Ingabe ukukhuluphala kuzothola imiphumela emihle evela kuNqubo Yezinsipho?
Uma uhlela ukuhlinzwa ngemuva, ungase ucabange, futhi mhlawumbe ukhathazekile, ngazo zonke izinto ezingahamba kahle. Lezi zibizwa ngokuthi "izinkinga." Nakuba izinkinga zingase zivele ekuhlinzekeni ngokwazo, ngokuhlelwa okuncane, nokuziphatha okuhle kakhulu kwezempilo, ungase ukwazi ukucacisa okuningi kulezi zinkinga ezingafuneki.
Izinkinga eziphathelene nokuhlinzwa emuva zivame ukuvela kaningi ezigulini ezinamandla kakhulu.
I-conundrum eyimpofu yilapho abantu abakhuluphele ngokweqile futhi abakhulu kakhulu yibo abadinga ukuhlinzwa emuva kakhulu.
Izinhlobo Zenkinga Yokuguliswa Kwamaphutha Okudlulele Kwangaphambili
Yiziphi izinhlobo zezinkinga okumelwe uzikhathalele uma ukhuluphele kakhulu noma ukhuluphele, futhi uhlela ukuhlinzwa ngokushesha maduzane?
Omkhulu uqinisekisa ukuthi udokotela wakho ukutholile ukuthi ulungile. Lokhu kungenxa yokuthi ukuthola i-MRI enembile noma enye ifilimu yokuxilonga ingabangela inkinga kakhulu kuneziguli ezitholakalayo kunokuba zinesisindo esinempilo. Amafilimu angalungile angaholela ekuxilongweni okungalungile futhi inqubo yokuhlinzwa engalungile eyenziwa. Kungase kuholele ekuhlinzekeni ezingeni eliphansi lomgogodla, futhi.
Futhi ngezicubu ezengeziwe ukuze uhambe, kungase kube nzima ukuba udokotela wakho ohlinzayo angene endaweni efanele yekholomu yakho yomgogodla. Kuyafana nokubeka insimbi yokuhlinzwa lapho kudingeka khona.
Izinkinga eziningi zezokwelapha kungenzeka, futhi.
Lezi zihlanganisa ukucindezeleka kwe-vein deep, embolism ye-pulmonary, ukutheleleka, izifo zomoya, ukucindezeleka kwenhliziyo, ukulimala kwenzwa nokuvuvukala kokuthutha. Izinkinga eziphathelene ne-anesthesia, ngokwesibonelo isibhedlela sokulala, nazo zingenzeka.
I-anesthesia, kanye nemithi yokwelapha esebenza ohlelweni lwezinzwa zomphakathi inganciphisa imisipha evulela i-pharynx, okuyisakhiwo lapho umoya uhamba khona ngesikhathi sokuphefumula.
Lesi simo esibi kakhulu singanezela ezinkingeni zokuphefumula ezihlobene nokukhuluphala. Kungase kube nokubulala.
I-Hypoxia-hypoventilation ingase futhi ingathinteki ikhono lakho lokuphefumula; likhona ku-10% labantu abakhuluphele ngokweqile, futhi kungabangela isidingo sokwelashwa okwenziwe nge-oxygen ngesikhathi noma emva kokuhlinzwa.
Ukubeka isikhala ngenqubo kungenye enye engozini. Uma umuntu okhuluphele ngokweqile etafuleni lokuhlinzwa, lingase lifike ekukhethweni phakathi kokufinyelela kwisayithi lokuhlinzeka noma ukwenza esinye isimo sezokwelapha sibi nakakhulu. Isibonelo, ukuqapha ukucindezelwa kwegazi ngesikhathi sokuhlinzwa kungase kube nezinselelo ezingaphezulu kubasebenzi bezokwelapha abakhona.
Njengoba kunezinkinga ezihlobene nezimpumputhe, izimpungushe zomgogodla zikhathazeka ngokukhethekile ngabahlinzayo; ukuhlinzwa emuva emuva kwehluleka kungenye indlela enjalo. I-American Academy of Neurosurgeons ithi ekuhlinzekeni okwenziwe ekunciphiseni ubuhlungu obuphansi emuva, izinga lokuhluleka kweziguli ezikhudlwana ngokugqilaza liphakeme kunezinye iziguli.
