Wopɛ sɛ wuhu nea ɛde wo nkwaa mu yaw ba ankasa? Ne nyinaa fa Arthrogram sɔhwɛ no ho!

Ɛtɔ mmere bi a, yɛn nkwaa te sɛ yɛn mmati, yɛn nkotodwe, ne yɛn asen mu yɛ yɛn yaw kɛse na yɛn ho yɛ den. Sɛ yɛkɔ oduruyɛfo nkyɛn a, ebia wɔbɛyɛ X-ray. Nanso, ɛtɔ mmere bi a, ɛyɛ den sɛ wubehu nea ɛyɛ ɔhaw no ankasa afi ɛno nkutoo mu. Wɔ tebea horow a ɛtete saa mu no, nnuruyɛfo de yɛn kɔ sɔhwɛ titiriw yi a wɔfrɛ no arthrogram mu. Enti, ɛnnɛ yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne arthrogram? Sɛ yɛbɛka no tiawa a...

Arthrogram yɛ aduruyɛ mu mfoniniyɛ mu nhwehwɛmu. Wɔ sɔhwɛ yi mu no, wɔde nsu titiriw bi (ade anaa ade a wɔde yɛ nneɛma a ɛne ne ho bɔ abira) gu wo nkwaa mu. Afei, wɔtwa nkwaa no ho mfonini. Saa nsu yi ma oduruyɛfo no hu nneɛma nketenkete paa wɔ nkwaa no mu, ɔhaw ahorow a ɛnyɛ anifere mpo a wontumi nhu wɔ X-ray a wɔyɛ no daa mu. Ɔkwan foforo so no, ɛfa "mfonini a ɛyɛ nnam" a ɛkyerɛ nea ɛwɔ nkwaa no mu.

Edin foforo a wɔde frɛ eyi ne ntini mu nhwehwɛmu.

Dɛn nti na wɔreka akyerɛ me sɛ menyɛ arthrogram?

Nneɛma pii nti na ebia wo duruyɛfo bɛkra sɛ wɔnyɛ wo ntini ho nhwehwɛmu.

• Nkwaa mu yaw anaasɛ ɛyɛ den a wontumi nkyerɛkyerɛ mu: Sɛ nhwehwɛmu a wɔyɛ no daa anaa nhwehwɛmu te sɛ X-ray ntumi nkyerɛ nea ɛde wo nkwaa mu yaw no ba ankasa a, nhwehwɛmu yi betumi ama mmuae a emu da hɔ.
• Nnuru a wɔde bɛhyɛ nkwaa no mu tẽẽ: Sɛ nhwɛso no, ɛtɔ mmere bi a, ɛho hia sɛ wɔde nnuru (steroid) gu nkwaa no mu tẽẽ. Wɔ eyi mu no, wobetumi de arthrogram mfiridwuma ahyɛ aduru no mu na ama wɔahu baabi pɔtee a ehia. Wɔfrɛ eyi sɛ ntini a wɔde sa yare.
• Hwɛ bere a wɔayɛ wo nkwaa foforo oprehyɛn akyi: Sɛ wɔayɛ wo nkwaa foforo oprehyɛn a, sɔhwɛ yi nso bɛboa ma woahu sɛnea saa nkwaa no mu ntini no reyɛ.

Fa no sɛ wo mmati mu yɛ wo yaw, nanso biribiara nhu wɔ X-ray no so. Afei ebia oduruyɛfo no besusuw sɛ biribi te sɛ ntetewmu ketewaa bi wɔ ntini anaa ntini a ɛwɔ mmati no mu no biako mu. Wɔ tebea horow a ɛtete saa mu no, arthrogram tumi hu no pefee.

Dɛn ne ntini mu nhwehwɛmu ahorow?

