So w’akyi yɛ wo yaw bere tiaa bi? Ebia woakɔ oduruyɛfo nkyɛn dedaw na wɔayɛ wo nhwehwɛmu te sɛ X-ray, CT scan, anaa MRI scan. Nanso ɛtɔ mmere bi a, sɔhwɛ ahorow yi mpo ntumi nkyerɛ nea ɛde wo yaw no ba ankasa. Wɔ tebea horow a ɛtete saa mu no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu titiriw bi a ebetumi ahwehwɛ asɛm no mu akɔ akyiri kakra. Ɛno na yɛbɛka ho asɛm wɔ asɛm yi mu nnɛ. Wɔfrɛ no myelogram .
Sɛ yɛbɛka no tiawa a, dɛn ne myelogram?
Susuw ho saa kwan yi so: X-ray a wɔyɛ no daa no te sɛ yɛn nnompe ho mfonini a ɛyɛ tuntum ne fitaa. Ɛkyerɛ nneɛma te sɛ nnompe a abubu ne nnompe a abubu pefee. Nanso ɛnkyerɛ nneɛma a ɛyɛ mmerɛw koraa te sɛ ntini ne akyi berɛmo a ɛwɔ akyi berɛmo no mu no pefee.
Myelogram yɛ adeyɛ a ɛma nsɛm a ɛnyɛ anifere yi da adi kɛse. Wɔde ade titiriw bi a wɔde yɛ ade, anaa ade a wɔde ma nsonsonoe di dwuma de yɛ eyi. Sɛ wɔde saa aduru yi gu akyi berɛmo no mu a, ɛhyerɛn fitaa wɔ X-ray anaa CT scan mu. Te sɛ nea wɔde kanea hyerɛn kɔ dan a emu yɛ sum mu no, saa aduru yi ma oduruyɛfo no hu biribiara a ɛwɔ akyi berɛmo no mu, a akyi berɛmo, ntini ahorow no akwan, ne nkitahodi a ɛda akyi berɛmo no ntam ka ho.
Wɔ sɔhwɛ yi mu no, oduruyɛfo no betumi ahwɛ sɛnea aduru no fa w’akyi berɛmo mu no tee wɔ screen so, te sɛ video. Wɔfrɛ saa kwan yi fluoroscopy .
Ebia woate oduruyɛfo bi ka nsɛm te sɛ ‘cervical myelogram’ anaa ‘lumbar myelogram’. Mma ɛno nnyɛ wo hu. Ɛnyɛ sɔhwɛ ahorow abien a ɛsono emu biara. Wɔkyerɛ baabi a wɔreyɛ sɔhwɛ no wɔ w’akyi berɛmo mu ara kwa. Sɛ nhwɛso no, sɛ wɔresɔ wo kɔn fã (cervical spine) ahwɛ a, ɛyɛ ‘cervical myelogram’. Sɛ wɔresɔ w’akyi fã (lumbar spine) ahwɛ a, ɛyɛ ‘lumbar myelogram’.
Dɛn nti na oduruyɛfo bi bɛkra sɛ wɔnyɛ myelogram?
Mpɛn pii no, sɛ w’akyi yɛ wo yaw a, oduruyɛfo bi bedi kan akamfo akyerɛ sɛ wɔnyɛ CT scan anaa MRI scan. Mpɛn pii no, nhwehwɛmu ahorow yi betumi aboa ma wɔahu nea ɛde ba. Nanso, sɛ saa sɔhwɛ ahorow no mu biara nyɛ nea ɛyɛ nokware a, wɔtaa hyɛ sɛ wɔnyɛ myelogram na ama wɔahu pii.
