Ukuhlanganiswa komqolo

Ukuhlanganiswa komgogodla kukuhlinzwa ukuze ujoyine ngokusisigxina amathambo amabini okanye nangaphezulu emqolo ukuze kungabikho ntshukumo phakathi kwawo. La mathambo abizwa ngokuba ngumqolo.

Uya kunikwa i-anesthesia ngokubanzi, ekubeka kubuthongo obunzulu ukuze ungaziva iintlungu ngexesha lotyando.

Ugqirha uya kwenza ukusika kotyando (ukusikwa) ukujonga umqolo. Olunye utyando, olunjenge diskectomy, laminectomy, okanye foraminotomy, phantse ihlala isenziwa kuqala. Ukuhlanganiswa komgogodla kunokwenziwa:

• Emqolo wakho okanye entanyeni ngaphezulu komqolo. Inokuba ulele ubheke phantsi. Imisipha kunye nezicubu ziya kwahlulwa ukubhengeza umqolo.
• Kwicala lakho, ukuba wenza utyando kumqolo ongezantsi. Ugqirha uya kusebenzisa izixhobo ezibizwa ngokuba zii-retractor ukwahlula ngobunono, ubambe izicwili ezithambileyo ezinje ngamathumbu kunye nemithambo yegazi ngaphandle, kwaye ube negumbi lokusebenza.
• Ngokusikwa ngaphambili entanyeni, kwicala.

Ugqirha uya kusebenzisa ufakelo (olufana nethambo) ukubamba (okanye ukudibanisa) amathambo ndawonye ngokusisigxina. Kukho iindlela ezininzi zokudibanisa i-vertebrae kunye:

• Imigca yethrafti yethambo inokubekwa ngaphezulu komqolo womqolo.
• Amathambo okufakelwa angabekwa phakathi kwe-vertebrae.
• Ikheyiji ezizodwa zinokubekwa phakathi kwethambo lomqolo. Ezi kheyiji zinokufakwa zipakishwe ngezinto zokumiliselwa kwethambo.

Ugqirha unokufumana utyando lwamathambo kwiindawo ezahlukeneyo:

• Ukusuka kwelinye ilungu lomzimba wakho (uhlala ujikeleze ithambo lakho le-pelvic). Oku kubizwa ngokuba yi-autograft. Ugqirha wakho uza kusika ithambo lakho elincinci kwaye asuse ithambo lakhe ngasemva komphetho we-pelvis.
• Ukusuka kwibhanki yethambo. Oku kubizwa ngokuba yi-allograft.
• Enye into enokusetyenziswa endaweni yethambo.

I-vertebrae inokulungiswa kunye neentonga, izikrufu, iipleyiti, okanye ikheji. Zisetyenziselwa ukugcina i-vertebrae ingashukumi de kube kufakwe iigrafti zethambo.

Ugqirha lunokuthatha iiyure ezi-3 ukuya kwezi-4.

Ukuhlanganiswa komgogodla kudla ngokwenziwa kunye nezinye iinkqubo zotyando lomqolo. Inokwenziwa:

• Ngezinye iinkqubo zotyando lwe-spinal stenosis, ezinje nge-foraminotomy okanye i-laminectomy
• Emva kwe-diskectomy entanyeni

Ukuhlanganiswa komgogodla kunokwenziwa ukuba unayo:

• Ukonzakala okanye ukwaphuka kwamathambo emqolo
• Umqolo obuthathaka okanye ongazinzanga obangelwa zizifo okanye amathumba
• I-Spondylolisthesis, imeko apho enye i-vertebrae ihamba phambili phezulu kwenye
• Iimpawu ezingaqhelekanga, ezinjengezo ezivela kwi-scoliosis okanye kyphosis
• Isifo samathambo emqolo, njenge-spinal stenosis

Wena kunye nogqirha wakho unokugqiba xa kufuneka utyando.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Ukuphendula kumayeza, iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zolu tyando zibandakanya:

• Usulelo kwisilonda okanye kumathambo e-vertebral
• Ukonakala kwimbilini yomqolo, ebangela ubuthathaka, iintlungu, ukuphulukana nemvakalelo, iingxaki zamathumbu akho okanye isinyi
• I-vertebrae ngasentla nangaphantsi kwe-fusion kunokwenzeka ukuba inxibe, ekhokelela kwiingxaki ezininzi kamva
• Ukuvuza kolwelo lomqolo olunokufuna utyando olungakumbi
• Intloko ebuhlungu

Xelela ugqirha wakho ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, imifuno, kunye nezongezelelo ozithengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Lungisa ikhaya lakho ukulungiselela ukuphuma kwakho esibhedlele.
• Ukuba uyatshaya, kufuneka uyeke. Abantu abane-fusion yomgogodla kwaye baqhubeke nokutshaya abanakuphola nabo. Buza ugqirha wakho akuncede.
• Kwiiveki ezimbini ngaphambi kotyando, ugqirha unokukucela ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kunye nezinye iziyobisi ezinje ngezi.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iingxaki zonyango, ugqirha wakho uya kukucela ukuba ubonane nogqirha wakho oqhelekileyo.
• Thetha nogqirha wakho ukuba ubusele utywala kakhulu.
• Buza ugqirha wakho otyandayo ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando.
• Yazisa ugqirha wakho wotyando malunga nayo nayiphi na ingqele, umkhuhlane, umkhuhlane, ukuphuma kweherpes, okanye ezinye izifo onokuba unazo.

