Ngaba wakha waba neentlungu zomqolo okanye iintlungu ezihla ngemilenze yakho uze ungakwazi ukuqonda ukuba yintoni ebangela oko? Mhlawumbi ukhe wabona ugqirha kwaye mhlawumbi benze iimvavanyo ezifana ne-X-ray, i-CT scan, okanye i-MRI. Kodwa kuthekani ukuba abafumani nto icacileyo? Kulapho ugqirha angakucela ukuba wenze uvavanyo olukhethekileyo olubizwa ngokuba yi-myelogram. Masibone ukuba yintoni, yenziwa njani, kunye noko kufuneka ukwazi.
Yintoni iMyelogram?
Ngamafutshane, i-myelogram luvavanyo olukhethekileyo oluthatha imifanekiso eneenkcukacha zomqolo wakho. Kule nto, ulwelo olukhethekileyo (izinto ezichaseneyo) lusetyenziswa ukubona ngokucacileyo iingxaki zomqolo wakho kunye nemithambo-luvo kunye nezicubu ezithambileyo ezijikeleze wona. Cinga ngako, i-X-ray yomqolo eqhelekileyo ibonisa amathambo kuphela. Kuba ayisebenzisi olu hlobo lolwelo olukhethekileyo. Kodwa kwi-myelogram, olu lwelo lwenza umjelo wakho womgogodla, umjelo womqolo, kunye nemithambo-luvo ibonakale imhlophe kakuhle kwi-X-ray okanye kwi-CT scan. Oku kufana nendlela ebizwa ngokuba yi-fluoroscopy. Oku kuthetha ukuba ingcali yakho ye-radiologist inokuyibona le nto ihamba kumqolo wakho ngexesha langempela.
Usenokuba ukhe weva oogqirha bebiza oku ngokuthi 'yi-Cervical Myelogram' okanye 'yi-Lumbar Myelogram'. Ayizovavanyo ezahlukeneyo. Bathetha nje ukuba bafuna ukuthatha imifanekiso yeliphi icala lomqolo. Umzekelo, ukuba bafuna ukujonga icala lomqolo wakho, kuthiwa yi-cervical myelogram. Ukuba bafuna ukujonga icala lomqolo wakho, kuthiwa yi-lumbar myelogram. Uyayazi?
Kutheni ugqirha eyalela i-myelogram?
Ukuba uneentlungu ezingapheliyo emqolo, ugqirha wakho uya kuqala akuyalele i-CT scan okanye i-MRI ukuze afumane unobangela. Nangona kunjalo, ukuba akukho nanye kwezo vavanyo icacileyo, ugqirha wakho unokucebisa i-myelogram ukuze afumane okungakumbi.
Kukho izifo ezininzi ezinokufunyaniswa ngolu vavanyo. Umzekelo:
- Iidiski ezihlumayo/ezinamaqhuqhuva: Oku kubizwa ngokuba yi-'herniated disk'. Oku kuxa izicubu ezithambileyo eziphakathi kwamathambo omqolo ziphuma zize zicinezele imithambo-luvo.
- I-Arthritis kwi-spinal joints yakho: Oku kunokubangela ukudumba kunye nentlungu kwi-joints.
- I-Spine stenosis: Oku kwenzeka xa indawo engaphakathi komqolo incipha, nto leyo ebangela ukuba i-spinal cord okanye imithambo-luvo icinezelwe.
- Ii-Bone spurs / ii-Osteophytes: Ukwakheka kwezityalo ezincinci ezifana nee-spike emathanjeni.
- Iithumba zomqolo.
Kwakhona, ukuba usandul’ utyando lomqolo kwaye unentlungu entsha, engapheliyo okanye ubuthathaka, ugqirha wakho unokuyalela olu vavanyo lwe-myelogram.
Isebenza njani i-myelogram?
