Kāore he otinga mō te raruraru tuara? Me ako tātou i ngā mea katoa e pā ana ki te whakamātautau myelogram!

Kua pāngia koe e te mamae o te tuara, e te mamae rānei e heke ana ki ō waewae, ā, kāore e taea e koe te mōhio he aha te take? Kua kite pea koe i tētahi tākuta, ā, kua mahia pea e rātou he whakamātautau pēnei i te hihi-X, te matawai CT, te MRI rānei. Engari, me pēhea mēnā kāore e kitea he mea mārama? Koinei te wā ka tono pea te tākuta kia whai whakamātautau motuhake koe e kiia nei ko te myelogram. Kia kite tātou he aha te mea, me pēhea te mahi, me ngā mea me mōhio koe.

He aha te Myelogram?

He whakarāpopototanga noa iho, he whakamātautau motuhake te myelogram e tango ana i ngā whakaahua taipitopito o tō tuaiwi. I roto i tēnei, ka whakamahia he wai motuhake (he rauemi rerekē) hei kite mārama i ngā raruraru o tō tuaiwi me ngā io me ngā kiko ngohengohe e karapoti ana. Whakaarohia, ko ngā wheua anake e whakaatuhia ana e te hihi-X tuaiwi noa. Nā te mea kāore e whakamahia tēnei momo wai motuhake. Engari i roto i te myelogram, ka ātaahua te āhua o tō awa tuaiwi, tō tuaiwi, me ō io i te hihi-X, i te matawai CT rānei, nā tēnei wai. He rite tēnei ki tētahi tikanga e kiia nei ko te fluoroscopy. Ko te tikanga ka taea e tō tohunga hihi-X te kite i tēnei wai e neke haere ana i tō tuaiwi i te wā tūturu.

Kua rongo pea koe i ngā tākuta e kī ana i tēnei he 'Cervical Myelogram' he 'Lumbar Myelogram' rānei. Ehara i te mea he rerekē ngā whakamātautau. Ko te tikanga ko tēhea wāhanga o te tuaiwi e whakaahuahia ana. Hei tauira, ki te hiahia rātou ki te tirotiro i te wāhanga kaki o tō tuaiwi, ka kiia he cervical myelogram. Ki te hiahia rātou ki te tirotiro i te wāhanga hope o tō tuaiwi, ka kiia he lumbar myelogram. Kei te mārama koe?

He aha te take e tono ai te tākuta i tētahi myelogram?

Mena he mamae tuara mau tonu tōu, ka tonoa tuatahitia e tō tākuta he matawai CT, he MRI rānei hei kimi i te pūtake. Heoi, ki te kore e mārama tetahi o aua whakamātautau, ka tūtohu pea tō tākuta i tētahi myelogram hei rapu atu i ētahi atu mōhiohio.

He maha ngā mate ka taea te kite mā tēnei whakamātautau. Hei tauira:

• Ngā kōpae herniated/pupū: Koinei te mea e kīia ana e mātou he 'kōpae herniated'. Koinei te wā e pupuhi ai te kiko ngohengohe i waenganui i ngā tuaiwi ka kōpiri i ngā io.
• Te rumatiki i roto i ō hononga tuaiwi: Ka pupuhi, ka mamae hoki ngā hononga i tēnei.
• Te whakatōtōtanga o te tuaiwi: Koinei te wā e whaiti ai te wāhi i roto i te tuaiwi, ka pēhia ai te taurakira, ngā io rānei.
• Ngā tīwhana wheua / Ngā Osteophyte: Ko te hanganga o ngā tipu iti, rite ki te koikoi, ki runga i ngā wheua.
• Ngā pukupuku tuaiwi.

Waihoki, ki te mea kua pokaina tō tuara i ngā wā tata nei, ā, kei te pā mai he mamae hou, he ngoikore rānei, ka tonoa pea e tō tākuta tēnei whakamātautau myelogram.

Me pēhea te mahi a te myelogram?

Ka taea e te myelogram te kite i ngā raruraru e kore e taea e te matawai (CT) me te (MRI) noa. He tino whai hua tēnei mō te kite mārama mēnā kei te pēhia ngā io, ngā kōpae, me ētahi atu kiko huri noa i te awa tuaiwi e ngā wheua, ngā kōpae, me ētahi atu kiko e karapoti ana i te awa tuaiwi.

