Ukuhlanganiswa komgogodla

Ukuhlanganiswa komgogodla ukuhlinzwa ukuhlanganisa unomphela amathambo amabili noma ngaphezulu emgogodleni ngakho-ke akukho ukunyakaza phakathi kwawo. La mathambo abizwa ngama-vertebrae.

Uzonikezwa i-anesthesia ejwayelekile, ekubeka ebuthongweni obukhulu ukuze ungabuzwa ubuhlungu ngesikhathi sokuhlinzwa.

Udokotela ohlinzayo uzosika (ukusika) ukuze abone umgogodla. Okunye ukuhlinzwa, okufana ne-diskectomy, i-laminectomy, noma i-foraminotomy, cishe njalo kwenziwa kuqala. Ukuhlanganiswa komgogodla kungenziwa:

• Emhlane noma entanyeni yakho phezu komgogodla. Kungenzeka ulele ubheke phansi. Kuyohlukaniswa imisipha nezicubu ukuveza umgogodla.
• Ngasohlangothini lwakho, uma uhlinzwa emhlane ongezansi. Udokotela ohlinzayo uzosebenzisa amathuluzi abizwa ngokuthi ama-retractor ukuhlukanisa ngobumnene, abambe izicubu ezithambile ezifana namathumbu akho nemithambo yegazi, futhi abe nendawo yokusebenza.
• Ngokusikwa ngaphambili kwentamo, eceleni.

Udokotela ohlinzayo uzosebenzisa ukufakelwa (okufana nethambo) ukubamba (noma ukuhlanganisa) amathambo ndawonye ngokuphelele. Kunezindlela eziningana zokuxuba ama-vertebrae ndawonye:

• Imichilo yethambo lokuxhunyelelwa kungabekwa ngaphezulu kwengxenye engemuva yomgogodla.
• Izinto zokwenziwa ngamathambo zingafakwa phakathi kwama-vertebrae.
• Amakheji akhethekile angabekwa phakathi kwama-vertebrae. Amakheji la atshaliwe agcwele izinto zokuxhunyelelwa kwamathambo.

Udokotela ohlinzayo angathola ukuhlanganiswa kwamathambo ezindaweni ezahlukene:

• Kusuka kwenye ingxenye yomzimba wakho (imvamisa ezungeze ithambo lakho le-pelvic). Lokhu kubizwa ngokuthi yi-autograft. Udokotela wakho ohlinzayo uzosika kancane phezu kwethambo lakho le-pelvic futhi asuse ithambo ngemuva komkhawulo we-pelvis.
• Kusuka ebhange lamathambo. Lokhu kubizwa ngokuthi yi-allograft.
• Kungasetshenziswa okunye okufakwa esikhundleni samathambo okufakelwayo.

Ama-vertebrae nawo angalungiswa ndawonye ngezinduku, ngezikulufo, amapuleti noma amakheji. Zisetshenziselwa ukugcina amathambo omgogodla anganyakazi kuze kube yilapho ubumbano lwamathambo selulapheke ngokuphelele.

Ukuhlinzwa kungathatha amahora amathathu kuye kwayi-4.

Ukuhlanganiswa komgogodla kuvame ukwenziwa kanye nezinye izinqubo zokuhlinzwa zomgogodla. Kungenziwa:

• Ngezinye izinqubo zokuhlinzwa ze-spinal stenosis, njenge-foraminotomy noma i-laminectomy
• Ngemuva kwe-diskectomy entanyeni

Ukuhlanganiswa komgogodla kungenziwa uma une:

• Ukulimala noma ukuphuka kwamathambo emgogodleni
• Umgogodla obuthakathaka noma ongazinzile obangelwa izifo noma izicubu
• I-Spondylolisthesis, isimo lapho i-vertebrae eyodwa ishelela phambili ngaphezulu kwesinye
• Ama-curvature angajwayelekile, afana nalawo avela ku-scoliosis noma i-kyphosis
• I-arthritis emgogodleni, njenge-spinal stenosis

Wena nodokotela ohlinzayo ninganquma ukuthi kunini lapho kudingeka nihlinzwe khona.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zalokhu kuhlinzwa zifaka:

• Ukutheleleka enxebeni noma emathanjeni e-vertebral
• Ukulimala kwethambo lomgogodla, okubangela ubuthakathaka, ubuhlungu, ukulahlekelwa umuzwa, izinkinga ngamathumbu akho noma esinyeni
• Ama-vertebrae angenhla nangaphansi kwe-fusion maningi amathuba okuthi aguge, okuholela ezinkingeni eziningi kamuva
• Ukuvuza koketshezi lomgogodla olungadinga ukuhlinzwa okwengeziwe
• Ukuphathwa ikhanda

Tshela udokotela wakho ukuthi yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, amakhambi, nezithako ozithengile ngaphandle kwemithi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Lungisa ikhaya lakho uma uzophuma esibhedlela.
• Uma ubhema, udinga ukuyeka. Abantu abane-fusion yomgogodla futhi abaqhubeka nokubhema kungenzeka bangapholi futhi. Cela usizo kudokotela wakho.
• Emasontweni amabili ngaphambi kokuhlinzwa, udokotela wakho angakucela ukuthi uyeke ukuthatha imishanguzo eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), nezinye izidakamizwa ezifana nalezi.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izinkinga zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubonane nodokotela wakho ojwayelekile.
• Khuluma nodokotela wakho uma uphuze kakhulu utshwala.
• Buza udokotela wakho ohlinzayo ukuthi imiphi imithi okufanele usayiphuza ngosuku lokuhlinzwa.
• Yazisa udokotela wakho ohlinzayo nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma ezinye izifo ongahle ube nazo.

