В современном мире насчитывается огромное количество недугов, требующих современного выявления и лечения. Благодаря тому, что медицина постоянно развивается, сделать это не тяжело. Самое главное — не затягивать. Магнитно-резонансная томография — это один из инновационных методов лабораторных исследований, обладающий высокой точностью и информативностью. С его помощью врачи могут выявлять множество заболеваний различной этиологии на самых ранних стадиях. Данный вид диагностики входит в число обязательных при обследовании пациентов, у которых есть подозрения на какие-либо патологии позвоночного столба. Он позволяет не только определить природу недуга, но и оценить состояние здоровья больного, составив подробную клиническую картину. Поэтому многие люди интересуются, нужна ли подготовка к МРТ позвоночника. Это очень важный вопрос, который нельзя оставлять без ответа. Давайте подробно разберемся в нем и узнаем, как сделать так, чтобы диагноз был наиболее точным.
Общая информация
МРТ (подготовка к обследованию позвоночника будет описана далее) — это современный диагностический метод, предоставляющий развернутую картину о состоянии здоровья человека. В процессе обследования доктора могут выявить наличие любой патологии и причину ее появления, а также определить аномалии развития костного скелета. Преимущество процедуры заключается в том, что она совершенно безопасна для здоровья, поэтому ее можно проводить неограниченное количество раз с целью отслеживания прогрессирования заболевания и оценки назначенной программы терапии.
В зависимости от присутствующих проблем со здоровьем, МРТ может проводиться как всего позвоночника, так и отдельных его отделов — шейного, грудного и пояснично-крестцового. Подобная методика предоставляет возможность обнаружить малейшие структурные изменения в костях, спинном мозге и кровеносных сосудах. После обследования доктор получает детальный снимок каждого межпозвоночного диска и нервных волокон в трехмерном ракурсе.
Стоит отметить, что аппарат, с помощью которого проводится лабораторное исследование, воздействует на человека электрическими импульсами короткой частоты и магнитным излучением высокой мощности. Поэтому, чтобы снизить любые риски, пациенту требуется предварительная подготовка к МРТ позвоночника. Что она под собой подразумевает и как правильно ее выполнить, вы сможете узнать далее в этой статье.
Зачем нужна МРТ?
Основная цель — это подтверждение поставленного диагноза и мониторинг изменений состоянием здоровья пациента при прохождении лечения. Данный вид исследований делает возможным выявление многих заболеваний различного происхождения еще при их зарождении. Благодаря этому больным может быть вовремя назначена терапия. При положительной или отрицательной динамике в курс лечения сразу вносятся необходимые коррективы, что существенно повышает шансы на полное выздоровление.
Плюсы и минусы метода
Многих людей интересует вопрос о том, какая необходима подготовка к МРТ позвоночника. Пояснично-крестцовый отдел или другой участок нужно обследовать — это особого значения не имеет, поскольку суть остается та же. Далее будет дан подробный ответ на этот вопрос, но сперва нужно рассмотреть, какими преимуществами и недостатками обладает данный вид обследования. Среди сильных сторон можно выделить следующие:
- возможность получения срезов в любых плоскостях;
- высокая контрастность и детализация изображения;
- отсутствие искусственных структур при контакте с костной тканью;
- высокая точность и информативность;
- отсутствие ионизированного облучения;
- возможность проведения обследования с использованием внутривенно вводимых реагентов;
- диагностирование раковых опухолей на самых ранних стадиях развития;
- отсутствие необходимости проведения предварительной подготовки к МРТ шейного отдела позвоночника и других его участков.
Несмотря на большое количество преимуществ, есть и определенные минусы. К таковым можно отнести:
- обследование противопоказано пациентам, использующим кардиостимуляторы и имеющие в организме металлические протезы и импланты;
- более низкая точность диагностирования острых кровоизлияний, чем при компьютерной томографии;
- длительность процедуры.
Стоит отметить, что минусы МРТ несущественны, что делает этот метод исследований одним из лучших на сегодняшний день.
