Asikho yini ikhambi lenkinga yomgogodla? Ake sifunde konke mayelana nokuhlolwa kwe-myelogram!

Wake waba nobuhlungu emhlane noma ubuhlungu obuwela emilenzeni yakho futhi awukwazi ukuthola ukuthi yini ebangela lokhu? Cishe uke wabona udokotela futhi mhlawumbe benze izivivinyo ezifana ne-X-ray, i-CT scan, noma i-MRI. Kodwa kuthiwani uma bengakwazi ukuthola lutho olucacile? Yilapho udokotela engase akucele ukuba wenze isivivinyo esikhethekile esibizwa ngokuthi i-myelogram. Ake sibone ukuthi kuyini, kwenziwa kanjani, nokuthi yini okudingeka ukwazi.

Iyini i-Myelogram?

Kalula nje, i-myelogram iyisivivinyo esikhethekile esithatha izithombe ezinemininingwane yomgogodla wakho. Kulokhu, uketshezi olukhethekile (izinto ezihlukile) lusetshenziswa ukubona ngokucacile izinkinga ngomgogodla wakho kanye nemizwa kanye nezicubu ezithambile ezizungezile. Cabanga ngakho, i-X-ray yomgogodla evamile ikhombisa amathambo kuphela. Ngoba ayisebenzisi lolu hlobo loketshezi olukhethekile. Kodwa ku-myelogram, lolu ketshezi lwenza umgogodla wakho, umgogodla, kanye nemizwa kubukeke kumhlophe kahle ku-X-ray noma ku-CT scan. Lokhu kufana nendlela ebizwa ngokuthi i-fluoroscopy. Lokhu kusho ukuthi udokotela wakho we-radiologist angalubona lolu ketshezi luhamba ngomgogodla wakho ngesikhathi sangempela.

Kungenzeka ukuthi uke wezwa odokotela bebiza lokhu ngokuthi 'i-Cervical Myelogram' noma 'i-Lumbar Myelogram'. Akuzona izivivinyo ezihlukile. Zisho nje ukuthi iyiphi ingxenye yomgogodla ethathwa isithombe. Isibonelo, uma befuna ukubheka ingxenye yomgogodla womgogodla wakho, ibizwa ngokuthi i-cervical myelogram. Uma befuna ukubheka ingxenye yomgogodla womgogodla wakho, ibizwa ngokuthi i-lumbar myelogram. Uyaqonda?

Kungani udokotela angayala i-myelogram?

Uma unezinhlungu ezingapheli emhlane, udokotela wakho uzoqala ngoku-oda i-CT scan noma i-MRI ukuthola imbangela. Kodwa-ke, uma kungekho noyedwa kulezo zivivinyo ocacile, udokotela wakho angase ancome i-myelogram ukuze athole okwengeziwe.

Kunezifo eziningana ezingatholakala ngalesi sivivinyo. Isibonelo:

• Amadiski aqumbile/aqumbile: Yilokhu esikubiza ngokuthi 'idiski equmbile'. Yilapho izicubu ezithambile eziphakathi kwamathambo omgogodla ziqhuma futhi zicindezela imizwa.
• Isifo samathambo emalungeni akho omgogodla: Lokhu kungabangela ukuvuvukala nobuhlungu emalungeni.
• I-Spine stenosis: Lokhu kwenzeka lapho isikhala esingaphakathi komgogodla sincipha, okwenza intambo yomgogodla noma imizwa icindezelwe.
• Ama-Bone spurs / Ama-Osteophyte: Ukwakheka kwezitshalo ezincane, ezifana nezipikili emathanjeni.
• Izimila zomgogodla.

Futhi, uma usanda kuhlinzwa umhlane futhi unobuhlungu obusha obuqhubekayo noma ubuthakathaka, udokotela wakho angase akucele ukuthi uhlolwe i-myelogram.

Isebenza kanjani i-myelogram?

I-myelogram ingathola izinkinga ezingatholakali nge-CT scan noma nge-MRI. Iwusizo kakhulu ekuboneni ngokucacile ukuthi amathambo, ama-disc, nezinye izicubu ezizungeze umgudu womgogodla zicindezela imizwa noma intambo yomgogodla.

Uma udokotela we-radiologist efaka uketshezi olukhethekile (izinto ezingafani) emgogodleni wakho, uketshezi luhamba esikhaleni esizungeze umgogodla wakho. Imizwa yakho kanye nomgogodla wakho kubonakala njengesithombe esibonakalayo ku-X-ray noma ku-CT scan. Lokhu kuvumela udokotela ukuthola izinkinga i-X-ray evamile engenakukwazi ukuzithola.

Ngingalungiselela kanjani i-myelogram?

