Ukulimala kwentambo yomgogodla
Ukuthuthukiswa nokuqina komgogodla womgogodla ngokulimala komgogodla ohambisana nomgogodla kuxhomeke ezintweni eziningi: iminyaka yesiguli, ukutholakala kwezifo zangaphambilini zesistimu ye-musculoskeletal, indlela yokulimala kanye namandla okuthinta. Kumele kukhunjulwe ukuthi ngesikhathi sokulimala, isikhundla sezintambo zomgogodla sihluke kulokho okubonwa kuma-radiographs ngemuva kokulimala. Ezikhathini zomgogodla ngokufuduka kwamathambo, ukulimala komgogodla kwenzeka emaphesenti angama-15%, okulimala komlomo wesibeletho ku-40%. Ukuhlola ngokucophelela iziguli ezinezinsizi zomgogodla kubaluleke kakhulu - ngokuvamile kusiza ukusheshisa inqubo yokutakula. Naphezu kokuthi i-CT ne-MRI yandisa kakhulu amandla okuxilonga, indlela elula yokusebenzisa i-radiography isalokhu isetshenziselwa ukutadisha umugqa wokuqala. Ukuze unqume indawo yomonakalo, uchungechunge lwezithombe ze-X ray zekhwalithi elihle lwanele.
Ukuxilongwa kwangaphambili
Kwezinye iziguli ezine-traum of spervical spine episodes ekuqaleni, akunakwenzeka ukuxilonga ukuhlukana kwesibili se-vertebra yomlomo wesibeletho. Ngakho-ke, uma isiguli singena ngokusola ngokuthungatha umgogodla futhi singenalutho, ama-rayographs alo lonke ikholomu lomgogodla, futhi uma kunesidingo, i-CT ne-MRI, kufanele yenziwe. I-CT ingacacisa ngokunembile ukuthi indawo yendawo ihlukana kanjani futhi ithole izingcezu zethambo emgodini ongasemgogodini. Nge-trauma, ukuvunguza kwe-CT kubaluleke kakhulu - kukuvumela ukuba usheshe uphethwe bese ubeka ukuxilongwa okunembile. I-MRI yakhulisa amakhono okuxilonga ngenxa ye-trauma yomgogodla. Le ndlela iyadingeka ekutholeni izicubu ezithambile kanye nokulimala kwentambo yomgogodla.
Ukuphuka kwe-Cuneiform
I-Traumas yama-vertebrae ye-thoracic ne-lumbar ijwayelekile. Bavela ngenxa yokucindezeleka ngokweqile kulezi zakhiwo ezihlala phansi nezingenakulinganiswa. Ubukhona kanye nohlobo lokuphuka lungathathwa yi-radiography elula. Kodwa-ke, i-CT ne-MRI ingadingeka ukuthi inqume ukuthi ingakanani umonakalo. I-tomogram ikhompyutheni ikhombisa ukususwa kwezingcezu zethambo kwangaphakathi kanye nokushada kwabo emgodini ongasemgogodini (oboniswe imicibisholo). Ukuqubuzana okwenziwe nge-wedge fractures ngemuva kwe-thoracic ne-vertebrae i-lumbar kubonakala ukunganaki. Ukuvimbela umonakalo owengeziwe emgodleni nomgogodla, ukulungiswa kwangaphakathi kuyadingeka.
Umqulu CT
Izindlela ezintsha zokucwaninga, ikakhulukazi i-CT ye-spiral, yenza kube lula ukuthola isithombe sesithathu somgogodla. Zivame ukusetshenziswa ngaphambi kokuhlinzwa ukulimala okuhlangene kwikholomu yomgogodla. Uma isayithi lokuqhekeka lingasebenzi, ukungenelela okusheshayo kuyadingeka, ngesikhathi ukulungiswa kwangaphakathi kweziqephu kwenziwa.
Ukulimala kwentambo yomgogodla
Izingxenye ezihlukene zomgogodla womlomo wesibeletho zinezici ze-anatomical and biochemical; kuma-radiographs abukeka ahlukile. Lezi zici zithinta isithombe somtholampilo we-lesion kanye nobukhulu bokulimala kwezicubu ezithambile. Izinguquko ezintanjeni ezithambile zithuthuka ngenxa ye-edema nokuzibulala; zingatholakala nge-MRI.
I-hematoma ye-Epidural
Umonakalo oqondile emgodleni womgogodla esiteji esibucayi kungaholela edema noma ukulimaza, kanye nokuthuthukiswa kwegazi. Ngokudabuka komgogodla womlomo wesibeletho, ukulimala emithanjeni yegazi ye-dura kungenzeka ngokuthuthukiswa kwe-hematoma (ama-clots)
Ukuphakama kwentambo yomgogodla
Ukulimala okuvame ukuhambisana nokuqhekeka kwentambo yomgogodla. Ngokuvamile lokhu kwenzeka lapho umgogodla uqina kakhulu. Le nhlekelele iholela ekuthuthukiseni ukuphazamiseka okungapheli kwegazi. Umsebenzi wezinga lokukhubazeka uncike ezingeni lomonakalo emthonjeni womgogodla.