Показания к назначению
В наши дни магнитно-резонансная томография имеет достаточно широкую область применения. Ее используют практически во всех направлениях медицины при возникновении подозрений на какие-либо серьезные заболевания. Что касается МРТ позвоночника, подготовка к обследованию не требует много времени, и оно назначается при наличии у пациента жалоб на следующие проблемы:
- сильные и острые боли в спине;
- деформация позвонков различного генеза;
- различные патологии позвоночного столба;
- межпозвоночная грыжа;
- аномалии анатомического развития костного скелета;
- нарушение осанки и сколиоз;
- воспалительные процессы в позвоночнике;
- новообразования;
- злокачественные опухоли;
- поражение спинного мозга и нервных окончаний инфекциями;
- компрессионный перелом и другие травмы спины;
- остеохондроз;
- нарушение кровообращения в ногах;
- стеноз позвоночного канала;
- рассеянный склероз;
- заболевания ЦНС, протекающие в медленно прогрессирующей форме;
- дегенеративно-дистрофические расстройства спинного мозга.
Таким образом, область применения данного метода обследования практически безгранична. Помимо всего вышеперечисленного, МРТ (подготовка к исследованию позвоночника носит больше психологический, чем физический характер) часто используется для оценки состояния здоровья пациентов, которые проходят реабилитацию после перенесенных хирургических операций.
Противопоказания
Отвечая на вопрос о том, какая подготовка перед МРТ позвоночника нужна пациентам, давайте сперва разберемся, в каких случаях от обследования стоит воздержаться. Как и любой другой вид лабораторных исследований, данный метод имеет определенные противопоказания. Среди основных можно выделить следующие:
- наличие протезов и металлических имплантов;
- использование кардио- и нейростимуляторов;
- татуировки;
- боязнь замкнутого пространства;
- некоторое оборудование имеет ограничения по массе тела;
- наличие заболеваний, протекающих в острой форме и сопровождающихся потерей сознания;
- аллергические реакции при проведении контрастного метода исследования;
- беременность;
- тремор конечностей;
- проблемы с дыханием;
- сердечная недостаточность;
- люди, перенесшие коронарное шунтирование;
- ношение инсулиновой помпы;
- клипирование сосудов.
Если пациенту запрещена магнитно-резонансная томография ввиду наличия перечисленных выше противопоказаний или невозможности проведения обследования по другим причинам, врач подбирает альтернативные методы диагностики. Как правило, назначается КТ, УЗИ или рентгенография. Если никаких ограничений нет, то больной проходит подготовку в МРТ позвоночника и последующее обследование. Оно длится около 15-20 минут, а снимки будут готовы спустя несколько дней, после чего специалист делает их расшифровку и ставит окончательный диагноз.
В чем заключается подготовка?
Вот мы и подошли к ответу на интересующий многих людей вопрос. Подготовка к МРТ позвоночника (поясничного отдела или любого другого — не имеет принципиального значения) довольно проста и не отнимает много времени. Перед тем как зайти в кабинет, в котором находится аппарат, нужно снять с себя украшения и металлические предметы, оставить в ячейке хранения любые электронные гаджеты, банковские карты, деньги и зубные протезы, а также надеть специальную шапочку и халат. В процессе работы оборудование издает громкие щелчки и шумы, которых не стоит пугаться.
В некоторых случаях подготовка к МРТ позвоночника (исследование поясничного отдела проводится по аналогичному алгоритму, что и шейного или грудного) может предполагать отказ от еды за несколько часов до назначенного времени. При почечной дисфункции перед прохождением обследования необходимо предварительно сдать на общий анализ кровь и мочу. Если пациент сильно нервничает и переживает, то доктор может выписать ему успокоительное, которое принимается незадолго до запланированного МРТ с целью стабилизации психического состояния.
Обследование состояния кровеносных сосудов требует введения контрастного вещества. Чтобы избежать проблем со здоровьем и нежелательных последствий, требуется подготовка к МРТ позвоночника поясничного или любого другого отдела. Она предполагает сбор данных об аллергических реакциях. Как показывает медицинская практика, в подавляющем большинстве случаев никаких проблем не возникает, но врачи стремятся свести все возможные риски к минимуму.
Если обследование проводится маленьким детям, то их руки и ноги надежно фиксируются специальными ремнями. Любые движения могут негативно сказаться на точности результатов и усложнить постановку правильного диагноза. Грудничкам, как правило, делается укол медикаментозного препарата, обладающего седативным действием. Дозировка рассчитывается индивидуально с учетом используемого метода исследования.
