Nokuba uthatha amayeza angakanani na kunye nonyango lomzimba, iintlungu zakho zomqolo azipheli? Ngamanye amaxesha, nokuba usebenzisa ii-MRI kunye ne-CT scans, kunzima ukufumana unobangela ochanekileyo. Namhlanje, sithetha ngovavanyo olukhethekileyo olunokuthi lucetyiswe ngugqirha wakho kwiimeko ezinjalo. Yiyo leyo iDiscogram. Eli gama lisenokuba litsha kuwe. Kodwa ungakhathazeki, masilichaze ngokulula.
Kalula nje, yintoni le Discogram?
I-discogram (ngamanye amaxesha ibizwa ngokuba yi-discography) luvavanyo olukhethekileyo lokujonga imifanekiso olunokunceda ekufumaneni unobangela weentlungu zomqolo ezihlala ixesha elide. Inokunceda ekufumaneni ukuba idiski ehluthwe okanye eyonakeleyo yimbangela yeentlungu zakho zomqolo.
Khawucinge nje, umqolo wethu wenziwe yinqwaba yamathambo amancinci (ii-vertebrae) abekwe phezu komnye nomnye. Ukuthintela la mathambo ukuba angakhuhlani, kukho imiqamelo efana ne-spong phakathi kwawo. Siwabiza la ma-spinal disc. Xa la ma-disc onakele, intlungu yomqolo idla ngokuvela.
Oogqirha badla ngokuyalela uvavanyo olufana ne-CT scan okanye i-MRI scan ukuze bafumane unobangela wentlungu yomqolo. Nangona kunjalo, kukho izizathu ezahlukeneyo zokuba kwenziwe i-discogram:
- Nokuba emva kwezinye iimvavanyo, kufuneka iinkcukacha ezithe vetshe ukuqinisekisa ukuxilongwa .
- Ukuba usenentlungu emqolo emva kokusela amayeza kunye nonyango lomzimba.
- Ngamanye amaxesha olu vavanyo lwenziwa ngaphambi kotyando lokuhlanganisa umqolo ukuqinisekisa ukuba yeyiphi na idiski ekufuneka isuswe .
Ukuba uneentlungu entanyeni okanye emqolo ongasentla, kwenziwa i-discogram yomlomo wesibeleko. Ukuba uneentlungu emqolo ongasentla, kwenziwa i-discogram yomqolo ongasentla.
Kukho into ebalulekileyo ekufuneka uyikhumbule apha. Idiski ene-herniated ayisoloko ibangela iintlungu. Yingakho kukho izimvo ezahlukeneyo phakathi koogqirha malunga nolu vavanyo. Nangona kunjalo, uninzi loogqirha lukholelwa ukuba yindlela elungileyo yokuqinisekisa ingxaki efunyenwe kwi-CT okanye kwi-MRI scan.
Lusebenza njani olu vavanyo?
I-discogram isebenzisa indlela ebizwa ngokuba yi -fluoroscopy ukubona indlela amathambo kunye neediski zomqolo wakho ezihamba ngayo. Ngamafutshane, kufana ne-X-ray yevidiyo . Oku kuthetha ukuba ugqirha wakho unokubona okwenzekayo ngaphakathi ngexesha langempela.
Kule meko, ugqirha ufaka ulwelo olukhethekileyo (izinto ezichaseneyo) kwidiski nganye yomqolo wakho. Olu lwelo lwenza iindawo ezinengxaki zibonakale ngokucacileyo.
- Ukuba ulwelo luhlala ngaphakathi kwidiski, oko kuthetha ukuba idiski iphilile .
- Ukuba ulwelo lusasazeka lusuka kumda ongaphandle wediski, oko kuthetha ukuba idiski igugile okanye yonakele.Kusenokubakho.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Ugqirha wakho uza kukucebisa ngale nto. Ngokubanzi, kufuneka uqaphele oku kulandelayo:
- Xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini kunye nezongezo).
- Qiniseka ukuba usazisa ngazo naziphi na izinto ezibangela ukuba ungabi namdla .
- Ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe, kufuneka ubaxelele ngokuqinisekileyo.
- Zisa umntu oza kukuyisa ekhaya. Uza kunikwa amayeza okukwenza uzive unesizungu, ngoko awuyi kukwazi ukuqhuba imoto wedwa emva kovavanyo.
Kwenzeka ntoni ngexesha lokwenziwa kweDiscogram?
Xa usiya esibhedlele, uza kuthathwa usiwe kwigumbi le-X-ray uze ulaliswe ebhedini. Oku kwenziwa ngokubeka imiqamelo ecaleni ukuze uzive ukhululekile.
Ixesha elininzi, uza kunikwa i-IV (intravenous) sedation ukukunceda uphumle ngeli xesha lovavanyo. Oku kuthetha ukuba i-IV ifakwa emthanjeni osengalweni yakho kwaye unikwa amayeza okukuphumza. Ungakhathazeki, iqela lezonyango liza kuqhubeka nokujonga amanqanaba akho eoksijini, uxinzelelo lwegazi, kunye nesantya sentliziyo kulo lonke uvavanyo.
Wakuba ukhululekile, ugqirha uza kulandela la manyathelo:
1. Okokuqala, indawo encinci yomqolo ivalwe yi-anesthesia yendawo .
2. Emva koko, phantsi kwesikhokelo se-X-ray (fluoroscopy), inaliti ifakwa ngononophelo olukhulu kwi-intervertebral disc .
3. Izinto ezibonisa umahluko zifakwa kwidiski kwaye inaliti isusiwe. Le yeyona nxalenye ibalulekileyo. Ukuba idiski yonakele, unokufumana intlungu yomqolo efanayo naleyo uhlala uyiva. Ugqirha uza kukubuza ngentlungu, njengokuthi ibuhlungu phi.
4. Ukuba kuyimfuneko, yenza oku kwiidiski ezininzi.
5. Okokugqibela, kufakwa ibhendi encinci kwiindawo apho inaliti ifakwe khona.
Ngexesha le discogram, imifanekiso ithathwa kusetyenziswa i-fluoroscopy. Ngamanye amaxesha, i-CT scan okanye i-MRI inokwenziwa emva koku. Ngokwenza uvavanyo olungaphezulu kolunye, ugqirha unokufikelela kwisigqibo esichanekileyo malunga nemeko yakho.
Ukususela ekuqaleni ukuya ekupheleni, yonke le nkqubo idla ngokuthatha malunga neyure.
Yintoni onokuyilindela emva kovavanyo?
Ungaziva iintlungu kunye nokungakhululeki kwindawo ehlatywe kuyo inaliti kangangeeyure ezimbalwa emva kovavanyo. Ungayiphelisa le nto ngokufaka umkhenkce ekhaya. Songa ipakethe yomkhenkce ngetawuli uze uyibeke kwindawo ebuhlungu imizuzu engama-20, uze uyisuse imizuzu engama-20 . Yenza oku izihlandlo ezininzi ngemini. Ungathatha neyeza lokunciphisa iintlungu ezifana ne-acetaminophen okanye i-ibuprofen.
Ngaba kukho naziphi na iingozi koku?
Iingxaki ezivela kwi-discogram azixhaphakanga , kodwa kulungile ukuzazi. Nazi ezinye zeengxaki ezinokubakho.
| Iingxaki ezinokwenzeka |
|---|
| Usulelo |
| Ukopha |
| Intlungu iba mandundu kancinci ngaphambi kokuba iphole. |
| Ukonakala kwemithambo-luvo okanye imithambo yegazi |
| Ukungaziva okanye ubuthathaka bexeshana |
| Intloko ebuhlungu kunye nesicaphucaphu |
| Ulwelo oluchasene ne-aleji |
| Ukukhubazeka - Le yimeko engaqhelekanga kakhulu. |
Kuthatha ixesha elingakanani ukuphiliswa?
Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo (emsebenzini, esikolweni) kwiiyure ezingama-24, kodwa kungathatha iintsuku ezininzi ukuba iintlungu kwiindawo zokufaka inaliti ziphele ngokupheleleyo.
