Ukuhlinzwa Kwe-Spinal Fusion

-Delile

• Ukusetshenziswa kokuhlanganiswa komgogodla
• Ukulungiselela ukuhlangana komgogodla
• Kwenziwa kanjani ukuhlanganiswa komgogodla?
• Ukubuyiselwa ekuhlanganisweni komgogodla
• Izinkinga zokuhlanganiswa komgogodla
• Umbono we-fusion yomgogodla

Kuyini ukuhlangana komgogodla?

Ukuhlanganiswa komgogodla kuyindlela yokuhlinza lapho ama-vertebrae amabili noma ngaphezulu ahlanganiswa unomphela abe yithambo elilodwa eliqinile ngaphandle kwesikhala phakathi kwawo. IVertebrae ngamathambo amancane, axhumene nomgogodla.

Ekuhlanganisweni komgogodla, ithambo elengeziwe lisetshenziselwa ukugcwalisa isikhala esivame ukuba khona phakathi kwama-vertebrae amabili ahlukene. Lapho ithambo liphola, asisekho isikhala phakathi kwabo.

Ukuhlanganiswa komgogodla kwaziwa nangokuthi:

• arthrodesis
• ukuhlangana kwangaphambili komgogodla
• ukuhlangana komgogodla ngemuva
• ukuhlanganiswa kwe-vertebral interbody

Ukusetshenziswa kokuhlanganiswa komgogodla

Ukuhlanganiswa komgogodla kwenziwa ukwelapha noma ukukhulula izimpawu zezinkinga eziningi zomgogodla. Inqubo isusa ukuhamba phakathi kwama-vertebrae amabili aphethwe. Lokhu kunganciphisa ukuguquguquka, kepha kuyasiza ekwelapheni ukuphazamiseka komgogodla okwenza ukunyakaza kube buhlungu. Lezi zinkinga zifaka:

• izimila
• stenosis yomgogodla
• amadiski e-herniated
• isifo se-disc esiwohlokayo
• i-vertebrae ephukile okungenza ukuthi ikholomu yakho yomgogodla ingazinzi
• i-scoliosis (ukugoba komgogodla)
• i-kyphosis (ukujikeleza okungavamile komgogodla ongaphezulu)
• ubuthakathaka bomgogodla noma ukungazinzi ngenxa yesifo samathambo esinzima, izicubu, noma izifo
• i-spondylolisthesis (isimo lapho i-vertebra eyodwa ishelela ku-vertebra engezansi kwayo, ibangela ubuhlungu obukhulu)

Inqubo yokuhlanganiswa komgogodla ingafaka futhi i-discectomy. Uma kwenziwa yedwa, i-discectomy ihilela ukukhipha i-disc ngenxa yokulimala noma isifo. Lapho i-disc isuswa, kufakwa amathambo endaweni yediski engenalutho ukugcina ukuphakama okulungile phakathi kwamathambo. Udokotela wakho usebenzisa ama-vertebrae womabili ngapha nangapha kwe-disc esusiwe ukwenza ibhuloho (noma i-fusion) kuwo wonke ama-bone graft ukukhuthaza ukuzinza kwesikhathi eside.

Lapho ukuhlanganiswa komgogodla kwenziwa emgogodleni wesibeletho kanye ne-discectomy, kubizwa ngokuthi yi-cervical fusion. Esikhundleni sokususa i-vertebra, udokotela ohlinzayo ususa ama-disc noma amathambo emgogodleni wesibeletho, osentanyeni. Kukhona ama-vertebrae ayisikhombisa ahlukaniswe ngama-disc intervertebral emgogodleni wesibeletho.

Ukulungiselela ukuhlangana komgogodla

Imvamisa, ukulungiswa kokuhlanganiswa komgogodla kufana nezinye izinqubo zokuhlinzwa. Kudinga ukuhlolwa kwelebhu ngaphambi kokuhlinzwa.

Ngaphambi kokuhlanganiswa komgogodla, kufanele utshele udokotela wakho nganoma yikuphi okulandelayo:

• ukubhema ugwayi, okunganciphisa amandla akho okuphulukisa ekuhlanganisweni komgogodla
• ukusetshenziswa kotshwala
• noma yikuphi ukugula onakho, kufaka phakathi imikhuhlane, umkhuhlane noma i-herpes
• noma imuphi umuthi owunikwayo noma owuthengisayo owuthathayo, kufaka phakathi amakhambi nezithako

Uzofuna ukuxoxa ngokuthi imithi oyiphuzayo kufanele isetshenziswe kanjani ngaphambi nangemva kwenqubo. Udokotela wakho angakunikeza imiyalelo ekhethekile uma uthatha imishanguzo engathinta ukujiya kwegazi. Lokhu kufaka phakathi ama-anticoagulants (ama-thinner egazi), njenge-warfarin, kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID), kufaka phakathi i-aspirin ne-ibuprofen.

