Kuzindikira matenda opweteka a msana

Chinthu choyamba ndi kupweteka m'mphepete mwa msana wa munthu akufunsidwa za kumene akumva ululu ndipo zomwe, malingaliro ake, zimagwirizana ndi zochitika zake. Zomwe amapeza zimatengedwa kuti ndizovomerezeka, popeza ndizo magwero a wodwala mwiniwakeyo. Choncho, chidziwitso choterechi chiyenera kuthandizidwa ndi deta zolinga zomwe zimapezeka ndi chithandizo cha mitundu yosiyanasiyana ya zamankhwala.

Njira yosavuta komanso yothandiza kwambiri ndiyo kuchita zochepa zosavuta kwa wodwalayo, monga kuyenda, otsetsereka, masewera, etc. (chikhalidwe chawo chimadalira komwe munthuyo akumva ululu) ndi nkhani yofanana yokhudza mtima wamkati. Kenaka dokotala akupitiriza kumverera kumbuyo, kuyesa kuzindikira malo omwe ali ndi vuto: ululu wa ululu, kutupa, kukhumudwa, ndi zina zotero. Pa nthawi yomweyi, amayesa mkhalidwe wa magulu osiyanasiyana a minofu, kuyesa kuzindikira zizindikiro za atrophy. Onetsetsani kuti muyang'ane magetsi, komanso kukhudzidwa kwa mbali iliyonse ya thupi, makamaka zala (chifukwa chaichi, zimagwiritsidwa ntchito, zomwe wodwalayo ayenera kuzimverera). NthaƔi zina mauthenga omwe amasonkhanitsidwa mwanjira imeneyi ndi okwanira kupeza ndi kuyamba mankhwala. Komabe, kawirikawiri maphunziro owonjezereka amafunika ndi kugwiritsa ntchito zipangizo zamakono zachipatala. Kodi matenda a kutupa kwa msana amatha bwanji, phunzirani m'nkhani yokhudza mutu wakuti "Kuzindikira matenda opweteka a msana."

Munthu wodwala amayamba kutumizidwa ku radiograph. Komabe, nthawi zonse kugwiritsa ntchito zipangizo za X-ray sikuyenera kudwala matenda opweteka a msana. Kotero, ngati mukumva kupweteka kochepa kochepa kumbuyo (lumbago), kufalikira kwa fluoroscopy, mwinamwake, palibe chomwe chidzachitike. Njira zina zogwiritsira ntchito mafoni (monga kujambula kwa maginito resonance ndi computed tomography) sizinagwiritsidwe ntchito nthawi zonse. Nthawi zambiri amangosonyeza kuti disvertebral disc yayamba. Mwiniwake, chodabwitsa ichi sichitha kuonedwa kuti ndicho chifukwa cha mavuto, monga momwe nthawi zambiri amachitira anthu omwe samadandaula za ululu kumbuyo. Kugwiritsira ntchito maginito a maginito resonance amalola adokotala kufufuza kukula kwa mitsempha yambiri ndi ma intervertebral discs, komanso kuona zotsatira za kuvulala, zotupa, matenda a matenda ndi madera ena. Mapulogalamu a pakompyuta ndi kusiyana kwake kwakukulu amakhala ndi mwayi wopeza chifaniziro cha zitatu, chomwe chimakhudza kwambiri kulondola ndi kupambana kwa matenda. Makamaka kuphunzira za msana ndi matenda a kutupa kwa msana ndi njira monga disco ndi myelography, zomwe zimapereka chidziwitso chokwanira cha dziko limene intervertebral discs ali. Mu myelography, chinthu chosiyana kwambiri cha mtundu wachikuda chimalowa mu ngalande ya wodwalayo, yomwe imayang'ana kuzungulira msana ndi mitsempha yomwe imachoka. Chifukwa cha ichi, chithunzi cha X-ray chikuwonekera momveka bwino malo omwe mitsempha imakhala yovuta ndi disvered intervertebral disc (yotchedwa disc hernia). Discography imasiyana ndi njira yofotokozera kuti mankhwala osiyana amaloledwa mwachindunji mu intervertebral disc: ngati yawonongeka, mankhwalawa amatha kuthamanga mu danga loyandikana nalo, lomwe lidzawonetsa nthawi yomweyo pa X-ray.

Kufufuza minofu ndi matenda oyenera a msana, pali njira, ndipo ndondomeko yomwe imagwiritsa ntchito imatchedwa "electromyography". Zapangidwira kuyesa zofooka zamagetsi zofooka zomwe zimachitika nthawi zonse minofu. Pogwiritsira ntchito chidziwitso ichi, n'zotheka kuzindikira kuti kutupa, zotupa, ndi zina zotero zimathandizidwa ndi magetsi, magulu a mitsempha, makamaka kufulumira kwa kayendedwe ka magetsi pambali pawo, amawonanso. Kawirikawiri njira imeneyi imagwiritsidwa ntchito pazinthu zaumunthu zofooka kapena zofooka m'milingo, zomwe zingayambidwe ndi kuwonongeka kwa mitsempha ya mitsempha (mwachitsanzo, chifukwa cha kusinthasintha kwazomwe mumatulutsa). Electromyography ikuchitika mu magawo awiri. Poyamba, singano zoonda zimalowa m'minofu ya munthu, pomwe magetsi amagwiritsidwa ntchito. Mwanjira imeneyi n'zotheka kupeza fano pachiwonekera cha chipangizo chapadera - oscilloscope. Pachigawo chachiwiri, ma electrode amagwiritsidwa ntchito pakhungu kumene magetsi amatha. Ntchito ya dokotala ndiyo kufufuza momwe mitsempha imatha kukhalira mwamsanga. Ngakhale kuti phindu la njira zosiyanasiyana zogwiritsira ntchito zikhoza kupindula, munthu ayenera kukhala wochenjera nawo, chifukwa panthawi yomwe amatha kupweteka maphunzirowo akhoza kuwonjezeka kwambiri. Tsopano tikudziwa momwe tingapewere matenda opweteka a msana.