Ake sifunde ngqo ngokuhlolwa kwe-Discogram/Discography okuthola imbangela yobuhlungu emhlane!

Ingabe nawe ungumuntu ohlushwa ubuhlungu obungapheli emhlane? Ngezinye izikhathi, kungakhathaliseki ukuthi sithatha imithi noma ukuzivocavoca okungakanani, lobu buhlungu emhlane abupheli, akunjalo? Ezimweni ezinjalo, namuhla sizokhuluma ngokuhlolwa okukhethekile okusetshenziswa odokotela ukuthola imbangela yangempela yobuhlungu bakho emhlane. Lokhu kubizwa ngokuthi i-discogram noma i-discography.

Kuyini i-discogram? Kusho ukuthini?

Kalula nje, i-discogram iyisivivinyo esikhethekile sokuhlola esingasiza ekuxilongeni imbangela yobuhlungu obungapheli bomhlane . Lokhu kuhlola kuvumela udokotela wakho ukuthi abone ukuthi i-spinal disc, etholakala phakathi kwamathambo emgogodleni wakho ebizwa ngokuthi ama-vertebrae, igugile noma yonakele.

Cabanga nje, umgogodla wethu wakhiwe ngamathambo amancane, abizwa ngokuthi ama-vertebrae, abekwe phezu komunye nomunye. Lawa ma-vertebrae ayizingxenye ezithambile, ezifana ne-jelly ezisebenza njengezithambisi zokushaqeka emotweni, njengeziponji, esikhundleni sokugudlana. Umsebenzi wazo oyinhloko ukumunca ukushaqeka lapho sihambahamba noma siphakamisa izinsimbi. Uma kwenzeka umonakalo kwenye yala ma-disc, kungaba imbangela enkulu yobuhlungu bomhlane.

Ngokuvamile, odokotela baqala ngokwenza izivivinyo ezifana ne-``(CT scan)`` (Computed Tomography scans) noma ``(MRI scan)`` (Magnetic Resonance Imaging) ukuze bathole imbangela yobuhlungu bomhlane. Kodwa-ke, kwezinye izimo, kungase kudingeke i-discogram. Kunini lapho?

• Uma kudingeka ulwazi olwengeziwe ukuze kutholakale imbangela ngemva kokuskena okunye.
• Uma usenobuhlungu emhlane ngemva kokuthatha imithi nokwelashwa ngokomzimba.
• Futhi, ngezinye izikhathi ngaphambi kokwenza ukuhlinzwa komgogodla, njengokuhlanganisa umgogodla, odokotela abahlinzayo basebenzisa lolu vivinyo lwe-discogram ukuqinisekisa ukuthi iyiphi idiski eyinkinga nokuthi iyiphi idiski okudingeka isuswe .

Kungenzeka ukuthi uke wezwa odokotela beyibiza ngokuthi 'i-cervical discogram' noma 'i-lumbar discogram'. Lokhu kuyivivinyo elifanayo, kodwa igama liyahlukahluka kuye ngokuthi kwenziwa kuphi emgogodleni. Uma uzwa ubuhlungu entanyeni noma emhlane ongaphezulu, uzoba ne-cervical discogram. Uma uzwa ubuhlungu emhlane ongezansi, uzoba ne-lumbar discogram.

Nansi into ebalulekile okufanele uyikhumbule. Ngisho noma idiski yomgogodla yonakele, ayibangeli ubuhlungu emhlane njalo . Ngenxa yalokhu, kukhona impikiswano emkhakheni wezokwelapha mayelana nokuhlolwa kwe-discogram. Kodwa-ke, odokotela abaningi bakholelwa ukuthi i-discogram ingasiza ekuqinisekiseni okuthile okusolisayo okubonwe ku-scan ye-`(CT)` noma ye-`(MRI)`.

Kwenziwa kanjani ngempela ukuhlolwa kwe-discogram?

I-discogram isebenzisa inqubo ebizwa ngokuthi i-fluoroscopy ukuze ibone ukuthi amathambo akho omgogodla nama-disc ahamba kanjani. I-Fluoroscopy, ngamagama alula, ifana nesithombe se-X-ray esihambayo . Lokho kusho ukuthi ungayibuka njengokungathi yividiyo ngesikhathi sangempela.

Kulolu vivinyo, udokotela ufaka into ekhethekile, ebizwa ngokuthi 'i-contrast material/dye', kwenye yamadiski asemhlane wakho. Le dayi isiza ukubona ngokucacile ukuthi inkinga ikuphi.

Cabanga nje, uma le dayi ihlala ngaphakathi kwediski, kusho ukuthi idiski iphilile. Kodwa-ke, uma idayi isakazeka ngale kwemingcele yangaphandle yediski, ikhombisa ukuthi idiski igugile noma idabukile.

