Ukuqhaqhazela kwezilwanyana emva kokuFusion okanye olunye uphando olusemva
I-ADD yezinga eliphantsi okanye i-ASD yimeko edlalwa emva kokuba u- fusion fusion okanye olunye utyando lwangaphambili lwenziwa. I-ASD ithintela ukudibanisa (s) okubhaliweyo ngasentla nangaphantsi kwendawo ekubhekiswe kuyo. I-ASD iyakwenzeka naphi na emlanjeni.
Nantsi inkcazo yekliniki ye-ASD: Uxilongo lwe-intrinsic for the spine olubonakalayo kwi-x ray, CT scan okanye i- MRI njengenguqu kwicandelo lokunyuka (oko kukuthi amazinga okutshatyalaliswa, okanye amanxeba ajikelezayo) ngasentla naphantsi kwendawo yokuhlinzwa.
Akukho mntu uyazi ngokuqinisekileyo ukuba ukuhluma komgudu kunomdla okwenene kubangele ukuguqulwa kwamacandelo. Ngokuqinisekileyo, kukho ezinye izinto ezisebenzayo ekuphuhlisweni nasekuqhubekeni kwalo mqathango, ngokukodwa ukukhula kweminyaka. Ngokomzekelo, uphando olwenziwa ngo-1999 olwenziwa ngu-Etebar olupapashwe kwi- Journal of Neurosurgery lubhekise kwizigulane ezingama-125 ze-fusion apho kukho i-hardware eqinile eyayisungulwe ukulungisa ukungazinzi kwe-stenerative. Olu pho nonongo lufumene ukuba abafazi be-menopausal babenomngcipheko omkhulu kwi-ASD.
Yintoni eyenza ama-Joints aguquke xa unayo i-ASD?
Emva kokuhlinzwa kwe-fusion, mhlawumbi uya kulahlekelwa ukukwazi ukuhambisa umlenze wakho kwindawo apho inkqubo yenziwe khona. Oku kuthetha ukuba akusayi kusakwazi ukugoba phambili, ukuguqula, ukuguqula okanye ukutshintsha umlenze wakho kumgangatho othile okanye kumanqanaba athatyathwe kutyando.
Kodwa eso sinyathelo kufuneka sivela kwindawo ethile ukuze senze izinto ozenzayo ngamakhulu amaxesha emini - izinto ezifana nokuhlala, ukuma, ukuhamba, ukufikelela, ukuphakamisa nokunye.
Ngokuqhelekileyo, ivela kumalungu alandelayo okanye kufuphi nendawo yokuhlinzwa.
Uyakwazi ukuqonda i-ASD njengesiphumo sokubambisa okongezelelweyo kunye neengcambu kwiindawo zokuphambana kunye nezantsi kwendawo yakho yokuhlinzwa. Ezi zihlanganiso kufuneka zenze umsebenzi ophindwe kabini ukwenzela ukuba (okwangoku) isabelo esingashenxiswanga somlenze wakho. Ngaloo ndlela baxhomekeke kuxinzelelo olongezelelweyo, kwaye oku kungakhokelela ekutshintsheni okutshintshayo.
Ngaba i-ASD ibangela intlungu?
Nangona iinguqu ezinomhlaza ezinxulumene ne-ASD ziboniswa kwiifilimu, azibangela ukuba iimpawu (ezinjengeentlungu). Ngaba kufuneka ukuba izibonakaliso zivela, ugqirha wakho unokukufumanisa ukuba unesifo esithile esecaleni.
Isifo sesigxina sesigxina yindlela eqhubela phambili ye-ASD (ukuguqulwa kwesigaba esiseduze) apho iimpawu ongazange uzibonise ngaphambili.
Xa i-ASD iqalisa nini?
Ukuguqulwa kwamanqanaba aphezulu okubangelwa ukuhlinzwa kwe-fusion kuthatha ixesha lokuphuhlisa. Izifundo ukuvavanya iziganeko (inani lamatyala amatsha ngonyaka) we-ASD inokulandela izigulane zokugulisa umhlaza iminyaka engama-20. Ngaloo ndlela, abaphandi banganika oogqirha kunye nezigulane zabo ingcamango malunga nokuba kwaye xa utshintsho olunefuthe kwiindawo ezikufutshane lungakhula.
