I-Myelography

-Delile

• Yini i-myelography?
• Kusetshenziselwa ini?
• Kungani ngidinga umlando wami?
• Kwenzekani ngesikhathi se-myelography?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana ne-myelography?
• Izinkomba

Yini i-myelography?

I-Myelography, ebizwa nangokuthi i-myelogram, ukuhlolwa kwe-imaging okuhlola izinkinga emgodini wakho womgogodla. Umsele womgogodla uqukethe intambo yakho yomgogodla, izimpande zemizwa, kanye nendawo engaphansi komhlaba. Isikhala se-subarachnoid isikhala esigcwele uketshezi phakathi kwentambo yomgogodla nolwelwesi olusembozayo. Ngesikhathi sokuhlolwa, udayi wokuqhathanisa ujojowe emgodini womgogodla. Idayi yokuqhathanisa yinto eyenza izitho ezithile, imithambo yegazi, nezicubu zivele ngokucacile kwi-x-ray.

I-Myelography ihilela ukusebenzisa eyodwa yalezi zinqubo ezimbili zokuthatha izithombe:

• I-fluoroscopy, uhlobo lwe-x-ray olubonisa izicubu zangaphakathi, izakhiwo, nezitho ezihamba ngesikhathi sangempela.
• Ukuskena kwe-CT (i-tomography yekhompyutha), inqubo ehlanganisa uchungechunge lwezithombe ze-x-ray ezithathwe ezinhlangothini ezihlukene zomzimba.

Amanye amagama: myelogram

Kusetshenziselwa ini?

I-Myelography isetshenziselwa ukubheka izimo nezifo ezithinta izinzwa, imithambo yegazi, nezakhiwo ezisemgodini womgogodla. Lokhu kufaka phakathi:

• Idiski ye-Herniated. Amadiski omgogodla yimisipha (yama diski) ehlezi phakathi kwamathambo omgogodla wakho. Idiski ye-herniated yisimo lapho i-disk ikhuphuka khona bese icindezela izinzwa zomgogodla noma umgogodla.
• Izimila
• I-spinal stenosis, isimo esidala ukuvuvukala nokulimala kwamathambo nezicubu ezizungeze umgogodla. Lokhu kuholela ekunciphiseni komsele womgogodla.
• Izifo, njenge-meningitis, ethinta ulwelwesi nezicubu zomgogodla
• I-Arachnoiditis, isimo esidala ukuvuvukala kolwelwesi olumboza umgogodla

Kungani ngidinga umlando wami?

Ungadinga lokhu kuhlolwa uma unezimpawu zesifo somgogodla, njenge:

• Ubuhlungu ngemuva, entanyeni, kanye / noma emlenzeni
• Ukuzwa kwemizwa
• Ubuthakathaka
• Unenkinga yokuhamba
• Inkinga ngemisebenzi ebandakanya amaqembu amancane emisipha, njengokucofa inkinobho

Kwenzekani ngesikhathi se-myelography?

I-myelography ingenziwa esikhungweni se-radiology noma emnyangweni we-radiology esibhedlela. Inqubo ivame ukufaka lezi zinyathelo ezilandelayo:

• Ungahle udinge ukususa izingubo zakho. Uma kunjalo, uzonikezwa ingubo yasesibhedlela.
• Uzolala ngesisu etafuleni le-x-ray eligxiliwe.
• Umhlinzeki wakho uzohlanza umhlane wakho ngesixazululo samagciwane.
• Uzofakwa ngomuthi wokundikindiki, ngakho ngeke ubuzwe ubuhlungu ngesikhathi senqubo.
• Lapho indawo isikindiki, umhlinzeki wakho uzosebenzisa inaliti ezacile ukujova udayi wokuqhathanisa emgodini wakho womgogodla. Ungase uzwe ingcindezi ethile lapho inaliti ingena, kodwa akufanele ikulimaze.
• Umhlinzeki wakho angasusa isampula loketshezi lomgogodla (i-cerebrospinal fluid) ukuze kuhlolwe.
• Itafula lakho le-x-ray lizothambeka ngezindlela ezihlukile ukuvumela udayi wokuqhathanisa ukuthuthela ezindaweni ezahlukahlukene zomgogodla.
• Umhlinzeki wakho uzosusa inaliti.
• Umhlinzeki wakho uzobamba futhi arekhode izithombe esebenzisa i-fluoroscopy noma i-CT scan.

Ngemuva kokuhlolwa, ungaqashwa ihora elilodwa noma amabili. Ungase futhi weluleke ukuthi ulale phansi ekhaya amahora ambalwa futhi uvikele umsebenzi okhandlayo usuku olulodwa noma ezimbili ngemuva kokuhlolwa.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Umhlinzeki wakho angakucela ukuthi uphuze uketshezi olungeziwe ngosuku olwandulela ukuhlolwa. Ngosuku lokuhlolwa, uzocelwa ukuthi ungadli noma uphuze noma yini, ngaphandle koketshezi olucacile. Lokhu kufaka phakathi amanzi, umhluzi ocacile, itiye, nekhofi elimnyama.

