Kodi mwakhala mukuvutika ndi ululu wa msana kwa kanthawi? Mwina mwawonana kale ndi dokotala ndipo mwayesedwapo mayeso monga X-ray, CT scan, kapena MRI scan. Koma nthawi zina, ngakhale mayeso amenewa sangadziwe chomwe chimayambitsa ululu wanu. Pazochitika zotere, dokotala wanu angakulangizeni mayeso apadera omwe angayang'ane nkhaniyi mozama pang'ono. Ndicho chimene tikambirana m'nkhaniyi lero. Imatchedwa myelogram .
Mwachidule, kodi myelogram ndi chiyani?
Taganizirani izi motere: X-ray yokhazikika ili ngati chithunzi chakuda ndi choyera cha mafupa athu. Imawonetsa zinthu monga kusweka ndi kusweka kwa mafupa momveka bwino. Koma sikuwonetsa zinthu zofewa kwambiri monga mitsempha ndi chingwe cha msana mkati mwa msana momveka bwino.
Myelogram ndi njira yomwe imapangitsa kuti zinthu zobisikazi ziwonekere bwino. Utoto wapadera, kapena zinthu zosiyana, umagwiritsidwa ntchito pochita izi. Utoto uwu ukalowetsedwa mu chingwe cha msana, umawala woyera pa X-ray kapena CT scan. Monga momwe kuwala kwa tochi kumawunikira chipinda chamdima, utoto uwu umalola dokotala kuwona chilichonse mkati mwa chingwe cha msana, kuphatikizapo chingwe cha msana, njira za mitsempha, ndi kulumikizana pakati pa mafupa a msana.
Pa nthawi yoyezetsa iyi, dokotala amatha kuwona utoto ukudutsa msana wanu pa sikirini, monga kanema. Njira imeneyi imatchedwa fluoroscopy .
Mwina munamvapo dokotala akunena zinthu monga 'cervical myelogram' kapena 'lumbar myelogram'. Musachite mantha ndi zimenezo. Si mayeso awiri osiyana. Amangotanthauza komwe kuli msana wanu komwe mayesowo akuchitikira. Mwachitsanzo, ngati gawo la khosi lanu (cervical spine) likuyesedwa, ndi 'cervical myelogram'. Ngati gawo la msana wanu (lumbar spine) likuyesedwa, ndi 'lumbar myelogram'.
N’chifukwa chiyani dokotala angalamule myelogram?
Kawirikawiri, mukakhala ndi ululu wa msana, dokotala amalangiza kaye kuti muyesedwe ndi CT scan kapena MRI scan. Nthawi zambiri, mayesowa angathandize kudziwa chomwe chimayambitsa. Komabe, ngati palibe mayeso aliwonse omwe ali otsimikizika, nthawi zambiri amayitanidwa kuti adziwe zambiri.
Mayeso awa ndi othandiza kwambiri pozindikira mikhalidwe yotsatirayi.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Diski yotupa | Disiki ya herniated ndi vuto lomwe gawo la msana lomwe lili pakati pa vertebrae ziwiri limatuluka ndikukankhira mitsempha. Ili ndi vuto lomwe limakhudza anthu ambiri. |
| Matenda a nyamakazi m'malo olumikizirana mafupa a msana | Ndi ukalamba kapena chifukwa cha zifukwa zina, malo olumikizirana mafupa pakati pa msana amawonongeka, kutupa, komanso kupweteka. |
| Kupweteka kwa msana | Gawo la msana lofanana ndi 'chubu' komwe chingwe cha msana ndi mitsempha zimayendera limachepa, zomwe zimapangitsa kuti mitsempha ikanganitsidwe. |
| Mafupa / Osteophytes | Kuwonjezera pa mafupa a msana, zidutswa zazing'ono za mafupa zimapangidwa, zomwe zimakwinya mitsempha, zomwe zimapangitsa ululu. |
| Zotupa za msana | Ziphuphu za khansa kapena zosakhala khansa zomwe zimapangika m'mbali mwa msana ndikukakamiza mitsempha. |
Kuphatikiza apo, ngati mwangochitidwa opaleshoni ya msana posachedwapa ndipo mwayamba kupweteka kapena dzanzi m'miyendo yanu, dokotala wanu angakulangizeni kuti muone chomwe chikuyambitsa vutoli.
Kodi ndiyenera kukonzekera bwanji ndisanachite myelogram?
