Kurwadziwa nemusana idambudziko rakajairika munyika medu. Dzimwe nguva, kana ukazorora zvishoma, kana usingakotame usingaite chinhu, zvinopera. Asi dzimwe nguva, kurwadziwa kunova kusingatsungiririki, uye tobva taenda kunoona chiremba. Saka paunoenda kuna chiremba, une mubvunzo mukuru mupfungwa dzako, 'Oh, vachandiudza kuti nditore X-ray izvozvi here? Kana kuti ndofanira kuita MRI here?' Vanhu vazhinji vanotya bvunzo idzi. Muchinyorwa chino, tichataura nezvemhando yebvunzo dzinoitwa nachiremba kuti awane chikonzero chekurwadziwa kwemusana wako, uye kana munhu wese achida bvunzo idzi.
Chinhu chekutanga chauchabvunzwa nachiremba (nhoroondo yako yezvekurapa)
Paunoenda kunoona chiremba, chinhu chekutanga chaanoita hachisi chekukupa mishonga kana kukuraira bvunzo. Anotanga ataura newe, anokubvunza mibvunzo mishoma, uye anoedza kutsvaga ruzivo rwakawanda sezvinobvira. Ungave uchishamisika kuti, "Sei uchindibvunza nezvekukosora kwangu, fivha, uye kurwadziwa kwemudumbu kana ndine musoro?" Asi mibvunzo iyi yese yakakosha pakutsvaga chikonzero chekurwadziwa kwemusana wako.
Fungidzira, Chiremba, ungabvunzwa zvinhu zvakaita seizvi:
- Marwadzo akatanga sei? Wakangoerekana wanzwa musana wako "watsemuka" here pawakasimudza chimwe chinhu chinorema? Kana kuti kurwadziwa kwacho kwakawedzera zvishoma nezvishoma zuva nezuva?
- Chii chinoita kuti marwadzo anyanye kuipa/awedzere kuipa? Marwadzo acho anombova sei kana wakakotama mberi, wakagara, wakamira, kana wakarara husiku? Kuita chimwe chinhu kunoita kuti marwadzo acho anyanye kuipa here?
- Kurwadziwa uku kwakamboitika here kare?
- Pane zvimwe zvirwere zvawakambosangana nazvo here munguva pfupi yapfuura? Semuenzaniso, kukosora, fivha, kuoma kuita weti, kurwadziwa nemudumbu , nezvimwewo. Dzimwe nguva kurwadziwa kwemusana kunogona kukonzerwa nehutachiona huri kune imwe nzvimbo mumuviri.
- Kana uri mukadzi, unogona kunzwawo nezvekubuda ropa kusingawanzoitiki, kurwadziwa, kana kubuda ropa kubva munhengo yemukadzi. Izvi zvinokonzerwa nekuti mamwe matambudziko emuchiuno anogona kukonzera kurwadziwa kumusana.
Zvichitaurwa zviri nyore, mhinduro idzi dzichabatsira chiremba kunzwisisa zviri nani mamiriro ako ezvinhu. Saka , zvakakosha kutaura chokwadi pasina kuvanza chero chinhu.
Tevere, kuongororwa kwemuviri.
Mushure mekukubvunza mubvunzo, chiremba achakuongorora. Izvi zvinonzi kuongororwa kwemuviri . Chinhu chikuru pano ndechekutarisa kana paine kukuvara kana kudzvanywa kwetsinga dzinobva kumusana wako kusvika kumakumbo ako.
- Kuyedzwa kwekufamba: Uchakumbirwa kufamba netsoka dzako kwechinhambwe chipfupi, wozofamba netsoka dzako. Izvi zvinogona kukupa pfungwa yesimba remhasuru dzako uye mashandiro etsinga dzako.
- Kuongororwa kweReflex: Chiremba achakurova kumashure kwebvi rako negumbo nesando yerabha. Kana tsinga dziri kushanda zvakanaka, gumbo rako rinozongoerekana rasvetuka panguva ino.
- Kuongororwa kwekusimudza makumbo: Uchakumbirwa kurara pamubhedha wosimudza gumbo rimwe wakananga kumusoro. Ungakumbirwa kuita izvi nerubatsiro rwachiremba kana pasina rubatsiro. Izvi zvinonyanya kuongorora kumanikidzwa kwetsinga yesciatic , tsinga huru inomhanya kubva kumusana ichidzika negumbo.
- Kuongororwa kwekunzwa: Chinhu chidiki, chakadai sepini kana pepa, chichashandiswa kubata nzvimbo dzakasiyana dzemakumbo ako uye kubvunza kuti, "Pane chaunonzwa here?" Izvi zvinogona kubatsira kuona kana paine kukuvara kwetsinga dzinotakura kunzwa kumakumbo ako.
- Mimwe miedzo: Kana chiremba wako achifungidzira kuti une chirwere chakakomba, vanogonawo kuongorora dumbu rako, chiuno, kana rectum. Kurasikirwa nekudzora dundira neura, kunyanya kana tsinga dziri mumusana wepazasi dzakakuvara, kungave kuri chikonzero. Miedzo iyi ingangodiwa kuti pasave nechirwere chakakomba.
Munhu wese anoda X-ray kana MRI here? - Miedzo yemifananidzo
Izvi ndizvo zvinonyanya kufungwa nevanhu vazhinji. Unoda X-ray kana MRI here kana wakakuvara musana?
