Компьютерная томография легких в Нижнем Новгороде — адреса и цены
Одна из главных задач в период пандемии COVID-19 – это своевременная и точная диагностика этого заболевания. КТ легких в Нижнем Новгороде при коронавирусе относится к наиболее достоверным методам подтверждения этой болезни. При этом важно знать, всем ли пациентам рекомендовано КТ легких, насколько безопасна эта процедура и где можно ее сделать.
КТ: что это, как проводится, сколько стоит
Компьютерная томография – метод детального обследования внутренних органов при помощи рентгеновских лучей. Этот метод более информативен, чем обычный рентген или УЗИ. В то время, когда сами врачи признают, что метод ПЦР часто оказывается ложным, компьютерную томографию можно считать главным диагностическим методом при коронавирусе.
КТ обычно назначают, если на рентгенограмме врач обнаружил уплотнения или другие признаки воспаления. Чтобы избежать чрезмерной лучевой нагрузки при наличии показаний и подозрении на Ковид-19, целесообразно сразу направить пациента пройти КТ. В среднем стоимость компьютерной томографии составляет 2600 рублей.
Когда делают КТ легких при коронавирусе
Многие пациенты, зная об эффективности данного диагностического метода, требуют от врача направление при незначительном недомогании или даже с профилактической целью. Врачи указывают на следующие показания к проведению процедуры:
- частый сухой кашель;
- одышка при ходьбе или незначительной физической активности;
- повышение температуры тела до 38-39 в течение 3-4 дней;
- изменения в легких и дыхании, которые выявлены при прослушивании больного;
- боль и дискомфорт в области грудной клетки;
- усиление боли или неприятных ощущений при попытке вдоха;
- ломота в мышцах;
- изменения или потеря обоняния и вкуса.
Болезненные ощущения в области легких возникают вследствие отечности и заполнения альвеол жидкостью. Воспалительный процесс вызывает сердечную недостаточность, одышку, спазмы сосудов. Но подобные симптомы пациент может испытывать и при других респираторных заболеваниях, поэтому для точной диагностики делают КТ.
Врач должен дать направление на обследование, даже при отрицательном результате ПЦР, если у пациента присутствуют все или большинство перечисленных признаков. Также обращают внимание на сатурацию (уровень кислорода) крови, он считается критическим, если составляет менее 95 %.
Как делают КТ легких при коронавирусе
Компьютерная томография – это процедура, не требующая специальной подготовки. Она имеет минимум противопоказаний, не доставляет пациенту неприятных ощущений или боли. Тяжелобольным или легковозбудимым лицам может понадобиться прием успокоительных средств, поскольку в ходе проведения обследования нужно оставаться неподвижным. Это необходимо для того, чтобы снимки получились максимально четкими.
Перед процедурой пациент снимает все украшения и металлические предметы, поскольку они могут искажать результаты обследования. Нужно также убрать часы, телефон, ремень с пряжкой. Затем больной ложится на диагностическую кушетку. Аппарат делает снимки, которые обрабатываются на компьютере.
В ходе процедуры поддерживается связь с пациентом при помощи переговорного устройства. Результаты КТ расшифровывает врач.
КТ не проводят больным, находящимся в тяжелом состоянии, беременным женщинам, детям до трех лет, а также пациентам с тяжелыми формами ожирения. Кормящим матерям процедура разрешена, но перед последующим кормлением придется сцедить первую порцию молока.
Где сделать КТ легких в Нижнем Новгороде
Здесь вы можете ознакомиться с адресами клиник, где можно сделать компьютерную томографию легких в Нижнем Новгороде без направления врача. Вы узнаете, где можно сделать КТ круглосуточно и сравните цены на обследование в различных медицинских учреждениях.
Что показывает КТ при коронавирусе
При наличии воспаления легких, вызванного данным заболеванием, обследование показывает участки уплотнений тканей, так называемый эффект матового стекла. В норме здоровые легкие не должны иметь таких нарушений. Процедура четко показывает подобные изменения даже при их небольшом количестве (менее 5 %). Это позволяет с точностью диагностировать заболевание и своевременно начать лечение.
