Abanye oogqirha bahlala banika izigulane zabo ezingaxhamli . Kodwa ngaba soloko kuyimfuneko?
Ngokuqhelekileyo, awuyi kunikwa ngokuzenzekelayo umfutho wesipelomali xa utyunjelwe kwi-disc yakhe. Isizathu kukuba ngoku, ubuncinci, uphando aluxhasi inzuzo kuwe njengesigulane se-discectomy nge-fusion. Ngenxa yeziphumo zokufunda eziphikisanayo, iingcali zibonisa ukuba iindleko ezongeziweyo kunye neentlobo zeengxaki zempilo ezihambelanayo azifanelekanga, ngoko bayeke ukuncomeka kubagqirha abalandela izikhokelo zabo.
Njengoko nantoni na ebomini, kukho ukungafani, kunjalo. Ukuba ufumene unokungazinzi komgudu kunye ne-disc yakho ye-herniated, uphando lubonisa ukuba ukuxuba kunokubaluleka. Kodwa inyaniso kukuba, uninzi lwabantu abaya kutyunjwa kwi-disc ye-herniated abanalo ukungazinzi komgudu. Kuphela malunga ne-5% yezigulane zenzayo, ngo-Resnick, et. ngo-2005 Izikhokelo ezishicilelwe kwi- Journal of Neurosurgery: Isihlwele .
Iziganeko eziqhelekileyo zokungena kwi-spinal fusion kwi-discectomy ziquka ukuba ngumgijimi kunye / okanye umqeshwa onzima onobuhlungu obungapheliyo kunye no-radiculopathy (intlungu yomlenze kunye neempawu zesibindi.)
Ukuba le nto ayiyi kuba yindlela yokuhlinzwa yokuqala ye-disc, ukuxuba kunokunceda apha ngokunjalo. Uphando oluqhathaniswa nokuphinda usebenze (ukuhlinzwa kuqala okokuqala) kunye nangaphandle kokufutha kufumaneka ukuba bobabini babenceda ekunciphiseni ubuhlungu nokuphucula umsebenzi. Kodwa ixesha elilodwa kuphela ukucetyiswa ngokucetyiswayo nge-discectomy xa kuqhutyelwa uvavanyo lwesibini kwindawo efanayo kuba iingxaki ze-diski zakho zibuyele, kunye nokukhubazeka okuhambelanayo, ukungazinzi kunye / okanye ubukho bentlungu engapheliyo .
Ukutshintshwa kweDiski yokuSebenza
Kule nkqubo ye-US yokukhishwa kwediski yokufakelwa kwindlela entsha (ye-2016) efuna ukukhulula intlungu kunye nokubuyisela ukunyakaza phakathi kwe-vertebrae echaphazelekayo ngokutshintsha i -disc intervertebral eyonakalisiweyo nge-prosthesis. Kucingelwa ukuba ukuhluma komgudu, okubangela ukungaqhubeki kwimeko kwenkqubo eyenziweyo, idibaniswa neenguqu ezitshintshwayo ezilandelayo ezenzeka kumacangci omgca ongentla naphantsi.
I-dis replace replacement ingakwazi ukuphepha le nkunkuma.
Nangona uphando luqhubeka luqokelela, kungekhona yonke imibuzo malunga nokutshintsha i-disc ephendulwe. Ngokomzekelo, izazinzulu azikwazi ukuba ngaba zinokukunceda ukuba ugweme ukutshatyalaliswa kwesigaba okanye isifo (ASD). Enyanisweni, ezinye iingcali azikholelwa ukuba i-ASD ibangelwa ngumswakama womgudu. Ngokufanayo, u-spusion fusion uthathwa njengenkqubo "yegolide"; kusekho inkqubo ekhethiweyo kwiintlobo ezininzi zokuhlinzwa komgudu, kwaye ngokuqinisekileyo xa i-disk substitution enye.
Umthombo:
Ukuhlaziya, D., Choudhri, T., Daily, A., Groff, M. Khoo, L., Matz, P., Mummaneni, P., Watters, W., Wang, J., Walters, B., Hadley , M. Izikhokelo zokusebenza kweenkqubo zokwenziwa komfelandazi wesifo esilaphayo se-lumbar spine. Icandelo 8: i-fusion fumb for disc and radiculopathy. J Neurosurg: U-2: 673-678, 2005.
Wang J., Dailey A., Mummaneni P., Ghogawala Z., Resnick D., Watters W., Groff M., Choudhri T., Eck J., uSharan A., uDhall S., uKaiser M. Isikhokelo sokuhlaziya ukuqhutyelwa kweenkqubo zokwenziwa komfelandazi wesifo esiye saguqulekayo. Icandelo 8: i-fusion fumb for disc and radiculopathy. J Neurosurg Spine. Julayi 2014 .. http://www.ncbi.nlm.nih.gov/pubmed/24980585