Into ekufuneka uyazi malunga nokuhlinzwa kweNeck

Umxholo

• Zeziphi iimeko ezinokufuna utyando lwentamo?
• Zeziphi iintlobo eziqhelekileyo zotyando lwentamo?
• Ukuhlanganiswa komlomo wesibeleko
• Ngaphambili i-diskectomy yomlomo wesibeleko kunye nefusion (ACDF)
• I-corpectomy yangaphakathi yomlomo wesibeleko kunye nefusion (ACCF)
• Laminectomy
• Laminoplasty
• Ukutshintshwa kwediski eyenziweyo (ADR)
• I-laminoforaminotomy yomlomo wesibeleko
• Ixesha lokuchacha libandakanya ntoni?
• Zithini iingozi zotyando lwentamo?
• Umgca wezantsi

Intlungu yentamo yimeko eqhelekileyo enokubangela izizathu ezahlukeneyo. Nangona utyando lunyango olunokubakho lwentlungu yexesha elide, kunqabile ukuba lukhetho lokuqala. Ngapha koko, iimeko ezininzi zeentlungu zentamo ziya kuthi ekugqibeleni zihambe kunye nohlobo olufanelekileyo lonyango olulondolozayo.

Unyango olulondolozayo lungenelelo ngoncedo olujolise ekunciphiseni iintlungu zentamo kunye nokuphucula ukusebenza. Eminye imizekelo yonyango ibandakanya:

• I-counter-counter okanye amayeza amayeza ukunciphisa iintlungu kunye nokudumba
• umthambo wasekhaya kunye nonyango lomzimba ukunceda ukomeleza intamo yakho, ukonyusa uluhlu lwakho lokuhamba, kunye nokunciphisa iintlungu
• umkhenkce kunye nobushushu unyango
• Inaliti ze-steroid ukunciphisa iintlungu zentamo kunye nokudumba
• Ukuhamba kancinci okwethutyana, njengekhola entanyeni ethambileyo, ukunceda ukubonelela ngenkxaso kunye nokunciphisa uxinzelelo

Utyando lwentamo luhlala lukhetho lokugqibela ukuba unyango olulondolozayo alusebenzi ekunciphiseni iintlungu ezingapheliyo zentamo.

Qhubeka ufunda njengoko sijonga ngokusondeleyo iimeko ezinokuthi zifune utyando lwentamo, ezinye iintlobo eziqhelekileyo zotyando lwentamo, kunye nokuba yintoni ukubuyisela okunokubandakanya.

Zeziphi iimeko ezinokufuna utyando lwentamo?

Ayizizo zonke izinto ezibangela iintlungu zentamo ezifuna utyando. Nangona kunjalo, kukho iimeko ezithile apho utyando lunokuthi ekugqibeleni lube lolona khetho lulungileyo, ngakumbi ukuba unyango oluncinci olungena ngeniso aluzange lusebenze.

Iimeko ezinokuthi zifune ukuhlinzwa zihlala ziphumo zokulimala okanye utshintsho olunxulumene nobudala, njenge-osteoarthritis.

Ukulimala kunye nokutshintsha okuguqukayo kunokubangela ukuba iidiski ze-herniated kunye ne-bone spurs zenze intamo yakho. Oku kunokubeka uxinzelelo kwiimbilini zakho okanye kwintambo yomgogodla, okukhokelela kwiimpawu ezinjengeentlungu, ukuphazamiseka, okanye ubuthathaka.

Ezinye zeemeko zentamo eziqhelekileyo ezinokufuna utyando zibandakanya oku kulandelayo:

• I-nerve eqinisiweyo (yomlomo wesibeleko iradiculopathy): Ngale meko, uxinzelelo olugqithisileyo lubekwe kwenye yeengcambu zentsimbi entanyeni yakho.
• Ukunyanzeliswa kwentambo yomqolo (i-myelopathy yomlomo wesibeleko): Ngale meko, intambo yomqolo iyaxineka okanye iyacaphuka. Ezinye zezizathu eziqhelekileyo zibandakanya i-osteoarthritis, i-scoliosis, okanye ukwenzakala entanyeni.
• Intamo eyaphukileyo (ukwaphuka komlomo wesibeleko): Oku kwenzeka xa elinye okanye amaninzi amathambo entanyeni yakho aphukile.