Saa sɔhwɛ yi boa titiriw wɔ tebea horow a edidi so yi a wobehu mu.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Disk a ɛyɛ mmerɛw | Herniated disc yɛ tebea a ɛma akyi berɛmo no fã a ɛte sɛ jelly a ɛda akyi berɛmo abien ntam no puepue na ɛmia ntini no. Eyi yɛ tebea a ɛka nnipa pii. |
| Ntini mu yare a ɛwɔ akyi berɛmo mu nkwaa mu | Sɛ obi nyin anaa esiane nneɛma afoforo nti, nkwaa a ɛda akyi berɛmo no ntam no sɛe, ɛho ahonhon, na ɛyɛ yaw. |
| Akyi berɛmo mu akisikuru | Akyi berɛmo no fã a ɛte sɛ ‘tube’ a akyi berɛmo ne ntini ahorow fa mu no yɛ teateaa, na ɛmia ntini no. |
| Nnompe mu ntini / Osteophytes | Wɔ akyi berɛmo no akyi no, nnompe nketenkete bi sisi, na ɛpetepete ntini no so, na ɛde ɛyaw ba. |
| Akyi berɛmo mu akisikuru | Akuru a ɛyɛ kokoram anaasɛ ɛnyɛ kokoram a ɛba akyi berɛmo no ho na ɛde nhyɛso ba ntini ahorow so. |
Bio nso, sɛ wɔayɛ w’akyi oprehyɛn nnansa yi na woanya ɛyaw foforo anaasɛ wo nan ayɛ wo yaw a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ myelogram na ama woahu nea ɛde ba.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ myelogram?
Wo duruyɛfo bɛma wo akwankyerɛ a emu da hɔ a ɛfa nea ɛsɛ sɛ woyɛ ansa na wɔayɛ nhwehwɛmu yi ho. Nanso ne nyinaa mu no, ma yɛnhwɛ sɛnea ɛsɛ sɛ wusiesie wo ho. Saa anammɔn yi a wubedi akyi pɛpɛɛpɛ no ho hia yiye ma sɔhwɛ no nkonimdi, ɛnte saa?
| Nea ɛsɛ sɛ wɔyɛ | Nsɛntitiriw a ɛho hia |
|---|---|
| Siesie kar bi. | Wo nkutoo rentumi nka kar wɔ sɔhwɛ no akyi efisɛ ebia wɔbɛma wo aduru a ɛma wo ho dwo wo na ama woada. Enti, ebia ebehia sɛ wofrɛ w’adamfo anaa w’abusua muni bi ma ɔde kar bɛkɔ fie. |
| Nom nsu pii. | Efi da a edi sɔhwɛ no anim no, fi ase nom bɛyɛ nsu kuruwa biako (4-8 ounces) nnɔnhwerew abien biara. Ɛho hia sɛ wosiw nsu a ɛho ayɛ fĩ ano. |
| Mmuadadi | Nni aduan a ɛyɛ den biara nnɔnhwerew asia ansa na woayɛ sɔhwɛ no. |
| Nsu a wɔnom | Wubetumi anom nsu a emu da hɔ kosi nnɔnhwerew asia ansa na wɔayɛ sɔhwɛ no. Nhwɛso ahorow bi ne nsu, tii a nufusu/krim nnim, kɔfe tuntum, soda a emu da hɔ, nnuaba mu nsu a wɔanhyɛ mu dɛ, ne soup broth. |
| Sɛ wowɔ asikreyare a: | |
| Insulin a wɔde di dwuma | Fa insulin dodow a wotaa de di dwuma no, nanso di kan ne wo duruyɛfo nka eyi ho asɛm. |
| Nim | Kae adwumayɛfo no sɛ wowɔ asikreyare bere a wokɔ ayaresabea kɔyɛ nhwehwɛmu no ara pɛ. |
Mpɛn pii no, ɛho nhia sɛ wɔyɛ mogya mu nhwehwɛmu ansa na wɔayɛ nhwehwɛmu yi. Nanso, sɛ wowɔ mogya mu yare bi, te sɛ nsu a ɛho ntew anaa asaabo mu yare a enni sabea (CKD) a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu a ɛho hia.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Worennyae koraa wɔ saa bere yi mu, nanso ebia wɔbɛma wo nnuru a ɛbɛboa wo ma woagye w’ahome. radiologist ne mfiridwuma ho ɔbenfo ne wo bɛtra dan no mu wɔ sɔhwɛ no nyinaa mu, enti ɛho nhia sɛ wusuro.
Nea ɛkɔ so wɔ sɔhwɛ no mu a wɔakyekyɛ mu anammɔn biara ni:
1. Ahosiesie: Nea edi kan no, wɔde wo bɛto nhwehwɛmu pon so, wɔ wo yafunu so anaa w’afã.
2. Ahotew: Wɔde aduru a ekum ɔyare mmoawa bɛhohoro w’akyi fam yiye.
3. Ayɛ a ɛyɛ mmerɛw: Afei, wɔde aduru a wɔde kum nipadua no mu ntini kakraa bi gu nipadua no mu de ma baabi a wɔde ade no hyɛ mu no yɛ mmerɛw, sɛnea ɛbɛyɛ a worente ɛyaw biara.
4. Ade a wɔde bɛhyɛ nipadua mu: Seesei ne ade a ɛho hia sen biara. Oduruyɛfo a ɔhwɛ mframa so no de ahwɛyiye bɛhyɛ aduru titiriw bi (ade a ɛma wohu nneɛma a ɛne ne ho bɔ abira) bɛhyɛ kotoku a nsu ahyɛ mu ma a atwa w’akyi berɛmo ho ahyia no mu. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra wɔ saa bere yi mu.
5. Mpa a wobɛdan: Sɛnea ɛbɛyɛ a aduru no bɛboa ma akɔ baabi a ɛfata wɔ w’akyi berɛmo mu no, nea ɔhwehwɛ mu no bɛdan mpa a woda so no kakra. Ebia wɔbɛka akyerɛ wo nso sɛ dan wo ti kakra.
6. Mfoninitwa: Sɛ aduru no du mmeae a ɛfata wie a, wɔtwa X-ray ne CT scan mfonini ahorow.
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 wɔ sɔhwɛ no akyi? Bere tenten ahe na egye na obi ho atɔ no?
Sɛ wɔyɛ nhwehwɛmu no wie a, wɔbɛhwɛ wo wɔ ayaresabea bɛyɛ dɔnhwerew biako. Wɔbɛma wo kwan ma woakɔ fie bere a wɔagye atom sɛ biribiara ye akyi nkutoo. Wɔbɛma wo akwankyerɛ ahorow a wɔakyerɛw a ɛsɛ sɛ wudi akyi bere a woakɔ fie awie no. Oduruyɛfo a ɔhwɛ mframa so no de sɔhwɛ ho amanneɛbɔ no bɛkɔ akɔma wo oduruyɛfo a ɔhwɛ wo titiriw (PCP).
Mpɛn pii no, wobɛsan aba wo ho so wɔ nnɔnhwerew 24 ntam. Saa bere yi mu ahomegye ho hia yiye efisɛ ebetumi atew asiane a ɛwɔ hɔ sɛ amemene ne akyi berɛmo mu nsu (CSF) bɛtwetwe no so. Wubetumi asan akɔ dwumadi ahorow a woyɛ daa no so wɔ da koro akyi.
Hwɛ hu sɛ wobɛyɛ saa nneɛma yi bere a wo ho retɔ wo wɔ fie no:
- Ma wo ti so: Ma wo ti so nkɔ soro nsen wo nipadua no fã a aka no sɛnea wubetumi biara. Fa apɔw-mu-teɛteɛ abien anaa abiɛsa di dwuma bere a woada fam no.
- Da w’akyi petee: Bɔ mmɔden sɛ wode w’akyi bɛda mpa so sɛnea wubetumi biara.
- Nom nsu pii: Nom nsu ne nsu afoforo pii. Eyi bɛboa ma wohohoro aduru a wɔde yɛ ade no afi wo nipadua mu na ama tiyɛ so atew. Nanso kwati nsa.
- Kwati sɛ wobɛma nneɛma a emu yɛ duru so:Mma nneɛma a emu yɛ duru biara so anaasɛ nyɛ apɔw-mu-teɛteɛ biara a emu yɛ den da koro anaa nnanu.
- Tiyɛ ano aduru: Sɛ wo ti yɛ wo yaw a, wubetumi abisa wo duruyɛfo afa aduru a wɔde kum ɛyaw te sɛ paracetamol a wobɛnom ho. Afei nso, ɛtɔ mmere bi a anonne a caffeine wom (kɔfe, tii) a wɔnom betumi aboa ma wo tiyɛ afi hɔ.
Nneɛma bɔne a efi mu ba ne bere a ɛsɛ sɛ wo ne wo duruyɛfo kasa
Nnipa a wɔwɔ myelogram no mu bɛyɛ 10% betumi anya nsunsuanso nketenkete. Mpɛn pii no, eyinom fi hɔ koraa wɔ da koro anaa nnanu mu. Nanso, ɛho hia sɛ wuhu nea ɛyɛ daa ne nea ɛyɛ aniberesɛm.
| Nsunsuanso bɔne no su | Esu |
|---|---|
| Nneɛma bɔne a ɛtaa ba na ɛkɔ da koro anaa nnanu mu | |
| Tipaeɛ | Eyi ne ɔhaw a ɛtaa ba. |
| Akisikuru ne ɔfe | Ebia nnipa binom bɛte akisikuru anaasɛ wɔbɛfe. |
| Nsɛnkyerɛnne a emu yɛ den a ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ ntɛm ara | |
| Ti a ɛyɛ yaw a ɛkɔ so daa | Tiyɛ a emu yɛ den a wontumi mfa nnuru a wɔde kum ɛyaw anaa ahomegye nniso. |
| Huraeɛ | Nipadua mu hyew boro Fahrenheit 101 (Celsius 38.3). |
| Kɔn a ɛyɛ den | Kɔn a ɛyɛ den ne ɛyaw a ɛma ɛyɛ den sɛ wobɛkotow. |
| Nan mu a ɛyɛ mmerɛw/ɛhohoro | Anan a ɛyɛ mmerɛw, ɔhyew, anaa atenka a ɛte sɛ nea nkwa nnim wɔ nan mu. |
| Nneɛma afoforo a ɛwom | Nsu anaa ɛyaw a efi baabi a wɔde ade no gu, ɛyɛ den sɛ wobɛtow nsu, obi a ɔtotɔ piti. |
Sɛ wuhu saa sɛnkyerɛnne ahorow a emu yɛ den yi bi a, nntwentwɛn wo nan ase. Frɛ wo duruyɛfoɔ ntɛm ara anaa kɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
So eyi yɛ sɔhwɛ a ɛyɛ yaw paa?
Eyi nte nka sɛ obiara te nka. Nanso ɛnyɛ sɔhwɛ a ɛyɛ yaw a wontumi nnyina ano. Nanso, ebia wubenya ɔhaw nketenkete bi.
- Ebia wobɛte dede bi nka bere a wɔabɔ die no mu no.
- Sɛ wɔde ade no hyɛ mu a, ebia wobɛte sɛ anyinam ahoɔden abɔ wo nan anaa wo nan ase bɛyɛ sekan biako.
- Sɛ aduru no hyɛn nipadua no mu a, ebia wobɛte ɔhyew nka bere tiaa bi , wobɛte dade dɛ wɔ w’anom, anaasɛ wobɛte akisikuru .
Kae sɛ bere nyinaa nnuruyɛfo kuw no bɔ mmɔden sɛ wɔbɛma wo ho atɔ wo sɛnea wobetumi na wɔawie nhwehwɛmu no ntɛm ara sɛnea wobetumi.
Awiei koraa no, myelogram yɛ adwinnade a ɛsom bo a wode hwehwɛ nea ɛde akyi yaw a ɛhaw wo bere tenten a wɔamfa nhwehwɛmu a wɔyɛ no daa anhu no ba ankasa. Ɛdenam nsɛm a emu da hɔ a ɛde ma no so no, wo duruyɛfo betumi afi ayaresa nhyehyɛe a ɛfata wo ase. Enti, sɛ oduruyɛfo bi kamfo nhwehwɛmu yi kyerɛ a, nsuro sɛ wobɛkɔ w’anim na woanya nokwasɛm ahorow no.
Nkrasɛm a Wɔde Kɔ Fie
- Myelogram yɛ mfoninitwa sɔhwɛ a wɔde aduru soronko bi di dwuma de yɛ akyi berɛmo ne ntini a ɛbata ho no ho mfonini a emu da hɔ yiye.
- Wɔtaa kamfo nhwehwɛmu yi kyerɛ bere a wontumi mfa CT anaa MRI mfonini nhu nea ɛde akyi yaw ba no pefee no.
- Ɛho hia yiye sɛ wubedi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ ansa na wɔayɛ nhwehwɛmu (mmuadadi, nsu a wɔnom) ne sɔhwɛ no akyi (ahomegye, apɔw-mu-teɛteɛ a emu yɛ den).
- Ɛwom sɛ nsunsuanso nketenkete te sɛ tiyɛ ne akisikuru taa ba de, nanso sɛ wuhu sɛnkyerɛnne a emu yɛ den te sɛ atiridiinini kɛse, wo kɔn a ɛyɛ den, anaa wo nan a ɛyɛ mmerɛw a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
- Sɛ wowɔ sɔhwɛ no ho dadwen anaa ehu bi a, wo ne wo duruyɛfo nsusuw ho pefee.
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