Ingabe ubulokhu uhlushwa ubuhlungu emhlane isikhathi esithile? Kungenzeka ukuthi usuvele ubonane nodokotela futhi wahlolwa njenge-X-ray, i-CT scan, noma i-MRI scan. Kodwa ngezinye izikhathi, ngisho nalezi zivivinyo azikwazi ukukhomba imbangela eqondile yobuhlungu bakho. Ezimweni ezinjalo, udokotela wakho angase ancome ukuhlolwa okukhethekile okungabheka le ndaba ngokujulile. Yilokho esizokhuluma ngakho kulesi sihloko namuhla. Kubizwa ngokuthi i-myelogram .
Kalula nje, iyini i-myelogram?
Cabanga ngale ndlela: i-X-ray evamile ifana nesithombe esimnyama nesimhlophe samathambo ethu. Ibonisa izinto ezifana nokuqhekeka nokuqhekeka kwamathambo ngokucacile. Kodwa ayibonisi izinto ezibucayi kakhulu njengemizwa kanye nomgogodla ngaphakathi komgogodla ngokucacile.
I-myelogram inqubo eyenza le mininingwane ecashile ibonakale kakhudlwana. Kusetshenziswa idayi ekhethekile, noma izinto ezihlukile, ukwenza lokhu. Uma ledayi ifakwa emgogodleni, ikhanya imhlophe ku-X-ray noma ku-CT scan. Njengokukhanyisa ithoshi ekamelweni elimnyama, ledayi ivumela udokotela ukubona konke okungaphakathi emgogodleni, okuhlanganisa umgogodleni, izindlela zemizwa, kanye nokuxhumana phakathi kwamathambo omgogodla.
Phakathi nalolu vivinyo, udokotela angabuka udayi uhamba emgogodleni wakho bukhoma esikrinini, njengevidiyo. Le ndlela ibizwa ngokuthi i-fluoroscopy .
Kungenzeka ukuthi uke wezwa udokotela esho izinto ezifana ne-'cervical myelogram' noma 'lumbar myelogram'. Ungakhathazeki ngalokho. Akuzona izivivinyo ezimbili ezihlukene. Zibhekisela nje lapho kwenziwa khona ukuhlolwa emgogodleni wakho. Isibonelo, uma ingxenye yentamo yakho (umgogodla wesibeletho) ihlolwa, 'kuyi-cervical myelogram'. Uma ingxenye yomhlane wakho ongezansi (umgogodla wesibeletho) ihlolwa, 'kuyi-lumbar myelogram'.
Kungani udokotela angayala i-myelogram?
Ngokuvamile, uma unesifo somhlane, udokotela uzoqala ngokuncoma i-CT scan noma i-MRI scan. Ezimweni eziningi, lezi zivivinyo zingasiza ekutholeni imbangela. Kodwa-ke, uma kungekho noyedwa kulezo zivivinyo oqinisekile, i-myelogram ivame uku-oda ukuze kutholakale okwengeziwe.
Lolu vivinyo luwusizo kakhulu ekuboneni izimo ezilandelayo.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Idiski ene-herniated | I-disc ye-herniated yisimo lapho ingxenye yomgogodla efana nejeli ephakathi kwamathambo amabili iqhuma khona bese icindezela imizwa. Lesi yisimo esithinta abantu abaningi. |
| I-arthritis emalungeni omgogodla | Ngokukhula noma ngenxa yezizathu ezithile, amalunga aphakathi komgogodla ayaguga, avuvuke, futhi abe buhlungu. |
| I-stenosis yomgogodla | Ingxenye yomgogodla efana 'nepayipi' lapho umgogodla kanye nemizwa kuhamba khona iyancipha, icindezele imizwa. |
| Ama-Bone spurs / ama-Osteophyte | Ngaphezu kwamathambo omgogodla, kwakheka izingcezu ezincane zamathambo, ezithinta imizwa, okubangela ubuhlungu. |
| Izimila zomgogodla | Izimila ezinomdlavuza noma ezingezona umdlavuza ezakheka emgogodleni futhi zibeke ingcindezi ezinzwa. |
Ngaphezu kwalokho, uma usanda kuhlinzwa umhlane futhi usuthole ubuhlungu obusha noma ukuba ndikindiki emilenzeni yakho, udokotela wakho angase akuncomele i-myelogram ukuthola imbangela.
Ngingalungiselela kanjani ngaphambi kokuhlolwa kwe-myelogram?
