Yini i-Discogram? Inhloso, Inqubo & Nemiphumela

I-discogram iyisivivinyo sokucabanga esikhethekile esisiza odokotela ukuthi bahlole impilo yama-disc akho oqolo. Kufana nokuthola imephu enemininingwane yalokho okwenzeka ngaphakathi kwemithwalo ephakathi kwama-vertebrae akho, ikakhulukazi lapho ezinye izivivinyo zinganikezanga izimpendulo ezicacile mayelana nobuhlungu bakho emhlane.

Le nqubo ihlanganisa ukucabanga nge-X-ray nokujova okuncane kombala oqondile kuma-disc akho oqolo. Udokotela wakho angabe esebona kahle ukuthi yimaphi ama-disc angase abangele ubuhlungu bakho nokuthi alimele kangakanani. Ngenkathi kuzwakala kunzima, ama-discogram enziwa ochwepheshe abanolwazi ababeka phambili induduzo yakho nokuphepha kwakho kuyo yonke inqubo.

Yini i-discogram?

I-discogram iyisivivinyo sokuxilonga esihlola isakhiwo sangaphakathi sama-disc akho oqolo. Cabanga ngama-disc akho oqolo njengemithwalo egcwele i-jelly ephakathi kwama-vertebrae akho esebenza njengama-shock absorbers oqolo lwakho.

Ngesikhathi salesi sivivinyo, i-radiologist ijova inani elincane lombala ngqo ku-disc elilodwa noma ngaphezulu emgogodleni wakho. Umbala uvela ngokucacile kuma-X-ray, wembula isakhiwo sangaphakathi se-disc ngayinye. Lokhu kusiza udokotela wakho ukuthi abone ukuthi i-disc idabukile, i-herniated, noma ilimele ngenye indlela.

Le nqubo ihlanganisa nokuqapha impendulo yakho yobuhlungu ngesikhathi sokujova. Uma ukujova i-disc ethile kuphinda ubuhlungu bakho obujwayelekile emhlane, kuphakamisa ukuthi leyo disc cishe ingumthombo wezimpawu zakho. Lolu lwazi lubalulekile ekuhleleni ukwelashwa kwakho.

Kungani kwenziwa i-discogram?

Udokotela wakho angase ancome i-discogram lapho ezinye izivivinyo zokucabanga njenge-MRI noma ama-CT scans bengakawutholi ngokusobala umthombo wobuhlungu bakho obungapheli emhlane. Kuyasiza ikakhulukazi uma ucabangela ukuhlinzwa komgogodla futhi udinga ukukhomba kahle ukuthi yimaphi ama-disc anezinkinga.

Lolu vivinyo lubaluleke kakhulu uma unezinkinga eziningi zama-disc ezibonakala kwamanye ama-scan. Njengoba kungasho ukuthi zonke izinguquko zama-disc zibangela ubuhlungu, i-discogram isiza ukuthola ukuthi yiziphi eziqondene nezimpawu zakho. Lokhu kunemba kuvimbela ukuhlinzwa okungadingekile kuma-disc anempilo.

Ama-discogram asetshenziselwa futhi ukuhlola impumelelo yokwelashwa komgogodla kwangaphambilini. Uma uke wahlinzwa ukufakelwa i-disc noma ukuhlanganiswa, lolu vivinyo lungahlola ukuthi ukwelashwa kusebenze kahle kangakanani nokuthi ama-disc aseduze athuthukise izinkinga.

Yini inqubo ye-discogram?

I-discogram yakho yenzeka egumbini elikhethekile le-radiology elinemishini yokuthwebula esezingeni eliphezulu. Uzoqala ngokuqonda ngesisu etafuleni le-X-ray, futhi ithimba lezokwelapha lizohlanza futhi libe ndikindiki indawo yokujova emhlane wakho.

Ngokusebenzisa isiqondiso se-X-ray esiqhubekayo esibizwa ngokuthi i-fluoroscopy, udokotela wakho uzofaka ngokucophelela inaliti encane phakathi nendawo ye-disc ngayinye ehlolwayo. Lokhu kunemba kuqinisekisa ukuthi inaliti ifinyelela ngqo endaweni efanele ngaphandle kokulimaza izicubu ezizungezile.

