Imvelaphi yam

Umxholo

• Yintoni imyelografi?
• Isetyenziselwa ntoni?
• Kutheni ndifuna iMyelografi?
• Yintoni eyenzekayo ngexesha le-myelography?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga ne-myelography?
• Izalathiso

Yintoni imyelografi?

I-Myelografi, ekwabizwa ngokuba yi-myelogram, luvavanyo lokucinga olukhangela iingxaki kumjelo wakho womqolo. Umqolo womqolo uqukethe intambo yakho yomqolo, iingcambu zentsimbi, kunye nendawo yangaphantsi kwento ebhabha phantsi komhlaba. Isithuba se-subarachnoid yindawo egcwele ulwelo phakathi kwentambo yomqolo kunye nenwebu egubungeleyo. Ngexesha lovavanyo, idayi eyahlukileyo itofwe kumjelo womqolo. Idayi eyahlukileyo yinto eyenza amalungu athile, imithambo yegazi, kunye nezicubu zibonise ngokucacileyo kwi-x-ray.

I-Myelography ibandakanya ukusebenzisa enye yezi ndlela zimbini zokucinga:

• Ifluoroscopy, Uhlobo lwe-x-ray ebonisa izicubu zangaphakathi, izakhiwo kunye namalungu ahamba ngexesha lokwenyani.
• Ukuskena i-CT (ikhompyuter ye-tomography), Inkqubo edibanisa uthotho lwemifanekiso ye-x-ray ethathwe kwii-engile ezahlukileyo ezijikeleze umzimba.

Amanye amagama: myelogram

Isetyenziselwa ntoni?

I-Myelography isetyenziselwa ukukhangela iimeko kunye nezifo ezichaphazela imithambo-luvo, imithambo yegazi, kunye nolwakhiwo kumjelo womqolo. Oku kubandakanya:

• Idiski yeHerniated. Iidiski zomqolo zii-cushion zerabha (iidiski) ezihlala phakathi kwamathambo omqolo wakho. Idiski ye-herniated yimeko apho idiski ikhupha kwaye icinezele kwimithambo-luvo yomqolo okanye intambo yomqolo.
• Amathumba
• Umqolo wesisu, imeko ebangela ukudumba kunye nomonakalo kumathambo nakwizicubu ezijikeleze intambo yomqolo. Oku kukhokelela ekunciphiseni komjelo womqolo.
• Usulelo, ezinjenge-meningitis, ezichaphazela inwebu kunye nezicubu zomqolo womqolo
• Arachnoiditis, imeko ebangela ukudumba kwenwebu egubungele umnqonqo

Kutheni ndifuna iMyelografi?

Unokulufuna olu vavanyo ukuba uneempawu zesifo somqolo, esifana:

• Intlungu emqolo, entanyeni, kunye / okanye emlenzeni
• Ukuziva ulwalamano
• Ubuthathaka
• Unengxaki yokuhamba
• Ingxaki ngemisebenzi ebandakanya amaqela amancinci emisipha, njengokucofa ihempe

Yintoni eyenzekayo ngexesha le-myelography?

I-myelography inokwenziwa kwiziko le-radiology okanye kwisebe le-radiology yesibhedlele. Inkqubo ihlala ibandakanya la manyathelo alandelayo:

• Kuya kufuneka ususe iimpahla zakho. Ukuba kunjalo, uyakunikwa ingubo yasesibhedlele.
• Uya kulala ngesisu kwitafile ye-x-ray.
• Umboneleli wakho uya kuwucoca umqolo wakho ngesisombululo sokubulala iintsholongwane.
• Uya kutofelwa iyeza elibindayo, ke ngekhe uzive iintlungu ngexesha lenkqubo.
• Nje ukuba loo ndawo ibe ndindisholo, umboneleli wakho uya kusebenzisa inaliti encinci ukujoba idayi eyahlukileyo kumjelo wakho womqolo. Unokuziva uxinzelelo xa inaliti ingena, kodwa ayifanele ikwenzakalise.
• Umboneleli wakho unokususa isampulu yolwelo lomqolo (cerebrospinal fluid) kuvavanyo.
• Itafile yakho ye-x-ray iya kulungiswa kwiindlela ezahlukeneyo ukuvumela idayi eyahlukileyo ukuba ihambele kwiindawo ezahlukeneyo zethambo lomqolo.
• Umboneleli wakho uyakususa inaliti.
• Umboneleli wakho uya kubamba kwaye arekhode imifanekiso esebenzisa ifluoroscopy okanye iCT scan.

Emva kovavanyo, unokubekwa esweni kangangeyure enye ukuya kwezimbini. Unokucetyiswa ukuba ulale phantsi ekhaya iiyure ezimbalwa kwaye uphephe ukusebenza nzima kusuku olunye ukuya kwiintsuku ezimbini emva kovavanyo.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Umboneleli wakho unokukucela ukuba usele ulwelo olongezelelekileyo kusuku olungaphambi kovavanyo. Ngomhla wovavanyo, uyakucelwa ukuba ungatyi okanye usele nantoni na, ngaphandle kwencindi yolwelo. Oku kubandakanya amanzi, umhluzi ocacileyo, iti, kunye nekofu emnyama.

