Udokotela wakho kungenzeka ukuthi ukunike i-'Cisternogram Scan'. Kungenzeka ukuthi wesaba kancane lapho uzwa igama, akunjalo? "Kuyini lokhu kuskena okuqanjwe ngendlela exakile? Kungani kwenziwa? Ingabe kunzima?" Ungase uzibuze. Ungakhathazeki. Kuvamile ukuba nemibuzo efana nale. Namuhla, sizoxoxa ngalesi sivivinyo ngendlela elula kakhulu, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane oseduze.
Kuyini ngempela i-Cisternogram Scan?
Ngaphambi kokuba sikuqonde lokhu, ake sifunde kancane ngento ebaluleke kakhulu emzimbeni wethu. Cabanga ukuthi ubuchopho bethu kanye nomgogodla kufana nezinto zeglasi eziyigugu. Ukuze kuvikelwe lezi zinto eziyigugu, kukhona isembozo soketshezi, umcamelo, ozungezile. Kwezokwelapha, lokhu sikubiza ngokuthi 'uketshezi lwe-cerebrospinal' noma i-Cerebrospinal Fluid (CSF) . Lolu ketshezi lwe-CSF lwenza imisebenzi eminingana ebaluleke kakhulu emzimbeni wethu.
- Inikeza ukudla okunempilo: Lolu ketshezi lunikeza ukudla okunempilo ebuchosheni bethu kanye nomgogodla ohamba emgogodleni.
- Kusiza ekusebenzeni kahle: Lokhu kubalulekile ekusebenzeni kahle kweSistimu Yethu Yezinzwa Ephakathi (i-CNS).
- Isusa ubuthi: Isiza ukususa nokuhlanza ubuthi obungafuneki obuqongelela ezicutshini ezizungezile.
- Ihlinzeka ngesivikelo: Uma sigijima, sigxuma, noma sishaya ikhanda lethu ndawana thize, lisebenza njengesicamelo esivikela ubuchopho ekushaqekeni.
Ngakho-ke, okwenziwa yilesi sithwebuli se-cistenogram ukuhlola ukuthi uketshezi lwe-CSF emzimbeni wakho lugeleza kahle yini, ukuthi kukhona yini ukuvaleka endaweni ethile, noma ukuthi kukhona yini ukuvuza endaweni ethile.
Lolu uhlobo lokuhlolwa olubizwa ngokuthi i-nuclear medicine imaging . Lokhu kusho ukuthi inani elincane lezinto ezinemisebe lifakwa emgogodleni wakho. Ungakhathazeki, ngeke likulimaze. Lokhu kwaziswa kuvumela indlela yoketshezi lwe-CSF ukuthi ibonakale ngokucacile, ngombala, ezithombeni eziskeniwe.
Kukuziphi izimo lapho lokhu kuhlolwa kudingeka khona?
Kalula nje, lokhu kuhlolwa kuyalelwa uma udokotela wakho esola ukuthi uketshezi lwakho lwe-CSF luvuza endaweni ethile (ukuvuza kwe-CSF) noma ukuthi luningi kakhulu ngaphakathi kobuchopho bakho (ukwakheka kwe-CSF). Zombili lezi zimo zingabangela izimpawu ezifanayo.
Hlola ithebula elingezansi ukuze ubone ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Kuzwakala kanjani lokhu? |
|---|---|
| Ubuhlungu bekhanda | Ikhanda elibuhlungu eliba libi kakhulu, ikakhulukazi uma umile noma uvuka. Lingase libonakale lidamba kancane uma ulele phansi. |
| Izinkinga zesiyezi kanye nebhalansi | Ukuzizwa sengathi awukwazi ukuma futhi uyanyakaza, uzizwa unesiyezi. |
| Isicanucanu nokuhlanza | Ukuzwa isisu siqhuma futhi sihlanza. |
| Ubuhlungu bentamo | Ukuqina noma ubuhlungu ngemuva kwentamo. |
| Ukuzwela okwandisiwe | Ukuzwela ngokweqile ngisho nasekukhanyeni okuvamile kanye nemisindo. Lokhu kusho ukuthi ngisho nokukhanya okukhulu noma umsindo omncane kungaba nzima ukuwubekezelela. |
| Ukulahlekelwa ukuzwa | Ukulahlekelwa ukuzwa noma ukuzwa imisindo ehlukene ezindlebeni. |
| Inkinga yokucabanga | Ubunzima bokugxila entweni ethile, uzizwe sengathi ingqondo yakho ayicacile. |
Uma unalezi zimpawu, udokotela wakho angase akuncome lokhu kuhlolwa ukuze athole imbangela eqondile.
