Abanye odokotela bavame ukunikeza iziguli zabo ze- discectomy imfucuza yomgogodla. Kodwa ingabe kuhlale kudingekile?
Ngokuvamile, ngeke unikezwe ngokuzenzekelayo umfutho we-spinal uma uhlinzwa nge-disc ye-herniated. Isizathu ukuthi kuze kube manje, ucwaningo alusekeli inzuzo kuwe njengesiguli se-discectomy ne-fusion. Ngenxa yemiphumela yokucwaninga ephikisanayo, ochwepheshe babonisa ukuthi izindleko ezengeziwe kanye nezingaba nezinkinga zempilo ezihlobene nje akufanelekile, ngakho azigweme ukuzincoma kubahlinzeki abahlinzayo abalandela imihlahlandlela yabo.
Njengakho konke okuphilayo, kukhona okuhlukile, yebo. Uma utholakala ube nokungaqiniseki komgogodla kanye ne-disc yakho ye-herniated, ucwaningo lubonisa ukuthi ukuxuba kungabaluleka. Kodwa iqiniso liwukuthi, iningi labantu abaya ekuhlinzekeni nge-disc herniated abanalo ukungaqiniseki komgogodla. Kuphela ama-5% weziguli ezenzayo, ngokusho kwe-Resnick, et. Ngemihlahlandlela yawo ka-2005 eyanyatheliswa kuyi- Journal of Neurosurgery: Isihlahla somuthi .
Izimo ezivame kakhulu zokungeza emgodini womgogodla ku-discectomy zihlanganisa ukuba ngumdlali kanye / noma isisebenzi esinezinyathelo ezinzima ezibuhlungu obuhlungu obungapheliyo kanye nobuhlungu obungenangqondo (ubuhlungu bomlenze nezimpawu zesisindo.)
Uma lokhu kungeke kube ukuhlinzwa kwakho kokuqala kwe-disc, ukuhlanganiswa kungase kusize lapha futhi. Ukucwaninga ngokuqhathaniswa nokusebenza kabusha (kokuba nokuhlinzwa kokuqala redone) futhi ngaphandle kokuhlanganiswa kutholakale ukuthi bobabili babasiza ekunciphiseni ubuhlungu nokuthuthukisa umsebenzi. Kodwa isikhathi esisodwa ukuhlanganiswa kunconywa ngokucacile nge-discectomy uma ukuhlinzwa kwesibili kwenziwa endaweni efanayo ngoba izinkinga zakho ze-disc zibuyele emuva, kanye nokukhubazeka okuhambisanayo, ukungazinzi kanye / noma ukutholakala kobuhlungu obungapheli obuya emuva .
Ukushintshwa kweDiskhi yokufakelwa
Esikhathini sokuthi i-disc yokufakelwa kwe-US isetshenziswe entsha (inqubo ka-2016) efuna ukunciphisa ubuhlungu nokubuyisela ukuhamba phakathi kwama-vertebrae abathintekile ngokufaka i- disvertebral disc eyonakalisiwe nge-prosthesis. Kucatshangwa ukuthi ukufiphaza komgogodla, okuholela ekuthumeni endaweni endaweni inqubo eyenziwe, ihlotshaniswa nezinguquko ezalandela ezishintshayo ezenzeka emagatsheni omgogodla ngenhla nangaphansi.
Ukushintshwa kwe-disk kungagwema ukugwema lokhu kuhlaselwa.
Nakuba ucwaningo luqhubeka luqoqa, akuyona yonke imibuzo mayelana nokushintshwa kwe-disc ephendulwe. Isibonelo, ososayensi abakwazi ukuthi uma kukusiza yini ukugwema ukuguqulwa kwesigaba eseduze noma isifo (ASD). Eqinisweni, ezinye izazi azikholelwa ukuthi i-ASD ibangelwa ukuhlanganiswa komgogodla nhlobo. Ngokufanayo, imfucumfucu yomgogodla ibhekwa njengendlela "yezinga legolide"; kusekhona inqubo yokuzikhethela ezinhlobonhlobo eziningi zokuhlinza umgogodla, futhi ngokuqinisekile uma ukushintshwa kwediski kungenye indlela.
Umthombo:
Ukuqeda kabusha, D., Choudhri, T., Daily, A., Groff, M. Khoo, L., Matz, P., Mummaneni, P., Watters, W., Wang, J., Walters, B., Hadley , M. Imihlahlandlela yokusebenza kwezinqubo ze-fusion zezinkinga ezishintshayo zomgogodla we-lumbar. Ingxenye 8: i-fusion lumbar ye-disniation and radiculopathy. J Neurosurg: Isiphetho sesi-2: 673-678, 2005.
Wang J., Dailey A., Mummaneni P., Ghogawala Z., Resnick D., Watters W., Groff M., Choudhri T., Eck J., Sharan A., uDhall S., Kaiser M. Guideline isibuyekezo ukusebenza kwezinqubo ze-fusion zezifo ezishintshayo ze-lumbar spine. Ingxenye 8: i-fusion lumbar ye-disniation and radiculopathy. J Neurosurg Spine. Julayi 2014 .. http://www.ncbi.nlm.nih.gov/pubmed/24980585