Hun engemaw chen chu hnungzang natna i tuar tawh em? Doctor i hmu tawh a, X-ray, CT scan, MRI scan ang chi test i nei tawh mai thei. Mahse, a châng chuan, heng test-te pawh hian i natna chhan dik tak chu a finfiah thei lo. Chutiang hunah chuan i doctor chuan chu thil chu tlem tal ngun zawka enfiah thei tur test bik neih a rawt thei a ni. Chu chu vawiinah hian he thuziak ah hian kan sawi dawn a ni. A hming chu myelogram an ti a.
A awlsam zawngin, myelogram chu eng nge ni?
Hetiang hian han ngaihtuah teh: X-ray pangngai chu kan ruh thlalak dum leh var ang mai a ni. Ruh tliak leh ruh tliak ang chi thilte chu chiang takin a lantir a ni. Mahse, ruhro chhunga nerve leh spinal cord ang chi thil nalh tak tak te chu chiang takin a lantir lo.
Myelogram hi heng thil chiang lo tak takte hi a langsar zawka siamna a ni. Chutianga tih nân chuan dye bik, a nih loh leh contrast material hman a ni. He dye hi spinal cord-a inject a nih chuan X-ray emaw CT scan emaw hmangin a eng chhuak vek a ni. Flashlight chu pindan thim takah a eng ang bawkin, he dye hian doctor chuan ruh chhunga thil awm zawng zawng a hmu thei a, chutah chuan ruhro, nerve kalna kawng, leh ruhro inzawmna te pawh a hmu thei a ni.
He test neih chhung hian doctor chuan i ruhro chhunga dye kal dan chu screen-ah live-in a en thei a, video ang maiin a en thei bawk. Hetiang tih dan hi fluoroscopy an ti a .
Doctor-in ‘cervical myelogram’ emaw ‘lumbar myelogram’ tih ang chi a sawi i hre tawh mai thei. Chu chuan hlauthawng suh. Test hrang hrang pahnih an ni lo. I ruhro chhunga khawiah nge test tih a nih tih an sawi mai a ni. Entirnan, i kawng (cervical spine) hmun (cervical spine) test a nih chuan ‘cervical myelogram’ a ni. I hnungzang hnuai lam (lumbar spine) hmun chu test a nih chuan ‘lumbar myelogram’ a ni.
Engvangin nge doctor chuan myelogram tih a order ang?
A tlangpuiin, hnungzang na i neih chuan doctor chuan CT scan emaw MRI scan emaw a rawt hmasa ang. A tam zawkah chuan heng test te hian a chhan hriat theih nan a pui thei a ni. Mahse, chutiang test pahnih zinga pakhat mah chu a dik lo a nih chuan, a tam zawk hriat theih nân myelogram tih a ni fo ṭhîn.
He test hian a hnuaia dinhmunte hriatchhuahna kawngah a pui hle.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Disk a herniated a ni | Herniated disc chu vertebrae pahnih inkar ruhro jelly ang chi chu a bulge chhuak a, nerve a press a ni. Hei hi mi tam tak tuar thei dinhmun a ni. |
| Spinal joint-a ruh natna (arthritis) a awm | Kum upa lam emaw, chhan dang vang emaw chuan ruhro inkar ruhte chu a chhe vek a, a hring a, a na bawk. |
| Spinal stenosis a awm thin | Spinal cord leh nerve kalna hmun ‘tube’ ang chi chu a tawi a, nerve te chu a compress a ni. |
| Ruh hnim hring / Osteophytes | Vertebrae bakah hian ruh chi hrang hrang te te a lo awm a, chu chuan nerve te chu a rawn hnawih a, natna a thlen thin. |
| Spinal tumor a awm thin | Cancer emaw cancer ni lo emaw tumor, ruhro zawh a lo awm a, nerve-ah pressure a siam thin. |
Tin, tun hnaia i hnungzang zai i nih a, i keah natna thar emaw, rilru hahna thar emaw i neih chuan, i doctor chuan a chhan zawng turin myelogram tih a rawt thei bawk.
Myelogram hma hian engtin nge ka inbuatsaih ang?