Ngalolu hlu olufana nalokhu, akumangalisi ukuthi odokotela abahlinzayo baxoxela iziguli zabo ezikhuluphele ukuba zilahle isisindo ngaphambi kwenqubo! Ucwaningo olwenziwa ngo-2017 olwanyatheliswa encwadini ethi Surgical Neurology International lincoma ngokucubungula amasu amakhulu wokulahlekelwa kwesisindo sokuqala-okubandakanya ukuhlinzwa kwe-bariatric
Eqinisweni, abanye odokotela abahlinzayo ngeke bavumelane nokusebenza ngeziguli ezikhuluphele ngokweqile.
Kungani Izifo Ezihlinzekwa Ngaphezu Kokuqapha Namaqanda Okwedlula Iziguli Kungasengozini Yokuphefumula Okusebenzayo Kweposi?
Ukukuvumela ukucabanga nge-imaging nokuxilongwa kwezixhobo zokuhlinzeka endaweni efanele ngqo emhlane wakho akuzona kuphela izinkinga ezikhona zokuhlinzwa emuva. Ezinye izimo zakho zezempilo zingakubeka engozini enkulu, futhi.
Ukubuyekezwa kuka-2016 wezincwadi zezokwelapha ezanyatheliswa ku- Global Spine Journal bathola ukuthi izimo "zokubambisana", okungukuthi, izifo ezengeziwe ezenzeka ngokuhambisana nokukhuluphala ngokweqile, cishe zifaka izinombolo eziphezulu zezinkinga zokuthutha.
Kuyaziwa kahle ukuthi ukukhuluphala kuhlotshaniswa nemithambo yegazi, isifo senhliziyo kanye nezinye izinkinga ezifana nesifo sikashukela nesifo senhliziyo. Ukutholakala kwezimo ezinjalo zokubambisana kungenza ukuhlinzwa kwakho kube yinkimbinkimbi kudokotela ukuba agcwalise ngaphandle kwesigameko.
Akukhona lokho kuphela, kodwa isifundo sathola ukuthi ukuphefumula ngokweqile kungaba - ngaphakathi nangokwemqobo-kungabangela ingozi yokuthola izinkinga zokuhlinzwa ngemuva.
Abacwaningi abavela ku-Thomas Jefferson University bavumelana. Ngokusho kwezinto zokunyathelisa, bathola ukuthi ingozi yokucindezeleka kokuhlinzwa ikhula ngokulingana nesilinganiso sokukhuluphala. Ngamanye amazwi, i-index yakho ye-mass mass (BMI) ephezulu, ithuba elikhulu lokuthi uzothola inkinga ehlobene nokuhlinzwa kwakho emuva.
I-BMI, noma inkomba yomzimba womzimba, isilinganiso sesisindo somzimba esihlobene nokuphakama kwakho. I-BMI engama-30 noma ngaphezu kwayo ibonisa ukukhuluphala, futhi umuntu obhekene no-BMI oneminyaka engama-40 noma ngaphezulu kubhekwa njengobuthi obuthakathaka.
Abacwaningi bakaTomas Jefferson bathola ukuthi iziguli zokuhlinzwa ezazisesisindo esinempilo zinezinga lezinkinga ezingu-14. Kodwa ezigulini eziphefumulayo kakhulu, izinga liye lafika kuma-36%.
Izinzuzo Zokuhlinza Ngokushesha Kwesipili Esimangalisayo
Uma i-BMI yakho ingama-30 noma ngenhla, ukwenza ukuhlinzekwa emuva emuva kungase kube nengozi engaphezu komthetho kudokotela wakho. Ngokufanayo, izazi eziningi zincoma ukuthi iziguli ezikhuluphele zingenqatshelwa ukuhlinzwa emuva ngenxa yesimo sabo.
Ukuhlinzekwa okuncane okwenziwe ngomgogodla (MIS) kubangela izingozi ezimbalwa zobungozi kunezinhlobo zendabuko, futhi kungaba yindlela ongakhetha kuyo.