I-myelogram inokubona iingxaki ezingenakubonwa kwi-CT scan okanye kwi-MRI rhoqo. Iluncedo kakhulu ekuboneni ngokucacileyo ukuba amathambo, iidiski, kunye nezinye izicubu ezijikeleze umjelo womgogodla zicinezela imithambo-luvo okanye intambo yomgogodla.
Xa ingcali ye-radiologist ifaka ulwelo olukhethekileyo (izinto ezichaseneyo) emqolweni wakho, ulwelo luhamba kwindawo ejikeleze umqolo wakho. Imithambo-luvo yakho kunye nomqolo wakho zibonakala njengesithunzi kwi-X-ray okanye kwi-CT scan. Oku kuvumela ugqirha ukuba afumane iingxaki ezingenakukwazi ukwenziwa yi-X-ray eqhelekileyo.
Ndingayilungiselela njani i-myelogram?
Ugqirha wakho uza kukunika uluhlu oluneenkcukacha lwezinto ekufuneka uzenze ngaphambi kokuba ugqibezele i-myelogram yakho. Nangona kunjalo, ngokubanzi, khumbula ezi zinto:
- Thetha nomhlobo othembekileyo okanye ilungu losapho ukuba likuyise ekhaya. (Usenokunikwa iyeza lokuthomalalisa, ngoko ke akulunganga ukuqhuba emva kovavanyo.)
- Qala ukusela ulwelo oluninzi (iiglasi ezi-4-8) njengamanzi rhoqo emva kweeyure ezimbini ukususela ngosuku olungaphambi kovavanyo.
- Yeka ukutya iiyure ezintandathu ngaphambi kovavanyo. Nangona kunjalo, ungasela ulwelo olufana namanzi ukuya kuthi ga kwiiyure ezintandathu ngaphambi kovavanyo. Imizekelo: amanzi, iti engenaswekile, i-clear soda, ikofu enamandla, iziselo zeziqhamo ezingenaswekile, kunye nomhluzi wesobho.
Ukuba uneDiabetes Mellitus...
- Thatha idosi yakho yesiqhelo ye-insulin.
- Xa usiza kuhlolwa, khumbuza ugqirha kwakhona ukuba unesifo seswekile.
Ngokwesiqhelo, akufuneki vavanyo lwelabhoratri ngaphambi kokuba kwenziwe i-myelogram. Nangona kunjalo, ukuba unembali yeengxaki zegazi, imeko efana nokuphelelwa ngamanzi emzimbeni, okanye isifo sezintso esihlala ixesha elide njengeSifo sezintso esingapheliyo (CKD), ugqirha wakho unokuyalela uvavanyo lwegazi.
Kwenzeka ntoni ngexesha lovavanyo lwe-myelogram?
Awuyi kulaliswa ngexesha lovavanyo lwe-myelogram. Nangona kunjalo, unganikwa amayeza okuthomalalisa ukukunceda uphumle. Ingcali ye-radiology kunye netekhnoloji baya kuba nawe kwigumbi lonke.
Ngexesha lovavanyo, baya kwenza oku kulandelayo:
- Uza kucelwa ukuba ulale etafileni yovavanyo (ngesiqhelo ngesisu okanye ngecala).
- Indawo yakho esezantsi yomqolo icocwe nge-antiseptic, kwaye yiyo leyo.Iyeza lokubulala iintlungu (i-local anesthesia) liyafakwa.
- Emva koko, izinto ezibonisa umahluko zifakwa kwisingxobo esizaliswe lulwelo esijikeleze umqolo wakho. (Ungaziva uxinezelekile okanye ungakhululekanga ngeli xesha.)
- Itheyibhile yovavanyo ithambekele ngasemva nangaphambili kancinci. Oku kwenzelwa ukunceda ulwelo luhambe kakuhle kumqolo wakho. Ingcali ye-radiology ingakucela ukuba uthambekele okanye unikine intloko yakho.
- Emva koko, kuthathwa ii-X-ray kunye nee-CT scans zomqolo wakho.
