Utyando lwe-Spinal Fusion

Umxholo

• Ukusetyenziswa kwe-fusion yomgogodla
• Ukulungiselela ukudibana komqolo
• Wenziwa njani umdibaniso womqolo?
• Ukubuyiselwa kwimeko yesiqhelo emqolo
• Iingxaki zokudityaniswa komqolo
• Umbono we-fusion yomgogodla

Yintoni i-spinal fusion?

Ukuhlanganiswa komgogodla yinkqubo yoqhaqho apho ii-vertebrae ezimbini okanye nangaphezulu zidityaniswe ngokusisigxina kwithambo elinye elingenasithuba phakathi kwazo. I-Vertebrae ngamathambo amancinci, angenelelayo omqolo.

Kwi-fusion yomgogodla, ithambo elongezelelekileyo lisetyenziselwa ukugcwalisa indawo ehlala ikhona phakathi kwamagqabi amabini ahlukeneyo. Xa ithambo liphilisa, akusekho sithuba phakathi kwabo.

Ukuhlanganiswa komgogodla kwaziwa ngokuba:

• arthrodesis
• fusion yangaphakathi yomqolo
• fusion yomqolo ongasemva
• Fusion yomntu ophakathi

Ukusetyenziswa kwe-fusion yomgogodla

Ukuhlanganiswa komgogodla kwenziwa ukunyanga okanye ukukhulula iimpawu zeengxaki ezininzi zomqolo. Inkqubo isusa ukuhamba phakathi kwamathambo amabini aphathwayo. Oku kunokunciphisa ukuguquguquka, kodwa kuluncedo ekuphatheni ukuphazamiseka komqolo okwenza intshukumo ibuhlungu. Ezi ngxaki zibandakanya:

• amathumba
• stenosis yomqolo
• Iidiski ze-herniated
• isifo se-disenerative disc
• i-vertebrae eyaphukileyo enokwenza ukuba ikholamu yakho yomqolo ingazinzisi
• i-scoliosis (ukugoba komqolo)
• kyphosis (ukujikeleza ngokungaqhelekanga komqolo ongasentla)
• ubuthathaka bomgogodla okanye ukungazinzi ngenxa yesifo samathambo, amathumba, okanye usulelo
• i-spondylolisthesis (imeko apho enye i-vertebra ishibilika kwi-vertebra engezantsi kwayo, ibangela iintlungu)

Inkqubo ye-fusion fusion inokubandakanya i-discectomy. Xa usenziwa wedwa, i-discectomy ibandakanya ukususa idiski ngenxa yomonakalo okanye isifo. Xa idiski isuswe, ukufakelwa kwethambo kubekwa kwindawo yediski engenanto ukugcina ukuphakama okufanelekileyo phakathi kwamathambo. Ugqirha wakho usebenzisa ii-vertebrae zombini kwicala le-diski esusiweyo ukwenza ibhulorho (okanye i-fusion) kuyo yonke into eyenziwe ngamathambo ukukhuthaza uzinzo lwexesha elide.

Xa i-spinal fusion yenziwa kumqolo wesibeleko kunye ne-discectomy, ibizwa ngokuba ngumlomo wesibeleko. Endaweni yokususa i-vertebra, ugqirha wotyando ususa iidiski okanye amathambo kumqolo wesibeleko, osentanyeni. Kukho ii-vertebrae ezisixhenxe ezahlulwe ziidiski ezinqamlezileyo kumqolo wesibeleko.

Ukulungiselela ukudibana komqolo

Ngokuqhelekileyo, ukulungiswa komxube womgogodla kufana nezinye iinkqubo zotyando. Ifuna uvavanyo lwangaphambi kokusebenza kwelebhu.

Ngaphambi kokudibana komgogodla, kuya kufuneka uxelele ugqirha wakho malunga nokunye oku kulandelayo:

• ukutshaya icuba, okunokunciphisa ukubanakho kwakho ukuphilisa kwi-fusion yomqolo
• ukusetyenziswa kotywala
• nakuphi na ukugula onako, kubandakanya ukubanda, umkhuhlane, okanye iherpes
• nawuphina amayeza okanye amayeza owathethayo, kubandakanya amayeza kunye nezongezo

Uya kufuna ukuxoxa ngendlela amayeza owathathayo asetyenziswa ngayo ngaphambi nasemva kwenkqubo. Ugqirha wakho unokubonelela ngemiyalelo ekhethekileyo ukuba uthatha amayeza anokuchaphazela ukujiya kwegazi. Oku kubandakanya i-anticoagulants (igazi elincinci), njenge-warfarin, kunye ne-nonsteroidal anti-inflammatory drug (NSAIDs), kubandakanya i-aspirin kunye ne-ibuprofen.

