تدریس ویژه کنکور

مطالب قدیمی

قانون ده روزدررادیولوژی Ten day rule in radiology




قانون ده روزدررادیولوژی Ten day rule in radiology   

 


منظور از اين قانون ؛ جلوگيري از تابش اشعه به جنيني است كه تازه تشكيل شده باشد و در زنانی  مطرح مي شود كه در سن باروري( 50 15 سالگي ) بوده که به هيچ وجه ازروش های ضد بارداری استفاده نمي کنند.

ارسالی توسط: علی طریقت نیا



رعايت قانون ده روز براي خانم ها و نوشتن LMP(1)  روي برگه درخواست توسط پزشک درخواست کننده، یکی از موارد مهمی است که مانع ازتابش اشعه به جنین داخل شکم بیمار می شود .

منظور از اين قانون ؛ جلوگيري از تابش اشعه به جنيني است كه تازه تشكيل شده باشد و در زنانی  مطرح مي شود كه در سن باروري( 50 – 15 سالگي ) بوده که به هيچ وجه ازروش های ضد بارداری استفاده نمي کنند.

این قانون از نظر زمانبندي شامل روزهايي است كه پس ازتخمك گذاري پيش مي آيد .به عنوان مثال؛اگر خانمي سيكل 28 روزه داشته باشد چون تخمك گذاري وی به طور معمول در روزهاي 2±14 انجام مي شود ،اعتقاد براین است که نيمه اول حاملگي بهترين زمان براي تهيه راديوگرافي هاي غير اورژانسي از ناحيه لگن و شكم بیماربارداراست . در افراد با سيكل 30 روزه يا 26 روزه زمان تخمك گذاري متغيير بوده و زمان تخمک گذاری این افراد به ترتیب2±15 ،2 ± 13 می باشد. به طور كلي از شروع عادت ماهانه تا 10 روز بعد مي شود با خيال راحت راديوگرافي نمود كه به قانون 10 روز مشهور است .

حتي الامكان برای اين بيماران ، رادیوگرافي انجام نشود و در صورت اصرار پزشک مبنی برانجام رادیوگرافی ویا اورژانسي بودن( بيماران ترومائی ودیگر موارد )، ضمن اطلاع به پزشک مربوطه، حداکثر مراقبت ومحفاظت بیمار دربرابراشعه  باید به عمل آید این موارد حفاظتی شامل ؛

1 ) رادیوگرافی ازبیمار در10 روز اول قاعدگی انجام شود.

2) استفاده از پوشش سربي تاجائی که برای تصویر اختلال ایجاد نکند.

3 )  محدود كردن پرتو و افزايش فاصله تيوب FFD

3 ) افزايش KV  ، كاهش mA  ، S ‌

رعایت نکات ذیل ازطرف پزشک معالج در جهت کاهش دوزتابشی جنین برای این بیماران ضروری است .

1- از تجويز راديوگرافي هايی که احتیاج به شرایط تابش بالا دارند اجتناب شود مانند: مهره هاي كمري ، كوكسيكس ، ساكرال، لگن وشکم

2- عدم درخواست رادیوگرافی های اختصاصی مانند:U.G.I  ، ترانزيت روده باریک ، باريوم انما، V.C.U.G  ، سيستوگرافی،   IVP دراین بیماران

3- عدم استفاده ازمدالیته های دیگر تصویربرداری با استفاده ازاشعه ایکس مانند: سی تی اسکن،آنژيوگرافی ،فلوروسکوپی و . . .

4- استفاده ازروش های دیگرتصويربرداري که بدون اشعه ایکس می باشد.

5-  ذكرLMP روي برگه درخواست راديولوژي ضروري است .

اين قانون شامل افراد زير نمي با شد .

1-        خانم هائی که ازدواج نكرده اند.

2-        خانم هائی كه در عادت ماهانه هستند ویا از وسايل جلوگيري از حاملگي استفاده مي كنند(مانند؛ قرص ، كاندوم  IUD  و … ) .

3-        زناني كه Hysterectomy  و Variectomy  شده اند و يا لوله رحم آنها بسته شده است .

4-        خانم هاي كوچكتر از 12 سال و بزرگتر از 55 سال .

تهیه فرم مربوط به قانون فوق برای مسائل قانونی ضروری بوده و باید توسط بیمار پرشده وامضاء گردد.

منابع:

1 – راديولوژي براي راديولوژيست           ترجمه:  دكتر مزداراني 1385

2 – مروري جامع بر علوم راديولوژي  تالیف:استیونس- فیلیپس ترجمه: غفوریان  1370  انتشارات جهاد دانشگاهی

3-       رادیولوژی وتصویر برداری تشخیصی آرمسترانگ     ترجمه: دکتر صلاحی وهمکاران

4-       پاتولوژی در رادیولوژی        ترجمه:دکتر جلال شکوهی

----------------------------------------------------------------------------
1): LMP(Last Mensuration Period) : تاريخ شروع اولين روز از آخرين قاعدگي



کلمات کليدي :
ارسال شده در مورخه : يكشنبه، 22 دي ماه ، 1387 توسط Navid  چاپ مطلب

مرتبط با موضوع :

 پِ هِ دِ !  [سه شنبه، 10 بهمن ماه ، 1391]
 لیست ایمپکت فاکتور (Impact Factor) مجلات عملی  [جمعه، 7 آبان ماه ، 1389]
 تصویر برداری پزشکی هسته ای از قلب چیست؟  [سه شنبه، 2 شهريور ماه ، 1389]
 سونوگرافی شکمی  [دوشنبه، 3 اسفند ماه ، 1388]
 نمی دانم  [شنبه، 5 بهمن ماه ، 1387]
 دعوت به همکاری  [شنبه، 4 آبان ماه ، 1387]
 آزمایش بزرگ  [جمعه، 29 شهريور ماه ، 1387]
 لیست دروس مهندسی راکتور  [چهارشنبه، 27 شهريور ماه ، 1387]
 لیست دروس مهندسی پرتوپزشکی  [سه شنبه، 26 شهريور ماه ، 1387]
 اصول Boron Neutron Capture Therapy (بخش اول)  [چهارشنبه، 26 تير ماه ، 1387]

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  • Re: Роддом توسط ميهمان در مورخه : سه شنبه، 17 مهر ماه ، 1397

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