Ukuguqulwa komgogodla Emva kokuFusion noma ukuhlinzwa okunye
Ukuguqulwa kwesigaba esisheshayo noma i-ASD yisimiso esivame ukukwenzeka emva kokuhlanganiswa komgogodla noma olunye ukuhlinzwa emuva. I-ASD ithinta ama-joint (s) okuhlangene ngenhla nangaphansi kwendawo eqondiswe ukuhlinzwa. I-ASD ingenzeka noma ikuphi umgogodla.
Nansi incazelo yomtholampilo ye-ASD: Ukuxilongwa kokuhlinzwa komgogodla okungabonwa kwi-x ray, CT scan noma i- MRI njengoba izinguquko ezinxenyeni zokuhamba (okungukuthi amazinga we-vertebral, noma amajoyina okuphambana nomzimba) ngaphezulu nangaphansi kwesayithi lokuhlinza.
Akekho owaziyo ngokuqinisekile uma ukuhlanganiswa komgogodla kubangela ngempela ukuguqulwa kwesigaba esiseduze. Ngokuqinisekile, kunezinye izici ezisebenza ekuthuthukiseni nasekuthuthukisweni kwalesi simo, ikakhulukazi ukukhula. Isibonelo, ukutadisha kuka-Etebar ka-1999 eyanyatheliswa kuyi- Journal of Neurosurgery kubheka iziguli ezingama-125 ze-fusion lapho i-hardware eqinile yafakwa khona ukulungisa ukungazinzi kwesimo esibucayi. Ucwaningo lwathola ukuthi abesifazane basemuva-menopausal babe nengozi enkulu kakhulu ye-ASD.
Yini eyenza ama-Joints alahleke uma une-ASD?
Ngemuva kokuhlinzekwa kwe-fusion, cishe uzolahlekelwa ikhono lokuhambisa umgogodla endaweni lapho inqubo yenziwe khona. Lokhu kusho ukuthi ngeke usakwazi ukugoba phambili, ukubuyisela emuva, ukuguqula noma ukugxilisa umgogodla wakho ezingeni eliqondile noma emazingeni aqondiswe ekuhlinzekeni.
Kodwa leso sinyathelo kufanele sivela endaweni ethile ukuze senze izinto ozenzayo izikhathi eziningi phakathi nosuku - izinto ezifana nokuhlala, ukuma, ukuhamba, ukufinyelela, ukuphakamisa nokuningi.
Ngokuvamile, livela kumajoyini eduze noma eduze nendawo yokuhlinzwa.
Ungase uqonde i-ASD njengomphumela wokugqoka nokukhala okungaphezulu kumajoyini okuphambana phakathi nangaphansi kwesayithi lakho lokuhlinzwa. La majoyina kufanele enze umsebenzi ophindwe kabili ukuze enze ingxenye (manje) isabelo esingashenxiswanga somgogodla wakho. Ngakho-ke, bangaphansi kokucindezeleka okungaphezulu, futhi lokhu kungaholela ekushintsheni okwenyukayo.
Ingabe i-ASD ibangela ubuhlungu?
Ngenkathi izinguquko zomgogodla ezishintshayo ezihambisana ne-ASD ziboniswa kumafilimu, azibangele izimpawu (njengokubuhlungu). Uma izimpawu kufanele zivele, noma kunjalo, udokotela wakho angase akubone ukuthi unesifo esithile esiseduze.
Isifo segciwane lesandulela ngculazi yindlela eqhubekela phambili ye-ASD (ukuguqulwa kwesigaba esiseduze) lapho izimpawu ongazange uzibonise ngaphambili zibonise.
I-ASD iqala nini?
Ukuguqulwa kwezinga eliphansi elivela ekuhlinzekeni kwe-fusion kuthatha isikhathi ukuthuthukisa. Izifundo zokuhlola izigameko (inani lamathambo amasha wesifo ngonyaka) we-ASD lingalandela iziguli zokuhlinzeka emgodini iminyaka engaba ngu-20. Ngale ndlela, abacwaningi banganika odokotela neziguli zabo umbono wokuthi uma izinguquko eziguquguqukayo ezingxenyeni eziseduze zingase zithuthuke.