Nakhu okwenzekayo ngesikhathi senqubo yangempela:

1. Uzothola i-anesthetic yendawo ukuze ube ndikindiki isikhumba sakho nezicubu ezijulile
2. Udokotela ufaka inaliti encane ngemisipha yakho yangemuva ingene ku-disc
3. Inani elincane ledayi elihlukile lijovwa ku-disc
4. Izithombe ze-X-ray zithathwa ukuze kubonakale ukuthi idayi lisakazeka kanjani ngaphakathi kwe-disc
5. Uzocelwa ukuthi ukale noma yibuphi ubuhlungu obuzwayo ngesikhathi sokujova ngakunye
6. Inqubo iphindwa ku-disc ngayinye ehlolwayo

Inqubo yonke ngokuvamile ithatha imizuzu engama-30 kuya kwengama-60, kuye ngokuthi zingaki ama-disc adinga ukuhlolwa. Abantu abaningi bangahamba ngosuku olufanayo ngemva kwesikhathi esifushane sokubuka.

Ungalungiselela kanjani i-discogram yakho?

Ukulungiselela kwakho kuqala cishe ngesonto ngaphambi kwenqubo lapho uzodinga ukuyeka ukuthatha imithi ethile. Izinciphisi zegazi, imithi elwa nokuvuvukala, kanye neminye imithi yokudambisa ubuhlungu kungakhuphula ingozi yokopha, ngakho udokotela wakho uzokunikeza uhlu oluqondile lokuthi yini okufanele ukugweme.

Ngosuku lwe-discogram yakho, hlela ukufika nomuntu omdala onomthwalo wemfanelo ongakushayela ekhaya ngemva kwalokho. Imiphumela yokuthulisa nokwenza inqubo akuphephile ukuthi ushayele ngosuku olusele.

Uzofuna ukulandela lezi zinyathelo ezibalulekile zokulungiselela:

• Ungadli noma uphuze lutho amahora angu-6-8 ngaphambi kwenqubo
• Gqoka izingubo ezikhululekile, ezilula ongazikhipha kalula
• Susa yonke imihlobiso, ikakhulukazi entanyeni nasemhlane wakho
• Letha uhlu lwamanje lwazo zonke izidakamizwa nezithasiselo ozithathayo
• Lungiselela ukuthi othile ahlale nawe ekhaya amahora okuqala angu-24
• Hlela ukuthatha usuku olulodwa emsebenzini futhi ugweme imisebenzi eqinile

Ithimba lakho lezokwelapha lizobuyekeza umlando wakho wezokwelapha ophelele nezimpawu zamanje ngaphambi kwenqubo. Lokhu kubasiza ukuthi baqondise ama-disc alungile futhi baqonde okulindelekile ngesikhathi sokuhlolwa kwakho.

Ungawafunda kanjani imiphumela yakho ye-discogram?

Imiphumela yakho ye-discogram iza ngezingxenye ezimbili: izithombe ezibukwayo nokuphendula kwakho ubuhlungu ngesikhathi senqubo. Umbala ohlukile udala izithombe ezinemininingwane ezibonisa isakhiwo sangaphakathi se-disc ngayinye ehloliwe.

Ama-disc ajwayelekile, anempilo aqukethe umbala ohlukile phakathi nendawo yawo, okudala ukubukeka okubushelelezi, okuyindilinga kuma-X-ray. Umbala uhlala ngaphakathi kwemingcele yemvelo ye-disc, futhi ukuwujova akufanele kukhiqize ubuhlungu bakho obujwayelekile emhlane.

Okutholakele okuningana kungase kubonise izinkinga ze-disc:

• Umbala ohlukile ovuzayo ngaphandle kwediski ukhomba izinyembezi odongeni olungaphandle
• Amaphethini ombala angajwayelekile akhombisa ukulimala kwangaphakathi kwediski noma ukuguga
• Ukuphindaphinda ubuhlungu bakho obujwayelekile ngesikhathi sokujova kukhombisa ukuthi lelo diski liyimbangela yobuhlungu
• Ukufundwa kwengcindezi okungajwayelekile ngesikhathi sokujova kungadalula izinkinga zempilo yediski
• Ukungabikho ngokuphelele kokuthathwa kombala kungase kukhombe ukuguga okukhulu kwediski

Uchwepheshe wakho wemisebe uzohlanganisa lokhu okutholakele okubonakalayo nokuphendula kwakho ubuhlungu ukuze enze umbiko ophelele. Lolu lwazi lusiza udokotela wakho ukuthi anqume ukuthi yimaphi amadiski abangela izimpawu zakho futhi ahlele ukwelashwa okufanele.

Ziyini izici eziyingozi zokudinga i-discogram?

Ezinye izici zikhuphula amathuba akho okuthuthukisa izinkinga zediski ezingadinga ukuhlolwa kwe-discogram. Ubudala budlala indima ebalulekile, njengoba ukuguga kwediski kwenzeka ngokwemvelo ngokuhamba kwesikhathi, nabantu abaningi bekhombisa ezinye izinguquko zediski ngeminyaka engama-40.

