Tiyeni tiphunzire zonse zokhudza mayeso a Discogram okhudza ululu wa msana.

Kaya mukumwa mankhwala otani komanso chithandizo chamankhwala chotani, ululu wanu wamsana sumatha? Nthawi zina, ngakhale mutagwiritsa ntchito MRI ndi CT scans, zimakhala zovuta kupeza chomwe chimayambitsa vutoli. Lero, tikulankhula za mayeso apadera omwe dokotala wanu angakupatseni pazochitika zotere. Ndi Discogram. Dzinali likhoza kukhala latsopano kwa inu. Koma musadandaule, tiyeni tifotokoze mwachidule.

Mwachidule, kodi Discogram iyi ndi chiyani?

Discogram (nthawi zina imatchedwa discography) ndi mayeso apadera ojambulira zithunzi omwe angathandize kudziwa chomwe chimayambitsa kupweteka kwa msana kwa nthawi yayitali. Ingathandize kudziwa ngati disc yodulidwa kapena yowonongeka ndiyo imayambitsa kupweteka kwa msana wanu.

Tangoganizirani, msana wathu umapangidwa ndi mulu wa mafupa ang'onoang'ono (vertebrae) omwe amaunikidwa pamwamba pa wina ndi mnzake. Pofuna kupewa kuti mafupawa asakhudzene, pali ma cushion okhala ngati siponji pakati pawo. Timawatcha ma disc a msana. Ma disc awa akawonongeka, nthawi zambiri ululu wa msana umachitika.

Madokotala nthawi zambiri amayamba ayitanitsa mayeso monga CT scan kapena MRI scan kuti adziwe chomwe chimayambitsa kupweteka kwa msana. Komabe, pali zifukwa zingapo zomwe zingayambitse discogram:

• Ngakhale pambuyo pa mayeso ena, ngati pakufunika zambiri kuti mutsimikizire matendawa .
• Ngati mukuvutikabe ndi msana mutamwa mankhwala ndi kupatsidwa chithandizo cha thupi.
• Nthawi zina mayesowa amachitidwanso opaleshoni ya spinal fusion isanayambe kuti atsimikizire kuti ndi disc iti yomwe ikufunika kuchotsedwa .

Ngati mukuvutika pakhosi kapena kumbuyo, discogram ya chiberekero imachitidwa. Ngati mukuvutika pansi pa msana, discogram ya lumbar imachitidwa.

Kodi mayesowa amagwira ntchito bwanji?

Discogram imagwiritsa ntchito njira yotchedwa fluoroscopy kuti ione momwe mafupa ndi ma disc a msana wanu amayendera. Mwachidule, zili ngati kanema wa X-ray . Izi zikutanthauza kuti dokotala wanu amatha kuwona zomwe zikuchitika mkati nthawi yeniyeni.

Pankhaniyi, dokotala amaika madzi apadera (chosakaniza) mu diski iliyonse ya msana wanu. Madzi awa amapangitsa kuti malo ovutawo awonekere bwino.

• Ngati madziwo akukhalabe mkati mwa diski, zikutanthauza kuti diskiyo ndi yathanzi .
• Ngati madzi akufalikira kuchokera m'mphepete mwa diski, zikutanthauza kuti diskiyo yawonongeka kapena yawonongeka.Pakhoza kukhala.

Kodi muyenera kukonzekera bwanji musanayese mayeso?

Dokotala wanu adzakupatsani malangizo pa izi. Kawirikawiri, muyenera kudziwa izi:

• Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi zowonjezera).
• Onetsetsani kuti mwatiuza za ziwengo zilizonse zomwe mungakhale nazo.
• Ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati, muyenera kuwauza mosakayikira.
• Bweretsani munthu woti akuyendetseni kunyumba. Mudzapatsidwa mankhwala oti akupangitseni kumva chizungulire, kotero simudzatha kuyendetsa galimoto nokha mutamaliza mayeso.

Kodi chimachitika ndi chiyani popanga Discogram?

Mukapita kuchipatala, mudzatengedwera ku chipinda cha X-ray ndikugonekedwa pabedi. Izi zimachitika poika mapilo pambali kuti mukhale omasuka.

Nthawi zambiri, mudzapatsidwa mankhwala oletsa kutupa m'mitsempha kuti akuthandizeni kupumula panthawi yoyezetsayi. Izi zikutanthauza kuti IV imayikidwa mumtsempha womwe uli m'dzanja lanu ndipo mumapatsidwa mankhwala oti akupumulitseni. Musadandaule, gulu lachipatala lidzapitiriza kuyang'anira kuchuluka kwa mpweya m'thupi lanu, kuthamanga kwa magazi, komanso kugunda kwa mtima wanu panthawi yonse yoyezetsayi.

