Myelography

Anter

• He aha ka myelography?
• No ke aha ia e hoʻohana ai?
• No ke aha mai e pono ai ka myelography?
• He aha ka hana ma ka myelography?
• Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?
• Aia kekahi mau pilikia i ka hoʻāʻo?
• He aha ke ʻano o nā hopena?
• Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka myelography?
• Nā kūmole

He aha ka myelography?

ʻO Myelography, i kapa ʻia hoʻi he myelogram, kahi hōʻike kiʻi e nānā ana no nā pilikia i kāu canal spinal. Aia i loko o ka Canal spinal kou iwi kuamoʻo, nā aʻa aʻa, a me kahi subarachnoid. ʻO ka subarachnoid space kahi piha piha i ka wai ma waena o ka iwi kuamoo a me ka membrane e uhi ana iā ia. I ka wā o ka hoʻāʻo, hoʻokomo ʻia ka kala ʻokoʻa i loko o ka canal spinal. ʻO ka pena kala kahi mea e hōʻike maopopo ai i nā mea kikoʻī, nā kīʻaha koko, a me nā mea kiko ma kahi x-ray.

Pili ka Myelography i ka hoʻohana ʻana i kekahi o kēia mau kaʻina hana kiʻi ʻelua:

• Fluoroscopy, kahi ʻano x-ray e hōʻike ana i nā ʻaʻa o loko, nā hale, a me nā ʻoniʻoni e neʻe ana i ka manawa maoli.
• CT scan (kamepiula tomography), kahi hana e hoʻohui i kahi moʻo o nā kiʻi x-ray i lawe ʻia mai nā ʻaoʻao ʻokoʻa a puni ke kino.

Nā inoa ʻē aʻe: myelogram

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia ʻo Myelography e nānā i nā kūlana a me nā maʻi e pili ana i nā aʻalolo, nā kīʻaha koko, a me nā kūkulu i ka aʻa iwi. Pākuʻi ʻia kēia mau mea:

• Pāpaʻi herniated. ʻO nā iwi kuamoʻo he cushions rubbery (disks) e noho ana ma waena o nā iwi o kou iwi kuamoʻo. ʻO kahi diski herniated kahi ʻano e kūpikipiki ai ka pā a kaomi ʻia i nā aʻalolo a i ʻole ke kuamoʻo.
• Nā Tumors
• Spen stenosis, kahi kumu e hoʻoulu ai a hōʻino hoʻi i nā iwi a me nā mea āpau e pili ana i ka iwi kuamoʻo. Alakaʻi kēia i ka hoʻopili ʻana o ke aʻa iwi kuamoo.
• Nā maʻi ʻino, e like me ka meningitis, pili i ka membrane a me nā aʻa o ke kuamoʻo
• Arachnoiditis, kahi kumu e hoʻoulu ai i ka membrane e uhi ana i ka iwi kuamoʻo

No ke aha mai e pono ai ka myelography?

Pono ʻoe i kēia hōʻoia inā loaʻa iā ʻoe nā ʻōuli o kahi maʻi ʻōiwi, e like me:

• ʻEha ma ka hope, ʻāʻī, a me / a me ka wāwae
• ʻLingʻumeʻume manaʻo
• Nawaliwali
• Hele pilikia
• Hoʻopilikia i nā hana e pili ana i nā pūʻulu puʻupuʻu liʻiliʻi, e like me ke pihi ʻana i kahi pālule

He aha ka hana ma ka myelography?

Hana ʻia kahi myelography ma kahi kikowaena radiology a i ʻole ma ka keʻena radiology o kahi haukapila. Hoʻopili maʻamau ke kaʻina hana i kēia mau hana:

