Umgangatho ophakamileyo

I-Vertebroplasty ihlala iyinkqubo yokunyanga ngaphandle esetyenziselwa ukunyanga ukwaphuka kobuhlungu emqolo. Ukuqhekeka koxinzelelo, yonke into okanye inxenye yethambo lomqolo liyawa.

I-Vertebroplasty 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.

Isamente ke itofwa ithambo lomqolo elaphukileyo ukuze iqiniseke ukuba ayiphinde iwe kwakhona.

Le nkqubo iyafana ne-kyphoplasty. Nangona kunjalo, i-kyphoplasty ibandakanya ukusetyenziswa kwebhaluni ethe tyaba ekupheleni kwenaliti ukwenza indawo phakathi kwe-vertebrae.

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

IVertebroplasty ikhuselekile ngokubanzi. Iingxaki zinokubandakanya:

• Ukopha.
• Usulelo.
• Ukunyanga komzimba kumayeza.
• Ukuphefumla okanye iingxaki zentliziyo ukuba une-anesthesia ngokubanzi.
• Ukulimala kwamathambo.
• Ukuvuza kwesamente yethambo kwiindawo ezingqongileyo (oku kunokubangela iintlungu xa kuchaphazela intambo yomqolo okanye imithambo-luvo). Le ngxaki ixhaphake kakhulu kule nkqubo kune-kyphoplasty. Unokufuna utyando lomqolo ukuze ususe ukuvuza ukuba kuyenzeka.

Soloko uxelela umboneleli wakho:

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

Ngexesha leentsuku ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen, coumadin (Warfarin), kunye nazo naziphi na ezinye iziyobisi ezenza kube nzima kwigazi lakho ukubambeka kwiintsuku ezimbalwa ezidlulileyo.
• 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 kotyando.
• Thatha amayeza umboneleli wakho akuxelele ukuba uthathe ngesiphuzo esincinci samanzi.
• Uya kuxelelwa ukuba ufike nini.

Uya kugoduka kwangolo suku lunye 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 indlu yangasese.
• 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 abanale nkqubo bahlala befumana iintlungu ezimbalwa kunye nomgangatho wobomi obungcono emva kotyando.

Bahlala befuna amayeza eentlungu ezimbalwa, kwaye banokuhamba ngcono kunangaphambili.

Osteoporosis - ithambo lomzimba

• Vertebroplasty - uthotho

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.

UYang EZ, Xu JG, Huang GZ, et al. Unyango lwe-vertebroplasty yokunyanga ngokuchaseneyo nokunyanga okunyanzelekileyo kwizigulana ezalupheleyo ezine-osteoporotic vertebral compression fractures: isifundo esilawulwa ngokungahleliwe sonyango. Umqolo (Phila Pa 1976). Ngo-2016; 41 (8): 653-660. IINKCUKACHA: 26630417