Barium

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‫ﻗﺴﻢ ﺍﻷﺷﻌﺔ ﻭﺍﻟﺘﺼﻮﻳﺮ ﺍﻟﻄﺒﻲ‬

‫ﺩﻟﻴﻞ ﺍﳌﺮﻳﺾ ﺧﻄﻮﺓ ﺑﺨﻄﻮﺓ ﺇﻟﻰ‬

‫ﺇﺟﺮﺍﺀ ﻓﺤﺺ ﺍﳉﻬﺎﺯ ﺍﻟﻬﻀﻤﻲ ﻋﻦ ﻃﺮﻳﻖ ﺣﻘﻨﺔ ﺍﻟﺒﺎﺭﻳﻮﻡ‬

‫ﻣﺮﺣﺒــﺎ ﹰ ﺑﻚ ﻋﺰﻳــﺰﻱ ﺍﳌﺮﻳﺾ ﻓﻲ ﻣﺮﻛﺰ ﺍﻷﺷــﻌﺔ ﻭﺍﻟﺘﺼﻮﻳﺮ ﺍﻟﻄﺒﻲ ﲟﺴﺘﺸــﻔﻰ‬ ‫ﺍﳌﺮﻛﺰ ﺍﻟﻄﺒﻲ ﺍﻟﺪﻭﻟﻲ‬ ‫ﻳﺴــﻌﺪﻧﺎ ﺃﻥ ﻧﻘﺪﻡ ﻟﻚ ﻫﺬﺍ ﺍﻟﺪﻟﻴﻞ ﺍﳌﺒﺴﻂ ﻭﺍﻟﺬﻱ ﺳﻴﺴﺎﻋﺪﻙ ﻋﻠﻰ ﻣﻌﺮﻓﺔ ﺍﳌﺰﻳﺪ‬ ‫ﻋﻦ ﺇﺟﺮﺍﺀ ﻓﺤﺺ ﺍﳉﻬــﺎﺯ ﺍﻟﻬﻀﻤﻲ "ﺍﻷﻣﻌﺎﺀ ﺍﻟﻐﻠﻴﻈﺔ" ﻋﻦ ﻃﺮﻳﻖ ﺣﻘﻨﺔ ﺍﻟﺒﺎﺭﻳﻮﻡ‪،‬‬ ‫ﻣﻊ ﺩﻋﻮﺍﺗﻨﺎ ﻟﻜﻢ ﺑﺎﻟﺸﻔﺎﺀ ﺍﻟﻌﺎﺟﻞ‪.‬‬ ‫ﻣﺎ ﻫﻲ ﻃﺒﻴﻌﺔ ﻓﺤﺺ ﺍﻟﻘﻮﻟﻮﻥ ﺑﺎﻟﺒﺎﺭﻳﻮﻡ؟‬ ‫ﻓﺤﺺ ﻃﺒﱢﻲ ﻳﺴــﺎﻋﺪ ﻋﻠﻰ‬ ‫ﺣﻘﻨﺔ ﺍﻟﺒﺎﺭﻳــﻮﻡ ﻫﻲ‬ ‫ﹲ‬ ‫ﺗﺸــﺨﻴﺺ ﺍﳌﺸــﺎﻛﻞ ﻓﻲ ﺍﻟﻘﻮﻟﻮﻥ )ﻭﺍﻟﺬﻱ ﻳﹸﻌﺮﻑ‬ ‫ﺃﻳﻀﺎ ﹰ ﺑﺎﻷﻣﻌﺎﺀ ﺍﻟﻐﻠﻴﻈــﺔ(‪ ،‬ﻣﺜﻞ ﻭﺟﻮﺩ ﺍﻟﺒﻮﻟﻴﺒﺎﺕ‬ ‫)ﺍﻟﺴﻼﺋﻞ( ﺃﻭ ﺍﻷﻭﺭﺍﻡ‪.