Okudingeka Ukwazi Ngokuhlinzwa Kwentamo

-Delile

• Yiziphi izimo ezingadinga ukuhlinzwa entanyeni?
• Yiziphi izinhlobo ezivame kakhulu zokuhlinzwa kwentamo?
• Ukuhlanganiswa komgogodla wesibeletho
• I-anterior diskectomy yomlomo wesibeletho ne-fusion (ACDF)
• I-corerioromy yangaphakathi yomlomo wesibeletho ne-fusion (ACCF)
• I-Laminectomy
• I-Laminoplasty
• Ukufaka esikhundleni sediski yokufakelwa (ADR)
• I-laminoforaminotomy yomlomo wesibeletho engemuva
• Isikhathi sokutakula sihilela ini kaningi?
• Ziyini izingozi zokuhlinzwa kwentamo?
• Okubalulekile

Ubuhlungu bezintambo yisimo esivamile esingaba nezimbangela eziningi ezahlukene. Yize ukuhlinzwa kuyindlela yokwelashwa yezinhlungu zesikhathi eside zentamo, akuvamile ukuthi kube inketho yokuqala. Eqinisweni, amacala amaningi wezinhlungu zentamo ekugcineni azohamba nohlobo olulungile lwezokwelapha ezilondolozayo.

Ukwelashwa okulondolozayo kungukungenelela okungenziwanga okuhlose ukunciphisa ubuhlungu bentamo nokwenza umsebenzi usebenze. Ezinye izibonelo zalezi zindlela zokwelapha zifaka:

• imishanguzo etafuleni noma kadokotela yokunciphisa izinhlungu nokuvuvukala
• ukuzivocavoca ekhaya nokwelashwa ngokomzimba ukusiza ukuqinisa intamo yakho, ukwandisa ukunyakaza kwakho, nokuqeda izinhlungu
• ukwelashwa kweqhwa nokushisa
• imijovo ye-steroid ukunciphisa ubuhlungu bentamo nokuvuvukala
• ukukhubazeka kwesikhashana, okufana nekhola entanyeni ethambile, ukusiza ukunikeza ukwesekwa nokuqeda ingcindezi

Ukuhlinzwa kwentamo kaningi kuyindlela yokugcina ongayisebenzisa uma ukwelashwa okulondolozayo kungasebenzi ekunciphiseni ubuhlungu obungapheli bentamo.

Qhubeka ufunde njengoba sibhekisisa izimo ezingadinga ukuhlinzwa entanyeni, ezinye izinhlobo ezijwayelekile zokuhlinzwa kwentamo, nokuthi yikuphi ukululama okungabandakanya.

Yiziphi izimo ezingadinga ukuhlinzwa entanyeni?

Akuzona zonke izimbangela zobuhlungu bentamo ezidinga ukuhlinzwa. Kodwa-ke, kunezimo ezithile lapho ukuhlinzwa kungagcina kuyindlela engcono kakhulu, ikakhulukazi uma ukwelashwa okuncane okungahlaseli bekungasebenzi.

Izimo ezingadinga ukuhlinzwa ngokuvamile ziwumphumela wokulimala noma izinguquko eziwohloka ezihlobene nobudala, njenge-osteoarthritis.

Ukulimala kanye nezinguquko ezonakalisayo kungadala ukuthi ama-disnied herniated nama-bone spurs akhe entanyeni yakho. Lokhu kungabeka ingcindezi emithanjeni yakho noma emgogodleni, okuholele ezimpawu ezifana nobuhlungu, ukuba ndikindiki, noma ubuthakathaka.

Ezinye zezimo zentamo ezivame kakhulu ezingadinga ukuhlinzwa zifaka okulandelayo:

• I-nerve pinched (yomlomo wesibeletho i-radiculopathy): Ngalesi simo, ingcindezi eyeqile ibekwa kwesinye sezimpande zemizwa entanyeni yakho.
• Ukucindezelwa kwentambo yomgogodla (i-myelopathy yomlomo wesibeletho): Ngalesi simo, intambo yomgogodla iyacindezelwa noma icasuke. Ezinye izimbangela ezivamile zibandakanya i-osteoarthritis, i-scoliosis, noma ukulimala entanyeni.
• Intamo ephukile (ukuphuka komlomo wesibeletho): Lokhu kwenzeka lapho ithambo elilodwa noma amaningi entanyeni yakho ephukile.

