Kufika kuma-74.6 ekhulwini wee-down-back surgeries ezisezantsi ezisezantsi zihluleka ukukhulula ngokupheleleyo intlungu, ngokubhekiselele kuhlolo-2016 olupapashwe kwi- Journal of Pain Research.
Yikholelwa okanye cha, kukho igama lezokwelapha le-syndrome yokuhlinzwa yangasemva. I-FBSS njengoko idla ngokubizwa ngokufutshane, ibhekisela entlungu eqhubekayo emva kokuhlinzwa kwangasemva. Intlungu ingaba emhlane wakho, emlenzeni wakho, okanye zombini.
I-FBSS inengcaciso engacacanga, kwaye njengoko uza kubona, inokukhawuleza ibe yimeko enzima.
Amanye amagama e-syndrome yokuphulukana ngokugqithiseleyo emva kokuquka: i-Post-lminar syndrome syndrome, i-post-laminectomy syndrome, i-back syndrome ye-back back, kunye ne-post esebenzayo. (I-syndrome iyimqoqo yempawu kunye neempawu).
Yiyiphi i-Back Back Surgery Inokukunika I-Failed Back Syndrome?
Nangona i-back back syndrome ehluleka ukufumana utyando lwasemva, luqhelekileyo lubandakanya i-laminectomy kunye ne-discectomy. I-Laminectomy, eyaziwa nangokuthi i-decompression, yinkqubo apho inxalenye yebony ishicilela emva kwe-vertebra isuswe ukwenzela ukuba iigulane zikwazi ukugqithisa. I-Laminectomy isoloko isetyenziselwa ukulawula iimpawu zesisu somgulane .
Kwi-discectomy, iinqununu zediski ye-herniated zisuswe emthonjeni wakho. Ukususa iinqununu zincinci kunokunceda uxinzelele umgudu wamagulane. Oku kungenxa yokuba iziqhekeza zidla ngokuba "umhlaba" kwiingcambu zesisu zomgulane , zibacaphukisa kwaye zivame ukubangela intlungu kunye nezinye iimpawu.
Esinye isizathu sokuba i-laminectomy kunye ne-discectomy ibe nezinga eliphezulu kakhulu lokungaphumeleli linokubakho nento yokuba le misebenzi yokuhlinzwa ngokugqithisileyo iphakathi kwezona zixhaphake kakhulu kwizigulane.
Yintoni eyenzekayo emva kokuvuthwa kwe-Back Back?
Eyona nto eyenzekayo kubantu ababenokuhlinzwa ngokutsha " Ngelishwa, umfanekiso unokuba lukhulu; oku kungenxa yokuba akukho pheko lokwenene lweFBSS.
Ugqirha wakho unokubonisa ukuba utyando lwesi-2, obizwa ngokuba nguvulindlela wokuhlaziywa , kodwa, ngokuqinisekileyo, oku kuxhomekeke kwizinto ezininzi kuquka nohlobo lotyando olwalunalo ekuqaleni, uhlobo lwentlungu oyifumana emva kwayo nangaphezulu. Kwaye ukuba uhlolo olubuyiselwayo aluyikukhupha iimpawu zakho, ugqirha wakho unokukukhuthaza ukuba uphinde wenze enye inqubo.
Ngendlela, phakathi kweepesenti ezingama-13 kunye neepesenti ezingama-35 zabantu abaye bafumana ukuhlinzwa ngokutsha, bafumana uphenyo lokuhlaziywa, ngokubhekiselele kuhlolo-2016 olukhankanywe ngasentla.
Uphononongo lubonisa ukuba uphando oluphindaphindiweyo alukho nje kuphela lukhokelela kwiindleko zonyango eziphezulu kodwa njengoko inkqubo nganye elandelelanayo yenziwe, iziphumo zesiphumo esonelisayo ziyancipha.
