Wave uchitambura nekurwadziwa kwemusana kwenguva yakati here? Ungave wakatoona chiremba uye wakamboongororwa senge X-ray, CT scan, kana MRI scan. Asi dzimwe nguva, kunyangwe bvunzo idzi hadzigone kutsanangura chikonzero chaicho chekurwadziwa kwako. Muzviitiko zvakadaro, chiremba wako anogona kukurudzira bvunzo yakakosha inogona kutarisisa nyaya yacho zvakadzama. Ndizvo zvatichataura nezvazvo muchinyorwa chino nhasi. Inonzi myelogram .
Zvichitaurwa zviri nyore, chii chinonzi myelogram?
Funga nezvazvo nenzira iyi: X-ray yenguva dzose yakafanana nemufananidzo wemapfupa edu mutema nemuchena. Inoratidza zvinhu zvakaita sekutyoka nekutyoka kwemapfupa zvakajeka. Asi hairatidzi zvinhu zvakapfava zvakaita setsinga nemusana zviri mukati memusana zvakajeka.
Myelogram inzira inoita kuti zvinhu izvi zvinyatsooneka. Dhayi chaiyo, kana kuti zvinhu zvakasiyana, zvinoshandiswa kuita izvi. Kana dhayi iyi ikapinzwa mumuzongoza, inopenya chena paX-ray kana CT scan. Kungofanana nekuvhenekesa tochi muimba ine rima, dhayi iyi inobvumira chiremba kuona zvese zviri mukati memuzongoza, kusanganisira muzongoza, nzira dzetsinga, uye kubatana kuripo pakati pemapfupa emuzongoza.
Munguva yekuongororwa uku, chiremba anogona kuona dhayi richifamba nemumusana wako ari mupenyu pachikirini, sevhidhiyo. Nzira iyi inonzi fluoroscopy .
Ungave wakambonzwa chiremba achitaura zvinhu zvakaita se 'cervical myelogram' kana 'lumbar myelogram'. Usavhunduke nazvo. Hadzisi bvunzo mbiri dzakasiyana. Dzinongoreva kuti bvunzo iri kuitwa kumusana wako kupi. Semuenzaniso, kana chikamu chemutsipa wako (cervical spine) chiri kuongororwa, i 'cervical myelogram'. Kana chikamu chemusana wako wezasi (lumbar spine) chiri kuongororwa, i 'lumbar myelogram'.
Sei chiremba angaraira myelogram?
Kazhinji, kana uchirwadziwa nemusana, chiremba anotanga akurudzira kuti uite CT scan kana MRI scan. Kazhinji, bvunzo idzi dzinogona kubatsira kuona chikonzero. Zvisinei, kana pasina bvunzo idzodzo, myelogram inowanzo rairwa kuti uwane rumwe ruzivo.
Bvunzo iyi inobatsira zvikuru pakuona mamiriro ezvinhu anotevera.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Dhisiki ine herniated | Dhisiki re herniated chirwere apo chikamu chemusana chakaita sejelly chiri pakati pemapfupa maviri emusana chinobuda chodzvanya tsinga. Ichi chirwere chinokanganisa vanhu vazhinji. |
| Arthritis muzvibatanidzwa zvemusana | Nekukwegura kana nekuda kwezvimwe zvikonzero, majoini ari pakati pemusana anopera, anozvimba, uye anorwadziwa. |
| Stenosis yemusana | Chikamu chemusana chakaita sechubhu chinofambiswa netambo yemusana netsinga chinotetepa, zvichidzvanya tsinga. |
| Mafupa anobuda / Osteophytes | Pamusoro pemapfupa emusana, zvidimbu zvidiki zvemapfupa zvinoumbwa, izvo zvinokwiza tsinga, zvichikonzera kurwadziwa. |
| Mabundu emusana | Mabundu ane kenza kana kuti asiri ekenza anoumbwa pamusana uye anomanikidza tsinga. |
Uyezve, kana wakambovhiyiwa musana nguva pfupi yadarika uye wava nekurwadziwa kutsva kana kuti kusanzwa simba mumakumbo ako, chiremba wako anogona kukurudzira kuti uwane myelogram kuti aone chikonzero chacho.
Ndinofanira kugadzirira sei myelogram isati yaitwa?