К другим признакам поражения легких относятся:
- увеличение их веса до 1500 г, при норме 600 г;
- изменение цвета с розового на вишневый и черный;
- увеличение плотности;
- единичные или множественные узелковые поражения;
- наличие жидкости, препятствующей нормальному дыханию;
- нарушение функций участков, отвечающих за газообмен.
Поражение 2/3 легочной ткани может представлять опасность для жизни пациента.
При наличии показаний по направлению врача КТ легких можно сделать бесплатно. Для этого нужно предъявить паспорт, направление на диагностику, полис медицинского страхования, выписки из медицинской карты и результаты предыдущих исследований (при их наличии).
При отсутствии направления врача, для ускорения диагностики, пациент может обратиться в частную клинику и пройти обследование на платной основе.
Вопросы и ответы
Как часто можно делать КТ легких?
В ходе проведения процедуры человек получает определенную дозу рентгеновского облучения. Она выше, чем доза при проведении обычного рентгена. Если КТ проводится часто, повышается риск развития онкологических заболеваний, поэтому врачи не рекомендуют злоупотреблять подобной диагностикой.
В ходе лечения коронавируса, КТ легких в большинстве случаев проводится дважды: в начале заболевания для точного определения болезни и спустя 3-4 недели для контроля эффективности лечения и состояния легких пациента. Максимальное количество процедур в год не должно превышать пяти.
Если пациент переносит заболевание в легкой форме, нет показаний к госпитализации, компьютерную томографию делать не обязательно. В то же время врач может отправить пациента на КТ, если тот находится в группе риска (сердечно-сосудистые патологии, сахарный диабет, пожилой возраст).
На какой день делают КТ легких при коронавирусе?
Легче всего обнаружить пневмонию на 3-5 день заболевания, поэтому проведение КТ в этот период будет наиболее информативным. Исследование на более ранних этапах еще не определит наличие патологических изменений, поэтому при первых признаках заболевания проводится ПЦР-диагностика.
В каком случае надо делать КТ легких?
Эта процедура показана не всегда. Ее не делают с профилактической целью или при легком течении болезни. Врач может отправить больного на КТ в следующих случаях:
- наличие главных симптомов заболевания;
- близкий контакт человека с больными коронавирусом;
- пациент входит в группу риска, есть основания подозревать вирусную пневмонию;
- возникла необходимость повторного проведения КТ легких на этапе выздоровления и реабилитации.
Какое КТ легких делают при коронавирусе?
Поскольку пациент может находиться в тяжелом состоянии, ему нужно обеспечить максимально удобные условия проведения процедуры. Наиболее информативным и достоверным будет исследование, проведенное на мультиспиральном томографе (МСКТ легких). Современная аппаратура позволяет достичь высокой точности результатов, а также свести лучевую нагрузку к безопасному минимуму.
Компьютерная томография легких при Ковид-19 проводится без контраста.
Можно ли без направления сделать КТ легких?
Несмотря на то, что врачи призывают не делать КТ «на всякий случай», это вопрос продолжает беспокоить население нашей страны. Пройти диагностику без врачебного направления можно платно в частных клиниках, но при этом нужно учитывать, что данное исследование сопряжено с лучевой нагрузкой. К тому же, не у всех пациентов Ковид-19 осложняется пневмонией.
Выполнение КТ без направления может быть оправданным в тех случаях, когда пациент имеет все признаки коронавируса, но по каким-либо причинам не может попасть на прием к врачу. В этом случае диагностическая процедура позволит выявить болезнь как можно раньше.
Выполнять КТ в клинике следует по предварительной записи, это необходимо для того, чтобы избежать массового скопления людей и предотвратить дальнейшее распространение инфицирования.
Что думаете по этому поводу напишите в комментах?
Важно
КТ
- Стопкоронавирус.рф — Официальный сайт для информирования населения по вопросам коронавируса (COVID-19).
- 8-800-2000-112 8-800-555-49-43
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