Utyando lwe-ACDF

Umxholo

• Inqanaba lokuphumelela kotyando lwe-ACDF
• Lwenziwa njani utyando lwe-ACDF?
• Kutheni le nto kwenziwe utyando lwe-ACDF?
• Ndikulungiselela njani ukwenza utyando lwe-ACDF?
• Yintoni endimele ndiyilindele emva kotyando?
• Kufuneka ndenze ntoni ngexesha lokuchacha?
• Imbonakalo

Ushwankathelo

Utyando lwangaphakathi lwe-diskectomy kunye ne-fusion (ACDF) lwenziwa ukuze kususwe idiski eyonakeleyo okanye amathambo entanyeni yakho. Funda ukuze ufunde malunga nenqanaba lempumelelo, njani kwaye kutheni isenziwa, kwaye kubandakanya ntoni emva kwenkathalo.

Inqanaba lokuphumelela kotyando lwe-ACDF

Olu tyando lunempumelelo ephezulu. Phakathi kwabantu abaye benza utyando lwe-ACDF kwiintlungu zengalo baxela ukukhululeka kwintlungu, nakubantu ababenotyando lwe-ACDF kwiintlungu zentamo baxela iziphumo ezilungileyo.

Lwenziwa njani utyando lwe-ACDF?

Ugqirha wakho kunye ne-anesthesiologist baya kusebenzisa i-anesthesia jikelele ukukunceda uhlale ungenalwazi kulo lonke utyando. Thetha nogqirha wakho malunga neengxaki ezinokubakho zotyando ngaphambi kokuba wenze utyando lwe-ACDF, njengamachaphaza egazi okanye usulelo.

Utyando lwe-ACDF lungathatha iyure enye ukuya kwezine kuxhomekeke kwimeko yakho kunye nenani leediski ekufuneka zisuswe.

Ukwenza utyando lwe-ACDF, ugqirha wakho wotyando:

1. Yenza ukusikwa okuncinci ngaphambili entanyeni yakho.
2. Ihambisa imithambo yakho yegazi, umbhobho wokutya (umqala) kunye nomoya (trachea) ecaleni ukuze ubone i-vertebrae yakho.
3. Ichonga i-vertebrae echaphazelekayo, iidiski, okanye imithambo-luvo kwaye ithatha i-X-ray yommandla (ukuba ayikenzi njalo).
4. Sebenzisa izixhobo ukukhupha nasiphi na ispurs okanye iidiski ezonakalisiweyo okanye ezityhala kwimithambo yakho kwaye zibangela iintlungu. Eli nyathelo libizwa ngokuba yi-diskectomy.
5. Uthatha isiqwenga sethambo kwenye indawo entanyeni yakho (i-autograft), evela kumnikeli (allograft), okanye usebenzisa ikhompawundi eyenziweyo ukuzalisa nasiphi na isithuba esingenanto esishiyekileyo ngasemva kwithambo elisusiweyo. Eli nyathelo libizwa ngokuba kukudityaniswa kwamathambo.
6. Uncamathisela ipleyiti kunye nezikhonkwane ezenziwe nge-titanium kwii-vertebrae ezimbini ezijikeleze indawo apho kwakususwe khona idiski.
7. Beka imithambo yegazi yakho, umqala kunye neetrachea emva kwindawo yazo yesiqhelo.
8. Sebenzisa imithungo ukuvala ukusika entanyeni yakho.

Kutheni le nto kwenziwe utyando lwe-ACDF?

Utyando lwe-ACDF lusetyenziselwa ikakhulu:

• Susa idiski kumqolo wakho oye waphela okanye wenzakala.
• Susa i-bone spurs kwi-vertebrae yakho ecofa imithambo-luvo yakho. Imithambo ethambileyo inokwenza imilenze okanye iingalo zakho ziziva zindindisholo okanye zibuthathaka. Ukunyanga umthombo woluvo oluxineneyo kumqolo wakho ngoqhaqho lwe-ACDF kunokudambisa okanye kuphelise ukungabinamandla okanye ubuthathaka.
• Phatha idiski ye-herniated, ngamanye amaxesha ebizwa ngokuba yidiski eshibilikileyo. Oku kuyenzeka xa izinto ezithambileyo kumbindi wediski zityhalelwa ngaphandle kwizinto eziqinileyo kwimida engaphandle yediski.

Ndikulungiselela njani ukwenza utyando lwe-ACDF?

Ngexesha leeveki ezikhokelela kuqhaqho:

• Zimasa nasiphi na isithuba esimiselweyo sovavanyo lwegazi, iX-reyi, okanye uvavanyo lwe-electrocardiogram (ECG).
• Sayina ifom yemvume kwaye wabelane ngembali yakho yezonyango nogqirha wakho.
• Tshela ugqirha wakho malunga nawaphi na amayeza okanye izongezo zokutya, i-herbal okanye enye indlela, oyithatha ngoku.
• Musa ukutshaya ngaphambi kwenkqubo. Ukuba kunokwenzeka, zama ukuyeka iinyanga ezintandathu ngaphambi kotyando lwakho, njengoko ukutshaya kunokucothisa inkqubo yokuphilisa. Oku kubandakanya iisigarethi, iicigars, icuba elihlafunwayo, kunye neecuba zombane okanye zomphunga.
• Musa ukusela nabuphi na utywala malunga neveki ngaphambi kwenkqubo.
• Musa ukuthatha naziphi na iziyobisi ezichasayo (ii-NSAID), ezinje nge-ibuprofen (Advil), okanye izicoci zegazi, ezinjenge-warfarin (Coumadin), malunga neveki phambi kwenkqubo.
• Fumana iintsuku ezimbalwa emsebenzini ukuze wenze utyando kunye nokuchacha.

