Ukutshintshwa kwediski-lumbar spine

I-Lumbar spine disk yokutshintshwa kukuhlinzwa kwindawo esezantsi (lumbar). Kuyenziwa ukunyanga i-spinal stenosis okanye iingxaki zediski kunye nokuvumela ukuhamba okuqhelekileyo komqolo.

I-spinal stenosis ikhona xa:

• Isithuba sekholamu yomqolo sinciphile.
• Ukuvuleka kweengcambu zentsholongwane kushiya ikholamu yomgogodla kuncinci, ukubeka uxinzelelo kwi-nerve.

Ngexesha lokutshintshwa kwediski iyonke (TDR), isahlulo esingaphakathi sediski yomqolo owonakeleyo sithathelwe indawo yidiski eyenziweyo ukubuyisela ukuhamba okuqhelekileyo komqolo.

Rhoqo, utyando lwenziwa kwidiski enye kuphela, kodwa ngamanye amaxesha, amanqanaba amabini ecaleni kwelinye anokutshintshwa.

Olu tyando lwenziwa phantsi kweanesthesia ngokubanzi. Uya kuba ulele kwaye awuva zintlungu.

Ngexesha lotyando:

• Uya kulala ngomqolo kwitafile yokusebenza.
• Iingalo zakho zidityaniswe kwindawo yengqiniba kwaye zisongwe phambi kwesifuba sakho.
• Ugqirha wakho ugqogqa esiswini. Ukwenza utyando ngesisu kuvumela ugqirha ukuba afikelele kumqolo ngaphandle kokuphazamisa imithambo-luvo yomqolo.
• Izitho zesisu kunye nemithambo yegazi zihanjiswe ecaleni ukuze zifikelele kumqolo.
• Ugqirha wakho ususa isahlulo sediski esonakeleyo kwaye ubeke idiski entsha engeyiyo endaweni yayo.
• Onke amalungu abuyiselwe endaweni yawo.
• Incision ivaliwe ngemithungo.

Olu tyando luthatha malunga neeyure ezi-2 ukugqiba.

Iidiski ezinjenge-Cushion zinceda umqolo uhlale mobile. Imithambo kwindawo yomqolo osezantsi iyacinezeleka ngenxa:

• Ukunciphisa idiski ngenxa yokulimala okudala
• Ukukhupha idiski (ukuqhubela phambili)
• Isifo samathambo esenzeka kumqolo wakho

Ugqirha lwe-spinal stenosis lunokuqwalaselwa ukuba uneempawu ezinzima eziphazamisa ubomi bakho bemihla ngemihla kwaye awuphuculi nolunye unyango. Iimpawu zihlala zibandakanya:

• Intlungu enokuthi ivezwe ethangeni lakho, ithole, umva osezantsi, igxalaba, iingalo, okanye izandla. Intlungu ihlala inzulu kwaye izinzile.
• Intlungu xa usenza imisebenzi ethile okanye uhambisa umzimba wakho ngendlela ethile.
• Ubudenge, ukurhawuzelela, kunye nobuthathaka bemisipha.
• Ubunzima ngokulinganisela kunye nokuhamba.
• Ukuphulukana nesinyi okanye ukulawula amathumbu.

Thetha nomboneleli wakho wezempilo malunga nokuba ngaba utyando lukulungele. Ayinguye wonke umntu oneentlungu ezisezantsi ezifuna utyando. Uninzi lwabantu luphathwa kuqala ngamayeza, unyango lomzimba, kunye nokuzilolongela ukukhululeka kwentlungu.

Ngexesha lotyando lomqolo wesiko lomqolo wesibeleko, ugqirha wotyando kuya kufuneka afake amanye amathambo emqolo wakho ukwenza ukuba umqolo wakho uzinze. Ngenxa yoko, amanye amalungu omqolo wakho apha ngezantsi nangaphezulu kokudibana kunokuba nakho ukuba neengxaki zediski kwixa elizayo.

Ngokuhlinzwa endaweni yediski, akukho fusion iyafuneka. Ngenxa yoko, umqolo ongentla nangaphantsi kwendawo yotyando useyigcinile intshukumo. Le ntshukumo inokunceda ekuthinteleni ezinye iingxaki kwidiski.

Unokuba ngumgqatswa wotyando lotshintsho lwediski ukuba oku kuyinyani:

• Awutyebanga kakhulu.
• Inqanaba elinye okanye amabini omqolo wakho kuphela onale ngxaki kwaye ezinye iindawo azenzanga.
• Awunaso isifo samathambo kumalungu omqolo wakho.
• Awuzange utyunjwe umqolo ngaphambili.
• Awunayo uxinzelelo olukhulu kwiimbilini zomgudu wakho.
  

