Ukulimala kwentambo yomgca
Ukuphuhliswa nokuqina komgudu wentlungu ngokuxhatshazwa kwentambo yomgudu kuxhomekeke kwizinto ezininzi: ubudala begulane, ubukho bezifo zangaphambili zesistim, indlela yokulimala kunye namandla okuchaphazela. Kufuneka ikhunjulwe ukuba ngexesha lokulimala, isikhundla sesigxina somgogodla sehluke kwizinto ezibonwa kwii-radiographic emva kwentleba. Kwizahlulo zomgudu ngokufuduka kwamathambo, ukulimala kwentambo yomgogodla kwenzeka kwi-15% yamatyala, kunye nokulimala komlomo wesi-40%. Ukuhlolisisa ngokugqithisileyo izigulane ezinobungozi bomgudu kubaluleke kakhulu - kaninzi kunceda ukukhawulezisa inkqubo yokubuyisela. Nangona i-CT ne-MRI yandisa kakhulu amandla okuxilonga, i-radiography elula isele isetyenziswe ukufundela umgca wokuqala. Ukumisela indawo yomonakalo, uluhlu lwezithombe ze-X-ray zomgangatho ofanelekileyo luwanele.
Ukuxilongwa kwangaphambili
Kwezinye izigulane ezineengxaki zentlungu yomlomo wesibeleko kumanqanaba okuqala, akunakwenzeka ukufumanisa ukuphulwa kwesibini se-vertebra yomlomo wesibeleko. Ngaloo ndlela, ukuba isigulane sifaka isikrokro sokugulisa umgudu kwaye singakwazi, i-radiographs yomgca womgcini wonke, kwaye ukuba kuyimfuneko, i-CT ne-MRI, kufuneka yenziwe. I-CT ingakwazi ukuchaneka ngokuchanekileyo indawo yokuphuka kunye nokufumanisa iziqhekeza zethambo emgodini womgogodla. Ngoxinzelelo, ukuhamba kwe-CT kukubaluleka ngokukhethekileyo-kukuvumela ukuba ukhawulezise ukuxilongwa kwaye ubeke ucalulo oluchanekileyo. I-MRI yokwandisa amandla okuxilonga ngenxa yesifo somgudu. Le ndlela ibaluleke kakhulu ekufumaneni ukonakala kweethambo kunye nokulimala kwentambo yomgudu.
Ukuphulwa kweCuneiform
I-Traumas ye-thoracic kunye ne-vertebrae i-lumbar iyaqhelekileyo. Zivela ngenxa yokuxinezeleka ngokugqithiseleyo kulezi zakhiwo ezihlala kunye nezingapheliyo. Ubukho kunye nohlobo lokuphuka lunokuthi lubekwe ngu-radiography elula. Nangona kunjalo, i-CT ne-MRI ingafuneka ukuba imisele umlinganiselo wonakalo. Ikhompyutram yekhompyutri ibonisa ukufuduka kweengcewa zethambo kwangaphambili kwaye ukutshata kwabo kwisigodlo somgudu (kuboniswe ngeentolo). Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqrhaqrhaqrhaqrhahrrbhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh Ukuthintela umonakalo omkhulu kumgca nomgudu womgudu, ukulungiswa kwangaphakathi kuyimfuneko.
Umqulu CT
Izindlela ezintsha zophando, ngokukodwa kwi-CT ye-spiral, yenza ukuba ukwazi ukufumana umfanekiso wesithathu womlenze. Zisoloko zisetyenziselwa ngaphambi kokuhlinzwa ukuxhatshazwa okudibeneyo kwikholamu yomgcini. Ukuba isiza sokuphulwa komzimba asizinzile, kungenelelo olungxamisekileyo olufunekayo, ngexesha lokulungiswa kwangaphakathi kweziqhekeza.
Ukulimala kwentambo yomlenze
Iindawo ezahlukeneyo zomgudu womlomo wesibeleko zinempawu ze-anatomical and biochemical; kwii-radiographs zibukeka zihlukile. Ezi mpawu zichaphazela nomfanekiso wesilwanyana kunye nesantya sobunzima bomzimba. Utshintsho kwizicubu ezinothuthuki ziphuhliswa ngenxa ye-edema kunye nokuqhwaba; ziyafumaneka kwiMRI.
Hematoma Epidural
Umonakalo othe ngqo kumgca womgogodla kwisigaba esichukumisayo ungakhokelela kwi-edema okanye ukuphazamiseka, kunye nokuphuhliswa kwegazi. Ngentlungu yomlomo wesibeleko, umonakalo kwimithambo yegazi ye-dura iyakwenzeka ngokuphuhliswa kwe-hematoma (i-clots blood), ephazamisa i-dorsal
Ukuphakama kwentambo yomthambo
Ukuxhatshazeka okuqhelekileyo kudlalwa kunye nokuphuka komtya womthambo. Ngokuqhelekileyo oku kwenzekayo xa umgudu unamandla kakhulu. Le ngxaki iholele ekuphuhlisweni kwezifo ezingapheliyo zeengxaki zegazi. Umsebenzi wezinga lokukhubazeka uxhomekeke kumgangatho wonakalo kumgca womgogodla.