Chiremba wako achakupa mirayiridzo yakajeka yezvaunofanira kuita usati waongororwa. Asi kazhinji, ngatitarisei kuti unofanira kugadzirira sei. Kutevera matanho aya kwakakosha zvikuru kuti bvunzo ibudirire, handiti?
| Zvekuita | Pfungwa dzakakosha |
|---|---|
| Gadzirira mota. | Hauzokwanisi kutyaira mota uri wega mushure mekuongororwa nekuti ungangopihwa mushonga wekunyaradza kuti urarame. Saka, ungangoda kufonera shamwari kana nhengo yemhuri kuti ikuendese kumba. |
| Inwa mvura yakawanda. | Kutanga zuva risati rasvika bvunzo, tanga kunwa girazi remvura (4-8 ounces) maawa maviri ega ega. Zvakakosha kudzivirira kupera mvura mumuviri. |
| Kutsanya | Usadye chikafu chakasimba kwemaawa matanhatu usati waongororwa. |
| Zvinwiwa zvine mvura | Unogona kunwa mvura yakachena kusvika maawa matanhatu usati waongororwa. Mienzaniso inosanganisira mvura, tii isina mukaka/kirimu, kofi nhema, soda yakachena, muto wemichero usina shuga, uye muto wesobho. |
| Kana uine chirwere cheshuga: | |
| Insulin | Inwa mushonga we insulin waunowanzo tora, asi tanga wataura nachiremba wako nezvazvo. |
| Kuziva | Yeuchidzai vashandi kuti mune chirwere cheshuga kana mangoenda kuchipatara kunoongororwa. |
Kazhinji, kuongororwa kweropa hakudiwi usati waongororwa. Zvisinei, kana uine dambudziko reropa, rakadai sekushaya mvura mumuviri kana chirwere cheitsvo chisingaperi (CKD), chiremba wako anogona kuraira kuongororwa kunodiwa.
Chii chinoitika panguva yebvunzo?
Hauzove usina chaunoziva zvachose panguva iyi, asi unogona kupihwa mushonga wekukubatsira kuzorora. Nyanzvi yeX-ray neTechnologist vachave vari mukamuri newe panguva yese yebvunzo, saka hapana chikonzero chekutya.
Heino nhanho nhanho yezvakamboitika panguva yebvunzo:
1. Kugadzirira: Kutanga, ucharadzikwa patafura yekuongororwa, kungave nedumbu rako kana kuti nerutivi rwako.
2. Kuchenesa: Musana wako wepazasi uchacheneswa zvakakwana nemushonga unouraya utachiona.
3. Kusanzwa Kunzwa: Tevere, mushonga weanesthesia wemunharaunda unobayiwa kuti urege kunzwa kurwadziwa panzvimbo panopinda tsono.
4. Kubaya dhayi: Iye zvino ndicho chinhu chinonyanya kukosha. Chiremba weX-ray achabaya dhayi chaiyo (zvinhu zvakasiyana) nokungwarira mubhegi rine mvura rakatenderedza musana wako. Unganzwa kubatwa zvishoma panguva iyi.
5. Kurereka kwemubhedha: Kuti dhayi ienderere panzvimbo yakakodzera mumusana wako, muongorori acharereka mubhedha wauri pauri zvishoma. Unogonawo kukumbirwa kuti utendeutse musoro wako zvishoma.
6. Kutora mifananidzo: Kana dhayi yasvika panzvimbo dzakakodzera, mifananidzo yeX-ray neCT scan inotorwa.
Maitiro ese anowanzo tora awa imwe chete. Panogona kunge paine kusagadzikana kana musoro mudiki.
Chii chinoitika mushure mekuongororwa? Zvinotora nguva yakareba sei kuti munhu apore?
Kana bvunzo yapera, muchachengetwa muchiongororwa muchipatara kweinenge awa. Muchabvumirwa kuenda kumba chete kana zvasimbiswa kuti zvese zvakanaka. Muchapihwa mirairo yakanyorwa yekutevedzera mushure mekunge maenda kumba. Chiremba weX-ray achatumira mushumo webvunzo kuna chiremba wenyu wekutanga (PCP).
Kazhinji uchava wadzokera pamaitiro ako mukati memaawa makumi maviri nemana. Kuzorora panguva iyi kwakakosha zvikuru nekuti kunogona kuderedza njodzi yekubuda kwemvura yemuuropi nemumusana (CSF). Unogona kudzokera kumabasa ako emazuva ese mushure mezuva rimwe chete.
Iva nechokwadi chekuita zvinhu izvi paunenge uchipora uri kumba:
- Ramba wakasimudza musoro wako: Ramba wakasimudza musoro wako kupfuura muviri wako wese sezvinobvira. Shandisa mapiro maviri kana matatu paunenge wakarara pasi.
- Rara pasi nemanhede: Edza kurara pasi nemanhede pamubhedha zvakanyanya sezvinobvira.