Zeziphi iintlobo eziqhelekileyo zotyando lwentamo?

Kukho iintlobo ezahlukeneyo zokuhlinzwa kwentamo. Uhlobo lotyando onokulufuna luxhomekeke kwizinto ezininzi, kubandakanya into ebangela imeko yakho, ingcebiso kagqirha wakho, kunye nokukhetha kwakho.

Nazi ezinye zeendlela eziqhelekileyo zokuhlinzwa kwentamo.

Ukuhlanganiswa komlomo wesibeleko

Ukuhlanganiswa komlomo wesibeleko kudibanisa ezimbini ze-vertebrae yakho kwinto enye, ezinzileyo yethambo. Isetyenziswe kwiimeko apho indawo yentamo ingazinzanga, okanye xa ukunyakaza kwindawo echaphazelekayo kubangela intlungu.

Ukuhlanganiswa komlomo wesibeleko kungenziwa ngenxa yokuqhekeka komlomo wesibeleko. Inokucetyiswa kwakhona njengenxalenye yonyango lotyando lwe-nerve okanye i-spinal cord.

Ngokuxhomekeke kwimeko yakho ethile, ugqirha wakho ugqirha unokwenza ukubethelwa ngaphambili okanye ngasemva kwentamo yakho. Ukufakwa kwamathambo emva koko kubekwe kwindawo echaphazelekayo. Ukufakelwa kwamathambo kunokuza kuwe okanye kumnikeli. Ukuba ufakelo lwamathambo luvela kuwe, luthathwa ngokufuthi kwilungu lethambo lakho.

Izikrufu zensimbi okanye iipleyiti nazo ziyongezwa ukubamba ii-vertebrae zombini kunye. Ekugqibeleni, ezi vertebrae ziya kukhula kunye, zibonelele ngozinzo. Ungaqaphela ukwehla kokuguquguquka okanye uluhlu lwentshukumo ngenxa yokuhlangana.

Ngaphambili i-diskectomy yomlomo wesibeleko kunye nefusion (ACDF)

Ngaphambili i-diskectomy yomlomo wesibeleko kunye nokuhlanganiswa, okanye i-ACDF ngokufutshane, luhlobo lotyando olwenziwe ukunyanga i-pinched nerve okanye uxinzelelo lomqolo womqolo.

Ugqirha uya kwenza uqhaqho olungaphambili lwentamo yakho. Emva kokwenza ukusikwa, idiski ebangela uxinzelelo kunye nayiphi na into ejikelezayo yethambo iya kususwa. Ukwenza oku kunokunceda ekunciphiseni uxinzelelo kwimithambo-luvo okanye umnqonqo.

Ukuhlanganiswa komgogodla kwenzelwa ukunika uzinzo kuloo ndawo.

I-corpectomy yangaphakathi yomlomo wesibeleko kunye nefusion (ACCF)

Le nkqubo iyafana ne-ACDF kwaye iyenziwa ukunyanga uxinzelelo lomqolo womqolo. Isenokuba lolona khetho lubalaseleyo kotyando ukuba unamathambo anokungasuswa ngotyando olufana ne-ACDF.

Njengakwi-ACDF, ugqirha wotyando wenza intambo ngaphambili kwentamo yakho. Nangona kunjalo, endaweni yokususa idiski, konke okanye inxenye yommandla ongaphambili we-vertebra (umzimba we-vertebral) kunye nayiphi na into ejikeleze ithambo.

Isithuba esishiyekileyo sigcwalisiwe kusetyenziswa iqhekeza elincinci lesithambo kunye nokuqina komqolo. Ngenxa yokuba le nkqubo ibandakanyeka ngakumbi, inokuba nexesha lokubuyisa ixesha elide kune-ACDF.

Laminectomy

Injongo ye-laminectomy kukukhulula uxinzelelo kumqolo wakho womqolo okanye kwimithambo-luvo. Kule nkqubo, ugqirha wotyando wenza intambo emva kwentamo yakho.

