Tomography of an abdominal cavity
By means of a tomography of an abdominal cavity the doctor obtains detailed information on a condition of the bodies which are in a peritoneum: kidneys, pancreas, liver, adrenal glands, spleen, vessels, abdominal lymph nodes. The computer tomography is successfully applied to diagnosing of diseases of blood: lymphogranulomatosis and lymphoma.
At men the tomography of abdominal organs helps to reveal ascites, inflammatory processes in a peritoneum, to define a prostate cancer, a rectum, bones, soft tissues, a bladder and its stage. Surely appoint a tomography for primary inspection at a basin injury, after operation or the carried-out rectum cancer radiotheraphy.
To women the tomography of an abdominal cavity is appointed for diagnosing of pathologies of a uterus, bladder cancer, at basin injuries, as primary inspection at inflammations in a basin.
The computer tomography is irreplaceable for diagnosis since as a result of its carrying out the quality three-dimensional image turns out, she allows to make cuts of internals the size 0,5mm and to reveal minor changes of bodies of a peritoneum which cannot be seen on other inspections.
Preparation for a tomography of an abdominal cavity
In the evening before the procedure the patient can eat only an easy dinner, in day of carrying out a tomography it is impossible to have breakfast. If inspection was appointed to the second half of day, only the light breakfast is allowed: liquid porridge, juice, coffee, firm food should not be.
Besides, if use of contrast on inspection is supposed, the night before to the patient in the course of preparation for a tomography of an abdominal cavity appoint to drink small portions of half of liter of solution of Urografinum 15% (two ampoules of 75% of contrast solution part with 1,5 liters of boiled water). A half of liter more it is necessary to drink in day of inspection, in the morning and to take the remained 500 ml with itself and to drink in 30 and 15 min. prior to a tomography. It is possible to enter contrast intravenously – drug of Ultravist, 50-150ml.
Contrast when carrying out inspection is used if it is necessary to carry out diagnosis of cysts, tumors, a metastasis, pathologies of large vessels of an abdominal cavity. Contrast introduction directly on a tomography – is allowed when scanning of a certain interesting site.
The tomography of an abdominal cavity – is painless, during its carrying out the patient should lie not movably, periodically it is asked to hold for a while the breath. Prior to the procedure the patient needs to remove all objects containing metal. After the termination of a tomography it is possible to return to a usual way of life at once.
The tomography assumes radiation exposure, and, despite its low dose, the procedure with care, in urgent cases, is appointed to small children. In order that the child kept an immovability during the research, use of an anesthesia is in certain cases allowed. For the same reason apply anesthesia at inspection of seriously ill patients of patients.
Contraindications to carrying out a tomography of an abdominal cavity
Cannot appoint inspection the patient in whom the allergy to iodine and the drugs supporting him is found, at the increased function of a thyroid gland, heavy asthma bronchial, at the level of creatinine there is more 1,5mg/dl. The research is contraindicated to pregnant women, the feeding women.
Considering the available contraindications, to the patient before passing of a tomography appoint to take a blood test on biochemical analysis - for establishment of level of urea, ALT, nuclear heating plant, creatinine.
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