• Pono paha ʻoe e hemo i kou kapa. Inā pēlā, e hāʻawi ʻia ʻoe i ka ʻaukā lole.
• E moe ʻoe ma kou ʻōpū ma luna o kahi pākaukau x-ray i uhi ʻia.
• E hoʻomaʻemaʻe kāu mea hāʻawi i kou kua me kahi hopena antiseptic.
• E hoʻopili ʻia ʻoe me ka lāʻau numbing, no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha i ka wā o ke kaʻina hana.
• Ke pau ka helu o ka wahi, e hoʻohana kāu mea hāʻawi i kahi nīni lahilahi e hoʻopili i ka pena ʻokoʻa i loko o kou aʻa iwi kuamoʻo. Hoʻomaopopo paha ʻoe i kahi kaomi ke hele ke nila, ʻaʻole naʻe ʻeha.
• Hiki i kāu mea hāʻawi ke wehe i kahi laʻana o ka wai spinal (cerebrospinal fluid) no ka hoʻāʻo ʻana.
• E kuli ʻia kāu pākaukau x-ray i nā ʻaoʻao ʻokoʻa e ʻae i ka ʻokoʻa ʻoniʻoni e neʻe i nā wahi like ʻole o ka iwi kuamoʻo.
• E lawe aku kāu mea hāʻawi i ka nila.
• E hopu a hoʻopaʻa kāu mea hāʻawi i nā kiʻi e hoʻohana ana i ka fluoroscopy a i ʻole kahi scan CT.

Ma hope o ka hoʻāʻo, e nānā ʻia paha ʻoe no hoʻokahi a ʻelua mau hola. E aʻo ʻia ʻoe e moe i lalo ma ka home no kekahi mau hola a pale i ka hana ikaika no hoʻokahi a ʻelua mau lā ma hope o ka hoʻāʻo.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

E noi paha kāu mea hāʻawi iā ʻoe e inu i nā wai keu i ka lā ma mua o ka hōʻoia. I ka lā o ka hoʻāʻo, e noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea, koe wale no nā wai maopopo. Pākuʻi ʻia kēia me ka wai, ka hulu maʻemaʻe, tī, a me ke kope ʻeleʻele.

E kamaʻilio i kāu mea hoʻolako e pili ana i nā lāʻau āu e lawe nei. ʻO kekahi mau lāʻau, ʻo aspirin a me nā mea lahilahi o ke koko, ʻaʻole pono e lawe ʻia ma mua o kāu hōʻike. E haʻi aku kāu mea hāʻawi iā ʻoe i ka lōʻihi e pono ai e hōʻalo i kēia mau lāʻau. Aia paha ma kahi o 72 mau hola ma mua o ka hoʻāʻo.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻole pono ʻoe e lawe i kēia hōʻike inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai. Hiki ke hōʻino ke kukui i ka pēpē i hānau ʻole ʻia.

No nā poʻe ʻē aʻe, aia ka liʻiliʻi o ka makaʻu i ka loaʻa ʻana o kēia hōʻike. He haʻahaʻa loa ka mahele lāʻau o ka radiation a ʻaʻole ia i manaʻo ʻia he pōʻino no ka hapanui o ka poʻe. Akā e kamaʻilio me kāu mea hāʻawi e pili ana i nā x-ray āpau āu i hala ma mua. Pili paha nā pilikia o ka radiation radiation i ka helu o nā hoʻoponopono x-ray āu i loaʻa ai i ka hala o ka manawa.

Aia kahi liʻiliʻi iki o kahi hopena maʻi ʻaʻai i ka kala ʻokoʻa. E haʻi i kāu mea hāʻawi inā loaʻa nā maʻi āpau, keu hoʻi i ka ʻāpala a iodine paha, a i ʻole inā he hopena paha kāu i nā mea like ʻole.

ʻO nā pilikia ʻē aʻe e laʻa me ka headache a me ka nausea a me ka luaʻi. Lōʻihi paha ka ʻeha o ke poʻo a 24 mau hola. He kakaikahi ka hopena koʻikoʻi akā hiki ke hoʻopili ʻia i ka hopu ʻana, ka maʻi, a me ka ālai ʻana i ka canal spinal.

He aha ke ʻano o nā hopena?