Uya kunikwa i-anesthesia ngokubanzi, ke kuyakufuneka uzile ukutya ubuncinci iiyure ezisibhozo ngaphambi kwenkqubo yakho. Ngomhla wotyando, sebenzisa kuphela ithamo lamanzi ukuthatha naliphi na iyeza elicetyiswe ngugqirha wakho.

Wenziwa njani umdibaniso womqolo?

Ukuhlanganiswa komgogodla kwenziwa kwisebe lotyando lwesibhedlele. Yenziwe ngokusebenzisa i-anesthesia ngokubanzi, ngenxa yoko awuyi kuba sazi okanye uve iintlungu ngexesha lenkqubo.

Ngexesha lenkqubo, uya kulala phantsi kwaye unoxinzelelo lwegazi cuff engalweni kwaye ukubekwa esweni kwentliziyo kukhokelela esifubeni sakho. Oku kuvumela ugqirha wakho wotyando kunye nomboneleli we-anesthesia ukuba abeke esweni ukubetha kwentliziyo yakho kunye noxinzelelo lwegazi ngexesha lotyando. Yonke inkqubo inokuthatha iiyure ezininzi.

Ugqirha wakho uya kulungisa ufakelo lwamathambo oluya kusetyenziswa ukudibanisa ii-vertebrae ezimbini. Ukuba kusetyenziswa ithambo lakho, ugqirha wakho uya kusika ngaphezulu kwethambo le-pelvic kwaye asuse icandelo elincinci lalo. Ukufakelwa kwethambo kunokuba ithambo lokwenziwa okanye i-allograft, eyithambo elivela kwibhanki yethambo.

Kuxhomekeka apho ithambo liya kudityaniswa khona, ugqirha wakho wotyando uya kwenza incision yokubekwa kwethambo.

Ukuba une-fusion yomlomo wesibeleko, ugqirha wakho wotyando uhlala esenza isicatshulwa esincinci kumqolo othe tye wangaphambili wentamo yakho ukuveza umqolo wesibeleko. Ukufakelwa kwethambo kuya kubekwa phakathi kwe-vertebrae echaphazelekayo ukuze uzijoyine. Ngamanye amaxesha, izinto zokufakelwa zifakwa phakathi kwe-vertebrae kwiikheyi ezikhethekileyo. Ezinye iindlela zibeka ubume bomqolo kwicala elingasemva lomqolo.

Nje ukuba ukufakelwa kwethambo kubekhona, ugqirha wakho unokusebenzisa iipleyiti, izikrufu, kunye neentonga ukugcina umqolo ungahambi. Oku kubizwa ulungiso lwangaphakathi. Ukuzinza okongeziweyo okubonelelwe ngamacwecwe, izikrufu, kunye neentonga kunceda umqolo ukuba uphilise ngokukhawuleza kunye nenqanaba eliphezulu lempumelelo.

Ukubuyiselwa kwimeko yesiqhelo emqolo

Emva kokudibana kwakho nomqolo, kuyakufuneka uhlale esibhedlele ixesha lokuchacha kunye nokuqwalaselwa. Oku kuhlala iintsuku ezintathu ukuya kwezine. Ekuqaleni, ugqirha wakho uya kufuna ukukujonga xa usabela kwi-anesthesia kunye notyando. Umhla wakho wokukhutshwa uya kuxhomekeka kwimeko yakho yomzimba iyonke, indlela ogqirha ngayo, kunye nokuphendula kwakho kwinkqubo.

Ngelixa usesibhedlele, uyakufumana amayeza eentlungu. Uyakufumana imiyalelo malunga neendlela ezintsha onokufuna ukuhamba ngazo, kuba ubhetyebhetye bakho bunokulinganiselwa. Kuya kufuneka ufunde iindlela ezintsha zokuhamba, ukuhlala nokuma ngokukhuselekileyo. Kananjalo awungekhe ukwazi ukuphinda uqalise ukutya okuqhelekileyo kokutya okuqinileyo iintsuku ezimbalwa.