‬‬ ‫ﱠ‬ ‫ﻳﺘــﻢ ﺇﺩﺧﺎﻝ ﺍﻟﺒﺎﺭﻳــﻮﻡ ﺍﻟﻰ ﺍﻟﻘﻮﻟــﻮﻥ‪ ،‬ﻓﺈﻥ‬ ‫ﻋﻨﺪﻣــﺎ‬ ‫ﱡ‬ ‫ﻈﻬﺮ ﺍﻟﻘﻮﻟﻮﻥ ﺑﺼﻮﺭﺓ ﺃﻛﺜﺮ‬ ‫ﺍﻷﺷــ ﱠﻌﺔ ﺍﻟﺴــﻴﻨﻴﺔ ﺗ ﹸ ﹺ‬ ‫ﻭﺿﻮﺣــﺎ ﹰ‪ .‬ﻭﻳﺘﻢ ﺫﻟﻚ ﺍﻹﺟﺮﺍﺀ ﻟﻠﻤﺮﻳﺾ ﻣﺜﻞ ﺑﺎﻗﻲ‬ ‫ﻓﺤﻮﺻــﺎﺕ ﺍﻟﻌﻴﺎﺩﺓ ﺍﳋﺎﺭﺟﻴﺔ‪ ،‬ﻭﻗﺪ ﻳﺴــﺘﻐﺮﻕﹶ ﻣﻦ‬ ‫ﻧﺼﻒ ﺳــﺎﻋﺔ ﺇﻟﻰ ﺳﺎﻋﺔ‪ ،‬ﻭﻓﻲ ﺑﻌﺾ ﺍﳊﺎﻻﺕ ﻗﺪ‬ ‫ﻳﻄﻠــﺐ ﺃﺧﺼﺎﺋﻲ ﺍﻷﺷــﻌﺔ ﺻــﻮﺭ ﻣﺘﺄﺧــﺮﺓ ﳊﲔ‬ ‫ﺍﻣﺘﻼﺀ ﺍﻟﻘﻮﻟﻮﻥ ﺑﺎﻟﺒﺎﺭﻳﻮﻡ‪ .‬ﺍﳊﻘﻨ ﹸﺔ ﻏﻴﺮ ﻣﺆﳌﺔ‪ ،‬ﻭﻟﻜﻦ ﳝﻜﻦ ﺃﻥ ﺗﻜﻮﻥ ﻏﻴﺮ ﻣﺮﻳﺤﺔ‪.‬‬ ‫ﻭﺑﻌــﺪ ﻫﺬﺍ ﺍﻹﺟــﺮﺍﺀ‪ ،‬ﻳﺨﺮﺝ ﺍﻟﺒﺎﺭﻳــﻮﻡ ﻣﻊ ﺍﻟﺒﺮﺍﺯ ﻣﺜــﻞ ﺃﻳﱠﺔ ﻣﺎﺩﱠﺓ ﻏﺬﺍﺋﻴــﺔ ﺃﺧﺮﻯ ﻭﺗﻌ ﱡﺪ‬ ‫ﺇﺟﺮﺍﺀﺍﺕ ﺍﻟﻔﺤﺺ ﺁﻣﻨﺔ ﺟﺪﺍﹰ‪ ،‬ﻭﻟﻜﻦ ﺇﺫﺍ ﻛﺎﻧﺖ ﺍﳌﺮﻳﻀﺔ ﺣﺎﻣﻼﹰ‪ ،‬ﻳﺠﺐ ﺃﻻ ﱠ ﺗﺨﻀﻊ ﻟﻬﺬﺍ‬ ‫ﹸ‬ ‫ﺍﻟﻔﺤﺺ ﻧﻈﺮﺍ ﹰ‬ ‫ﻟﻠﻜﻤﻴﺔ ﺍﻟﻜﺒﻴﺮﺓ ﻣﻦ ﺍﻷﺷ ﱠﻌﺔ ﺍﳌﺴﺘﺨﺪﻣﺔ‪.‬‬ ‫ﱢ‬

