Ese nta muti w'ikibazo cy'umugongo? Reka twige byose ku isuzuma rya myelogram!

Ese wigeze ugira ububabare bw'umugongo cyangwa ububabare bujya mu maguru yawe ukananirwa kumenya ikibitera? Birashoboka ko wigeze ubonana na muganga kandi wenda bakoze ibizamini nka X-ray, CT scan, cyangwa MRI. Ariko se byagenda bite niba nta kintu na kimwe basanze gisobanutse neza? Icyo gihe ni bwo muganga ashobora kugusaba gukora ikizamini cyihariye cyitwa myelogram. Reka turebe icyo ari cyo, uko bikorwa, n'icyo ukeneye kumenya.

Myelogram ni iki?

Mu magambo make, myelogram ni ikizamini cyihariye gifata amashusho arambuye y'umugongo wawe. Muri ibi, amazi yihariye (ibintu bitandukanya) akoreshwa kugira ngo arebe neza ibibazo biri mu mugongo wawe n'imitsi n'uturemangingo tworoshye tuwukikije. Tekereza nawe, X-ray isanzwe y'umugongo yerekana amagufwa gusa. Kuko idakoresha ubwoko bw'amazi yihariye. Ariko muri myelogram, aya mazi atuma umugongo wawe, umugongo wawe, n'imitsi bisa neza byera kuri X-ray cyangwa CT scan. Ibi ni nk'uburyo bwitwa fluoroscopy. Ibi bivuze ko umuganga wawe w'imirasire ashobora kubona aya mazi agenda mu mugongo wawe mu gihe nyacyo.

Ushobora kuba warumvise abaganga babyita 'Cervical Myelogram' cyangwa 'Lumbar Myelogram'. Ntabwo ari ibizamini bitandukanye. Bavuga gusa igice cy'umugongo bashaka gufata amafoto. Urugero, niba bashaka kureba igice cy'umugongo wawe, byitwa cervical myelogram. Niba bashaka kureba igice cy'umugongo wawe, byitwa lumbar myelogram. Urabyumva?

Kuki muganga yategeka ko muganga apima myelogram?

Niba ufite ububabare budakira bw'umugongo, muganga wawe azabanza gutumiza CT scan cyangwa MRI kugira ngo amenye impamvu. Ariko, niba nta na kimwe muri ibyo bizamini gisobanutse neza, muganga wawe ashobora kukugira inama yo gupimwa myelogram kugira ngo amenye byinshi.

Hari indwara nyinshi zishobora kugaragara hifashishijwe iki kizamini. Urugero:

• Uduce tw’inyuma tw’umugongo/twikurura: Ibi ni byo twita 'disiki y’inyuma'. Ibi ni igihe uturemangingo tworoshye turi hagati y’imitsi y’uruti rw’umugongo tubyimba tugacumita imitsi.
• Indwara ya rubagimpande mu ngingo z'umugongo: Ibi bishobora gutera kubyimba no kubabara mu ngingo.
• Gucika k'umugongo: Iki ni igihe umwanya uri imbere mu mugongo ugabanuka, bigatuma uruti rw'umugongo cyangwa imitsi bikandagira.
• Udukoko tw'amagufwa / Osteophyte: Iremwa ry'uturemangingo duto, tumeze nk'imitwe ku magufwa.
• Ibibyimba by'umugongo.

Nanone, niba uherutse kubagwa umugongo kandi ukaba ufite ububabare bushya cyangwa intege nke zidashira, muganga wawe ashobora gutegeka iki kizamini cya myelogram.

Isuzuma rya myelogram rikora gute?

Isuzuma rya myelogram rishobora kumenya ibibazo isuzuma risanzwe (CT) cyangwa (MRI) ridashobora. Ni ingirakamaro cyane cyane mu kureba neza niba amagufwa, disiki, n'izindi ngingo zikikije umuyoboro w'uruti rw'umugongo zirimo gukanda imitsi cyangwa uruti rw'umugongo.

Iyo umuganga w’imirasire ashyizemo amazi yihariye (ibintu bitandukanya) mu mugongo wawe, ayo mazi anyura mu mwanya ukikije umugongo wawe. Imitsi yawe n’umugongo wawe bigaragara nk’ishusho yabyo kuri X-ray cyangwa CT scan. Ibi bituma muganga abona ibibazo X-ray isanzwe idashobora kubona.

Ni gute nakwitegura isuzuma rya myelogram?

