I-Diskectomy

I-Diskectomy ukuhlinzwa ukususa konke noma ingxenye yomsizi osiza ukusekela ingxenye yekholomu yakho yomgogodla. Lawa makhushi abizwa ngama-disks, futhi ahlukanisa amathambo akho omgogodla (i-vertebrae).

Udokotela ohlinzayo angenza ukususwa kwe-disk (diskectomy) ngalezi zindlela ezihlukile.

• I-Microdiskectomy: Uma une-microdiskectomy, udokotela ohlinzayo akadingi ukwenza ukuhlinzwa okuningi emathanjeni, emalungeni, emigudwini, noma emisipheni yomgogodla wakho.
• I-Diskectomy engxenyeni engezansi yomhlane wakho (i-lumbar spine) ingaba yingxenye yokuhlinzwa okukhulu okubandakanya i-laminectomy, i-foraminotomy, noma i-fusion yomgogodla.
• I-Diskectomy entanyeni yakho (umgogodla womlomo wesibeletho) ivame ukwenziwa kanye ne-laminectomy, foraminotomy, noma i-fusion.

I-Microdiskectomy yenziwa esibhedlela noma esikhungweni sokuhlinza abagulayo. Uzonikezwa i-anesthesia yomgogodla (ukunqanda indawo yakho yomgogodla) noma i-anesthesia ejwayelekile (ilele futhi ayinazinhlungu).

• Udokotela ohlinzayo wenza ukusika (ukusika) okuncane (1 kuya ku-1.5-intshi, noma okungu-2.5 kuya ku-3.8-sentimitha) emhlane wakho bese ususa imisipha yangemuva kude nomgogodla wakho. Udokotela ohlinzayo usebenzisa imicroscope ekhethekile ukubona inkinga yediski noma amadiski nezinzwa ngesikhathi sokuhlinzwa.
• Impande yezinzwa itholakala futhi isuswe ngobumnene.
• Udokotela ohlinzayo ususa izicubu zediski elimele nezicucu zediski.
• Imisipha yangemuva ibuyiselwa endaweni yayo.
• Ukuqhekeka kuvaliwe ngemithungo noma okuyisisekelo.
• Ukuhlinzwa kuthatha amahora awu-1 kuya kwangu-2.

I-Diskectomy ne-laminotomy kuvame ukwenziwa esibhedlela, kusetshenziswa i-anesthesia ejwayelekile (ilele futhi ayinazinhlungu).

• Udokotela ohlinzayo usika kakhudlwana emhlane wakho phezu komgogodla.
• Imisipha nezicubu zihanjiswa ngobumnene ukuveza umgogodla wakho.
• Ingxenye encane yethambo le-lamina (ingxenye yama-vertebrae ezungeze ikholomu yomgogodla nezinzwa) iyanqunywa. Ukuvulwa kungaba kukhulu njenge-ligament ehamba nomgogodla wakho.
• Kusikwa imbobo encane kudiski edala izimpawu zakho. Izinto ezisuka ngaphakathi kwidiski ziyasuswa. Ezinye izingcezu zediski nazo zingasuswa.

Lapho elinye lamadiski akho lisuka endaweni (i-herniates), ijeli ethambile ngaphakathi iphusha udonga lwediski. Idiski lingabeka ingcindezi entanjeni yomgogodla nezinzwa eziphuma kukholamu lakho lomgogodla.

Izimpawu eziningi ezibangelwa i-herniated disk ziba ngcono noma zihambe ngokuhamba kwesikhathi ngaphandle kokuhlinzwa. Iningi labantu abanezinhlungu eziphansi emuva noma entanyeni, ukuba ndikindiki, noma ngisho nobuthakathaka obuncane kuvame ukuphathwa kuqala ngemithi elwa nokuvuvukala, ukwelashwa ngokomzimba, nokuzivocavoca umzimba.

Abantu abambalwa abane-disk herniated abadinga ukuhlinzwa.

