Deta ya National Lung Screening Trial (NLST) ikusonyeza kuti kusanthula kwa computed tomography (CT) kungachepetse imfa za khansa ya m'mapapo ndi 20 peresenti poyerekeza ndi X-ray ya pachifuwa. Kuwunika kwatsopano kwa detayi kukuwonetsa kuti ikhozanso kukhala yothandiza pazachuma.
M'mbuyomu, kuyezetsa khansa ya m'mapapo kwa odwala kwachitika ndi X-ray ya pachifuwa, njira yotsika mtengo yodziwira matenda. Ma X-ray amenewa amajambulidwa pachifuwa, zomwe zimapangitsa kuti kapangidwe ka chifuwa chonsecho kakhale pamwamba pa chithunzi chomaliza cha 2D. Ngakhale kuti ma X-ray a pachifuwa amagwiritsidwa ntchito kwambiri, malinga ndi zomwe atolankhani aposachedwapa ochokera ku Brown University adalemba, kafukufuku wamkulu yemwe adachitika zaka zinayi zapitazo, NLST, adawonetsa kuti ma X-ray sagwira ntchito konse poyezetsa khansa.
Kuwonjezera pa kusonyeza kusagwira ntchito kwa ma X-ray, NLST inasonyezanso kuti imfa zinachepa ndi pafupifupi 20 peresenti pamene ma CT scan otsika amagwiritsidwa ntchito. Cholinga cha kusanthula kwatsopano, komwe kunachitidwa ndi akatswiri a matenda ku Brown University, ndikupeza ngati ma CT scan okhazikika - omwe amawononga ndalama zambiri kuposa ma X-ray - ndi omveka bwino pa dongosolo la chisamaliro chaumoyo, malinga ndi zomwe atolankhani adalengeza.
Mafunso otere ndi ofunikira kwambiri m'malo azaumoyo masiku ano, komwe mtengo wochita ma CT scan nthawi zonse kwa odwala sungapindulitse dongosolo lonse.
"Mowonjezereka, mtengo ndi chinthu chofunikira kwambiri, ndipo kugawa ndalama kudera lina kumatanthauza kutaya zina," adatero Ilana Gareen, pulofesa wothandizira wa matenda a epidemiology ku Brown University's School of Public Health, mu lipoti la atolankhani.
Kafukufuku wofalitsidwa mu New England Journal of Medicine wavumbulutsa kuti kuyezetsa CT kwa mlingo wochepa kumawononga pafupifupi $1,631 pa munthu aliyense. Gululi linawerengera kuchuluka kwa ndalama zomwe zimagwiritsidwa ntchito poyesa kuchuluka kwa anthu odwala matenda a shuga (ICER) kutengera malingaliro osiyanasiyana, zomwe zinapangitsa kuti ICER ikhale $52,000 pachaka cha moyo ndi $81,000 pachaka cha moyo wokonzedwa bwino (QALY). QALY ndi kusiyana pakati pa kukhala ndi thanzi labwino ndi kupulumuka ndi mavuto azaumoyo, monga momwe zanenedwera mu lipotilo.
ICER ndi njira yovuta yowerengera, koma lamulo lalikulu ndilakuti pulojekiti iliyonse yosakwana $100,000 iyenera kuonedwa kuti ndi yotsika mtengo. Ngakhale kuti zotsatirazi zili zabwino, kuwerengeraku kumachokera pamalingaliro angapo omwe amakhudza kwambiri zotsatira zake. Poganizira izi, mfundo yaikulu ya kafukufukuyu ndi yakuti kupambana kwa ndalama kwa mapulogalamu owunikira otere kudzadalira momwe akugwiritsidwira ntchito.
Ngakhale kujambula khansa ya m'mapapo pogwiritsa ntchito CT scans kuli kothandiza kwambiri kuposa kugwiritsa ntchito X-ray, kafukufuku akupitilira kuti apititse patsogolo CT scans. Posachedwapa, nkhani yofalitsidwa pa Med Device Online idakambirana za mapulogalamu ojambula zithunzi omwe angathandize kuzindikira bwino ma nodules a m'mapapo.
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Nthawi yotumizira: Meyi-07-2024