Indlela yakho yokuphila nezidingo zomzimba nazo zithonya impilo yediski. Imisebenzi edinga ukuphakamisa izinto ezinzima, ukuhlala isikhathi eside, noma ukugoba ngokuphindaphindiwe kubeka ingcindezi eyengeziwe kumadiski akho omgogodla ngokuhamba kwesikhathi.

Lezi zici ngokuvamile zifaka isandla ezinkingeni zediski:

• Ukwelashwa kwangaphambilini emhlane noma ukulimala okuvela ezingozini noma ekuweni
• Ukuthambekela kofuzo ekugugeni kwediski noma ezinkingeni zomgogodla
• Ukukhuluphala ngokweqile, okwandisa ingcindezi kumadiski akho omgogodla
• Ukubhema, okunciphisa ukugeleza kwegazi ezicutshini zediski
• Ukuma okubi ngesikhathi somsebenzi noma imisebenzi yansuku zonke
• Ukuntuleka kokuzivocavoca njalo okuholela emisipheni eyisisekelo ebuthakathaka
• Izimo ze-autoimmune ezithinta izicubu ezixhunyanisayo

Ukuba nalezi zici eziyingozi akuqinisekisi ukuthi uzodinga i-discogram, kodwa zikhuphula amathuba akho okuthuthukisa ubuhlungu bomhlane obuhlobene nediski obungadinga ukuhlolwa okuningiliziwe.

Ziyini izinkinga ezingaba khona ze-discogram?

Abantu abaningi bayakwazi ukumelana kahle nama-discogram ngemiphumela emincane, yesikhashana kuphela. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha ebandakanya izinaliti nombala ohlukile, kunezinye izingozi okufanele ziqashelwe.

Izinkinga ezivamile, ezilula ezivame ukuxazululwa ezinsukwini ezimbalwa zihlanganisa ukwanda kobuhlungu emhlane endaweni yokujova, ikhanda, nobuhlungu bemisipha. Lokhu kuvame ukuphendula kahle ekuphumuleni nasemithini yokwelapha ubuhlungu engathengiswa ngaphandle kwemvume kadokotela.

Izinkinga ezingathi sína kodwa ezingavamile zingenzeka, futhi kubalulekile ukwazi ukuthi yini okufanele iqashelwe:

• Ukunyuka kwamagciwane endaweni yokujova noma ngaphakathi esikhaleni se-disc
• Ukungezwani komzimba nombala ohlukile noma imithi esetshenzisiwe
• Umonakalo wemizwa obangela ukuba ndikindiki noma ubuthakathaka emilenzeni yakho
• Ukuphuma kwegazi noma ukuqaqeka eduze kwendawo yokujova
• Ukuvuza koketshezi lomgogodla okubangela ikhanda elibuhlungu kakhulu
• Ukwelashwa kwe-disc ngenaliti

Ithimba lakho lezokwelapha lithatha izinyathelo eziningi zokunciphisa lezi zingozi, okuhlanganisa ukusebenzisa izindlela ezingenamabhaktheriya nokukuqapha eduze ngesikhathi nangemva kwenqubo. Izinkinga eziningi, uma zenzeka, zingelashwa ngokunakekelwa okufanele kwezokwelapha.

Kufanele ngibone nini udokotela ngemva kwe-discogram yami?

Kufanele uthinte udokotela wakho ngokushesha uma uqala ukuba nomkhuhlane, ikhanda elibuhlungu kakhulu, noma izimpawu zokutheleleka ngemva kwe-discogram yakho. Lezi zimpawu zingase zikhombe izinkinga ezingathi sína ezidinga ukunakekelwa kwezokwelapha okusheshayo.

Ukwanda kobuhlungu nokuqina okuthile kuvamile ezinsukwini ezimbalwa zokuqala ngemva kwenqubo. Kodwa-ke, ezinye izimpawu ziqinisekisa ukuhlolwa kwezokwelapha ngokushesha futhi akufanele zinganakwa.

Shayela udokotela wakho ngokushesha uma uhlangabezana nalokhu:

• Umkhuhlane ongaphezu kuka-101°F (38.3°C) noma amaqhafuza
• Ikhanda elibuhlungu eliqina uma uhlezi noma uma umi
• Ukuqaqamba okusha noma ubuthakathaka emilenzeni yakho noma ezinyaweni
• Ukubomvu okwandayo, ukuvuvukala, noma ukuchitheka ezindaweni zokujova
• Ubuhlungu emhlane obubi kakhulu kunangaphambi kwenqubo
• Ukungakwazi ukulawula isinye sakho noma amathumbu akho

Ukuze ulandelele njalo, hlela i-aphoyintimenti nodokotela wakho phakathi kwamasonto angu-1-2 ukuze nixoxe ngemiphumela yakho kanye nezinyathelo ezilandelayo. Lokhu kunikeza isikhathi esanele sokuthi noma yikuphi ukungakhululeki okuhlobene nenqubo kunciphe ngenkathi kuqinisekiswa ukuhlelwa kokwelashwa ngesikhathi esifanele.

