So akyi haw no ano aduru biara nni hɔ? Momma yensua biribiara fa myelogram sɔhwɛ no ho!

So woanya akyi yaw anaa ɛyaw a ɛkɔ wo nan ase na wuntumi nhu nea ɛde ba pɛn? Ebia woakɔ oduruyɛfo nkyɛn na ebia wɔayɛ nhwehwɛmu te sɛ X-ray, CT scan, anaa MRI. Nanso sɛ wɔantumi anhu biribiara a emu da hɔ nso ɛ? Ɛno ne bere a ebia oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ nhwehwɛmu titiriw bi a wɔfrɛ no myelogram. Ma yɛnhwɛ nea ɛyɛ, sɛnea wɔyɛ, ne nea ɛsɛ sɛ wuhu.

Dɛn ne Myelogram?

Sɛ yɛbɛka no tiawa a, myelogram yɛ sɔhwɛ titiriw bi a ɛfa w’akyi berɛmo ho mfonini a ɛkɔ akyiri. Wɔ eyi mu no, wɔde nsu titiriw bi (ade a ɛma wohu nsonsonoe) di dwuma de hu ɔhaw ahorow a ɛwɔ w’akyi berɛmo ne ntini ne ntini a ɛyɛ mmerɛw a atwa ho ahyia no mu pefee. Susuw ho hwɛ, akyi berɛmo X-ray a ɛfata no kyerɛ nnompe no nkutoo. Efisɛ ɛmfa nsu titiriw a ɛte sɛɛ nni dwuma. Nanso wɔ myelogram mu no, saa nsu yi ma w’akyi berɛmo, w’akyi berɛmo, ne ntini ahorow yɛ fitaa fɛfɛɛfɛ wɔ X-ray anaa CT scan mu. Eyi te sɛ ɔkwan bi a wɔfrɛ no fluoroscopy. Eyi kyerɛ sɛ wo radiologist betumi ahu saa nsu yi sɛ ɛrekɔ w’akyi berɛmo so wɔ bere ankasa mu.

Ebia woate sɛ nnuruyɛfo frɛ eyi ‘Cervical Myelogram’ anaa ‘Lumbar Myelogram’. Ɛnyɛ sɔhwɛ ahorow a ɛsono emu biara. Wɔkyerɛ akyi berɛmo no fã a wɔpɛ sɛ wɔtwe mfonini kɛkɛ. Sɛ nhwɛso no, sɛ wɔpɛ sɛ wɔhwɛ w’akyi berɛmo no fã a ɛwɔ awotwaa mu a, wɔfrɛ no awotwaa mu myelogram. Sɛ wɔpɛ sɛ wɔhwɛ w’akyi berɛmo no fã a ɛyɛ akyi berɛmo no a, wɔfrɛ no lumbar myelogram. Ate aseɛ?

Dɛn nti na oduruyɛfo bi bɛkra sɛ wɔnyɛ myelogram?

Sɛ w’akyi yaw a enni sabea a, wo duruyɛfo bedi kan ahyɛ sɛ wɔnyɛ CT scan anaa MRI na ama woahu nea ɛde ba. Nanso, sɛ saa nhwehwɛmu no mu biara mu nna hɔ a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ myelogram na ama woahu pii.

Nyarewa pii wɔ hɔ a wobetumi de nhwehwɛmu yi ahu. Nhwɛsoɔ:

• Herniated / bulging disks: Eyi ne nea yɛfrɛ no ‘herniated disk’. Eyi ne bere a ntini a ɛyɛ mmerɛw a ɛda akyi berɛmo no ntam no puw fi mu na ɛtwetwe ntini ahorow no.
• Ntini mu yare a ɛwɔ w’akyi berɛmo mu: Eyi betumi ama nkwaa no ho ahonhon na ayɛ yaw.
• Akyi berɛmo mu akisikuru: Eyi ne bere a baabi a ɛwɔ akyi berɛmo no mu no yɛ teateaa, na ɛma akyi berɛmo anaa ntini ahorow no mu yɛ den.
• Bone spurs / Osteophytes: Nnompe nketenkete a ɛte sɛ nnompe a ɛba nnompe no so.
• Akyi berɛmo mu akisikuru.