‫ﺩﻭﺍﻋﻲ ﺍﺳﺘﺨﺪﺍﻡ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﻄﻠــﺐ ﺍﻟﻄﺒﻴﺐ ﺇﺟﺮﺍﺀ ﻫــﺬﺍ ﺍﻟﻔﺤﺺ ﻟﻠﺘﺄﻛﺪ ﻣﻦ ﺗﺸــﺨﻴﺺ ﺍﻟﻜﺜﻴﺮ ﻣﻦ ﺍﻷﻣﺮﺍﺽ‬ ‫ﻣﺜــﻞ ﺍﻹﻟﺘﻬﺎﺑــﺎﺕ ﺃﻭ ﺍﻟﺘﻘﺮﺣــﺎﺕ ﺃﻭ ﺍﻷﻭﺭﺍﻡ ﻭﻓﻲ ﺣﺎﻻﺕ ﺍﻹﺻﺎﺑﺔ ﺑﺈﺳــﻬﺎﻝ ﻣﺰﻣﻦ ﺃﻭ‬ ‫ﺇﻣﺴــﺎﻙ ﺃﻭ ﻭﺟﻮﺩ ﺩﻡ ﻓﻲ ﺍﻟﺒﺮﺍﺯ ﺃﻭ ﻓﻘﺪﺍﻥ ﺍﻟﻮﺯﻥ ﺍﳌﻔﺎﺟﺊ ﺑﺴــﺒﺐ ﺗﻐﻴﺮﺍﺕ ﻓﻲ ﺍﻷﻣﻌﺎﺀ‬ ‫ﺃﻭ ﺣﺘﻰ ﺑﺪﻭﻥ ﺳﺒﺐ‪.‬‬ ‫ﺍﻟﺘﺤﻀﻴﺮ ﻟﻸﺷﻌﺔ؟‬ ‫• ﻳﺠــﺐ ﺇﺑــﻼﻍ ﺍﻟﻄﺒﻴﺐ ﺇﻥ ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺃﻱ ﺃﻋــﺮﺍﺽ ﻣﺮﺿﻴﺔ‪ ،‬ﻛﻤﺎ ﻳﺠﺐ ﺇﺧﺒﺎﺭ‬ ‫ﺍﻟﻄﺒﻴﺐ ﺇﺫﺍ ﻛﻨﺖ ﺗﻌﺎﻧﻲ ﻣﻦ ﺣﺴﺎﺳــﻴﺔ ﻷﻱ ﻣﻦ ﺍﻷﺩﻭﻳﺔ ﺍﻟﻌﻼﺟﻴﺔ‪ ،‬ﻭﻋﻠﻰ ﺍﻟﺴــﻴﺪﺓ‬ ‫ﺍﳊﺎﻣﻞ ﺇﻃﻼﻉ ﺍﻟﻄﺒﻴﺐ ﻓﻲ ﺣﺎﻟﺔ ﻭﺟﻮﺩ ﺣﻤﻞ‪.‬‬ ‫• ﺳــﻮﻑ ﺗﻌﻄــﻰ ﺑﻌﺾ ﺍﻷﺩﻭﻳــﺔ ﺍﳌﹸﻠﹰﻴﻨــﺔ ﻟﺘﻨﻈﻴﻒ‬ ‫ﺍﻟﻘﻮﻟﻮﻥ‪.‬‬ ‫• ﺑﻌﺪ ﺍﻟﺘﺤﻀﻴﺮ‪ ،‬ﻳﺠﺐ ﺍﻹﻣﺘﻨﺎﻉ ﻋﻦ ﺍﻷﻛﻞ ﺃﻭ ﺍﻟﺸﺮﺏ‬ ‫ﳌﺪﺓ ‪ ٨‬ﺳﺎﻋﺎﺕ‪.‬‬ ‫• ﺑﻌــﺪ ﺍﻟﻔﺤــﺺ ﻳﺠــﺐ ﺷــﺮﺏ ﺍﻟﻜﺜﻴــﺮ ﻣــﻦ ﺍﳌﺎﺀ‬ ‫ﻟﻠﻤﺴﺎﻋﺪﺓ ﻓﻲ ﺍﻟﺘﺨﻠﺺ ﺍﻟﺴﺮﻳﻊ ﻣﻦ ﺍﻟﺒﺎﺭﻳﻮﻡ‪.‬‬

