Ukuthelekisa iiNzuzo kwi-Surgery Fusion Surgery
I-Lumbar dis replacement ibe yinto ekhethiweyo yonyango kubantu abanobuninzi beentlungu ezisezantsi. Okokuqala kuvunywe yi-US Food Management and Drug Administration ngo-2004, ukuhlinzwa okutshintshwa kwendawo yokugodla kuxhaswa yiminyaka yesicelo sehlabathi ngokwenene, ikakhulukazi eYurophu apho inkqubo yenziwe iminyaka engaphezu kwe-30.
Ngezifo zeDis Degenerative
Isifo se- disgenerative dis-kind is a uhlobo lweentlungu ezibuhlungu ezibangelwa ukugqithwa kwintambo ehlala phakathi kwamathambo omgudu.
Njengoko isakhiwo, umqolo womgca wenziwe ngamathambo atyhiweyo okuthiwa i-vertebrae. La mathambo ahlukaniswa yintambo ebizwa ngokuba yi- disc spinal disc . I-diski iqulethwe yimibhobho eqinekileyo kodwa enamaqabunga e-collagen anceda ukugcina isikhundla nesigqibelelo somthi ngenkathi uvumela ukuhamba phakathi kwe-vertebrae. Esi sakhiwo esiyinkimbinkimbi sinika ukuzinza okufunekayo ukuma ngokuthe tye kunye nokulungelelanisa ukugoba nokuguquka kwiindlela ezininzi.
Ngelishwa, iidiski zingabangela iingxaki njengoko ziqala ukuguga, zikhula ngokugqithiseleyo kwaye zigqithise ngokukhawuleza emva kwexesha. Ngokwalo, lolu hlobo lokulimala aluqhelekanga; Uninzi lwabantu luya kulufumana kwezinye iidridi njengoko zikhula. Kwezinye iimeko, kungabangela intlungu kwaye, kwabanye, akunjalo.
Ngaloo ndlela, xa ubhekene nosizi lwentlungu olungapheliyo, nayiphi na into, kubalulekile ukuba uhlolwe ngumgqirha wezinthambo ukuze ubone isizathu esona. Oku kunokukunceda uphephe utyando olungadingekile kwaye uqalise kwiklasi yokunyanga engapheliyo nefanelekileyo.
Ukuqonda ukuPhenywa kwe-Spinal Fusion
I-spinal fusion iye yaqwalaselwa ixesha elide njengonyango oluphambili lotyando lwe- diserative dis dis disease if and only if all other non-surgical options have been exhausted.
Ngaphambi koku, unyango lumele lubekelwe kumanyathelo angena-invasive okanye amancinci angenawo amanyathelo afana ne- anti-inflammatory medications , unyango lomzimba , kunye ne- epidural steroid injections .
Xa kubonisiwe, utyando lokugaya umgudu luquka ukususwa kwediski ebonakalisiweyo ukukhuthaza ukukhula kwethambo ngaphakathi kwendawo eseleyo. Oku kwenzeka, isikhala esisodwa ngokuhlala kwidiski siya kuzaliswa ngethambo kwaye ngokufanelekileyo sisebenzise i-vertebrae kunye. Ngokuthintela ukunyakaza kwale candelo, ukukhululeka kwentlungu kungasoloko kulunge kakhulu.
Nangona kunjalo, kunokubakho iingxaki ezinokunciphisa ukusebenza kotyando. Phakathi kwabo:
- Isantya sokuphumelela komswakama omnquba unama-80 ekhulwini. Nangona i-fusion epheleleyo ayisoloko iyimfuneko yokuphucula intlungu, nayiphi na ukuhluleka ukufumana ukulungelelaniswa kwethambo elaneleyo kunokunciphisa inzuzo yokuhlinzwa.
- Ukuxuba umgudu kungabangela ukuqina kobudala kunye nokulahleka kwinqanaba lokunyakaza.
- Ngokufakela umgudu, amacandelo angentla naphantsi kwe-fusion aphantsi kokuxinwa kwengcinezelo. Ngaloo ndlela, abantu abaye bafumana i-fusion banakho amathuba okuba bavelise iingxaki kwiidiski ezikufutshane kwixesha elizayo.
IiNzuzo kunye neengozi zenguquko yeLumbar Disc
I-Lumbar dis replacement ifana nezinye iindidi zokutshintshwa ngokuhlangeneyo , ezifana nezo zibandakanya idolo okanye i-hip.
Kubandakanywa ukususwa kwediski ewonakalisiweyo esetyenziselwa yintsimbi okanye iplastiki.
Inzuzo yocwaningo lokutshintsha i-disc kukuba i-prostine prosthetic yayiza kuvumela (kwaye ngamanye amaxesha iphinde ibuyise kwakhona) inkolelo kwisigaba esonakalisiweyo ngaphandle kokudlulisa uxinzelelo kwenye indawo. Kungcono ukugcina ingqibelelo yomgudu ngelixa ufikelele kwisilinganiselo esifanayo sokuncedisa intlungu njengengxube yomgudu.
Ngaphezulu koko, ukuhlinzwa okutshintsha i-disc kuthatha ixesha elide lokuhlala esibhedlela apho, ngokuhlalutya kwiCedars-Sinai Spine Centre eLos Angeles, kunokunciphisa iindleko zokubhedlele izibhedlele ngamaxabiso angama-54 ekhulwini.
Oku akusikhombisi ukuba ukuhlinzwa ngokutsha kwe-lumbar ayikho ngaphandle kwemida yayo. Phakathi kwabo:
- Uphononongo lwe-2014 olupapashwe kwi-International Orthopedics iphetha ukuba, ngelixa kuncedo kakhulu, abukho ubungqina bokuba ukutshintshwa kwe-lumbar disc kunomgangatho ophezulu kumswakama.
- Nangona iidiski ezintsha ze-prosthetic zinika ixesha elide, ziyakwazi ukunxiba kwaye zingadinga uphando olongezelelweyo phantsi kwendlela.
Xa kuthethwa oko, xa kuthelekiswa neenzuzo zesifo sokutshintsha i-disk (kuquka ukukhululeka kwentlungu, isilondolozo esilondolozweyo, kunye namazinga angaphantsi kwama-spinal fusion), oogqirha abaninzi bama-orthopedic namhlanje bayakuvumela ukusetyenziswa kwe-disc njengendlela yokuqala yokupasa ngelixa ugcinwe umsila wamagundane ngenxa yokuhlinzwa.
> Imithombo:
> Buttacavoli, F .; Delamarter, R .; kunye ne-Kanim, L. "Ukulinganiswa kweendleko zezigulane ezinezithuba ezi-3 ze-lumbar zokutshintshwa kweengcingo ngokubhekiselele kuma-fusion angama-360 ° kumazinga angama-vertebral angama-3 ahambelanayo: uhlalutyo lomsebenzi onobubele kwisayithi elingu-1 ye-US yokuphenyelwa kweteksi yokukhutshwa kweekliniki." SAS J. 2010; 4 (4): 107-14. INGXELO: 10.1016 / j.sasa.2010.07.002.
> Wei, J .; Ingoma, Y; kunye ne-Chaoliang, L. "Ukuthelekiswa kweengcambu zengxowankulu yokufakelwa kwee-artificial versus fusion kwi-lumbar disadative disad disease: i-meta-analysis of trials." Int Orthop. 2013; 37 (7): 1315-25. INGXELO: 10.1007 / s00264-013-1883-8.