Ubuhlungu bomhlane buyinkinga evamile ezweni lakithi. Ngezinye izikhathi, uma uphumule kancane, uma ungenzi lutho, buyaphela. Kodwa ngezinye izikhathi, ubuhlungu buba obungabekezeleleki, bese kufanele sibone udokotela. Ngakho-ke uma uya kudokotela, uba nombuzo omkhulu engqondweni yakho, 'O, bazongitshela ukuthi ngithathe i-X-ray manje? Noma kuzodingeka ngenze i-MRI?' Abantu abaningi bayesaba lezi zivivinyo. Kulesi sihloko, sizoxoxa ngohlobo lokuhlolwa udokotela alwenzayo ukuthola imbangela yobuhlungu bakho bomhlane, nokuthi wonke umuntu uyaludinga yini lolu vivinyo.
Into yokuqala udokotela azoyibuza kuwe (umlando wakho wezokwelapha)
Uma uya kudokotela, into yokuqala ayenzayo akukuniki imithi noma aku-ode ukuhlolwa. Uqala ngokukhuluma nawe, akubuze imibuzo embalwa, bese ezama ukuthola ulwazi oluningi ngangokunokwenzeka. Ungase uzibuze, "Kungani ungibuza ngokukhwehlela kwami, umkhuhlane, kanye nobuhlungu besisu uma ngiphethwe yikhanda?" Kodwa yonke le mibuzo ibaluleke kakhulu ekutholeni imbangela yobuhlungu bakho emhlane.
Cabanga nje, Dokotela, ungase ubuzwe izinto ezinjengalezi:
- Ubuhlungu buqale kanjani? Ingabe kuvele kwaba sengathi umhlane wakho "ushayeke" lapho uphakamisa into esindayo? Noma ingabe ubuhlungu baba bubi kancane kancane usuku nosuku?
- Yini eyenza ubuhlungu bube bubi kakhulu/bube bubi kakhulu? Bunjani ubuhlungu lapho ugoba phambili, uhleli, umile, noma ulele ebusuku? Ingabe ukwenza noma yini kwenza ubuhlungu bube bubi kakhulu?
- Ingabe lobu buhlungu bake bakhona ngaphambili?
- Ingabe uke waba nezinye izifo muva nje? Isibonelo, ukukhwehlela, umkhuhlane, ubunzima bokuchama, izinhlungu zesisu , njll. Ngezinye izikhathi ubuhlungu bomhlane bungabangelwa ukutheleleka kwenye indawo emzimbeni.
- Uma ungowesifazane, ungase uzwe nangokuphuma kwegazi okungavamile, ubuhlungu, noma ukuphuma koketshezi esithweni sangasese sowesifazane. Lokhu kungenxa yokuthi ezinye izimo zesinqe zingabangela ubuhlungu emhlane.
Kalula nje, lezi zimpendulo zizosiza udokotela ukuthi athole umbono ongcono ngesimo sakho. Ngakho-ke , kubaluleke kakhulu ukukhuluma iqiniso ngaphandle kokufihla lutho.
Okulandelayo, ukuhlolwa ngokomzimba.
Ngemva kokukubuza umbuzo, udokotela uzokuxilonga. Lokhu kubizwa ngokuthi ukuhlolwa ngokomzimba . Into eyinhloko lapha ukuhlola noma yimuphi umonakalo noma ukucindezelwa kwemizwa egijima kusukela emhlane wakho kuya emilenzeni yakho.
- Ukuhlolwa kokuhamba: Uzocelwa ukuba uhambe ngezithende zakho ibanga elifushane, bese uhamba ngezinzwane zakho. Lokhu kungakunikeza umbono wamandla emisipha yakho kanye nokusebenza kwezinzwa.
- Ukuhlolwa kwe-Reflex: Udokotela uzoshaya ngemuva kwedolo lakho neqakala ngesando serabha. Uma imizwa isebenza kahle, umlenze wakho uzogxuma ngokuzenzakalelayo ngalesi sikhathi.
- Ukuhlolwa kokuphakamisa imilenze: Uzocelwa ukuba ulale embhedeni bese uphakamisa umlenze owodwa uqonde phezulu. Ungase ucelwe ukuba wenze lokhu ngosizo lukadokotela noma ngaphandle kwalo. Lokhu kuhlola ikakhulukazi ukucindezeleka kwe- sciatic nerve, i-nerve enkulu egijima kusukela emhlane iye phansi emlenzeni.
- Ukuhlolwa kwemizwa: Into encane, njengephini noma i-paper clip, izosetshenziswa ukuthinta izindawo ezahlukene zemilenze yakho bese ibuza, "Ingabe kukhona okuzwayo?" Lokhu kungasiza ekunqumeni ukuthi kukhona yini umonakalo emithanjeni ethwala imizwa emilenzeni yakho.
- Ezinye izivivinyo: Uma udokotela wakho esola isimo esibucayi, angase ahlole nesisu sakho, i-pelvis, noma i-rectum. Ukulahlekelwa ukulawula isinyi kanye namathumbu, ikakhulukazi uma imizwa engaphansi komgogodla yonakele, kungaba yimbangela. Lezi zivivinyo zingadingeka ukuze kunqunywe isimo esibucayi kakhulu.
Ingabe wonke umuntu udinga i-X-ray noma i-MRI? - Ukuhlolwa kwezithombe
Yilokhu abantu abaningi abakucabanga kakhulu. Ingabe uyayidinga ngempela i -X-ray noma i-MRI uma ulimele emhlane?
