaranzi akawanikwa makore 24 chete gare gare, ane chiedza ruoko kemisiti Georges of Heves. Akashandisa radioactive zvinhu zvive Kunyora zvokudya, raakanga nyaya vemba, kuti aone kana iye anozviisa pasi pake zuro wacho zvimwe rakatevera zuva? - Ndizvo zvaakaita.

Mazuvano mishonga duku radioactive zvinhu ane pfupi chaizvo hafu-upenyu inoshandiswa diagnosing namamota uye zvinhu exchange. Nzira kunobva pakuunganidza kana zvinoderedza uwandu izvi zvinhu mune dzimwe nzvimbo dzomuviri. Boka rokutanga rinosanganisira nevamwewo, bundu, uye kune yechipiri inonzi "inotonhora" thyroid nodules, izvo takura ngozi malignancy.

Tikafunga kuri mitoo uye tsanangudzo Exchange pamwero zvakapararira kuma1990, PET kana positron anobuda tomography, izvo anopa zvikuru yakarurama mufananidzo kupfuura chimwe nzira yoga. Pari, PET rinoreva mureza dzokuvhiya, kwete chete muna oncology, asiwo nechirwere chemwoyo (semuenzaniso, myocardial infarction), chirwere chinonzi Parkinson, pfari uye nokuda differential zvokuongorora pakati mwoyo uye dementia (dementia). Ndizvo vanotozozviziva dzimwe nzira inogona kumisa kubudirira mishonga uye kuchinja kana zvakakodzera. Saka, PET iri dzinenge kukosha kwazvo vachishingaira kukura Germany, nomumwe yokusvika kurapa mumwe murwere, inova repakona itsva paradigm wemishonga Western.

Pamwe nechirwere, radioactive zvinhu zvinonzi nevakawanda kushandiswa pakurapa zvirwere zvakawanda. Mugore kuchirapa kushandiswa ß-nemwaranzi anogona kupararira dzakapoteredza nyama chete millimeters uye nokuda kwaizvozvi, usingasii vavatore navamwe muviri vanenge hapana-brainer. Saka sezvo forties remakore rechimakumi maviri ari thyroid kurapa rinoshandiswa radioactive ayodhini.

The yerudzi rutsva munda kushanda radioactive zvinodhaka zviri radiosinoviortezy kuti ari oga nzvimbo zvokurapa zvenyukireya, uye muna 1993 vakashandisa muGermany nokuda outpatient pakurapa yemajoini uye rheumatism.

German Radiology kudada uye neeumwe akagashira mumakore achangopfuura, kukurumidza kukura munharaunda. Tiri kutaura interventional radiology, rinosanganisira zvishoma invasive kupindira kuti chaizvoizvo pfungwa-zvomusejari matanho. chipingaidzo kwakadaro rinoshandiswa zvikuru kwazvo - kubva kujekesa midziyo namamota. Uye kana yokunzvenga kana stenting pamusoro coronary nhumbi mwoyo, tava vajaira kuchaitwa mumwe stenosis (aienda) ropa nhumbi guru toe, Somuenzaniso, chirwere cheshuga, dzimwe nyaya shoma dhayamita zvingabudirira ndinofarira amateurs kunyange akangwara. Zvinofanira kucherechedzwa kuti kusvikira ichangobva kwakadaro chirwere kazhinji kwaireva kugura zvinenge chigunwe.

Treatment anomera unogonawo kuderedzwa kuti zvinokonzerwa pamidziyo ropa, asi pano zvose kunoshandurwa. Stenosis rwengarava ropa havafudzi dzakachinjwa zvinyama akasikwa artificially. Kuburikidza chiduku (kubva millimeters shoma kusvika 1 - 2 cm) incision anobudisa mushonga zvishoma nezvishoma, kufambira mberi kusvika bundu uye kuburikidza nayo zvinodiwa mudziyo nemaziso marozari nezvevanakomana anonzi embolic nevamiririri. Bundu hakuchisina yaipiwa neropa uye pasi pakutsiva kubudikidza vanga tishu. Zvinonzi sevanhu uterine fibroids nhasi kuti, kunyange zvazvo kazhinji upenyu kutyisidzira, anogona kununura yakawanda kutambura mukadzi. Kutozosvikira munguva ichangopfuura, marapirwo kwaisanganisira kubviswa munhu benign bundu, uye pamwe pacho, panguva yakanakisisa, uye chikamu dumbu.

Chimwe nzira iri coagulation kuchinjwa zvinyama Somuenzaniso, mune dzimwe chiropa anomera. Panyaya iyi zvakananga bundu kubudikidza ganda zvakananga akapfupikisa Yatanga Kuongorora anenge 1.5 mm mu dhayamita, vari panguva iyo emitters redhiyo kana kutaurirana frequencies. Waves chaibwinya navo chaizvo welded neoplasm sezvo ari microwave muovheni. Sezvo chiropa rinenge haana kurwadziwa tsinga harinzwi murefu bata zvachose nyarara. maminitsi 15 gare gare kudzorwa CT tarisei kana MRI rinoitwa mushure kupindira, vachibvumira kumisa kana ose hosha zvinyama raparadzwa. Kana asina, mumwe coagulation wechipiri.

With rinenge chete zvakarurama inoitwa nhasi uye radiotherapy. Somuenzaniso, muna namamota kweprostate gland kakawanda kunodzivisa irradiation kunoitika pashure surgically kubata Urinary incontinence, uye kunyange kuramba potency. Kushandiswa nemwaranzi nokuda namamota ari dokeriro kazhinji kuponesa inzwi murwere anoda kusvika unaltered. Kuvhiya kunorapwa nyaya dzakadaro kazhinji kunotungamirira kune imwe yakakwana kurasikirwa izwi. Muzviitiko zvakawanda, zvakadai muna namamota pakati chityu kana oparesheni hakudzivisiki, asi irradiation anogona substantially kuderedza uwandu zvinyama kubviswa, uye nokudaro akavhiyiwa kuti vanachiremba pachavo yaimbonzi 'inoremadza' regera kuva vakadaro.

Uchishandisa kombiyuta uye kuvandudza unyanzvi CT uye MRI, kukura nemwaranzi mishonga nechivimbo anotevera nzira rutapudzo uye kwokunatsiridzwa mafomu (tiri kutaura pamusoro millimeters), izvo nhasi kunoita kuti irradiate uye vainazvo mapundu shoma kukuvadza yakapoteredza zvinyama utano, kureva, . kurerutsa kukomba uye matambudziko ari zviitiko zvakadaro.

The inonzwisisika kuenderera Muitiro ndiwo anonzi brachytherapy. Izwi iri kunzwisiswa rikaisa kunobva nemwaranzi zvakananga kupinda bundu rinenge. nzira iyi zvingaitwa Somuenzaniso, pakurapa mamwe namamota kweprostate.

Nokuda nokukurumidza kukura uye sumo kupinda okurapa kupfuura akura "non-zvokurapa" zvigadzirwa, nhasi kupfuura hafu nekenza zvinogona kurapwa, kana kanenge, zvinokwanisika kubudirira pamwe izvi nemishonga uye inogara kwenguva refu normalization ose (kanganwiro). Radiology muGermany pokutanga rinonyanya kukurumidza kukura munzvimbo. Kubudirira kwake sechikamu kwemazuva ano, ngationei tariro kuti zvirwere zvakawanda zvakakomba uye kunyange ngozi kuda nokukurumidza zvikuru kutorwa kubva pamazita upenyu pangozi.