Intlungu yomqolo yingxaki eqhelekileyo kwilizwe lethu. Ngamanye amaxesha, xa uphumle kancinci, xa ungenzi nto, iyaphela. Kodwa ngamanye amaxesha, intlungu ayinyamezeleki, size ke sidibane nogqirha. Ngoko ke xa uya kugqirha, unombuzo omkhulu engqondweni yakho, 'Owu, baza kundixelela ukuba ndithathe i-X-ray ngoku? Okanye kuza kufuneka ndenze i-MRI?' Abantu abaninzi bayazoyika ezi mvavanyo. Kweli nqaku, siza kuthetha ngohlobo lovavanyo oluqhutywa ngugqirha ukuze afumane unobangela wentlungu yakho yomqolo, kunye nokuba wonke umntu uyazifuna na ezi mvavanyo.
Into yokuqala ugqirha aza kukubuza yona (imbali yakho yezonyango)
Xa usiya kugqirha, into yokuqala ayenzayo kukungakuniki amayeza okanye aku-odole iimvavanyo. Uqala ngokuthetha nawe, akubuze imibuzo embalwa, aze azame ukufumana ulwazi oluninzi kangangoko. Usenokuba uzibuza, "Kutheni undibuza ngokukhwehlela kwam, umkhuhlane, kunye nentlungu yesisu xa ndinentloko ebuhlungu?" Kodwa yonke le mibuzo ibaluleke kakhulu ekufumaneni unobangela wentlungu yakho yomqolo.
Khawucinge, Gqirha, ungabuzwa izinto ezinje:
- Intlungu yaqala njani? Ngaba ngequbuliso uzive ngathi umqolo wakho "uqhawukile" xa uphakamisa into enzima? Okanye intlungu yaya isiba mandundu kancinci kancinci imihla ngemihla?
- Yintoni eyenza intlungu ibe mandundu/ibe mandundu? Injani intlungu xa ugoba phambili, uhleli, umile, okanye ulele ebusuku? Ngaba ukwenza nantoni na kuyenza ibe mandundu intlungu?
- Ngaba le ntlungu yakha yenzeka ngaphambili?
- Ngaba ukhe waba nezinye izifo kutshanje? Umzekelo, ukukhwehlela, umkhuhlane, ubunzima bokuchama, iintlungu zesisu , njl. Ngamanye amaxesha iintlungu zomqolo zinokubangelwa lusulelo oluvela kwenye indawo emzimbeni.
- Ukuba ungumfazi, usenokuva nangokuphuma kwegazi okungaqhelekanga, iintlungu, okanye ukuphuma kolwelo oluphuma kwilungu lobufazi. Oku kungenxa yokuba ezinye iimeko zesinqe zinokubangela iintlungu emqolo.
Ngamafutshane, ezi mpendulo ziya kunceda ugqirha ukuba aqonde ngcono imeko yakho. Ngoko ke , kubaluleke kakhulu ukuthetha inyani ngaphandle kokufihla nantoni na.
Okulandelayo, uvavanyo lomzimba.
Emva kokukubuza umbuzo, ugqirha uza kukuxilonga. Oku kubizwa ngokuba luvavanyo lomzimba . Eyona nto iphambili apha kukujonga nawuphi na umonakalo okanye ucinezelo kwimithambo-luvo eqala emqolo ukuya emilenzeni.
- Uvavanyo lokuhamba: Uza kucelwa ukuba uhambe ngezithende zakho umgama omfutshane, uze uhambe ngeenzwane. Oku kunokukunika umbono wamandla emisipha yakho kunye nokusebenza kwemithambo-luvo.
- Uvavanyo lwe-Reflex: Ugqirha uza kukubetha umva wedolo lakho kunye neqakala ngesando serabha. Ukuba imithambo-luvo isebenza kakuhle, umlenze wakho uza kushukuma ngokuzenzekelayo ngeli xesha.
- Uvavanyo lokuphakamisa imilenze: Uza kucelwa ukuba ulale ebhedini uze uphakamise umlenze omnye uqonde phezulu. Usenokucelwa ukuba wenze oku ngoncedo lukagqirha okanye ngaphandle koncedo lwakhe. Oku kujonga ikakhulu uxinzelelo kwi- sciatic nerve, i-nerve enkulu eqala ngasemva iye emlenzeni.
- Uvavanyo lweemvakalelo: Into encinci, efana nephini okanye ikliphu yephepha, iya kusetyenziselwa ukuchukumisa iindawo ezahlukeneyo zemilenze yakho kwaye ubuze, "Ngaba kukho into oyivayo?" Oku kunokunceda ekuqinisekiseni ukuba kukho umonakalo kwimithambo-luvo ethwala imizwa emilenzeni yakho.
- Ezinye iimvavanyo: Ukuba ugqirha wakho urhanela ukuba kukho imeko embi kakhulu, angakuhlola nesisu sakho, isinqe, okanye i-rectum. Ukulahlekelwa kulawulo lwesinyi kunye namathumbu, ingakumbi ukuba imithambo-luvo esezantsi komqolo yonakele, kusenokuba yimbangela. Ezi mvavanyo zinokufuneka ukuze kuthintelwe imeko embi kakhulu.
Ngaba wonke umntu uyayidinga i-X-ray okanye i-MRI? - Uvavanyo lwemifanekiso
Yile nto abantu abaninzi abayicinga kakhulu. Ngaba uyayidinga i -X-ray okanye i-MRI xa unesilonda emqolo?
Impendulo ithi, hayi . Asinguye wonke umntu ofuna olu hlobo lovavanyo olukhethekileyo kwangoko xa eqala ukuba neentlungu zomqolo. Enyanisweni, malunga ne-90% yabantu abaneentlungu zomqolo bayaphola kwisithuba senyanga. Ngoko ke, ngaphandle kokuba kukho imiqondiso ethile yesilumkiso (iimpawu ezibomvu), akukho sizathu sokwenza olu hlobo lovavanyo kwiiveki zokuqala ezi-4-6.