Ngosuku lokuhlinzwa:

• Landela imiyalelo mayelana nokungaphuzi noma ukungadli lutho ngaphambi kwenqubo.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Fika esibhedlela ngesikhathi.

Ungahlala esibhedlela izinsuku ezi-3 kuya kwezi-4 ngemuva kokuhlinzwa.

Uzothola imithi yezinhlungu esibhedlela. Ungaphuza umuthi wezinhlungu ngomlomo noma udutshulwe noma ulayini (IV). Ungaba nepompo ekuvumela ukuthi ulawule ukuthi uthola umuthi wezinhlungu ongakanani.

Uzofundiswa ukuhamba kahle nokuthi ungahlala kanjani, ume, uhambe kanjani. Uzotshelwa ukuthi usebenzise inqubo ye- "log-rolling" lapho uvuka embhedeni. Lokhu kusho ukuthi uhambisa umzimba wakho wonke ngasikhathi sinye, ngaphandle kokuhlanekezela umgogodla wakho.

Ungahle ungakwazi ukudla ukudla okujwayelekile izinsuku ezimbili kuya kwezi-3. Uzonikezwa izakhamzimba nge-IV futhi uzodla nokudla okuthambile. Lapho uphuma esibhedlela, kungadingeka ukuthi ugqoke izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene ezisemuva noma ukhonkolo.

Udokotela wakho ohlinzayo uzokutshela ukuthi ungazinakekela kanjani ekhaya ngemuva kokuhlinzwa komgogodla. Landela imiyalo yokuthi unganakekela kanjani emuva kwakho ekhaya.

Ukuhlinzwa akubuthuthukisi njalo ubuhlungu futhi kwezinye izimo, kungenza kubi kakhulu. Kodwa-ke, kwabanye abantu ukuhlinzwa kungasebenza ebuhlungwini obunzima obungabi ngcono ngezinye izindlela zokwelapha.

Uma ngabe unezinhlungu ezingapheli zomqolo ngaphambi kokuhlinzwa, cishe usazoba nobuhlungu ngemuva kwalokho. Ukuhlangana komgogodla akunakwenzeka ukuthi kususe bonke ubuhlungu bakho nezinye izimpawu.

Kunzima ukubikezela ukuthi yibaphi abantu abazothuthuka nokuthi ukuhlinzekwa kosizo kuzohlinzeka kangakanani, noma ngabe kusetshenziswa ukuskena kweMRI noma okunye ukuhlolwa.

Ukwehla kwesisindo nokuvivinya umzimba kwandisa amathuba akho okuzizwa ungcono.

Izinkinga zomgogodla zesikhathi esizayo zingenzeka ngemuva kokuhlinzwa komgogodla. Ngemuva kokuhlanganiswa komgogodla, indawo ehlanganiswe ndawonye ayisakwazi ukuhamba. Ngakho-ke, ikholomu yomgogodla ngenhla nangaphansi kwe-fusion kungenzeka ukuthi icindezeleke lapho umgogodla uhamba, futhi ingadala izinkinga ngokuhamba kwesikhathi.

Ukuhlanganiswa kwe-Vertebral interbody; Ukuhlanganiswa komgogodla ngemuva; I-Arthrodesis; Ukuhlangana kwangaphambili komgogodla; Ukuhlinzwa umgogodla - ukuhlanganiswa komgogodla; Ubuhlungu obuphansi emuva - ukuhlanganiswa; Idiski ye-Herniated - ukuhlanganiswa; Ukuqina komgogodla - ukuhlangana; I-Laminectomy - ukuhlangana; Ukuhlanganiswa komgogodla womlomo wesibeletho; Ukuhlanganiswa komgogodla weLumbar

• Ukuphepha kwamakamelo abantu abadala
• Ukuvimbela ukuwa
• Ukuvimbela ukuwa - okufanele ubuze udokotela wakho
• Ukuhlinzwa komgogodla - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-Scoliosis
• Ukuhlanganiswa komgogodla - uchungechunge

Bennett EE, Hwang L, Hoh DJ, Ghogawala Z, Schlenk R. Izinkomba zokuhlanganiswa komgogodla ngobuhlungu be-axial. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Kwespine kweBenzel: Amasu, Ukugwema Ukuphikisana, Nokuphathwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 58.

U-Liu G, Wong HK. I-Laminectomy nokuhlangana. Ku: Shen FH, Samartzis D, Fessler RG, ama-eds. Incwadi yombhalo wesibeletho somlomo wesibeletho. IPhiladelphia, PA: Elsevier; 2015: isahluko 34.

UWang JC, uDailey AT, uMummaneni PV, et al. Ukuvuselelwa komhlahlandlela wokusebenza kwezinqubo ze-fusion zesifo esiwohlozayo somgogodla we-lumbar. Ingxenye 8: i-lumbar fusion ye-disc herniation kanye ne-radiculopathy. J Neurosurg Umqolo. 2014; 21 (1): 48-53. I-PMID: 24980585 www.ncbi.nlm.nih.gov/pubmed/24980585.