Emva kokuba uphumile esibhedlele kungafuneka unxibe izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ukugcina umqolo wakho ukulungelelana ngokufanelekileyo. Unokwazi ukuphinda uqalise imisebenzi yakho yesiqhelo de ube umzimba wakho udibanise ithambo endaweni yalo. Ukufakela kungathatha ukuya kwiiveki ezintandathu okanye ngaphezulu. Ugqirha wakho unokucebisa ngokulungiswa komzimba ukukunceda womeleze umqolo wakho kwaye ufunde iindlela zokuhamba ngokukhuselekileyo.

Ukuchacha okupheleleyo kwi-fusion yomqolo kuya kuthatha iinyanga ezintathu ukuya kwezintandathu. Ubudala bakho, impilo iyonke, kunye nemeko yomzimba ichaphazela indlela oya kuphola ngayo ngokukhawuleza kwaye ukwazi ukubuyela kwimisebenzi yakho yesiqhelo.

Iingxaki zokudityaniswa komqolo

Ukuhlanganiswa komgogodla, njengalo naluphi na utyando, kubeka umngcipheko weengxaki ezithile, ezinje:

• usulelo
• amahlwili egazi
• ukopha nokopha
• iingxaki zokuphefumla
• isifo sentliziyo okanye ukubetha xa uqhaqho
• ukuphola kwenxeba okungonelanga
• iimpendulo kumayeza okanye kwi-anesthesia

Ukuhlanganiswa komgogodla kubeka umngcipheko kwezi ngxaki zilandelayo:

• usulelo kumqolo ophathwayo okanye kwilonda
• umonakalo kwi-spinal nerve, enokubangela ubuthathaka, iintlungu, kunye neengxaki zesisu okanye zesinyi
• uxinzelelo olongezelelekileyo emathanjeni akufutshane nomqolo odityanisiweyo
• iintlungu ezingapheliyo kwindawo yokufakelwa kwethambo
• amahlwili egazi emilenzeni anokubusongela ubomi ukuba baya emiphungeni

Ezona ngxaki zinzima ngamachaphaza egazi kunye nosulelo, olunokwenzeka kakhulu kwiiveki zokuqala emva kotyando.

Isixhobo esinezixhobo siya kufuna ukuba sisuswe ukuba sivelisa iintlungu okanye ukungonwabi.

Nxibelelana nogqirha wakho okanye ufune uncedo olukhawulezileyo ukuba ufumana naziphi na kwezi mpawu zegazi:

• ithole, iqatha, okanye unyawo olukhawulezayo ukudumba
• ububomvu okanye ukuthamba ngaphezulu okanye ngaphantsi kwedolo
• iintlungu zethole
• iintlungu zokuqaqamba
• ukuqhawukelwa ngumphefumlo

Nxibelelana nogqirha wakho okanye ufune uncedo olungxamisekileyo ukuba ufumana naziphi na kwezi zimpawu zilandelayo zosulelo:

• ukudumba okanye ukuba bomvu emiphethweni yenxeba
• umjelo wegazi, ubofu, okanye olunye ulwelo kwilonda
• umkhuhlane okanye ukubanda okanye ubushushu obuphakamileyo ngaphezulu kweedigri ze-100
• ndingcangcazela

Umbono we-fusion yomgogodla

Ukuhlanganiswa komgudu ngokuqhelekileyo kuyonyango olusebenzayo kwiimeko ezithile zomgogodla. Inkqubo yokuphilisa inokuthatha iinyanga ezininzi. Iimpawu zakho kunye nenqanaba lokuthuthuzela ziya kuphucuka njengoko ufumana amandla kunye nokuzithemba kwiintshukumo zakho. Kwaye ngelixa inkqubo ingenako ukukhulula zonke iintlungu zakho ezingapheliyo, kuya kufuneka unciphise iintlungu.

Nangona kunjalo, ekubeni inkqubo itshintsha indlela umqolo osebenza ngayo ngokwenza ukuba inxenye yawo ingasebenzi, ezi ndawo zingasentla kunye nangaphantsi kokudibana zisengozini yokwambatha. Banokuba buhlungu ukuba baya behla kwaye unokufumana ezinye iingxaki.

Ukutyeba kakhulu, ukungasebenzi, okanye ukwimeko enkenenkene yomzimba kunokukubeka emngciphekweni weengxaki zomqolo. Ukuphila ngendlela esempilweni, ngokujonga ukutya kunye nokuzilolonga rhoqo, kuya kukunceda ufezekise ezona ziphumo zihle.