Kukho iindaba ezilungileyo kuzo zonke, nangona kunjalo. Abantu abaninzi abafumana uvavanyo lwe-2 no-3 balandisa ukuba iinkqubo ezilandelayo zisebenza kakuhle-iintlungu zabo kunye nezinye iimpawu ziye zaphela, kwaye imva yabo ivakalelwa njengento entsha.
Kodwa abantu abane-syndrome yokuphulukana nokubuyela emsebenzini abaye bafumana ukuhlinzwa ngokuphindaphindiweyo kunye nokuba akukho phuculo ludla ngokuphindaphindiweyo. Kule meko, imithi yeentlungu kunye neuromodulation- equlethwe ngumqhubi wentambo yomgcini, okanye, ngokuqhelekileyo njengesisombululo sokugqibela, intlungu eyenziwe (imichiza) ipompo-idlalwa rhoqo, kunye nokuzivocavoca, iindlela zokuziphatha kunye nokuziphatha okuqondayo unyango.
Ukufunda indlela yokulawula intlungu imihla ngemihla yikhono eliphambili elaphuhliswayo xa uphuhliso lwenkqubo yobuhlungu .
Ukusetyenziswa kweenkqubo zokuvuselela intambo yokugulisa umlenze wokulawula ubuhlungu kuqhutyelwa kwishishini kwangoku. Ukuqala phakathi kwekhulu lama-20, kusebenza kakhulu njengenxalenye yesicwangciso sobonke bentlungu elandelayo emva kokuhlinzwa. Olu hlobo lwentlungu ngokuqhelekileyo luxubano lweentlungu zentlungu, ngokukodwa, i-radiculopathy, kunye nentlungu esuka kumonakalo we-tissue (ebizwa ngokuba yinto engacacisiyo).
Ngoku ukuba uyazi malunga nokuhluleka kwe-back back syndrome, unokuzibuza ukuba kwenzekani "phantsi kwebhodi" ukuze uthethe; ngamanye amazwi, kutheni uva intlungu emva kokuhlinzwa?
Ngaba akufanele ukuba utyando lukhulule intlungu?
Iingxaki ze-Syndrome eziPheleleyo ezingaphaya
Ngokuqhelekileyo, ukuphulukana nokubuyiselwa kwintlungu yokubuyela emva kunokuqondwa njengokuba kwenzeka kwisinye sezigaba ezintathu: Isigaba socwangciso, isigaba sokusebenza, kunye nesigaba sokupasa.
IsiGaba soCwangciso
Isigaba sokucwangcisa siquka izinto ezinjengokuthi: Ngaba ungumgqatswa omhle wokuhlinzwa?
Ukuba umgudu wakho awuzinzile ngisho nangaphambi kokuba utyando lube yinto ekhethekileyo (okt ngexesha elenza ujikelezo lokuthetha neengcali, oogqirha kunye namanye amalungu enkampu yonyango ngenzame yokufumanisa ukuba kwenzekani,) ukuhlinzwa kwangasemva mhlawumbi kungekhona kuwe.
Ukuba intlungu yakho ayibangelwa yizinto ezinjenge-disni herniated, kwakhona, ungeke ube ngumviwa ofanelekileyo wokuhlinzwa. Iimeko zeMpilo eziwela kuloluhlu ziquka iingxaki zesifo sikashukela ezifana nesifo sikashukela, kunye neengxube (isitya segazi), iintsholongwane kunye nezicubu.
Intlungu engaphambili yeso sizathu unokuthi ungavunyelwe ukuhlinzwa kwangasemva, nangona ubuhlungu bakho buhlungu.
Kwaye ekugqibeleni, ukuba, kunye nomlenze wakho okanye intlungu yangemva, unokuxinezeleka, uxinzelelo okanye ezinye iingxaki zengqondo, unokuba ngumngcipheko ophezulu wokuba utyando lwe-back back failure. (Into ekufuneka uyiqwalasele ngaphambi kokuba uzimisele ukuqhubela phambili nenkqubo).
