Yu dɔn de sɔfa wit bak pen fɔ sɔm tɛm? Sɔntɛm yu dɔn go to dɔktɔ ɛn dɛn dɔn du tɛst dɛn lɛk ɛkstrem rayt, CT skan, ɔ MRI skan. Bɔt sɔntɛnde, ivin dɛn tɛst ya nɔ kin ebul fɔ no di rayt tin we mek yu de fil pen. If na so i bi, yu dɔktɔ kin tɛl yu fɔ du spɛshal tɛst we go ebul fɔ luk insay di prɔblɛm smɔl mɔ. Na dat wi go tɔk bɔt na dis atikul tide. Dɛn kɔl am maylogram .
Fɔ tɔk am simpul wan, wetin na maylogram?
Tink bɔt dis we: we wi de tek ɛkstrem rayt ɔltɛm, i tan lɛk blak ɛn wayt foto we de sho wi bon dɛn. I de sho tin dɛm lɛk fɔ brok ɛn brok na di bon dɛm rili klia wan. bכt i nכ de sho tin dεm we rili dilik lεk di nεv dεm εn di spεnal kכd insay di spayna klia wan.
Maylogram na wan we we de mek pipul dɛn si dɛn tin ya we nɔ klia mɔ. Dɛn kin yuz spɛshal day, ɔ tin we kin mek pɔsin difrɛn fɔ du dis. We dɛn injɛkt dis day na di spɛshal kɔd, i kin shayn wayt pan ɛkstrem rayt ɔ CT skan. Jɔs lɛk we yu de shayn flashlayt na dak rum, dis day de mek di dɔktɔ ebul fɔ si ɔltin we de insay di spaynal kɔd, lɛk di spɛshal kɔd, di rod dɛn we di nɛv dɛn de pas, ɛn di kɔnekshɔn bitwin di vayrɔs dɛn.
We dɛn de du dis tɛst, di dɔktɔ kin wach di day we de muv tru yu spayna layv pan skrin, lɛk fim. Dɛn kɔl dis we fɔ du tin fluoroscopy .
Yu go dɔn yɛri dɔktɔ de tɔk tin lɛk ‘sɛvikal maylogram’ ɔ ‘lɔmba maylɔgram’. Nɔ mek yu fred fɔ dat. Dɛn nɔto tu difrɛn tɛst dɛn. Dɛn jɔs de tɔk bɔt usay na yu spayna dɛn de du di tɛst. fכ egzampl, if dεn de tεst di pat pan yu nεk (sεvikal spayna), na ‘sεvikal maylogram’. if dεn de tεst di pat pan yu lכw bכk (lכmba spayna), na 'lumbar myelogram'.
Wetin mek dɔktɔ go ɔda fɔ mek dɛn du maylogram?
Bɔku tɛm, we yu gɛt bak pen, dɔktɔ go fɔs tɛl yu fɔ du CT skan ɔ MRI skan. Bɔrku tɛm, dɛn tɛst ya kin ɛp fɔ no di tin wae kin mek pɔrsin gɛt dis sik. Bɔt if nɔbɔdi pan dɛn tɛst dɛn de nɔ klia, bɔku tɛm dɛn kin ɔda fɔ mek dɛn du maylogram fɔ no mɔ.