Thetha nomboneleli wakho ngawo nawaphi na amayeza owasebenzisayo. Amayeza athile, ngakumbi i-aspirin kunye ne-thinner yegazi, akufuneki athathwe phambi kovavanyo lwakho. Umboneleli wakho uya kukwazisa ukuba ufuna ixesha elingakanani ukuthintela la mayeza. Kungade kube ziiyure ezingama-72 phambi kovavanyo.

Ngaba bukhona ubungozi kuvavanyo?

Akufanele uthathe olu vavanyo ukuba ukhulelwe okanye ucinga ukuba ukhulelwe. Imitha inokuba yingozi kusana olungekazalwa.

Kwabanye, akukho mngcipheko wokufumana olu vavanyo. Idosi yemitha iphantsi kakhulu kwaye ayithathwa njengenobungozi kubantu abaninzi. Kodwa thetha nomboneleli wakho malunga nazo zonke ii-ray-ray oye wazifumana ngaphambili. Imingcipheko yokuvezwa kwemitha inokudityaniswa nenani lonyango lwe-x-ray osele unalo ngokuhamba kwexesha.

Kukho umngcipheko omncinci wokuphendula ngokuchaseneyo nedayi eyahlukileyo. Xelela umboneleli wakho ukuba ngaba une-aleji, ngakumbi kwi-shellfish okanye i-iodine, okanye ukuba ukhe waphendula ngokuchaseneyo nezinto.

Eminye imingcipheko ibandakanya intloko ebuhlungu kunye nesicaphucaphu kunye nokugabha. Intloko inokuhlala kwiiyure ezingama-24. Ukuphendula ngokungathandekiyo kunqabile kodwa kunokubandakanya ukubanjwa, usulelo, kunye nokucinywa kumjelo womqolo.

Zithetha ntoni iziphumo?

Ukuba iziphumo zakho bezingaqhelekanga, oko kunokuthetha ukuba unale miqathango ilandelayo:

• Idiski yeHerniated
• Umqolo wesisu
• Ithumba
• Ukulimala kwamathambo
• Amathambo akhupha
• I-Arachnoiditis (ukudumba kwenwebu ejikeleze intambo yomqolo)

Iziphumo eziqhelekileyo zithetha ukuba umjelo wakho womqolo kunye nolwakhiwo ziqhelekile ngobukhulu, isikhundla, kunye nokumila. Umboneleli wakho unokufuna ukwenza iimvavanyo ezingakumbi ukuze afumanise ukuba yintoni ebangela iimpawu zakho.

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Ngaba ikhona enye into endifuna ukuyazi malunga ne-myelography?

I-MRI (imaging resonance imaging) ithathe indawo yesidingo se-myelography kwiimeko ezininzi. Ii-MRIs zisebenzisa amandla kazibuthe kunye namaza erediyo ukwenza imifanekiso yamalungu kunye nolwakhiwo ngaphakathi komzimba. Kodwa i-myelography inokuba luncedo ekuchongeni amathumbu athile omqolo kunye neengxaki zediski yomqolo. Isetyenziselwa nabantu abangakwaziyo ukuba ne-MRI kuba banezinyithi okanye izixhobo ze-elektroniki kwimizimba yabo. Ezi ziquka i-pacemaker, i-screws, kunye ne-cochlear implants.

Izalathiso

1. Iklinikhi yaseCleveland [kwi-Intanethi]. Cleveland (OH): Iiklinikhi yaseCleveland; c2020. Myelogram: Ubume; [icatshulwe ngo-2020 Juni 30]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://my.clevelandclinic.org/health/diagnostics/4892-myelogram
2. Iklinikhi yaseCleveland [kwi-Intanethi]. Cleveland (OH): Iiklinikhi yaseCleveland; c2020. Myelogram: Iinkcukacha zovavanyo; [icatshulwe ngo-2020 Juni 30]; [malunga nezikrini ezi-4]. Ifumaneka kwi: https://my.clevelandclinic.org/health/diagnostics/4892-myelogram/test-details
3. Amayeza kaJohn Hopkins [kwi-Intanethi]. IBaltimore: IYunivesithi yaseJohn Hopkins; c2020. Impilo: I-Myelopathy; [icatshulwe ngo-2020 Juni 30]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.hopkinsmedicine.org/health/conditions-and-diseases/myelopathy
4. Ubunjani beMayfield kunye ne-Spine [Intanethi]. I-Cincinnati: Ubume beMayfield kunye ne-Spine; c2008-2020. Myelogram; [ihlaziywe ngo-2018 Epreli; kucatshulwe ngo-2020 Juni 30]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://mayfieldclinic.com/pe-myel.htm
5. Ikliniki yaseMayo [kwi-Intanethi]. Isiseko seMayo seMfundo yezoNyango noPhando; c1998-2020. Uvavanyo lwe-CT: Ubume; 2020 Feb 28 [icatshulwe ngowe-2020 Juni 30]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.mayoclinic.org/tests-procedures/ct-scan/about/pac-20393675
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8. IZiko leLizwe leZiphazamiso ze-Neurological and Stroke [i-Intanethi]. I-Bethesda (MD): Isebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu; Uvavanyo lweNeurological Diagnostic kunye neNkqubo yePhepha leNqaku; [ihlaziyiwe ngo-2020 nge-16 kaMatshi; kucatshulwe ngo-2020 Juni 30]; [malunga nezikrini ezi-3]. Ifumaneka kwi: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Neurological-Diagnostic-Tests-and-Procedures-Fact
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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.