Kulungile, masibone ukuba zeziphi ezi mvavanyo kwaye zisetyenziswa kwiimeko ezinjani.
| Igama lovavanyo | Isetyenziswa phantsi kweziphi iimeko? | Izinto ezibalulekileyo ekufuneka uzazi |
|---|---|---|
| I-X-reyi eqhelekileyo | Oku akuncedi kakhulu kwizigaba zokuqala zentlungu yomqolo eqhelekileyo. Nangona kunjalo, ukuba ukhe waba nengozi, uneminyaka engaphezu kwama-50 ubudala, unesifo sokubhitya kwamathambo esifana ne-osteoporosis, okanye ubusebenzisa ii-steroids ixesha elide, i-X-ray ingafuneka. | Ii-X-reyi zibonisa amathambo kuphela. Azibonisi izicubu ezithambileyo, ezifana neediski eziphakathi kwamathambo omqolo okanye imithambo-luvo. |
| Iskeni yeMRI | Olu luvavanyo oluphambili kakhulu nolubiza kakhulu. Alukhuthazwa kwiintlungu zomqolo ngokubanzi. Nangona kunjalo, lwenziwa ukuba kukho isikrokro semeko enzima enokufuna utyando (umzekelo, usulelo lomqolo, umhlaza, ukwaphuka kwamathambo, okanye imeko engxamisekileyo efana neCauda Equina Syndrome). Kudla ngokucingelwa ukuba kufumaneke unobangela ukuba intlungu iqhubeke kangangeeveki ezingaphezu kwe-12. | Kukwakho neengxaki nge-MRI scans. Kwanakwii-MRI scans zabantu abaphilileyo abangenazo iintlungu zomqolo, i-MRI scans inokubonisa ii-disc ezivuvukileyo phakathi kwamathambo omqolo. Ukubona into efana nale kunokubangela ukuba ucinge ukuba le yimbangela yentlungu kwaye ubhenele kunyango olungeyomfuneko. Ke ngoko, kubaluleke kakhulu ukubonisa ingxelo ye-MRI kugqirha wakho kwaye ucele ingcebiso kunokuzama ukuyitolika ngokwakho. |
| I-Myelogram kunye ne-CT scan | Olu luvavanyo olusetyenziswa kuphela kwiimeko ezithile, rhoqo xa kucwangciswa utyando. Lubandakanya ukufaka idayi ekhethekileyo emgogodleni nokwenza i-CT scan. | Ngokufika kwe-MRI, ukusetyenziswa kolu vavanyo kuye kwehla kakhulu ngoku. |
Zithini "iiFlegi eziBomvu"?
Oogqirha babiza iimpawu zesilumkiso "ezibomvu" ezinokubonisa imeko enzulu yempilo. Ukuba unale mpawu, ugqirha wakho unokukuthumela ngoko nangoko ukuze uvavanywe imifanekiso.
- Ukuwa okanye ingozi enkulu.
- Ukwehla kobunzima obungachazekiyo kunye nomkhuhlane.
- Ukungakwazi ukulawula umchamo okanye ilindle (Le yimeko engxamisekileyo kakhulu. Kufuneka uye kwiSebe leNgxamiseko (ETU) lesibhedlele ngoko nangoko.
- Ukuncipha kancinci kancinci kokuziva okanye ubuthathaka emilenzeni.
- Ukuba nembali yangaphambili yomhlaza.
Uvavanyo lweMithambo
Ngamanye amaxesha, ingakumbi ukuba intlungu iqhubeka ixesha elide, kwenziwa olunye uvavanyo ukuze kufunyaniswe ukuba bungakanani na umonakalo owenziweyo kwimithambo-luvo.
Ibizwa ngokuba yi-Electromyogram (EMG) . Kolu vavanyo, kufakwa ii-electrode ezincinci ezifana nenaliti kwimisipha kwaye umsebenzi wombane ujongwa kwiscreen sekhompyutha. Olu vavanyo lunokuba buhlungu kancinci. Kodwa lunceda ugqirha ukuba afumanise ukuba umthambo wonakele okanye ingxaki isezihlunwini, kwaye lunokunceda ekulinganiseni ubungakanani bomonakalo wemithambo-luvo.
Umyalezo Wokuya Ekhaya
- Iintlungu zomqolo zixhaphake kakhulu kwaye kwiimeko ezininzi, ziyaphela kwiiveki ezimbalwa ngokuphumla ngokufanelekileyo kunye nonyango olulula.
- Akusoloko kufuneka uhlolwe i-X-ray okanye i-MRI xa unentlungu emqolo. Ukuzisebenzisa ngokungeyomfuneko ezi zinto kunokuba kukuchitha imali kwaye kubangele uxinzelelo olungeyomfuneko.
- Into yokuqala ugqirha wakho aza kuyenza kukumamela aze akuhlole. Elo lelona nyathelo libalulekileyo ekuxilongweni.
- Thembela kwingcebiso kagqirha wakho. Ukuba kufuneka uvavanyo, ngokuqinisekileyo uza kukuthumela kulo.
- Ukuba uneempawu "ezibomvu", ezinje ngokulahlekelwa kulawulo lomchamo/indle, ukuphelelwa ngamandla ngequbuliso emilenzeni yakho, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
- Musa ukucinga ukuba unesifo esifanayo ngokujonga nje ingxelo ye-MRI yomhlobo okanye yesalamane. Imeko yomntu ngamnye yahlukile. Soloko uxoxa ngeziphumo zovavanyo lwakho nogqirha wakho.
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