I doctor chuan he test hmaa i tih tur chungchangah hian thupek chiang tak a pe ang che. Mahse a tlangpuiin i inbuatsaih dan tur hi han thlir ila. Heng step te hi zawm dik hi test hlawhtlinna atan a pawimawh hle a ni lawm ni?
| Eng nge tih tur | Point pawimawh tak tak |
|---|---|
| Lirthei buatsaih rawh. | Test zawhah nangmah chauhin i khalh thei dawn lo a, a chhan chu i mut theihna tur sedative pek i nih theih vang a ni. Chuvângin, i in lama hruai tûrin i ṭhian emaw, i chhûngte emaw i biak a ngai mai thei. |
| Tui tam tak in thin ang che. | Test hma ni khat atang khan darkar hnih danah tui glass khat vel (4-8 ounces) in tan tur a ni. Dehydration ven nan a pawimawh hle. |
| Chaw nghei | Test hma darkar ruk chhung chu ei tur solid engmah ei loh tur a ni. |
| Liquid drinks te pawh a awm | Test hma darkar ruk thleng clear fluid i in thei. Entirnan tui, bawnghnute/cream tel lo tea, black coffee, clear soda, thei tui thlum loh, leh soup broth te hi a ni. |
| Diabetes i neih chuan: | |
| Insulin a ni | I insulin dose hman thin kha ei la, mahse hei hi i doctor nen sawi hmasa phawt ang che. |
| Inhriattirna | Damdawi in test tura i kal veleh zunthlum vei i nih thu staff te hriattir thin ang che. |
A tlangpuiin he test hma hian thisen test a ngai lo. Mahse, thisen lama harsatna, dehydration emaw chronic kidney disease (CKD) emaw i neih chuan i doctor chuan a tul anga test turin a ti thei ang.
Test neih chhung hian eng nge thleng?
Hetih hun chhung hian i rilru a buai vek dawn lo va, mahse i chawlh hahdam theih nan damdawi pek i ni thei bawk. Test chhung zawng hian radiologist leh technologist chu i bulah room-ah an awm dawn a, chuvangin hlauh a ngai lo.
Test neih chhunga thil thlengte step by step-a tarlanna chu hetiang hi a ni:
1. Inbuatsaihna: A hmasa berin exam table-ah i mu ang a, i pum emaw, i sir emaw-ah emaw i mu ang.
2. Faina: I hnungzang hnuai lam chu antiseptic solution hmangin uluk takin a tifai ang.
3. Numbness: A dawtah chuan local anesthesia tlem te te inject a, needle dahna hmun chu a numb a, chutiang chuan natna engmah i hriat loh nan.
4. Dye inject: Tunah hi a pawimawh ber a ni. Radiologist chuan uluk takin i ruhro vel a fluid-a khat sac-ah hian special dye (contrast material) a inject ang. Hetih lai hian pinch tlem i nei mai thei.
5. Bed tilt: I ruhro hmun dik takah dye a luang chhuak theih nan examiner chuan i khum chu tlem a tilt ang. I lu chu tlem han hawi turin an ti thei bawk.
6. Thlalak lak: Dye chu hmun dik tak a thlen hnuah X-ray leh CT scan hmanga thlalak hrang hrang lak a ni.
A kalphung zawng zawng hi darkar khat vel a ni tlangpui. Hrisel lohna engemaw zat emaw, lu na deuh emaw a awm thei.
Test zawhah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Test zawh hnuah darkar khat vel damdawi inah enkawlna hnuaiah dah i ni ang. Engkim a tha tih finfiah a nih hnuah chauh haw phalsak i ni ang. In i haw hnua zawm tur ziaka thupek set khat pek i ni ang. Radiologist chuan test report chu i primary care physician (PCP) hnenah a thawn ang.
Darkar 24 chhungin i normal leh tawh tlangpui. Hemi hun chhunga chawlh hahdam hi a pawimawh hle a, a chhan chu thluak leh ruhro tui (CSF) leak theihna a tihziaawm theih avangin. Ni khat hnuah thil pangngaiah i kir leh thei.
In lama dam leh lai hian heng thilte hi tih ngei ngei tur a ni:
- I lu chu chawi sang la: I taksa dang zawng zawng aiin i lu chu a theih ang angin chawi sang la. Mut dawnin pillow pahnih pathum hmang thin ang che.
- I hnungzang chungah mu rawh: A theih ang angin khumah i hnungzang chungah muhil tum ang che.
