Ulwaphulo lwe-Spine Surgery ukususa i-Disc Herniated
I-discectomy yindlela yokuhlinzwa eyenziweyo ukususa i-disc ye-herniated ukusuka kumgogodla womgogodla . Xa i- disc ishicilelo yenzeka, iqhekeza le-disc eliqhelekileyo lomgcini we-spinal dislodged. Eli qhekeza lingacinezela umgca womgca okanye iimbilini ezijikeleze intambo yomgca. Olu xinzelelo lubangela iimpawu eziphawulekayo kwiiskrini ze-herniated, ezibandakanya iintlungu zokutyhafaza kombane, ukutyhafa kunye nokubetha , kunye nobuthathaka.
Utyando lotyando lwe -disc ye-herniated ukususa isahluko se-spinal disc esenza uxinzelelo kwi-nerve. Le nkqubo ibizwa ngokuba yi-discectomy. Ukuhlinzwa ngokuqhelekileyo kuthiwa yi-discectomy evulekile. I-discectomy evulekile yintsebenzo apho ugqirha esebenzisa inkohlakalo encinane kwaye ubhekise kwi-disc yangempela ye-herniated ukuze akhuphe i-disc kwaye akhuphe uxinzelelo kwi-nerve.
Inkqubo
I-discectomy yenziwa phantsi kwe-anesthesia jikelele. Utyando lithatha malunga neyure, kuxhomekeke kumlinganiselo we-disni we-disc, ubungakanani besigulane kunye nezinye izinto. I-discectomy eyenziwa nesigulana sisekho ubuso obuphantsi, kwaye umva ubheke phezulu.
Ukuze ususe isiqwenga se disc, i-othoreon yakho iya kwenza u-incision phezu kwendawo yangasemva. Isicatshulwa ngokuqhelekileyo singama-centimitha amathathu ubude. Udokotela wakho ugqirha ugqithise ngokugqithiseleyo izihlunu kude nesithambo somgudu wakho.
Ukusebenzisa izixhobo ezikhethekileyo, ugqirha wakho ugqithise inani elincinci lesithambo kunye neligament emva komqolo. Le nxalenye yenkqubo ibizwa ngokuba yi-laminotomy.
Xa le thambo kunye ne-ligament zisuswe, ugqirha wakho uyakubona, kwaye akhusele umlomo wamagulane. Emva kokuba i-disc ishicilelo ifunyenwe, iqhekeza le-disnied herniated lisuswa.
Ngokuxhomekeka kwimeko yokubonakala kunye nemeko ye-disc eseleyo, iincwadi zediski ezingaphezulu zisenokususwa ngethemba lokuphepha esinye isahluko se diski ekuhlaleni kwixesha elizayo. Emva kokuba idiski ihlanjululwe ngaphandle kwimihlaba ejikeleze iimbasa, ukugqitywa kuvaliwe kwaye i-bandage isetyenziswa.
Ukubuyisela
Izigulane zivame ukuvuswa ekusebenziseni ukuphuculwa ngokukhawuleza kwentlungu yabo yomlenze; Nangona kunjalo, akuqhelekanga ukuba le mpawu ithathe iiveki ezimbalwa ukuba ichithe ngokukhawuleza. Ubuhlungu obujikeleze isiqhelo buqhelekileyo, kodwa ngokuqhelekileyo lulawulwa kakuhle ngemilenze yomlomo. Izigulane zivame ukuchitha ubusuku obubodwa esibhedlele kodwa zihlala zikhutshwa ngosuku olulandelayo. I-corset brace brace inokukunceda ngezinye iimpawu zentlungu kodwa ayimfuneko kuzo zonke iimeko.
Imisebenzi enobubele iyakhuthazwa emva kokuhlinzwa, njengokuhlala ngokuthe tye nokuhamba. Izigulane kufuneka ziphephe ukuphakamisa izinto ezinzima, kwaye kufuneka zizame ukugoba okanye ukuguqula umva ngokugqithiseleyo. Izigulane kufuneka ziphephe umsebenzi okhuseleyo okanye uvavanyo kuze kube yilapho ugqirha ugqirha.
Mngcipheko
Ingxaki eqhelekileyo ye-discectomy kukuba kukho ithuba lokuba elinye iqhekeza le-disc liza kubangela kwaye lidale iimpawu ezifanayo kwixesha elizayo. Le yinto ebizwa ngokuba yi-disc ye-disc, kwaye ingozi yenzeke malunga ne-10-15%.
Uninzi lwezigulane lunokufumana uncedo oluninzi, ukuba alukho konke, lweempawu zabo kwi-discectomy. Nangona kunjalo, impumelelo yale nkqubo i malunga ne-85-90%, oku kuthetha ukuba i-10% yezigulane ezithatha i-discectomy ziya kuba neempawu eziqhubekayo. Izigulane ezineempawu zexesha elide ngaphambi kokuhlinzwa, okanye ukulahleka kweengxaki ze-neurologic (njengobuthakathaka obuthathaka) zisengozini enkulu yokuphulukana okungapheliyo.
Ezinye iingozi zokuhlinzwa ziquka ukuvuza kwamanzi omzimba, ukuphaphaza, kunye nosulelo. Zonke ezi ziqhele ukunyangwa kodwa zingadinga ukuhlala esibhedlele okanye ixesha elongezelelweyo.
Eminye iCandelo loPhando olwenziwe ngeNcinci
Amasu amatsha angavumela ugqirha wakho ukuba enze inkqubo ebizwa ngokuba yi-microdiscectomy kunye ne-endoscopic discectomy.
I-microdiscectomy yintlupheko yokuxilwa kwe-disc engasisidlangalaleni esisebenzisa izixhobo ezizodwa kunye neziganeko ezincinci. I-endoscopic discectomy wakho ugqirha usebenzisa izixhobo ezikhethekileyo kunye nekhamera ukuze asuse i-disc ye-herniated ngokusebenzisa izinto ezincinane kakhulu.
I-endoscopic microdiscectomy yinkqubo efezekisa injongo efana ne-discectomy evulekile yendabuko, ukususa i-disnictomy evulekile, kodwa isebenzise isicatshulwa esincinci. Endaweni yokujonga ngokwenene i-disni disk and removing it, udokotela wakho ugqirha usebenzisa ikhamera encinane ukufumana isahluko kunye nezixhobo ezikhethekileyo ukususa. Inkqubo ayinakufuna i- anesthesia jikelele kwaye yenziwe ngento encinci kunye ne-dissection encinane. Udokotela wakho ogqirha usebenzisa i-x-ray kunye nekhamera ukuba 'ibone' apho i-disc yokuhluma, kunye nezixhobo ezikhethekileyo ukususa isiqwenga.
I-microdiscectomy kunye ne-endoscopic microdiscectomy zifanelekile kwezinye iimeko ezithile, kodwa kungekhona kuzo zonke. Ezinye izigulane zibhetele bhetele nge-discectomy yemveli evulekile. Ngoxa i-idea yokuphucula ngokukhawuleza iyancomeka, kubaluleke kakhulu ukuba utyando lwenziwa ngokufanelekileyo. Ngoko ke, ukuba i-discectomy evulekile ifanelekileyo nakwiimeko zakho, ngoko ke kufuneka ulandelelaniswe iinkqubo ezincinci ezingafunekiyo. Xoxa nogqirha wakho ukuba utyando oluncinci lungasilungele.
Imithombo:
I-Mathews HH kunye ne-Long BH "Iinkqubo ezincinci zokuHlaba kwe-Intervertebral Disk Herniation" J Am Acad Orthop Surg Matshi / Aprili 2002; 10: 80-85.