Dis tɛst kin ɛp mɔ fɔ no dɛn tin ya we de kam biɛn ya.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Disk we gɛt herniated | εnia disk na di kכndyushכn we di pat pan di spayna we lεk jεli bitwin tu vεrbra dεm de bulge kכmכt εn prεs pan di nεv dεm. Dis na wan sik wae kin afɛkt bɔrku pipul dɛm. |
| Atraytis na di spɛnal jɔyn dɛn | We yu dɔn ol ɔ bikɔs ɔf ɔda rizin, di jɔyn dɛn bitwin di spayna kin west, dɛn kin swel, ɛn dɛn kin fil pen. |
| Stɛnɔsis we de na di spaynal | di pat we lεk ‘tכb’ na di spayna usay di spεnal kכd εn di nεv dεm de travul de sכmtεm sכmtεm, we de kכmprεs di nεv dεm. |
| Bon spur / Ɔstiɔfayt dɛn | apat frכm di vεrbra, sכm sכm bon dεm de fכm, we de rכb pan di nεv dεm, we de mek yu fil pen. |
| Spinal tכmכro dεm | tכmכro dεm we gεt kεnsar כ nכn kansa we de fכm along di spayna εn de put prεshכn pan di nεv dεm. |
Apat frɔm dat, if dɛn jɔs dɔn du ɔpreshɔn pan yu bak ɛn yu dɔn gɛt nyu pen ɔ yu leg dɛn nɔ de fil fayn, yu dɔktɔ kin tɛl yu fɔ du maylogram fɔ no di rizin.
Aw a fɔ pripia bifo dɛn du mi maylogram?
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt wetin yu nid fɔ du bifo dis tɛst. Bɔt in jɔnal, lɛ wi luk aw yu fɔ pripia. Fɔ fala dɛn step ya ɛksaktɔli rili impɔtant fɔ mek di tɛst go bifo, nɔto so?
| Wetin fɔ du | Impɔtant pɔynt dɛn |
|---|---|
| Pripia wan motoka. | Yu nɔ go ebul fɔ drayv yu wan afta di tɛst bikɔs dɛn kin gi yu mɛrɛsin fɔ mek yu slip fɔ mek yu slip. So, yu go nid fɔ kɔl yu padi ɔ fambul fɔ drayv yu go na os. |
| Drink bɔku wata. | Start di de bifo di test, stat fɔ drink lɛk wan glas wata (4-8 ɔns) ɛvri tu awa. I impɔtant fɔ mek yu nɔ gɛt wata na yu bɔdi. |
| Fɔ fast | Nɔ it ɛni sɔlid it fɔ siks awa bifo di tɛst. |
| Drink dɛn we gɛt wata | Yu kin drink klia wata te siks awa bifo di tɛst. Sɔm ɛgzampul dɛn na wata, ti we nɔ gɛt milk/krim, blak kɔfi, klia soda, frut jus we nɔ swit, ɛn sup brot. |
| If yu gɛt dayabitis: | |
| Insulin we dɛn kin yuz | Tek di insulin doz we yu kin tek, bɔt tɔk to yu dɔktɔ bɔt dis fɔs. |
| Fɔ no | Mɛmba di wokman dɛm se yu gɛt dayabitis jɔs lɛk aw yu go na ɔspitul fɔ di tɛst. |
Bɔku tɛm, dɛn nɔ kin nid fɔ du blɔd tɛst bifo dis tɛst. Bɔt if yu gɛt prɔblɛm wit yu blɔd, lɛk we yu nɔ gɛt wata ɔ yu kidni sik we nɔ de mɛn (CKD), yu dɔktɔ kin tɛl yu fɔ du di tɛst dɛn we yu nid fɔ du.
Wetin kin apin we dɛn de du di tɛst?
Yu nɔ go nɔ no natin atɔl insay dis tɛm, bɔt dɛn kin gi yu mɛrɛsin fɔ ɛp yu fɔ rilaks. Wan raydiɔlɔjis ɛn tɛknɔlɔjis go de na di rum wit yu ɔl di tɛm we dɛn de du di tɛst, so nid nɔ de fɔ fred.