Ngethuba loPhulo lweMva
Isigaba sesi-2 se-FBSS esibangeleyo-esenzeka xa uhlala kwitafile yokusebenza-kuquka izinto ezifana nephutha logqirha kunye nohlobo lotyando olunalo (ngokukodwa njengoko luhlobene nohlobo okanye ubunzima beempawu zeFBSS ezenzeka kamva).
Ziziphi iintlobo zeepazamo ezinokuthi zenziwe ngugqirha xa uphantsi "? Unokusebenza kumgangatho ongalunganga, okanye kwicala elingalunganga lomzimba wakho. Okanye unako okanye ngaphantsi komsebenzi, oko kuthetha ukuba uyasusa kakhulu okanye kakhulu encinane kwisakhiwo somgogodla.
Ukuba uphezulu ukusebenza, ngamanye amaxesha kuthathwa njengobundlobongela, kwaye kunokukhokelela ekuzinzileni komgudu okwakungekho phambi kokuhlinzwa. Ukuba usebenza phantsi, unako ukuhluleka ukususa ezinye okanye zonke izinto eziyimvelaphi yentlungu yakho (ebizwa ngokuba yi "generators generators").
Kwaye ilizwi lesilumkiso. Ukuba ukhe ukhetha inkqubo encinci ye-invasive efana ne-microdiscectomy-mhlawumbi ngenxa yokuba utshelwe ukuba kuya kuba lula kuwe kunomdabu ovulekileyo-iimpawu zakho zeFBSS (ukuba uzifumana) zingenakulula. Nangona abanye bezobugcisa bengavumelani, iingcali ezininzi zengqondo zikholelwa ukuba ukuba inkqubo encinci ye-invasive ingatsho ukuba i-FBSS iya kuba mnene, ngokunjalo. Enyanisweni, i- Journal of Pain Research review ekhankanywe apha ngasentla kweli nqaku ithi akukho zindlela zokuphanda, xa zisetyenzisiweyo, ziya kuqinisekisa ukuba i-FBSS ayenzeki.
Isigaba sesithathu xa kubangelwa i-FBSS kwenzeka xa inkqubo yenziwe. Ebizwa ngokuba yi-post-operative, eli qela lemiba yezempilo lingaba nantoni na isifo, inkunkuma yamanxeba okanye i-hematomas yokuphindaphinda i-disniation, i-spasm ye-muscle, nokunye okuninzi. Nantsi uluhlu olufutshane lwezinto ezinokubangela ubuhlungu emva kokuhlinzwa okwenziwe ngethambo.
- Sulelo. Ucwaningo lwango-2016 oluzama ukucacisa oko kwabenza abantu babuyele kwisibhedlele besifumene nesifo sobungozi.
- I-Pseudoarthrosis, igama eliqhelekileyo elisetyenziselwa ukuphuka kwethambo elingaphilanga. I-pseudoarthrosis emva kokuhlinzwa komgudu ngokuqhelekileyo kuhambelana nenkqubo yokugungqa umthambo kwaye ibonisa ukungaphumeleli kwamathambo ukuze kufakwe indlela efuneka ngayo.
- I-epidural fibrosis ligama lezonyango ezinobumba obunqabileyo obunqabileyo obunokujikeleza ingcambu yomgulane. Kuqheleke kakhulu emva kokuhlinzwa kwangasemva.
- Utshintsho kwi-anatomy yakho kunye / okanye i-biomechanics yomzimba inokukhokelela ekungagxininisini komgudu , ukungasebenzi komzimba we-sacroiliac , i- foraminal stenosis (oko kukuthi, ukunciphisa "imingxuma" ecaleni lomgca ogqitywa ngawo). Ezi zinguqu zengqungquthela zingaphinde zenze uxinzelelo olungakumbi kwiindawo ezithile zamathambo omgulane kunabanye, okukhokelela kwiingxaki ezingaphezulu emva kamva. Enyanisweni, xa oko kwenzeka, unokufumanisa ukuba intlungu kunye neengxaki ezikukhokelela ukuba ufune ukuhlinzwa.