Khuluma nomhlinzeki wakho nganoma yimiphi imithi oyiphuzayo. Imithi ethile, ikakhulukazi i-aspirin kanye ne-thinner yegazi, akufanele ithathwe ngaphambi kokuhlolwa kwakho. Umhlinzeki wakho uzokwazisa ukuthi udinga isikhathi esingakanani ukugwema le mithi. Kungaba isikhathi eside njengamahora angama-72 ngaphambi kokuhlolwa.

Ingabe zikhona izingozi esivivinyweni?

Akufanele wenze lokhu kuhlolwa uma ukhulelwe noma ucabanga ukuthi kungenzeka ukhulelwe. Imisebe ingaba yingozi enganeni engakazalwa.

Kwabanye, kunengozi encane yokuthola lolu vivinyo. Umthamo wemisebe uphansi kakhulu futhi awuthathwa njengoyingozi kubantu abaningi. Kepha khuluma nomhlinzeki wakho ngakho konke ama-x-ray oke waba nawo esikhathini esedlule. Izingozi ezivela ekuvezweni ngemisebe zingaxhunyaniswa nenani lezindlela zokwelashwa ze-x oke waba nazo ngokuhamba kwesikhathi.

Kukhona ingozi encane yokuphendula okweqile kudayi ohlukile. Tshela umhlinzeki wakho uma kukhona ukungezwani komzimba nawe, ikakhulukazi kwi-shellfish noma iodine, noma uma uke waba nokusabela kokuqhathanisa izinto.

Ezinye izingozi zihlanganisa ukuphathwa ikhanda nokuhlanza nokuhlanza. Ikhanda lingahlala kuze kube ngamahora angama-24. Ukuphendula okubucayi akuvamile kepha kungafaka ukubanjwa, ukutheleleka, nokuvinjelwa emgodini womgogodla.

Isho ukuthini imiphumela?

Uma imiphumela yakho ibingejwayelekile, kungasho ukuthi unalezi zimo ezilandelayo:

• Idiski ye-Herniated
• I-spinal stenosis
• Isimila
• Ukulimala kwemizwa
• Amathambo ayaqhuma
• I-Arachnoiditis (ukuvuvukala kolwelwesi oluzungeze intambo yomgogodla)

Umphumela ojwayelekile usho ukuthi umsele wakho womgogodla nezakhiwo bezijwayelekile ngosayizi, isikhundla, nokuma. Umhlinzeki wakho angafuna ukwenza izivivinyo eziningi ukuthola ukuthi yini ebangela izimpawu zakho.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Ngabe kukhona okunye engidinga ukukwazi mayelana ne-myelography?

I-MRI (imaging resonance imaging) ithathe isikhundla sesidingo se-myelography ezimweni eziningi. Ama-MRIs asebenzisa amandla kazibuthe namagagasi omsakazo ukudala izithombe zezitho nezakhiwo ngaphakathi komzimba. Kepha i-myelography ingasiza ekutholeni izicubu ezithile zomgogodla nezinkinga zediski lomgogodla. Ibuye isetshenziselwe abantu abangakwazi ukuba ne-MRI ngoba banezinsimbi noma amadivayisi kagesi emizimbeni yabo. Lokhu kufaka phakathi i-pacemaker, izikulufu zokuhlinza, kanye nokufakwa kwe-cochlear.

Izinkomba

1. Umtholampilo waseCleveland [Inthanethi]. I-Cleveland (OH): Umtholampilo waseCleveland; c2020. I-Myelogram: Ukubuka konke; [kucashunwe ngo-2020 Juni 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://my.clevelandclinic.org/health/diagnostics/4892-myelogram
2. Umtholampilo waseCleveland [Inthanethi]. I-Cleveland (OH): Umtholampilo waseCleveland; c2020. I-Myelogram: Imininingwane Yokuhlola; [kucashunwe ngo-2020 Juni 30]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://my.clevelandclinic.org/health/diagnostics/4892-myelogram/test-details
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13. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Myelogram: Imiphumela; [kubuyekezwe ngo-2019 Dec 9; kukhonjiwe ngo-2020 Jun 30]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233093
14. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Myelogram: Izingozi; [kubuyekezwe ngo-2019 Dec 9; kukhonjiwe ngo-2020 Jun 30]; [cishe izikrini eziyi-7]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233088
15. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Myelogram: Ukubuka konke kokuhlolwa; [kubuyekezwe ngo-2019 Dec 9; kukhonjiwe ngo-2020 Jun 30]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html
16. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Myelogram: Ongacabanga Ngakho; [kubuyekezwe ngo-2019 Dec 9; kukhonjiwe ngo-2020 Jun 30]; [cishe izikrini eziyi-10]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233105
17. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: I-Myelogram: Kungani Kwenziwa; [kubuyekezwe ngo-2019 Dec 9; kukhonjiwe ngo-2020 Jun 30]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233063

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.