Mhinduro ndeyekuti kwete . Havasi vese vanoda rudzi urwu rwekuongororwa kwakakosha pakarepo pavanotanga kurwadziwa nemusana. Kutaura zvazviri, vanhu vanosvika 90% vane kurwadziwa nemusana vanopora mukati memwedzi. Saka, kunze kwekunge paine zviratidzo zvekunyevera (zviratidzo zvitsvuku), hazvina basa kuita mhando idzi dzebvunzo mukati memavhiki mana kusvika matanhatu ekutanga.
Zvakanaka, saka ngationei kuti bvunzo idzi ndedzipi uye kuti dzinoshandiswa mumamiriro api ezvinhu.
| Zita rebvunzo | Mumamiriro api ezvinhu inoshandiswa? | Zvinhu zvakakosha zvekuziva |
|---|---|---|
| X-ray yakajairika | Izvi hazvibatsiri zvakanyanya pakutanga kwekurwadziwa kwemusana. Zvisinei, kana wakambova nekukuvara, une makore anopfuura makumi mashanu ekuberekwa, une dambudziko remapfupa rakaita seosteoporosis, kana kuti wave uchitora mishonga yesteroid kwenguva yakareba, X-ray inogona kudiwa. | MaX-ray anongoratidza mapfupa chete. Haaratidzi nyama dzakapfava, dzakadai sema disc ari pakati pemapfupa emusana kana tsinga. |
| Kuskena kweMRI | Iyi bvunzo yepamusoro-soro uye inodhura. Haikurudzirwi pakurwadziwa kwemusana. Zvisinei, inoitirwa kana paine fungidziro yechirwere chakakomba chingada kuvhiyiwa (semuenzaniso, hutachiona hwemusana, kenza, kutyoka, kana emergency senge Cauda Equina Syndrome). Inowanzo fungidzirwa kuti ndiyo inowana chikonzero kana kurwadziwa kwacho kwagara kuripo kweanopfuura mavhiki gumi nemaviri. | Kunewo matambudziko eMRI scans. Kunyangwe kune vanhu vane hutano hwakanaka vasina kurwadziwa kwemusana, MRI scans inogona kuratidza ma disc akatumbuka pakati pemapfupa emusana. Kuona chimwe chinhu chakadai kunogona kuita kuti ufunge kuti ichi ndicho chinokonzera kurwadziwa uye wobva watanga kurapwa zvisina kufanira. Saka, zvakakosha kuratidza MRI report kuna chiremba wako uye kutsvaga mazano pane kuedza kuzvitsanangura wega. |
| Myelogram uye CT scan | Iyi bvunzo inoshandiswa chete muzviitiko chaizvo, kazhinji kana uchironga kuvhiyiwa. Inosanganisira kubaya dhayi yakakosha mumusana uye kuita CT scan. | Nekuuya kweMRI, kushandiswa kwebvunzo iyi kwadzikira zvakanyanya. |
Chii chinonzi "Red Flags"?
Vanachiremba vanodana zviratidzo zvekunyevera kuti "red flags" zvinogona kuratidza chirwere chakakomba. Kana uine zviratidzo izvi, chiremba wako anogona kukutumira kuti uongororwe mifananidzo.
- Kudonha kana tsaona yakakura.
- Kudzikira kwehuremu uye fivha zvisingatsananguriki.
- Kusakwanisa kudzora weti kana tsvina (Iyi idambudziko guru. Unofanira kuenda kuchipatara nekukurumidza kuEmergency Department (ETU).
- Kurasikirwa nekunzwa kana kushaya simba kwemakumbo kunowedzera zvishoma nezvishoma.
- Kuva nenhoroondo yekare yekenza.
Miedzo yeTsitsi
Dzimwe nguva, kunyanya kana kurwadziwa kwacho kukaramba kuripo kwenguva yakareba, imwe bvunzo inoitwa kuti ione kuti tsinga yacho yakakuvara zvakadii chaizvo.
Inonzi Electromyogram (EMG) . Mubvunzo uyu, maelectrode madiki akafanana netsono anoiswa mutsandanyama uye mashandiro emagetsi anotariswa pakombiyuta. Bvunzo iyi inogona kurwadza zvishoma. Asi inobatsira chiremba kuona kana tsinga yakakuvara kana kuti dambudziko riri mutsandanyama, uye inogonawo kubatsira kuyera huwandu hwekukuvara kwetsinga.
Mharidzo Yekuenda Nayo Kumba
- Kurwadziwa kwemusana kwakajairika uye kazhinji, kunopera mukati memavhiki mashoma nekuzorora zvakanaka uye kurapwa kuri nyore.
- Hazvidi kuti nguva dzese paunorwadziwa nemusana, unofanira kuongororwa X-ray kana MRI. Kushandisa izvi zvisina kufanira kunogona kutambisa mari uye kukonzera kushushikana kusingakoshi.
- Chinhu chekutanga chichaita chiremba wako ndechekukuteerera uye kukuongorora. Ndiyo nhanho inonyanya kukosha pakuongorora chirwere.
- Vimba nezano rachiremba wako. Kana uchida kuongororwa, achakuudza kuti uuye.
- Kana uine zviratidzo zve "red flag", zvakaita sekurasikirwa nekudzora weti/tsvina, kurasikirwa nesimba kwemakumbo ako kamwe kamwe, enda kuchipatara Emergency Department (ETU) nekukasika.
- Usafunge kuti une chirwere chimwe chete nekungotarisa MRI report yeshamwari kana hama yako. Mamiriro emunhu mumwe nemumwe akasiyana. Gara uchikurukura zvabuda muongororo yako nachiremba wako.
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