- Tui in tam: Tui leh tui dang tam tak in thin ang che. Hei hian i taksa atanga dye chu a flush chhuak ang a, lu na a ti tlem bawk ang. Mahse zu hi pumpelh rawh.
- Thil rit phurh loh tur:Ni khat emaw ni hnih emaw chhung chu rit phurh emaw, exercise hahthlak tak tak emaw ti suh.
- Lu natna damdawi: Lu na i neih chuan doctor hnenah paracetamol ang chi natna tidamtu damdawi ei chungchang i zawt thei ang. Tin, caffeine awmna in tur (coffee, tea) in hian a chang chuan lu natna a tiziaawm thei bawk.
Side effects leh doctor nena inbiak hun tur
Myelogram nei zinga 10% vel chuan side effect tenau te an nei thei a ni. Chungte chu ni khat emaw ni hnih emaw chhungin a bo vek tlangpui. Amaherawhchu, thil pangngai leh pawi tak hriat a pawimawh.
| Side effect chi hrang hrang | Ziarang |
|---|---|
| Side effects awm fo thin leh ni khat emaw ni hnih emaw chhunga bo thin | |
| Lu na | Hei hi a side effect tam ber a ni. |
| Nausea leh luak chhuak | Mi thenkhat chuan luak chhuak emaw, luak chhuak emaw an nei thei. |
| Symptom na tak tak, doctor hnena hriattir nghal tur | |
| Lu na reng reng | Lu natna nasa tak, natna tidamtu pangngai emaw, chawlh hahdamna emaw hmanga thunun theih loh. |
| Khawsik | Taksa lumna hi 101 Fahrenheit (38.3 Celsius) aia sang a ni. |
| Kawngkhar khauh tak | Kawngkhar khauh leh natna avanga ben theih loh. |
| Ke ruh a hring/swelling | Ke ruh, kang emaw, nunna nei lo anga inhriatna emaw. |
| Thil dang pawh a awm | Needle awmna atanga tui emaw natna emaw, zun harsatna, muhil. |
Heng symptom na tak tak te hi i tawn chuan tihkhawtlai suh. Doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
Hei hi fiahna hrehawm tak a ni em?
Hei hi mi zawng zawng tan a inang lo. Mahse, tuar theih loh khawpa hrehawm test a ni lo. Mahse, hrehawmna tenau engemaw zat i nei thei a ni.
- Die chu an chhuah chuan thud i hre mai thei.
- Needle i dah chuan second khat vel zet chu i hnute emaw i ke emaw hnuaiah electric shock i nei thei.
- Dye chu taksaa a luh chuan, rei lo tê chhûng chu a lumna i nei thei a, i hmuiah metallic taste i nei thei a, a nih loh leh i rilru a buai thei bawk .
Medical team hian a theih ang anga i hlim theih nan leh a rang thei ang bera exam zawh tir an tum fo thin tih hre reng ang che.
A tawp berah chuan myelogram hi hun rei tak chhunga i rilru tibuai tawh, test pangngai hmanga hriat theih loh hnungzang na chhan dik tak hriat theihna hmanraw hlu tak a ni. A thu chiang tak takte hmang hian i doctor chuan i tana tha tur enkawlna ruahmanna chu a tan thei ang. Chuvangin, doctor-in he test hi a rawt a nih chuan, hma la la, thil dik tak chu la chhuak hlau suh.
Take-Home Thuchah a ni
- Myelogram hi imaging test a ni a, dye bik hmangin ruhro leh a kaihhnawih nerve te thlalak chiang tak tak siam a ni.
- He test hi CT emaw MRI scan hmanga hnungzang na chhan chiang taka hriat theih loh hunah tih a tha tlangpui.
- Test hma (chaw nghei, tui in) leh test zawh (chawlh hahdam, exercise na tak pumpelh) te doctor thupek khauh taka zawm a pawimawh hle.
- Lu na leh luak chhuak ang chi side effect tenau te hi a awm fo nachungin, natna khirh tak tak, khawsik sang, kawr khauh, emaw, i ke ruh natna te i neih chuan doctor hnenah hriattir nghal rawh.
- Test chungchangah hian ngaihtuahna emaw hlauhna emaw i neih chuan i doctor nen zalen takin sawipui rawh.











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