Yonke le nkqubo idla ngokuthatha malunga neyure. Kusenokubakho ukungakhululeki okanye intloko ebuhlungu kancinci.
Kwenzeka ntoni emva kwe-myelogram?
Emva kovavanyo , oogqirha baza kukujonga kangangeyure. Baza kugqiba ukuba ukulungele na ukuya ekhaya. Baza kukunika imiyalelo ebhaliweyo malunga nento omawuyenze emva kokuba ubuyele ekhaya. Ingcali yakho ye-radiology iza kuthumela ingxelo eneenkcukacha kugqirha wakho oyintloko (PCP) okanye kugqirha okuthumelele umyalezo.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga ze-myelogram?
Malunga neshumi ekhulwini (10%) labantu banokufumana iziphumo ebezingalindelekanga emva kokuhlolwa kwe-myelogram. Iziphumo ebezingalindelekanga eziqhelekileyo eziphela kusuku olunye okanye ezimbini ziquka:
- Intloko ebuhlungu.
- Isicaphucaphu nokuhlanza.
Nangona kunjalo, ukuba unentloko ebuhlungu engapheziyo , okanye ukuba ufumana naziphi na ezi mpawu ziyingozi , kufuneka ufowunele ugqirha wakho ngokukhawuleza:
- Ifiva.
- Intamo eqinileyo.
- Ukuqaqamba kwemilenze yakho.
Kuthatha ixesha elingakanani ukuphola emva kovavanyo lwe-myelogram?
Ihlala ithatha malunga neeyure ezingama-24. Emva kovavanyo lwe-myelogram, kunokufuneka uhlale okanye ulale phantsi iiyure ezimbalwa. Ukuphumla ngokwaneleyo kunokunceda ukunciphisa umngcipheko wokuvuza kolwelo lomgogodla (CSF). Ungabuyela kwimisebenzi yakho eqhelekileyo emva kosuku olunye. Nangona kunjalo, ukuba intloko yakho iyaqhubeka, okanye ukuba uhlakulela ezinye iimpawu ezinzulu, ezinje ngomkhuhlane, intamo eqinileyo, okanye ukungakhululeki emilenzeni yakho, ngokuqinisekileyo kufuneka uxelele ugqirha wakho.
Nazi ezinye izinto onokuzenza ekhaya ukuze uphile ubomi obusempilweni:
- Zama ukugcina intloko yakho iphezulu kunomzimba wakho wonke. Zama ukuhlala uthe nkqo kangangoko unako.
- Sela iziselo ezininzi. Musa ukusela utywala konke konke.
- Xa uneentloko ezibuhlungu, zama into efana ne-acetaminophen kunye neziselo ezine-caffeine (ikofu, iti). Ezi ngamanye amaxesha zinokunceda ekunciphiseni intloko ebuhlungu ngokwazo.
- Musa ukuphakamisa naziphi na iintsimbi okanye wenze umthambo onzima kangangeeyure ezingama-24.
Ndiza kuzazi nini iziphumo ze-myelogram?
Emva kokuba ufumene ingxelo kwi-radiologist, ugqirha wakho oyintloko (PCP) okanye ugqirha okuthumelele umyalezo uya kuhlola iziphumo zovavanyo. Oku kudla ngokuthatha iintsuku ezimbalwa. Baza kukufowunela ukuze bakuchazele iziphumo baze bakuxelele into omawuyenze ngokulandelayo.
Ndifanele ndimtsalele nini ugqirha emva kokuhlolwa kwe-myelogram?
Emva kwe-myelogram, fowunela ugqirha wakho ngokukhawuleza ukuba kukho nayiphi na kwezi zilandelayo:
- Umkhuhlane ongaphezulu kwama-degrees Fahrenheit ali-101 (38.3 Celsius).
- Ukuba uziva unesizungu kwaye uzive ngathi ungawa (uphelelwa ngamandla).
