Kodi inunso muli ndi ululu wosatha wa msana? Nthawi zina, kaya titenge mankhwala kapena masewera olimbitsa thupi otani, ululu wa msanawu sutha, sichoncho? Pazochitika zotere, lero tikambirana za mayeso apadera omwe madokotala amagwiritsa ntchito kuti adziwe chomwe chimayambitsa ululu wanu wa msana. Izi zimatchedwa discogram kapena discography.
Kodi discogram ndi chiyani? Kodi imatanthauza chiyani?
Mwachidule, discogram ndi mayeso apadera ojambulira omwe angathandize kuzindikira chomwe chimayambitsa kupweteka kwa msana kosatha . Mayesowa amalola dokotala wanu kuwona ngati diski ya msana, yomwe ili pakati pa mafupa a msana wanu yotchedwa vertebrae, yatha kapena yawonongeka.
Tangoganizirani, msana wathu umapangidwa ndi mafupa ang'onoang'ono, otchedwa vertebrae, omwe amaunikidwa pamwamba pa wina ndi mnzake. Ma vertebrae awa ndi ziwalo zofewa, zofanana ndi jelly zomwe zimagwira ntchito ngati zoyamwa mantha m'galimoto, ngati masiponji, m'malo mokhuzana. Ntchito yawo yayikulu ndikuyamwa mantha tikamayendayenda kapena kunyamula zolemera. Ngati kuwonongeka kulikonse kwachitika pa imodzi mwa ma disc awa, kungakhale chifukwa chachikulu cha kupweteka kwa msana.
Kawirikawiri, madokotala amayamba ndi mayeso monga ``(CT scan)`` (Computed Tomography scans) kapena ``(MRI scan)`` (Magnetic Resonance Imaging) kuti apeze chomwe chimayambitsa kupweteka kwa msana. Komabe, nthawi zina, discogram ingafunikenso. Kodi nthawi imeneyi ndi liti?
- Ngati pakufunika zambiri kuti mudziwe chomwe chikuyambitsa vutoli pambuyo pofufuza zina.
- Ngati mukuvutikabe ndi msana mutamwa mankhwala ndi kupatsidwa chithandizo cha thupi.
- Komanso, nthawi zina asanachite opaleshoni ya msana, monga kusakaniza msana, madokotala ochita opaleshoni amagwiritsa ntchito mayeso a discogram kuti atsimikizire kuti ndi diski iti yomwe ili ndi vuto ndi diski iti yomwe ikufunika kuchotsedwa .
Mwina munamvapo madokotala akutcha 'cervical discogram' kapena 'lumbar discogram'. Izi ndi mayeso omwewo, koma dzinalo limasiyana malinga ndi komwe kwachitikira msana. Ngati muli ndi ululu pakhosi kapena kumbuyo, mudzakhala ndi discogram ya khosi. Ngati muli ndi ululu m'munsi mwa msana, mudzakhala ndi discogram ya lumbar.
Nayi mfundo yofunika kukumbukira. Ngakhale diski ya msana itawonongeka, si nthawi zonse imayambitsa kupweteka kwa msana . Chifukwa cha izi, pali mkangano m'magawo azachipatala pankhani ya mayeso a discogram. Komabe, madokotala ambiri amakhulupirira kuti discogram ingathandize kutsimikizira chinthu chokayikitsa chomwe chidawonedwa pa scan ya `(CT)` kapena `(MRI)`.
Kodi mayeso a discogram amachitidwa bwanji kwenikweni?
Discogram imagwiritsa ntchito njira yotchedwa fluoroscopy kuti ione momwe vertebrae ndi ma disc anu amayendera. Fluoroscopy, mwachidule, ili ngati chithunzi choyenda cha X-ray . Izi zikutanthauza kuti mutha kuionera ngati kanema nthawi yeniyeni.
Mu mayeso awa, dokotala amabaya chinthu chapadera, chotchedwa 'contrast material/dye', mu imodzi mwa ma disc omwe ali mu msana wanu. Utoto uwu umathandiza kuona bwino lomwe vuto lili.
Tangoganizirani, ngati utoto uwu ukhalabe mkati mwa diski, zikutanthauza kuti diskiyo ndi yathanzi. Komabe, ngati utotowo ufalikira kupitirira malire akunja a diski, zimasonyeza kuti diskiyo yatha kapena yang'ambika.
Kodi ndiyenera kukonzekera bwanji mayesowa?