Udokotela wakho angancoma i-diskectomy uma une-disk ye-herniated futhi:

• Ubuhlungu bomlenze noma bengalo noma ukuba ndikindiki okukubi kakhulu noma okungapheli, okwenza kube nzima ukwenza imisebenzi yansuku zonke
• Ubuthakathaka obukhulu emisipheni yengalo yakho, emlenzeni ophansi noma ezinqeni
• Ubuhlungu obusakazeka ezinqeni noma emilenzeni yakho

Uma unezinkinga ngamathumbu noma esinyeni, noma ubuhlungu bukhulu kangangokuba imithi yezinhlungu enamandla ayisizi, kuzodingeka ukuthi uhlinzwe khona manjalo.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

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

Izingozi zalokhu kuhlinzwa yilezi:

• Ukulimala kwemizwa ephuma emgogodleni, kudala ubuthakathaka noma ubuhlungu obungapheli
• Ubuhlungu bakho bangemuva abubi ngcono, noma ubuhlungu buyabuya emuva kwesikhathi
• Ubuhlungu ngemuva kokuhlinzwa, uma zonke izingcezu zediski zingasusiwe
• Uketshezi lomgogodla lungavuza futhi lubangele ikhanda
• Idiski lingahle liphume futhi
• Umgogodla ungazinza futhi udinge ukuhlinzwa okwengeziwe
• Ukutheleleka okungadinga ama-antibiotics, ukuhlala isikhathi eside esibhedlela, noma ukuhlinzwa okwengeziwe

Tshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo, ngisho nemithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Lungisa ikhaya lakho uma ubuya esibhedlela.
• Uma ubhema, udinga ukuyeka. Ukululama kwakho kuzohamba kancane futhi mhlawumbe kungabi kuhle uma uqhubeka nokubhema. Cela usizo kumhlinzeki wakho.
• Emasontweni amabili ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha imishanguzo eyenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), neminye imithi efana nale.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izinkinga zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone odokotela abakwelapha ngalezo zimo.
• Khuluma nomhlinzeki wakho uma uphuze kakhulu utshwala.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele usayiphuza ngosuku lokuhlinzwa.
• Njalo vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma ezinye izifo ongahle ube nazo.
• Ungahle ufune ukuvakashela owelapha ngokomzimba ukuze ufunde okunye okufanele ukwenze ngaphambi kokuhlinzwa nokuzijwayeza ukusebenzisa izinduku.

Ngosuku lokuhlinzwa:

• Landela imiyalo yokuthi ungakuyeka nini ukudla nokuphuza.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Letha umoba wakho, isihambi, noma isihlalo esinamasondo uma usunayo vele. Futhi letha izicathulo ezinezicathulo eziyizicaba, ezingadlile.
• Landela imiyalelo yokuthi uzofika nini esibhedlela. Fika ngesikhathi.

Umhlinzeki wakho uzokucela ukuthi uvuke uhambe uzungeze ngokushesha lapho i-anesthesia yakho iphela. Iningi labantu liya emakhaya ngosuku lokuhlinzwa. Musa ukushayela ngokwakho ekhaya.

Landela imiyalo yokuthi ungazinakekela kanjani ekhaya.

Iningi labantu linezinhlungu zokuphumula futhi lingahamba kangcono ngemuva kokuhlinzwa. Ukuba ndikindiki nokushoshozela kufanele kube ngcono noma kunyamalale. Ubuhlungu bakho, ukuba ndikindiki, noma ubuthakathaka kungenzeka kungabi ngcono noma kuphele uma ngabe ulinyazwe imizwa ngaphambi kokuhlinzwa, noma uma unezimpawu ezibangelwa ezinye izimo zomgogodla.

Izinguquko ezengeziwe zingavela emgogodleni wakho ngokuhamba kwesikhathi futhi izimpawu ezintsha zingavela.

Khuluma nomhlinzeki wakho mayelana nokuthi ungazivikela kanjani izinkinga zangemuva zesikhathi esizayo.

I-Spinal microdiskectomy; Ukucindezelwa kweMicrodecompression; I-Laminotomy; Ukususwa kwediski; Ukuhlinzwa komgogodla - i-diskectomy; I-Discectomy

• Ukuhlinzwa komgogodla - ukukhishwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• I-nucleus pulposus ye-Herniated
• Umgogodla wamathambo
• Izinhlaka ezisekela umgogodla
• Cauda equina
• I-spinal stenosis
• Microdiskectomy - uchungechunge

I-Ehni BL. I-Lumbar discectomy. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 93.

UGardocki RJ. I-Spinal anatomy nezindlela zokuhlinza. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 37.

IGardocki RJ, iPaki AL. Ukuphazamiseka okwehlayo komgogodla we-thoracic ne-lumbar. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 39.