Ngokomzekelo, uphando lubonisa ukuba abantu abaye bahlinzwa emva kokuba bancinci kakhulu baya kuba ne-ASD njengoko bebudala. Omnye umzekelo wale nto unokuba ngumntwana osemtsha owela i-spinal fusion ye- scoliosis .
Ngaba i-ASD iyakongeza kwiingxaki zonyango?
Ngoko ke uza kuthini na ukuxilongwa ukuba ngaba utshintsho luyabonwa kwiifilimu zakho emva kocingo lwe-spinal fusion? Ngelishwa, akukho phando olunzulu kwesi sihloko. Ucwaningo oluncinane olwenziwa ngo-1988 nguLee, olupapashwe kwi- Spine kwaye olubandakanya izigulane ezingama-18 ezifumene ukuba uhlobo oluqhelekileyo lokuchithwa kwiimeko ze-ASD lwaludityaniswe ne- facet joint arthritis.
Olunye uhlolisiso lukaSchlegel lwenziwe ngo-1996, lwapapashwa kwakhona kwi- Spine kwaye lubandakanye izigulane ezingama-58 ezifumene iziganeko zesifo somgogodla, ukuxilwa kwe-disniation kunye nokungazinzi komgudu (umyinge we-13.1 iminyaka emva kokuhlinzwa.
Iindaba ezilungileyo kukuba kukho ukuguqulwa okutshintshayo kumalungu omgulane wakho emva kokuba utyando alithethi enye imbambano yonyango ukuba ujongane nayo. Imizamo yophando yokulungelelanisa ukufunyaniswa kovavanyo loogqirha kunye nobungqina bokutshintshwa kweemifanekiso kwiifilimu kuye kwabangela umfanekiso ocacileyo malunga nezinga apho i-ASD iphazamisa indlela yokuphila emva kokuhlinzwa.
Nangona abanye abantu badinga ukuhlinzwa okwesibini okanye ubuncinane unyango olulondolozo lwe-ASD, amaxesha amaninzi ayimfuneko.
Imithombo:
ICammisa, F., MD, oyiNtloko ye-FACS, iNkonzo yokuPhepha kweNtsholongwane kwiSibhedlele seNyango yokuChengela. I-Email Interview. Jan 2012.
I-Ebatbar S, Cahill DW. Izinto ezijongene nobungozi kwiSahluko seNqanaba eliPhezulu-mali emva kokuLungiswa kweLumbar ne-Instrumentation ye-Rigid ye-Institutional Instability.J Neurosurg. 1999; 90 (2 Suppl): 163-9.
Kyoung-Suok Cho, MD, kunye. al. Izinto ezijongene nobungozi kunye noPhando oluPhezulu lokuPhepha lweSimptomatic Adjacent Segment Degeneration emva kweLumbar Spine Fusion. J Korean Neurosurg Soc. 2009 ngoNovemba; 46 (5): 425-430.
Hilibrand, A., MD.Et. al. I-Radiculopathy kunye ne-Myelopathy kwiCandelo elingaphambili kwiSayithi ye-Anterior yaseCervical Arthrodesis yangaphambili. Umbhalo we-Bone and Joint Surgery. 1999.
Lee, CK Ukukhawuleza ukuhlengahlengiswa kweCandelo elongezelelweyo kwi-Lumbar Fusion. Isihlwele (Phila Pa 1976). 1988 Mar; 13 (3): 375-7.
Levin, kunye. al. Icandelo elongezelelweyo Ukuqulunqwa kokulandela ukuFusion Fusion kwi-Disgenerative Disc Disease. I-Bulletin yeSibhedlele sase-NYU seZifo eziManyeneyo 2007; 65 (1): 29-36
Schlegel JD, et. al. I-Lumbar Motion Icandelo lePathology Ngokuya kwiThuracolumbar, Lumbar, kunye neLumbosacral Fusions. Isihlwele (Phila Pa 1976). 1996 Apr 15; 21 (8): 970-81.
Siewe, J., kunye. Ukuqhathaniswa kweFusion Fusion kunye ne-"Topping Off" System kwi-Lumbar Spine Surgery: Iprotocol ye-Trimmed Controled Trial. I-BMC iMisculoskeletal Disord. 2011. I-Oct 18. http://www.ncbi.nlm.nih.gov/pubmed?term=22008088%5Buid%5D
I-Toerge, J. DO, uMlawuli wezeMpilo kwiSizwe soBuhlengikazi beSizwe soBuhlengikazi, eWashington, DC. I-Email Interview. Jan 2012.