- I-muscle spasm echaphazela izihlunu ze-paraspinal, i-muscle kunye neyezinye.
- Utshintsho kwimizimba yakho ye-myofascia (i-myofascia ibhekisela kwiimpawu ezixhumeneyo ezijikeleze imisipha eyanceda umzimba ukuba igcine ifomu kunye nokuthembeka kwayo) kunokubangela iintlungu ezibhekiselele ezinokuthi zidideke kalula kunye ne-radiculopathy. (I-Radiculopathy ibhekisela kwiintlungu kunye nokuvakalelwa kombane, kunye nokunyaniseka kunye nobuthakathaka obuya kuwela umlenze owodwa xa iingcambu zomgulane zitshitshiswa okanye zinyanzeliswa. Abantu abaninzi bathi le " sciatica ").
Utshintsho lweMichiza luya kwenzeka kufuphi nomgangatho we-vertebral osebenzayo, ngokukodwa kwimisipha ye-paraspinal eya kwi-spasm. - Ibhalansi yakho yangaphambili-yangaphambili ingaphazanyiswa emva kokuhlinzwa kwangasemva, kwaye kwakhona, ukuzinza kwakho nokulungelelaniswa njengoko uhamba malunga nemisebenzi yakho yemihla ngemihla kunokutshintshwa.
Ikusasa leFBSS
Kuze kube kutshanje (2016), ukusetyenziswa kwegama elithi, "ukuhluleka kwe-back-up syndrome" kuchaza ukuba intlungu, iimpawu kunye / okanye iingxaki ezintsha zezonyango okanye eziqhubekayo emva kokuhlinzwa kwemigudu yiyiphutha logqirha. Njengoko ungakubona kusuka ngasentla, ngamaxesha amaxesha kuyinyaniso, kodwa kaninzi kukho ezinye izizathu zeFBSS.
IShishini likhoyo ngoku lifuna ukuvumelanisa malunga nencazelo entsha ye-FBSS. Oku kubandakanya, phakathi kwezinye izinto, ukukwazi ukuqamba kwakhona imeko kunye nokuza kunye nolwimi olujoliswe ngakumbi kwikamva elizayo (ukuba wenze ntoni ngokulandelayo) kunye nogqirha ongaphantsi.
> Umthombo:
> Blond S., uMertens P., David R., Roulaud M., uRigoard P. Ukususela kwi "Mechanical" ukuya kwi-"Neuropathic" I-Back Pain Concept kwi-FBSS. Uhlolo olusisiseko olusekelwe kwizinto ezihamba phambili kwiCronification of Pain Part C). Neurochirurgie. Matshi 2015. https://www.ncbi.nlm.nih.gov/pubmed/25596973
> Blond S., David R., Mertens P. Pathophysiological Ukufaniswa kwama-Generator Pain Generators kwi-Syndrome ye-Back Back Surgery Syndrome (Inxalenye B). Neurochirurgie. Matshi 2015. https://www.ncbi.nlm.nih.gov/pubmed/25456443
> IBordoni B., uMalelli F. I-Syndrome yokuPhelelwa kwesifo esiphumelele: Ukubuyiselwa kunye neNew Hypotheses. J Pain Res. Jan 2016. https://www.ncbi.nlm.nih.gov/pubmed/26834497
> Durand G., uGirodon J., Debiais F. Ulawulo lwezoNyango lwe-Syndrome ye-Arrows Yehlulekayo YaseYurophu: Iimvavanyo zoMvavanyo kunye neZonyango zokuPhatha. Neurochirurgie. Matshi 2015 https://www.ncbi.nlm.nih.gov/pubmed/25676909.
> URigoard P., Desai M., Taylor R. Isifo Sokukhulelwa Sokusilela Siphelile: Yintoni egameni? Isiphakamiso sokutshintsha "i-FBSS" yi "POPS" i-Neurochirurgie. Matshi 2015. https://www.ncbi.nlm.nih.gov/pubmed/25665773.