Saa sɔhwɛ yi ahorow pii wɔ hɔ, a egyina nkwaa a wɔresɔ ahwɛ no so. Ahorow a wɔtaa de di dwuma ne:

• Mmati mu ntini a wɔde yɛ nhwehwɛmu
• Hip arthrogram ho nhwehwɛmu
• Nkotodwe mu ntini a wɔde yɛ nhwehwɛmu
• Nsateaa mu ntini a wɔde yɛ nhwehwɛmu
• Ankle arthrogram ho nhwehwɛmu
• Elbow arthrogram a wɔde yɛ nipadua no

Ɔkwan bɛn so na wɔyɛ arthrogram?

Eyi yɛ adeyɛ a ɛwɔ afã abien.

1. Anamɔn a edi kan:Oduruyɛfo anaa mfiridwumayɛfo a wɔatete no de nsu titiriw bi a wɔfrɛ no ``contrast dye`` gu wo ntini mu anaasɛ ɛkɔ nkwaa a ɛyɛ yaw no mu tẽẽ. Saa nsu yi kɔ nkwaa no mu na ɛma ɛyɛ mmerɛw sɛ wubehu nneɛma nketenkete ne ɔhaw ahorow a wɔtaa nhu mpo.

2. Anamɔn 2: Afei, oduruyɛfo no bɛtwe wo nkwaa no mfonini. Wobetumi de eyi adi dwuma de:

• CT scan (CT - kɔmputa so mfoninitwa afiri) .
• Fluoroscopy (eyi yɛ ɔkwan a ɛte sɛ X-ray, nanso etumi twa mfonini a ɛkanyan) .
• MRI (magnetic resonance imaging) a wɔde hwehwɛ nneɛma mu
• Ultrasound a wɔde yɛ nneɛma

Ɛtɔ da bi a, ɛyɛ yie sɛ wɔbɛtwa nkwaa no mfonini ansa na wɔde aduru no ahyɛ mu ne bere a wɔawie no. Eyi ma ɛyɛ mmerɛw sɛ wɔde bɛtoto ho.

Mɛyɛ dɛn asiesie me ho ama arthrogram?

Nneɛma a ɛnyɛ den kakraa bi wɔ hɔ a wubetumi ayɛ ansa na sɔhwɛ yi aba:

• Hyɛ ntade a ɛnyɛ den: Eyi bɛma oduruyɛfo no akɔ wo nkwaa no mu ntɛm. Ebia ɛho behia nso sɛ wohyɛ ayaresabea atade, a egyina nkwaa a wɔrehwehwɛ mu no so.
• Ka wo nyinsɛn ho asɛm kyerɛ wo duruyɛfo: Sɛ woanyinsɛn, anaasɛ wususuw sɛ ebia woanyinsɛn a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo , efisɛ nhwehwɛmu ahorow bi a wɔde mframa a ano yɛ den di dwuma no betumi apira akokoaa a ɔrenyin.
• Gyae nnuru nom sɛnea wɔakyerɛ wo: Ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nnuru bi nom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no. Di saa akwankyerɛ ahorow no akyi yiye. Mma nnsesa nnuru biara a wo duruyɛfo nka ho afotu.

Dɛn na ɛba bere a wɔreyɛ arthrogram?

Ebia wɔbɛka akyerɛ wo sɛ yi wo ntade, a egyina nkwaa a wɔrehwehwɛ mu no so.

Oduruyɛfo a ɔhwɛ mframa a wɔde hwɛ nneɛma so na ɔyɛ nhwehwɛmu yi. Mfiridwuma ho nimdefo a wɔatete no titiriw nso betumi aboa wɔ mfoninitwa no mu. Sɛnea yɛadi kan aka no, wobetumi atwa mfonini (te sɛ X-ray) ansa na wɔde aduru no ahyɛ mu ne bere a wɔde bɛhyɛ nipadua no mu akyi.