Ngomhla wotyando:

• Musa ukutya okanye ukusela ubuncinci iiyure ezisibhozo ngaphambi kwenkqubo.
• Hlamba kwaye unxibe impahla ecocekileyo, evulekileyo.
• Musa ukunxiba naziphi na izacholo esibhedlele.
• Yiya esibhedlele iiyure ezimbini ukuya kwezintathu ngaphambi kokuba utyando lwakho lumiselwe.
• Qinisekisa ukuba ilungu losapho okanye umhlobo osenyongweni angakusa ekhaya.
• Yiza nemiyalelo ebhaliweyo malunga nalo naliphi na iyeza okanye izongezo ekufuneka uzithathi kunye nexesha lokuzithatha.
• Landela imiyalelo kagqirha wakho malunga nokuba uthathe amayeza akho aqhelekileyo. Thatha nawaphi na amayeza ayimfuneko ngenani elincinci lamanzi.
• Pakisha naziphi na izinto ezibalulekileyo kwingxowa yasesibhedlele xa kunokwenzeka ulale ubusuku emva kotyando.

Yintoni endimele ndiyilindele emva kotyando?

Emva kotyando, uya kuvuka kwiyunithi yokhathalelo lwasemva koqhaqho kwaye emva koko ushenxiselwe kwigumbi apho ukubetha kwentliziyo yakho, uxinzelelo lwegazi kunye nokuphefumla kuya kujongwa. Abasebenzi besibhedlele baya kukunceda uhlale, uhambe, kwaye uhambe de uzive ukhululekile.

Nje ukuba ukwazi ukuhamba ngesiqhelo, ugqirha wakho uya kuvavanya imeko yakho kwaye akukhulule esibhedlele kunye nemigqaliselo yentlungu kunye nolawulo lwamathumbu, njengoko amayeza eentlungu anokubangela ukuqunjelwa.

Ukuba unengxaki yokuphefumla okanye uxinzelelo lwegazi alubuyelanga kwinto yesiqhelo, ugqirha unokucebisa ukuba uhlale esibhedlele ubusuku bonke.

Jonga ugqirha wakho wotyando malunga neeveki ezimbini emva kotyando lwakho ukuze ulandele ukuqeshwa. Kuya kufuneka uphinde wenze imisebenzi yemihla ngemihla kwiiveki ezine ukuya kwezintandathu.

Yiya kugqirha wakho ngoko nangoko xa uqaphela oku kulandelayo:

• umkhuhlane ophezulu phezulu okanye ngaphezulu kwe-101 ° F (38 ° C)
• ukopha okanye ukukhutshwa kwindawo yotyando
• ukudumba okungaqhelekanga okanye ubomvu
• intlungu engapheliyo kunye neyeza
• ubuthathaka obabungekho phambi kotyando
• ingxaki yokuginya
• ubuhlungu obukhulu okanye ukuqina entanyeni yakho

Kufuneka ndenze ntoni ngexesha lokuchacha?

Emva kokuba uphumile esibhedlele:

• Thatha nawaphi na amayeza amiselweyo ngugqirha wakho kwintlungu kunye nokuqhinwa. Oku kunokubandakanya ii-narcotic, ezinje nge-acetaminophen-hydrocodone (Vicodin), kunye ne-stool softeners, ezinje nge-bisacodyl (Dulcolax).
• Sukusebenzisa naziphi na ii-NSAID ubuncinci iinyanga ezintandathu.
• Musa ukuphakamisa naziphi na izinto ngaphezu kweepawundi ezi-5.
• Musa ukutshaya okanye ukusela utywala.
• Sukujonga phezulu okanye ezantsi usebenzisa intamo yakho.
• Ungahlali ixesha elide.
• Unomntu onokukunceda ngayo nayiphi na imisebenzi enokuthi ikhathaze intamo yakho.
• Nxiba umqala wentamo ngokwemiyalelo kagqirha wakho.
• Zimase iiseshoni zonyango rhoqo.

Sukwenza oku kulandelayo de ugqirha akuxelele ukuba kulungile:

• Yabelana ngesondo.
• Qhuba isithuthi.
• Qubha okanye uhlambe.
• Yenza umthambo onzima, njengokubaleka okanye ukuphakamisa iintsimbi.

Emva kokuba i-graft yakho iqala ukuphilisa, hamba imigama emifutshane, ukuqala malunga ne-1 yeemayile kwaye unyuse umgama rhoqo, yonke imihla. Lo msebenzi wokukhanya unokunceda kwinkqubo yakho yokuphilisa.

Imbonakalo

Utyando lwe-ACDF luhlala luphumelela kakhulu kwaye lunokukunceda ufumane ulawulo lwentamo yakho kunye nentshukumo yelungu kwakhona. Ukuchacha kungathatha ixesha elide, kodwa isiqabu seentlungu kunye nobuthathaka sinokukuvumela ukuba ubuyele kwimisebenzi emininzi yemihla ngemihla othanda ukuyenza.