Umgogodla

IVertebroplasty imvamisa inqubo yokuphulukiswa esetshenziselwa ukwelapha ukuqhekeka okubuhlungu emgogodleni. Ekuqhekekeni kokucindezelwa, konke noma ingxenye yethambo lomgogodla iyawa.

IVertebroplasty yenziwa esibhedlela noma emtholampilo wabalaliswa ngaphandle.

• 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.

Usimende ube usujovwa ethanjeni lomgogodla ophukile ukuze uqiniseke ukuthi awuphindi uwele.

Le nqubo ifana ne-kyphoplasty. Kodwa-ke, i-kyphoplasty ifaka ukusetshenziswa kwebhaluni eligcwaliswe ekugcineni kwenaliti ukudala isikhala phakathi kwama-vertebrae.

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

IVertebroplasty ngokuvamile iphephile. Izinkinga zingafaka:

• Ukopha.
• Ukutheleleka.
• Ukungezwani komzimba nemithi.
• Izinkinga zokuphefumula noma zenhliziyo uma une-anesthesia ejwayelekile.
• Ukulimala kwemizwa.
• Ukuvuza kwesamente yamathambo ezindaweni ezizungezile (lokhu kungadala ubuhlungu uma kuthinta umgogodla noma izinzwa). Le nkinga ivame kakhulu ngale nqubo kune-kyphoplasty. Ungadinga ukuhlinzwa umgogodla ukuze ususe ukuvuza uma kwenzeka.

Njalo utshele umhlinzeki wakho:

• Uma ungakhulelwa
• Yiziphi izidakamizwa ozisebenzisayo, kufaka phakathi lezo ozithenge ngaphandle kadokotela
• Uma ngabe uphuze kakhulu utshwala

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen, i-coumadin (i-Warfarin), kanye nanoma imuphi omunye umuthi owenza kube nzima ukuthi igazi lakho livaleke ezinsukwini ezimbalwa ngaphambili.
• Buza ukuthi imiphi imishanguzo okufanele usayiphuza ngosuku lokuhlinzwa.
• Uma ubhema, zama ukuyeka.

Ngosuku lokuhlinzwa:

• Imvamisa uzotshelwa ukuthi ungaphuzi noma ungadli lutho amahora amaningi ngaphambi kokuhlinzwa.
• 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 abanale nqubo bavame ukuba nobuhlungu obuncane kanye nempilo engcono ngemuva kokuhlinzwa.

Imvamisa badinga imishanguzo yezinhlungu embalwa, futhi bangahamba kangcono kunakuqala.

I-osteoporosis - i-vertebroplasty

• Vertebroplasty - uchungechunge

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.

UYang EZ, Xu JG, Huang GZ, et al. Ukwelashwa kwe-vertebroplasty okuhambisana nokwelashwa okulondolozayo ezigulini esezikhulile ezine-acute osteoporotic vertebral compression fractures: isifundo somtholampilo esilawulwa ngokungahleliwe. Umgogodla (Phila Pa 1976). 2016; 41 (8): 653-660. I-PMID: 26630417 www.ncbi.nlm.nih.gov/pubmed/26630417.