Ukuxuba kwe-vertebrae yentamo ukukhulula ubuhlungu kanye nezimpawu zesibindi
I-fusion yomlomo wesibeletho yindlela yokuhlinzwa ehlanganisa ndawonye izingxenye ezonakalisiwe zekholomu ye-vertebral entanyeni. Lokhu kuvulwa kuvame ukudingwa lapho i-vertebrae yomlomo wesibeletho - kanye ne-disk phakathi kwe-vertebra ngayinye - ibonakele ngenxa yokulimala noma ukugqoka nokugqoka okungapheli.
Ngesikhathi sokuhlinzwa, ama-discs phakathi kwe-one noma ngaphezulu ama-vertebrae asusiwe, futhi ukukhula kwethambo kukhuthazwa ukuxhumanisa ndawonye ama-vertebrae eseduze.
Ngokuvamile, idivayisi yensimbi isetshenziselwa ukuzinzisa ukuxuba kuze kukhule ukuqina kwethambo.
Ukwelashwa kwe-Cervical Fusion noma i-Arthrodesis
I-fusion yomlomo wesibeletho, ebizwa nangokuthi i- arthrodesis , isixhumanisa unomphela ndawonye (noma ngaphezulu) ama-vertebrae eseduze. Ngokuvamile, kukhona i-disc yomgogodla phakathi kwama-vertebrae amabili. I-disk isebenza njengesigubhu, kodwa futhi ivumela ukunyakaza okuthile phakathi kwama-vertebrae. Ngokuvamile inhlanganisela yomlomo wesibeletho yenziwa ngenxa yokuthi i- disc umthambo ibangela izinkinga ngokucindezela inzwa (okuthiwa i- disc herniation ). Le ngcindezi yesibindi ingabangela ukucasuka okuholela ekuboniseni izinhlungu zobuhlungu, ukuxubha, nokubopha entanyeni nasezingalweni.
Uma i-fusion yomlomo wesibeletho isenziwa, i-disc noma izingcezu ze-disc zisusiwe. Amathambo ama-vertebrae ahlanganiswa ngokuphelele. Lokhu kuhlanganiswa kubonakala kokubili ngokufakelwa kwamathambo (isisombululo esihlala njalo) futhi ngokuvamile i-plate metal, isikrini noma induku (ikhambi lesikhashana).
Insimbi isuke iphethe ama-vertebrae ngesikhathi isifuba sisusa ndawonye izingxenye ndawonye. Uma ithambo selixhumene nama- vertebrae amabili ndawonye, i-fusion ibhekwa njengeqinile, futhi ukuvuselelwa kwemisebenzi evamile kuvunyelwe.
Ukubuyiswa Kokuvela Kumfelandawonye Wesibeletho
Ukubuyiswa kusuka ekuhlanganiseni komlomo wesibeletho kuncike eziningana zezici.
Njengoba kukhonjisiwe, ukuhlinzwa kubhekwa njengempumelelo uma izimpawu zithuthukisiwe, futhi ithambo liphululile ngaphesheya kwe-vertebrae ehlangene. Le nqubo ye-fusion ngokuvamile ithatha izinyanga ezimbili kuya kwezintathu. Umsebenzi ovunyelwe phakathi naleso sikhathi kuzoxhomeka ngamandla we-fusion. Kwezinye iziguli ezineThambo eliqinile kanye nokulungiswa kwensimbi enamandla, umsebenzi omningi ungavunyelwa. Ezimweni lapho kukhona ukukhathazeka ngekhono lesiguli lokufakela ama-vertebrae, ukutakula kungase kuqaphele kakhulu.
Izinkinga Ezivela Ekuhlinzeni
Ukuphikisana okuvame kakhulu kokuhlinzekwa komlomo wesibeletho kuyilapho kungaphumeleli ukuphulukisa ubuhlungu bentamo eqhubekayo. Ngenhlanhla, le nkinga ayivamile, kodwa kungenzeka. Izifundo zitholile izinga lokuphumelela phakathi kwama-80 kuya ku-90% ngo-fusion yomlomo wesibeletho ukwelashwa okuhlinzekwa ukuxilongwa kwe- radiculopathy (ubuhlungu be-nerve).
Enye ingcindezi enkulu ye-fusion yomlomo wesibeletho kungukuntuleka kokukhula kwamathambo phakathi kwe-vertebrae eseduze. Lokhu kubizwa ngokuthi i-fusion engaphelele futhi kungadinga ukuhlinzwa okungeziwe. Amathambo angeke akhule ngokwanele ngezizathu eziningi futhi enze izinto ezifana nokugwema ukubhema nokuphuza imithi noma izidakamizwa ezaziwa ukuthi ziphazamise ukukhula kwamathambo. Ezinye izici (njengamandla amathambo omzimba womuntu) kunzima ukushintsha.
Ezinye izinkinga ze-fusion yomlomo wesibeletho zingabandakanya ukulimala kwesibindi, ubunzima bokugwinya, ukutheleleka nokugaya. Iziguli eziningi zikhathazekile ngokulimala komgogodla. Kuzo zonke izinkinga ezibalulwe, lokhu kungenzeka okungavamile. Ingozi yokulimala komgogodla ingxenyana encane yephesenti.
Eminye imikhakha ye-Fusion Cervical
Uma isiguli sine-discs encane kuphela, ngokuvamile i-disc fragment ingasuswa ngaphandle kokudinga i-fusion. Kodwa uma isiguli sidinga ukuhlinzwa okugcwele, azikho izindlela eziningi kakhulu - okwamanje. Kunezinqubo ezintsha zokuhlinzeka ekuthuthukisweni kwezinkinga ze-spinal disc ezenzelwe ukususa i-disc eyonakalisiwe kodwa zivumela ukunyakaza kwi-vertebrae ethintekile.
Lezi zindlela ezibandakanya ukuqiniswa okunamandla nokushintshwa kwe-spinal disc . Okuvamile okwenziwa emgodini we-lumbar (emuva okuphansi), lezi zinqubo zingasiza ukugcina ukunyakaza ngenkathi kuxazulula inkinga ye-disc.
Imithombo:
Rhee JM, et al. "I-Radiculopathy yomlomo wesibeletho" J Am Acad Orthop Surg ngo-Agasti 2007; 15: 486-494.