Bere a wɔreyɛ arthrogram no, oduruyɛfo no bɛyɛ:

• Wɔbɛma woada (a mpɛn pii no w’ani kyerɛ soro) wɔ pon a wɔde mattress ahyɛ so so.
• Wɔde aduru a ekum ɔyare mmoawa tew were a atwa nkwaa no ho ahyia no ho.
• Wɔde ntama akata baabi a atwa ho ahyia no, na ɛma nkwaa no nkutoo da adi.
• Wo honam ani ne baabi a atwa nkwaa no ho ahyia no bɛma woayɛ mmerɛw denam aduru bi a wɔde kum nipadua no so. Eyi bɛboa wo ma wonte ɛyaw kɛse.
• Wɔde saa nsu titiriw (ade a ɛne ne ho bɔ abira) no gu nkwaa no mu tẽẽ anaasɛ ɛbɛn nkwaa no.
• Nsu no bɛtrɛw yiye wɔ nkwaa no nyinaa mu, na wo nkwaa no de nkakrankakra akɔ anim ne akyi.
• Woyi ade a wɔde hyɛ mu no na wɔhohoro baabi a wɔatow no.
• Wɔde X-ray, MRI, CT scan, anaa ultrasound twa wo nkwaa ho mfonini.
• Wɔhwɛ nkwaa no ntini ahorow no fi mmeae ahorow, na wotwa mfonini bere a wɔde wo nkwaa no kɔ mmeae ahorow no.

Wɔtaa yɛ fluoroscopy ne X-ray wɔ dan koro a wɔde nkwaa no gu mu no mu. Nanso sɛ wuhia CT scan anaa MRI a, wɔde wo bɛkɔ dan foforo mu bere a wɔde aduru no ahyɛ wo mu akyi pɛɛ na wɔatwa mfonini ahorow no.

Ade a ɛho hia sen biara ne sɛ wobɛtwe mfonini bere a wɔde nsu no ahyɛ nkwaa no mu ara pɛ. Anyɛ saa a, nsu no bɛtrɛw akɔ nipadua no nyinaa mu. Sɛ ɛba saa a, mfonini ahorow no rentumi nkyere nkwaa no mu ntini no ho nsɛm pɔtee bi.

Wɔ ntini mu nhwehwɛmu a wɔde sa yare mu no, oduruyɛfo no de aduru bi te sɛ cortisone gu nkwaa no mu tẽẽ. Botae no ne sɛ wɔbɛtew nkwaa no mu ahonhon so na wɔayi ɛyaw no afi hɔ.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan bere a wɔayɛ arthrogram awie no?

Ɛsɛ sɛ wutumi san fi dwumadi ahorow a woyɛ daa ase wɔ sɔhwɛ no akyi bere tiaa bi. Ebia nnipa binom bɛte ɛyaw bi anaasɛ ɛho ahonhon wɔ nkwaa no ho bere a wɔayɛ nhwehwɛmu no awie no. Sɛ eyi ba a, ɛbɛyɛ papa sɛ wobɛhome nna kakraa bi.

Ɛsɛ sɛ saa ɔhaw yi fi hɔ wɔ nna abien ntam. Sɛ ɛnte saa a, frɛ wo duruyɛfo ma ɔmma no afotu.

Asiane bɛn na ɛwɔ ntini mu nhwehwɛmu mu?

Sɛ yɛka ne nyinaa bom a, asiane no sua koraa. Nanso, nsunsuanso bɔne kakraa bi wɔ hɔ a ebetumi afi mu aba:

• Allergic reaction to the particular contrast material/dye: Asiane ketewaa bi wɔ hɔ sɛ obi ho bɛtɔ no wɔ eyi ho. Sɛ wowɔ allergy biara a, ka kyerɛ wo duruyɛfo ansa na woayɛ nhwehwɛmu. Sɛ wo ho yɛ wo hyew wɔ saa aduru yi ho a, wubetumi anya akisikuru, wo ti ayɛ wo yaw, anaasɛ wo yafunu bɛyɛ wo yaw.
• Mogya a ɛtɔ anaa ɔyare mmoawa: Ɛntaa mma sɛ nsɛnnennen betumi aba wɔ baabi a wɔde ade no ahyɛ mu no.
• Mframa a wɔde ma: Mfoninitwa akwan bi te sɛ X-ray de mframa kakraa bi na edi dwuma. Saa mframa yi betumi ayɛ kɛse wɔ nipadua no mu bere a bere kɔ so no, na ɛde akwahosan ho haw ahorow aba. Ebetumi apira akokoaa nso. Nea ɛbɛyɛ na asiane yi so atew no, ɛho hia sɛ woka w’ayaresa ho abakɔsɛm ne sɛ ebia woanyinsɛn ho asɛm kyerɛ wo duruyɛfo.

