Yonke into ofuna ukuyazi malunga neLaser Back Surgery

Umxholo

• Lwahluke njani utyando lwasemva kwelaser?
• Yesintu
• IIMISS
• Laser
• Yintoni onokuyilindela
• Izibonelelo
• Iingxaki
• Imiphumela
• Ixesha lokufumana kwakhona
• Iindleko
• Olunye unyango
• Amayeza
• Inaliti zeSteroid
• Ulungiso lwenyama
• Ukunyamekela ekhaya
• Elinye iyeza
• Umgca wezantsi

Utyando lwasemva lweLaser luhlobo lotyando lwangasemva. Kwahlukile kwezinye iintlobo zotyando lwasemva, njengotyando lwasemva lwendabuko kunye notyando lomqolo oluncinci olungenasiphelo (MISS).

Qhubeka nokufunda ukuze ufunde okungakumbi malunga nokuhlinzwa ngasemva kwe-laser, izibonelelo zayo ezinokubakho kunye nokusilela, kunye nezinye iindlela zonyango ezinokubakho.

Lwahluke njani utyando lwasemva kwelaser?

Kukho iintlobo ezimbalwa ezahlukeneyo zotyando lwasemva, kubandakanya indlela yendabuko, okanye evulekileyo, i-MISS, kunye nokuhlinzwa ngasemva kwe-laser. Apha ngezantsi, siza kuvavanya ukuba yintoni eyenza ubuchule nganye bohluke.

Yesintu

Ngexesha lotyando lwasemva kwemveli, ugqirha wotyando wenza ukusikwa okude emqolo. Emva koko, bahambisa izihlunu kunye nezinye izicubu kude ukufikelela kwindawo echaphazelekayo yomqolo. Oku kukhokelela kwixesha lokubuyisela ixesha elide, kwaye kunokubangela ukulimala kwezicubu.

IIMISS

I-MISS isebenzisa isicatshulwa esincinci kunotyando lwesiko. Isixhobo esikhethekileyo esibizwa ngokuba yi-tubular retractor sisetyenziselwa ukwenza itonela encinci ukufikelela kwindawo yotyando. Izixhobo ezahlukeneyo zingabekwa kule tonela ngexesha lotyando.

Ngenxa yokuba ingangenisi kangako, i-MISS inokukhokelela kwintlungu encinci kunye nokubuyiselwa ngokukhawuleza.

Laser

Ngexesha lotyando lwasemva kwe-laser, i-laser isetyenziselwa ukususa iinxalenye zeethishu ezijikeleze intambo yomqolo kunye neervethi zomqolo. Ngokungafaniyo nezinye iintlobo zotyando lwangasemva, kunokuba kufanelekile kuphela kwiimeko ezithile, njengaxa uxinzelelo lwe-nerve lubangela iintlungu.

Utyando lwasemva kweLaser kunye ne-MISS zihlala ziphosakele enye kwenye, okanye kucingelwa ukuba ziyafana. Ukuqhubekeka nokwenza nzima oku kukuba i-MISS inakho, kodwa hayi rhoqo, ukusebenzisa ii-lasers.

Ukuhlinzwa ngasemva kweLaser kunqabile, kwaye zimbalwa izifundo zeklinikhi ezibonise izibonelelo ngokuthelekiswa nezinye iindlela.

Yintoni onokuyilindela

Xa uxinzelelo lubekwe kwimithambo-luvo, oko kunokubangela iintlungu kunye nokungonwabi.

Emqolo, izinto ezinjenge-disc ye-herniated okanye i-bone spur inokubangela uxinzelelo. Umzekelo wesinye sezo meko yi-sciatica, apho i-nerve ye-sciatic iye icinezelwe, ekhokelela kwintlungu kumqolo osezantsi nasemlenzeni.

I-Lasers inokusetyenziselwa ukunceda ukudodobala kwemithambo-luvo, ngenjongo yokunciphisa iintlungu. Oku kwenziwa phantsi kwe-anesthesia yendawo, oko kuthetha ukuba ulusu kunye nezihlunu ezijikelezileyo zomqolo wakho ziya kubethwa zintlungu. Unokuphinda uthambekele kwinkqubo.

Enye yeendlela ezifundwe kakuhle zotyando lwasemva kwelaser kuthiwa yi-percutaneous laser disc decompression (PLDD). Le nkqubo isebenzisa i-laser ukususa iithishu zediski ezinokubangela uxinzelelo lwe-nerve kunye nentlungu.

