Inzululwazi yasemaphandleni yinkxalabo yokuhlinzwa ngentsholongwane apho isambatho esincinci phezu kwentambo yomgudu (ebizwa ngokuba ngumzali osisigxina) inyanzeliswa kwisixhobo soogqirha.
Iingxowa zesikhumba esidlangalaleni ayinanto yokuzihlaziya. Ngophando lwabo lwango-2017, abaphandi baseTshayina bathetha ukuba izidumbu zasemaphandleni zincinci zingakhokelela ekutheni ukuvuza kwamanzi, i-meningitis, iingxaki zemisipha kunye neemeko ezingathandekiyo, ngokunjalo.
Luhlobo luni lwe-Spine Surgery Elibangela Ingqungquthela Yentloko?
Impendulo, kuxhomekeke. Abalobi baseTshayina bafumanisa iinkqubo ezahlukeneyo ezinobangela.
Ngokuqhelekileyo, ke, iinyembezi zasemzulwini zihlala zihlala zihlala zihlaziywa ngokuphandabuzwa kwintlambo. Utyando olusisigxina semvula luloluhlu luloluhlu, lulandelwa ngumswakama wokugcoba, kwaye ekugqibeleni ukugqithiswa kwamanqanaba amaninzi (ngenxa yesisu somnxeba).
Utyando lwe-Disc kunye ne-single level decompression surgeries zivame ukuphumela kwinani elincinci lezinyembezi ezisemaphandleni, ngokuthetha.
I-peek kwiirekhodi zesigulane eshicilelwe kwincwadi ka-Matshi 2016 I- Clinical Neurology ne-Neurosurgery yafumanisa ukuba iinyembezi zasemaphandleni zazinikela ngokuphindaphindiweyo kubantu abaye bafumana iziphumo ezingenabungozi ukusuka ekusebenzisweni komgudu apho i- cyst synovial isuswe khona. Kwiimeko ezininzi ezifana nalezi, ngokubhaliweyo bombhali, kunjengokuba iintsizi zentlupheko zazifanekisela iziphumo eziphene zokuhlinzwa.
I- Clinical Neurology kunye ne-Neurosurgery ababhali bathi kwakhona iinyembezi zasemzini zihlala zenzeka rhoqo kwizinga L5 / S1.
Baphinde bathi xa kuphela inxalenye yecsts isuswe, isigulane asikho engozini yokulila.
Ukugwema Iinyembezi Zemimandla - Iingxaki zeDiorge kunye nezinto zakho zobungozi
Nangona ugqirha onezandla zomlingo, kunzima ukuba ungadli isikhwama esine-spinal cord. Umlenze obandakanya intambo yomgudu awunzima njengethambo, isikhumba okanye imisipha, uDkt. Joshua D.
I-Auerbach, oyiNtloko yezoLugqirha lwezoNyango kwi-Bronx-Lebanon Hospital Hospital e-New York City, unditsho. "Kuyinto enobunzima kwaye ilula."
Nangona ugqirha bakho kunye ne-scalpel (okanye esinye isixhobo) sinokuthi yintoni ekugqibeleni idala iintlungu, izimo ezenzeka ngaphambili kunye / okanye ukukhubazeka kunokunyusa umngcipheko. Umzekelo, ukusebenzisa i-steroids, ukuba nesifo sikashukela, okanye ukubhema konke kwandisa ingozi yakho. Kuyafana noko ukuba unenkxwaleko ethile yeengcongolo, oku: i-spondylolisthesis, i- stenosis , i-scoliosis, okanye i- kyphosis .
Izibhedlele Ungathandi Ukubika Iindleko Zomzimba Wentlungu
Iintsizi zengxowankulu enye yeengxaki eziqhelekileyo zokuhlinzwa kwangasemva. Kodwa izibhedlele ezininzi zinokukhawuleza ukubika iinyembezi ezivela kumaziko abo. Ngenxa yale nto kwaye mhlawumbi nezinye izizathu, iziganeko zezinyembezi zasemaphandleni zingaphantsi.
Njengoko kunjalo, amazinga omyinge achazwe kwizifundo zophando ahluka ngokubanzi. Inani lezinto linokuthi lilandele iimeko ezahlukeneyo: isizathu sokuhlinzwa (i-stenosis, i-disnied disc, i-scoliosis, i-synovial cysts njl.), Nokuba ukuhlinzwa kwakuyi-1, yesi-2, yesithathu, njl.
Kwinqanaba elincinane, uvavanyo lukaJanuwari 2011 olupapashwe kwi- Neurosurgery ehlolisisa izigulane ezingaphezu kwezi-108,000 zokugulisa umlenze ezithe zafumana i-1.6% yazo yabona inyembezi.
Kwinqanaba eliphakamileyo, i- Medscape ingxelo yokuba uphando olwenziwe ngo-1989 olwenziwe kwi- Spine lwabalinganisa i-17.4% kwizinga leentlungu zeendawo zasemaphandleni kwisibalo esiphepha abantu abangama-481 abaye bahlinzwa ngokutsha.