Yiziphi izinhlobo ezivame kakhulu zokuhlinzwa kwentamo?

Kunezinhlobo ezahlukahlukene zokuhlinzwa kwentamo. Uhlobo lokuhlinzwa ongaludinga luxhomeke ezicini eziningana, kufaka phakathi ukuthi yini ebangela isimo sakho, izincomo zikadokotela wakho, kanye nezinto ozithandayo.

Nazi ezinye zezinhlobo ezivame kakhulu zokuhlinzwa kwentamo.

Ukuhlanganiswa komgogodla wesibeletho

Ukuhlanganiswa komgogodla wesibeletho kujoyina ama-vertebrae akho amabili engxenyeni yethambo elilodwa, elizinzile. Isetshenziswa ezimeni lapho indawo yentamo ingazinzile, noma lapho ukunyakaza endaweni ethintekile kubangela ubuhlungu.

Ukuhlanganiswa komgogodla womlomo wesibeletho kungenzelwa ukuphuka komlomo wesibeletho okunzima kakhulu. Kunganconywa futhi njengengxenye yokwelashwa okuhlinzekwayo kwe-nerve pinch noma umgogodla ocindezelweyo.

Ngokuya ngesimo sakho esithile, udokotela wakho ohlinzayo angenza imbobo ngaphambili noma emuva entanyeni yakho. Ngemuva kwalokho kufakwa ithambo endaweni ethintekile. Ukufakwa kwamathambo kungavela kuwe noma kumnikeli. Uma ukufakelwa kwethambo kuvela kuwe, kuvamise ukuthathwa ethanjeni lakho le-hip.

Izikulufo zensimbi noma amapuleti nazo ziyangezwa ukubamba ama-vertebrae amabili ndawonye. Ekugcineni, la ma-vertebrae azokhula ndawonye, ​​anikeze ukuzinza. Ungaqaphela ukwehla kokuguquguquka noma ububanzi bokunyakaza ngenxa yokuhlangana.

I-anterior diskectomy yomlomo wesibeletho ne-fusion (ACDF)

I-Anterior diskectomy ne-fusion, noma i-ACDF ngamafuphi, wuhlobo lokuhlinzwa olwenzelwe ukwelapha ukucindezelwa kwemizwa noma ukucindezelwa kwentambo yomgogodla.

Udokotela ohlinzayo uzokwenza imbobo yokuhlinzwa ngaphambili kwentamo yakho. Ngemuva kokwenza imbobo, idiski ebangela ingcindezi nanoma yimaphi amathambo azungezile azosuswa. Ukwenza lokhu kungasiza ekunciphiseni ukucindezela kwethambo noma umgogodla.

Ukuhlanganiswa komgogodla bese kwenziwa ukuze kuzinze indawo.

I-corerioromy yangaphakathi yomlomo wesibeletho ne-fusion (ACCF)

Le nqubo ifana ne-ACDF futhi yenziwa ukwelapha ukucinana komgogodla. Kungaba inketho enhle kakhulu yokuhlinza uma unamathambo angakwazi ukususwa ngokuhlinzwa njenge-ACDF.

Njengaku-ACDF, udokotela ohlinzayo wenza imbobo ngaphambili kwentamo yakho. Kodwa-ke, esikhundleni sokukhipha idiski, konke noma ingxenye yendawo engaphambili ye-vertebra (umzimba we-vertebral) kanye nanoma yimaphi amathambo azungezile ayasuswa.

Isikhala esisele bese sigcwaliswa kusetshenziswa ucezu oluncane lwethambo nokuhlangana komgogodla. Ngoba le nqubo ibandakanyeka kakhulu, ingahle ibe nesikhathi sokutakula isikhathi eside kune-ACDF.

I-Laminectomy

Inhloso ye-laminectomy ukunciphisa ingcindezi entanjeni yakho yomgogodla noma emithanjeni. Kule nqubo, udokotela ohlinzayo wenza imbobo ngemuva kwentamo yakho.

Lapho sekwenziwe imbobo, kususwa ibony, indawo enamakhaza ngemuva kwe-vertebra (eyaziwa njenge-lamina). Noma yimaphi amadiski, ama-bone spurs, noma imisipha ebangela ukucindezelwa nawo ayasuswa.