‫ﻛﻴﻒ ﻳﺒﺪﻭ ﺷﻜﻞ ﺍﳉﻬﺎﺯ؟‬ ‫ﻳﺘﻜﻮﻥ ﺍﳉﻬﺎﺯ ﻣﻦ ﻃﺎﻭﻟﺔ ﻳﺴــﺘﻠﻘﻲ ﻋﻠﻴﻬﺎ ﺍﳌﺮﻳﺾ ﻭﺃﻧﺒﻮﺏ ﺃﺷــﻌﺔ ﻳﺴﻤﺢ ﺑﺘﺼﻮﻳﺮ‬ ‫ﺍﻟﻘﻮﻟﻮﻥ‪ ،‬ﺛﻢ ﻳﻘﻮﻡ ﺑﻌﺮﺽ ﺗﺼﻮﻳﺮ ﺣﻲ ﻳﺴــﻤﺢ ﺑﺮﺅﻳﺔ ﺣﺮﻛﺔ ﺍﻟﻘﻮﻟﻮﻥ ﻋﻠﻰ ﺷﺎﺷــﺔ‬ ‫ﺗﻠﻔﺰﻳﻮﻧﻴﺔ‪.‬‬ ‫ﻛﻴﻒ ﻳﺘﻢ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﻮﺿــﻊ ﺍﳌﺮﻳﺾ ﻋﻠﻰ ﻃﺎﻭﻟــﺔ ﺍﻟﻔﺤﺺ‬ ‫ﻭﻣﻦ ﺛﻢ ﻳﺘﻢ ﺣﻘﻨﻪ ﺑﺼﺒﻐﺔ "ﺍﻟﺒﺎﺭﻳﻮﻡ"‬ ‫ﻋﻦ ﻃﺮﻳﻖ ﺍﳌﺴــﺘﻘﻴﻢ ﺑﻮﺍﺳﻄﺔ ﺣﻘﻨﺔ‬ ‫ﺷــﺮﺟﻴﺔ‪ ،‬ﻭﻳﺘــﻢ ﺗﺼﻮﻳــﺮ ﺍﻟﻘﻮﻟﻮﻥ ﻓﻲ‬ ‫ﺃﻭﺿــﺎﻉ ﻣﺨﺘﻠﻔــﺔ‪ ،‬ﻭﻛﺠــﺰﺀ ﻣــﻦ ﻫﺬﻩ‬ ‫ﺍﻹﺟــﺮﺍﺀﺍﺕ‪ ،‬ﻗــﺪ ﻳﹸﻄﻠﺐ ﻣــﻦ ﺍﳌﺮﻳﺾ ﺃﻥ‬ ‫ﺍﳊﻤــﺎﻡ‬ ‫ﻳﺬﻫــﺐ ﺇﻟــﻰ ﱠ‬ ‫ﺑﻌــﺾ‬ ‫ﻟﺘﻔﺮﻳــﻎ‬ ‫ﺍﻟﺒﺎﺭﻳــﻮﻡ‪ .‬ﻭﻗﺪ ﻳﹸﺪﺧﻞ‬ ‫ﻃﺒﻴﺐ ﺍﻷﺷــ ﱠﻌﺔ ﺃﻳﻀﺎ ﹰ ﺑﻌﺾ ﺍﻟﻬــﻮﺍﺀ ﺇﻟﻰ ﺍﻟﻘﻮﻟﻮﻥ ﻷﺧﺬ ﺍﳌﺰﻳﺪ ﻣﻦ‬ ‫ﺻﻮﺭ ﺍﻷﺷﻌﺔ ﺍﻟﺴﻴﻨﻴﺔ‪.‬‬ ‫ﻳﺠﺐ ﺃﻥ ﺗﺸﺰﺏ ﺍﻟﻜﺜﻴﺮ ﻣﻦ ﺍﳌﻴﺎﺓ ﺑﻌﺪ ﺍﻟﻔﺤﺺ ﻟﻠﻤﺴﺎﻋﺪﺓ ﻋﻠﻰ ﺇﺧﺮﺍﺝ ﺍﻟﺒﺎﺭﻳﻮﻡ ﻣﻦ‬ ‫ﺍﻷﻣﻌﺎﺀ‪.‬‬

