Ukushintshwa kwama-Cervical Disc
Izinqumo, izinqumo. Udokotela wakho uthi udinga ukuhlinzwa entanyeni ngoba uthola ubuhlungu kanye / noma izikhonkwane nezinaliti phansi kwesandla esisodwa, ungakhulumi nezinye izimpawu ezihlobene nokuxilonga komlomo wesibeletho. Utshela ukuthi ukuhlinzeka okujwayelekile kakhulu kwalesi simo kungukudonswa komlomo wesibeletho kwangaphakathi ne-fusion (ACDF.)
Eqinisweni, i-ACDF iyinqubo yokuhlinzwa yesikhathi eside - futhi ukuhlinzwa kwentamo evame kakhulu.
Okuhlobene: Funda nge-ACDF
Kodwa-ke i-doc ikukwazisa ukuthi ngoba i-ACDF ihilela ukuhlanganiswa kwezingxenyana ezithile (okunye noma ngaphezulu) kwe-intervertebral, uzoyeka ikhono ukuhambisa intamo yakho kusayithi lokuhlinzwa - ngokuphelele. Akukhona lokho kuphela, akutshela, kodwa futhi, ngenxa ye-fusion, ubeka ingozi yokuthuthukisa ukuguqulwa kwesigaba esiseduze.
Okulandelayo, mhlawumbe udokotela wakho uyakusho noma uthola ngokwenza ucwaningo olwengeziwe ukuthi inqubo ebizwa ngokuthi i-total disc substlacement isize abantu abathile, ikakhulukazi eYurophu.
Kodwa kuthiwani, ingqikithi yenani eliphelele?
Ingqikithi ye-disc iyinqubo entsha esetshenziswa ngendlela engaphambilini - okusho ukuthi udokotela ohlinzayo usika phambi kwentamo yakho kunokungena emuva - ukufaka i-disc yakho yokugula ngenhloso yokufakelwa. Isetshenziselwa ukubhekana nokuxilongwa kwe-cervical and / or discogenic. Ibuye isetshenziswe ekuhlinzekeni okubukezwayo.
Okuhlobene: Yini Traction Spurs?
Ingqikithi yenqamu ye-disc ihamba ngamanye amagama ambalwa, futhi. Lokhu kufaka phakathi: Ukufakelwa kwediski yokufakelwa, i-disc arthroplasty, i-disc total arthroplasty, ne-disc arthroplasty noma i-cervical disc esikhundleni lapho inqubo isenziwa entanyeni. Uma sekuphelile emuva, kubizwa ngokuthi i-lumbar disc arthroplasty noma i-lumbar disc esikhundleni.
I-FYI, i-arthroplasty enye igama lokufakelwa okuhlanganyelwe noma kabusha. Ama-acronyms for replacement esikhundleni afaka i-TDR (inani le-disk replacement) ne-TDA (inani le-disk replacement.)
Inzuzo enkulu enkulu yokushintshwa kwama-cervical disk, ngokusho kukaCaridi, uPumberger, Matthais, noHughes (ku-athikili yabo ka-2011 enesihloko esithi, "I-Cervical Radiculopathy: Ukubukeza," eyanyatheliswa emaphepheni we- Hospital for Surgery ekhethekile ) ukuthi igcina ukuphakama phakathi kwamathambo amabili oseduze omgogodla, ngenkathi ngesikhathi esisodwa silondoloza ikhono lokuhlanganyela lokuhamba.
Njengoba inqubo entsha e-US (isungulwe kakhulu e-Yurophu,) ungase uzibuze ukuthi i-TDA isebenza yini, nokuthi yiziphi iziphakamiso eziphezulu nezokuhlaselwa.
Ucwaningo oluthile lwezifundo, kanye okungenani inhlangano eyodwa yezokwelapha eqondene nomgogodla ingase inikeze ukukhanya okuluhlaza ekushintsheni komshini wesibeletho. Isibonelo, i-North American Spine Society ithi esikhathini esifushane, ukuxilongwa kwe-cervical ne-radial dispersion, kanye ne-total disc arthroplasty ingaba yindlela yokwelapha efana nale.
Okuhlobene: Discectomy
Rao, et. al. wathola indawo yokukhishwa kwe-cervical esikhundleni se-ACDF ngezindlela eziningana. Ukuhlaziywa kwabo ngo-2015 okwakushicilelwa ku- Archives of Orthopedic Trauma Surgery futhi kunesihloko esithi, "I-disc cervical disc arthroplasty ngokumelene ne-discectomy yangomlomo wesibeletho kanye nokuhlanganiswa kokwelashwa kwesifo se-cervical disorder symptomatic: ukuhlaziywa kwemitha yezilingo ezilawulwa ngokungahleliwe," kubhala lokhu okulandelayo:
- Impumelelo engcono ngokuthuthukisa izimpawu zesibindi.
- Ukulondolozwa kokunyakaza okuningi ezingeni eliqhutshiwe.
- Izinkinga ezimbalwa ezibikiwe noma izinkinga ezihlobene nenqubo.
- Isidingo esincane sokuhlinzwa okubukeziwe.
Kodwa nangalesi simiso esethembisayo semiphumela, abalobi bathi, ezinye izinzuzo azikaze ziboniswe, kufaka phakathi ukulahlekelwa kwegazi ngesikhathi sokuhlinzwa, ubude besikhathi ozochitha esibhedlela nokusebenza okuthuthukisiwe.
Ren, et al., Esifundweni sabo se-2014 esinesihloko esithi, "Imiphumela ephakathi kwesikhashana ngemuva kwe-disc arthroplasty ye-cervical uma kuqhathaniswa ne-discectomy yangaphakathi ne-fusion: ukubuyekezwa okuhlelekile nokuhlaziywa kwezilingo ezilawulwa ngokungahleliwe," okwakushicilelwa eYurophu I-Spine Journal nayo ithola isilinganiso esincane sokuhlinzwa okubukeziwe sokuthi indawo yonke idle indawo, uma iqhathaniswa ne-ACDF.
Abalobi bathi futhi ukushintshwa kwe-disc kungabangela ukubuyiswa okungcono komsebenzi phakathi nesikhathi eside nesikhathi eside.
Kodwa ngokungafani noRao, et. al. (kusuka phezulu), uRen nabacwaningi bakhe bathi kunezifundo ezimbalwa ezenzelwe ukunquma ukuthi isimangalo sokuthi indawo yokukhishwa kwengculazi ingasiza ekugwemeni i-ASD kuyiqiniso.
Izinsiza Ngaphandle kwe-Medical Research Sphere
E-US, ukuguqula i-cervical disk okwamanje kwenziwa kwamasosha amancane okuhlinzwa entanyeni. Ngenxa yalokhu, kungenzeka ukuthi abambalwa abahlinzayo abahlinzayo bahloniphe ikhono kuze kube lapho iziguli zabo zikwazi ukuzinikezela ngobuqotho izibuyekezo.
Izwi emgwaqweni (i-intanethi) yilokho abantu abazimisele kakhulu ukuhamba ukuthola udokotela onomuzwa wokuthi ukhululekile. Empeleni, abaningi baya eYurophu - ikakhulukazi eSpain naseJalimane ukuze kwenziwe inqubo.
Imibuzo eminingi mayelana nokuphepha nemiphumela ayiphenduli. Kodwa-ke, iforamu yokuxoxisana "yamanzi epholile" ebizwa ngokuthi i-ADR Support, iqalwe yindoda enempumelelo yokuhlinzwa eTDR. Abantu abasesitokisini banikeza izimpendulo eziqondile, ukuthi, ngenkathi kungabonakaliswa ngophenyo, kuthathwa ngokuqondile ekuhlangenwe nakho kwama-displacement substitutes and stories.
Imithombo:
UCaridi, uJohn M., MD, uPumberger, uMatias, MD, uHughes, Alexander, P., MD Radiculopathy: Ukubuyekeza. Isibhedlela Sokuhlinzwa Okukhethekile. Sept. 2011. Kufinyelelwe ngo-Jan 2016.
I-North American Spine Society. Ukuxilongwa Nokuphathwa Kwe-Radiculopathy Yesibeletho kusuka ku-Degenerative Disorders. I-North American Spine Society. 2010.
Ren, C., Song, Y., Xue, Y., Yang, X. Imiphumela emidlalweni yesikhathi eside ngemuva kwe-disc arthroplasty uma kuqhathaniswa ne-discectomy yangaphakathi ne-fusion: ukubuyekezwa okuhlelekile nokuhlaziywa kwemitha yokuhlolwa okungahleliwe okulawulwa ngokungahleliwe. I-Eur Spine J. 2014 Meyi; 23 (5): 1115-23. i-doi: 10.1007 / s00586-014-3220-3. Epub 2014 Feb 11.
Rao, M., Nie, S., Xiao, B., Zhang, G., Gan, X., Cao, S. I-disc yesikhumba se-arthroplasty ngokumelene ne-discectomy yangaphakathi kwesibeletho nokuhlanganiswa kokwelashwa kwesifo se-cervical disorder: i-meta-analysis izilingo ezilawulwa ngokungahleliwe. I-Arch Orthop Trauma Surg. 2015 Jan; 135 (1): 19-28. i-doi: 10.1007 / s00402-014-2122-5. Epub 2014 Dec 5.