Na dis na step-by-step brekdaun fɔ wetin kin apin we dɛn de du di tɛst:
1. Fɔ Pripia: Fɔs, dɛn go le yu na tebul fɔ ɛgzamin, ilɛksɛf na yu bɛlɛ ɔ na yu sayd.
2. Klin: Dɛn go klin yu ɔnda bak fayn fayn wan wit antiseptik sɔlvushɔn.
3. Numbness: Neks, dem injekt smol lokal anestesia fo numb di eria we dem put di nidul, so dat yu no go fil eni pen.
4. Injekt di day: Naw na di pat we impɔtant pas ɔl. Di raydiɔlɔjis go tek tɛm injɛkt spɛshal day (kɔntrast matirial) insay di sak we ful-ɔp wit wata we de rawnd yu spɛnal kɔd. Yu kin fil smɔl pinch na dis tɛm.
5. Bed tilt: Fɔ ɛp di day fɔ flɔ to di rayt ples na yu spayna, di pɔsin we de ɛgzamin go tilt di bed we yu de pan smɔl. Dɛn kin aks yu bak fɔ tɔn yu ed smɔl.
6. Fɔ tek pikchɔ: Afta di day dɔn rich di rayt say dɛn, dɛn kin tek sɔm pikchɔ dɛn we dɛn kin tek ɛkstrem rayt ɛn CT skan.
Bɔku tɛm, di wan ol tin kin tek lɛk wan awa so. Sɔm tin kin mek yu nɔ fil fayn ɔ yu ed kin at smɔl.
Wetin kin apin afta di tɛst? Aw lɔng i kin tek fɔ mek i wɛl?
Afta di tɛst dɔn, dɛn go de wach yu na di ɔspitul fɔ lɛk wan awa so. Dɛn go alaw yu fɔ go na os nɔmɔ afta dɛn dɔn kɔnfyus se ɔltin fayn. Dɛn go gi yu wan sɛt fɔ rayt instrɔkshɔn dɛn we yu fɔ fala afta yu dɔn go na os. Di raydiɔlɔjis go sɛn di tɛst ripɔt to yu praymari kia dɔktɔ (PCP).
Bɔku tɛm, yu go kam bak to yu nɔmal insay 24 awa. Fɔ rɛst dis tɛm rili impɔtant bikɔs i kin ridyus di risk fɔ mek yu bren ɛn spɛshal wata (CSF) lik. Yu kin go bak to nɔmal tin dɛn afta wan de.
Mek shɔ se yu du dɛn tin ya we yu de wɛl na os:
- Kip yu ed ɔp: Kip yu ed ɔp pas di ɔda pat dɛn na yu bɔdi as yu ebul. Yuz tu ɔ tri pilo dɛn we yu de ledɔm.
- Li flat pan yu bak: Tray fɔ le flat pan yu bak na bed as yu ebul.
- Drink bɔku wata: Drink bɔku wata ɛn ɔda wata. Dis go ɛp fɔ pul di day kɔmɔt na yu bɔdi ɛn ridyus ed we de at. Bɔt nɔ drink rɔm.
- Nɔ es ebi ebi tin dɛn:Nɔ es ɛni wet ɔ du ɛni ɛksesaiz we de mek yu tranga fɔ wan ɔ tu dez.
- Aw fɔ mɛn yu ed pen: If yu gɛt ed we de at, yu kin aks yu dɔktɔ bɔt aw fɔ tek wan mɛrɛsin we de mek yu fil pen lɛk paracetamol. Dɔn bak, sɔntɛnde fɔ drink tin dɛn we gɛt kafinɛ (kɔfi, ti) kin ɛp fɔ mek yu nɔ gɛt ed pen.