Mukangomva bwino, dokotalayo adzatsatira njira izi:

1. Choyamba, dera laling'ono la kumbuyo limachotsedwa ndi mankhwala oletsa ululu am'deralo .

2. Kenako, motsogozedwa ndi X-ray (fluoroscopy), singano imalowetsedwa mosamala kwambiri mu intervertebral disc .

3. Chovala chosiyanitsa chimalowetsedwa mu diski ndipo singano imachotsedwa. Iyi ndi gawo lofunika kwambiri. Ngati diski yawonongeka, mutha kumva ululu womwewo wa msana womwe mumamva nthawi zonse. Dokotala adzakufunsani za ululuwo, monga komwe umapweteka.

4. Ngati kuli kofunikira, chitani izi pa ma disc ena angapo.

5. Pomaliza, bandeji yaying'ono imayikidwa pamalo pomwe singano idayikidwa.

Pa nthawi ya discogram iyi, zithunzi zimajambulidwa pogwiritsa ntchito fluoroscopy. Nthawi zina, CT scan kapena MRI ikhoza kuchitidwa pambuyo pa izi. Mwa kuchita mayeso opitilira kamodzi, dokotala amatha kupeza chitsimikizo cholondola cha matenda anu.

Kuyambira pachiyambi mpaka kumapeto, ntchito yonseyi nthawi zambiri imatenga pafupifupi ola limodzi.

Kodi mungayembekezere chiyani pambuyo pa mayeso?

Mungamve kupweteka ndi kusasangalala pamalo obayidwa jakisoni kwa maola angapo mutayesa. Mutha kuthetsa vutoli popaka ayezi kunyumba. Manga paketi ya ayezi mu thaulo ndikuyiyika pamalo opweteka kwa mphindi 20, kenako muchotse kwa mphindi 20. Chitani izi kangapo patsiku. Muthanso kumwa mankhwala ochepetsa ululu monga acetaminophen kapena ibuprofen.

Kodi pali zoopsa zilizonse pa izi?

Mavuto ochokera ku discogram ndi osowa , koma ndi bwino kuwadziwa. Nazi zina mwa mavuto omwe angakhalepo.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Anthu ambiri amatha kubwerera ku zochita zawo zachizolowezi (ntchito, sukulu) mkati mwa maola 24, koma zingatenge masiku angapo kuti ululu womwe umapezeka m'malo omwe adabayidwa utheretu.

Kodi zotsatira za mayeso zikuti chiyani?

Katswiri wa radiology adzawunikanso zotsatira za mayeso anu ndikuwona ngati contrast fluid yatsala mkati mwa diski kapena yatuluka.

• Ngati madziwo akukhalabe mkati mwa diski, ndiye kuti zotsatira zake sizabwinobwino (zoipa) . Izi zikutanthauza kuti diskiyo ili ndi thanzi labwino.
• Koma ngati madziwo atuluka mu diski, zimasonyeza kuti diskiyo yawonongeka ndipo yatha. Zimenezo ndi zotsatira zosazolowereka (zabwino) .

Dokotala wa radiology adzatumiza lipotili kwa dokotala wanu. Nthawi zambiri mudzatha kukambirana naye za zotsatira zake mkati mwa sabata imodzi.

Kodi chimachitika ndi chiyani kenako? Kodi ndiyenera kulankhula ndi dokotala liti?

Ngati zotsatira zake sizili bwino, njira zotsatirazi zimadalira momwe zinthu zilili. Dokotala wanu angasankhe kuchita mayeso ena. Kapena angakulimbikitseni kuti mupange fusion ya msana, yomwe imaphatikizapo kuchotsa disc yowonongeka ndikulumikiza vertebrae pamodzi.

Kodi discogram ndi yopweteka bwanji kwenikweni?

Funso limene anthu ambiri amafunsa ndi ili. N’zoona kuti pamene choyezera chosiyanitsa pakati pa diski chilowetsedwa mu diski yowonongeka, mudzamva kupweteka. Koma chofunika kwambiri n’chakuti anthu ambiri amanena kuti ululuwo ndi wofanana kwambiri ndi ululu wa msana umene amamva tsiku lililonse. Ngakhale kuti zingakhale zosasangalatsa kwa kanthawi, zithandiza dokotala kupeza chomwe chimayambitsa ululu wanu. Chifukwa chake, ndikofunikira kwambiri kufotokozera dokotalayo ululu womwe mukumva panthawiyo.

Kupweteka kwa msana ndi vuto lomwe limakhalapo kwa moyo wonse. Timamvetsetsa kukhumudwa ndi kumva kuti "Sindidzachira" mukayesa chithandizo chilichonse koma sichigwira ntchito. Sikuti ululu wonse wa msana umafuna discogram. Koma nthawi zina, mayesowa angathandize kudziwa chomwe chimayambitsa ululu wanu ndikuchotsa matenda ena. Chifukwa chake, ngati mwakhala mukuvutika ndi ululu wa msana kwa nthawi yayitali, lankhulani ndi dokotala wanu za izi.