Inā ʻaʻole maʻamau kāu mau hopena, manaʻo paha ia aia iā ʻoe kekahi o nā kūlana aʻe:

• Pāpaʻi herniated
• Spen stenosis
• Tumo
• ʻEha ʻeha
• Pahu iwi
• Arachnoiditis (hoʻāhu o ka membrane e puni ana i ka iwi kuamoʻo)

ʻO kahi hopena maʻamau ʻo ia hoʻi, ʻo kāu aʻa kuʻi a me nā hanana i maʻamau i ka nui, ke kūlana, a me ke ʻano. Makemake paha kāu mea hāʻawi e hana i nā hoʻokolohua hou aku e ʻike ai i ke kumu o kāu hōʻailona.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i ka myelography?

Ua hoʻololi ʻo MRI (magnetic resonance imaging) i ka pono no ka myelography i nā manawa he nui. Hoʻohana ka MRI i kahi kahua magnet a me nā nalu lekiō e hana i nā kiʻi o nā meaola a me nā kūkulu i loko o ke kino. Akā hiki i ka myelography ke kūpono i ke kuhi ʻana i kekahi mau tumors spinal a me nā pilikia disk spinal. Hoʻohana ʻia ia no ka poʻe hiki ʻole ke loaʻa kahi MRI no ka mea he metala a uila paha nā mea i loko o ko lākou kino. Hoʻopili kēia i ka pacemaker, nā ʻokiʻoki, a me nā implant cochlear.

Nā kūmole

1. Ke Kalinika ʻo Cleveland [Pūnaewele]. Cleveland (OH): Ke Kula Nui ʻo Cleveland; c2020. Myelogram: Nānā Hou; [i helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://my.clevelandclinic.org/health/diagnostics/4892-myelogram
2. Ke Kalinika ʻo Cleveland [Pūnaewele]. Cleveland (OH): Ke Kula Nui ʻo Cleveland; c2020. Myelogram: Nānā ʻIke; [i helu ʻia 2020 Jun 30]; [ma kahi o 4 pale]. Loaʻa mai: https://my.clevelandclinic.org/health/diagnostics/4892-myelogram/test-details
3. Johns Hopkins Medicine [Pūnaewele]. ʻO Baltimore: Ke Kulanui ʻo Johns Hopkins; c2020. Ola: Myelopathy; [i helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.hopkinsmedicine.org/health/conditions-and-diseases/myelopathy
4. Mayfield Brain a me Spine [Pūnaewele]. Cincinnati: Mayfield Brain a me Spine; c2008–2020. Myelogram; [hōʻano hou ʻia 2018 Apr; i helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://mayfieldclinic.com/pe-myel.htm
5. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2020. CT Scan: Nānā Hou; 2020 Feb 28 [helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/tests-procedures/ct-scan/about/pac-20393675
6. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2020. Herniated disk: Nā ʻōuli a me nā kumu; 2019 Sep 26 [i helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/herniated-disk/symptoms-causes/syc-20354095
7. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2020. MRI: Nānā Hou; 2019 Aug 3 [i helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/tests-procedures/mri/about/pac-20384768
8. National Institute of Neurological Disorder a me ka Stroke [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Nā ho'āʻo Neurological Diagnostic a me nā kaʻina hana ʻoiaʻiʻo. [hōʻano 2020 Mar 16; i helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Neurological-Diagnostic-Tests-and-Procedures-Fact
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11. Kulanui o Rochester Medical Center [Pūnaewele]. Rochester (NY): Kulanui o Rochester Medical Center; c2020. Encyclopedia Health: Myelogram; [i helu ʻia 2020 Jun 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=92&contentid=P07670
12. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Myelogram: Pehea e hana ai; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 30]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233075
13. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Myelogram: Nā hopena; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 30]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233093
14. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Myelogram: Nā Pilikia; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 30]; [ma kahi o 7 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233088
15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili olakino: Myelogram: Nānā Hōʻike Hou; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 30]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html
16. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Myelogram: He aha e noʻonoʻo ai; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 30]; [ma kahi o 10 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233105
17. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2020. ʻIkepili Ola: Myelogram: No ke aha e hana ʻia ai; [hoʻohou 2019 Dec 9; i helu ʻia 2020 Jun 30]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/myelogram/hw233057.html#hw233063

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.