X-rays at home: how to call and make?
Perhaps there is no other such science which bears the name of its discoverer. Only medical radiology receive this honor since the discovery of Wilhelm Conrad Roentgen was indeed capable of performing miracles. This type of study as radiography and fluoroscopy gave rise to x-ray tomography, but with the introduction of computers came the ability to quickly obtain digitized image, using the services of a photo lab. It is this capability that has allowed to carry out x-rays at the patient’s home.
From the history
In fairness it should be noted that x-ray machines appeared almost at the same time as stationary. In large hospitals, of course, were bedridden patients, and particularly problematic to deliver and lay people with spinal fractures, which were in plaster «beds.» And it is absolutely impossible to perform the necessary research, for example, a chest x-ray, patients who were on a complex system of pulleys and balances in the process of skeletal traction, because they were together with bed a single unit.
Of course, it costs several hundred thousand rubles, and therefore x-ray examination at home can’t cost too cheap.
But, in any case, sometimes to pay 2-3 thousand rubles is much more convenient than transporting the patient to a recumbent stationary apparatus.
Indications and contraindications to a home inspection
In the process of x-ray inspection, out on the house can hold almost all types of radiography, in addition to methods from the list. Usually the size of the snapshot to which you can project the image does not exceed 40 at 40 cm.
Usually x-rays at home is called to perform a study of the bronchopulmonary system, for example, when the diagnosis of pneumonia in a patient not exposed, indications for hospitalization is also not revealed, but his condition is of moderate severity on the background of bronchitis with fever and accession of cough, possible chest pain and the appearance of purulent sputum. Then at home performed a chest x-ray.
In addition, the most commonly performed pictures the following areas:
- a hip joint in hip fracture bedridden patients;
- the ankle joint in cases of suspected injury;
- knee joint;
- examination of the spine in acute pain.
Of course, coming radiologists ready to perform and images of skull bones and sinuses, and wrist joints, but you need to understand that the call to x-rays in house people choose to do in that case, if they are limited in scope of movement, and it’s obvious.
Patients with contraindications to x-ray examination at home, exactly the same as in the stationary study, for example, the first trimester of pregnancy.
There is another feature. Given that the power of the x-ray tube in portable devices is still not high enough, then the body weight more than 120-130 kg and the intensive development of subcutaneous fat, render some of the details (for example, lung fields) will leave much to be desired.
The benefits of calling a radiologist in the house
But to really appreciate the full service level this service can the patients of trauma profile. So, along with the radiologist arrived, the trauma surgeon may impose the Longuet, numb, and in uncomplicated fracture, if not surgical intervention is required, immediately to apply a plaster or plastic bandage.
Of course, in the case of high temperature and symptoms of intoxication, the patient will not get a complication during transport, and if he has an infection, he will not be able to infect other people who came to a medical facility.
Despite the fact that at home conducting fluoroscopy used less powerful devices, it is still protection rules remain inevitable. The patient wear a lead apron or skirt cover the area of the thyroid gland with a special collar, lead rubber.
In addition, modern portable x-ray tube (e.g., brands «Toshiba»), virtually no, thanks to the successful engineering discoveries and the multi-level protection, as scattered and lateral radiation. It makes safe exploration, both for the doctor and for others.
In conclusion, I must say that this kind of research, as x-rays at home, not only improves the level of comfort and reduces stress (for example, in the study of children), but also can greatly reduce the burden on the outpatient sector of radiation diagnosis.