- Inwa mvura yakawanda: Inwa mvura yakawanda nezvimwe zvinwiwa. Izvi zvichabatsira kubvisa dhayi mumuviri wako uye kuderedza misoro. Asi dzivisa doro.
- Dzivisa kusimudza zvinorema:Usasimudza zvinorema kana kuita maekisesaizi anorema kwezuva rimwe kana maviri.
- Mishonga yemusoro: Kana uine musoro, unogona kubvunza chiremba wako nezvekutora mushonga wekuderedza marwadzo wakaita separacetamol. Uyewo, kunwa zvinwiwa zvine caffeine (kofi, tii) dzimwe nguva kunogona kubatsira kuderedza misoro.
Migumisiro uye nguva yekutaura nachiremba wako
Vanhu vanosvika gumi muzana (10%) vanoongororwa myelogram vanogona kusangana nematambudziko madiki. Izvi zvinowanzopera mukati mezuva rimwe chete kana maviri. Zvisinei, zvakakosha kuziva zviri nyore uye zvakakomba.
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro inowanzoonekwa uye inopera mukati mezuva rimwe kana maviri | |
| Musoro | Uyu ndiwo mhedzisiro inonyanya kuitika. |
| Kusvotwa nekurutsa | Vamwe vanhu vanogona kunzwa kuda kurutsa kana kurutsa. |
| Zviratidzo zvakakomba zvinofanira kuudzwa chiremba wako nekukasika | |
| Musoro unogara uchirwadza | Musoro wakakomba usingagone kudzorwa nemishonga inonyaradza marwadzo kana kuzorora. |
| Kupindwa nechando | Kupisa kwemuviri kuri pamusoro pe101 Fahrenheit (38.3 Celsius). |
| Mutsipa wakaoma | Kuoma kwemutsipa uye kurwadziwa kunoita kuti zvisakwanise kukotama. |
| Kuveveve/kuzvimba mumakumbo | Kunzwa kusanzwa zvakanaka, kutsva, kana kunzwa sekuti makumbo haana kana simba. |
| Zvimwe zvinhu | Mvura kana kurwadziwa kubva panzvimbo yetsono, kuoma kuita weti, kufenda. |
Kana ukaona chimwe chezviratidzo izvi zvakakomba, usanonoka. Fonera chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Uyu muedzo unorwadza zvikuru here?
Izvi hazvinzwike zvakafanana kune wese munhu. Asi haisi bvunzo inorwadza zvisingatsungiririki. Zvisinei, unogona kunzwa kusagadzikana kudiki.
- Unganzwa kurira kukuru kana dei raboorwa.
- Kana tsono yaiswa, unogona kunzwa kubatwa nemagetsi negaro rako kana gumbo kweinenge sekondi.
- Kana dhayi ikapinda mumuviri, unogona kunzwa kudziya kwenguva pfupi, kuravira kwesimbi mumuromo mako, kana kuda kurutsa .
Yeukai, timu yezvekurapa inogara ichiedza kukuita kuti unzwe wakasununguka sezvinobvira uye kupedzisa kuongororwa nekukurumidza sezvinobvira.
Chekupedzisira, myelogram chishandiso chakakosha chekutsvaga chikonzero chaicho chekurwadziwa kwemusana kwave kuchikunetsa kwenguva yakareba uye kusingaonekwe nekuongororwa nguva dzose. Neruzivo rwakajeka rwunopa, chiremba wako anogona kutanga chirongwa chekurapa chakakunakira. Saka, kana chiremba akakurudzira bvunzo iyi, usatya kuenda mberi nekuwana chokwadi.
Mharidzo Yekuenda Nayo Kumba
- Myelogram inzira yekuongorora mifananidzo inoshandisa dhayi yakakosha kuti ibudise mifananidzo yakajeka yemutsipa wemusana netsinga dzawo.
- Bvunzo iyi inowanzo kurudzirwa kana chikonzero chekurwadziwa kwemusana chisingazivikanwe zvakajeka neCT kana MRI scans.
- Zvakakosha kunyatsotevera mirairo yachiremba usati waongororwa (kutsanya, kunwa mvura) uye mushure mekuongororwa (kuzorora, kudzivisa kurovedza muviri zvakanyanya).
- Kunyange hazvo matambudziko madiki akadai semusoro nekurutsa zvichiwanzoitika, zivisa chiremba wako nekukasika kana ukaona zviratidzo zvakakomba zvakaita sefivha yakanyanya, mutsipa wakaoma, kana kuti kusanzwa simba mumakumbo ako.
- Kana muine zvinokunetsai kana kuti zvamunotya nezvebvunzo, taurai nezvazvo pachena nachiremba wenyu.
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