Kungakhathaliseki ukuthi uthatha imithi engakanani kanye nokwelashwa ngokomzimba okwenzayo, ubuhlungu bakho bomhlane abupheli? Ngezinye izikhathi, ngisho nange-MRI kanye ne-CT scans, kunzima ukuthola imbangela eqondile. Namuhla, sikhuluma ngokuhlolwa okukhethekile udokotela wakho angase akusikisele ezimweni ezinjalo. Leyo yi-Discogram. Leli gama lingase libe lisha kuwe. Kodwa ungakhathazeki, ake silichaze kalula.
Kalula nje, iyini le Discogram?
I-discogram (ngezinye izikhathi ebizwa ngokuthi i-discography) iyisivivinyo esikhethekile sokuhlola izithombe esingasiza ekutholeni imbangela yobuhlungu besikhathi eside emhlane. Ingasiza ekutholeni ukuthi i-disc ehlutshiwe noma eyonakele iyimbangela yobuhlungu bakho emhlane.
Cabanga nje, umgogodla wethu wakhiwe yinqwaba yamathambo amancane (ama-vertebrae) abekwe phezu komunye nomunye. Ukuze kuvinjelwe la mathambo ukuthi angagudlani, kuba nemicamelo efana ne-sponge phakathi kwawo. Siwabiza ngokuthi ama-spinal disc. Uma la ma-disc onakele, ubuhlungu bomhlane buvame ukuvela.
Odokotela bavame uku-oda izivivinyo ezifana ne-CT scan noma i-MRI scan ukuze bathole imbangela yobuhlungu emhlane. Kodwa-ke, kunezizathu eziningana zokuthi kungani kungenziwa i-discogram:
- Ngisho nangemva kokunye ukuhlolwa, uma kudingeka imininingwane eyengeziwe ukuqinisekisa ukuxilongwa .
- Uma usenobuhlungu emhlane ngemva kokuthatha imithi nokwelashwa ngokomzimba.
- Ngezinye izikhathi lokhu kuhlolwa kwenziwa ngaphambi kokuhlinzwa kokuhlanganisa umgogodla ukuqinisekisa ukuthi iyiphi idiski okudingeka isuswe .
Uma uzwa ubuhlungu entanyeni noma emhlane ongaphezulu, kwenziwa i-discogram yomlomo wesibeletho. Uma uzwa ubuhlungu emhlane ongezansi, kwenziwa i-discogram yomgogodla.
Kukhona into ebalulekile okufanele uyikhumbule lapha. I-disc ye-herniated ayibangeli ubuhlungu ngaso sonke isikhathi. Yingakho kunemibono ehlukene phakathi kodokotela mayelana nalokhu kuhlolwa. Kodwa-ke, odokotela abaningi bakholelwa ukuthi kuyindlela enhle yokuqinisekisa inkinga etholakale ku-CT noma ku-MRI scan.
Lolu vivinyo lusebenza kanjani?
I-discogram isebenzisa inqubo ebizwa ngokuthi i-fluoroscopy ukuze ibone ukuthi amathambo nama-disc omgogodla wakho ahamba kanjani. Kalula nje, kufana ne-X-ray yevidiyo . Lokhu kusho ukuthi udokotela wakho angabona okwenzekayo ngaphakathi ngesikhathi sangempela.
Kulokhu, udokotela ufaka uketshezi olukhethekile (izinto ezingafani) kudiski ngayinye yomgogodla wakho. Lolu ketshezi lwenza izindawo ezinenkinga zibonakale ngokucacile.
- Uma uketshezi luhlala ngaphakathi kwediski, kusho ukuthi idiski iphilile .
- Uma uketshezi lusakazeka lusuka emaphethelweni angaphandle ediski, kusho ukuthi idiski igugile noma yonakele.Kungase kube khona.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Udokotela wakho uzokweluleka ngalokhu. Ngokuvamile, kufanele uqaphele okulandelayo:
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo).
- Qiniseka ukuthi uyasazisa nganoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
- Uma ukhulelwe noma usola ukuthi ukhulelwe, kufanele ubatshele nakanjani.