Isibonelo, izifundo zibonisa ukuthi abantu abahlinzwa ngemuva uma bebancane kakhulu bazoba ne-ASD njengoba bekhula. Esinye isibonelo salokhu singase sibe ngumfana osemusha owela umfutho we-spinal for scoliosis .
Ingabe i-ASD ingeza ezinkingeni zami zokwelapha?
Ngakho-ke ukuhlolwa kwakho okuqondile kuyokwenzekani uma ngabe izinguquko zibonwa kumafilimu akho ngemva kokukhipha umgogodla? Ngeshwa, akukho ucwaningo oluningi ngalesi sihloko. Ucwaningo oluncane olwenziwa ngo-1988 nguLee, olushicilelwe ku- Spine futhi olubandakanya iziguli ezingu-18 zathola ukuthi uhlobo oluvame kakhulu lokuwohloka ezimweni ze-ASD lwaluhlobene ne-arthritis ehlangene .
Olunye ucwaningo olwenziwa nguSchlegel ngo-1996, lwashicilelwa ku- Spine futhi lwabandakanya iziguli ezingu-58 ezitholakale zikhona izifo zesisu somgogodla, i- disc herniation nokungazinzi komgogodla (isilinganiso) eminyakeni engu-13.1 ngemva kokuhlinzwa.
Izindaba ezinhle kuba khona kwezinguquko ezishintshayo ezinxenyeni zakho zomgogodla emva kokuhlinzwa akusho enye inkinga yezokwelapha okufanele uyenze. Imizamo yokucwaninga ekuhlobaniseni ukufundwa kwezivivinyo odokotela nobufakazi bezinguquko eziguquguqukayo kumafilimu kuye kwaholela esithombeni esingacacile mayelana nezinga lapho i-ASD iphazamisa indlela yakho yokuphila emva kokuhlinzwa.
Nakuba abanye abantu badinga ukuhlinzekwa kwesibili noma okungenani ukwelashwa okulindelekile kwe-ASD, kaningi akudingekile.
Imithombo:
UCammisa, F., MD, uMphathi we-FACS, iSpinal Surgical Service e-Hospital for Surgery Special. I-imeyili Ingxoxo. Jan 2012.
Erebar S, Cahill DW. Izingozi Zengozi Zokwehluleka Kwemikhawulo Ezazenzekelayo Ukulandela i-Lumbar Fixation Nge-Instrumentation Enamandla Ye-Instability Degenerative.J Neurosurg. 1999; 90 (2 Suppl): 163-9.
I-Kyoung-Suok Cho, MD, ne-. al. Izingozi Zengozi Nezokwelapha Ezihlinzekwa Isigaba Sokwemvelo Esimisiwe Ukuvuselelwa emva kwe-Lumbar Spine Fusion. J Korean Neurosurg Soc. 2009 November; 46 (5): 425-430.
Hilibrand, A., MD.Et. al. I-Radiculopathy kanye ne-Myelopathy ngezigaba Ngaphambi kwesiza se-Anterior Cervical Arthrodesis yangaphambili. I-Journal ye-Bone and Joint Surgery. 1999.
Lee, CK Ukuvuselelwa okusheshayo kweNgxenyana engaphezulu kwe-Lumbar Fusion. Isiphambano (Phila Pa 1976). 1988 Mar; 13 (3): 375-7.
Levin, futhi. al. Ukwenyuka Kwengxenye Elandelanayo Ngokulandela Ukufiphaza Kwama-Spinal for Disabenerative Disc Disease. Isibhedlela se-NYU Hospital for Joint Diseases 2007; 65 (1): 29-36
U-Schlegel JD, et. al. I-Lumbar Motion Segment Pathology Enye eduze ne-Thoracolumbar, Lumbar, ne-Lumbosacral Fusions. Isiphambano (Phila Pa 1976). 1996 Apr 15; 21 (8): 970-81.
Siewe, J., et. Ukuqhathaniswa kwe-Fusion Standard ne-"Topping Off" System ku-Lumbar Spine Surgery: I-Protocol ye-Trial Controled Trial. I-BMC Musculoskeletal Disord. 2011. Okthoba 18. http://www.ncbi.nlm.nih.gov/pubmed?term=22008088%5Buid%5D
I-Toerge, J. DO, i-Medical Director Musculoskeletal Institute National Rehabilitation Hospital, eWashington, DC. I-imeyili Ingxoxo. Jan 2012.