Akyi yaw yɛ ɔhaw a abu so wɔ yɛn man yi mu. Ɛtɔ da bi a, sɛ wohome kakra, sɛ woankotow na woanyɛ hwee a, ɛkɔ. Nanso ɛtɔ da bi a, ɛyaw no bɛyɛ nea wontumi nnyina ano, na afei ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn. Enti sɛ wokɔ oduruyɛfo nkyɛn a, asɛmmisa kɛse bi wɔ w’adwene mu sɛ, ‘Oo, wɔbɛka akyerɛ me sɛ memfa X-ray mprempren? Anaasɛ ɛsɛ sɛ meyɛ MRI?’ Nnipa pii suro sɔhwɛ ahorow yi. Wɔ asɛm yi mu no, yɛbɛka nhwehwɛmu ahorow a oduruyɛfo yɛ de hu nea ɛde w’akyi yaw ba, ne sɛ ebia obiara hia nhwehwɛmu ahorow yi ho asɛm.
Ade a edi kan a oduruyɛfo no bebisa wo (wo aduruyɛ ho abakɔsɛm) .
Sɛ wokɔ oduruyɛfo nkyɛn a, ade a odi kan yɛ ne sɛ ɔmfa nnuru nkyerɛw wo anaa nhyɛ sɛ wɔnyɛ nhwehwɛmu. Odi kan ne wo kasa, bisa wo nsɛm kakra, na ɔbɔ mmɔden sɛ obehu nsɛm pii sɛnea obetumi. Ebia woresusuw ho sɛ, "Dɛn nti na worebisa me me ɔfe, atiridii, ne yafunu a ɛyɛ me yaw bere a me ti yɛ me yaw no?" Nanso nsɛmmisa yi nyinaa ho hia yiye wɔ nea ɛde w’akyi yaw ba a wubehu mu.
Fa no sɛ, Oduruyɛfo, ebia wobebisa wo nneɛma te sɛ eyi:
- Ɔkwan bɛn so na ɛyaw no fii ase? So ɛte sɛ nea mpofirim ara w'akyi "abubu" bere a womaa biribi a emu yɛ duru so no? Anaasɛ ɛyaw no mu yɛɛ den nkakrankakra da biara da?
- Dɛn na ɛma ɛyaw no mu yɛ den/yɛ kɛse? Sɛ obi kotow kɔ n’anim, ɔtena ase, ogyina hɔ, anaa ɔda anadwo a, ɛyaw no te dɛn? So biribi a wobɛyɛ no ma ɛyaw no mu yɛ den?
- So ɛyaw yi asi pɛn?
- So woanya nyarewa foforo bi nnansa yi? Sɛ nhwɛso no, ɔfe, atiridiinini, ɛyɛ den sɛ wobɛtow nsu, yafunu mu yaw , ne nea ɛkeka ho Ɛtɔ mmere bi a, akyi yaw betumi afi ɔyare mmoawa bi a ɛwɔ nipadua no mu baabi foforo mu aba.
- Sɛ woyɛ ɔbea a, ebia wobɛte mogya a ɛretu, ɛyaw, anaa nsu a efi awotwaa mu a ɛyɛ soronko nso ho asɛm. Eyi te saa efisɛ akyi berɛmo mu tebea horow bi betumi ama akyi ayɛ yaw.
Sɛ yɛbɛka no tiawa a, mmuae ahorow yi bɛboa oduruyɛfo no ma wahu wo tebea no yiye. Enti , ɛho hia paa sɛ yɛbɛka nokware a yɛmfa biribiara nsie.
Nea edi hɔ no, nipadua mu nhwehwɛmu.
Sɛ oduruyɛfo no bisa wo asɛm bi wie a, ɔbɛhwɛ wo. Wɔfrɛ eyi nipadua mu nhwehwɛmu . Ade titiriw a ɛwɔ ha ne sɛ wobɛhwɛ sɛ ebia ntini a efi w’akyi kɔ wo nan so no asɛe anaasɛ wɔahyɛ no.
- Nantew mu sɔhwɛ: Wɔbɛka akyerɛ wo sɛ fa wo nan ase nantew kwan tiaa bi, afei fa wo nansoaa so. Eyi betumi ama woanya wo ntini ahoɔden ne sɛnea ntini ahorow no yɛ adwuma ho adwene.
- Reflex testing: Oduruyɛfo no de rɔba hama bɛbɔ wo kotodwe ne wo nansoaa akyi. Sɛ ntini no reyɛ adwuma yiye a, wo nan no bɛwosow ne ho saa bere yi.