Udokotela wakho uzokunikeza imiyalelo ecacile mayelana nokuthi yini okudingeka uyenze ngaphambi kwalolu vivinyo. Kodwa ngokuvamile, ake sibheke ukuthi kufanele uzilungiselele kanjani. Ukulandela lezi zinyathelo kubaluleke kakhulu ukuze uvivinywe ngempumelelo, akunjalo?
| Okufanele ngikwenze | Amaphuzu abalulekile |
|---|---|
| Lungisa imoto. | Ngeke ukwazi ukushayela wedwa ngemva kokuhlolwa ngoba ungase unikezwe umuthi wokudambisa ukuze ulale. Ngakho-ke, kungadingeka ushayele umngane noma ilungu lomndeni ukuze akuyise ekhaya. |
| Phuza amanzi amaningi. | Kusukela ngosuku olungaphambi kokuhlolwa, qala ukuphuza cishe ingilazi yamanzi (ama-ounces angu-4-8) njalo emahoreni amabili. Kubalulekile ukuvimbela ukuphelelwa amanzi emzimbeni. |
| Ukuzila ukudla | Ungadli ukudla okuqinile amahora ayisithupha ngaphambi kokuhlolwa. |
| Iziphuzo eziwuketshezi | Ungaphuza uketshezi olucacile kuze kube amahora ayisithupha ngaphambi kokuhlolwa. Izibonelo zifaka amanzi, itiye elingenalo ubisi/ukhilimu, ikhofi emnyama, i-clear soda, ijusi yezithelo engenashukela, kanye nomhluzi wesobho. |
| Uma unesifo sikashukela: | |
| I-insulini | Thatha umthamo wakho we-insulin ojwayelekile, kodwa khuluma nodokotela wakho ngalokhu kuqala. |
| Ukuqwashisa | Khumbuza abasebenzi ukuthi unesifo sikashukela ngokushesha nje lapho uya esibhedlela ukuze uyohlolwa. |
Ngokuvamile, ukuhlolwa kwegazi akudingeki ngaphambi kwalokhu kuhlolwa. Kodwa-ke, uma unesifo segazi, njengokuphelelwa amanzi emzimbeni noma isifo sezinso esingamahlalakhona (CKD), udokotela wakho angase akucele ukuhlolwa okudingekayo.
Kwenzekani ngesikhathi sokuhlolwa?
Ngeke uquleke ngokuphelele phakathi nalesi sikhathi, kodwa ungase unikezwe imithi yokukusiza uphumule. Udokotela we-radiation kanye nochwepheshe bazoba nawe egumbini phakathi nokuhlolwa, ngakho-ke asikho isidingo sokwesaba.
Nasi incazelo yesinyathelo ngesinyathelo yalokho okwenzekayo ngesikhathi sokuhlolwa:
1. Ukulungiselela: Okokuqala, uzolaliswa etafuleni lokuhlolwa, kungaba ngesisu noma ngohlangothi.
2. Ukuhlanza: Umhlane wakho ongezansi uzohlanzwa kahle ngesisombululo sokubulala amagciwane.
3. Ukuba ndikindiki: Okulandelayo, kufakwa inani elincane le-anesthesia yendawo ukuze kuncishiswe indawo lapho inaliti ifakwe khona, ukuze ungezwa ubuhlungu.
4. Ukujova idayi: Manje yingxenye ebaluleke kakhulu. Udokotela we-radiologist uzojova ngokucophelela idayi ekhethekile (izinto ezingafani) esikhwameni esigcwele uketshezi esizungeze umgogodla wakho. Ungase uzizwe uncipha kancane kuleli qophelo.
5. Ukuthambekela kombhede: Ukuze usize udayi ugeleze endaweni efanele emgogodleni wakho, umhloli uzothambekela umbhede okuwo kancane. Ungase futhi ucelwe ukuthi uphendule ikhanda lakho kancane.
6. Ukuthatha izithombe: Ngemva kokuba udayi usufike ezindaweni ezifanele, kuthathwa uchungechunge lwezithombe ze-X-ray kanye ne-CT scan.
Yonke inqubo ivame ukuthatha cishe ihora. Kungase kube nokungakhululeki noma ikhanda elincane.
Kwenzekani ngemva kokuhlolwa? Kuthatha isikhathi esingakanani ukululama?
Ngemva kokuhlolwa sekuqediwe, uzogcinwa uqashwe esibhedlela cishe ihora. Uzovunyelwa ukuya ekhaya kuphela uma sekuqinisekisiwe ukuthi konke kuhamba kahle. Uzonikezwa isethi yemiyalelo ebhaliwe okufanele uyilandele ngemuva kokubuyela ekhaya. Udokotela we-X-ray uzothumela umbiko wokuhlolwa kudokotela wakho wokunakekelwa okuyinhloko (PCP).
Ngokuvamile uzobuyela esimweni esijwayelekile zingakapheli amahora angama-24. Ukuphumula phakathi nalesi sikhathi kubaluleke kakhulu ngoba kunganciphisa ingozi yokuvuza kobuchopho kanye noketshezi lomgogodla (CSF). Ungabuyela emisebenzini evamile ngemva kosuku.
Qiniseka ukuthi wenza lezi zinto ngenkathi ululama ekhaya:
- Gcina ikhanda lakho liphakeme: Gcina ikhanda lakho liphakeme ngaphezu komzimba wakho wonke ngangokunokwenzeka. Sebenzisa imicamelo emibili noma emithathu uma ulele phansi.
- Lala phansi ngomhlane wakho: Zama ukulala phansi ngomhlane wakho embhedeni ngangokunokwenzeka.
