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MynameGiG
MynameGiG

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Who's ever had any xrays?

2025/9/6 Edited to

... Read moreหลายคนทักมาถามเรื่อง “ค่าเอกซเรย์เท่าไหร่” กับ “CT upper abdomen ขั้นตอน” เลยขอแชร์แบบภาษาง่าย ๆ จากมุมคนทำงาน/เจอเคสบ่อย ๆ นะคะ (ราคาจริงขึ้นกับแต่ละโรงพยาบาลและสิทธิการรักษา) ค่าเอกซเรย์ (X-ray) โดยทั่วไป ขึ้นกับอะไรบ้าง? - ประเภทการตรวจ: Xray ทั่วไป (เช่น ปอด กระดูก) มักถูกกว่า CT/Mammogram/IVP - จำนวนภาพ/ท่า: บางตำแหน่งต้องถ่ายหลายท่า หรือเทียบซ้าย-ขวา ราคาอาจเพิ่ม - โรงพยาบาล/คลินิก/สิทธิ: เอกชนกับรัฐต่างกันมาก และสิทธิประกันสังคม/บัตรทอง/ประกันสุขภาพมีผล - มีอ่านผลโดยรังสีแพทย์แบบด่วนหรือไม่: บางที่มีค่ารายงานแยก ทริคถามราคาให้ชัวร์ก่อนตรวจ - โทรถาม “รหัสรายการตรวจ” หรือบอกชื่อให้ชัด เช่น “Xray ปอด 1 ภาพ” หรือ “CT upper abdomen with contrast” (แบบฉีดสี) เพราะราคา CT แบบฉีดสี/ไม่ฉีดสีต่างกัน - ถ้ามีใบส่งตรวจ ให้ถ่ายรูปส่งให้เจ้าหน้าที่ประเมินราคาได้เร็วขึ้น CT Upper Abdomen คืออะไร ตรวจดูอะไร? โดยมากใช้ดูอวัยวะช่องท้องส่วนบน เช่น ตับ ถุงน้ำดี ตับอ่อน ม้าม ไตบางส่วน และหลอดเลือดบางช่วง แพทย์มักสั่งเวลาสงสัยก้อน นิ่ว ตับอักเสบ หรือหาสาเหตุปวดท้อง/ค่าตับผิดปกติ ขั้นตอน CT Upper Abdomen (ภาพรวม) 1) ลงทะเบียน/ซักประวัติ: โรคประจำตัว ยาที่กิน ประวัติแพ้ยา โดยเฉพาะประวัติแพ้สารทึบรังสี (ฉีดสี) 2) เตรียมตัวก่อนสแกน: หลายที่ให้ “งดอาหาร” ตามเวลาที่กำหนด (น้ำเปล่ามักพอได้) เพื่อให้ภาพชัดและลดโอกาสคลื่นไส้ถ้าต้องฉีดสี 3) เปลี่ยนชุด/เอาโลหะออก: เข็มขัด เหรียญ ซิป เพื่อไม่ให้รบกวนภาพ 4) ใส่สายน้ำเกลือ (ถ้าต้องฉีดสี): CT ช่องท้องส่วนใหญ่เจอแบบฉีดสีบ่อย เพื่อแยกหลอดเลือด/ก้อนให้ชัดขึ้น 5) เข้าเครื่อง CT: นอนนิ่ง ๆ ตามท่าที่เจ้าหน้าที่จัดให้ เครื่องจะหมุนถ่ายภาพ ใช้เวลาไม่นาน 6) กลั้นหายใจตามสั่ง: สำคัญมาก เพราะท้องไหวทำให้ภาพเบลอได้ 7) หลังฉีดสี: อาจรู้สึกร้อนวูบวาบ/รสโลหะในปากช่วงสั้น ๆ (มักเป็นปกติ) จากนั้นรอสังเกตอาการตามที่รพ.กำหนด ข้อควรรู้เรื่อง “ฉีดสี” - ถ้ามีโรคไต หรือเคยค่าไตผิดปกติ แพทย์อาจให้ตรวจเลือดดูการทำงานของไตก่อน - ถ้าเคยแพ้สารทึบรังสี ให้บอกตั้งแต่ต้น บางเคสต้องพิจารณายาเตรียมก่อน/เปลี่ยนแนวทางตรวจ หลังตรวจควรทำอะไร - ดื่มน้ำมากขึ้น (ถ้าไม่มีข้อห้าม) เพื่อช่วยขับสารทึบรังสี - ถ้ามีผื่น คัน แน่นหน้าอก หายใจลำบากหลังกลับบ้าน ให้รีบติดต่อรพ. ถ้าอยากให้ทำโพสต์แยก “ค่า Xray/CT โดยประมาณของแต่ละรายการ” (เช่น CT Brain, CT Chest, Mammogram, BMD ตรวจมวลกระดูก, IVP ฉีดสีดูไต, Barium swallow กลืนแป้ง) หรืออยากรู้ว่า DICOM/DICOM Out คืออะไร คอมเมนต์หัวข้อที่อยากอ่านได้เลยค่ะ

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