Zithini iziphumo zovavanyo?
Ingcali ye-radiology iza kuhlola iziphumo zovavanyo lwakho ize ijonge ukuba ulwelo lomahluko luhlale ngaphakathi kwidiski okanye luvuza na.
- Ukuba ulwelo luhlala ngaphakathi kwidiski, sisiphumo esiqhelekileyo (esingalunganga) . Oku kuthetha ukuba idiski isempilweni.
- Kodwa ukuba ulwelo luphuma kwidiski, oko kubonisa ukuba idiski yonakele kwaye igugile. Oko kuphumela okungaqhelekanga (okuhle) .
Ingcali ye-radiology iza kuthumela le ngxelo kugqirha wakho onyangayo. Ngokwesiqhelo uya kukwazi ukuxoxa naye ngeziphumo kwisithuba seveki.
Kuza kwenzeka ntoni emva koko? Ndifanele ndithethe nini nogqirha ?
Ukuba iziphumo aziqhelekanga, amanyathelo alandelayo aya kuxhomekeka kwimeko yakho. Ugqirha wakho angagqiba ekubeni enze olunye uvavanyo. Okanye angacebisa ukuba kwenziwe i-spinal fusion, equka ukususa i-disc eyonakeleyo kunye nokudibanisa amathambo omqolo.
| Ukuba unale mpawu, fowunela ugqirha wakho ngokukhawuleza. | |
|---|---|
| • | Umkhuhlane ongaphezulu kwe-101 Fahrenheit (38.3 Celsius). |
| • | Ukutshintsha kombala, ukudumba, ukufudumala, okanye ulwelo olufana nobovu oluphuma kwindawo yenaliti. |
| • | Ukuqala okutsha kwentlungu yomqolo. |
| • | Ukuwohloka kwentlungu yomqolo ekhoyo. |
Ibuhlungu kangakanani i-discogram?
Lo ngumbuzo abantu abaninzi abawubuzayo. Liyinyaniso elokuba xa i-contrast medium ifakwa kwidiski eyonakeleyo, uya kuziva iintlungu. Kodwa eyona nto ibalulekileyo kukuba abantu abaninzi bathi iintlungu zifana kakhulu neentlungu zomqolo abazivayo yonke imihla. Nangona kusenokungakhululeki okwethutyana, kuya kunceda ugqirha ukuba afumane unobangela wentlungu yakho. Ke ngoko, kubaluleke kakhulu ukuchazela ugqirha ukuba zeziphi iintlungu ozivayo ngelo xesha.
Iintlungu zomqolo yimeko ehlala ihleli. Siyayiqonda ingxaki kunye nemvakalelo yokuba "Andisoze ndibe ngcono" xa uzama unyango ngalunye kodwa alusebenzi. Ayizizo zonke iintlungu zomqolo ezifuna i-discogram. Kodwa kwezinye iimeko, olu vavanyo lunokunceda ekufumaneni unobangela wentlungu yakho kwaye lususe ezinye iimeko. Ngoko ke, ukuba ubusoloko uneentlungu zomqolo ixesha elide, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- I-discogram luvavanyo olukhethekileyo lwe-X-ray olusetyenziselwa ukufumana unobangela weentlungu zomqolo ezihlala ixesha elide.
- Oku kudla ngokwenziwa xa unobangela ungacacanga nasemva kovavanyo olufana ne-CT okanye i-MRI.
- Ngexesha lovavanyo, usenokuva intlungu efanayo naleyo uhlala uyiva. Oku kunceda ugqirha ukuba abone eyona disc ebangela ingxaki.
- Umngcipheko weengxaki uphantsi kakhulu, kodwa ukuba ufumana umkhuhlane, ukudumba, okanye iintlungu ezikhulayo, kufuneka uxelele ugqirha wakho ngoko nangoko.
- Ugqirha wakho ngumntu ofanelekileyo ukugqiba ukuba olu vavanyo lukulungele na, ngoko qiniseka ukuba uxoxa naye ngayo yonke into ngokucacileyo.
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