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Sesebelisoa sa computed tomography (CT) sa mokokotlo oa lumbar se etsa litšoantšo tse arohaneng tsa mokokotlo o ka tlase (lumbar spine). E sebelisa x-ray ho etsa litšoantšo.

O tla kopuoa ho robala tafoleng e moqotetsane e kenang bohareng ba sekena sa CT.

Hang ha o se o le ka hare ho sekena, molamu oa x-ray oa mochini o potoloha ho o potoloha. (Mechini ea sejoale-joale "spiral" e ka etsa tlhahlobo ntle le ho emisa.)

Khomphutha e etsa litšoantšo tse arohaneng tsa sebaka sa mokokotlo, se bitsoang lilae. Litšoantšo tsena li ka bolokoa, tsa bonoa mochining oa sefofane, kapa tsa hatisoa filiming. Meetso ea likarolo tse tharo tsa sebaka sa mokokotlo e ka etsoa ka ho eketsa lilae hammoho.

O tlameha o khutsitse nakong ea tlhahlobo. Motsamao o ka baka litšoantšo tse lerootho. U kanna oa bolelloa hore u phefumolohe nako e khuts'oane.

Sesepa se lokela ho nka metsotso e 10 ho isa ho e 15 feela.

Litlhahlobo tse ling li sebelisa dae e khethehileng, e bitsoang phapang e kenngoang 'meleng oa hau pele teko e qala. Phapang e thusa libaka tse ling ho hlaha hantle ho x-ray.

Phapang e ka fanoa ka litsela tse fapaneng.


  • E ka fanoa ka mothapo (IV) o letsohong la hao kapa sephakeng.
  • E kanna ea fuoa e le ente sebakeng se potileng mokokotlo oa mokokotlo.

Haeba ho sebelisoa phapang, o ka kopuoa ho se je kapa ho noa letho lihora tse 4 ho isa ho tse 6 pele ho tlhahlobo.

E-re mofani oa tlhokomelo ea bophelo ba hau a tsebe haeba u kile ua ba le karabelo ea ho fapana. U kanna ua hloka ho noa meriana pele ho tlhahlobo ho qoba bothata bona.

Haeba u le boima ba lik'hilograma tse fetang 135, fumana hore na mochini oa CT o na le moeli oa boima. Boima bo bongata haholo bo ka baka tšenyo likarolong tse sebetsang tsa sekena.

O tla kopuoa ho tlosa mabenyane le ho apara moaparo oa sepetlele nakong ea boithuto.

Batho ba bang ba kanna ba ba le bothata ba ho robala tafoleng e thata.

Phapang e fanoang ka IV e ka baka maikutlo a fokolang a tukang, tatso ea tšepe molomong le ho futhumatsa 'mele. Maikutlo ana a tloaelehile 'me a fela ka metsotsoana e seng mekae.

Lisebelisoa tsa CT li etsa litšoantšo tse qaqileng tsa mokokotlo o tlase ka potlako. Teko e ka sebelisoa ho batla:


  • Mathata a tlhaho ea mokokotlo ho bana
  • Kotsi mokokotlong o ka tlase
  • Mathata a mokokotlo ha MRI e sa sebelisoe
  • Mathata a ho folisa kapa lisele tse bohale ka mor'a ho buuoa

Teko ena e ka sebelisoa nakong ea X-ray ea mokokotlo oa mokokotlo le methapo ea methapo ea mokokotlo (myelography) kapa x-ray ea disk (discography).

Liphetho li nkuoa li tloaelehile haeba ho se na mathata a bonoang sebakeng sa lumbar litšoantšong.

Liphetho tse sa tloaelehang li ka bakoa ke:

  • Liphetoho tse senyehang ka lebaka la lilemo
  • Mathata a tlhaho ea mokokotlo
  • Mathata a masapo
  • Ho robeha hoa mmele
  • Lumbar disk herniation
  • Lumbar mokokotlo oa mokokotlo
  • Li-spondylolisthesis
  • Pholiso kapa kholo ea lisele tsa 'mele kamora ho buuoa

Likotsi tsa litlhahlobo tsa CT li kenyelletsa:

  • Ho pepesetsoa mahlaseli a kotsi
  • Allergic reaction ho bapisa dae
  • Bothata ba pelehi haeba bo etsoa nakong ea bokhachane

Lisebelisoa tsa CT li u pepesetsa mahlaseli a mangata ho feta li-x-ray tse tloaelehileng. Ho ba le li-x-ray tse ngata kapa litlhahlobo tsa CT ka nako ho ka eketsa menyetla ea hau ea mofetše. Leha ho le joalo, kotsi e tsoang ho "scan" efe kapa efe e nyane. Bua le mofani oa hau ka kotsi ena le hore na e boima hakae khahlanong le melemo ea tlhahlobo ea bothata ba hau ba bongaka.


Batho ba bang ba na le ho kula ho fapaneng le dae. Tsebisa mofani oa thepa ea hau haeba u kile ua ba le khatello ea maikutlo ho dae e fapaneng ea ente.

  • Mofuta o tloaelehileng ka ho fetisisa oa phapang o fanoang mothapong o na le iodine. Haeba motho ea nang le alejine ea alejiki a fuoa mofuta ona oa phapang, ho nyekeloa kapa ho hlatsa, ho thimola, ho hlohlona kapa maqhubu ho ka hlaha.
  • Haeba o tlameha ho ba le mofuta ona oa phapano, o ka fumana li-antihistamine (joalo ka Benadryl) kapa li-steroid pele ho tlhahlobo.
  • Liphio li thusa ho tlosa iodine 'meleng. Batho ba nang le lefu la liphio kapa lefu la tsoekere ba ka hloka ho fuoa maro a eketsehileng kamora tlhahlobo ho thusa ho ntša iodine 'meleng.

Hangata, dae e ka baka tšoaetso e kotsing ea bophelo e bitsoang anaphylaxis. Haeba o na le bothata ba ho hema nakong ea tlhahlobo, o lokela ho joetsa opareitara hanghang. Mechine e tla le intercom le libui, kahoo motho ea sebetsang a ka u utloa ka linako tsohle.

Lumbar CT scan e loketse ho lekola li-disk tse kholo tsa herniated, empa e ka hloloheloa tse nyane. Teko ena e ka kopanngoa le myelogram ho fumana setšoantšo se betere sa methapo ea methapo le ho nka likotsi tse nyane.

Sesepa sa CAT - mokokotlo oa lumbar; Sesebelisoa sa composed axial tomography - lumbar spine; Sesebelisoa sa computed tomography - mokokotlo oa lumbar; CT - mokokotlo o tlase

Lauerman W, Russo M. Thoracolumbar mathata a mokokotlo ho motho e moholo. Ka: Miller MD, Thompson SR, lihlopha. DeLee le Drez's Orthopedic Sports Medicine. La 4 ed. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 128.

Shaw AS, Prokop M. Khomphutha ea tomography. Ka: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, bahlophisi. Grainger & Allison’s Diagnostic Radiology: Buka ea Litšoantšo ea Bongaka ea Bongaka. La 6th. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: khaolo ea 4.

Thomsen HS, Reimer P. Mecha ea litaba e fapaneng le methapo bakeng sa radiography, CT, MRI le ultrasound. Ka: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, bahlophisi. Grainger & Allison’s Diagnostic Radiology: Buka ea Litšoantšo ea Bongaka ea Bongaka. La 6th. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: khaolo ea 2.

Williams KD. Ho robeha, ho senyeha, le ho robeha ha mokokotlo. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 41.

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