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Esikhathini esiningi, lokhu akudingi ukulungiselela okukhethekile. Kodwa-ke, kubaluleke kakhulu ukulandela imiyalelo enikezwe udokotela wakho noma isibhedlela ngqo.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngazo zonke izinto ezikukhathazayo nokwesaba kwakho. Ungabi namahloni okuthi, "Ngiyesaba ngalokhu, dokotela."
Ngaphambi kokuhlolwa, qiniseka ukuthi wazisa udokotela wakho ngalezi zinto:
- Ukungezwani komzimba: Uma une-allergy ethile ngemithi yokubulala izinzwa yendawo noma eminye imithi yokubulala izinzwa, qiniseka ukuthi uyayisho.
- Ukukhulelwa: Uma kungenzeka ukuthi ukhulelwe noma uncelisa, kubaluleke kakhulu ukutshela udokotela wakho kusengaphambili, njengoba lokhu kuhlolwa kusebenzisa into ekhipha imisebe.
- Imithi oyithathayo: Tshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Eminye imithi, njengemithi yokunciphisa igazi (njenge-aspirin kanye ne-warfarin) , kungadingeka ukuthi iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
- Iseluleko esiwusizo: Ungase ukuthole kunzima ukushayela ngemva kokuhlolwa. Ngakho-ke, kuwumqondo omuhle ukuhamba nothile. Futhi, njengoba ukuhlolwa kwenzeka izinsuku eziningana, hlela imisebenzi yakho ngokufanele.
Kwenzekani ngesikhathi sokuhlolwa?
Lolu vivinyo lunezinyathelo ezimbili eziyinhloko: okokuqala, ukufaka inalithi emgogodleni, bese uthatha izithombe zeskeni.
Isinyathelo sokuqala: Ukubhoboza i-Lumbar
Ngisho noma ngesaba lapho ngizwa lokhu, lokhu kwenziwa ngokucophelela okukhulu ngudokotela onolwazi olukhulu.
1. Okokuqala, uzolaliswa etafuleni, ubheke phansi noma ngohlangothi lwakho amadolo akho asondele esifubeni sakho.
2. Ngemuva kwalokho, indawo okujovwe kuyo emhlane wakho izohlanzwa kahle bese kufakwa umuthi wokubulala izinzwa endaweni. Lokhu kuzoyenza indawo ibe buhlungu. Abanye abantu banganikwa nomuthi omncane wokudambisa ukuze bahlale bezolile.
3. Manje udokotela uzofaka inaliti encane ngokucophelela phakathi kwamathambo amabili emgogodleni wakho ongezansi. Ngalesi sikhathi, kuzosetshenziswa inqubo ye-X-ray yesikhathi sangempela ebizwa ngokuthi i-fluoroscopy ukuqinisekisa ukuthi inaliti isendaweni efanele.
4. Uma inaliti isisendaweni efanele, into ekhipha imisebe eshiwo ngaphambilini ifakwa kancane kancane oketshezini lwakho lwe-CSF ngenaliti.
5. Ngemuva kwalokho inaliti isuswa ngokucophelela bese kufakwa iplasta encane endaweni.
Isinyathelo Sesibili: Ukuthatha Izithombe Eziskeniwe
1. Ngemva kokufakwa kwenaliti, uzocelwa ukuba ulale unganyakazi cishe ihora. Lokhu kwenzelwa ukuvumela izinto ezikhipha imisebe ukuthi zidlule oketshezini lwe-CSF.
2. Ukuskena kwakho kokuqala kuzothatha phakathi kwehora elilodwa neliyisithupha. Uzolala phansi ngaphansi kwesikena esinekhamera ekhethekile ye-gamma. Ngezinye izikhathi i -CT scan noma i-MRI ingenziwa ngesikhathi esifanayo.
3. Ungaya ekhaya ngemva kokuskena kokuqala. Kodwa-ke, kuzodingeka ubuye ukuze uskena okunye ngemva kwamahora angu-24 , njengoba kuthatha cishe usuku ukuthi izinto ezikhipha imisebe zifinyelele kuzo zonke izimbobo ebuchosheni.
4. Abanye abantu kungadingeka bahlolwe ngemva kwamahora angu-48 noma angu-72 . Lokhu kuzonqunywa udokotela wakho.
Into ebaluleke kakhulu ukuthi akudingeki ufake izinaliti emhlane wakho njalo uma wenza lokhu kuskena. Inaliti ifakwa ngosuku lokuqala kuphela. Ngezinye izinsuku, okumele ukwenze nje ukuza ulale ngaphansi kwesikena.
Ingabe lokhu kuyalimaza? Ingabe ikhona imiphumela emibi?
- Ubuhlungu: Ungase uzwe umuzwa omncane wokuhlaba lapho umuthi wokubulala izinzwa ufakwa. Ungase uzwe ukucinana lapho inaliti ifakwa emhlane wakho, kodwa akufanele kube buhlungu kakhulu . Uma uzwa ubuhlungu, tshela udokotela noma umhlengikazi ngokushesha. Ukuskena ngokwako akulimazi nhlobo.