Afei nso, sɛ wɔayɛ w’akyi oprehyɛn nnansa yi na wote ɛyaw foforo a ɛkɔ so daa anaasɛ woyɛ mmerɛw a, wo duruyɛfo betumi ahyɛ sɛ saa myelogram nhwehwɛmu yi.

Ɔkwan bɛn so na myelogram yɛ adwuma?

Myelogram tumi hu ɔhaw ahorow a (CT) scan anaa (MRI) a wɔyɛ no daa ntumi nhu. Ɛho wɔ mfaso titiriw ma wohu pefee sɛ nnompe, diski, ne ntini afoforo a atwa akyi berɛmo no ho ahyia no remia ntini anaa akyi berɛmo no mu anaa.

Sɛ radiologist no de nsu titiriw bi (ade a ɛne ne ho bɔ abira) gu w’akyi berɛmo mu a, nsu no fa baabi a atwa w’akyi berɛmo ho ahyia no. Wo ntini ne w’akyi berɛmo da adi sɛ mfonini wɔ X-ray anaa CT scan so. Eyi ma oduruyɛfo no hu ɔhaw ahorow a X-ray a wɔyɛ no daa ntumi nhu.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma myelogram?

Wo duruyɛfo bɛma wo nneɛma a ɛsɛ sɛ woyɛ ansa na woayɛ myelogram no ho nsɛm a ɛkɔ akyiri. Nanso, mpɛn pii no, ma nneɛma yi ntra w’adwenem:

• Wo ne w’adamfo anaa w’abusua muni bi a wowɔ ne mu ahotoso nkasa na ɔmfa kar nkɔ fie. (Ebia wɔbɛma wo aduru a ɛma obi dwo, enti ɛnyɛ papa sɛ wobɛka kar bere a wɔayɛ sɔhwɛ no awie no.)
• Fi ase nom nsu pii (nkuruwa 4-8) te sɛ nsu nnɔnhwerew abien biara fi da a edi sɔhwɛ no anim.
• Gyae adidi nnɔnhwerew asia ansa na wɔayɛ sɔhwɛ no. Nanso, wubetumi anom nsu te sɛ nsu kosi nnɔnhwerew asia ansa na wɔayɛ sɔhwɛ no. Nhwɛso ahorow: nsu, tii a wɔmfa nnɔkɔnnɔkɔwade nka ho, soda a emu da hɔ, kɔfe a ano yɛ den, nnuaba a wɔnom a wɔmfa nnɔkɔnnɔkɔwade nka ho, ne soup broth.

Sɛ wowɔ Asikreyare a...

• Fa insulin dodow a wotaa de di dwuma no.
• Sɛ woba sɛ wobɛyɛ nhwehwɛmu a, kae oduruyɛfo no bio sɛ ​​wowɔ asikreyare.

Mpɛn pii no, ɛho nhia sɛ wɔyɛ nhwehwɛmu biara wɔ lab ansa na wɔayɛ myelogram. Nanso, sɛ wowɔ mogya mu yare, tebea bi te sɛ nsu a ɛho ntew, anaa asaabo mu yare a ɛtra hɔ kyɛ te sɛ Asaabo mu Yare a Enni sabea (CKD) a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu.

Dɛn na ɛba bere a wɔreyɛ myelogram nhwehwɛmu no?

Wɔremfa wo nna bere a wɔreyɛ myelogram no. Nanso, ebia wɔbɛma wo nnuru bi a ɛma wo ho dwo wo na aboa wo ma woagye w’ahome. radiologist ne mfiridwuma ho ɔbenfo bɛka wo ho wɔ dan no mu bere no nyinaa.