Bere bɛn na mehu nea ebefi me arthrogram mu aba?

Oduruyɛfo a ɔyɛ radiologist a ɔyɛɛ wo arthrogram no bɛhwɛ wo nkwaa no mfonini ahorow mu. Ɔde nea efi mu ba no bɛkɔ akɔma oduruyɛfo a ɔde wo rekɔma wo no, mpɛn pii no wɔ nnɔnhwerew 24 ntam. Sɛ woma wɔyɛ wo sɔhwɛ no Fida a, ebia ebegye bere kakra ansa na nea efi mu ba no asan aba.

Wo duruyɛfo ne wo besusuw nea efii nhwehwɛmu no mu bae ho. Ebia ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii anaasɛ ɔbɛhyɛ nyansa sɛ wɔmfa ayaresa a ɛfata (te sɛ oprehyɛn a wɔde besi nkwaa ananmu) asiesie nkwaa no na atew wo sɛnkyerɛnne ahorow no so.

Ntini mu nhwehwɛmu yɛ yaw dɛn?

Ebia wobɛte nka sɛ wo ho yeraw wo kakra bere a oduruyɛfo no de nsu titiriw no gu nkwaa no mu no. Nnipa pii ka sɛ nkwaa no te nka sɛ "ɛyɛ ma" anaasɛ "ɛyɛ den." Nanso ɛnyɛ yaw dodo, efisɛ wɔde aduru a ɛma obi ho tɔ no ma.

Dɛn na wɔde gu nipadua mu bere a wɔreyɛ arthrogram?

Egyina mfoninitwa nhwehwɛmu ko a wo duruyɛfo de redi dwuma no so. Nneɛma abien a wɔtaa de kyerɛ nsonsonoe a ɛwɔ mu ne nneɛma a ɛma nsonsonoe a iodine wom ne nneɛma a ɛma nsonsonoe a ɛwɔ gadolinium mu.

So metumi de kar akɔ fie bere a wɔayɛ me ntini ho nhwehwɛmu awie no?

Mpɛn pii no, wubetumi de wo ho aka kar akɔ fie bere a woawie sɔhwɛ no. Nanso, sɛ worenom nnuru a ɛma wo ho dwo wo na aboa wo ma woagye w’ahome a, ɛho behia sɛ wode w’adamfo anaa w’abusua muni bi a wowɔ ne mu ahotoso ba ma ɔde kar bɛkɔ fie saa da no na wasan aba. Bisa wo duruyɛfo sɛ wuhia nnuru a ɛte saa ma wo arthrogram anaa.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Nkwaa mu yaw yɛ akwanside kɛse ma yɛn da biara da asetra. Nanso, ɛtɔ mmere bi a, sɛ wubehu nea ɛde nkwaa mu yaw ba a, ebetumi ayɛ den yiye. Saa sɔhwɛ yi a wɔfrɛ no arthrography no betumi ama woahu nneɛma a ɛyɛ mmerɛw yiye ne nneɛma a ɛyɛ mmerɛw a ɛwɔ wo nkwaa mu no ho mfonini pefee. Ɛyɛ ɔkwan a ɛnyɛ yaw koraa a asiane biara nni ho a wɔfa so hu yare. Sɛ ɛyaw a ɛbɛba w’asen, wo mmati, anaa nkwaa foforo mu haw wo a, wo ne wo duruyɛfo nka ho asɛm na hwehwɛ nhwehwɛmu anaa ayaresa a ebetumi aboa wo ma woanya ahotɔ. Mma ɛnhaw wo, sɛ wobehu yare no pɛpɛɛpɛ a, ɛno ne ade a edi kan a ɛbɛma ayaresa no ayɛ yiye!

` Arthrogram, nkwaa mu yaw, diagnosis, scans, contrast dye, akwahosan, aduruyɛ mu nhwehwɛmu