Ngexesha le-PLDD, iprobe encinci ene-laser idluliselwa kumbindi wediski echaphazelekayo. Oku kufezekiswa ngoncedo lwetekhnoloji yokucinga. Emva koko, amandla avela kwi-laser asetyenziselwa ukususa ngononophelo izicwili ezinokuthi zicinezele kwi-nerve.

Izibonelelo

Izibonelelo zoqhaqho lwasemva kwe-laser kukuba kuncipha kakhulu kunendlela yesiqhelo yokuhlinzwa ngasemva. Ukongeza, inokwenziwa kwimeko yokunyanga ngaphandle kweanesthesia yendawo. Ngeendlela ezininzi, ifana kakhulu ne-MISS.

Kukho isixa esilinganiselweyo solwazi malunga nokusebenza ngokupheleleyo kotyando lwasemva kwelaser ngokuthelekisa ezinye iindlela.

Omnye uthelekise i-PLDD kwenye indlela yotyando ebizwa ngokuba yi-microdiscectomy. Abaphandi bafumanise ukuba zombini iinkqubo zineziphumo ezifanayo kwisithuba seminyaka emibini yokuchacha.

Nangona kunjalo, kufanele kuqatshelwe ukuba xa bexoxa nge-PLDD, abaphandi babandakanya utyando olulandelayo olulandelayo emva kwe-PLDD njengenxalenye yesiphumo esiqhelekileyo.

Iingxaki

Utyando lwangemva kweLaser alukhuthazwa kwezinye iimeko, ezinje ngezifo zomqolo eziwohlozayo. Ukongeza, iimeko ezintsonkothileyo okanye ezinzima ziya kuhlala zifuna indlela yotyando yendabuko.

Enye yeengxaki zokuhlinzwa kwakhona kwe-laser kukuba unokufuna utyando olongezelelweyo kwimeko yakho. Kufunyenwe ukuba i-microdiscectomy inenani elisezantsi lokuphinda kusebenze xa kuthelekiswa ne-PLDD.

Ukongeza, uhlalutyo lweemeta zango-2017 zoqhaqho lwesixhenxe olwahlukileyo lweediski ze-herniated kwingingqi ye-lumbar yafumanisa ukuba i-PLDD ibekwe phakathi kwezona ziphumo zisezantsi zempumelelo, kwaye yayiphakathi kwinqanaba lokuphinda kusebenze.

Imiphumela

Yonke inkqubo inokuba neziphumo ebezingalindelekanga ezinokubakho okanye iingxaki. Kuyinyani nangokuhlinzwa ngasemva kwe-laser.

Enye yeengxaki ezinokubakho kuqhaqho lwasemva kwe-laser ngumonakalo kwizicubu ezijikelezileyo. Ngenxa yokuba i-laser isetyenziselwa le nkqubo, umonakalo wobushushu unokuvela kwimithambo, amathambo kunye ne-cartilage.

Enye ingxaki enokwenzeka sisifo. Oku kunokwenzeka ngexesha lokubekwa kweprobe ukuba iinkqubo ezifanelekileyo zogutyulo azilandelwa. Kwezinye iimeko, unokubonelelwa ngeprophylactic antibiotics ukukunceda ukukhusela intsholongwane.

Ixesha lokufumana kwakhona

Ixesha lokufumana kwakhona linokwahluka ngokwamntu ngamnye kunye nenkqubo ethile eyenziweyo. Abanye abantu banokubuyela kwimisebenzi yesiqhelo ngokukhawuleza, ngelixa abanye benokufuna ixesha elininzi. Ngaba utyando lwasemva kwelaser luthelekisa njani nezinye iintlobo zotyando lwasemva?

Ukuhlinzwa ngasemva ngokwesiko kufuna ukuhlala esibhedlele emva kwenkqubo, kwaye ukubuyela kwimeko yesiqhelo kungathatha iiveki ezininzi. Ngokwe-Johns Hopkins Spine Service, abantu abenziwa utyando lomqolo kulindeleke ukuba baphoswe ziiveki ezisi-8 ukuya kwezi-12 zomsebenzi.

Ngokwahlukileyo, i-MISS ihlala yenziwa njengenkqubo yokunyanga ngaphandle, oko kuthetha ukuba ungagoduka kwangolo suku. Ngokubanzi, abantu abaye bafumana i-MISS banokubuyela emsebenzini kwiiveki ezintandathu.