Wɔ sɔhwɛ no mu no, wɔbɛyɛ nea edidi so yi:

• Wɔbɛka akyerɛ wo sɛ da sɔhwɛ pon so (mpɛn pii no wɔ wo yafunu anaa w’afã).
• Wɔde nnuru a ekum ɔyare mmoawa asiesie w’akyi fam, na ɛno ara ne no.Wɔde aduru bi a ɛma obi ho tɔ no (local anesthesia) gu nipadua no mu.
• Afei, wɔde ade a ɛma nsonsonoe no gu kotoku a nsu ahyɛ mu ma a atwa w’akyi berɛmo ho ahyia no mu. (Ebia wobɛte nhyɛso anaasɛ wo ho nyɛ wo dɛ kakra wɔ saa bere yi mu.)
• Wɔadan sɔhwɛ pon no akɔ anim ne akyi kakra. Eyi yɛ nea ɛbɛboa ma nsu no afa w’akyi berɛmo mu yiye. Ebia radiologist no nso bɛka akyerɛ wo sɛ dan wo ti anaasɛ wowosow wo ti.
• Afei, wɔyɛ w’akyi berɛmo ho X-ray ne CT scan.

Mpɛn pii no, adeyɛ no nyinaa gye bɛyɛ dɔnhwerew biako. Ebia ne ho bɛtɔ no kakra anaasɛ ne ti ayɛ no yaw kakra.

Dɛn na ɛba bere a wɔayɛ myelogram akyi?

Sɛ wɔyɛ nhwehwɛmu wie a , nnuruyɛfo no bɛhwɛ wo bɛyɛ dɔnhwerew biako. Afei wɔn na wobesi gyinae sɛ woasiesie wo ho sɛ wobɛkɔ fie anaa. Wɔbɛma wo akwankyerɛ a wɔakyerɛw afa nea ɛsɛ sɛ woyɛ bere a woakɔ fie awie no ho. Wo radiologist de amanneɛbɔ a ɛkɔ akyiri bɛkɔ akɔma wo primary care physician (PCP) anaa oduruyɛfo a ɔde wo kɔe no.

So nsunsuanso bɔne bi wɔ myelogram mu?

Nnipa bɛyɛ ɔha biara mu du (10%) betumi anya nsunsuanso bɔne wɔ myelogram akyi. Nsunsuanso bɔne a ɛtaa fi hɔ wɔ da koro anaa nnanu mu no bi ne:

• Ti a ɛyɛ yaw.
• Akisikuru ne ɔfe.

Nanso, sɛ wo ti yɛ wo yaw a ennyae , anaasɛ wuhu sɛnkyerɛnne ahorow a ɛyɛ hu yi bi a , ɛsɛ sɛ wofrɛ wo duruyɛfo ntɛm ara:

• Huraeɛ.
• Kɔn a ɛyɛ den.
• Wo nan a ɛyɛ wo yaw.

Bere tenten ahe na egye ansa na obi ho atɔ no bere a wɔayɛ myelogram awie no?

Mpɛn pii no, egye bɛyɛ nnɔnhwerew 24. Sɛ woyɛ myelogram wie a, ebia ebehia sɛ wotra ase anaasɛ woda nnɔnhwerew kakraa bi. Sɛ obi nya ahomegye pii a, ebetumi aboa ma asiane a ɛwɔ hɔ sɛ amemene mu nsu (CSF) bɛtwe no so atew. Wubetumi asan akɔ wo dwumadi ahorow a wotaa yɛ no so wɔ bɛyɛ da koro akyi. Nanso, sɛ wo tiyɛ kɔ so yɛ wo yaw, anaasɛ wunya sɛnkyerɛnne foforo biara a emu yɛ den te sɛ atiridiinini, wo kɔn a ɛyɛ den, anaa wo nan a ɛyɛ mmerɛw a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo.

Nneɛma bi a wubetumi ayɛ wɔ fie de aboa wo ma wo ho atɔ wo ni:

• Bɔ mmɔden sɛ wobɛma wo ti akɔ soro asen wo nipadua no fã a aka no. Bɔ mmɔden sɛ wobɛtena hɔ akyɛ sɛnea wubetumi.
• Nom nsu pii. Nnom nsa koraa.
• Sɛ wo ti yɛ wo yaw a, sɔ biribi te sɛ acetaminophen ne anonne bi a caffeine wom (kɔfe, tii) hwɛ. Ɛtɔ mmere bi a, eyinom betumi aboa ma wɔn ankasa agyae tiyɛ no.
• Mma nneɛma a emu yɛ duru biara so anaasɛ mfa wo ho nhyɛ apɔw-mu-teɛteɛ a emu yɛ den mu nnɔnhwerew 24.