- Phuza uketshezi oluningi: Phuza amanzi amaningi kanye nezinye izinto eziwuketshezi. Lokhu kuzosiza ukususa udayi emzimbeni wakho futhi kunciphise ikhanda. Kodwa gwema utshwala.
- Gwema ukuphakamisa izinsimbi ezisindayo:Ungaphakamisi noma yiziphi izinsimbi noma wenze ukuzivocavoca okunzima usuku olulodwa noma ezimbili.
- Amakhambi ekhanda: Uma uphethwe yikhanda, ungabuza udokotela wakho mayelana nokuthatha umuthi wokuqeda ubuhlungu njenge-paracetamol. Futhi, ukuphuza iziphuzo eziqukethe i-caffeine (ikhofi, itiye) ngezinye izikhathi kungasiza ekunciphiseni ikhanda.
Imiphumela emibi nokuthi kufanele ukhulume nini nodokotela wakho
Cishe abantu abayi-10% abahlolwa i-myelogram bangase babe nemiphumela emibi emincane. Lokhu kuvame ukuphela ngokuphelele phakathi nosuku olulodwa noma ezimbili. Kodwa-ke, kubalulekile ukwazi ukuthi yini evamile nokuthi yini engathi sína.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi evamile futhi iphele ngosuku olulodwa noma ezimbili | |
| Ikhanda elibuhlungu | Lona umphumela ovame kakhulu wecala. |
| Isicanucanu nokuhlanza | Abanye abantu bangase babe nesicanucanu noma ukuhlanza. |
| Izimpawu ezinkulu okufanele zibikwe kudokotela wakho ngokushesha | |
| Ikhanda elibuhlungu eliqhubekayo | Ikhanda elibuhlungu elinzima elingenakulawuleka ngamaphilisi obuhlungu avamile noma ukuphumula. |
| Imfiva | Izinga lokushisa lomzimba lingaphezu kuka-101 Fahrenheit (38.3 Celsius). |
| Intamo eqinile | Ukuqina kwentamo nobuhlungu okwenza kube nzima ukugoba. |
| Ukuba ndikindiki/ukuvuvukala emilenzeni | Ukuba ndikindiki, ukusha, noma umuzwa wokuphelelwa yimpilo emilenzeni. |
| Ezinye izici | Uketshezi noma ubuhlungu obuvela endaweni yenaliti, ubunzima bokuchama, ukuquleka. |
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinkulu, ungalibali. Shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Ingabe lokhu kuyisivivinyo esibuhlungu kakhulu?
Lokhu akuzwakali ngendlela efanayo kuwo wonke umuntu. Kodwa akulona ukuhlolwa okubuhlungu kakhulu. Kodwa-ke, ungase uzwe ukungakhululeki okuncane.
- Ungase uzizwe uqhaqhazela lapho idayi ibhobozwa.
- Uma inaliti ifakwa, ungase uzizwe ushaqeka ngogesi ezinqeni noma emlenzeni cishe umzuzwana.
- Uma udayi ungena emzimbeni, ungase uzizwe ufudumele okwesikhashana, ukunambitheka kwensimbi emlonyeni, noma isicanucanu .
Khumbula, ithimba lezokwelapha lihlala lizama ukukwenza ukhululeke ngangokunokwenzeka futhi liqede ukuhlolwa ngokushesha okukhulu.
Okokugcina, i-myelogram iyithuluzi eliwusizo lokuthola imbangela eqondile yobuhlungu bomhlane obekukhathaza isikhathi eside futhi obungatholakali ngokuhlolwa okuvamile. Ngolwazi olucacile olunikezayo, udokotela wakho angaqala uhlelo lokwelashwa olukufanele. Ngakho-ke, uma udokotela encoma lolu vivinyo, ungesabi ukuqhubeka nokuthola amaqiniso.
Umlayezo Wokuya Nawe Ekhaya
- I-myelogram iyisivivinyo sokuthwebula izithombe esisebenzisa udayi okhethekile ukukhiqiza izithombe ezicacile zomgogodla kanye nezinzwa ezihambisana nawo.
- Lokhu kuhlolwa kuvame ukunconywa lapho imbangela yobuhlungu emhlane ingabonakali ngokucacile nge-CT noma i-MRI scans.
- Kubaluleke kakhulu ukulandela ngokuqinile imiyalelo kadokotela ngaphambi kokuhlolwa (ukuzila ukudla, ukuphuza uketshezi) kanye nangemva kokuhlolwa (ukuphumula, ukugwema ukuvivinya umzimba okunzima).
- Nakuba imiphumela emibi emincane efana nekhanda elibuhlungu kanye nesicanucanu ivamile, yazisa udokotela wakho ngokushesha uma uhlangabezana nezimpawu ezinkulu njengomkhuhlane ophakeme, intamo eqinile, noma ukungakhululeki emilenzeni yakho.
- Uma unemibuzo noma ukwesaba mayelana nokuhlolwa, xoxa ngakho ngokukhululekile nodokotela wakho.
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