Ngomhla wotyando:

• Landela imiyalelo malunga nokungaseli okanye ungatyi nantoni na ngaphambi kwenkqubo.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Fika esibhedlele ngexesha.

Ungahlala esibhedlele kangangeentsuku ezi-3 ukuya kwezi-4 emva kotyando.

Uya kufumana amayeza entlungu esibhedlele. Unokuthatha iyeza lentlungu ngomlomo okanye udubule okanye ungene emgceni (IV). Unokuba nempompo ekuvumela ukuba ulawule ukuba lingakanani iyeza lentlungu olifumanayo.

Uya kufundiswa indlela yokuhamba ngokufanelekileyo kunye nokuhlala, ukuma nokuhamba. Uya kuxelelwa ukuba usebenzise ubuchule "bokuqengqeleka" xa uphuma ebhedini. Oku kuthetha ukuba uhambisa umzimba wakho wonke ngaxeshanye, ngaphandle kokujija umqolo wakho.

Usenokungakwazi ukutya ukutya okuqhelekileyo iintsuku ezi-2 ukuya kwezi-3. Uya kunikwa izakha-mzimba nge-IV kwaye uyakutya nokutya okuthambileyo. Xa uphuma esibhedlele, kungafuneka unxibe izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana okanye ngasemva.

Ugqirha wakho uza kukuxelela indlela yokuzikhathalela ekhaya emva kotyando lomqolo. Landela imiyalelo yendlela yokunyamekela umva wakho ekhaya.

Utyando alusoloko luphucula iintlungu kwaye kwezinye iimeko, lunokuyenza mandundu. Nangona kunjalo, kwabanye abantu utyando lunokusebenza kwiintlungu ezibuhlungu ezingangcono kwezinye iindlela zonyango.

Ukuba unentlungu engapheliyo emva kokuhlinzwa, uya kuba neentlungu emva koko. Ukuxhamla umgudu akunakwenzeka ukuba ususe zonke iintlungu kunye nezinye iimpawu.

Kunzima ukuqikelela ukuba ngabaphi abantu abaya kuphucula kwaye bangakanani utyando loncedo oluya kubonelela, nokuba usebenzisa iskena seMRI okanye olunye uvavanyo.

Ukwehla kobunzima kunye nokwenza umthambo kwandisa amathuba okuziva ungcono.

Iingxaki zomqolo wexesha elizayo zinokwenzeka emva kotyando lomqolo. Emva kokudibana komqolo, indawo edityaniswe kunye ayinakukwazi ukuhamba. Ke ngoko, ikholamu yomqolo apha ngasentla nangaphantsi kwe-fusion kunokwenzeka ukuba icinezeleke xa umqolo ushukuma, kwaye kunokubangela iingxaki kamva.

I-fertebral interbody fusion; Ukudibana okungasemva komqolo; Arthrodesis; Ukudibanisa kwangaphambili komqolo; Uqhaqho lomqolo - ukudibana komqolo; Iintlungu ezisezantsi - ukudibanisa; Idiski yeHerniated - ukudibanisa; I-spinal stenosis - ukudibanisa; I-Laminectomy-fusion; Ukuhlanganiswa komqolo wesibeleko; Ukuhlanganiswa kwe-Lumbar spinal

• Ukhuseleko kwigumbi lokuhlambela kubantu abadala
• Ukuthintela ukuwa
• Ukuthintela ukuwa-yintoni oza kuyibuza ugqirha wakho
• Uqhaqho lomqolo-ukukhutshwa
• Unonophelo lwenxeba lotyando - luvulekile

• Scoliosis
• Ukuqina komqolo - uthotho

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U-Liu G, uWong HK. I-Laminectomy kunye nefusion. Ku: Shen FH, Samartzis D, Fessler RG, ii-eds. Incwadi yesicatshulwa yomlomo wesibeleko. IPhiladelphia, PA: Elsevier; 2015: isahluko 34.

UWang JC, uDailey AT, uMummaneni PV, et al. Ukuhlaziywa kwesikhokelo sokusebenza kweenkqubo zokudibanisa isifo esiyekisayo somqolo we-lumbar. Icandelo 8: i-lumbar fusion ye-disc herniation kunye ne-radiculopathy. J Neurosurg Umqolo. Ngo-2014; 21 (1): 48-53. IINKCUKACHA: 24980585 www.ncbi.nlm.nih.gov/pubmed/24980585.