Ngokususa ingxenye engemuva ye-vertebra ethintekile, i-laminectomy ivumela isikhala esithe xaxa somgogodla. Kodwa-ke, inqubo ingenza futhi ukuthi umgogodla ungazinzile kakhulu. Abantu abaningi abane-laminectomy nabo bazoba nokuhlangana komgogodla.

I-Laminoplasty

I-laminoplasty ingenye ye-laminectomy yokunciphisa ingcindezi entanjeni yomgogodla nezinzwa ezihambisanayo. Kubandakanya nokusikeka ngemuva kwentamo yakho.

Esikhundleni sokususa i-lamina, udokotela ohlinzayo udala i-hinge efana nomnyango esikhundleni. Bangabe sebesebenzisa le hinge ukuvula i-lamina, banciphise ukuminyaniswa kwentambo yomgogodla. Ukufakwa kwensimbi kufakwa ukusiza ukugcina le hinge isendaweni.

Inzuzo ye-laminoplasty ukuthi igcina uhla oluthile lokuhamba futhi ivumela nodokotela ohlinzayo ukubhekana nezindawo eziningi zokucindezelwa.

Kodwa-ke, uma ubuhlungu bentamo yakho buhlobene nokunyakaza, i-laminoplasty ingahle inganconywa.

Ukufaka esikhundleni sediski yokufakelwa (ADR)

Lolu hlobo lokuhlinzwa lungelapha umucu ophinyiwe entanyeni yakho. Udokotela ohlinzayo uzokwenza imbobo ngaphambili kwentamo yakho.

Ngesikhathi se-ADR, udokotela ohlinzayo uzosusa idiski efaka ingcindezi emthanjeni. Bazobe sebefaka okufakelwayo esikhaleni lapho i-disk yayikhona ngaphambili. Ukufakwa kungaba yinsimbi noma inhlanganisela yensimbi noplastiki.

Ngokungafani ne-ACDF, ukuhlinzwa nge-ADR kukuvumela ukuthi ugcine okunye ukuguquguquka nobubanzi bokuhamba kwentamo yakho. Noma kunjalo, ADR uma une:

• ukungazinzi okukhona komgogodla
• ukungezwani komzimba nezinto ezifakiwe
• isifo samathambo esibi
• ukukhumuzeka kwamathambo
• i-ankylosing spondylosis
• isifo samathambo
• umdlavuza

I-laminoforaminotomy yomlomo wesibeletho engemuva

Lolu hlobo lokuhlinzwa lungenye indlela yokwelapha i-nerve pinch. Ukuqanjwa kwenziwa ngemuva kwentamo.

Ngemuva kokusikwa, udokotela ohlinzayo usebenzisa ithuluzi elikhethekile lokususa ingxenye yelamina lakho. Uma lokhu sekwenziwe, basusa noma yiliphi ithambo noma izicubu ezingeziwe ezicindezela inzwa ethintekile.

Ngokungafani nokunye ukuhlinzwa kwentamo njenge-ACDF ne-ACCF, i-laminoforaminotomy yomlomo wesibeletho engemuva ayidingi ukuhlanganiswa komgogodla. Lokhu kukuvumela ukuthi ugcine ukuguquguquka okwengeziwe entanyeni yakho.

Lokhu kuhlinzwa kungenziwa futhi kusetshenziswa izindlela ezingezinhle zokuhlasela.

Isikhathi sokutakula sihilela ini kaningi?

Ngokuvamile, ungalindela ukuchitha usuku noma ezimbili esibhedlela ngemuva kokuhlinzwa kwakho. Ngokuqondile ukuthi uzodinga ukuhlala isikhathi esingakanani esibhedlela kuzoya ngohlobo lokuhlinzwa obukade unalo.

Imvamisa, ukuhlinzwa kwentamo kudinga ubusuku kuphela, kuyilapho ukuhlinzwa okuphansi emuva kudinga ukuhlala isikhathi eside.

Kuyinto evamile ukuzwa ubuhlungu noma ukungakhululeki ngenkathi ululama. Udokotela wakho cishe uzokunika imithi yokusiza ekudambiseni ubuhlungu bakho.

Iningi labantu lingakwazi ukuhamba lidle usuku ngemuva kokuhlinzwa kwabo.