Muganga wawe azaguha urutonde rurambuye rw'ibyo ugomba gukora mbere yo gufata myelogram. Ariko muri rusange, zirikana ibi bintu:

• Vugana n'inshuti wizeye cyangwa umuntu wo mu muryango wawe kugira ngo agutware mu rugo. (Ushobora guhabwa umuti ugabanya ububabare, bityo si byiza gutwara imodoka nyuma yo gupimwa.)
• Tangira kunywa ibinyobwa byinshi (ibirahuri 4-8) nk'amazi buri masaha abiri uhereye umunsi umwe mbere y'ikizamini.
• Hagarika kurya amasaha atandatu mbere yo gupimwa. Ariko, ushobora kunywa ibinyobwa nk'amazi kugeza amasaha atandatu mbere yo gupimwa. Urugero: amazi, icyayi kidasembuye, soda isobanutse, ikawa ikomeye, ibinyobwa by'imbuto bidafite isukari, n'umutobe w'isupu.

Niba urwaye Diyabete Mellitus...

• Fata urugero rwawe rusanzwe rwa insuline.
• Iyo uje kwisuzumisha, ongera wibutse muganga ko urwaye diyabete.

Ubusanzwe, nta bipimo byo muri laboratwari biba bikenewe mbere yo gupimwa myelogram. Ariko, niba ufite amateka y'indwara z'amaraso, indwara nko kubura amazi mu mubiri, cyangwa indwara y'impyiko y'igihe kirekire nka indwara idakira y'impyiko (CKD), muganga wawe ashobora gutegeka ko upimwa amaraso.

Ni iki kibaho mu gihe cyo gupima myelogram?

Ntabwo uzasinzira mu gihe cyo gupimwa indwara ya myelogram. Ariko, ushobora guhabwa imiti igabanya ububabare kugira ngo igufashe kuruhuka. Inzobere mu by'imirasire n'ikoranabuhanga bazaba bari kumwe nawe mu cyumba igihe cyose.

Mu gihe cy'ikizamini, bazakora ibi bikurikira:

• Uzasabwa kuryama ku meza yo gupimisha (ubusanzwe uri ku nda cyangwa ku ruhande).
• Igice cyo hasi cy'umugongo wawe cyasukuwe n'imiti yica udukoko, kandi ni byo.Umuti utera ibisebe (anesthesia yo mu gace) uraterwa.
• Hanyuma, ibikoresho byo gutandukanya ibintu bishyirwa mu gafuka kuzuye amazi gakikije uruti rw'umugongo wawe. (Ushobora kumva ufite igitutu gito cyangwa utameze neza muri iki gihe.)
• Imbonerahamwe yo gusuzuma irahengamye gato. Ibi ni ukugira ngo amazi atembera neza mu ruti rw'umugongo. Umuganga w'imirasire ashobora kandi kugusaba kuhengamira cyangwa kunyeganyeza umutwe.
• Hanyuma, hafatwa X-ray na CT scan z'umugongo wawe.

Ubusanzwe igikorwa cyose kimara isaha imwe. Hashobora kubaho kubabara cyangwa kubabara umutwe gato.

Ni iki kibaho nyuma yo gupimwa myelogram?

Nyuma yo gupimwa , abaganga bazagukurikirana mu gihe cy'isaha imwe. Hanyuma bazagufata icyemezo niba witeguye gutaha. Bazaguha amabwiriza yanditse y'icyo wakora nyuma yo gutaha. Inzobere mu by'imirasire yo mu maraso izohereza raporo irambuye kuri muganga wawe w'ibanze (PCP) cyangwa umuganga wakwohereje.

Ese hari ingaruka mbi ziterwa na myelogram?

Abantu bagera ku icumi ku ijana (10%) bashobora kugira ingaruka mbi nyuma yo gupimwa myelogram. Ingaruka mbi zikunze kugaragara mu munsi umwe cyangwa ibiri zirimo:

• Kuribwa umutwe.
• Isesemi no kuruka.

Ariko, niba ufite ikibazo cy'umutwe kidashira , cyangwa niba ubonye kimwe muri ibi bimenyetso biteje akaga , ugomba guhita uhamagara muganga wawe:

• Umuriro.
• Ijosi rikomeye.
• Kubabara mu maguru yawe.

Bifata igihe kingana iki kugira ngo umuntu akire nyuma yo gupimwa myelogram?