Вот, собственно, и вся подготовка к МРТ позвоночника. Большинство людей больше переживают, чем оно того стоит. Данный вид обследования абсолютно безболезненный и не доставляет совершенно никакого дискомфорта людям.
Техника выполнения
Выше было подробно описано, что подразумевает под собой подготовка к МРТ позвоночника поясничного, грудного или крестцового отдела. Но у многих наверняка возникнет вопрос о том, как проводится обследование. Как уже отмечалось ранее, пациент по направлению доктора приходит в кабинет, оснащенный специальным оборудованием. Оно представляет собой трубу цилиндрической формы, установленную на подвижном столе.
После предварительного осмотра человек снимает с себя все металлические предметы. Далее специалист фиксирует на нужном отделе позвоночника специальные катушки, после чего пациент ложится на стол, который заезжает в томограф. Голова, а также руки и ноги пристегиваются ремнями, чтобы исключить вероятность движений, способных исказить изображение. На протяжении всей процедуры больной должен лежать строго в одной позе.
Если нужно выполнить МРТ поясничного отдела позвоночника, подготовка не требуется в случае отсутствия у больного психических и эмоциональных расстройств. В таком случае будет достаточно всего лишь за полчаса до процедуры принять успокоительное. При наличии каких-либо проблем со здоровьем решение о целесообразности проведения магнитно-резонансной томографии принимает врач. В некоторых случаях она может быть заменена другими методами исследований.
Если есть необходимость оценки состояния кровеносных сосудов и выявления различных патологий, предварительно обследуемому вводится контрастное вещество. Для предотвращения закупорки вен ставится катетер с 0,9-процентным раствором хлорида натрия. После завершения пациенту на руки выдается снимок с расшифровкой результатов. С этими документами он идет к своему лечащему врачу, который ставит окончательный диагноз.
Есть ли вероятность ошибочного диагноза?
Как утверждают квалифицированные специалисты, МРТ обладает практически 100-процентной точностью. Но при постановке диагноза могут быть и ошибочные результаты. Чаще всего подобное случается по следующим причинам:
- несоблюдение технологии проведения процедуры;
- неправильно подобранный вид исследования;
- недостаточный уровень профессионализма рентгенолога;
- нарушения условий подготовки к МРТ грудного отдела позвоночника или других частей осевого скелета пациентом.
Если вы сомневаетесь в точности поставленного диагноза, то стоит обратиться с расшифровкой результатов обследования к другому специалисту.
Стоимость процедуры
Назвать точные суммы очень сложно, поскольку цены могут варьироваться в очень широком диапазоне в зависимости от региона страны. Например, МРТ крестцового отдела позвоночника (подготовка к обследованию необязательна при отсутствии проблем с функционированием ЦНС) в Москве будет стоить в пределах 10-12 тысяч рублей, в то время как в небольших приграничных городах за него придется заплатить около 4-6 тысяч. Если процедура проводится с введением контрастного вещества, то дополнительно придется доплатить еще 3500 рублей.
Расшифровка результатов
Выпиской заключения занимается рентгенолог по снимкам. Если у пациента нет никаких проблем со здоровьем, то оно будет готово в течение полутора часов. При наличии серьезных патологий для расшифровки может потребоваться и целый день. Если предварительный диагноз будет подтвержден, большого направляют на консультацию к профильному специалисту, который и принимает решение о дальнейших действиях и составляет наиболее эффективную программу терапии.
Заключение
Несмотря на высокую стоимость МРТ, на сегодняшний день этот вид лабораторных исследований считается одним из наиболее востребованных. Он обладает большим количеством преимуществ и высокой точностью, а также позволяет выявлять многие опасные заболевания на самых ранних стадиях развития, на которых они лучше всего поддаются лечению. Что касается подготовки к обследованию, то, как правило, она не требуется. Главное заключается в том, чтобы на протяжении всей процедуры сохранять принятую позу, т. е. лежать неподвижно. От этого в большей степени и зависит точность постановки диагноза. Все остальное не имеет никакого значения.
Однако, если вам назначили МРТ, то прежде чем отправиться на него, желательно предварительно проконсультироваться с доктором по всем вопросам, касающимся процедуры. Если для нее будут необходимы какие-либо подготовительные мероприятия, вам обязательно об этом скажут. Самое главное — не стоит экономить на собственном здоровье. Кроме вас за ним никто не будет следить!
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