Ngaba ubusoloko uneentlungu zomqolo okwethutyana? Usenokuba sele ukhe wabona ugqirha waza wenza iimvavanyo ezifana ne-X-ray, i-CT scan, okanye i-MRI scan. Kodwa ngamanye amaxesha, nezi vavanyo azikwazi ukubona unobangela wentlungu yakho. Kwiimeko ezinjalo, ugqirha wakho unokucebisa uvavanyo olukhethekileyo olunokujonga nzulu ngakumbi le meko. Yiloo nto siza kuthetha ngayo kweli nqaku namhlanje. Ibizwa ngokuba yi-myelogram .
Ngamafutshane, yintoni i-myelogram?
Cinga ngale ndlela: i-X-reyi eqhelekileyo ifana nefoto emnyama namhlophe yamathambo ethu. Ibonisa izinto ezinje ngokuqhekeka kunye nokuqhekeka kwamathambo ngokucacileyo. Kodwa ayibonisi izinto ezibuthathaka kakhulu njengemithambo-luvo kunye nomthambo womqolo ngokucacileyo.
I-myelogram yinkqubo eyenza ezi nkcukacha zingabonakaliyo zibonakale ngakumbi. Idayi ekhethekileyo, okanye izinto ezichaseneyo, isetyenziswa ukwenza oku. Xa le dayi ifakwa kwi-spinal cord, ikhazimla mhlophe kwi-X-ray okanye kwi-CT scan. Njengokukhanyisa ithotshi kwigumbi elimnyama, le dayi ivumela ugqirha ukuba abone yonke into engaphakathi kwi-spinal cord, kubandakanya i-spinal cord, iindlela zemithambo-luvo, kunye nonxibelelwano phakathi kwamathambo omqolo.
Ngexesha lovavanyo, ugqirha angabukela idayi idlula emqolo wakho bukhoma kwisikrini, njengevidiyo. Le ndlela ibizwa ngokuba yi -fluoroscopy .
Usenokuba ukhe weva ugqirha esithi izinto ezifana ne-'cervical myelogram' okanye 'lumbar myelogram'. Musa ukoyika loo nto. Azizo iimvavanyo ezimbini ezahlukeneyo. Zibhekisa nje apho uvavanyo lwenziwa khona emgogodleni wakho. Umzekelo, ukuba umqolo wesibeleko uyavavanywa, yi-'cervical myelogram'. Ukuba umqolo wesibeleko uyavavanywa, yi-'lumbar myelogram'.
Kutheni ugqirha eyalela i-myelogram?
Ngokwesiqhelo, xa uneentlungu zomqolo, ugqirha uya kuqala acebise ukuba kwenziwe i-CT scan okanye i-MRI scan. Kwiimeko ezininzi, ezi mvavanyo zinokunceda ekufumaneni unobangela. Nangona kunjalo, ukuba akukho nanye kwezo mvavanyo iqinisekileyo, i-myelogram idla ngokucelwa ukuze kufunyanwe okungakumbi.
Olu vavanyo lunceda kakhulu ekuchongeni ezi meko zilandelayo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Idiski ene-herniated | Idiski ehluthwe yi-herniated yimeko apho inxalenye efana nejeli yomqolo phakathi kwamathambo amabini emqolo iphuma ize icinezele imithambo-luvo. Le yimeko echaphazela abantu abaninzi. |
| I-arthritis kumalungu omqolo | Ngokukhula okanye ngenxa yezinye izizathu, amalungu aphakathi komqolo ayaphela, avuvuke, aze abe buhlungu. |
| I-stenosis yomgogodla | Inxalenye yomqolo efana 'netyhubhu' apho intambo yomgogodla kunye nemithambo-luvo zihamba khona iyancipha, icinezele imithambo-luvo. |
| Ii-Bone spurs / ii-Osteophytes | Ukongeza kwi-vertebrae, kwakheka iziqwenga zamathambo ezincinci, ezithi zigudle imithambo-luvo, nto leyo ebangela iintlungu. |
| Iithumba zomqolo | Izimila ezinomhlaza okanye ezingezizo ezomhlaza ezikhula emgogodleni kwaye zibeka uxinzelelo kwimithambo-luvo. |
Ukongeza, ukuba usandul’ utyando lomqolo kwaye uneentlungu ezintsha okanye ukungakhululeki emilenzeni yakho, ugqirha wakho unokucebisa ukuba wenze i-myelogram ukuze afumane unobangela.
Ndingazilungiselela njani ngaphambi kokuhlolwa kwe-myelogram?
Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga noko kufuneka ukwenze ngaphambi kolu vavanyo. Kodwa ngokubanzi, makhe sijonge indlela omele uzilungiselele ngayo. Ukulandela la manyathelo kubaluleke kakhulu kwimpumelelo yovavanyo, akunjalo?
| Kwenziwe ntoni | Amanqaku abalulekileyo |
|---|---|
| Lungisa isithuthi. | Awuyi kukwazi ukuqhuba wedwa emva kovavanyo kuba unganikwa iyeza lokuthomalalisa. Ngoko ke, ungadinga ukufowunela umhlobo okanye ilungu losapho ukuba likuqhubele ekhaya. |
| Sela amanzi amaninzi. | Ukuqala ngosuku olungaphambi kovavanyo, qala ukusela malunga neglasi yamanzi (ii-ounces ezi-4-8) rhoqo emva kweeyure ezimbini. Kubalulekile ukuthintela ukuphelelwa ngamanzi emzimbeni. |
| Ukuzila ukutya | Musa ukutya ukutya okuqinileyo kangangeeyure ezintandathu ngaphambi kovavanyo. |
| Iziselo ezingamanzi | Ungasela ulwelo olucacileyo ukuya kuthi ga kwiiyure ezintandathu ngaphambi kovavanyo. Imizekelo ibandakanya amanzi, iti engenabisi/ikhrimu, ikofu emnyama, i-clear soda, ijusi yeziqhamo engenaswekile, kunye nomhluzi wesobho. |
| Ukuba unesifo seswekile: | |
| I-insulin | Thatha idosi yakho ye-insulin eqhelekileyo, kodwa thetha nogqirha wakho ngale nto kuqala. |
| Ukwazisa | Khumbuza abasebenzi ukuba unesifo seswekile kwangoko nje ukuba uye esibhedlele ukuze uvavanywe. |
Ngokwesiqhelo, uvavanyo lwegazi alufuneki ngaphambi kolu vavanyo. Nangona kunjalo, ukuba unengxaki yegazi, efana nokuphelelwa ngamanzi emzimbeni okanye isifo sezintso esingapheliyo (CKD), ugqirha wakho unokuyalela uvavanyo olufunekayo.
Kwenzeka ntoni ngexesha lovavanyo?
Awuyi kuba ungekho zingqondweni ngokupheleleyo ngeli xesha, kodwa unganikwa amayeza okukunceda uphumle. Ingcali ye-radiology kunye ne-teknoloji baya kuba besegumbini nawe kulo lonke uvavanyo, ngoko ke akukho mfuneko yokoyika.
Nantsi inkcazo yenyathelo ngenyathelo yoko kwenzekayo ngexesha lovavanyo:
1. Ukulungiselela: Okokuqala, uza kulaliswa etafileni yokuhlolwa, nokuba ulele ngesisu okanye ngecala.
2. Ukucoca: Umqolo wakho ongezantsi uza kucocwa kakuhle ngesicombululo se-antiseptic.
3. Ukuba ndindisholo: Okulandelayo, kufakwa i-anesthesia encinci ukuze kuthintelwe indawo apho inaliti ifakwe khona, ukuze ungeva ntlungu.
4. Ukujova idayi: Eli lelona candelo libalulekileyo. Ingcali ye-radiology iza kufaka idayi ekhethekileyo ngononophelo (izinto ezichaseneyo) kwisingxobo esizaliswe lulwelo esijikeleze umqolo wakho. Usenokuziva ucinezelekile kancinci ngeli xesha.
5. Ukuthambeka kwebhedi: Ukuze idayi ihambe kakuhle emqolo wakho, umvavanyi uza kuyithambeka kancinci ibhedi okuyo. Ungacelwa ukuba ujike intloko yakho kancinci.
6. Ukufota: Emva kokuba idayi ifikelele kwiindawo ezifanelekileyo, kuthathwa uthotho lwemifanekiso ye-X-ray kunye ne-CT scan.
Yonke le nkqubo idla ngokuthatha malunga neyure. Kusenokubakho ukungakhululeki okanye intloko ebuhlungu kancinci.
Kwenzeka ntoni emva kovavanyo? Kuthatha ixesha elingakanani ukuba umntu aphile?
Emva kokuba uvavanyo lugqityiwe, uza kugcinwa phantsi koqwalaselo esibhedlele kangangeyure. Uza kuvunyelwa ukuba uye ekhaya kuphela emva kokuba kuqinisekisiwe ukuba yonke into ilungile. Uza kunikwa imiyalelo ebhaliweyo ekufuneka uyilandele emva kokuba uye ekhaya. Ingcali ye-radiology iza kuthumela ingxelo yovavanyo kugqirha wakho oyintloko (PCP).
Ngokwesiqhelo uza kubuyela esiqhelweni kwiiyure ezingama-24. Ukuphumla ngeli xesha kubaluleke kakhulu kuba kunokunciphisa umngcipheko wokuvuza kolwelo lomqolo nolwelo lobuchopho (CSF). Ungabuyela kwimisebenzi yakho yesiqhelo emva kosuku.
Qiniseka ukuba wenza ezi zinto xa uselulama ekhaya:
- Gcina intloko yakho iphakanyisiwe: Gcina intloko yakho iphakanyisiwe ngaphezu komzimba wakho wonke kangangoko unako. Sebenzisa imiqamelo emibini okanye emithathu xa ulele phantsi.
- Lala ngomqolo wakho: Zama ukulala ngomqolo wakho ebhedini kangangoko unako.
- Sela ulwelo oluninzi: Sela amanzi amaninzi kunye nezinye izinto ezilulwelo. Oku kuya kunceda ukususa idayi emzimbeni wakho kwaye kunciphise iintloko ezibuhlungu. Kodwa kuphephe utywala.
- Kuphephe ukuphakamisa iintsimbi ezinzima:Musa ukuphakamisa naziphi na iintsimbi okanye wenze naluphi na umthambo onzima usuku olunye okanye ezimbini.
- Amayeza entloko: Ukuba uneentloko ezibuhlungu, ungabuza ugqirha wakho malunga nokusela amayeza okubulala iintlungu afana neparacetamol. Kwakhona, ukusela iziselo ezine-caffeine (ikofu, iti) ngamanye amaxesha kunokunceda ekunciphiseni iintloko ezibuhlungu.
Iziphumo ebezingalindelekanga kunye nexesha lokuthetha nogqirha wakho
Malunga ne-10% yabantu abane-myelogram banokufumana iziphumo ebezingalindelekanga ezincinci. Ezi zihlala ziphela ngokupheleleyo kusuku olunye okanye ezimbini. Nangona kunjalo, kubalulekile ukwazi ukuba yintoni eqhelekileyo neyona ibalulekileyo.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Iziphumo ebezingalindelekanga eziqhelekileyo neziphela emva kosuku okanye ezimbini | |
| Intloko ebuhlungu | Le yeyona miphumo ixhaphakileyo. |
| Isicaphucaphu nokuhlanza | Abanye abantu banokuba nesicaphucaphu okanye ukuhlanza. |
| Iimpawu ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Intloko ebuhlungu engapheliyo | Intloko ebuhlungu kakhulu engenakulawuleka ngeepilisi zentlungu eziqhelekileyo okanye ukuphumla. |
| Ifiva | Ubushushu bomzimba obungaphezulu kwe-101 Fahrenheit (38.3 Celsius). |
| Intamo eqinileyo | Ukuqina kwentamo kunye nentlungu eyenza kube nzima ukugoba. |
| Ukuba ndindisholo/ukudumba emilenzeni | Ukuba ndindisholo, ukutsha, okanye ukuziva ngathi imilenze ayisekho. |
| Ezinye iimpawu | Ulwelo okanye intlungu evela kwindawo yenaliti, ubunzima bokuchama, ukuquleka. |
Ukuba ufumana naziphi na kwezi mpawu zinzima, musa ukulibazisa. Fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Ngaba olu luvavanyo olubuhlungu kakhulu?
Oku akuvakali ngendlela efanayo kuye wonke umntu. Kodwa asilulo uvavanyo olubuhlungu ngendlela enganyamezelekiyo. Nangona kunjalo, unokufumana ukungakhululeki okuncinci.
- Usenokuva isithonga xa idayi ibhobozwa.
- Xa inaliti ifakiwe, ungaziva umbane ubetha esinqeni okanye emlenzeni wakho kangangemizuzwana embalwa.
- Xa idayi ingena emzimbeni, unokufumana ubushushu bexeshana, incasa yesinyithi emlonyeni wakho, okanye isicaphucaphu .
Khumbula, iqela lezonyango lisoloko lizama ukukwenza uzive ukhululekile kangangoko kwaye ligqibezele uviwo ngokukhawuleza.
Okokugqibela, i-myelogram sisixhobo esibalulekileyo sokufumana unobangela ochanekileyo wentlungu yomqolo ebikukhathaza ixesha elide kwaye ingafunyanwanga ngovavanyo oluqhelekileyo. Ngolwazi olucacileyo oluyinikayo, ugqirha wakho unokuqalisa isicwangciso sonyango esifanelekileyo kuwe. Ngoko ke, ukuba ugqirha ucebisa olu vavanyo, ungoyiki ukuqhubeka nokufumana inyani.
Umyalezo Wokuya Ekhaya
- I-myelogram luvavanyo lomfanekiso olusebenzisa idayi ekhethekileyo ukuvelisa imifanekiso ecacileyo yomqolo kunye nemithambo-luvo ehambelana nawo.
- Olu vavanyo ludla ngokucetyiswa xa unobangela wentlungu yomqolo ungafumaneki ngokucacileyo nge-CT okanye i-MRI scans.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngaphambi kovavanyo (ukuzila ukutya, ukusela ulwelo) nasemva kovavanyo (ukuphumla, ukuphepha ukwenza umthambo onzima).
- Nangona iziphumo ebezingalindelekanga ezincinci ezifana nentloko ebuhlungu kunye nesicaphucaphu ziqhelekile, yazisa ugqirha wakho ngokukhawuleza ukuba ufumana iimpawu ezinzulu ezifana nomkhuhlane ophezulu, intamo eqinileyo, okanye ukungaziva mnandi emilenzeni yakho.
- Ukuba uneengxaki okanye uloyiko malunga novavanyo, thetha ngalo ngokukhululekileyo nogqirha wakho.
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