Kwenziwa kanjani ukuhlinzwa kwe-disc ye-herniated, izingozi kanye ne-post-operative
-Delile
- Izinhlobo zokuhlinzwa
- 1. Ukuhlinzwa kwesintu
- 2. Ukuhlinzwa okuncane okuhlaselayo
- Izingozi zokuhlinzwa
- Lulama kanjani
Ukuhlinzwa ukwelapha i-herniated, i-dorsal, i-lumbar noma i-hernia yomlomo wesibeletho kuboniswa ezimweni lapho kungabanga khona ukuthuthuka kwezimpawu zobuhlungu nokungakhululeki, noma ngabe ukwelashwa okusekelwe ezidakamizweni kanye ne-physiotherapy, noma lapho kunezibonakaliso zokuphelelwa amandla noma ukuzwela. Lokhu kungenxa yokuthi le nqubo inikeza ezinye izingozi, njengokunciphisa ukuhamba komgogodla noma ukutheleleka, isibonelo.
Uhlobo lokuhlinzwa lungahlukahluka, kungaba ngokuvulwa kwendabuko kwesikhumba ukufinyelela emgogodleni, noma ngokusebenzisa izindlela zakamuva nezingahlaseli kakhulu, ngokwesibonelo, ngesibonakhulu. Ukubuyiselwa emuva kungahlukahluka ngokuya ngokulimala nangendlela esetshenzisiwe, ngakho-ke, ukwenza i-physiotherapy yokuvuselela kusiza ekuthuthukiseni izimpawu futhi kubuyisele isiguli emisebenzini yaso yansuku zonke ngokushesha okukhulu.
Izinhlobo zokuhlinzwa
Uhlobo lokuhlinzwa lungahluka ngokuya ngendawo ye-hernia, ngenqubo etholakala esibhedlela noma ngokuya ngezidingo zesiguli ngasinye, kunqunywa udokotela wamathambo noma i-neurosurgeon. Izinhlobo eziyinhloko yilezi:
1. Ukuhlinzwa kwesintu
Kwenziwa ngokuvulwa kwesikhumba, ngokusikeka, ukufinyelela umgogodla. Ukukhethwa kokuthi ungafinyelela kuphi umgogodla kwenziwa ngokwendawo eseduzane ukufinyelela i-disc, engaba kusuka ngaphambili, njengoba kuvamile kwi-hernia yomlomo wesibeletho, kusuka ohlangothini noma ngemuva, njengoba kujwayelekile e-lumbar hernia.
Kwenziwa ngokufinyelela kwesikhumba ukufinyelela esifundeni esilimele. Ukukhethwa kokufinyelela emgogodleni kwenziwa ngokuya ngokulimala kanye nokuhlangenwe nakho kukadokotela wamathambo.
Lokhu kuhlinzwa kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile, futhi i-disc intervertebral disc eyonakele ingasuswa, ngokwengxenye noma ngokuphelele. Ngemuva kwalokho, into ingasetshenziswa ukujoyina ama-vertebrae ama-2 noma into yokufakelwa ingasetshenziswa ukufaka i-disc esusiwe. Isikhathi sokuhlinzwa siyahlukahluka ngokuya ngendawo kanye nesimo se-hernia yomuntu ngamunye, kepha sithatha cishe amahora amabili.
2. Ukuhlinzwa okuncane okuhlaselayo
Ukuhlinzwa okuhlasela kancane kusebenzisa izindlela ezintsha ezivumela ukuvuleka okuncane kwesikhumba, okunikeza ukunyakaza okuncane kwezakhiwo ezizungeze umgogodla, isikhathi sokuhlinzwa esisheshayo kanye nobungozi obuncane bezinkinga, njengokuphuma kwegazi nokutheleleka.
Amasu amakhulu asetshenzisiwe yilawa:
- Microsurgery: ukukhwabanisa kwe-disc intervertebral kwenziwa ngosizo lwe-microscope yokuhlinzwa, edinga ukuvula okuncane kwesikhumba.
- Ukuhlinzwa kwe-Endoscopic: kuyinqubo eyenziwe ngokufakwa kokungena okuncane esikhunjeni, ngaleyo ndlela kuvunyelwe inqubo elulama ngokushesha nobuhlungu obuncane bokuhlinzwa.
Ukuhlinzwa okuncane okungenziwa kungenziwa nge-anesthesia yendawo kanye nokuthambisa, okuhlala cishe ihora elilodwa noma ngaphansi. Ngesikhathi sokuhlinzwa, imvamisa yomsakazo noma idivayisi ye-laser ingasetshenziselwa ukususa ingxenye ye-disc ye-herniated futhi, ngenxa yalesi sizathu, lolu hlobo lokuhlinzwa lwaziwa nangokuthi yi-laser surgery.
Izingozi zokuhlinzwa
Ukuhlinzwa kwe-disc kwe-Herniated kungabonisa izinkinga ezithile, kepha ingozi incane kakhulu, ikakhulukazi ngenxa yamasu namadivayisi asezingeni eliphezulu asetshenzisiwe. Izinkinga eziyinhloko ezingavela yilezi:
- Ukuphikelela kobuhlungu emgogodleni;
- Ukutheleleka;
- Ukopha;
- Ukulimala kwemithambo okuzungeze umgogodla;
- Kunzima ukuhambisa umgogodla.
Ngenxa yalezi zingcuphe, ukuhlinzekwa kugcinelwe labo abanezimpawu ezingabekezeleleki, noma lapho kungabanga khona ncono ngezinye izindlela zokwelashwa kwama-herniated disc. Thola ukuthi yiziphi izindlela zokwelashwa kanye ne-physiotherapy ezingaba yi-lumbar disc herniation kanye ne-cervical disc herniation.
Lulama kanjani
Isikhathi sangemva kokuhlinzwa siyahlukahluka ngokuya ngokuhlinzwa, futhi ubude bendawo yokuhlala buzungeze izinsuku ezimbili ekuhlinzekweni okuncane okungahlaseli futhi kungafinyelela ezinsukwini ezinhlanu ngokuhlinzwa okuvamile.
Ithuba lokwenza imisebenzi efana nokushayela noma ukubuyela emsebenzini nalo liyashesha ekuhlinzeni okuncane okungahlaseli. Ekuhlinzweni kwendabuko, ukuze ubuyele emsebenzini, isikhathi esengeziwe sokuphumula siyadingeka. Imisebenzi enzima kakhulu, njengokuvivinya umzimba, ikhishwa kuphela ngemuva kokuhlolwa kukadokotela nodokotela nokuthuthuka kwezimpawu.
Esikhathini sokululama, izidakamizwa ze-analgesic noma ezilwa nokuvuvukala, ezinqunywe udokotela, kufanele zisetshenziselwe ukudambisa izinhlungu. Ukuvuselelwa kwe-physiotherapy nakho kufanele kuqalwe, ngamasu okusiza ekutholeni ukunyakaza nokugcina ukuma okuhle. Bona ukuthi yikuphi ukunakekelwa okufanele kuthathwe ngemuva kokuhlinzwa komgogodla ukusheshisa ukutakula ngemuva kokusebenza.
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