Ukuhlinzeka ngokuhlinzwa kwamangqamuzana kungenye yezinqubo ezivamile zokuphatha ubuhlungu obuphansi emuva. Lokhu kuhlinzekwa kusalokhu kungqubuzana njengoba kubonakala kunenani elibi kakhulu, lihlaselwa, futhi lilulame lingathatha izinyanga eziningana. Kubantu abathile abanezinhlungu ezibuhlungu emuva futhi abangenalo i-sciatica kanye nesisu somgogodla, ukuchithwa kwe-contraalression okungavamile kungase kube yinto enhle kakhulu ngokuqondene nesikhathi sokubuyisela kanye nesabelomali, ngokusho kochwepheshe.
Isifo se-Lumbar disc ne-sciatica senzeke lapho izinzwa zikhonjiwe ngenxa yokunciphisa imigodi emaceleni emilenze yethu yomgogodla eyaziwa njenge-neuroforamina. Njengoba abantu bekhula, abaningi bahlakulela izilinganiso ezihlukahlukene zokuhlukunyezwa emuva okubangelwa ukuwohloka kokubamba umgogodla ndawonye esimweni esifanele.
I-neuroforamina kamuva iyancipha futhi izinzwa ziyekezeka, okwenza ubuhlungu obuphansi bezinhlangothi buhlobene nezifo ze-lumbar disc. Ukuze silungise lokhu, odokotela abahlinzayo kumele baphendule ama-vertebrae futhi baqede i-neuroforamina.
E-stenosis yomgogodla, umgogodla ophakathi komgogodla ungaphinda ucindezeleke obangela ubuhlungu obukhulu, ikakhulukazi kubantu abaneminyaka engama-70 nangaphezulu, kuze kube yilapho ukuhamba kunzima kakhulu. Abaningi bakholelwa ukuthi le nqubo, noma kunjalo, iqala lapho iziguli zise-50s yazo ngokuya kwemibiko ye-MRI.
Ukunciphisa Ukuhlinzwa Okuyisisekelo
Yilapho impikiswano phakathi kwe-fusion ne-decompression nje yokuhlinzwa iqala ukusebenza.
Kokubili ukuhlinza ukuguqula umgogodla, ngokuphumelelayo ekunciphiseni ukucindezelwa okufakwe emithanjeni kanye nobuhlungu obuhambisanayo. Noma kunjalo, ucwaningo luye lwathola ukuthi ukuhlinzeka ngokucindezeleka ngokweqile kufeza inani elifanayo lokuphumula kobuhlungu njengo-spinal fusion enezinkinga ezimbalwa.
Umcwaningi oholayo wocwaningo nguye ohlinzayo odokotela bamazinyo.
Ubala izinzuzo ezintathu eziyinhloko zokucindezeleka okulandelayo:
- isikhathi esifushane sokusebenza
- isikhathi esifushane sokutakula esibhedlela
- izindleko ezinciphile
I-Spondylolisthesis
Noma kunjalo, kuneziguli ezithile ezizovuna izinzuzo eziningi ngokuhlinzwa kokugaya umgogodla. Bakudinga ukukhethwa ngokucophelela ukuze kulungiswe umphumela wabo. Imiphumela yocwaningo iphakamisa ukuhlanganiswa komgogodla kuyasiza kakhulu ezimweni zokuhlukunyezwa okunjengalezo ezitholakala kuziguli eziphethwe yi-spondylolisthesis. Lokhu kungenxa yokuthi i-spondylolisthesis iyisifo lapho izinzwa ezisezansi ngemuva zikhonjiwe ngenxa yethambo emgodleni osuka endaweni yayo efanele.
Izinzuzo Zokunciphisa
Ezimweni zokunciphisa umgogodla, noma kunjalo, ukucindezeleka ngokweqile kuvame ukuletha inzuzo enkulu. Ngokuphambene nokuxuba ama-vertebrae amabili ngethemba lokuthi ukucindezelwa kuzokwehliswa emndenini, ukuchithwa kwe-decompression kususa ingxenye engemuva ye-vertebra ehlanganisa umsele ongasondeli. Lokhu ngokuphumelelayo kunciphisa ingcindezi yomshuwalense ngaphandle kokuletha imishini engavamile kanye ne-graft bone. I-Laminectomy enye igama lala mahlinzeko.
Ingabe Ukuhlinzwa Kokubili Kufanele Kuhlangane Kanye?
Ngokusho kwabacwaningi baseSweden, odokotela abaningi abahlinzayo bavame ukusebenzisa ukuhlinzwa kwe-decompression eceleni komfutho we-spinal ukuze kunciphise ingozi ukuthi isiguli sidinga olunye umsebenzi kamuva ekuphileni.
Ucwaningo lwenziwe eSweden lwahlanganiswa nabangu-247 abahlanganyeli abaneminyaka yobudala obudala kusukela eminyakeni engu-50 kuya kweyengu-80. Umhlanganyeli ngamunye wayeyisiguli esinezinhlungu zangemuva ezibangelwa ukwehla komgogodla womgogodla. Cishe ingxenye yayibandakanya ama-vertebra angalungile. Umhlanganyeli ngamunye wayekhethwe ngokungahleliwe ukuba asebenze ngokucindezeleka kuphela noma ukucindezeleka eceleni komfutho we-spinal.
Isikhathi esifushane futhi. Imiphumela Yesikhathi Eside
Kwakungekho umehluko omkhulu emiphumeleni yesikhathi esifushane phakathi kwamaqembu amabili ngemuva kokuhlinzwa kwabaguli. Umehluko kunalokho wathola ngesikhathi sokutakula. Iziguli ze-Fusion kwadingeka zihlale esibhedlela cishe kabili uma nje iziguli zokucindezeleka.
Iqembu le-fusion liphinde lachitha isikhathi esiningi ekamelweni lokuhlinzwa, elahlekelwa igazi elingaphezulu, futhi kwadingeka likhokhe ngaphezulu ngokuhlinzwa kwabo.
Ikhwalithi Yokuphila
Kubalulekile ukuqaphela ukuthi uma kuziwa ezigulini ezinezinthambo ezingenalutho e-vertebra yazo, labo abathola imfucumfucu yomgogodla babe nemfanelo engcono kakhulu yokuphila emva kokuhlinzwa ngaphandle kwalabo abahlinzwa ngokucindezeleka. Ngaphezu kwalokho, zonke iziguli ezitholwe ukuhlinzeka ngokuhlinzwa kwe-spinal cishe zazingadingeki ukuhlinzwa okwesibini.
Odokotela bangase baqhubeke basebenzisa imfucumfucu yomgogodla kusukela imiphumela ihlala ngezibalo; Kodwa-ke, ukuhlanganiswa komgogodla kungase kungabi yiyona ndlela engcono kunazo zonke ezivela kumbono we-case-by-case. Ukuphenya ukuthi iziphi iziguli ezikhethwe ukuhlinzeka ngokuhlinzwa okungekho emthethweni kuzosindisa kokubili abahlinzeki neziguli izindleko ezingadingekile kanye nesikhathi sokutakula, okuholela ekunakekeleni okungcono kanye nokuthuthukiswa kwekhwalithi yokuphila.