- Letha umuntu ozokuhambisa ekhaya. Uzonikezwa imithi yokukwenza uzizwe unesizungu, ngakho ngeke ukwazi ukushayela imoto wedwa ngemva kokuhlolwa.
Kwenzekani ngesikhathi kwenziwa i-Discogram?
Uma uya esibhedlela, uzoyiswa ekamelweni le-X-ray bese ulaliswa embhedeni. Lokhu kwenziwa ngokubeka imicamelo ohlangothini lwakho ukuze uzizwe ukhululekile.
Esikhathini esiningi, uzonikezwa umuthi wokudambisa imithambo yegazi (intravenous) ukuze uphumule phakathi nalolu vivinyo. Lokhu kusho ukuthi i-IV ifakwa emthanjeni engalweni yakho bese unikezwa umuthi wokukuphumuza. Ungakhathazeki, ithimba lezokwelapha lizoqhubeka nokuqapha amazinga akho e-oxygen, umfutho wegazi, kanye nokushaya kwenhliziyo kulo lonke uvivinyo.
Uma usukhululekile, udokotela uzolandela lezi zinyathelo:
1. Okokuqala, indawo encane yangemuva ivalwe nge-anesthesia yendawo .
2. Ngemuva kwalokho, ngaphansi kwesiqondiso se-X-ray (i-fluoroscopy), inaliti ifakwa ngokucophelela kakhulu ku-intervertebral disc .
3. Izinto ezihlukanisayo zifakwa kudiski bese inaliti isuswa. Lena yingxenye ebaluleke kakhulu. Uma idiski yonakele, ungase uzwe ubuhlungu obufanayo bomhlane obuzwa njalo. Udokotela uzokubuza ngobuhlungu, njengokuthi bubuhlungu kuphi.
4. Uma kudingeka, yenza lokhu kuma-disc amaningana.
5. Ekugcineni, kufakwa ibhande elincane ezindaweni lapho inaliti ifakwe khona.
Phakathi nale discogram, izithombe zithathwa kusetshenziswa i-fluoroscopy. Ngezinye izikhathi, i-CT scan noma i-MRI ingenziwa ngemva kwalokhu. Ngokwenza izivivinyo ezingaphezu kweyodwa, udokotela angafinyelela esiphethweni esinembile ngesimo sakho.
Kusukela ekuqaleni kuze kube sekupheleni, yonke le nqubo ivame ukuthatha cishe ihora.
Yini ongayilindela ngemva kokuhlolwa?
Ungase uzizwe ubuhlungu nokungakhululeki endaweni yokujova amahora ambalwa ngemva kokuhlolwa. Ungakuqeda lokhu ngokufaka iqhwa ekhaya. Songa iphakethe leqhwa ngethawula bese ulibeka endaweni ebuhlungu imizuzu engama-20, bese ulisusa imizuzu engama-20 . Yenza lokhu izikhathi eziningana ngosuku. Ungathatha futhi umuthi wokunciphisa izinhlungu njenge-acetaminophen noma i-ibuprofen.
Ingabe kukhona izingozi kulokhu?
Izinkinga ezivela ku-discogram azivamile , kodwa kuhle ukuziqaphela. Nazi ezinye zezinkinga ezingaba khona.
| Izinkinga Ezingaba Khona |
|---|
| Ukutheleleka |
| Ukopha |
| Ubuhlungu buya bukhula kancane ngaphambi kokuba bube ngcono. |
| Ukulimala kwemizwa noma imithambo yegazi |
| Ukungabi namandla noma ubuthakathaka besikhashana |
| Ubuhlungu bekhanda kanye nesicanucanu |
| Ukungezwani komzimba noketshezi oluhlukile |
| Ukukhubazeka - Lesi yisimo esingavamile kakhulu. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Iningi labantu lingabuyela emisebenzini yalo evamile (emsebenzini, esikoleni) zingakapheli amahora angama-24, kodwa kungathatha izinsuku eziningana ukuthi ubuhlungu ezindaweni zomjovo buphele ngokuphelele.