Uzonikezwa i-anesthesia ejwayelekile, ngakho-ke uzodinga ukuzila ukudla okungenani amahora ayisishiyagalombili ngaphambi kwenqubo yakho. Ngosuku lokuhlinzwa, sebenzisa isiphuzo samanzi kuphela ukuthatha noma imiphi imithi udokotela wakho ayincomayo.

Kwenziwa kanjani ukuhlanganiswa komgogodla?

Ukuhlanganiswa komgogodla kwenziwa emnyangweni wokuhlinzwa esibhedlela. Kwenziwe ngokusebenzisa i-anesthesia ejwayelekile, ngakho-ke ngeke uqaphele noma uzwe ubuhlungu ngesikhathi senqubo.

Ngesikhathi senqubo, uzobe ulele phansi futhi unesigaxa somfutho wegazi engalweni nasenhliziyweni yakho okuholela esifubeni sakho. Lokhu kuvumela udokotela wakho ohlinzayo nomhlinzeki wokubulala izinzwa ukuthi aqaphe ukushaya kwenhliziyo nomfutho wegazi ngesikhathi sokuhlinzwa. Yonke inqubo ingathatha amahora ambalwa.

Udokotela wakho ohlinzayo uzolungisa ukufakelwa kwethambo okuzosetshenziselwa ukuxubanisa ama-vertebrae amabili. Uma kusetshenziswa ithambo lakho, udokotela wakho ohlinzayo uzosika ngaphezu kwethambo le-pelvic bese esusa ingxenye yalo encane. Ukuxhunyaniswa kwamathambo futhi kungaba ithambo lokwenziwa noma i-allograft, okuyithambo elivela ebhange lamathambo.

Ngokuya ngokuthi ithambo lizohlangana kuphi, udokotela wakho ohlinzayo uzokwenza imbobo yokubekwa kwethambo.

Uma une-fusion yomlomo wesibeletho, udokotela wakho ohlinzayo uvame ukwenza imbobo encane emgodini ovundlile ngaphambili kwentamo yakho ukuveza umgogodla wesibeletho. Ukufakwa kwamathambo kuzobekwa phakathi kwama-vertebrae athintekile ukuze awajoyine. Kwesinye isikhathi, okokuxhunyelelwa kufakwa phakathi kwama-vertebrae emakhejini akhethekile. Amanye amasu abeka ukuxhumeka engxenyeni engemuva yomgogodla.

Lapho ukubumbana kwamathambo sekukhona, udokotela wakho ohlinzayo angasebenzisa amapuleti, izikulufo, nezinduku ukugcina umgogodla unganyakazi. Lokhu kubizwa ngokulungiswa kwangaphakathi. Ukusimama okungeziwe okuhlinzekwa amapuleti, izikulufo, nezinduku kusiza umgogodla ukuba welaphe ngokushesha futhi ngezinga eliphakeme lempumelelo.

Ukubuyiselwa ekuhlanganisweni komgogodla

Ngemuva kokuhlangana kwakho komgogodla, kuzodingeka uhlale esibhedlela isikhathi sokululama nokubuka. Lokhu ngokuvamile kuthatha izinsuku ezintathu kuya kwezine. Ekuqaleni, udokotela wakho uzofuna ukukuqaphela uma usabela ku-anesthesia nokuhlinzwa. Usuku lwakho lokukhishwa luzoya ngesimo sakho somzimba, imikhuba kadokotela wakho, kanye nokuphendula kwakho kule nqubo.

Ngenkathi usesibhedlela, uzothola imithi yezinhlungu. Uzothola nemiyalo mayelana nezindlela ezintsha ongazidinga ukuhambisa, ngoba ukuguquguquka kwakho kungakhawulelwa. Ungadinga ukuthi ufunde izindlela ezintsha zokuhamba, ukuhlala nokuma uphephile. Futhi ngeke ukwazi ukuqala kabusha ukudla okujwayelekile kokudla okuqinile izinsuku ezimbalwa.