Dokotala wanu adzakupatsani malangizo oti mutsatire musanachite discogram. Izi nthawi zambiri ndi zinthu zomwe muyenera kuchita:
- Muyenera kuuza dokotala wanu za mankhwala aliwonse omwe mumamwa - kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala ndi zowonjezera zina. Komanso, dziwitsani dokotala wanu za ziwengo zilizonse zomwe muli nazo.
- Uzaninso dokotala wanu ngati muli ndi pakati kapena mukukayikira kuti muli ndi pakati .
- Pemphani mnzanu kapena wachibale wanu kuti akuperekezeni popita ndi kubwera ku mayeso. Chifukwa chakuti mudzapatsidwa mankhwala oletsa ululu panthawi ya mayesowa, simudzatha kuyendetsa galimoto.
Kodi chimachitika ndi chiyani pa mayeso a discogram?
Mukafika nthawi yomwe mwakonza kuti muyesedwe, wogwira ntchito zachipatala adzakutengerani ku chipinda cha X-ray. Kumeneko, mudzalamulidwa kugona patebulo loyezetsera. Nthawi zambiri, mudzalamulidwa kugona chammbali, ndipo mapilo adzaperekedwa kuti mukhale omasuka.
Kawirikawiri, discogram imachitidwa ndi sedation ya m'mitsempha (IV). Izi zikutanthauza kuti IV imayikidwa mumtsempha womwe uli m'dzanja lanu kapena m'manja mwanu ndipo mumapatsidwa mankhwala okuthandizani kupumula. Kuchuluka kwa mpweya m'thupi lanu, kuthamanga kwa magazi, ndi kugunda kwa mtima wanu zimawunikidwanso panthawi yonse yoyezetsa.
Mukangomva bwino, dokotalayo adzachita izi:
1. Mankhwala oletsa ululu am'deralo adzabayidwa kuti achepetse ululu m'dera laling'ono la msana wanu.
2. Pogwiritsa ntchito X-ray (Fluoroscopy), singano imalowetsedwa kudzera pakhungu lanu mu diski yomwe ili mumsana wanu.
3. Disikiyo imabayidwa ndi 'utoto wosiyana' womwe watchulidwa kale ndipo singano imachotsedwa . (Panthawiyi, ngati diski yawonongeka, mungamve ululu wofanana ndi ululu wanu wamba wamsana. Panthawiyi, dokotala angakufunseninso za ululuwo, monga komwe umapweteka.)
4. Ngati kuli kofunikira, bwerezani sitepe yoyamba mpaka yachitatu pa ma disk ena .
5. Pakani pulasitala kuti muletse kutuluka magazi chifukwa cha mabala obowoledwa.
Pa nthawi ya discogram, dokotala adzajambula zithunzi pogwiritsa ntchito fluoroscopy. Kenako, angachitenso CT scan kapena MRI scan. Kujambula zithunzi zingapo kungathandize dokotalayo kupeza matenda olondola .
Kuyambira pachiyambi mpaka kumapeto, nthawi zambiri kuyezetsa kwa discogram kumatenga pafupifupi ola limodzi .
Kodi chimachitika ndi chiyani pambuyo pa mayeso?
Mukamaliza kuonera discogram, mungamve kupweteka ndi kusasangalala pafupi ndi malo obowoledwa kwa maola angapo. Mutha kuchepetsa ululuwu kunyumba. Manga paketi ya ayezi mu thaulo ndikuyiyika pamalo opweteka kwa mphindi 20, kenako muchotse kwa mphindi 20. Chitani izi nthawi zambiri momwe mungafunikire. Muthanso kumwa mankhwala ochepetsa ululu monga paracetamol (monga Tylenol®) kapena ibuprofen (monga Motrin®).
Kodi pali zoopsa zilizonse zomwe zingachitike?
Mavuto ochokera ku discogram ndi osowa , koma pali zinthu zingapo zomwe zingachitike:
- Matenda.
- Kutuluka magazi.
- Kupweteka kwa msana kumakula kwambiri kusanayambe kuchira.
- Kuwonongeka kwa mitsempha yamagazi kapena mitsempha.
- Kufooka kwakanthawi kapena dzanzi.
- Mutu.
- Kusanza.
- Kusamvana ndi utoto wosiyana.
- Kufa ziwalo (izi n’zosowa kwambiri).
Zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa discogram?
Anthu ambiri amatha kubwerera kuntchito, kusukulu, ndi zochita zina za tsiku ndi tsiku mkati mwa maola 24. Komabe, zingatenge masiku angapo kuti ululu womwe uli pamalo omwe singano inalowetsedwa utheretu.