- Ukuba imilenze yakho ayiziva okanye ulahlekelwa yimvakalelo (Ukurhawuzelela okanye ukungaziva emilenzeni yakho).
- Ukuba kukho intlungu okanye ukukhupha amanzi kufutshane nendawo yokutofa.
- Ukuba intamo iyaqina (Intamo eqinileyo).
- Intloko ebuhlungu engasayi kuphela.
- Ukungakwazi ukuchama .
Ibuhlungu kangakanani i-myelogram?
Impendulo yalo mbuzo iyahluka kumntu nomntu. Ukuba intlungu ayinyamezeleki, kungcono ukuba ungayi. Nangona kunjalo, unokufumana ukungakhululeki ngexesha lovavanyo, okufana noku:
- Kuvakala ngathi kukutyhala xa kufakwa ulwelo olukhethekileyo (izinto ezichaseneyo).
- Njengoko inaliti ishukunyiswa , intlungu ebukhali efana nombane ingavela ngequbuliso ecaleni kwempundu okanye emlenzeni .
Kwakhona, izinto ezichaseneyo zinokubangela izinto ezinje:
- Ukuziva ufudumele okanye ufudumele.
- Incasa yesinyithi emlonyeni wakho.
- Isicaphucaphu sexeshana.
Ugqirha wakho kunye neqela lakho baya kwenza konke okusemandleni abo ukukwenza uzive ukhululekile kwaye uvavanyo lwenziwe ngokukhawuleza, ngoko akukho nto ibalulekileyo.
Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)
Iintlungu zomqolo ezingapheliyo zinokususa ulonwabo ebomini bakho kwaye zikuthintele ekwenzeni izinto ozithandayo. Xa iiskeni eziqhelekileyo zingakuniki zimpendulo, kusenokuba lixesha lokuba wenze i-myelogram. Olu vavanyo lunokunceda ugqirha wakho afumanise ukuba yintoni ebangela ukungakhululeki kwakho kwaye lukuncede ufumane isisombululo esikusebenzelayo. Ngoko ke ukuba ugqirha ucebisa olu vavanyo, thetha ngalo, uluqonde, kwaye uqhubeke nalo. Siyathemba ukuba uza kufumana isiqabu kwingxaki yakho kungekudala!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni uvavanyo lweMyelogram?
Olu luvavanyo olukhethekileyo olwenziwa nge-X-ray okanye i-CT scan ukuze kubonwe ngokucacileyo ukuba intambo yomgogodla kunye nemithambo-luvo yayo ehamba emgogodleni wethu icinezelwe (incinwe) xa sineentlungu ezingapheliyo zomqolo okanye ukungaziva emilenzeni yethu.
💬 Ingaba oku kwahlukile kune-MRI yomqolo eqhelekileyo?
Ewe. Abanye abantu abanakukwazi ukwenza i-MRI ukuba baneentonga zesinyithi, ii-pacemaker, okanye iiphini ezivela kutyando lwangaphambili. Oku kusetyenziswa ngakumbi kwabo bantu, ukujonga ucinezelo lweengcambu zemithambo-luvo olungabonakaliyo olungenakubonwa yi-MRI.
💬 Ingaba olu vavanyo lubuhlungu kwaye lunzima?
Kolu vavanyo, kufakwa inaliti kumqolo ongezantsi (indlela yeSpinal Tap) kwaye kufakwa idayi ekhethekileyo (umahluko) emanzini ngaphakathi kwintambo yomqolo. Ngenxa yoko, ungaziva ungakhululekanga kwaye uneentlungu xa kufakwa inaliti. Usenokuba nentloko ebuhlungu emva kovavanyo, ngoko kuya kufuneka uhlale ebhedini usuku lonke.
I- Myelogram, i-Myelogram, Intlungu Yomqolo, Uvavanyo Lwentambo Yomgogodla, Intambo Yomgogodla, Imithambo-luvo, I-CT Scan, i-MRI, Uvavanyo Lwezonyango
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