‫ﻛﻢ ﻳﺴﺘﻐﺮﻕ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﺴــﺘﻐﺮﻕ ﺍﻟﻔﺤــﺺ ﻣﻦ ‪ ٣٠‬ﺇﻟــﻰ‪ ٦٠‬ﺩﻗﻴﻘــﺔ‪ ،‬ﻭﻓﻲ ﺑﻌﺾ‬ ‫ﺍﻷﺣﻴﺎﻥ ﻗﺪ ﻳﺘﻄﻠﺐ ﺍﻷﻣﺮ ﺃﺧﺬ ﺻﻮﺭ ﻣﺘﺄﺧﺮﺓ ﺑﻌﺪ ﺳــﺎﻋﺔ ﺃﻭ‬ ‫ﺃﻛﺜﺮ ﺣﺴﺐ ﺣﺮﻛﺔ ﺍﻟﻘﻮﻟﻮﻥ‪.‬‬ ‫ﻣﺎ ﻫﻲ ﻣﺰﺍﻳﺎ ﺍﻟﻔﺤﺺ؟‬ ‫ﻳﻘﻮﻡ ﺑﺘﺼﻮﻳﺮ ﺣﻲ ﻟﻠﻘﻮﻟﻮﻥ ﻣﻦ ﺍﻟﺪﺍﺧﻞ ﳑﺎ ﻳﺴــﺎﻋﺪ ﻛﺜﻴﺮﺍ ﻓﻲ ﺗﺸــﺨﻴﺺ ﺍﻟﻜﺜﻴﺮ‬ ‫ﻣﻦ ﺍﻷﻣﺮﺍﺽ‪.‬‬ ‫ﳝﻜﻨﻚ ﻣﺰﺍﻭﻟﺔ ﻧﺸﺎﻃﻚ ﺍﻟﻴﻮﻣﻲ ﺍﻟﻌﺎﺩﻱ ﺑﻌﺪ ﺇﺟﺮﺍﺀ ﺍﻟﻔﺤﺺ ﻣﺒﺎﺷﺮﺓ‪.‬‬

‫ﻛﻴﻔﻴﺔ ﺍﳊﺠﺰ‪:‬‬ ‫ﻟﻠﺤﺼــﻮﻝ ﻋﻠﻰ ﻣﻮﻋﺪ ﺃﻭ ﻟﻠﻤﺰﻳــﺪ ﻣﻦ ﺍﳌﻌﻠﻮﻣﺎﺕ ﺍﻟﺮﺟﺎﺀ ﺍﻹﺗﺼــﺎﻝ ﺑﺎﻟﺮﻗﻢ ﺍﻟﺘﺎﻟﻲ‪:‬‬ ‫‪ ٦٥٠٩٠٠٠‬ﲢﻮﻳﻼﺕ‪١٩٩٣ / ٥٩٠٠ :‬‬ ‫ﺃﻭ ﺗﻔﻀﻞ ﺑﺰﻳﺎﺭﺗﻨﺎ ﻓﻲ ﻣﺮﻛﺰ ﺍﻷﺷﻌﺔ ﻭﺍﻟﺘﺼﻮﻳﺮ ﺍﻟﻄﺒﻲ ﺑﺎﻟﺪﻭﺭ ﺍﻷﻭﻝ‪.‬‬


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