Dokotala wanu adzakupatsani malangizo omveka bwino okhudza zomwe muyenera kuchita musanayese mayesowa. Koma mwachidule, tiyeni tiwone momwe muyenera kukonzekera. Kutsatira njira izi ndikofunikira kwambiri kuti mayeso apambane, sichoncho?
| Zoyenera kuchita | Mfundo zofunika |
|---|---|
| Konzani galimoto. | Simungathe kuyendetsa galimoto nokha mukamaliza mayeso chifukwa mungapatsidwe mankhwala ochepetsa ululu kuti akugonetseni. Chifukwa chake, mungafunike kuyimbira foni mnzanu kapena wachibale wanu kuti akuyendetseni kunyumba. |
| Imwani madzi ambiri. | Kuyambira tsiku lisanafike mayeso, yambani kumwa pafupifupi galasi la madzi (ma ounces 4-8) maola awiri aliwonse. Ndikofunikira kupewa kutaya madzi m'thupi. |
| Kusala Kudya | Musadye chakudya cholimba kwa maola asanu ndi limodzi musanayesedwe. |
| Zakumwa zamadzimadzi | Mukhoza kumwa madzi oyera bwino mpaka maola asanu ndi limodzi musanayesedwe. Zitsanzo zake ndi madzi, tiyi wopanda mkaka/kirimu, khofi wakuda, soda yoyera, madzi a zipatso osatsekemera, ndi msuzi wa supu. |
| Ngati muli ndi matenda a shuga: | |
| Insulini | Imwani mlingo wanu wa insulin nthawi zonse, koma kambiranani ndi dokotala wanu kaye za izi. |
| Chidziwitso | Kumbutsani ogwira ntchito kuti muli ndi matenda a shuga mukangopita kuchipatala kukayezetsa. |
Kawirikawiri, kuyezetsa magazi sikofunikira musanayesedwe. Komabe, ngati muli ndi vuto la magazi, monga kutaya madzi m'thupi kapena matenda osatha a impso (CKD), dokotala wanu angakupatseni mayeso ofunikira.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Simudzakhala osazindikira kalikonse panthawiyi, koma mungapatsidwe mankhwala okuthandizani kupumula. Katswiri wa radiation ndi ukadaulo adzakhala nanu m'chipindamo nthawi yonse yoyezetsa, kotero palibe chifukwa choopa.
Nayi kusanthula pang'onopang'ono kwa zomwe zimachitika panthawi ya mayeso:
1. Kukonzekera: Choyamba, mudzagonekedwa patebulo loyezetsera, kaya m'mimba mwanu kapena cham'mbali.
2. Kuyeretsa: Kumbuyo kwanu kudzatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda.
3. Kusamva Chisoni: Kenako, mankhwala oletsa kupweteka pang'ono amabayidwa kuti achepetse ululu pamalo pomwe singano imayikidwa, kuti musamve kupweteka kulikonse.
4. Kuika utoto: Tsopano ndiye gawo lofunika kwambiri. Dokotala wa radiation adzaika utoto wapadera mosamala (zinthu zosiyana) mu thumba lodzaza ndi madzi lomwe lili pafupi ndi msana wanu. Mungamve kupweteka pang'ono panthawiyi.
5. Kupendekeka kwa bedi: Kuti utoto upite pamalo oyenera pamsana panu, woyesa adzapendekeka pang'ono bedi lomwe muli. Mungapemphedwenso kuti mutembenuze mutu wanu pang'ono.
6. Kujambula zithunzi: Utoto ukafika pamalo oyenera, zithunzi zingapo za X-ray ndi CT scan zimatengedwa.
Ntchito yonseyi nthawi zambiri imatenga pafupifupi ola limodzi. Pakhoza kukhala kusapeza bwino kapena mutu pang'ono.
Kodi chimachitika ndi chiyani mukamaliza kuyezetsa? Zimatenga nthawi yayitali bwanji kuti munthu achire?
Mukamaliza mayeso, mudzayang'aniridwa kuchipatala kwa ola limodzi. Mudzaloledwa kupita kunyumba pokhapokha ngati zatsimikizika kuti zonse zili bwino. Mudzapatsidwa malangizo olembedwa oti mutsatire mukapita kunyumba. Dokotala wa radiation adzatumiza lipoti la mayeso kwa dokotala wanu wamkulu (PCP).
Nthawi zambiri mudzakhala bwino mkati mwa maola 24. Kupuma panthawiyi n'kofunika kwambiri chifukwa kungachepetse chiopsezo cha kutuluka kwa madzi mu ubongo ndi msana (CSF). Mutha kubwerera ku ntchito zanu zachizolowezi patatha tsiku limodzi.
Onetsetsani kuti mwachita izi pamene mukuchira kunyumba:
- Sungani mutu wanu pamwamba: Sungani mutu wanu pamwamba pa thupi lanu lonse momwe mungathere. Gwiritsani ntchito mapilo awiri kapena atatu mukagona.