Di sayd ɛfɛkt dɛm ɛn ustɛm fɔ tɔk to yu dɔktɔ
Na lɛk 10% pan di pipul dɛm wae gɛt maylogram kin gɛt smɔl smɔl sayd ɛfɛkt dɛm. Bɔku tɛm, dɛn tin ya kin kɔmɔt kpatakpata insay wan ɔ tu dez. Bɔt, i impɔtant fɔ no wetin nɔmal ɛn wetin siriɔs.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| Sayd ɛfɛkt dɛn we kin apin ɛn we kin go insay wan ɔ tu dez | |
| Ed de at | Dis na di sayd ɛfɛkt we dɛn kin gɛt mɔ. |
| Nɔs ɛn vɔmit | Sɔm pipul dɛn kin gɛt nɔys ɔ vɔmit. |
| Siriɔs sayn dɛm wae yu fɔ ripɔt to yu dɔktɔ kwik kwik wan | |
| Ed we de at we nɔ de chenj | Na bad bad ed pen we yu nɔ go ebul fɔ kɔntrol wit ɔdinari pen kil ɔ rɛst. |
| Fiva | Di tɛmpracha na di bɔdi pas 101 Fɛnayt (38.3 Sɛlshiɔs). |
| Stif nɛk | Nɛk stiff ɛn pen we de mek i nɔ pɔsibul fɔ bɛn. |
| Numbness/swelling na di leg dɛn | Yu kin swɛla, yu kin bɔn, ɔ yu kin fil se yu nɔ gɛt layf na yu leg. |
| Ɔda tin dɛn we de apin | Fluid ɔ pen frɔm di say we di nidul de, i nɔ kin izi fɔ pis, i kin mek pɔsin fɔdɔm. |
If yu gɛt ɛni wan pan dɛn siriɔs sayn ya, nɔ de te. Kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Yu tink se dis na tɛst we rili de mek pɔsin fil pen?
Dis nɔ kin fil di sem tin fɔ ɔlman. Bɔt i nɔto tɛst we de mek pɔsin fil pen we pɔsin nɔ go ebul fɔ bia. Bɔt yu kin gɛt sɔm smɔl smɔl tin dɛn we nɔ kin izi fɔ yu.
- Yu kin fil wan thud we dɛn chuk di day.
- We dɛn put di nidul, yu kin fil lɛk se ilɛktrik dɔn shok dɔŋ yu bɔdi ɔ yu leg fɔ lɛk wan sɛkɔn so.
- We di day go insay di bɔdi, yu kin fil fɔ wam fɔ sɔm tɛm , yu kin te lɛk mɛtal na yu mɔt, ɔ yu kin gɛt nɔys .
Mɛmba se di mɛdikal tim kin tray ɔltɛm fɔ mek yu fil fayn ɛn fɔ dɔn di ɛgzam kwik kwik wan.
Fɔ dɔn, maylogram na fayn tin fɔ no di rayt tin we kin mek yu gɛt bak pen we dɔn de mɔna yu fɔ lɔng tɛm ɛn we dɛn nɔ kin no bay we dɛn de du tɛst ɔltɛm. Wit di klia infɔmeshɔn wae i de gi, yu dɔktɔ kin bigin de tritmɛnt plan wae fayn fɔ yu. So, if dɔktɔ tɛl yu fɔ du dis tɛst, nɔ fred fɔ go bifo ɛn gɛt di tru tin dɛn.
Mɛsej we dɛn kin kɛr go na os
- Maylogram na imej tɛst we dɛn kin yuz spɛshal day fɔ mek pikchɔ dɛn we rili klia bɔt di spɛnal kɔd ɛn di nɛv dɛn we gɛt fɔ du wit am.
- Dɛn kin advays dis tɛst we dɛn nɔ kin ebul fɔ no klia wan di tin we mek pɔsin gɛt bak pen wit CT ɔ MRI skan.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn strikt wan bifo di tɛst (fast, drink wata) ɛn afta di tɛst (rɛst, avɔyd ebi ɛksesaiz).
- Pan ɔl we smɔl smɔl sayd ɛfɛkt dɛn lɛk ed we de at ɛn nɔs, tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt siriɔs sayn dɛn lɛk ay fiva, yu nɛk we stif, ɔ yu leg dɛn we nɔ gɛt bɛtɛ trɛnk.
- If yu gɛt ɛnitin we de mɔna yu ɔ yu de fred bɔt di tɛst, tɔk bɔt am opin wan wit yu dɔktɔ.
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