Udokotela wakho uzokunikeza uhlu olunemininingwane lwezinto okufanele uzenze ngaphambi kwe-myelogram yakho. Kodwa-ke, ngokuvamile, khumbula lezi zinto:

• Khuluma nomngane omethembayo noma ilungu lomndeni ukuze akuyise ekhaya ngemoto. (Ungase unikezwe umuthi wokudambisa, ngakho-ke akuwona umqondo omuhle ukushayela ngemva kokuhlolwa.)
• Qala ukuphuza uketshezi oluningi (izingilazi ezingu-4-8) njengamanzi njalo emahoreni amabili kusukela ngosuku olungaphambi kokuhlolwa.
• Yeka ukudla amahora ayisithupha ngaphambi kokuhlolwa. Kodwa-ke, ungaphuza uketshezi olufana namanzi kuze kube amahora ayisithupha ngaphambi kokuhlolwa. Izibonelo: amanzi, itiye elingenashukela, i-soda ecacile, ikhofi enamandla, iziphuzo zezithelo ezingenashukela, kanye nomhluzi wesobho.

Uma unesifo sikashukela i-mellitus...

• Thatha umthamo wakho ojwayelekile we-insulin.
• Uma uza ukuzohlolwa, khumbuza udokotela futhi ukuthi unesifo sikashukela.

Ngokuvamile, akudingeki ukuhlolwa kwelebhu ngaphambi kokuhlolwa kwe-myelogram. Kodwa-ke, uma unomlando wezinkinga zegazi, isimo esinjengokuphelelwa amanzi emzimbeni, noma isifo sezinso sesikhathi eside njenge-Chronic Kidney Disease (CKD), udokotela wakho angase akucele ukuhlolwa kwegazi.

Kwenzekani ngesikhathi sokuhlolwa kwe-myelogram?

Ngeke ulaliswe ngesikhathi sokuhlolwa kwe-myelogram. Kodwa-ke, ungase unikezwe imithi yokudambisa ukuze ikusize uphumule. Udokotela we-X-ray kanye nochwepheshe bazoba segumbini nawe sonke isikhathi.

Ngesikhathi sokuhlolwa, bazokwenza okulandelayo:

• Uzocelwa ukuba ulale etafuleni lokuhlolwa (ngokuvamile ngesisu noma ngohlangothi).
• Indawo yakho engezansi yomhlane ihlanzwe nge-antiseptic, futhi yilokho kuphela.Umuthi wokubulala izinzwa (i-local anesthesia) uyajovwa.
• Ngemuva kwalokho, izinto ezibonisa umehluko zifakwa esikhwameni esigcwele uketshezi esizungeze umgogodla wakho. (Ungase uzizwe ucindezelekile noma ungakhululekile ngalesi sikhathi.)
• Ithebula lokuhlola litshekile kancane liye emuva naphambili. Lokhu kwenzelwa ukusiza uketshezi lugeleze kahle emgogodleni wakho. Udokotela we-radiation angase akucele nokuthi utsheke noma unikine ikhanda lakho.
• Ngemuva kwalokho, kuthathwa ama-X-ray kanye nama-CT scan omgogodla wakho.

Yonke inqubo ivame ukuthatha cishe ihora. Kungase kube nokungakhululeki noma ikhanda elincane.

Kwenzekani ngemva kwe-myelogram?

Ngemva kokuhlolwa , odokotela bazokuqapha cishe ihora. Bazobe sebenquma ukuthi usukulungele yini ukuya ekhaya. Bazokunikeza imiyalelo ebhaliwe mayelana nokuthi yini okufanele uyenze ngemva kokubuyela ekhaya. Udokotela wakho we-X-ray uzothumela umbiko onemininingwane kudokotela wakho wokunakekelwa okuyinhloko (PCP) noma kudokotela okuthumelele wona.

Ingabe ikhona imiphumela emibi ye-myelogram?

Cishe amaphesenti ayishumi (10%) abantu bangase babe nemiphumela emibi ngemva kokuhlolwa kwe-myelogram. Imiphumela emibi evamile ephela phakathi nosuku noma ezimbili ihlanganisa:

• Ubuhlungu bekhanda.
• Isicanucanu nokuhlanza.

Kodwa-ke, uma unekhanda elibuhlungu elingapheli , noma uma uhlangabezana nanoma yiziphi zalezi zimpawu eziyingozi , kufanele ushayele udokotela wakho ngokushesha:

• Imfiva.
• Intamo eqinile.
• Ukuqaqamba emilenzeni yakho.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlolwa kwe-myelogram?