- Gona chagada: Yesetsani kugona chagada pabedi momwe mungathere.
- Imwani madzi ambiri: Imwani madzi ambiri ndi madzi ena. Izi zidzakuthandizani kuchotsa utoto m'thupi lanu ndikuchepetsa mutu. Koma pewani mowa.
- Pewani kunyamula zinthu zolemera:Musanyamule zolemera zilizonse kapena kuchita masewera olimbitsa thupi kwa tsiku limodzi kapena awiri.
- Mankhwala a mutu: Ngati mutu ukupweteka, mutha kufunsa dokotala wanu za kumwa mankhwala ochepetsa ululu monga paracetamol. Komanso, kumwa zakumwa zokhala ndi caffeine (khofi, tiyi) nthawi zina kungathandize kuchepetsa mutu.
Zotsatirapo zake ndi nthawi yoti mulankhule ndi dokotala wanu
Pafupifupi 10% ya anthu omwe ali ndi myelogram amatha kukhala ndi zotsatirapo zazing'ono. Izi nthawi zambiri zimatha kwathunthu pasanathe tsiku limodzi kapena awiri. Komabe, ndikofunikira kudziwa zomwe zili bwino komanso zomwe zili zoopsa.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zomwe zimapezeka kawirikawiri ndipo zimatha pakatha tsiku limodzi kapena awiri | |
| Mutu | Ichi ndi zotsatira zoyipa kwambiri. |
| Kusanza ndi kusanza | Anthu ena amatha kuvutika ndi nseru kapena kusanza. |
| Zizindikiro zazikulu zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Mutu wopweteka nthawi zonse | Mutu waukulu womwe sungathetsedwe ndi mankhwala ochepetsa ululu wamba kapena kupuma. |
| Malungo | Kutentha kwa thupi kupitirira 38.3 Celsius (101 Fahrenheit). |
| Khosi lolimba | Kuuma kwa khosi ndi ululu zomwe zimapangitsa kuti zikhale zovuta kupindika. |
| Kusanza/kutupa m'miyendo | Kusanza, kutentha, kapena kumva ngati miyendo ilibe moyo. |
| Zina mwazinthu | Kupweteka kwa madzi kapena madzi ochokera pamalo obayira singano, kuvutika kukodza, kukomoka. |
Ngati mukukumana ndi zizindikiro zazikulu izi, musazengereze. Imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
Kodi iyi ndi mayeso opweteka kwambiri?
Izi sizikumveka chimodzimodzi kwa aliyense. Koma si mayeso opweteka kwambiri. Komabe, mungakumane ndi kusasangalala pang'ono.
- Mungamve phokoso pamene deti ikuboola.
- Singano ikalowetsedwa, mungamve kugwedezeka kwa magetsi m'matako kapena mwendo wanu kwa sekondi imodzi.
- Utoto ukalowa m'thupi, ungamve kutentha kwakanthawi, kukoma kwachitsulo mkamwa, kapena nseru .
Kumbukirani, gulu lachipatala nthawi zonse limayesetsa kukupangitsani kukhala omasuka momwe mungathere ndikumaliza mayeso mwachangu momwe mungathere.
Pomaliza, myelogram ndi chida chofunikira kwambiri chopezera chifukwa chenicheni cha kupweteka kwa msana komwe kwakhala kukuvutitsani kwa nthawi yayitali komanso komwe sikunadziwike ndi mayeso okhazikika. Ndi chidziwitso chomveka bwino chomwe chimapereka, dokotala wanu angayambitse dongosolo la chithandizo lomwe lili loyenera kwa inu. Chifukwa chake, ngati dokotala akulangizani mayesowa, musaope kupitiliza ndikupeza zowona.
Uthenga Wopita Nawo Kunyumba
- Myelogram ndi njira yoyezera zithunzi yomwe imagwiritsa ntchito utoto wapadera kuti ipange zithunzi zomveka bwino za msana ndi mitsempha yogwirizana nayo.
- Mayeso amenewa nthawi zambiri amalimbikitsidwa pamene chifukwa cha ululu wammbuyo sichingadziwike bwino pogwiritsa ntchito CT kapena MRI scans.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala musanayesedwe (kusala kudya, kumwa madzi) komanso mutatha kuyezetsa (kupuma, kupewa kuchita masewera olimbitsa thupi kwambiri).
- Ngakhale kuti zotsatirapo zazing'ono monga mutu ndi nseru ndizofala, dziwitsani dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zazikulu monga kutentha thupi kwambiri, khosi lolimba, kapena dzanzi m'miyendo yanu.
- Ngati muli ndi nkhawa kapena mantha okhudza mayesowa, kambiranani momasuka ndi dokotala wanu.
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