Ubusanzwe bifata amasaha agera kuri 24. Nyuma yo gupimwa myelogram, ushobora gukenera kwicara cyangwa kuryama amasaha make. Kuruhuka bihagije bishobora kugabanya ibyago byo kuva amaraso mu bwonko (CSF). Ushobora gusubira mu mirimo yawe isanzwe nyuma y'umunsi umwe. Ariko, niba umutwe ukomeje, cyangwa niba ugaragaje ibindi bimenyetso bikomeye, nko kugira umuriro, ijosi rikomeye, cyangwa amaguru yawe ashaje, ugomba kubimenyesha muganga wawe.

Dore bimwe mu bintu ushobora gukora uri mu rugo kugira ngo bigufashe gukira:

• Gerageza gukomeza kugira umutwe urerure kurusha ibindi bice by'umubiri wawe. Gerageza kuguma uhagaze igihe kirekire gishoboka.
• Nywa ibinyobwa byinshi. Ntukanywe inzoga na gato.
• Ku bijyanye n'umutwe, gerageza ikintu nka acetaminophen n'ibinyobwa birimo kafeyine (ikawa, icyayi). Ibi rimwe na rimwe bishobora gufasha kugabanya umutwe ubwabyo.
• Ntugaterure ibyuma biremereye cyangwa ngo ukore imyitozo ngororamubiri igoye mu gihe cy'amasaha 24.

Ni ryari nzamenya ibisubizo bya myelogram?

Nyuma yo kubona raporo ivuye kwa muganga w’indwara zo mu bwoko bwa radiyo, umuganga wawe w’ibanze (PCP) cyangwa umuganga wakwohereje bazasuzuma ibisubizo by’ibizamini. Ibi akenshi bifata iminsi mike. Hanyuma bazaguhamagara kugira ngo bagusobanurire ibisubizo kandi bakubwire icyo gukora nyuma.

Ni ryari nkwiye guhamagara muganga nyuma yo gupimwa myelogram?

Nyuma yo gupimwa myelogram, hamagara muganga wawe ako kanya niba hari kimwe muri ibi bikurikira kibayeho:

• Umuriro urenze dogere 101 za Fahrenheit (38.3 selisiyusi).
• Niba wumva umeze nk'ufite isereri kandi ukumva ushobora kugwa (gucika intege).
• Niba amaguru yawe afite ibinya cyangwa utakaje ibyiyumvo (Kubabara cyangwa gucika intege mu maguru yawe).
• Niba hari ububabare cyangwa kuva amaraso hafi y'aho bateye inshinge.
• Iyo ijosi ribaye rikomeye (Ijosi rikomeye).
• Umutwe utazigera ushira.
• Kudashobora kwihagarika .

Igipimo cya myelogram kibabaza gute?

Igisubizo cy'iki kibazo kiratandukanye bitewe n'umuntu ku giti cye. Niba ububabare budashobora kwihanganira, ni byiza kutabwitabira. Ariko, ushobora kugira ububabare mu gihe cyo gupimwa, nko:

• Bimera nk'aho bisunika iyo hatewe amazi yihariye (ibintu bitandukanya).
• Iyo urushinge rugiye kwimurwa , ububabare bukabije, nk'ubw'amashanyarazi bushobora kugaragara mu buryo butunguranye ku kibuno cyangwa ku kuguru .

Nanone, ibintu bitandukanya ibintu bishobora gutera ibintu nk'ibi:

• Ukumva ushyushye cyangwa umeze nk'uwishimye.
• Uburyohe bw'icyuma mu kanwa kawe.
• Isesemi y'igihe gito.

Muganga wawe n'ikipe ihari bazakora ibishoboka byose kugira ngo bagufashe kwisanzura no gukora ikizamini vuba, bityo nta mpungenge ufite.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Ububabare bw'umugongo buhoraho bushobora gukura ibyishimo mu buzima bwawe bikakubuza gukora ibintu ukunda. Iyo gupima buri gihe bitagusubije, igihe gishobora kuba kigeze cyo kwipimisha myelogram. Iki kizamini gishobora gufasha muganga wawe kumenya icyagutera kubabara no kugufasha kubona igisubizo kikubereye. Niba rero muganga agusabye iki kizamini, mubiganireho, mubyumve, kandi mukomeze. Twizeye ko muzabona ihumure ku kibazo cyanyu vuba!

` Myelogram, Myelogram, Ububabare bw'umugongo, Isuzuma ry'umugongo, Uruti rw'umugongo, Imitsi, CT Scan, MRI, Ibizamini by'ubuvuzi