- Imiphumela emibi: Imiphumela emibi evame kakhulu ubuhlungu obuncane kanye nekhanda elibuhlungu endaweni yokujova. Ngezinye izikhathi inani elincane le-CSF lingavuza endaweni lapho inaliti ifakwe khona emgogodleni. Lokhu kungabangela ukwehla okuncane kwengcindezi ebuchosheni futhi kubangele ikhanda elibuhlungu elibi. Lokhu kuvame ukuxazululeka ngokwako phakathi kwamahora ambalwa noma izinsuku ezimbili kuya kwezintathu. Ukuphuza uketshezi oluningi nokuphumula kungasiza.
Ziyini izingozi zokuhlolwa kwe-cistenogram?
Izinkinga ezinkulu ezivela kulokhu kuhlolwa azivamile . Kodwa-ke, njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezincane, ngakho-ke kufanele siziqaphele.
- Ukusabela kokungezwani komzimba nezinto ezikhipha imisebe noma izinzwa.
- Ukopha ebuchosheni noma emgogodleni (ukopha kwegazi) .
- Ukutheleleka endaweni yokufaka inaliti.
- Ukulimala kwemizwa akuvamile kakhulu.
- Ukuhluma kwe-Brainstem (lesi yisimo esingavamile kakhulu. Yisimo lapho izicubu zobuchopho zikhishwa khona ngenxa yokucindezeleka ngaphakathi kogebhezi).
Ngisho noma kusetshenziswa into enemisebe, uzovezwa umthamo omncane kakhulu wemisebe . Ungayesabi ngokungadingekile.
Ithini imiphumela?
Ungase uthole imiphumela yakho (umbiko) zingakapheli izinsuku ezimbalwa noma isonto ngemuva kokuskena kwakho kokugcina. Uma ukutholile, udokotela wakho uzochaza ukuthi kusho ukuthini kuwe.
- Imiphumela Ejwayelekile: Uma umbiko wakho ubuya ujwayelekile, kusho ukuthi uketshezi lwakho lwe-CSF lugeleza ngendlela evamile luzungeze ubuchopho bakho kanye nomgogodla ngaphandle kwezithiyo noma ukuvuza.
- Imiphumela Engavamile: Uma imiphumela ingavamile, kungase kubonise eyodwa noma ngaphezulu yalezi zimo ezilandelayo.
| Isimo esingavamile (Isimo) | Kuchazwe kalula |
|---|---|
| Ukuvuza kwe-CSF | Uketshezi lwe-CSF luvuza luvela endaweni ethile. Lokhu kungenzeka ngemva kokulimala okukhulu ekhanda, ukuphuka kwekhanda, noma ukuhlinzwa. |
| I-Hydrocephalus | Ukuqongelela ngokweqile koketshezi lwe-CSF ngaphakathi kobuchopho, okubangela ingcindezi ebuchosheni. |
| I-hydrocephalus yokucindezela okuvamile (i-NPH) | Isimo esikhethekile lapho ingcindezi ebuchosheni ingakhuphuki ngisho noma uketshezi lwe-CSF luqongelela khona. |
| Izinkinga ze-CSF shunt | Inkinga ngokusebenza kwepayipi elincane (i-shunt) elifakwa ebuchosheni njengokwelapha isimo se-hydrocephalus. |
| I-Pseudotumor cerebri | Ukwanda kwengcindezi ebuchosheni ngaphandle kwesizathu esibonakalayo. Lokhu kubizwa nangokuthi 'isimila sobuchopho esingamahlalakhona'. |
Umlayezo Wokuya Nawe Ekhaya
- I-scan ye-cisternogram iyi-scan ekhethekile ehlola ukugeleza koketshezi lwe-CSF oluzungeze ubuchopho bakho nomgogodla.
- Lokhu kusiza ekunqumeni ukuthi izimpawu ezifana nekhanda elibuhlungu kanye nesiyezi eziba zimbi kakhulu lapho umile zibangelwa ukuvuza noma ukunqwabelana kwe-CSF.
- Kulolu vivinyo, kufakwa inalithi encane emgogodleni bese kufakwa into ekhethekile. Bese kuthi izithombe ezithwetshuliwe zithathwe emahoreni ambalwa nasezinsukwini ezimbalwa kamuva.
- Lokhu akubuhlungu kakhulu, futhi izinkinga ezinkulu azivamile.
- Uma unemibuzo noma ukukhathazeka ngalokhu kuhlolwa, khuluma nodokotela wakho ngokukhululekile ngakho. Ukwazi ulwazi olufanele kungasiza ekunciphiseni ukwesaba okungadingekile.
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