Bere bɛn na mehu nea ebefi myelogram no mu aba?

Sɛ wonya amanneɛbɔ no fi radiologist no hɔ wie a, wo primary care physician (PCP) anaa oduruyɛfo a ɔde wo kɔe no bɛhwɛ nhwehwɛmu no mu aba. Eyi taa gye nna kakraa bi. Afei wɔbɛfrɛ wo abɛkyerɛkyerɛ nea ebefi mu aba no mu na wɔakyerɛ wo nea ɛsɛ sɛ woyɛ akyi.

Bere bɛn na ɛsɛ sɛ mefrɛ oduruyɛfo no bere a wɔayɛ myelogram awie no?

Sɛ woyɛ myelogram wie a, sɛ nea edidi so yi mu biara ba a, frɛ wo duruyɛfo ntɛm ara:

• Atiridiinini a ɛboro digrii Fahrenheit 101 (38.3 Celsius).
• Sɛ wote nka sɛ wo ho ayɛ wo hyew na wote nka sɛ ebia wobɛhwe ase (a wobɛtotɔ piti).
• Sɛ wo nan yɛ mmerɛw anaasɛ wo ho nyɛ wo den (Tingling anaa numbness in your legs).
• Sɛ ɛyaw anaasɛ nsu bi fi baabi a ɛbɛn baabi a wɔde aduru no gu no a.
• Sɛ kɔn no yɛ den a (Stiff neck).
• Tiyɛ a ɛrenkɔ.
• Sɛ obi ntumi ntow nsu .

Myelogram yɛ yaw dɛn?

Asɛmmisa yi ho mmuae gu ahorow wɔ onipa biara mu. Sɛ ɛyaw no yɛ nea wontumi nnyina ano a, ɛbɛyɛ papa sɛ woremma. Nanso, wubetumi anya ɔhaw bi wɔ sɔhwɛ no mu, te sɛ:

• Ɛte sɛ nea wɔrepiapia bere a wɔde nsu titiriw (ade a ɛne ne ho bɔ abira) no gu mu no.
• Bere a wɔde ade no retu no , ɛyaw a ano yɛ nnam a ɛte sɛ anyinam ahoɔden betumi apue mpofirim wɔ akyi anaa nan no ho .

Afei nso, nsɛm a ɛfa nsonsonoe ho no betumi ama nneɛma a ɛte sɛɛ aba:

• Nkate a ɛyɛ hyew anaasɛ ɛyɛ kɔkɔɔ.
• Dade dɛ a ɛwɔ w’anom.
• Bere tiaa mu akisikuru.

Wo duruyɛfo ne kuw a wɔwɔ hɔ no bɛyɛ nea wobetumi biara na ama wo ho atɔ wo na wɔayɛ nhwehwɛmu no ntɛm, enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho.

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Akyi yaw a ɛkɔ so daa betumi ayi anigye no afi w’asetra mu na asiw wo kwan sɛ wobɛyɛ nneɛma a w’ani gye ho no. Sɛ scan a wɔyɛ no daa no mma wunnya mmuae a, ebia ɛbɛyɛ bere a ɛsɛ sɛ woyɛ myelogram. Saa nhwehwɛmu yi betumi aboa wo duruyɛfo ma wahu nea ɛde wo haw no na aboa wo ma woanya ano aduru a ɛbɛyɛ adwuma ama wo. Enti sɛ oduruyɛfo bi hyɛ nyansa sɛ saa sɔhwɛ yi a, ka ho asɛm, te ase, na kɔ w’anim. Yɛwɔ anidaso sɛ ɛrenkyɛ wubenya ahotɔ afi wo haw no mu!

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