Ukuqhathanisa Izinzuzo ku-Surgery Fusion Surgery
Ukuguqulwa kwe-Lumbar disc kuye kwavela njengendlela yokwelapha ethandwa kakhulu kubantu abanezinhlobo ezithile zokuhlukunyezwa emuva. Ekuthomeni kokugunyazwa yi-US Food Administration and Drug Administration ngo-2004, ukuhlinzekwa ngokuphindaphindiwe kwama- spinal kusekelwa iminyaka yokusebenza kwangempela emhlabeni, ikakhulukazi eYurophu lapho inqubo eyenziwe iminyaka engaphezu kwengu-30.
Mayelana Nezifo Zama Disc Degenerative
Izifo ezithintekayo ze-disc wuhlobo lobuhlungu bokubuyela emuva obangelwa ukugqoka umkhumbi ohlala phakathi kwamathambo omgogodla.
Njengoba isakhiwo, ikholomu yomgogodla yenziwe ngamathambo athunjiwe okuthiwa i-vertebrae. Lawa mathambo ahlukaniswa umkhumbi obizwa ngokuthi i- disc spinal . I-disc iqukethe ama-collagen amaqabunga aqinile kepha aphephile angasiza ukugcina isimo nobuqotho bomgogodla ngenkathi evumela ukuhamba phakathi kwama-vertebrae. Lesi sakhiwo esiyinkimbinkimbi sinikeza ukuzinza okudingekayo ukuma okuqondile kanye nokuguquguquka kokuguqa nokuguqula izinkomba eziningi.
Ngeshwa, i-discs ingabangela izinkinga njengoba ziqala ukuguga, ziba zikhukhume kancane futhi zigqoke kancane kancane ngokuhamba kwesikhathi. Ngokwakhe, lolu hlobo lokulimala aluvamile; abantu abaningi bayothola iziqu ezithile njengoba bekhula. Kwezinye izimo, kungabangela ubuhlungu futhi, kwabanye, hhayi.
Njengalokhu, uma ubhekene nobuhlungu obungemuva obubuhlungu bokubuyisela emuva kwanoma yiluphi uhlobo, kubalulekile ukuba uhlolwe ngumchwepheshe wezifo zomzimba ukuze ukhombise isizathu esiqondile. Lokhu kungakusiza ugweme ukuhlinzwa okungadingekile futhi uqale inkambo encane futhi evumelekile yokwelapha.
Ukuqonda ukuhlinzwa kwe-Spinal Fusion
Kuye kwaqhathaniswa ukuthi ukukhipha imfucuza sekuyisikhathi eside ukwelashwa okujwayelekile kwe-disenerative dis disease uma futhi kuphela uma zonke ezinye izinketho ezingekho zokuhlinzwa seziphelile.
Ngaphambi kwalokhu, ukwelashwa kufanele kukhawulelwe ezinqumeni ezingenasidlangalaleni noma ezincane ezingenasidingo ezifana nemithi elwa nokuvuvukala , ukwelashwa ngokomzimba , kanye nokujola kwe-epidural steroid .
Uma kukhonjisiwe, ukuhlinzekwa kwe-spinal fusion kuhilela ukukhipha i-disc emelekile ukuze kukhuthazwe ukukhula kwamathambo ngaphakathi kwesikhala esisele. Ngalokhu kwenzeka, isikhala esisodwa esithathwe yi-disc sizobe sesigcwele amathambo futhi kancane kancane sifinyelele ama-vertebrae ndawonye. Ngokuvimbela ukunyakaza kwalesi sigaba, ukuphumula kobuhlungu kungase kube kuhle kakhulu.
Noma kunjalo, kungase kube nezinkinga ezingakwazi ukunciphisa ukusebenza kohlelo lokusebenza. Phakathi kwazo:
- Isilinganiso semfucumfucu yomgogodla ophumelelayo sipheze amaphesenti angama-80. Nakuba ukuhlanganiswa okuphelele akudingeki ngaso sonke isikhathi ukukhululeka kobuhlungu, noma yikuphi ukuhluleka ukufinyeleleka okwanele ekugcineni kwamathambo kunganciphisa izinzuzo zokuhlinzwa.