Imibuzo evame ukubuzwa mayelana nama-discograms

Q.1 Ingabe ukuhlolwa kwe-discogram kulungile kuma-disc herniated?

Yebo, ama-discograms angasiza kakhulu ekuhloleni ama-disc herniated, ikakhulukazi uma ezinye izivivinyo zokuthwebula izithombe zingabonisi ngokucacile ukuthi iyiphi i-disc ebangela ubuhlungu bakho. Ukuhlolwa kwembula kokubili ukulimala kwesakhiwo nokuthi ngabe leyo disc ethile ikhiqiza izimpawu zakho.

Nokho, ama-discograms ngokuvamile agcinelwa amacala lapho ukwelashwa okuqhubekayo kuhlulekile futhi ukuhlinzwa kucatshangelwa. Udokotela wakho ngokuvamile uzozama izindlela zokuxilonga ezingahlaseli kuqala, njengama-MRI scans kanye nokuhlolwa komzimba.

Q.2 Ingabe i-discogram eyakhayo isho ukuthi ngidinga ukuhlinzwa?

I-discogram eyakhayo ayisho ngokuzenzakalelayo ukuthi udinga ukuhlinzwa, kodwa inikeza ulwazi olubalulekile lokuhlela ukwelashwa. Abantu abaningi abane-discograms eyakhayo basabela kahle ekwelashweni okungahlinzi njenge-physical therapy, imijovo, noma izinguquko zokuphila.

Ukuhlinzwa kuba yindlela uma ukwelashwa okuqhubekayo kungazange kunikeze ukukhululeka okwanele futhi i-discogram ibona ngokucacile i-disc enezinkinga. Udokotela wakho uzocabangela impilo yakho yonke, iminyaka, izinga lomsebenzi, kanye nezintandokazi zomuntu siqu lapho exoxa ngezinketho zokwelashwa.

Q.3 Inobuhlungu obungakanani inqubo ye-discogram?

Abantu abaningi bachaza i-discogram njengengakhululekile kunokuba ibe buhlungu kakhulu. Uzothola i-anesthetic yendawo ukuze uqede ubuhlungu endaweni yokujova, futhi izindawo eziningi zinikeza ukuthuliswa okuncane ukukusiza ukuba uphumule ngesikhathi senqubo.

Ingxenye enzima kakhulu ivame ukuba lapho i-disc ijovwa ngodayi ohlukile, njengoba lokhu kungase kubangele ubuhlungu bakho obujwayelekile emhlane okwesikhashana. Lokhu kuphindaphinda kobuhlungu, ngenkathi kungakhululekile, kunikeza ulwazi olubalulekile lokuxilonga udokotela wakho.

Q.4 Zithatha isikhathi esingakanani imiphumela ye-discogram?

Izithombe zakho ze-discogram zitholakala ngokushesha ngemva kwenqubo, kodwa umbiko obhaliwe ophelele ngokuvamile uthatha izinsuku zebhizinisi eziyi-1-2. I-radiologist idinga isikhathi sokuhlaziya ngokucophelela zonke izithombe futhi izihlobanise nezimpendulo zakho zobuhlungu ngesikhathi sokuhlolwa.

Udokotela wakho ngokuvamile uzohlela ukuqokwa okulandelayo phakathi nesonto noma amabili ukuze axoxe ngemiphumela futhi ancome izinyathelo ezilandelayo zohlelo lwakho lokwelashwa.

Q.5 Ingabe i-discogram ingenza ubuhlungu bami emhlane bube bubi kakhulu?

Kuvamile ukuzwa ubuhlungu obukhulu emhlane izinsuku ezimbalwa ngemva kwe-discogram, kodwa lokhu ngokuvamile kuyancipha njengoba indawo yokujova iphola. Ukufakwa kwenelidi kanye nombala ohlukile kungabangela ukuvuvukala kwesikhashana nobuhlungu.

Ukwanda unomphela kobuhlungu emhlane akuvamile kodwa kungenzeka uma inalidi ilimaza izicubu ze-disc noma ibangela ukutheleleka. Ithimba lakho lezokwelapha lithatha izinyathelo zokuqapha ukuze zinciphise lezi zingozi, futhi abantu abaningi babuyela emazingeni abo obuhlungu ayisisekelo phakathi nesonto.