Ubuhlungu obuphansi emuva buyinkinga ejwayelekile evame ukuphathwa ngokungenelela okungeyona yokuhlinzwa. Kodwa-ke, kwezinye izimo, lezi zindlela ezingavumelekile zingase zinganikezeli usizo olufanele. Uma udinga ukuhlinzeka ngezinkinga zezinkinga ze-spinal, ungase udinge ukuqiniswa okungeziwe komgogodla ukuvimbela izinkinga ezengeziwe. Ukuzinza okunamandla kuyindlela yokuhlinzekwa eyenzelwe ukuvumela ukuhamba okuthile komgogodla ngenkathi ugcina ukuzinza okwanele ukuvimbela ukunyakaza okuningi.
Lokhu sekube yindlela ehlukile yokuhlinzekwa kwe-lumbar fusion.
Ukuqiniswa komgogodla
Ukuqiniswa komgogodla kungadingeka ngenxa yezizathu ezintathu:
- Ukunyakaza kwe-disc okugqamile kwe-spinal kubangela ubuhlungu
- Ukukhubazeka kokuzalwa noma okutholakele kuvumela umgogodla ukuba ungaguquki ( spondylolisthesis )
- Ukwelashwa kudinga ukususwa kwezakhiwo ezijwayelekile zokuzinza umgogodla
Uma umgogodla wakho ungahlali, ukuhamba ngokweqile kungabangela izinzwa eziseduze nekholomu lomgogodla ukuze zikhonjiwe. Lokhu kungabangela ubuhlungu bomlenze, ukunganaki, nobuthakathaka. Ngokusimamisa ikholomu yomgogodla, lo mqondo ukuwukhawulela ukuhamba okungavamile kwamagagasi omgogodla futhi uvimbele ukungena kwesibindi.
Ukuzinza okunamandla ngokumelene ne-Lumbar Fusion
Ngokwesiko, ukuqiniswa komgogodla we-lumbar kwafezwa nge-fusion. Ukuhlinzwa kwe- fusion yomgogodla kufezwa ngokugqugquzela ithambo ukuba likhule phakathi kwamagundane amabili noma ngaphezulu angaphansi komgogodla ukuvimbela ukuhamba kwesikhathi esizayo. Ngokuvamile izinsimbi zensimbi zisetshenziselwa ukuzinzisa izingxenyeni zomgogodla kanti bone ekugcineni kwakha phakathi kwama-vertebrae.
Ukuzinza okunamandla kungenye indlela yokuhlanganiswa. I-instrumentation esetshenziselwa ukuzinza okunamandla iklanyelwe ukulawula inani lokunyakaza phakathi kwe-vertebrae eseduze, kodwa ayiqedi ngokuphelele le ntshukumo.
Enye yezinkinga ezinkulu ezinomfutho we-spinal is ukuthi ngisho noma konke kuhamba kahle futhi izingxenye zomgogodla zifiphaza, izinkinga zingavela phansi komgwaqo.
Uma nje izingxenye zomgogodla sezifakiwe, ukucindezeleka okwengeziwe kudluliselwa kuma-discs ngenhla nangaphansi kwe-fusion. Lezi zingxenye zivame ukuhamba ngokushesha, ezingadinga izinqubo zokuhlinzeka ezengeziwe emgwaqweni. Lokhu kuyinkinga ikakhulukazi ezigodini ezincane, ezisebenzayo.
Ukuhlinzwa okuzinzile okuzinzile
Ukuhlinzeka ngokuzinza okuzinzile kuqala ngokufana nokuhlinzwa okwenziwe ngophutha. Uma ngabe kukhona izinkinga ze-disc ezibhekiswe kuzo, udokotela wakho ohlinzayo ubeka idivaysi yokuzinza okunamandla ukukhawulela ukunyakaza kwezinga le-disc ethintekile. Idivaysi eyodwa ejwayele ukubizwa ngokuthi iDynesys.
I-Dynesys isebenzisa izikhwama zokubamba ama-vertebrae emazingeni amabili aseduze omgogodla. Izikrini zixhunywe ngentambo (ukuvimbela ingcindezi eyengeziwe) nama-tubes epulasitiki (ukuvimbela ukucindezeleka ngokweqile). Ukuvuselelwa ngokulandela ukuhlinzekwa kwe-Dynesys kuyahlukahluka kuye ngokuthi yiziphi izinqubo zokuhlinzwa futhi kumele kukhulunywe nodokotela wakho.
Imiphumela Yokuhlinzwa
Kubalulekile ukuqaphela ukuthi izifundo zesikhathi eside ngokuzinza okunamandla azenzanga. Ithemba lukuthi le nqubo izosiza ukuvimbela ezinye zezinkinga ezibonwe ngesikhuthazo somgogodla, nakuba lokhu kungakaboniswa ngokucacile. Ngaphezu kwalokho, kunokukhathazeka ngamadivaysi okuqina okunamandla, kufaka phakathi amanani aphakeme wokuhluleka ukufaka futhi ukukhululeka.
Umsebenzi omningi kufanele wenziwe ukuze kulungiswe kangcono indima yokuqiniswa okunamandla ekuhlinzekeni kwe-lumbar spine. Uphenyo oluqhubekayo ekuqiniseni okunamandla lungasiza ukuphendula ezinye zalezi zinkinga ezingaxazululwa.
Imithombo:
Kelly MP, et al. "I-Dynamic yakha ukuhlanganiswa komgogodla: ukubuyekezwa okusekelwe ebufakazini" I-Orthop Clin North Am. 2010 Ngo-Apr; 41 (2): 203-15.
"I-Symposium: Ukuzinza Okunamandla kwe-Lumbar Spine," I-Orthopedics Today International, Mashi / April 2006.