Ithini imiphumela yokuhlolwa?
Udokotela we-X-ray uzobuyekeza imiphumela yokuhlolwa kwakho futhi ahlole ukuthi uketshezi lokuhlukanisa luhlale ngaphakathi kwidiski noma luvuvukele yini.
- Uma uketshezi luhlala ngaphakathi kwediski, kuba umphumela ojwayelekile (ongemuhle) . Lokhu kusho ukuthi idiski iphilile.
- Kodwa uma uketshezi luphuma kudiski, kusho ukuthi idiski yonakele futhi igugile. Lokho kuwumphumela ongavamile (ohle) .
Udokotela we-X-ray uzothumela lo mbiko kudokotela wakho okwelaphayo. Ngokuvamile uzokwazi ukuxoxa naye ngemiphumela kungakapheli isonto.
Kuzokwenzekani ngokulandelayo? Kufanele ngikhulume nini nodokotela ?
Uma imiphumela ingajwayelekile, izinyathelo ezilandelayo zizoncika esimweni sakho. Udokotela wakho angase anqume ukwenza ezinye izivivinyo. Noma angase atuse ukuhlanganiswa komgogodla, okuhilela ukususa idiski eyonakele nokuxhumanisa amathambo omgogodla ndawonye.
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| • | Umkhuhlane ongaphezu kwama-Fahrenheit angu-101 (38.3 Celsius). |
| • | Ukuguquka kombala, ukuvuvukala, ukufudumala, noma uketshezi olufana nobovu oluphuma endaweni yenaliti. |
| • | Ukuqala okusha kobuhlungu emhlane. |
| • | Ubuhlungu bomhlane obukhona buya bukhula. |
Ibuhlungu kangakanani ngempela i-discogram?
Lona umbuzo abantu abaningi abawubuzayo. Kuyiqiniso ukuthi uma i-contrast medium ifakwa kudiski eyonakele, uzozwa ubuhlungu. Kodwa into ebaluleke kakhulu ukuthi abantu abaningi bathi ubuhlungu bufana kakhulu nobuhlungu bomhlane ababuzwa nsuku zonke. Nakuba kungase kungakhululeki okwesikhashana, kuzosiza udokotela ukuthola imbangela eqondile yobuhlungu bakho. Ngakho-ke, kubaluleke kakhulu ukuchazela udokotela ukuthi ubuhlungu obunjani obuzwayo ngaleso sikhathi.
Ubuhlungu bomhlane buyinkinga yokuphila konke. Siyaqonda ukukhungatheka kanye nomuzwa wokuthi "Angisoze ngalulama" uma uzama yonke imithi kodwa ayisebenzi. Akuwona wonke ubuhlungu bomhlane obudinga i-discogram. Kodwa kwezinye izimo, lokhu kuhlolwa kungasiza ekutholeni imbangela yobuhlungu bakho futhi kususe ezinye izimo. Ngakho-ke, uma usuhlushwa ubuhlungu bomhlane isikhathi eside, khuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-discogram iyisivivinyo se-X-ray esikhethekile esisetshenziselwa ukuthola imbangela yobuhlungu bomhlane besikhathi eside.
- Lokhu kuvame ukwenziwa lapho imbangela ingacacile ngisho nangemva kokuhlolwa okufana ne-CT noma i-MRI.
- Ngesikhathi sokuhlolwa, ungase uzwe ubuhlungu obufanayo obuzwa njalo. Lokhu kusiza udokotela ukuthi abone idiski ebangela inkinga.
- Ingozi yezinkinga iphansi kakhulu, kodwa uma uzwa umkhuhlane, ukuvuvukala, noma ubuhlungu obandayo, kufanele utshele udokotela wakho ngokushesha.
- Udokotela wakho ungumuntu ongcono kakhulu ukunquma ukuthi lolu vivinyo lukulungele yini, ngakho qiniseka ukuthi uxoxa ngakho konke ngokucacile naye.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho