I-Spine Surgery ukuze Susa i-Disc Herniated
I-discectomy yindlela yokuhlinza eyenziwe ukususa i-disc herniated emgodini womgogodla . Uma i- disc ishicilelo yenzeka, i-fragment ye-disc evamile yomgogodla ichithiwe. Le fragment ingacindezela ngokumelene nentambo yomgogodla noma izinzwa ezungeze intambo yomgogodla. Lokhu kucindezela kubangela izimpawu eziyizici ze-discs, ezihlanganisa ubuhlungu bokugabha kagesi , ukuphazamiseka nokugubha amandla , nokubuthakathaka.
Ukwelapha ukwelashwa kwe-disc ye-herniated ukususa i-fragment ye-disc yomgogodla ebangela ingcindezi emndenini. Le nqubo ibizwa ngokuthi i-discectomy. Ukuhlinzekwa kwendabuko kubizwa ngokuthi i-discectomy evulekile. I-discectomy evulekile yindlela lapho udokotela ohlinzayo esebenzisa ukuhlunga okuncane futhi ubheka i-disc yangempela ye-herniated ukuze asuse i-disc futhi akhiphe ukucindezelwa kwimbangela.
Inqubo
I-discectomy yenziwa ngaphansi kwe-anesthesia ejwayelekile. Ukuhlinzwa kuthatha cishe ihora, kuye ngokuthi izinga le-disniation lingakanani, ubukhulu besiguli, nezinye izici. I-discectomy yenziwa nesiguli esibhekene nesimo sokulala phansi, futhi emuva kubheke phezulu.
Ukuze ususe i-fragment ye-diski ye-herniated, udokotela wakho ohlinzayo uzokwenza ukuchotshozwa phakathi kwesikhala sakho. Ukuchotshozwa kuvame ukuphakama ngamamentimitha amathathu ubude. Udokotela wakho ohlinzayo bese ehlukumeza ngokucophelela imisipha kude nethambo lomgogodla wakho.
Esebenzisa izinsimbi ezikhethekile, udokotela wakho ohlinzayo ususa inani elincane lamathambo ne-ligament kusukela ngemuva komgogodla. Le ngxenye yenqubo ibizwa ngokuthi i-laminotomy.
Uma leli thambo negamentali zisusiwe, udokotela wakho ohlinzayo angabona, futhi avikele izinzwa zomgogodla. Uma i-disc yokuthola i-disc isitholiwe, isigaba se-disc sasoti sisusiwe.
Kuncike ekubukeni kanye nesimo se-disc esele, ukwaziswa okwengeziwe kwe-disc kungasuswa ngamathemba okugwema enye ingcezu ye-dis kusuka ekuhlaleni esikhathini esizayo. Uma i-disc ihlanjululwe ngaphandle kwendawo ejikeleze ama-nervo, ukuchotshozwa kuvaliwe futhi ibhanji isetshenziswa.
Ukubuyisela
Iziguli zivame ukuvuka ngokuhlinzwa ngokuthuthukiswa okusheshayo kobuhlungu bomlenze; Kodwa-ke, akuyona into engavamile ukuthi lezi zimpawu zithathe amasonto ambalwa ukuze zihlakazeke kancane kancane. Ubuhlungu obuzungeze ukuchotshozwa kuvamile, kepha kuvame ukulawulwa kahle ngemithi yokwelashwa ngomlomo. Iziguli ngokuvamile zichitha ubusuku obubodwa esibhedlela kodwa ngokuvamile zikhishwa ngosuku olulandelayo. I-lumbar braset brace ingasiza ngezinye izimpawu zobuhlungu kepha akudingekile kuzo zonke izimo.
Imisebenzi emnene iyakhuthazwa emva kokuhlinzwa, njengokuhlala phansi nokuhamba. Iziguli kufanele zigweme ukuphakamisa izinto ezinzima, futhi kufanele zizame ukugoba noma ukuguqula ngemuva. Iziguli kufanele zigweme umsebenzi okhuthele noma ukuzivocavoca kuze kube yilapho ususwe udokotela wabo.
Izingozi
Inkinga evame kakhulu ye-discectomy yukuthi kukhona ithuba lokuthi elinye i-disk disc lizokwenza futhi lidale izimpawu ezifanayo esikhathini esizayo. Lokhu kubizwa okuthiwa i-disnient disc, futhi ingozi yalokhu ivela cishe ngo-10-15%.
Iningi leziguli lithola ukusizwa okuningi, uma kungenjalo, izibonakaliso zabo ezivela ku-discectomy. Kodwa-ke, impumelelo yenqubo ingaba ngu-85-90%, okusho ukuthi iziguli eziyi-10 ezingaphansi kwe-discectomy zizobe zinezimpawu eziqhubekayo. Iziguli ezinezibonakaliso zesikhathi eside ngaphambi kokuhlinzwa, noma ukwehluleka okukhulu kwezinzwa (njengobuthakathaka obukhulu) basengozini enkulu yokutakula okungapheli.
Ezinye izingozi zokuhlinzwa zifaka ukuvuza kwamanzi omgogodla, ukuphuma kwegazi, nokutheleleka. Zonke lezi zivame ukwelashwa kodwa zingadinga ukuhlala esibhedlela isikhathi eside noma ukuhlinzwa okungeziwe.
Eminye Imikhuba Yokuhlinza Ngokuhlinzekwa Kwamagciwane Amancane
Izindlela ezintsha zingavumela udokotela wakho ohlinzayo ukuba enze inqubo ebizwa nge-microdiscectomy ne-discectomy endoscopic.
I-microdiscectomy iyinkimbinkimbi yokudonsa encane encane esebenzisa amathrekhi akhethekile kanye nemibono encane. I-discectomy ye-endoscopic udokotela wakho ohlinzayo usebenzisa izinsimbi ezikhethekile kanye nekhamera ukususa i-disc ye-herniated ngokusebenzisa imibono encane kakhulu.
I-microdiscectomy endoscopic yinkambiso efeza umgomo ofanayo njenge-discectomy evulekile yendabuko, isusa i-disc, kodwa isebenzisa ukungcola okuncane. Esikhundleni sokubheka ngempela ingxenyeni ye-disc yesikhumba bese uyisusa, udokotela wakho ohlinzayo usebenzisa ikhamera encane ukuthola i-fragment nezinsimbi ezikhethekile zokuzisusa. Inqubo ingase ingadingi i- anesthesia ejwayelekile futhi yenziwe ngokukhipha okuncane nge-dissection encane yesisindo. Udokotela wakho ohlinzayo usebenzisa i-x-ray kanye nekhamera ukuze "ubone" lapho ukukhishwa kwe-disc, kanye nezinsimbi ezikhethekile zokususa le fragment.
I-microdiscectomy kanye ne-endoscopic microdiscectomy zifanelekile kwezinye izimo ezithile, kodwa hhayi kuzo zonke. Ezinye iziguli zithuthukiswa kangcono nge-discectomy evulekile yendabuko. Ngenkathi umqondo wokuvuselela okusheshayo kumnandi, kubaluleke kakhulu ukuthi ukuhlinzwa kwenziwe ngendlela efanele. Ngakho-ke, uma i-discectomy evulekile ifaneleka kakhulu esimweni sakho, khona-ke, izinqubo ezingenasidingo ezingenasidingo akumele zenziwe. Xoxa nodokotela wakho uma ukuhlinzwa okuncane okungavamile kungakufanelekile.
Imithombo:
I-Mathews HH ne-Long BH "Amasu Amancane Okumangalisa Ukwelashwa Kwe-Intervertebral Disk Herniation" J Am Acad Orthop Surg ngoMashi / Ephreli 2002; 10: 80-85.