- Nan a wobɛma so sɔhwɛ: Wɔbɛka akyerɛ wo sɛ da mpa so na ma wo nan biako so tẽẽ kɔ soro. Ebia wɔbɛka akyerɛ wo sɛ yɛ eyi bere a oduruyɛfo no mmoa wo anaasɛ wɔmmoa wo. Eyi hwɛ titiriw sɛ nhyɛso wɔ sciatic nerve, ntini kɛse bi a efi akyi kɔ nan no so no so.
- Nkate mu sɔhwɛ: Wɔde ade ketewaa bi te sɛ pin anaa krataa a wɔde kyekyere nneɛma bedi dwuma de aka wo nan mmeae ahorow na woabisa sɛ, "So wote biribi nka?" Eyi betumi aboa ma woahu sɛ ebia ntini ahorow a ɛde nkate kɔ wo nan so no asɛe anaa.
- Nhwehwɛmu afoforo: Sɛ wo duruyɛfo susuw sɛ tebea bi a emu yɛ den bi wɔ hɔ a, wobetumi ahwɛ wo yafunu, wo hwene, anaa wo akyi berɛmo nso. Akisikuru ne dwensɔtwaa a wɔhwere, titiriw sɛ ntini a ɛwɔ akyi berɛmo no ase no asɛe a, ebetumi ayɛ nea ɛde ba. Ebia ɛho behia sɛ wɔyɛ sɔhwɛ ahorow yi na ama wɔahu tebea bi a emu yɛ den kɛse.
So obiara hia X-ray anaa MRI? - a wode kyere mfonini
Eyi ne nea nnipa dodow no ara susuw ho kɛse. So wuhia X-ray anaa MRI ankasa bere a w’akyi apira no?
Mmuae no ne sɛ, dabi . Ɛnyɛ obiara na ohia sɔhwɛ titiriw a ɛte sɛɛ ntɛm ara bere a ofi ase nya akyi yaw no. Nokwarem no, nnipa a wɔn akyi yɛ wɔn yaw no mu bɛyɛ 90% ho tɔ wɔn wɔ ɔsram biako mu. Enti, gye sɛ kɔkɔbɔ nsɛnkyerɛnne pɔtee bi (frankaa kɔkɔɔ) wɔ hɔ, mfaso kakraa bi na ɛwɔ so sɛ wɔbɛyɛ sɔhwɛ ahorow yi wɔ adapɛn 4-6 a edi kan no mu.
Okay, enti momma yɛnhwɛ nea sɔhwɛ ahorow yi yɛ ne tebea horow a wɔde di dwuma wɔ mu.
| Sɔhwɛ no din | Tebea bɛn mu na wɔde di dwuma? | Nneɛma a ɛho hia a ɛsɛ sɛ wuhu |
|---|---|---|
| X-ray a wɔyɛ no daa | Eyi ho nni mfaso kɛse wɔ akyi yaw a ɛtaa ba no mfiase. Nanso, sɛ woanya adwenemhaw, woadi boro mfe 50, wowɔ yare bi a ɛma nnompe tew te sɛ nnompe mu yare, anaasɛ woanom steroid akyɛ a, ebia ɛho behia sɛ woyɛ X-ray. | X-ray kyerɛ nnompe nkutoo. Wɔnkyerɛ ntini a ɛyɛ mmerɛw te sɛ diski a ɛda akyi berɛmo anaa ntini ahorow ntam no. |
| MRI Scan a Wɔde Yɛ Adwuma | Eyi yɛ sɔhwɛ a ɛkɔ akyiri yiye na ne bo yɛ den. Wɔnkamfo nkyerɛ sɛ wɔmfa mma akyi yaw a ɛkɔ so wɔ ɔkwan a ɛkɔ akyiri so. Nanso, sɛ wosusuw sɛ tebea bi a emu yɛ den bi a ebia ebehia sɛ wɔyɛ oprehyɛn (sɛ nhwɛso no, akyi berɛmo mu yare, kokoram, akisikuru, anaa tebea a egye ntɛmpɛ te sɛ Cauda Equina Syndrome) a, wɔyɛ no. Wɔtaa susuw ho sɛ wobehu nea ɛde ba sɛ ɛyaw no akɔ so atra hɔ bɛboro adapɛn 12 a. | Ɔhaw ahorow nso wɔ MRI mfoninitwa mu. Wɔ nnipa a wɔwɔ apɔwmuden a wɔn akyi yɛ wɔn yaw mpo mu no, MRI mfonini betumi akyerɛ sɛ ntini a ayɛ kurukuruwa wɔ akyi berɛmo no ntam. Sɛ wuhu biribi te sɛ eyi a, ebetumi ama woasusuw sɛ eyi na ɛde ɛyaw no ba na ɔde ne ho to ayaresa a ɛho nhia so. Enti, ɛho hia yiye sɛ wode MRI amanneɛbɔ no kyerɛ wo duruyɛfo na wohwehwɛ afotu sen sɛ w’ankasa wobɛbɔ mmɔden sɛ wobɛkyerɛ ase. |
| Myelogram ne CT scan a wɔde yɛ nhwehwɛmu | Eyi yɛ sɔhwɛ a wɔde di dwuma wɔ nsɛm pɔtee bi mu nkutoo, mpɛn pii no bere a wɔreyɛ oprehyɛn ho nhyehyɛe no. Nea ɛka ho ne sɛ wɔde aduru soronko bi bɛhyɛ akyi berɛmo no mu na wɔayɛ CT scan. | Bere a MRI aba no, mprempren nhwehwɛmu yi a wɔde di dwuma no so atew kɛse. |
Dɛn ne "Red Flags"?