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, kunye nosulelo

Umngcipheko we-TDR zezi:

• Ukwandisa intlungu emva
• Ubunzima ngokuhamba
• Ukwenzakala emathunjini
• Igazi liyagungqa emilenzeni
• Ukwenziwa kwethambo ngokungaqhelekanga kwiimisipha kunye neetoni ezijikeleze intambo yomqolo
• Ukungasebenzi kakuhle ngokwesondo (okuqhelekileyo emadodeni)
• Umonakalo kwi-ureter kunye ne-bladder
• Usulelo kwindawo yotyando
• Ukuqhekeka kwediski eyenziweyo
• Idiski eyenziweyo inokuhamba endaweni
• Ukukhulula ukufakelwa
• Ukukhubazeka

Umboneleli wakho uya kuyalela uvavanyo lokucinga njenge-MRI, i-CT scan, okanye i-x-ray ukujonga ukuba ufuna utyando.

Umboneleli wakho uya kufuna ukwazi ukuba:

• Ukhulelwe
• Ngaba uthatha nawaphi na amayeza, izongezo, okanye amayeza
• Ngaba unesifo seswekile, uxinzelelo lwegazi, okanye unayo nayiphi na imeko yonyango
• Ngaba uyatshaya

Xelela umboneleli wakho ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Lungisa ikhaya lakho ukulungiselela ukuphuma kwakho esibhedlele.
• Ukuba uyatshaya, kufuneka uyeke. Abantu abane-TDR kwaye bayaqhubeka nokutshaya abanakuphola nabo. Buza ugqirha wakho ngoncedo lokuyeka.
• Kwiveki enye ngaphambi kotyando, umboneleli wakho unokucela ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn).
• 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 ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando.
• Vumela ugqirha wakho azi ngoko nangoko ukuba ufumana umkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye ezinye izifo onokuba nazo.
• Unokufuna ukutyelela ugqirha womzimba ukuze ufunde imithambo ekufuneka uyenzile ngaphambi kotyando.

Ngomhla wotyando:

• Landela imiyalelo yokungaseli okanye ungatyi nantoni na ngaphambi kwenkqubo. Oku kunokuba ziiyure ezi-6 ukuya kwezi-12 ngaphambi kotyando.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Uya kuhlala esibhedlele iintsuku ezi-2 ukuya kwezi-3 emva kotyando. Umboneleli wakho uya kukukhuthaza ukuba ume kwaye uqale ukuhamba ngokukhawuleza xa i-anesthesia iphela. Kuya kufuneka unxibe i-corset brace yokuxhasa kunye nokuphilisa ngokukhawuleza. Ekuqaleni, uya kunikwa ulwelo olucacileyo. Uya kuthi kamva uqhubele phambili kukutya okungamanzi kunye nokutya okuqinileyo.

Umboneleli wakho uya kukucela ukuba:

• Yenza nawuphi na umsebenzi owolula umqolo wakho kakhulu
• Thatha inxaxheba kwimisebenzi ebandakanya ukungqubana, ukugoba, kunye nokujija njengokuqhuba nokuphakamisa izinto ezinzima ubuncinci iinyanga ezi-3 emva kotyando

Landela imiyalelo yendlela yokunyamekela umva wakho ekhaya.

Unokubuyela kwimisebenzi yesiqhelo kwiinyanga ezi-3 emva kotyando.

Umngcipheko weengxaki uphantsi emva kokubuyiselwa kwe-lumbar disk. Utyando luhlala luphucula ukuhamba komqolo ongcono kunezinye (utyando lomqolo). Yinkqubo ekhuselekileyo kunye nokuthomalalisa iintlungu kwenzeka kwakamsinya emva kotyando. Umngcipheko wemisipha yomqolo (paravertebral muscle) yokwenzakala incinci kunezinye iintlobo zotyando lomqolo.

I-Lumbar disk arthroplasty; I-arthroplasty yediski ye-Thoracic; Ukutshintshwa kwediski eyenziweyo; Ukutshintshwa kwediski iyonke; TDR; Idiskhi yediski; Ukutshintshwa kwediski; Idiski eyenziweyo

• I-vertebrae yeLumbar
• Idiski ye-intervertebral
• Umqolo wesisu

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UZigler J, uGornet MF, uFerko N, uCameron C, uSchranck FW, uPatel L. Ukuthelekiswa kwe-lumbar iyonke yokutshintshwa kwediski kunye nokuqunjelwa komgogodla kunyango lwesifo sedigital disgenerative level. izilingo ezilawulwayo. Isiqhamo seHlabathi J. 2018; 8 (4): 413-423. IINKCUKACHA: 29977727 pubmed.ncbi.nlm.nih.gov/29977727/.