Konke Ofuna Ukukwazi Ngokuhlinzwa Kwe-Laser Back

-Delile

• Ngabe ukuhlinzwa kwe-laser emuva kuhluke kanjani?
• Okwesiko
• IZIMPENDULO
• Laser
• Yini ongayilindela
• Izinzuzo
• Izithiyo
• Okuqhamuka uma udla imishanguzo
• Isikhathi sokutakula
• Izindleko
• Ezinye izindlela zokwelapha
• Imithi
• Imijovo ye-steroid
• Ukwelashwa ngokomzimba
• Ukunakekelwa kwasekhaya
• Umuthi ohlukile
• Okubalulekile

Ukuhlinzwa emuva kwe-Laser uhlobo lokuhlinzwa emuva. Ihlukile kwezinye izinhlobo zokuhlinzwa emuva, njengokuhlinzwa emuva kwendabuko kanye nokuhlinzwa komgogodla okuncane (MISS).

Qhubeka ufunde ukuze ufunde kabanzi ngokuhlinzwa emuva kwe-laser, izinzuzo ezingaba khona kanye nokuphazamiseka, kanye nezindlela zokwelashwa ezingeziwe ongazenza.

Ngabe ukuhlinzwa kwe-laser emuva kuhluke kanjani?

Kunezinhlobo ezimbalwa ezahlukahlukene zokuhlinzwa emuva, kufaka phakathi indlela yendabuko, noma evulekile, i-MISS, kanye nokuhlinzwa emuva kwe-laser. Ngezansi, sizohlola ukuthi yini eyenza inqubo ngayinye ihluke.

Okwesiko

Ngesikhathi sokuhlinzwa kwendabuko emuva, udokotela ohlinzayo usika isikhathi eside emhlane. Ngemuva kwalokho, basusa imisipha nezinye izicubu ukuze bafinyelele endaweni ethintekile yomgogodla. Lokhu kuholela esikhathini sokululama eside, futhi kungadala ukulimala kwezicubu.

IZIMPENDULO

I-MISS isebenzisa imbobo encane kunokuhlinzwa kwendabuko. Ithuluzi elikhethekile elibizwa ngokuthi i-tubular retractor lisetshenziselwa ukwakha umhubhe omncane ukuze kufinyelelwe endaweni yokuhlinzwa. Amathuluzi ahlukahlukene akhethekile angafakwa kulo mhubhe ngesikhathi sokuhlinzwa.

Ngoba ayingeni kangako, i-MISS ingaholela ezinhlungwini ezincane nasekutholeni ngokushesha.

Laser

Ngesikhathi sokuhlinzwa emuva kwe-laser, i-laser isetshenziselwa ukususa izingxenye zezicubu ezisendaweni ezungeze intambo yomgogodla nezinzwa zangemuva. Ngokungafani nezinye izinhlobo zokuhlinzwa emuva, kungahle kulungele kuphela izimo ezithile, njengalapho ukucindezelwa kwemizwa kubangela ubuhlungu.

Ukuhlinzwa emuva kwe-Laser ne-MISS kuvame ukuphutha ngomunye nomunye, noma kucatshangwa ukuthi kuyafana. Okunye okwenza kube nzima lokhu ukuthi i-MISS, kodwa hhayi njalo, ingasebenzisa ama-lasers.

Ukuhlinzwa emuva kwe-Laser akuvamile, futhi kunezifundo ezimbalwa zomtholampilo eziveze izinzuzo ngokuqhathaniswa nezinye izindlela.

Yini ongayilindela

Lapho ingcindezi ibekwa emsipheni, kungaholela ebuhlungwini nasekuhluphekeni.

Emgogodleni, izinto ezinjenge-disc ye-herniated noma i-bone spur kungadala ukucindezelwa. Isibonelo sesimo esisodwa esinjalo yi-sciatica, lapho i-nerve ye-sciatic icindezelwa khona, iholele ezinhlungwini ezingezansi nasemlenzeni.

Ama-Lasers angasetshenziswa ukusiza ukucindezela izinzwa, ngenhloso yokuqeda izinhlungu. Lokhu kwenziwa ngaphansi kwe-anesthesia yendawo, okusho ukuthi isikhumba kanye nemisipha ezungezile yomhlane wakho izonqotshwa ubuhlungu. Ungase futhi ulaliselwe inqubo.

Enye yezindlela ezifundwe kahle kakhulu zokuhlinzwa emuva kwe-laser ibizwa nge-percutaneous laser disc decompression (PLDD). Le nqubo isebenzisa i-laser ukususa izicubu ze-disc ezingadala ukucindezelwa kwemizwa nobuhlungu.