Ngingalungiselela kanjani lolu vivinyo?

Udokotela wakho uzokunikeza imiyalelo ethile okufanele uyilandele ngaphambi kokuthatha i-discogram. Lezi ngokuvamile yizinto okudingeka uzenze:

• Kufanele utshele udokotela wakho nganoma yimiphi imithi oyithathayo - okuhlanganisa imithi ethengiswa ngaphandle kwemithi kadokotela kanye nezithako zokudla. Futhi, yazisa udokotela wakho nganoma yikuphi ukungezwani komzimba onakho.
• Tshela udokotela wakho futhi uma ukhulelwe noma usola ukuthi ukhulelwe .
• Cela umngane noma ilungu lomndeni ukuthi likuphelezele uye esivivinyweni futhi ubuya kuso. Ngenxa yokuthi uzophuza utshwala phakathi nalesi sivivinyo, ngeke ukwazi ukushayela.

Kwenzekani ngesikhathi sokuhlolwa kwe-discogram?

Uma ufika ngesikhathi sakho esihleliwe sokuhlolwa, ilungu labasebenzi bezokwelapha lizokuyisa ekamelweni le-X-ray. Lapho, uzolaliswa etafuleni lokuhlolwa. Ngokuvamile, uzolaliswa ngohlangothi, futhi kuzonikezwa imicamelo ukuze ukhululeke.

Ngokuvamile, kwenziwa i-discogram nge-intravenous (IV) sedation. Lokhu kusho ukuthi i-IV ifakwa emthanjeni ongalweni noma esandleni sakho bese unikezwa umuthi wokukusiza uphumule. Amazinga akho omoya-mpilo, umfutho wegazi, kanye nokushaya kwenhliziyo nakho kuyaqashwa kulo lonke ukuhlolwa.

Uma usukhululekile, udokotela uzothatha lezi zinyathelo:

1. Kuzofakwa umuthi wokubulala izinzwa wendawo ukuze kunciphe indawo encane yomhlane wakho.

2. Ngaphansi kwesiqondiso se-X-ray (Fluoroscopy), inaliti ifakwa esikhumbeni sakho iye kwidiski emgogodleni wakho.

3. Idiski ifakwa nge-'contrast dye' okukhulunywe ngayo ngaphambilini bese inaliti isuswa . (Ngalesi sikhathi, uma kukhona umonakalo kudiski, ungase uzwe ubuhlungu obufana nobuhlungu bakho obuvamile bomhlane. Ngalesi sikhathi, udokotela angase akubuze nangobuhlungu, njengokuthi bubuhlungu kuphi.)

4. Uma kudingeka, phinda isinyathelo sokuqala kuya kwesithathu kwamanye amadiski .

5. Faka iplasta ukuze umise ukuphuma kwegazi ngenxa yamanxeba okubhoboza.

Ngesikhathi se-discogram, udokotela uzothatha izithombe esebenzisa i-fluoroscopy. Ngemuva kwalokho, bangenza ne-CT scan noma i-MRI scan. Ukuba nokuhlolwa kwezithombe okungaphezu kokukodwa kungasiza udokotela ukuthi athole ukuxilongwa okunembile .

Kusukela ekuqaleni kuze kube sekupheleni, ukuhlolwa kwe-discogram kuvame ukuthatha cishe ihora .

Kwenzekani ngemva kokuhlolwa?

Ngemva kokuhlolwa kwe-discogram, ungase uzizwe ubuhlungu kanye nokungakhululeki eduze kwendawo yokubhoboza amahora ambalwa. Unganciphisa lobu buhlungu ekhaya. Songa iphakethe leqhwa ngethawula bese ulibeka endaweni ebuhlungu imizuzu engama-20, bese ulisusa imizuzu engama-20. Yenza lokhu kaningi ngangokunokwenzeka. Ungaphuza futhi imithi yobuhlungu efana ne-paracetamol (isib. Tylenol®) noma i-ibuprofen (isib. Motrin®).

Ingabe zikhona izingozi ezihilelekile?

Izinkinga ezivela ku-discogram azivamile , kodwa kunezinto ezimbalwa ezingenzeka:

• Ukutheleleka.
• Ukopha.
• Ubuhlungu bomhlane buya bukhula ngaphambi kokuba bube ngcono.
• Ukulimala kwemithambo yegazi noma imizwa.
• Ubuthakathaka besikhashana noma ukuba ndikindiki.
• Ubuhlungu bekhanda.
• Isicanucanu.
• Ukusabela kokungezwani komzimba nodayi wokungafani.
• Ukukhubazeka (lokhu akuvamile kakhulu).

Kuthatha isikhathi esingakanani ukuphulukiswa ngemva kokuhlolwa kwe-discogram?