Impendulo ithi, cha . Akuwona wonke umuntu odinga lolu hlobo lokuhlolwa okukhethekile ngokushesha lapho eqala ukuba nobuhlungu emhlane. Eqinisweni, cishe abantu abangu-90% abanobuhlungu emhlane baba ngcono phakathi nenyanga. Ngakho-ke, ngaphandle kokuthi kunezimpawu ezithile eziyisixwayiso (amafulegi abomvu), akusizi ngalutho ukwenza lolu hlobo lokuhlolwa phakathi kwamasonto okuqala angu-4-6.
Kulungile, ake sibone ukuthi lezi zivivinyo ziyini nokuthi zisetshenziswa kuziphi izimo.
| Igama lokuhlolwa | Kuziphi izimo lapho isetshenziswa khona? | Izinto ezibalulekile okufanele uzazi |
|---|---|---|
| I-X-ray evamile | Lokhu akusizi kakhulu ezigabeni zokuqala zobuhlungu obuvamile bomhlane. Kodwa-ke, uma uke waba nokulimala, uneminyaka engaphezu kwengu-50 ubudala, unesifo sokuwohloka kwamathambo njenge-osteoporosis, noma usuthathe ama-steroid isikhathi eside, i-X-ray ingadingeka. | Ama-X-ray abonisa amathambo kuphela. Azibonisi izicubu ezithambile, njenge-discs phakathi kwamathambo noma imizwa. |
| Iskeni se-MRI | Lolu uhlobo lokuhlolwa oluthuthuke kakhulu futhi olubizayo. Akukhuthazwa ubuhlungu bomhlane obujwayelekile. Kodwa-ke, lwenziwa uma kukhona okusolwayo ngesimo esibucayi esingadinga ukuhlinzwa (isibonelo, ukutheleleka komgogodla, umdlavuza, ukwaphuka, noma isimo esiphuthumayo njenge-Cauda Equina Syndrome). Kuvame ukubhekwa njengokuthola imbangela uma ubuhlungu buqhubeke isikhathi esingaphezu kwamasonto ayi-12. | Kukhona nezinkinga nge-MRI scan. Ngisho nakubantu abaphilile abangenazo izinhlungu emhlane, i-MRI scan ingabonisa ama-disc avuvukele phakathi kwamathambo omgogodla. Ukubona into efana nale kungaholela ekucabangeni ukuthi lokhu kuyimbangela yobuhlungu bese usebenzisa ukwelashwa okungadingekile. Ngakho-ke, kubaluleke kakhulu ukukhombisa udokotela wakho umbiko we-MRI bese ucela iseluleko kunokuzama ukuzichaza wena. |
| I-Myelogram kanye ne-CT scan | Lolu uhlobo lokuhlolwa olusetshenziswa kuphela ezimweni ezithile, ngokuvamile lapho uhlela ukuhlinzwa. Luhilela ukufaka idayi ekhethekile emgogodleni nokwenza i-CT scan. | Ngokufika kwe-MRI, ukusetshenziswa kwalolu vivinyo sekwehle kakhulu. |
Ayini "Amafulegi Abomvu"?
Odokotela babiza izimpawu zokuxwayisa ngokuthi “amafulegi abomvu” ezingase zibonise isimo esibucayi sezokwelapha. Uma unalezi zimpawu, udokotela wakho angakuthumela ngokushesha ukuze uyohlolwa izithombe.
- Ukuwa noma ingozi enkulu.
- Ukwehlisa isisindo okungachazeki kanye nomkhuhlane.
- Ukungakwazi ukulawula umchamo noma indle (Lesi yisimo esiphuthumayo esibucayi kakhulu. Kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ukulahlekelwa kancane kancane kokuzwa noma ubuthakathaka emilenzeni.
- Ukuba nomlando wangaphambilini womdlavuza.
Ukuhlolwa Kwezinzwa
Ngezinye izikhathi, ikakhulukazi uma ubuhlungu buqhubeka isikhathi eside, kwenziwa olunye uvivinyo ukuze kutholakale ukuthi kungakanani umonakalo owenziwe emsipheni.
Kubizwa ngokuthi i-Electromyogram (EMG) . Kulesi sivivinyo, kufakwa ama-electrode amancane afana nenaliti emisipheni bese umsebenzi kagesi uqashwa esikrinini sekhompyutha. Lokhu kuhlolwa kungaba buhlungu kancane. Kodwa kusiza udokotela ukuthi anqume ukuthi inzwa yonakele noma inkinga isemisipheni, futhi kungasiza futhi ekulinganiseni izinga lomonakalo wemizwa.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu bomhlane buvame kakhulu futhi ezimweni eziningi, buyaphela phakathi namasonto ambalwa ngokuphumula okufanele nokwelashwa okulula.
- Akuzona zonke izikhathi lapho uzwa ubuhlungu emhlane, udinga i-X-ray noma i-MRI. Ukusebenzisa lokhu ngokungadingekile kungaba ukuchitha imali futhi kubangele ukucindezeleka okungadingekile.
- Into yokuqala udokotela wakho azokwenza ukukulalela nokukuhlola. Leso yisinyathelo esibaluleke kakhulu ekuxilongweni.
- Themba iseluleko sikadokotela wakho. Uma kudingeka ukuhlolwa, uzokuthumela nakanjani ukuze ukwenze lokho.
- Uma unezimpawu "ezibomvu", njengokulahlekelwa ukulawula umchamo/indle, ukulahlekelwa amandla ngokuzumayo emilenzeni yakho, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
- Ungacabangi ukuthi unesifo esifanayo ngokubheka nje umbiko we-MRI womngane noma wesihlobo. Isimo somuntu ngamunye sihlukile. Njalo xoxa ngemiphumela yokuhlolwa kwakho nodokotela wakho.
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