Ikomiti ye- ICD -CM Coordination and Maintenance (ikomiti edlala indima ebalulekileyo kwi-cataloging diagnostics) ifumene ukuba i-57% yezibhedlele zihlolisise iziganeko zentlungu. Ikomiti ibonisa ukuba i-46% yezibhedlele ezingama-2,446 zithi akukho ziinyembezi zaseburhulumenteni! Kwakhona ibonisa ukuba izibhedlele zibika ukuphatha iinyembezi zasemaphandleni, kodwa azibizi iintlungu ezisemaphandleni ezenzekayo.
Yiya.
Yaye xa oogqirha benza utyando lwezilwanyana kwiindawo ezininzi zezibhedlele bathatha inxaxheba kwiziphumo zophando lwezonyango (ezigcinwa zihlukileyo kwiingxelo zokuphatha ezenziwe zizibhedlele), iziganeko zentlungu zasekuhlaleni, ngamanye amaxesha, ziphakamileyo ezili-10%.
IKomiti ye-ICD-CM ilinganisela ukuba ezi zibhedlele zibika malunga nesiqingatha sezinyembezi ezisemaphandleni ezenzeka ngokwenene.
Ukunyuka kwamanzi kunye ne-Cerebrospinal Fluid Leaks - Iimpawu kunye noTyango
Njengoko ndikhankanyile ekuqaleni kweli nqaku, iimpawu zentsizi zentlupheko ziquka i-cerebrospinal fluid leakage (ebizwa ngokuba yi-CSF leak). Yintoni ebonakala ngathi? Unokwazi njani ukuba unakho (unakho) unentlungu?
UDkt. Auerbach uthe ukuba unayo imfucumfucu ye-CSF, unokwenza uqaphele umbane ocacileyo okhuphayo kwilonda lakho lokuhlinzwa. Unokuba neentloko ezinxulumene nesimo esiphathekayo xa usukuma kwaye ukhululekile xa ulala. Ezinye iimpawu ziquka ukutshintsha okubonakalayo, isicathulo, ukuhlanza okanye utywala, i-Auerbach ithi.
Ukuba ayiphatanga ngokukhawuleza kwaye ngokufanelekileyo, ukuvuza kwe-cerebrospinal yamanzi kunokuchaphazela impilo yakho. Ngoko iimpawu ezinjengezo zixutywe ngasentla zidinga ukunakekelwa ngonyango ngokukhawuleza.
Zonke ezo zithi, iinyembezi zasemaphandleni zidla ngokubanjwa ngugqirha ngexesha lotyando kwaye uphathwe ngokukhawuleza kwaye kwaye.
Kodwa iimpawu zexesha elide ziyakwenzeka, kwaye kulo mzekelo, kuya kuba kuwe ukuba ubone kwaye uthathe inyathelo. Ukuba ufumana nayiphi na impawu okanye zonke iimpawu ezibhalwe apha ngasentla, qiniseka ukuba uxoxe nabo nodokotela wakho ngokukhawuleza xa unako.
Unyango lweentlungu zeendawo ziquka ukuphumla kombhede, ukucoca, kunye nokuqhubekayo, ukuhlinzwa. Utyando lweentsizi ezisemaphandleni kufana nokuxhoma umhadi kwindawo. Ngomhla ka-Matshi 2012, uphando oluninzi lwentlupheko lusetyenzana luquka i-sutures (i-stitches), kodwa kunye namasu angenanto ayaphuhliswa ngoku.
Umthombo:
> Fang, Z., unyango lwe-cerebrospinal umkhombandlela emva kokuhlinzwa koomlomo. Chin J Traumatol. Epreli 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5392710/
> Guerin P, et. al., i-durotomy ngexesha lotyando lomgudu: Ingozi, ulawulo kunye neengxaki. Ukuphononongwa kwakhona. Ukulimala. NgoJanuwari ngo-2011. [Epub ngaphambi kokuprinta]. http://www.ncbi.nlm.nih.gov/pubmed/21251652
> Klessinger, S. Isiganeko sezinyembezi zasemaphandleni emva kokuthengiswa okupheleleyo kwee-cynovial cysts kunye nokuhambelana nesiphumo. Iklinikhi yaseNeurol Neurosurg. NgoMatshi 2016 uMar http://www.ncbi.nlm.nih.gov/pubmed/26945877
> Shaw, J. Ingozi ye-Durotomy / Dature Tear. IKomiti yeCodination and Maintenance yeKomiti ye-ICD-9. NgoMatshi 19-20, 2008. Ukunikezelwa kwamandla.
> Williams, BJ, kunye. al. Iziganeko ze-durotomy ezingenakulingelwa ekusebenziseni umthambo ngokusekelwe kwiimeko ezingama-108 478. Neurosurgery. Jan 2011. http://www.ncbi.nlm.nih.gov/pubmed/21150757 "