Ngesikhathi se-PLDD, iphenyo elincane eliqukethe i-laser lidluliselwa engxenyeni yediski ethintekile. Lokhu kufezwa ngosizo lobuchwepheshe bezithombe. Ngemuva kwalokho, amandla avela ku-laser asetshenziselwa ukususa ngokucophelela izicubu ezingahle zicindezele inzwa.

Izinzuzo

Izinzuzo zokuhlinzwa emuva kwe-laser ukuthi kuncipha kakhulu kunendlela yendabuko yokuhlinzwa emuva. Ngokwengeziwe, ingenziwa kusilungiselelo sokugula ngaphansi kwe-anesthesia yendawo. Ngezindlela eziningi, ifana kakhulu ne-MISS.

Kunolwazi olunqunyelwe mayelana nokusebenza okuphelele kokuhlinzwa emuva kwe-laser ngokuqhathanisa nezinye izindlela.

Omunye uqhathanise i-PLDD nenye indlela yokuhlinza ebizwa nge-microdiscectomy. Abaphenyi bathole ukuthi zombili izinqubo zibe nomphumela ofanayo esikhathini sokululama seminyaka emibili.

Kodwa-ke, kufanele kuqashelwe ukuthi lapho bexoxa nge-PLDD, abacwaningi bafaka nokuhlinzwa okwengeziwe kokulandela ngemuva kwe-PLDD njengengxenye yomphumela ojwayelekile.

Izithiyo

Ukuhlinzwa emuva kwe-Laser akunconywa ngezimo ezithile, njengezifo zomgogodla eziwohlozayo. Ngokwengeziwe, izimo eziyinkimbinkimbi noma eziyinkimbinkimbi zivame ukudinga indlela yokuhlinza yendabuko ethe xaxa.

Enye yezingqinamba ekuhlinzweni emuva kwe-laser ukuthi ungadinga ukuhlinzwa okwengeziwe kwesimo sakho. Kutholwe ukuthi i-microdiscectomy inenombolo ephansi yokuhlinzwa edingekayo ngokuqhathaniswa ne-PLDD.

Ukwengeza, ukuhlaziywa kwe-meta ka-2017 kokuhlinzwa okuhlukene okuyisikhombisa kwama-discs e-herniated esifundeni se-lumbar kutholakale ukuthi i-PLDD ibalwa phakathi kwezinga elibi kakhulu lokuphumelela, futhi ibiphakathi nendawo yokuphinda isebenze.

Okuqhamuka uma udla imishanguzo

Yonke inqubo ingaba nemiphumela emibi engaba khona noma izinkinga. Lokhu kuyiqiniso futhi ngokuhlinzwa emuva kwe-laser.

Enye yezinkinga ezinkulu ezingaba khona kusukela ekuhlinzweni emuva kwe-laser ukulimala kwezicubu ezizungezile. Ngoba i-laser isetshenziselwa inqubo, umonakalo wokushisa ungenzeka emithanjeni, ithambo, noqwanga oluzungezile.

Enye inkinga engenzeka ukutheleleka. Lokhu kungenzeka ngesikhathi kubekwa iphenyo uma kungalandelwa imigudu efanele yokukhucululwa kwendle. Kwezinye izimo, ungahlinzekwa ngemithi elwa nezifo yokusiza ukuvimbela ukutheleleka.

Isikhathi sokutakula

Isikhathi sokutakula singahluka ngakunye nenqubo ethile eyenziwe. Abanye abantu bangakwazi ukubuyela emisebenzini ejwayelekile ngokushesha okukhulu, kanti abanye bangadinga isikhathi esithe xaxa. Ingabe ukuhlinzwa emuva kwe-laser kuqhathanisa kanjani nezinye izinhlobo zokuhlinzwa emuva?

Ukuhlinzwa ngokwesiko emuva kudinga ukuhlala esibhedlela ngemuva kwenqubo, futhi ukululama kungathatha amasonto amaningi. Ngokwe-Johns Hopkins Spine Service, abantu abahlinzwa ngokwesiko lomgogodla kufanele balindele ukuphuthelwa amasonto ayisishiyagalombili kuya kwayi-12 okusebenza.

Ngokuphambene nalokho, i-MISS ivame ukwenziwa njengenqubo yokugula, okusho ukuthi ungaya ekhaya ngalolo suku olufanayo. Ngokuvamile, abantu abathole i-MISS bangabuyela emsebenzini cishe emasontweni ayisithupha.