Iningi labantu lingabuyela emsebenzini, esikoleni, nakweminye imisebenzi yansuku zonke zingakapheli amahora angama-24 . Kodwa-ke, kungathatha izinsuku eziningana ukuthi ubuhlungu endaweni lapho inaliti ifakiwe khona buphele ngokuphelele.

Ithini imiphumela yokuhlolwa kwami?

Udokotela we-radiation uzobheka imiphumela ye-discogram yakho bese ekutshela ukuthi idayi yokungafani isengaphakathi kwe-disc noma iphumile.

• Uma idayisi isengaphakathi kwidiski , kuwumphumela ojwayelekile/ongemuhle. Lokhu kusho ukuthi idiski ilungile.
• Uma idayi iphumile kudiski , kusho ukuthi idiski yonakele ngokuguguleka (umphumela omuhle).

Ngizoyazi nini imiphumela?

Uma udokotela we-radiology eseqedile ukuhlola i-discogram yakho, uzothumela imiphumela kudokotela wakho. Uma eseyitholile imiphumela, udokotela wakho uzokhuluma nawe ngayo. Ezimweni eziningi, uzothola imiphumela zingakapheli isonto .

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Kuye ngesimo sakho. Udokotela wakho angase ancome ukuhlolwa okwengeziwe kwezithombe ngaphambi kokunquma uhlelo lokwelashwa. Noma, angase ancome ukuhlanganiswa komgogodla, okuhilela ukususa idiski eyonakele nokuhlanganisa amathambo omgogodla ndawonye. Lokhu kungasiza ekunciphiseni ubuhlungu bomhlane.

Kufanele ngiphinde ngimbone nini udokotela?

Ngemva kokuhlolwa kwe-discogram, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo , shayela udokotela wakho ngokushesha :

• Uma umkhuhlane ungaphezu kwama-degrees Fahrenheit angu-101 (38.3 Celsius).
• Uma kukhona ukushintsha kombala, ukuvuvukala, ukufudumala, noma ubomvu obuphuma endaweni yokulunywa.
• Uma uqala ukuba nobuhlungu obusha emhlane.
• Uma ubuhlungu bakho emhlane buba bubi kakhulu .

Kubuhlungu kangakanani ukuhlolwa kwe-discogram?

Uma une-disc ene-herniated emgogodleni wakho, ungase uzwe ubuhlungu lapho udokotela efaka idayi yokuhlukanisa. Abantu abaningi bathi ubuhlungu bufana kakhulu nobuhlungu bomhlane ababuzwa nsuku zonke . Nakuba kungase kungabi mnandi ngaleso sikhathi, lobu buhlungu buyasiza udokotela ukuthi athole ukuthi iyiphi i-disc ene-herniated noma edabukile.

Ungase uzizwe ungakhululekile noma ubuhlungu izinsuku ezimbalwa ngemva kokuhlolwa. Uma lokhu kwenzeka, thatha umuthi wokunciphisa izinhlungu otholakala ngaphandle kwemithi kadokotela bese ufaka iqhwa izikhathi eziningana ngosuku.

Uyini umehluko phakathi kwe-discogram ne-MRI scan?

Zombili izivivinyo ze-imaging ezisiza ekutholeni imbangela yobuhlungu bomhlane. Kodwa-ke, ziyahlukahluka ngezindlela eziningana:

Odokotela bavame uku-oda i-CT scan noma i-MRI scan kuqala. Bazo-oda i-discogram uma kudingeka ezinye izivivinyo zezithombe futhi kudingeka ulwazi olwengeziwe. I-MRI inikeza isithombe esihle sesakhiwo se-disc, futhi kusetshenziswa i-discogram ukuthola ukuthi ubuhlungu bubangelwa yileyo disc ngempela .

Ekugcineni...

Ubuhlungu obungapheli bomhlane bungathinta ngempela izinga lempilo yakho. Uma usuzame zonke izindlela zokwelapha futhi kungekho lutho olusebenzayo, kungokwemvelo ukuzibuza, "Ingabe ikhona ikhambi lalokhu?"

Akuwona wonke umuntu onesifo sobuhlungu emhlane odinga ukuhlolwa kwe-discogram. Kodwa-ke, kwezinye izimo, lokhu kuhlolwa kwezithombe kungasiza ekuqinisekiseni ukuthi i-spinal disc isigugile yini futhi kususe ezinye izimo. Uma uhlushwa ubuhlungu emhlane obungathuthuki, buza udokotela wakho ukuthi i-discogram ingakusiza yini ekuxilongweni kwakho.

Ubuhlungu bomhlane , i-discogram, i-vertebrae, umgogodla, ukuxilongwa, i-X-ray, ubuhlungu bomhlane