- Ukuxuba umgogodla kungabangela ukuqina kokubuyela emuva nokulahlekelwa ekuhambeni kokuhamba.
- Ngokufomula umgogodla, izingxenye ezingenhla nangaphansi kwe-fusion zingaphansi kokucindezeleka okwenyukayo. Ngakho-ke, abantu abaye bathola ukuhlanganiswa kunamathuba amaningi okuthuthukisa izinkinga ngama-discs aseduze esikhathini esizayo.
Izinzuzo nezingozi ze-Lumbar Disc Replacement
Ukushintshwa kwe-Lumbar dislike kufana nezinye izinhlobo zokufakelwa okuhlangene , njengalezo ezibandakanya amadolo noma isicucu.
Kuhilela ukukhipha i-disk eyonakalisiwe eyabe isuswa esikhundleni sensimbi noma iplastiki.
Inzuzo ye-disc esikhundleni sokuhlinzwa ukuthi i-spinal prosthetic izovumela (futhi ngezinye izikhathi iphinde ibuyiselwe) ukunyakaza kwesigaba esonakalisiwe ngaphandle kokudlulisa ukucindezeleka kwenye indawo. Kungcono ukugcina ubuqotho bomgogodla ngenkathi kufinyelela ezingeni elifanayo lokuphumula kobuhlungu njenge-fusion fusion.
Ngaphezu kwalokho, ukuhlinzwa okunye okusetshenziselwa ukuguqula i-disc kudingekile ukuba kudinga ukuhlala okuncane okubhedlela okusho ukuthi, ngokuhlaziywa kweCedars-Sinai Spine Centre eLos Angeles, kunganciphisa izindleko zokugula izifo ezingamaphesenti angama-54.
Lokhu akusikhiphi ukuthi ukuhlinzwa kokusebenza esikhundleni se-lumbar ayikho ngaphandle kokulinganiselwa kwayo. Phakathi kwazo:
- Ucwaningo olwenziwa ngo-2014 olwanyatheliswa kuyi-International Orthopedics lwaphetha ngokuthi, nakuba luzuzisa kakhulu, abukho ubufakazi bokuthi ukushintshwa kwe-lumbar disc kuphakeme kunomfutho we-spinal.
- Ngenkathi ama-discs amasha ama-prosthetic anikezela isikhathi eside kakhulu, angakwazi ukuphelelwa amandla futhi angadinga ukuhlinzwa okungeziwe ngaphansi komgwaqo.
Ngalokho kuthiwa, uma kuqhathaniswa nezinzuzo zokuhlinzekwa kwe-disk esikhundleni (okufaka ukukhululeka kobuhlungu, ukunyakaza okulondolozwe, kanye namazinga aphansi okusebenza kabusha) kumfutho we-spinal, odokotela abaningi bamazinyo namuhla bavumela ukusetshenziswa kwe-disk njengendlela yokuqala yokuhlinza umugqa ngenkathi igcinwa ukuhlanganiswa komgogodla wokuhlinza kamuva.
> Imithombo:
> Buttacavoli, F .; I-Delamarter, i-R .; kanye ne-Kanim, L. "Ukuqhathaniswa kwezindleko zeziguli ezinama-lumbar angu-3 angamazinga angamazinga angama-lumbar angena esikhundleni sama-fusion angu-360 ° emazingeni ama-vertebral angu-3 anama-lumbar: ukuhlaziywa kokusebenzisa ububele endaweni yesayithi engu-1 ye-US yokuhlola ukuxoshwa kwemishini yokuhlolwa kwemishini." I-SAS J. 2010; 4 (4): 107-14. I-DOI: 10.1016 / j.sasa.2010.07.002.
> Wei, J .; Ingoma, Y .; kanye neChaoliang, L. "Ukuqhathaniswa kwe-disk total yokufakelwa kwama-disc ngokuhambisana ne-fusion ye-lumbar diserative dis disease: ukuhlaziywa kwemeta yezilingo ezilawulwa ngokungahleliwe." Int Orthop. 2013; 37 (7): 1315-25. I-DOI: 10.1007 / s00264-013-1883-8.