Ngemuva kokuphuma esibhedlela kungadingeka ukuthi ugqoke izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane ukuze umgogodla wakho uqondane kahle. Ungahle ungakwazi ukuqala kabusha imisebenzi yakho ejwayelekile kuze kube yilapho umzimba wakho uhlanganise ithambo endaweni yalo. Ukuxuba kungathatha amasonto ayisithupha noma ngaphezulu. Udokotela wakho angancoma ukuvuselelwa ngokomzimba ukukusiza uqinise umhlane wakho futhi ufunde izindlela zokuhamba ngokuphepha.

Ukululama ngokugcwele ekuhlanganisweni komgogodla kuzothatha izinyanga ezintathu kuya kweziyisithupha. Iminyaka yakho, impilo yonke, nesimo somzimba kuthinta ukuthi uzolulama ngokushesha kangakanani futhi ukwazi ukubuyela emisebenzini yakho ejwayelekile.

Izinkinga zokuhlanganiswa komgogodla

Ukuhlanganiswa komgogodla, njenganoma yikuphi ukuhlinzwa, kubeka engcupheni yezinkinga ezithile, njenge:

• ukutheleleka
• amahlule egazi
• ukopha nokopha
• izinkinga zokuphefumula
• isifo senhliziyo noma isifo sohlangothi ngesikhathi sokuhlinzwa
• ukwelashwa okunganele kwenxeba
• ukusabela emithini noma ku-anesthesia

Ukuhlanganiswa komgogodla nakho kunengozi yezinkinga ezilandelayo ezingavamile:

• ukutheleleka kuma-vertebrae noma isilonda eselaphekiwe
• ukulimala komgogodla, okungadala ubuthakathaka, ubuhlungu, nezinkinga zamathumbu noma zesinye
• ukucindezeleka okwengeziwe emathanjeni aseduze kwama-vertebrae ahlanganisiwe
• ubuhlungu obungapheli esizeni sokuxhunyelelwa kwamathambo
• amahlule egazi emilenzeni angasongela impilo uma eya emaphashini

Izinkinga ezibucayi kakhulu amahlule egazi nokutheleleka, okungenzeka ukuthi kwenzeke emasontweni okuqala alandelayo ngemuva kokuhlinzwa.

I-Hardware izodinga ukususwa uma ikhiqiza ubuhlungu noma ukungaphatheki kahle.

Xhumana nodokotela wakho noma ufune usizo oluphuthumayo uma uhlangabezana nanoma yiziphi zalezi zimpawu zegazi:

• inkonyane, iqakala, noma unyawo oluvuvukale kungazelelwe
• ububomvu noma isisa ngenhla noma ngaphansi kwedolo
• ubuhlungu benkonyane
• ubuhlungu be-groin
• ukuphelelwa umoya

Xhumana nodokotela wakho noma ufune usizo oluphuthumayo uma uhlangabezana nalezi zimpawu ezilandelayo zokutheleleka:

• ukuvuvukala noma ukubomvu emaphethelweni enxeba
• amanzi egazi, ubomvu, noma olunye uketshezi oluvela enxebeni
• umkhuhlane noma amakhaza noma izinga lokushisa eliphakeme ngaphezu kwama-degree ayi-100
• eqhaqhazela

Umbono we-fusion yomgogodla

Ukuhlanganiswa komgogodla ngokuvamile kuyindlela yokwelashwa ephumelelayo yezimo ezithile zomgogodla. Inqubo yokwelashwa ingathatha izinyanga ezimbalwa. Izimpawu nezinga lakho lokunethezeka lizothuthuka kancane kancane njengoba uthola amandla nokuzethemba ekunyakazeni kwakho. Futhi ngenkathi inqubo ingahle ingabuthululi bonke ubuhlungu bakho obungapheli obuya emuva, kufanele ube nokuncipha okujwayelekile ebuhlungu.

Kodwa-ke, njengoba inqubo iguqula indlela umgogodla osebenza ngayo ngokwenza ingxenye yayo eyodwa ingasebenzi, izindawo ezingenhla nezingezansi kokuhlangana zisengozini enkulu yokuguga nokudabuka. Zingaba buhlungu uma ziwohloka futhi ungathola ezinye izinkinga.

Ukukhuluphala ngokweqile, ukungasebenzi, noma isimo somzimba esingesihle nakho kungakubeka engcupheni yezinkinga eziningi zomgogodla. Ukuphila ngendlela enempilo, unake indlela odla ngayo nokuvivinya umzimba njalo, kuzokusiza ukuthi uthole imiphumela emihle kakhulu.