Nje ukuba ukwenziwa kwenziwe, ibony, indawo enomqolo ngasemva kwe-vertebra (eyaziwa ngokuba yi-lamina) isuswe. Naziphi na iidiski, i-bone spurs, okanye iigaments ezibangela uxinzelelo nazo ziyasuswa.

Ngokususa indawo yangasemva ye-vertebra echaphazelekayo, i-laminectomy ivumela indawo ethe kratya yomqolo. Nangona kunjalo, le nkqubo inokwenza ukuba umqolo uzinze. Abantu abaninzi abane-laminectomy baya kuba ne-spinal fusion.

Laminoplasty

I-laminoplasty yenye ye-laminectomy yokunciphisa uxinzelelo kumqolo womqolo kunye neentsholongwane ezinxulumene noko. Ikwabandakanya ukubanjwa emva kwentamo yakho.

Endaweni yokususa i-lamina, ugqirha wotyando wenza ihenjisi efana nomnyango endaweni yoko. Banokusebenzisa lehenjisi ukuvula i-lamina, ukunciphisa uxinzelelo kumqolo womqolo. Ukufakwa kwesinyithi kufakwa ukunceda ukugcina lehenjisi endaweni yayo.

Uncedo lwe-laminoplasty kukuba igcina uluhlu oluthile lokuhamba kwaye ivumela ugqirha ukuba ajongane neendawo ezininzi zoxinzelelo.

Nangona kunjalo, ukuba iintlungu zakho zentamo zinxulumene nokuhamba, i-laminoplasty isenokungacetyiswa.

Ukutshintshwa kwediski eyenziweyo (ADR)

Olu hlobo lotyando lunokunyanga imithambo entanyeni yakho. Ugqirha uya kwenza intambo ngaphambili kwentamo yakho.

Ngexesha le-ADR, ugqirha wotyando uya kususa idiski esebenzisa uxinzelelo kwi-nerve. Baza kuthi emva koko bafake ukufakelwa okungekuko kwindawo apho idiski ibikhona ngaphambili. Ukufakelwa kunokuba yinto yonke yentsimbi okanye ukudibanisa isinyithi kunye neplastiki.

Ngokungafaniyo ne-ACDF, ukwenza utyando lwe-ADR kukuvumela ukuba ugcine uguquko kunye noluhlu lwentshukumo yentamo yakho. Nangona kunjalo, ADR ukuba unayo:

• ukungazinzi okukhoyo komqolo
• ukungabikho komzimba kwizinto zokufakelwa
• isifo sentamo ebukhali
• osteoporosis
• i-ankylosing spondylosis
• irheumatoid Arthritis
• umhlaza

I-laminoforaminotomy yomlomo wesibeleko

Olu hlobo lotyando lolunye ukhetho kunyango lwe-pinched nerve. Ukuqhekeka kwenziwa emva kwentamo.

Emva kokuba usiko lwenziwe, ugqirha osebenzisa isixhobo esikhethekileyo sokususa inxenye yelamina yakho. Nje ukuba kwenziwe oku, basusa naliphi na ithambo okanye izicwili ezongezelelweyo ezicinezela kwi-nerve echaphazelekayo.

Ngokungafaniyo nezinye iindlela zotyando lwentamo njenge-ACDF kunye ne-ACCF, i-laminoforaminotomy yangemva komlomo wesibeleko ayifuni fusion yomqolo. Oku kukuvumela ukuba ugcine ukuguquguquka ngakumbi entanyeni yakho.

Olu tyando luyakwenziwa kusetyenziswa iindlela ezincinci zokuhlasela.

Ixesha lokuchacha libandakanya ntoni?

Ngokubanzi, unokulindela ukuchitha usuku okanye ezimbini esibhedlele emva kotyando lwakho. Ngokuchanekileyo ukuba uza kuhlala ixesha elingakanani esibhedlele kuya kuxhomekeka kuhlobo lotyando obukhe wanalo.

Rhoqo, utyando lwentamo ludinga ubusuku kuphela, ngelixa utyando olusemqolo oluphantsi lufuna ukuhlala ixesha elide.

Kuqhelekile ukuziva iintlungu okanye ukungonwabi ngelixa uchacha. Ugqirha wakho uya kukunika amayeza ukukunceda ukunciphisa intlungu yakho.