Ngokuvamile kuthatha cishe amahora angama-24. Ngemva kokuhlolwa kwe-myelogram, kungadingeka uhlale noma ulale phansi amahora ambalwa. Ukuphumula ngokwanele kungasiza ekunciphiseni ingozi yokuvuza koketshezi lomgogodla (CSF). Ungabuyela emisebenzini yakho evamile ngemva kosuku olulodwa. Kodwa-ke, uma ikhanda lakho liqhubeka, noma uma uba nanoma yiziphi ezinye izimpawu ezinkulu, njengomkhuhlane, intamo eqinile, noma ukungabi namandla emilenzeni yakho, kufanele utshele udokotela wakho nakanjani.

Nazi ezinye izinto ongazenza ekhaya ukuze zikusize ululame:

• Zama ukugcina ikhanda lakho liphakeme kunomzimba wakho wonke. Zama ukuhlala uqonde phezulu isikhathi eside ngangokunokwenzeka.
• Phuza uketshezi oluningi. Ungaphuzi utshwala nhlobo.
• Uma ubhekene nekhanda elibuhlungu, zama okuthile okufana ne-acetaminophen kanye neziphuzo ezine-caffeine (ikhofi, itiye). Lokhu ngezinye izikhathi kungasiza ekunciphiseni ikhanda ngokwalo.
• Ungaphakamisi noma yiziphi izinsimbi noma wenze umsebenzi onzima womzimba amahora angama-24.

Ngizoyazi nini imiphumela ye-myelogram?

Ngemva kokuthola umbiko kudokotela we-radiology, udokotela wakho oyinhloko (PCP) noma udokotela okuthumele uzobuyekeza imiphumela yokuhlolwa. Lokhu kuvame ukuthatha izinsuku ezimbalwa. Bazobe sebekushayela ucingo ukuze bachaze imiphumela futhi bakutshele ukuthi yini okufanele uyenze ngokulandelayo.

Kufanele ngimshayele nini udokotela ngemva kokuhlolwa kwe-myelogram?

Ngemva kokuhlolwa kwe-myelogram, shayela udokotela wakho ngokushesha uma kwenzeka noma yikuphi kwalokhu okulandelayo:

• Umkhuhlane ongaphezu kwama-degrees Fahrenheit angu-101 (38.3 Celsius).
• Uma uzizwa unesizungu futhi uzizwa sengathi ungase uwe (uquleke).
• Uma imilenze yakho ingezwa lutho noma ulahlekelwa umuzwa (Ukuqaqamba noma ukungazwani emilenzeni yakho).
• Uma kukhona ubuhlungu noma ukuphuma kwegazi eduze kwendawo yokujova.
• Uma intamo iba lukhuni (Intamo eqinile).
• Ubuhlungu bekhanda obungasoze buphele.
• Ukungakwazi ukuchama .

I-myelogram ibuhlungu kangakanani?

Impendulo yalo mbuzo iyahlukahluka kuye ngomuntu nomuntu. Uma ubuhlungu bungabekezeleleki, kungcono ukungafiki. Kodwa-ke, ungase uzizwe ungakhululekile ngesikhathi sokuhlolwa, njengokuthi:

• Kuzwakala sengathi kuyacindezelwa lapho kufakwa uketshezi olukhethekile (izinto ezihlukile).
• Njengoba inaliti ishukunyiswa , ubuhlungu obubukhali, obufana nogesi bungase buvele ngokuzumayo esinqeni noma emlenzeni .

Futhi, izinto eziphikisanayo zingabangela izinto ezinjengalezi:

• Umuzwa ofudumele noma ofudumele.
• Ukunambitheka kwensimbi emlonyeni wakho.
• Isicanucanu sesikhashana.

Udokotela wakho kanye nethimba lakho lapho bazokwenza konke okusemandleni abo ukuze bakwenze ukhululeke futhi uhlolwe ngokushesha, ngakho-ke akukho okufanele ukhathazeke ngakho.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Ubuhlungu bomhlane obuqhubekayo bungakuphuca injabulo empilweni yakho futhi bukuvimbele ekwenzeni izinto ozithandayo. Uma ukuskena okuvamile kungakuniki izimpendulo, kungase kube yisikhathi sokwenza i-myelogram. Lokhu kuhlolwa kungasiza udokotela wakho ukuthi athole ukuthi yini ebangela ukungakhululeki kwakho futhi kukusize uthole ikhambi elikusebenzelayo. Ngakho-ke uma udokotela ephakamisa lokhu kuhlolwa, xoxa ngakho, ukuqonde, bese uqhubeka nakho. Sithemba ukuthi uzothola impumuzo enkingeni yakho maduze!

I- Myelogram, i-Myelogram, Ubuhlungu Bomhlane, Ukuhlolwa Kwentambo Yomgogodla, Intambo Yomgogodla, Imizwa, I-CT Scan, I-MRI, Ukuhlolwa Kwezokwelapha