Myelografi: yintoni, yenzelwe ntoni kwaye yenziwa njani

Umxholo

• Yintoni i-myelografi?
• Kwenziwa njani
• Iziphumo ebezingalindelekanga ezinokwenzeka

I-Myelografi luvavanyo lokuhlola olwenziwa ngenjongo yokuvavanya intambo yomqolo, eyenziwa ngokusebenzisa ukungafani kwendawo kunye nokwenza i-radiografi okanye i-computed tomography emva koko.

Ke, ngolu vavanyo kunokwenzeka ukuvavanya ukuqhubela phambili kwezifo okanye ukwenza ukuxilongwa kwezinye iimeko ezinokuthi zingakhange ziqinisekiswe kwezinye iimviwo zokucinga, ezinje nge-spinal stenosis, i-disc ye-herniated okanye i-ankylosing spondylitis, umzekelo.

Yintoni i-myelografi?

I-Myelography ihlala iboniswa xa i-radiograph ingonelanga ekuchongeni imeko. Yiyo loo nto, ugqirha angabonisa ukusebenza kolu vavanyo ukuze akwazi ukuphanda, ukufumanisa okanye ukuvavanya ukuqhubela phambili kwezinye izifo, ezinje:

• Idiski yeHerniated;
• Ukwenzakala kwimithambo-luvo yomqolo;
• Ukudumba kwemithambo-luvo egubungele umnqonqo;
• I-spinal stenosis, ukunciphisa umjelo womqolo;
• I-Brain tumor okanye i-cysts;
• I-Ankylosing spondylitis.

Ukongeza, i-myelografi inokuboniswa ngugqirha ukuba aphande ngezifo ezinokuthi zichaphazele intambo yomqolo.

Kwenziwa njani

Ukwenza i-myelography, kuyacetyiswa ukuba umntu asele amanzi amaninzi kwiintsuku ezimbini phambi koviwo kwaye azile ukutya malunga neeyure ezi-3 ngaphambi koviwo. Ukongeza, kubalulekile ukuba umntu axelele ugqirha ukuba ngaba une-aleji yokuthelekisa okanye ye-anesthesia, ukuba banembali yokuxhuzula, ukuba basebenzisa i-anticoagulants okanye ukuba kukho ithuba lokukhulelwa, ukongeza ekususeni ukugqobhoza nezacholo.

Emva koko, umntu ubekwa kwindawo efanelekileyo ukuze akhululeke kwaye kuyenzeka ukuba ubulale iintsholongwane kwindawo leyo ukuze kusetyenziswe inaliti kunye nokungafani. Ke ngoko, emva kokubulala iintsholongwane, ugqirha usebenzisa i-anesthetic kumqolo ongezantsi ngenaliti entle emva koko, ngesinye inaliti, asuse intwana yomgogodla kwaye atofa inani elifanayo lokuthelekisa, ukuze umntu azive enoxinzelelo oluncinci intloko ngeloxesha.

Emva koko, uvavanyo lomfanekiso lwenziwa, olunokuba yiradiyografi okanye ikhompyuter yecomputer, ukuze kuvavanywe indlela umahluko odlula ngayo kumjelo womqolo kwaye ufikelela kwimithambo-luvo ngokuchanekileyo. Ke, naluphi na utshintsho olubonwe kwipatheni yokusasazeka enokuba luncedo ekuchongeni nasekuvavanyeni ukuqhubela phambili kwesifo.

Emva koviwo, kuyacetyiswa ukuba umntu ahlale iiyure ezi-2 ukuya kwezi-3 esibhedlele ukuze achache kwi-anesthesia yendawo, ukongeza ekuthatheni ulwelo oluninzi ukukhuthaza ukupheliswa kokungafaniyo kwaye aphumle malunga neeyure ezingama-24.

Iziphumo ebezingalindelekanga ezinokwenzeka

Iziphumo ebezingalindelekanga ze-myelography zihlala zinxulumene nokungafani, kwaye abanye abantu banokufumana iintlungu zentloko, umqolo okanye umlenze, nangona kunjalo olu tshintsho luthathwa njengesiqhelo kwaye luyanyamalala emva kweentsuku ezimbalwa. Nangona kunjalo, xa iintlungu zingapheli emva kweeyure ezingama-24 okanye xa zikhatshwa ngumkhuhlane, isicaphucaphu, ukugabha okanye ubunzima ekuchameni, kubalulekile ukuxela olu tshintsho kugqirha.