Usenokuba ukhe wafunda ukuba uqhaqho lwasemva lwelaser lubuyela kwimeko yesiqhelo ngokukhawuleza kunenye inkqubo. Nangona kunjalo, kukho uphando oluncinci kakhulu malunga nendlela ixesha lokubuyisela elithelekisa ngayo.

Ngapha koko, oku kuxutyushwe ngasentla kufumanise ukuba ukubuyela kwimeko yesiqhelo kwi-microdiscectomy kwakukhawuleza kune-PLDD.

Iindleko

Akukho lwazi luninzi malunga neendleko okanye ngoqhaqho lwasemva lwelaser ngokuchaseneyo nezinye iintlobo zotyando lwasemva.

Iindleko ziya kwahluka ngokwamazwe. Ukuhlawulwa kweinshurensi kuyahluka ngomboneleli weinshurensi kunye nesicwangciso seinshurensi. Ngaphambi kokuba wenze naluphi na uhlobo lwenkqubo, kuya kufuneka usoloko ujonga kumboneleli wakho weinshurensi ukuze ubone ukuba ikhutshiwe sisicwangciso sakho.

Olunye unyango

Ayinguye wonke umntu oneentlungu zangasemva ezifuna utyando lwasemva. Ngapha koko, ukuba ufumana iintlungu zangasemva, ugqirha wakho uya kuncoma ukuba uzame unyango olulondolozayo kuqala, ngaphandle kokuba unokulahleka kwe-neurologic okanye ukulahleka kwesisu okanye umsebenzi wesinyi.

Kukho izinto ezahlukeneyo onokuzama ukunceda ukunciphisa iintlungu ngenxa yeemeko ezifana ne-sciatica. Imizekelo ibandakanya:

Amayeza

Ugqirha wakho unokukunika iintlobo ezahlukeneyo zamachiza ukukunceda xa usentlungwini. Oku kunokubandakanya izinto ezinje

• iziyobisi ezingasebenziyo ezichasayo (ii-NSAID)
• izihlunu eziphumlayo
• Ukunciphisa iintlungu ze-opioid (ixesha elifutshane kakhulu kuphela)
• tricyclic antidepressants
• iziyobisi ezichasene nokuhlutha

Inaliti zeSteroid

Ukufumana inaliti ye-corticosteroids kufutshane nendawo echaphazelekayo kunokunceda ekunciphiseni ukudumba okujikeleze imithambo-luvo. Nangona kunjalo, iziphumo zenaliti zihlala zihamba emva kweenyanga ezimbalwa, kwaye unokufumana kuphela uninzi ngenxa yomngcipheko weziphumo ebezingalindelekanga.

Ulungiso lwenyama

Unyango lomzimba lunokunceda ngamandla kunye nokuguquguquka kunye nokuthintela iingxaki ezizayo. Ingabandakanya imithambo eyahlukeneyo, ukuzolula, kunye nokulungisa ukuma.

Ukunyamekela ekhaya

Sebenzisa izinto ezinje ngeepakethe ezishushu okanye ezibandayo kunokunceda ukunciphisa iintlungu. Ukongeza, ezinye ii-NSAID ezingaphezulu kwe-counter ezifana ne-ibuprofen nazo zinokunceda.

Elinye iyeza

Abanye abantu basebenzisa iindlela ezinje nge-acupuncture kunye neenkonzo ze-chiropractic ukunceda kwiintlungu zomqolo. Ukuba uthatha isigqibo sokuzama ezi ndlela, kuya kufuneka uqiniseke ukuba undwendwela ingcali efanelekileyo.

Umgca wezantsi

Utyando lwasemva lweLaser luhlobo lotyando lwangasemva olusebenzisa i-laser ukususa izicwili ezinokuthi zicinezele okanye zicofe imithambo-luvo. Inkqubo ayonakalisi kakhulu kunezinye iindlela zokuhlinzwa ngasemva, kodwa inokufuna utyando olulandelayo lokulandela.

Ukuza kuthi ga ngoku, ulwazi oluncinci lwekhonkrithi luyafumaneka ukuba ngaba utyando lwasemva lwe-laser luluncedo ngakumbi kunezinye iintlobo zotyando lwasemva. Ukongeza, ukuthelekiswa kokusebenza kwexabiso xa kuthelekiswa nezinye iindlela kusafuneka kwenziwe.

Ukuba ufuna ukuphinda utyando, kuya kufuneka uxoxe ngazo zonke iindlela ezinokubakho nogqirha wakho. Ngale ndlela, uya kuba nakho ukufumana unyango olulungele wena.