I-Kyphoplasty

I-Kyphoplasty isetshenziselwa ukwelapha ukuqhekeka okubuhlungu komgogodla. Ekuqhekekeni kokucindezelwa, konke noma ingxenye yethambo lomgogodla iyawa.

Le nqubo ibizwa nangokuthi ibhaluni kyphoplasty.

I-Kyphoplasty yenziwa esibhedlela noma emtholampilo wokugula.

• Ungaba ne-anesthesia yendawo (evukile futhi engakwazi ukuzwa ubuhlungu). Cishe uzothola nomuthi ozokusiza uphumule futhi uzizwe ulele.
• Ungathola i-anesthesia ejwayelekile. Uzobe ulele futhi ungakwazi ukuzwa ubuhlungu.

Ulele ubheke phansi etafuleni. Umhlinzeki wezokunakekelwa kwezempilo uhlanza indawo engemuva kwakho bese esebenzisa umuthi wokundikaza indawo.

Inaliti ifakwa esikhunjeni nasemathanjeni omgogodla. Izithombe zesikhathi sangempela ze-x-ray zisetshenziselwa ukuqondisa udokotela endaweni efanele engezansi kwakho.

Ibhaluni lifakwa ngenaliti, lingene ethanjeni, bese liyagcwala. Lokhu kubuyisa ukuphakama kwama-vertebrae. Usimende ube usujovwa esikhaleni ukuze uqiniseke ukuthi awuphindi futhi.

Isizathu esivamile sokucindezelwa kokuqhekeka komgogodla ukuncipha kwamathambo akho, noma i-osteoporosis. Umhlinzeki wakho angancoma le nqubo uma unezinhlungu ezinzima nezikhubaza izinyanga ezi-2 noma ngaphezulu ezingangcono ngokuphumula kombhede, imithi yezinhlungu, kanye nokwelashwa ngokomzimba.

Umhlinzeki wakho futhi angancoma le nqubo uma unesifo esibuhlungu sokucindezelwa komgogodla ngenxa ye:

• Umdlavuza, kufaka phakathi i-myeloma eminingi
• Ukulimala okwenze amathambo aphukile emgogodleni

I-Kyphoplasty ngokuvamile iphephile. Izinkinga zingafaka:

• Ukopha.
• Ukutheleleka.
• Ukungezwani komzimba nemithi.
• Izinkinga zokuphefumula noma zenhliziyo uma une-anesthesia ejwayelekile.
• Ukulimala kwemizwa.
• Ukuvuza kosimende wethambo ungene endaweni ezungezile (lokhu kungadala ubuhlungu uma kuthinta umgogodla noma izinzwa). Ukuvuza kungaholela kwezinye izindlela zokwelapha (njengokuhlinzwa) ukususa usimende. Ngokuvamile, i-kyphoplasty inobungozi obuncane bokuvuza kwesamente kune-vertebroplasty.

Ngaphambi kokuhlinzwa, hlala utshela umhlinzeki wakho ukuthi:

• Uma ungakhulelwa
• Yimiphi imishanguzo oyiphuzayo, ngisho naleyo oyithenge ngaphandle kwencwadi kadokotela
• Uma ngabe uphuze kakhulu utshwala

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen, i-coumadin (i-Warfarin), nezinye izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana.
• Buza ukuthi imiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa.
• Uma ubhema, zama ukuyeka.

Ngosuku lokuhlinzwa:

• Imvamisa uzotshelwa ukuthi ungaphuzi noma ungadli lutho amahora amaningi ngaphambi kokuhlolwa.
• Thatha izidakamizwa umhlinzeki wakho akutshele ukuthi uziphuze ngesiphuzo esincane samanzi.
• Uzotshelwa ukuthi ufika nini.

Cishe uzoya ekhaya ngosuku olufanayo lokuhlinzwa. Akufanele ushayele, ngaphandle uma umhlinzeki wakho ethi KULUNGILE.

Ngemuva kwenqubo:

• Kufanele ukwazi ukuhamba. Kodwa-ke, kungcono ukuhlala embhedeni amahora wokuqala angama-24, ngaphandle kokusebenzisa indlu yangasese.
• Ngemuva kwamahora angama-24, buyela kancane emisebenzini yakho ejwayelekile.
• Gwema imisebenzi yokuphakamisa okunzima nokusebenza kanzima okungenani amasonto ayisithupha.
• Faka iqhwa endaweni yesilonda uma unezinhlungu lapho kufakwe khona inaliti.

Abantu abane-kyphoplasty bavame ukuba nobuhlungu obuncane kanye nempilo engcono ngemuva kokuhlinzwa. Kaningi badinga imishanguzo yezinhlungu embalwa, futhi ingahamba kangcono kunakuqala.

Ibhaluni kyphoplasty; Ukukhumuzeka kwamathambo - kyphoplasty; Ukucindezela ukuphuka - kyphoplasty

U-Evans AJ, Kip KE, Brinjikji W, et al. Isivivinyo esilawulwa ngokungahleliwe se-vertebroplasty kuqhathaniswa ne-kyphoplasty ekwelapheni kwe-vertebral compression fractures. J Neurointerv Ukuhlinzwa. 2016; 8 (7): 756-763. I-PMID: 26109687 www.ncbi.nlm.nih.gov/pubmed/26109687.

USavage JW, noAnderson PA. Ukuqhekeka komgogodla we-osteoporotic. Ku: Browner BD, Jupiter JB, Krettek C, Anderson PA, ama-eds. I-Skeletal Trauma: Isayensi Eyisisekelo, Ukuphathwa, kanye nokwakhiwa kabusha. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 35.

I-Weber TJ. I-osteoporosis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 230.

UWilliam KD. Ukwephuka, ukuhlukaniswa, nokuhlukaniswa komgogodla. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; I-2017: isahluko 41.