Ina werohia e te tohunga hihi-X tētahi wai motuhake (he rauemi rerekē) ki roto i tō tuaiwi, ka haere te wai mā te wāhi e karapoti ana i tō taurakira. Ka puta ō io me tō taurakira hei āhua atarangi i runga i te hihi-X, i te karapa CT rānei. Mā tēnei ka taea e te tākuta te kimi i ngā raruraru e kore e kitea e te hihi-X noa.

Me pēhea taku whakarite mō te myelogram?

Ka hoatu e tō tākuta he rārangi taipitopito o ngā mea hei mahi māu i mua i tō myelogram. Heoi, i te nuinga o te wā, kia maumahara ki ēnei mea:

• Kōrero ki tētahi hoa pono, ki tētahi mema whānau rānei, kia haria koe ki te kāinga. (Tērā pea ka hoatu he rongoā whakamoe ki a koe, nō reira ehara i te mea pai kia taraiwa koe i muri i te whakamātautau.)
• Tīmatahia te inu i te nui o ngā wai (4-8 karāhe) pērā i te wai i ia rua hāora, mai i te rā i mua i te whakamātautau.
• Kati te kai i ngā haora e ono i mua i te whakamātautau. Heoi, ka taea e koe te inu wai pēnei i te wai tae atu ki ngā haora e ono i mua i te whakamātautau. Hei tauira: wai, tī kore huka, houra mā, kawhe kaha, inu hua kore huka, me te hupa.

Mena kei a koe te mate huka mellitus...

• Tangohia tō horopeta o te insulin.
• Ina haere mai koe mō tō tirotiro hauora, me whakamahara anō ki te tākuta he mate huka tōu.

I te nuinga o te wā, kāore he whakamātautau taiwhanga e hiahiatia ana i mua i te myelogram. Heoi, ki te mea he hītori mate toto tōu, he āhuatanga pēnei i te matewai, he mate tākihi roa rānei pēnei i te Mate Tākihi Mau tonu (CKD), ka tono pea tō tākuta i ngā whakamātautau toto.

He aha ngā mea ka tupu i te wā o te whakamātautau myelogram?

Kāore koe e tukua kia moe i te wā o te myelogram. Heoi anō, tera pea ka hoatu he rongoā whakangāwari ki a koe hei āwhina i a koe kia marino. Ka noho tahi te tohunga hihi-X me te tohunga hangarau ki roto i te rūma me koe i te wā katoa.

I te wā o te whakamātautau, ka mahia e rātou ēnei e whai ake nei:

• Ka tonoa koe kia takoto ki runga i te tēpu whakamātautau (i runga i tō puku, i tō taha rānei i te nuinga o te wā).
• Kua horoia tō tuara o raro ki te rongoā paturopi, ā, koia anake.Ka werohia he rongoā whakangote (whakamamae ā-rohe).
• Kātahi ka werohia te rauemi whakahāngai ki roto i te pēke kī tonu i te wai e karapoti ana i tō taurakira. (Tērā pea ka pāngia koe e te pēhanga iti, te mamae rānei i tēnei wā.)
• Ka whakatītahahia te tēpu tirotiro ki mua, ki mua. Hei āwhina i te rere tika o te wai i roto i tō taurakira. Tērā pea ka tono atu te tohunga hihi-X kia whakatītahahia, kia rūrūtia rānei tō mahunga.
• Kātahi ka mahia he hihi-X me he matawai CT o tō tuaiwi.

E tata ana ki te haora te roa o te tukanga katoa. Tērā pea ka pāngia koe e te mamae, e te mamae pōuri rānei.

He aha te mea ka tupu i muri i te myelogram?

I muri i te whakamātautau , ka tirotirohia koe e ngā tākuta mō te haora pea. Kātahi ka whakatau rātou mēnā kua rite koe ki te hoki ki te kāinga. Ka hoatu e rātou he tohutohu tuhituhi ki a koe mō ngā mea hei mahi i muri i tō hokinga ki te kāinga. Ka tukuna atu e tō tākuta hihi-X he pūrongo taipitopito ki tō tākuta tiaki tuatahi (PCP) ki te tākuta rānei nāna koe i tuku mai.

He pānga taha anō kei te puta mai i te myelogram?

Tata ki te tekau ōrau (10%) o te tangata ka pāngia e ngā pānga taha i muri i te myelogram. Ko ngā pānga taha noa ka memeha i roto i te rā kotahi, e rua rānei:

• Ngā mamae o te upoko.
• Whakapairuaki me te ruaki.