Uninzi lwabantu lunokuhamba kwaye lutye kusuku olusemva kotyando lwabo.

Eminye imisebenzi elula okanye umthambo unokucetyiswa emva kotyando lwakho. Nangona kunjalo, awunakuvunyelwa ukuba usebenze, uqhube okanye uphakamise izinto xa ubuyela ekhaya usiya kuqhaqho. Ugqirha wakho uza kukuxelela xa unokuphinda uqalise ngemisebenzi yakho yemihla ngemihla

Kuya kufuneka unxibe ikhola yomlomo wesibeleko ukukunceda ukuzinzisa nokukhusela intamo yakho. Ugqirha wakho uya kukunika imiyalelo ethile malunga nokuba uyinxibe njani kwaye nini.

Kwiiveki ezimbalwa emva kotyando lwakho, uya kuqala ukwenza unyango lomzimba. Oku kubaluleke kakhulu ukunceda ukubuyisela amandla kunye noluhlu lwentshukumo entanyeni yakho.

Ingcali yonyango iya kusebenza ngokusondeleyo nawe ngeli xesha. Kananjalo baya kuncoma imithambo ekufuneka uyenzile ekhaya phakathi kwengqesho yonyango lwakho.

Ngokuxhomekeka kotyando, ixesha lakho lokufumana kwakhona linokwahluka. Umzekelo, kunokuthatha phakathi kweenyanga ezi-6 ukuya kwezi-12 ukuze i-spinal fusion iqine.

Ukunamathela ngokusondeleyo kwisicwangciso sakho sokubuyisela kunokunceda kakhulu kwisiphumo esihle emva kotyando lwakho lwentamo.

Zithini iingozi zotyando lwentamo?

Njengayo nayiphi na inkqubo, kukho iingozi ezinxulunyaniswa notyando lwentamo. Ugqirha wakho uza kuxoxa ngobungozi benkqubo kunye nawe ngaphambi kotyando. Eminye imingcipheko enxulumene nokuhlinzwa kwentamo ingaquka:

• ukopha okanye ihematoma kwindawo yotyando
• usulelo indawo yotyando
• ukwenzakala kwimithambo-luvo okanye umnqonqo
• ukuvuza kwe-cerebral spinal fluid (CSF)
• I-C5 palsy, ebangela ukukhubazeka ezingalweni
• ukonakala kweendawo ezikufutshane nendawo yotyando
• iintlungu ezingapheliyo okanye ukuqina emva kotyando
• umdibaniso womqolo ongadibani ngokupheleleyo
• izikrufu okanye iipleyiti ezithi zikhululeke okanye zikhutshwe ixesha elingaphezulu

Ukongeza, le nkqubo ayinakusebenza ukukhulula iintlungu zakho okanye ezinye iimpawu, okanye kungafuneka ube notyando olongezelelekileyo lwentamo kwixesha elizayo.

Kukho imingcipheko ethile enxulumene nokuba ngaba utyando lwenziwa ngaphambili entanyeni yakho (ngaphambili) okanye ngasemva kwentamo yakho (ngasemva). Eminye imingcipheko eyaziwayo ibandakanya:

• Utyando lwangaphambili: ukudumba, ukuphefumla okanye ukugwinya, kunye nomonakalo kwi-esophagus okanye kwimithambo
• Utyando lwasemva: ukonakala kwimithambo kunye nokunweba kwemithambo-luvo

Umgca wezantsi

Utyando lwentamo ayilulo ukhetho lokuqala lokunyanga iintlungu zentamo. Kukwacetyiswa kuphela xa unyango oluncinci olungena ngeniso lungasebenzi.

Kukho iintlobo ezithile zeemeko zentamo ezihlala zihambelana nokuhlinzwa kwentamo. Oku kubandakanya imiba efana ne-pinched nerves, uxinzelelo lwentambo yomqolo, kunye nokuqhekeka kakhulu kwentamo.

Kukho iintlobo ezahlukeneyo zotyando lwentamo, nganye inenjongo ethile. Ukuba utyando luyacetyiswa kunyango lwentamo yakho, qiniseka ukuba uxoxa ngazo zonke iindlela onokukhetha kuzo nogqirha wakho.