Nnuruyɛfo frɛ "frankaa kɔkɔɔ" kɔkɔbɔ nsɛnkyerɛnne a ebetumi akyerɛ ayaresa tebea a emu yɛ den. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ebia wo duruyɛfo de wo bɛkɔ akɔyɛ mfoninitwa nhwehwɛmu ntɛm ara.
- Ahwease anaa akwanhyia a emu yɛ den.
- Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu ne atiridiinini.
- Nsu anaa nsu a wotumi nni so (Eyi yɛ ntɛmpɛ a emu yɛ den yiye. Ɛsɛ sɛ wokɔ ayaresabea Emergency Department (ETU) ntɛm ara.
- Nkakrankakra nkate a ɛyera anaa mmerɛwyɛ a ɛkɔ soro wɔ nan no mu.
- Sɛ́ ɔwɔ kokoram ho abakɔsɛm a atwam.
Ntini mu Nhwehwɛmu
Ɛtɔ mmere bi a, titiriw sɛ ɛyaw no kɔ so kyɛ a, wɔyɛ sɔhwɛ foforo de hu sɛnea wɔasɛe ntini bi pɛpɛɛpɛ.
Wɔfrɛ no Electromyogram (EMG) . Wɔ sɔhwɛ yi mu no, wɔde anyinam ahoɔden nketenkete a ɛte sɛ nnade hyɛ ntini no mu na wɔhwɛ anyinam ahoɔden dwumadi no wɔ kɔmputa so. Saa sɔhwɛ yi betumi ayɛ yaw kakra. Nanso ɛboa oduruyɛfo no ma ohu sɛ ebia ntini bi asɛe anaasɛ ɔhaw no wɔ ntini no mu, na ebetumi aboa nso ma wɔahu baabi a ntini no asɛe kodu.
Nkrasɛm a Wɔde Kɔ Fie
- Akyi yaw abu so yiye na mpɛn pii no, ɛgyae wɔ adapɛn kakraa bi mu bere a wɔagye wɔn ahome yiye na wɔasa no yare a ɛnyɛ den.
- Ɛnyɛ bere biara a w’akyi yɛ wo yaw na ɛsɛ sɛ wɔyɛ X-ray anaa MRI. Eyinom a wɔde wɔn ho bɛhyɛ mu a ɛho nhia betumi ayɛ sika a wɔsɛe no na ɛde adwennwen a ɛho nhia aba.
- Ade a edi kan a wo duruyɛfo bɛyɛ ne sɛ obetie wo na wahwɛ wo. Ɛno ne anammɔn a ɛho hia sen biara wɔ sɛnea wobehu yare no mu.
- Fa wo ho to wo duruyɛfo afotu so. Sɛ sɔhwɛ ho hia a, akyinnye biara nni ho sɛ ɔde wo bɛkɔ akɔyɛ.
- Sɛ wowɔ "red flag" sɛnkyerɛnne, te sɛ urinary/fecal control a ɛyera, ahoɔden a ɛyera mpofirim wɔ wo nan mu a, kɔ ayaresabea Emergency Department (ETU) ntɛm ara.
- Mfa no sɛ wowɔ tebea koro no ara denam w’adamfo anaa wo busuani bi MRI amanneɛbɔ a wobɛhwɛ ara kwa so. Ɛsono obiara tebea. Bere nyinaa wo ne wo duruyɛfo nsusuw nea efii wo nhwehwɛmu no mu bae no ho.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment