E aʻo pono kākou e pili ana i ka hoʻokolohua Discogram/Discography e ʻike ai i ke kumu o ka ʻeha o ke kua!

ʻO ʻoe kekahi kanaka e ʻeha nei i ka ʻeha hope mau loa? I kekahi manawa, ʻaʻohe mea nui ka nui o nā lāʻau lapaʻau a i ʻole ka hoʻoikaika kino a mākou e lawe ai, ʻaʻole e emi kēia ʻeha hope, ʻeā? I ia mau hihia, i kēia lā e kamaʻilio mākou e pili ana i kahi hoʻokolohua kūikawā a nā kauka e hoʻohana ai e ʻike i ke kumu maoli o kou ʻeha hope. Ua kapa ʻia kēia he discogram a i ʻole discography.

He aha ka discogram? He aha kona manaʻo?

I ka ʻōlelo maʻalahi, he hoʻāʻo kiʻi kūikawā ka discogram e hiki ke kōkua i ka ʻike ʻana i ke kumu o ka ʻeha hope mau loa . Hiki i kēia hoʻāʻo i kāu kauka ke ʻike inā ua pau a ua hōʻino ʻia paha kahi disc spinal, aia ma waena o nā iwi i loko o kou iwi kuamoʻo i kapa ʻia he vertebrae.

E noʻonoʻo, ua hana ʻia ko kākou iwi kuamoʻo me nā iwi liʻiliʻi, i kapa ʻia he vertebrae, i hoʻopaʻa ʻia ma luna o kekahi. He palupalu kēia mau vertebrae, he mau ʻāpana e like me ka jelly e hana ana e like me nā mea hoʻokuʻu haʻalulu i loko o ke kaʻa, e like me nā huʻa, ma kahi o ka hamo ʻana kekahi i kekahi. ʻO kā lākou hana nui ka hoʻokuʻu ʻana i ka haʻalulu i ka wā e neʻe ai mākou a hāpai paha i nā mea kaumaha. Inā loaʻa kekahi pōʻino i kekahi o kēia mau disc, hiki ke lilo i kumu nui o ka ʻeha hope.

ʻO ka maʻamau, hana mua nā kauka i nā hoʻokolohua e like me ka ``(CT scan)`` (Computed Tomography scans) a i ʻole ``(MRI scan)`` (Magnetic Resonance Imaging) e ʻike ai i ke kumu o ka ʻeha o ke kua. Eia nō naʻe, i kekahi mau hihia, pono paha kahi discogram. Āhea ia?

• Inā pono ka ʻike hou aku e kuhikuhi i ke kumu ma hope o nā scan ʻē aʻe.
• Inā loaʻa mau iā ʻoe ka ʻeha o ke kua ma hope o ka lawe ʻana i ka lāʻau lapaʻau a me ka hoʻomaʻamaʻa kino.
• Eia kekahi, i kekahi manawa ma mua o ka hana ʻana i ke ʻoki ʻana o ka iwi kuamoʻo, e like me ka spinal fusion, hoʻohana nā kauka ʻokiʻoki i kēia hoʻāʻo discogram e hōʻoia pono i ka disc ka pilikia a me ka disc e pono e wehe ʻia .

Ua lohe paha ʻoe i nā kauka e kapa ana he 'cervical discogram' a i ʻole he 'lumbar discogram'. ʻO kēia ka hoʻāʻo like, akā ʻokoʻa ka inoa ma muli o kahi o ka iwi kuamoʻo i hana ʻia ai. Inā loaʻa iā ʻoe ka ʻeha ma kou ʻāʻī a i ʻole ke kua o luna, e loaʻa iā ʻoe kahi cervical discogram. Inā loaʻa iā ʻoe ka ʻeha ma kou kua o lalo, e loaʻa iā ʻoe kahi lumbar discogram.

Eia kahi mea nui e hoʻomanaʻo ai. ʻOiai inā ua hōʻino ʻia kahi disc spinal, ʻaʻole ia e hōʻeha mau i ke kua . Ma muli o kēia, aia kekahi hoʻopaʻapaʻa ma ke kahua lapaʻau e pili ana i ka hoʻāʻo discogram. Eia nō naʻe, manaʻoʻiʻo nā kauka he nui hiki i kahi discogram ke kōkua i ka hōʻoia ʻana i kahi mea kānalua i ʻike ʻia ma kahi scan `(CT)` a i ʻole `(MRI)`.

Pehea e hana pololei ʻia ai kahi hoʻāʻo discogram?

Hoʻohana kahi discogram i kahi ʻano hana i kapa ʻia ʻo fluoroscopy e ʻike ai pehea e neʻe ai kou mau vertebrae a me nā disc. ʻO ka Fluoroscopy, ma nā huaʻōlelo maʻalahi, ua like ia me kahi kiʻi X-ray e neʻe ana . ʻO ia hoʻi, hiki iā ʻoe ke nānā iā ia me he mea lā he wikiō i ka manawa maoli.

Ma kēia hoʻokolohua, hoʻokomo ke kauka i kahi mea kūikawā, i kapa ʻia he 'contrast material/dye', i loko o kekahi o nā diski i loko o kou iwi kuamoʻo. Kōkua kēia dye e ʻike maopopo i kahi o ka pilikia.

E noʻonoʻo, inā noho kēia kala i loko o ka diski, ʻo ia hoʻi ua olakino ka diski. Eia nō naʻe, inā pālahalaha ka kala ma ʻō aku o nā palena o waho o ka diski, hōʻike ia ua ʻaʻahu ʻia a haehae ʻia paha ka diski.

Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?

E hāʻawi aku kāu kauka iā ʻoe i kekahi mau kuhikuhi e hahai ai ma mua o ka discogram. Eia nā mea maʻamau:

• Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai - me nā lāʻau lapaʻau a me nā mea hoʻohui i kūʻai ʻole ʻia. Eia kekahi, e hoʻomaopopo i kāu kauka e pili ana i nā maʻi allergies āu e loaʻa ai.
• E haʻi pū i kāu kauka inā hāpai ʻoe a manaʻo paha ua hāpai ʻoe .
• E noi i kahi hoaaloha a ʻohana paha e hele pū me ʻoe i ka hoʻokolohua a hoʻi mai. No ka mea e hoʻomaha ʻia ʻoe i ka wā o kēia hoʻokolohua, ʻaʻole hiki iā ʻoe ke hoʻokele.

He aha ka mea e hana ʻia i ka wā o kahi hoʻāʻo discogram?

Ke hōʻea ʻoe i kou manawa i hoʻonohonoho ʻia no ka hoʻokolohua, e lawe kekahi lālā o ke limahana lapaʻau iā ʻoe i kahi lumi X-ray. Ma laila, e hoʻomoe ʻia ʻoe ma kahi papa hoʻokolokolo. ʻO ka maʻamau, e hoʻomoe ʻia ʻoe ma kou ʻaoʻao, a e hoʻolako ʻia nā uluna no kou ʻoluʻolu.

ʻO ka hapa pinepine, hana ʻia kahi discogram me ka intravenous (IV) sedation. ʻO ke ʻano kēia, ua hoʻokomo ʻia kahi IV i loko o kahi aa i loko o kou lima a lima paha a hāʻawi ʻia iā ʻoe kekahi lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha. Hoʻopaʻa ʻia kou mau pae oxygen, ke koko, a me ka helu o ka puʻuwai i ka wā o ka hoʻāʻo.

Ke ʻoluʻolu ʻoe, e hana ke kauka i kēia mau hana:

1. E hoʻokomo ʻia kahi lāʻau anesthetic kūloko e hoʻomāno i kahi ʻāpana liʻiliʻi o kou kua.

2. Ma lalo o ke alakaʻi ʻana o X-ray (Fluoroscopy), e hoʻokomo ʻia kahi nila ma kou ʻili i loko o kahi diski ma kou iwi kuamoʻo.

3. Hoʻokomo ʻia ka diski me ka 'contrast dye' i ʻōlelo ʻia ma mua a wehe ʻia ke kui . (I kēia manawa, inā he pōʻino i ka diski, hiki iā ʻoe ke ʻeha e like me kou ʻeha hope maʻamau. I kēia manawa, hiki i ke kauka ke nīnau iā ʻoe e pili ana i ka ʻeha, e like me kahi e ʻeha ai.)

4. Inā pono, e hana hou i nā ʻanuʻu hoʻokahi a hiki i ke kolu no nā disks ʻē aʻe .

5. E kau i kahi palaki e hoʻōki i ke kahe ʻana o ke koko mai nā ʻeha i puka ʻia.

I ka wā o ka discogram, e lawe ke kauka i nā kiʻi me ka hoʻohana ʻana i ka fluoroscopy. A laila, hiki iā lākou ke hana i kahi CT scan a i ʻole MRI scan. ʻO ka loaʻa ʻana o nā hoʻāʻo kiʻi ʻoi aku ma mua o hoʻokahi hiki ke kōkua i ke kauka e hana i kahi hōʻailona pololei .

Mai ka hoʻomaka a hiki i ka pau ʻana, ʻo ka manawa maʻamau he hoʻokahi hola ka lōʻihi o ka hoʻokolokolo ʻana i ka discogram.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo?

Ma hope o kahi discogram, hiki iā ʻoe ke manaʻo i kekahi ʻeha a me ka ʻoluʻolu ʻole a puni ka wahi i hou ʻia no kekahi mau hola. Hiki iā ʻoe ke hōʻemi i kēia ʻeha ma ka home. E ʻōwili i kahi ʻeke hau i loko o ke kāwele a kau iā ia ma kahi ʻeha no 20 mau minuke, a laila e wehe iā ia no 20 mau minuke. E hana i kēia i nā manawa a pau e pono ai. Hiki iā ʻoe ke lawe i nā lāʻau hōʻeha e like me ka paracetamol (e.g. Tylenol®) a i ʻole ibuprofen (e.g. Motrin®).

Aia kekahi mau pilikia e pili ana?

He mea kākaʻikahi nā pilikia mai kahi discogram, akā aia kekahi mau mea e hiki ke hana:

• Ka maʻi ʻana.
• Ke kahe ʻana o ke koko.
• E ʻoi aku ka ʻino o ka ʻeha o ke kua ma mua o ka hoʻomaikaʻi ʻana.
• Ka hōʻino ʻana i nā kīʻaha koko a i ʻole nā ​​aʻalolo.
• Ka nāwaliwali a i ʻole ka mae ʻana no ka manawa pōkole.
• Nā ʻeha poʻo.
• Ka luaʻi.
• He hopena maʻi ʻaleka i ka waihoʻoluʻu ʻokoʻa.
• ʻO ka maʻi lolo (he mea kākaʻikahi loa kēia).

ʻEhia ka lōʻihi e ho'ōla ai ma hope o ka discogram?

Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana, ke kula, a me nā hana o kēlā me kēia lā i loko o 24 mau hola . Eia nō naʻe, hiki ke hala kekahi mau lā no ka nalo loa ʻana o ka ʻeha ma kahi i hoʻokomo ʻia ai ka nila.

He aha ka ʻōlelo a kaʻu mau hopena hoʻāʻo?

E nānā kahi radiologist i nā hopena o kāu discogram a haʻi iā ʻoe inā aia nō ka dye contrast i loko o ka disc a ua kahe paha i waho.

• Inā aia nō ka make i loko o ka diski , he hopena maʻamau/maikaʻi ʻole ia. ʻO ke ʻano kēia ua maikaʻi ka diski.
• Inā ua kahe ka waihoʻoluʻu mai loko mai o ka diski , hōʻike ia ua hōʻino ʻia ka diski e ke komo ʻana a me ka haehae (he hopena maikaʻi).

Āhea wau e ʻike ai i nā hopena?

Ke pau ka nānā ʻana o ka radiologist i kāu discogram, e hoʻouna lākou i nā hopena i kāu kauka. Ke loaʻa iā lākou nā hopena, e kamaʻilio kāu kauka me ʻoe e pili ana iā lākou. I ka hapanui o nā hihia, e loaʻa iā ʻoe nā hopena i loko o hoʻokahi pule .

Inā he ʻano ʻē nā hopena, he aha kāu e hana ai ma hope?

Aia nō ia i kou kūlana. Hiki i kāu kauka ke paipai i nā hoʻokolohua kiʻi hou aʻe ma mua o ka hoʻoholo ʻana i kahi hoʻolālā lapaʻau. A i ʻole, hiki iā lākou ke paipai i kahi fusion spinal, ʻo ia hoʻi ka wehe ʻana i ka disc i hōʻino ʻia a me ka hoʻohui ʻana i nā vertebrae. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻeha o ke kua.

Āhea wau e ʻike hou ai i ke kauka?

Ma hope o ka discogram, inā ʻike ʻoe i kekahi o nā hōʻailona aʻe , e kāhea koke aku i kāu kauka :

• Inā ʻoi aku ke kuni ma mua o 101 degere Fahrenheit (38.3 Celsius).
• Inā he ʻano ʻeleʻele, pehu, mehana, a i ʻole ka puka ʻana o ka pus mai kahi i ʻeha ai.
• Inā hoʻomaka ʻoe e loaʻa hou ka ʻeha kua.
• Inā e ʻoi aku ka ʻino o kou ʻeha kua.

Pehea ka ʻeha o kahi hoʻāʻo discogram?

Inā he herniated disc kou i loko o kou iwi kuamoʻo, hiki iā ʻoe ke ʻeha iki i ka wā e hoʻokomo ai ke kauka i ka contrast dye. Wahi a ka poʻe he nui ua like loa ka ʻeha me ka ʻeha hope a lākou e ʻike ai i kēlā me kēia lā . ʻOiai he mea ʻoluʻolu ʻole paha ia i kēlā manawa, kōkua kēia ʻeha i ke kauka e ʻike i ka disc i herniated a haehae ʻia paha.

Hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole a ʻeha paha no kekahi mau lā ma hope o ka hoʻāʻo ʻana. Inā hana kēia, e lawe i kahi lāʻau hoʻopau ʻeha ma luna o ke kauka a kau i ka hau i nā manawa he nui i ka lā.

He aha ka ʻokoʻa ma waena o kahi discogram a me kahi MRI scan?

He mau hoʻāʻo kiʻi nā mea ʻelua e kōkua i ka ʻike ʻana i ke kumu o ka ʻeha hope. Eia nō naʻe, ʻokoʻa lākou ma kekahi mau ʻano:

ʻO ka maʻamau, kauoha mua nā kauka i kahi CT scan a i ʻole MRI scan. E kauoha lākou i kahi discogram inā pono nā hoʻokolohua kiʻi ʻē aʻe a pono ka ʻike hou aku. Hāʻawi ka MRI i kahi kiʻi maikaʻi o ke ʻano o ka disc, a hoʻohana ʻia kahi discogram e hoʻoholo ai inā ua hana maoli ʻia ka ʻeha e kēlā disc .

ʻO ka hope loa...

Hiki i ka ʻeha hope mau ke hoʻopilikia maoli i kou ʻano ola. Ke hoʻāʻo ʻoe i nā koho lapaʻau āpau a ʻaʻohe mea e holo pono ana, he mea maʻamau ke noʻonoʻo, "Aia kekahi hopena no kēia?"

ʻAʻole pono nā kānaka a pau me ka ʻeha hope i kahi discogram. Eia nō naʻe, i kekahi mau hihia, hiki i kēia hoʻāʻo kiʻi ke kōkua i ka hōʻoia ʻana inā ua pau ka ʻeha o kahi disc spinal a kāpae i nā kūlana ʻē aʻe. Inā ʻoe e ʻeha nei i ka ʻeha hope ʻaʻole e hoʻomaikaʻi, e nīnau i kāu kauka inā hiki i kahi discogram ke kōkua i kāu hōʻailona.

ʻEha kua, discogram, iwi kuamoʻo, iwi kuamoʻo, hōʻailona, ​​X-ray, ʻeha kua