I-kyphoplasty

I-kyphoplasty isetyenziselwa ukunyanga ukuqhekeka okubuhlungu emqolo. Ukuqhekeka koxinzelelo, yonke into okanye inxenye yethambo lomqolo liyawa.

Inkqubo ikwabizwa ngokuba yibhaluni kyphoplasty.

I-kyphoplasty yenziwa esibhedlele okanye kwiklinikhi yokugula.

• Unokuba ne-anesthesia yendawo (uvukile kwaye awukwazi ukuva iintlungu). Ngokuqinisekileyo uya kufumana iyeza lokukunceda uphumle kwaye uzive ulele.
• Unokufumana i-anesthesia ngokubanzi. Uya kulala kwaye ungakwazi kuva iintlungu.

Ulele ubhekise phantsi etafileni. Umboneleli wezempilo ucoca indawo engasemva kwaye asebenzise amayeza ukuphazamisa indawo.

Inaliti ibekwa kulusu nakwithambo lomqolo. Imifanekiso yeX-ray yokwenyani isetyenziselwa ukukhokela ugqirha kwindawo efanelekileyo kumqolo wakho osezantsi.

Ibhaluni ibekwa ngenaliti, ingene ethanjeni, emva koko inyuswe. Oku kubuyisela ukuphakama kwama-vertebrae. Isamente ke itofiwe kwisithuba ukuqinisekisa ukuba ayiphinde iwele kwakhona.

Unobangela oqhelekileyo wokuqhekeka komqolo kukucheba amathambo akho, okanye i-osteoporosis. Umboneleli wakho unokuyincoma le nkqubo ukuba unentlungu kwaye ukhubaza iintlungu iinyanga ezi-2 okanye nangaphezulu ezingangcono ngokulala, amayeza entlungu, kunye nonyango lomzimba.

Umboneleli wakho unokuphinda acebise le nkqubo ukuba unokonakala kokucinezeleka komqolo ngenxa:

• Umhlaza, kubandakanya uninzi lwe-myeloma
• Ukonzakala okubangele amathambo aphukileyo emqolo

I-Kyphoplasty ikhuselekile ngokubanzi. Iingxaki zinokubandakanya:

• Ukopha.
• Usulelo.
• Ukunyanga komzimba kumayeza.
• Ukuphefumla okanye iingxaki zentliziyo ukuba une-anesthesia ngokubanzi.
• Ukulimala kwamathambo.
• Ukuvuza kwesamente yethambo kwindawo ejikelezileyo (oku kunokubangela iintlungu xa kuchaphazela intambo yomqolo okanye imithambo-luvo). Ukuvuza kungakhokelela kolunye unyango (njengotyando) ukususa isamente. Ngokubanzi, i-kyphoplasty inobungozi obuncinci bokuvuza kwesamente kune-vertebroplasty.

Ngaphambi kotyando, soloko uxelela umboneleli wakho:

• Ukuba unokukhulelwa
• Zeziphi iziyobisi ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo
• Ukuba ubusele utywala kakhulu

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen, coumadin (Warfarin), kunye nezinye iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye.
• Buza ukuba zeziphi iziyobisi ekufuneka uzithathile ngosuku lotyando.
• Ukuba uyatshaya, zama ukuyeka.

Ngomhla wotyando:

• Uya kuhlala uxelelwa ukuba ungaseli okanye utye nantoni na iiyure ezininzi ngaphambi kovavanyo.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Uya kuxelelwa ukuba ufike nini.

Uya kugoduka kwangolo suku lotyando. Akufanele uqhube, ngaphandle kokuba umboneleli wakho athi kulungile.

Emva kwenkqubo:

• Kuya kufuneka ukwazi ukuhamba. Nangona kunjalo, kungcono ukuhlala ebhedini kwiiyure zokuqala ezingama-24, ngaphandle kokusebenzisa igumbi lokuhlambela.
• Emva kweeyure ezingama-24, chu ukubuyela kwimisebenzi yakho yesiqhelo.
• Kunqande ukuphakamisa izinto ezinzima kunye nemisebenzi enzima kangangeeveki ezi-6.
• Thambisa umkhenkce kwindawo enenxeba ukuba unentlungu apho kwafakwa khona inaliti.

Abantu abane-kyphoplasty bahlala benentlungu encinci kunye nomgangatho wobomi obungcono emva kotyando. Bahlala befuna amayeza eentlungu ezimbalwa, kwaye banokuhamba ngcono kunangaphambili.

Ibhaluni kyphoplasty; Osteoporosis - kyphoplasty; Ukwaphuka koxinzelelo - kyphoplasty

U-Evans AJ, Kip KE, uBrinjikji W, et al. Uvavanyo olulawulwa ngokungahleliwe lwe-vertebroplasty xa kuthelekiswa ne-kyphoplasty kunyango lwe-vertebral compression fractures. J Uvavanyo lwe-Neurointerv. Ngo-2016; 8 (7): 756-763. IINKCUKACHA: 26109687

Savage JW, kunye noAnderson PA. I-osteoporotic spinal fractures. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ii-eds. Uxinzelelo lwamathambo: iNzululwazi esisiseko, uLawulo, kunye noKwakha ngokutsha. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 35.

I-Weber TJ. Unyango. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 230.

Ifayile kaWilliam KD. Ukuqhekeka, ukususwa, kunye nokuqhekeka komsipha womqolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 41.