Kungenzeka ukuthi ufunde ukuthi ukuhlinzwa emuva kwe-laser kunokululama ngokushesha kunezinye izinqubo. Kodwa-ke, empeleni kube nocwaningo oluncane kakhulu lokuthi isikhathi sokutakula siqhathaniswa kanjani.

Eqinisweni, okuxoxwe ngenhla kutholakale ukuthi ukululama kusuka ku-microdiscectomy kwakushesha kune-PLDD.

Izindleko

Akukho lwazi oluningi maqondana nezindleko noma ngokuhlinzwa emuva kwe-laser kuqhathaniswa nezinye izinhlobo zokuhlinzwa emuva.

Izindleko zizohluka kuye ngezwe. Ukutholakala komshuwalense kungahluka kumhlinzeki womshuwalense nohlelo lomshuwalense. Ngaphambi kokwenza noma yiluphi uhlobo lwenqubo, kufanele uhlale ubuza kumhlinzeki wakho womshuwalense ukubona ukuthi ngabe kumbozwe uhlelo lwakho.

Ezinye izindlela zokwelapha

Akuwona wonke umuntu onezinhlungu zasemhlane odinga ukuhlinzwa emuva. Eqinisweni, uma uhlangabezana nobuhlungu beqolo, udokotela wakho kungenzeka ancoma ukuthi uzame ukwelashwa okulondolozayo kuqala, ngaphandle uma unokulahlekelwa okuqhubekayo kwe-neurologic noma ukulahlekelwa umsebenzi wamathumbu noma wesinye.

Kunezinto ezahlukahlukene ongazama ukusiza ukuqeda izinhlungu ngenxa yezimo ezifana ne-sciatica. Izibonelo zifaka:

Imithi

Udokotela wakho angakunika izinhlobo ezahlukahlukene zemithi ukusiza ngobuhlungu. Lokhu kungafaka izinto ezifana

• izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• ukuphumula kwemisipha
• ukudambisa izinhlungu ze-opioid (isikhathi esifushane kakhulu kuphela)
• izidakamizwa ze-tricyclic
• imishanguzo yokulwa nokuquleka

Imijovo ye-steroid

Ukuthola umjovo wama-corticosteroids eduze kwendawo ethintekile kungasiza ekunciphiseni ukuvuvukala okuzungeze inzwa. Kodwa-ke, imiphumela yomjovo ngokuvamile iyahamba ngemuva kwezinyanga ezimbalwa, futhi ungathola eziningi kakhulu ngenxa yengozi yemiphumela emibi.

Ukwelashwa ngokomzimba

Ukwelashwa ngokomzimba kungasiza ngamandla nokuguquguquka futhi kuvimbele izinkinga ezizayo. Kungabandakanya ukuzivocavoca okuhlukahlukene, ukunweba, nokulungiswa kokuma.

Ukunakekelwa kwasekhaya

Ukusebenzisa izinto ezinjengamaphakethe ashisayo noma abandayo kungasiza ekunciphiseni ubuhlungu. Ngokwengeziwe, amanye ama-NSAID angaphezu kwamakhompiyutha afana ne-ibuprofen nawo angasiza.

Umuthi ohlukile

Abanye abantu basebenzisa izindlela ezinjenge-acupuncture ne-chiropractic services ukusiza ngezinhlungu zasemhlane. Uma uthatha isinqumo sokuzama lezi zindlela, kufanele uqiniseke ukuthi uvakashela uchwepheshe ofanelekayo.

Okubalulekile

Ukuhlinzwa emuva kwe-Laser uhlobo lokuhlinzwa emuva olusebenzisa i-laser ukususa izicubu ezingacindezela noma zinciphise inzwa. Inqubo ayihlaseli kakhulu kunezinye izindlela zokuhlinzwa emuva, kepha ingadinga ukuhlinzwa okwengeziwe kokulandela.

Kuze kube manje, imininingwane encane kakhonkolo iyatholakala uma ngabe ukuhlinzwa emuva kwe-laser kuzuzisa kakhulu kunezinye izinhlobo zokuhlinzwa emuva. Ngokwengeziwe, ukuqhathaniswa kokusebenza kahle kwezindleko kuqhathaniswa nezinye izindlela kusazokwenziwa.

Uma udinga ukuhlinzwa emuva, kufanele uxoxe nodokotela wakho ngazo zonke izindlela ongakhetha kuzo. Ngaleyo ndlela, uzokwazi ukuthola ukwelashwa okungcono kakhulu kuwe.