Kodi zotsatira za mayeso anga zikuti chiyani?
Katswiri wa radiology adzayang'ana zotsatira za discogram yanu ndikukuuzani ngati utoto wosiyana udakali mkati mwa disco kapena watuluka.
- Ngati die ikadali mkati mwa diski , ndiye kuti zotsatira zake sizabwinobwino/zoipa. Izi zikutanthauza kuti diskiyo ndi yabwino.
- Ngati utoto watuluka mu diski , zimasonyeza kuti diskiyo yawonongeka ndi kuwonongeka (zotsatira zabwino).
Kodi zotsatira zake ndidzadziwa liti?
Dokotala wa radiology akamaliza kufufuza discogram yanu, adzatumiza zotsatira zake kwa dokotala wanu. Akalandira zotsatira zake, dokotala wanu adzakambirana nanu za izo. Nthawi zambiri, mudzalandira zotsatira mkati mwa sabata imodzi .
Ngati zotsatira zake sizili bwino, kodi muchita chiyani kenako?
Zimadalira momwe zinthu zilili. Dokotala wanu angakulangizeni kuti muyesedwenso zithunzi zina musanasankhe njira yochizira. Kapena, angakulangizeni kuti muphatikize msana, zomwe zimaphatikizapo kuchotsa diski yowonongeka ndikulumikiza mafupa a msana. Izi zingathandize kuchepetsa ululu wa msana.
Ndiyenera kukaonananso ndi dokotala liti?
Mukamaliza discogram, ngati mukukumana ndi zizindikiro zotsatirazi , imbani dokotala nthawi yomweyo :
- Ngati malungo ali pamwamba pa madigiri 38.3 Celsius (101 degrees Fahrenheit).
- Ngati pali kusintha kwa mtundu, kutupa, kutentha, kapena mafinya ochokera pamalo obayidwa.
- Ngati mwayamba kumva kupweteka kwa msana.
- Ngati ululu wanu wamsana ukukulirakulira .
Kodi mayeso a discogram ndi opweteka bwanji?
Ngati muli ndi diski ya herniated mumsana wanu, mungamve kupweteka pang'ono dokotala akamabaya utoto wosiyanitsa. Anthu ambiri amati ululuwo ndi wofanana kwambiri ndi ululu wa msana womwe amakumana nawo tsiku lililonse . Ngakhale kuti nthawi zina ungakhale wosasangalatsa, ululuwu umathandiza dokotala kudziwa kuti ndi diski iti yomwe yathyoka kapena yang'ambika.
Mungamve kusasangalala kapena kupweteka kwa masiku angapo mutamaliza mayeso. Ngati izi zitachitika, tengani mankhwala ochepetsa ululu omwe mumagwiritsa ntchito pa kauntala ndipo pakani ayezi kangapo patsiku.
Kodi kusiyana pakati pa discogram ndi MRI scan ndi kotani?
Zonsezi ndi mayeso ojambulira zithunzi omwe amathandiza kupeza chomwe chimayambitsa kupweteka kwa msana. Komabe, zimasiyana m'njira zingapo:
Madokotala nthawi zambiri amayamba ayitanitsa CT scan kapena MRI scan. Amayitanitsa discogram ngati pakufunika mayeso ena ojambula zithunzi ndipo pakufunika zambiri. MRI imapereka chithunzi chabwino cha kapangidwe ka disco, ndipo discogram imagwiritsidwa ntchito kudziwa ngati ululuwo umayamba chifukwa cha disco imeneyo .
Pomaliza...
Kupweteka kwa msana kosatha kungakhudze kwambiri moyo wanu. Mukayesa njira iliyonse yothandizira ndipo palibe chomwe chikugwira ntchito, ndi zachibadwa kudzifunsa kuti, "Kodi pali yankho la izi?"
Si aliyense amene ali ndi ululu wammbuyo amene amafunika kujambulidwa ndi dokotala. Komabe, nthawi zina, mayesowa angathandize kutsimikizira ngati diski ya msana yatha ndipo angathandize kuchotsa matenda ena. Ngati mukuvutika ndi ululu wammbuyo womwe sukuyenda bwino, funsani dokotala wanu ngati diski ya msana ingakuthandizeni kupeza matenda anu.
Ululu wa msana , discogram, vertebrae, msana, matenda, X-ray, ululu wa msana











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