Eminye imisebenzi elula noma izivivinyo zinganconywa ngokulandela ukuhlinzwa kwakho. Kodwa-ke, ungahle ungavunyelwa ukusebenza, ukushayela, noma ukuphakamisa izinto uma usubuyile ekhaya kusuka ekuhlinzweni kwakho. Udokotela wakho uzokutshela ukuthi ungaqala nini imisebenzi yakho ejwayelekile yansuku zonke

Ungadinga ukugqoka ukhololo wesibeletho ukusiza ukuzinzisa nokuvikela intamo yakho. Udokotela wakho uzokunikeza imiyalo ethile yokuthi kufanele uyigqoke kanjani futhi nini.

Emasontweni ambalwa ngemuva kokuhlinzwa kwakho, uzoqala ukwelashwa ngokomzimba. Lokhu kubaluleke kakhulu ukusiza ukubuyisela amandla nobubanzi bokunyakaza entanyeni yakho.

Udokotela osebenza ngokomzimba uzosebenza eduze nawe ngalesi sikhathi. Bazokuncoma nokuzivocavoca umzimba okufanele ukwenze ekhaya phakathi kokuqokwa kokwelashwa ngokomzimba.

Ngokuya ngokuhlinzwa, isikhathi sakho sokutakula esiphelele singahluka. Isibonelo, kungathatha phakathi kwezinyanga eziyisithupha kuya kwezingu-12 ukuthi i-fusion yomgogodla iqine.

Ukunamathela eduze nohlelo lwakho lokutakula kungasiza kakhulu empumelelweni ngemuva kokuhlinzwa kwakho kwentamo.

Ziyini izingozi zokuhlinzwa kwentamo?

Njenganoma iyiphi inqubo, kunezingozi ezihambisana nokuhlinzwa kwentamo. Udokotela wakho uzoxoxa nawe ngezingozi ezingaba khona zenqubo ngaphambi kokuhlinzwa. Ezinye izingozi ezihlobene nokuhlinzwa kwentamo zingabandakanya:

• ukopha noma i-hematoma endaweni yokuhlinzwa
• ukutheleleka kwendawo yokuhlinzwa
• ukulimala emithanjeni noma emgogodleni
• ukuvuza kwe-cerebral spinal fluid (CSF)
• I-C5 palsy, edala ukukhubazeka ezandleni
• ukonakala kwezindawo eziseduze nendawo okuhlinzwa kuyo
• ubuhlungu obungapheli noma ukuqina okulandela ukuhlinzwa
• ukuhlangana komgogodla okungahlanganisi ngokuphelele
• ngezikulufo noma amapuleti axegayo noma akhishwe ngokuhamba kwesikhathi

Ukwengeza, inqubo kungenzeka ingasebenzi ukudambisa ubuhlungu bakho noma ezinye izimpawu, noma kungadingeka ukuthi ube nokuhlinzwa okwengeziwe kwentamo ngokuzayo.

Kukhona nezingozi ezithile ezihambisana nokuthi ngabe ukuhlinzwa kwenziwa ngaphambili kwentamo yakho (ngaphambili) noma ngemuva kwentamo yakho (ngemuva). Ezinye izingozi ezaziwayo zifaka:

• Ukuhlinzwa kwangaphambili: ukudina, ukukhathazeka ukuphefumula noma ukugwinya, nokulimala komphimbo noma imithambo yegazi
• Ukuhlinzwa kwangemuva: ukulimala kwemithambo nokwelula izinzwa

Okubalulekile

Ukuhlinzwa kwentamo akuyona inketho yokuqala yokwelapha ubuhlungu bentamo. Ngokuvamile kunconywa kuphela lapho ukwelashwa okuncane okungahlaseli kungasebenzi.

Kunezinhlobo ezithile zezimo zentamo ezivame ukuhlotshaniswa nokuhlinzwa kwentamo. Lokhu kufaka phakathi izingqinamba ezinjengezinzwa ezicijile, ukucindezelwa kwentambo yomgogodla, nokuqhekeka kwentamo okunzima.

Kunezinhlobo ezahlukahlukene zokuhlinzwa kwentamo, ngayinye inenhloso ethile. Uma kunconywa ukuhlinzwa ekwelapheni isimo sentamo yakho, qiniseka ukuthi uxoxa ngakho konke ongakhetha kukho nodokotela wakho.