Ucwaningo olwenziwe ngo-2008 olubandakanya iziguli ezingu-58 alukwazanga ukukhomba izingozi ezikhudlwana zezinkinga ezigulini ze-MIS ezaziphelile noma zikhuluphele kakhulu.
Kuziguli eziningi ze-MIS, ubuhlungu obulandela inqubo buyinto encane. Lokhu kungaba yisinye sezizathu zokuthi iziguli ze-MIS ngokujwayelekile ziphinde ziqhubeke nomsebenzi kanye neminye imisebenzi ngokushesha kunalabo abanokuhlinzwa kwangokwemvelo.
I-American Academy of Neurosurgeons ibonisa ukuthi ukuphazanyiswa okunciphise kwezicubu ezithambile . I-MIS isebenzisa i- fluoroscopy evumela ukuthi kwenziwe ukucubungula okuncane kakhulu, kanye nokuhamba okungcono kwezixhobo zokuhlinzeka.
Izwi kusuka
Ukulahlekelwa kwesisindo kungase kube isu elilodwa lezinombolo zakho zokuhlinzwa okubuyiselwe emuva. Ukulahlekelwa isisindo ngaphambi kokuhlinzwa kwakho kungasiza ukunciphisa ezinye zezinkinga ezixoxwe ngenhla njengokuthola ukuhlolwa okulungile nokuhlinzeka ngezinqubo zokuhlinzwa, ukubeka indawo ephephile, ukuhamba ngendlela efaneleyo, ukugcina uphephile ngenkathi ungaphansi kwe-anesthesia, okubandakanya ukunciphisa ingozi yokuphefumula, futhi nokuningi.
Lokho kusho, njengokungathi noma yikuphi ukuhlinzwa emuva, ukuzama ukunakekelwa okungenasidingo kuqala kungase kube umbono omuhle. Lokhu kuzokusho ukuthi uzohamba ngezikhathi zokwelashwa ngokomzimba ezigcizelela ukuzivocavoca emuva kanye nokuqiniswa komgogodla.
Nakuba ukugqithisa ngokweqile noma okweqile kwenza kube nzima nakakhulu uhlelo lokuzivocavoca , kungase kube kuhle kuwe ukwenza umzamo. Kubantu abaningi, uhlelo lokuzivocavoca oluhlelwe kahle luyisihluthulelo sokugwema ukuhlinzekwa kocansi ngokuphelele. I-American Family Physician ibika ukuthi izinhlelo zomzimba eziqondiswa ekhaya eziqondiswa ubuchopho ngenxa yezinhlungu ezibuhlungu emuva zingasiza ukunciphisa isidingo sakho sezinye izinsizakalo zezokwelapha, okwenza kube yindlela yokwelapha esebenza kahle.
Uma ukwenza okuvivinya umzimba kunzima kakhulu, ungase ubuze umuthi wakho mayelana nokuzivocavoca emanzini , okuvame ukuba amalunga.
> Umthombo:
> Casazza, B., MD Ukuxilongwa Nokuphathwa Kwezinhlungu Ezibuhlungu Eziphansi. I-American Family Physician. Feb. 2012. http://www.aafp.org/afp/2012/0215/p343.html
> Epstein, N., Izingozi eziningi kanye nezinkinga zokuhlinza izimpumputhe ezikhethiwe ezigulini ezigqamile. Surg Neurol Int. Ngo-Ephreli 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868585/
> Jackson, K., et. al. Imiphumela Yokukhuluphala Ekuhlinzekeni Kwemvelo: Ukubuyekezwa okuhlelekile kweZincwadi. I-Global Spine J. NgoJuni 2016. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868585/
> Ukukhishwa kwezindaba. Thomas Jefferson University. "Ukukhuluphala Kunamathele Emngciphekweni Ophakeme Wezimo Ezibucayi Ekuhlinzekeni Kwama-Spinal." IsayensiIsiSayensi. Okthoba 2006. https://www.sciencedaily.com/releases/2006/10/061010022634.htm
> McCormick, P. Lumbar Izifo Ezibhekene Nesifo: Ukucabangela Iziguli Ezikhulu E-Bulletin 2008 Umqulu 17 Issue 2.