Diskectomy

I-Diskectomy kutyando lokususa yonke into okanye inxenye yomqamelo encedisa ukuxhasa icandelo lomqolo wakho. Le miqamelo ibizwa ngokuba ziidiski, kwaye zahlula amathambo akho omqolo (i-vertebrae).

Ugqirha unokwenza ukususwa kwediski (diskectomy) kwezi ndlela zahlukileyo.

• I-Microdiskectomy: Xa une-microdiskectomy, ugqirha akufuneki enze utyando oluninzi emathanjeni, kumalungu, kwimigudu, okanye kwimisipha yomqolo wakho.
• I-Diskectomy kwindawo engezantsi yomqolo wakho (i-lumbar spine) inokuba yinxalenye yotyando olukhulu olubandakanya i-laminectomy, i-foraminotomy, okanye i-spinal fusion.
• I-Diskectomy entanyeni yakho (umqolo wesibeleko) ihlala isenziwa kunye ne-laminectomy, foraminotomy, okanye fusion.

I-Microdiskectomy yenziwa esibhedlele okanye kwiziko lotyando ngaphandle. Uya kunikwa i-spinal anesthesia (ukuphazamisa indawo yakho yomqolo) okanye i-anesthesia jikelele (elele kwaye engenazo iintlungu).

• Ugqirha wenza incinci (1 ukuya kwi-1.5-intshi, okanye i-2.5 ukuya kwi-3.8-centimeter) ukusika (ukusika) emqolo wakho kunye nokususa izihlunu zangasemva kude nomqolo wakho. Ugqirha usebenzisa imicroscope ekhethekileyo ukubona ingxaki kwidiski okanye iidiski kunye nemithambo luvo ngexesha lotyando.
• Ingcambu ye-nerve ibekwe kwaye isuswe ngobunono kude.
• Ugqirha ususa izicwili zediski eyonzakeleyo kunye namaqhekeza ediski.
• Imisipha yangasemva ibuyiselwe endaweni.
• Incision ivaliwe ngemithungo okanye ngestaples.
• Olu tyando luthatha iiyure ezi-1 ukuya kwezi-2.

I-Diskectomy kunye ne-laminotomy zihlala zenziwa esibhedlele, kusetyenziswa i-anesthesia ngokubanzi (ilele kwaye ayinazintlungu).

• Ugqirha wenza ukusika okukhulu kumqolo wakho ngaphezulu komqolo.
• Imisipha kunye nezicubu zihanjiswe ngobunono ukuze kuveze umqolo wakho.
• Inxalenye encinci yethambo le-lamina (icandelo le-vertebrae ejikeleze ikholamu yomqolo kunye neethambo) iyanqunyulwa. Ukuvulwa kunokuba kukhulu njenge-ligament ehamba kunye nomqolo wakho.
• Umngxunya omncinci usikiwe kwidiski ebangela iimpawu zakho. Izinto ezivela ngaphakathi kwidiski ziyasuswa. Ezinye iziqwenga zediski zisenokususwa.

Xa enye yeediski yakho ishiya indawo (i-herniates), ijeli ethambileyo ngaphakathi ityhala udonga lwediski. Idiski inokubeka uxinzelelo kumqolo womqolo kunye neentsholongwane eziphuma kwikholamu yakho yomqolo.

Uninzi lweempawu ezibangelwe yidiski ye-herniated ziba ngcono okanye zihambe ngokuhamba kwexesha ngaphandle kotyando. Uninzi lwabantu abaneentlungu ezisezantsi nasemva kwentamo, ukuba ndindisholo, okanye ubuthathaka obutofotofo zihlala ziphathwa kuqala ngamayeza alwa nokudumba, unyango lomzimba kunye nokuzilolonga.

Bambalwa kuphela abantu abaneediski ze-herniated abafuna utyando.

Ugqirha wakho unokucebisa nge-diskectomy ukuba unayo idiski ye-herniated kwaye:

• Intlungu yomlenze okanye yengalo okanye ukuba ndindisholo kubi kakhulu okanye akuhambi, kusenza ukuba kube nzima ukwenza imisebenzi yemihla ngemihla
• Ubuthathaka obukhulu kwiimisipha zengalo yakho, umlenze ongezantsi okanye iimpundu
• Intlungu esasazeka kwiimpundu zakho okanye emilenzeni

Ukuba unengxaki ngamathumbu okanye kwisinyi, okanye iintlungu zibi kakhulu kangangokuba amayeza eentlungu awancedi, kuya kufuneka wenze utyando kwangoko.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, usulelo

Iingozi zolu tyando zezi:

• Ukonakaliswa kwemithambo-luvo ephuma emqolo, kubangela ubuthathaka okanye iintlungu ezingapheliyo
• Intlungu yakho yomqolo ayibi bhetele, okanye iintlungu zibuya kamva
• Intlungu emva kotyando, ukuba zonke iziqwenga zediski azisuswanga
• I-Spinal fluid inokuvuza kwaye ibangele iintloko
• Idiski inokuphinda ikhuphe kwakhona
• Umqolo unokuba ungazinzi ngakumbi kwaye ufuna utyando olungakumbi
• Usulelo olunokufuna i-antibiotics, ukuhlala ixesha elide esibhedlele, okanye utyando olungakumbi

Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo, nditsho amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Lungisa umzi wakho xa ubuya esibhedlele.
• Ukuba uyatshaya, kufuneka uyeke. Ukuchacha kwakho kuya kuhamba kancinci kwaye kungalunganga ukuba uyaqhubeka nokutshaya. Cela uncedo kumboneleli wakho.
• Kwiiveki ezimbini ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), kunye namanye amayeza afana nala.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iingxaki zonyango, ugqirha wakho uya kukucela ukuba ubone oogqirha abakunyangayo ngenxa yezo meko.
• Thetha nomboneleli wakho ukuba ubusele utywala kakhulu.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando.
• Soloko umboneleli wakho ekwazi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye ezinye izifo onokuba unazo.
• Unokufuna ukutyelela ugqirha womzimba ukuze ufunde ukuzilolonga ngaphambi kokwenziwa kotyando kunye nokuziqhelanisa nokusebenzisa iintonga.

Ngomhla wotyando:

• Landela imiyalelo malunga nokuba uyeke nini ukutya nokusela.
• Thatha amayeza umboneleli wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Yiza nenduku yakho, ukuhambahamba, okanye isitulo esinamavili ukuba unayo. Yiza neembadada ezineeflethi ezithe tyaba, ezingathathi ntweni.
• Landela imiyalelo malunga nokuba ufike nini esibhedlele. Fika ngexesha.

Umboneleli wakho uyakukucela ukuba uvuke uhambe ngokukhawuleza xa i-anesthesia yakho iphela. Uninzi lwabantu luya ekhaya ngosuku lotyando. Ungaziqhubeli ekhaya.

Landela imiyalelo malunga nendlela yokuzikhathalela ekhaya.

Uninzi lwabantu luye lwaphola iintlungu kwaye lunokuhamba ngcono emva kotyando. Ubumdaka kunye nokutswina kufanele ukuba ngcono okanye kuphele. Intlungu yakho, ukuba ndindisholo, okanye ubuthathaka azinakuba bhetele okanye zihambe ukuba ubunomonakalo wemithambo-luvo ngaphambi kotyando, okanye ukuba uneempawu ezibangelwa zezinye iimeko zomqolo.

Olunye utshintsho lunokwenzeka kumqolo wakho ngokuhamba kwexesha kwaye iimpawu ezintsha zinokwenzeka.

Thetha nomboneleli wakho malunga nendlela yokuthintela iingxaki zangomso.

I-microdiskectomy yomqolo; Uxinzelelo lweMicrodecompression; Laminotomy; Ukususwa kweDiski; Uqhaqho lomqolo - diskectomy; Idisctctomy

• Uqhaqho lomqolo-ukukhutshwa
• Unonophelo lwenxeba lotyando - luvulekile

• I-nucleus pulposus yenyani
• Umqolo womqolo
• Izakhiwo ezixhasayo
• Cauda equina
• Umqolo wesisu
• Microdiskectomy - uthotho

Ehni BL. I-Lumbar discectomy. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 93.

UGardocki RJ. I-Spinal anatomy kunye neendlela zotyando. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 37.

IGardocki RJ, iPaki AL. Ukuphazamiseka okuguqulwayo kwethambo kunye ne-lumbar spine. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 39.