Heoi, ki te pāngia koe e te ānini kāore e memeha , ki te pāngia rānei koe e tētahi o ēnei tohu kino , me waea atu koe ki tō tākuta tonu:

• Te kirika.
• Kaki maro.
• Te wiri i roto i ō waewae.

Kia pēhea te roa o te wā e ora ai i muri i te myelogram?

E 24 hāora te roa. I muri i te myelogram, me noho pea koe, me takoto rānei mō ētahi hāora. Mā te okioki nui ka āwhina i te whakaiti i te tūponotanga o te turuturu o te wai o te tuaiwi roro (CSF). Ka taea e koe te hoki ki ō mahi o ia rā i muri i te kotahi rā. Heoi, ki te mau tonu tō mamae o te upoko, ki te puta rānei ētahi atu tohu kino pēnei i te kirika, te kaki maro, te ngoikore rānei o ō waewae, me kōrero koe ki tō tākuta.

Anei ētahi mea ka taea e koe te mahi i te kāinga hei āwhina i a koe ki te whakaora:

• Ngāna kia teitei ake tō mahunga i tō tinana katoa. Ngāna kia tū tika mō te roa e taea ana.
• Inumia he nui ngā wai. Kaua rawa e inu waipiro.
• Mō te mamae o te upoko, ngana ki te tango i tētahi mea pērā i te acetaminophen me ētahi inu kawheine (kawhe, tī). I ētahi wā ka āwhina ēnei ki te whakamamae i te mamae o te upoko.
• Kaua e hiki i ngā taumaha, kaua hoki e mahi i ngā mahi tinana uaua mō ngā hāora 24.

Āhea ahau ka mōhio ai ki ngā hua o te myelogram?

I muri i tō whiwhinga i te pūrongo mai i te tohunga hihi-X, ka arotakehia ngā hua o te whakamātautau e tō tākuta tiaki tuatahi (PCP) me te tākuta i tuku mai i a koe. E rua, e toru ngā rā te roa o tēnei. Kātahi ka waea atu rātou ki a koe ki te whakamārama i ngā hua, me te kī atu ki a koe he aha te mahi e whai ake nei.

Āhea ahau me waea atu ki te tākuta i muri i te myelogram?

I muri i te myelogram, waea atu ki tō tākuta tonu mēnā ka puta tētahi o ēnei e whai ake nei:

• Te kirika neke atu i te 101 nekehanga Fahrenheit (38.3 Celsius).
• Ki te pōuri koe, ā, me te mea kei te hinga koe (ka hemo koe).
• Mena he māuiui ō waewae, he kore rānei e rongo (he māuiui, he māuiui rānei ō waewae).
• Mena he mamae, he rerenga rānei e tata ana ki te wāhi i werohia ai.
• Ki te pakari te kaki (Stiff neck).
• Ngā mamae o te upoko e kore e memeha.
• Te kore e taea te mimi .

He aha te mamae o te myelogram?

He rerekē te whakautu ki tēnei pātai i ia tangata, i ia tangata. Mēnā kāore e taea te manawanui te mamae, he pai ake kia kaua e puta. Heoi anō, tera pea ka pāngia koe e te mamae i te wā o te whakamātautau, pērā i:

• He rite ki te pana ina werohia te wai motuhake (te rauemi whakakākahu).
• I te nekenga o te ngira , ka puta ohorere mai he mamae koi, he rite ki te hiko i te papa, i te waewae rānei .

Waihoki, ka taea e te rauemi rerekē te whakaputa i ngā mea penei:

• He kare mahana, he whero rānei.
• He reka whakarewa i roto i tō waha.
• Whakapairuaki rangitahi.

Ka whakapau kaha tō tākuta me te tīma o reira kia pai ai tō noho, kia tere ai hoki te whakamātautau, nō reira kāore he mea e manukanuka ai.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ka taea e te mamae tuara tonu te tango i te ngahau o tō ao, ā, ka aukati i a koe ki te mahi i ngā mea e arohaina ana e koe. Ki te kore e puta he whakautu mai i ngā matawai auau, kua tae pea te wā ki te mahi i tētahi myelogram. Ka taea e tēnei whakamātautau te āwhina i tō tākuta ki te kimi i te take o tō mamae, me te āwhina i a koe ki te kimi i tētahi otinga e pai ana mōu. Nō reira, ki te tūtohu mai tētahi tākuta i tēnei whakamātautau, kōrerohia, kia mārama, ā, haere tonu. Ko te tumanako ka kitea e koe he whakaoranga mō tō raruraru i te wā tata nei!

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