Ukuxuba kwentamo ye-vertebrae yokunciphisa intlungu kunye neempawu zesibindi
I-fusion ye-cervical yinkqubo yokuqhaqhaqhaqhaqha idibanisa inxalenye yekhola ye-vertebral entanyeni. Olu qhe lekiso lufunekayo xa i-vertebrae yomlomo wesibeleko - kunye needisk phakathi kwe-vertebra nganye-yonakaliswe ngenxa yengozi okanye ingubo yokuguquka nokuhlala.
Ngexesha lokuhlinzwa, iidiski phakathi kwelinye okanye ngaphezulu kwee-vertebrae zisuswe, kwaye ukukhula kwethambo kukhuthazwa ukudibanisa ndawonye kunye ne-vertebrae esondeleyo.
Ngokuqhelekileyo, isisitye setsimbi sisetyenziselwa ukuzinzisa ukuxuba kuze kube lula ukukhula kwethambo.
Ugqirha lwe-Fervic Fusion okanye iArthrodesis
I-fusion yomlomo wesibeleko, ebizwa ngokuba yi- arthrodesis , idibanisa ngokusisigxina (okanye ngaphezulu) i-vertebrae esondeleyo. Ngokuqhelekileyo, kukho intambo yomgulane phakathi kweentlobo zombini ezimbini. I-disk isebenza njengento yokutya, kodwa iphinda ivumele ukunyakaza okuthile phakathi kwe-vertebrae. Ininzi idla ngokufutha komlomo ngenxa yokuba i- disc yolwazi yomgudu ibangela iingxaki ngokusunduza kwi-nerve (ebizwa ngokuba yi- disc disc ). Olu xinzelelo lweentsholongwane lunokubangela ukucaphuka okubangele iimpawu zentlungu, ukubetha, kunye nokugubha entanyeni kunye neengalo.
Xa i-fusion yomlomo isenziwa, i-disc okanye iinqununu ze-disc zisuswe. Amathambo e-vertebrae ahlanganiswe ngokusisigxina kunye. Olu linxibelelwano lwenzeka kokubili kunye ne-bone graft (isisombululo esisigxina) kwaye ngokuqhelekileyo isitya sensimbi, isikhonkwane, okanye intonga (isisombululo sethutyana).
Isityezelo sinomgca kuphela kwi-vertebrae kwisithuba ngelixa isifuba sigxina ngokupheleleyo. Emva kokuba ithambo lidibanise i- vertebrae ehlangeneyo, ukuxuba kuthathwa njengesigxina, kwaye ukuqaliswa kwemisebenzi eqhelekileyo kuvunyelwe.
Ukubuyiselwa kwiFusion Fervical
Ukubuyiselwa kwi-fusion yomlomo kuxhomekeke kwizinto ezininzi.
Njengoko kuthethwe, utyando lubonwa yimpumelelo xa iimpawu ziphuculwe, kwaye ithambo liphilile kwi-vertebrae edibeneyo. Le nkqubo yefusion ihlala ithatha iinyanga ezimbini ukuya kwethathu. Umsebenzi ovunyelwe ngelo xesha uya kuxhomekeka kumandla okuxuba. Kwezinye izigulane ezinezithambo eziqinileyo kunye nokuqiniswa kwesinyithi esinamandla, umsebenzi ongaphezulu ungavunyelwa. Kwiimeko apho kukho iinkxalabo malunga nokukwazi kwesigulane ukufakela i-vertebrae, ukufumana kwakhona kungacwangcisa ngakumbi.
Iingxaki Ezivela Kuphando
Inkxalabo eqhelekileyo yokuhlinzwa ngentsholongwane yomlomo yilapho ihluleka ukukhupha intlungu yentliziyo. Ngethamsanqa, le ngxaki ayiqhelekanga, kodwa inokwenzeka. Izifundo ziye zafumana amazinga okuphumelela phakathi kwama-80 ukuya kuma-90% kunye nefusion yomlomo wesibeleko unyango lwe- radiculopathy (intlungu yesibindi).
Enye inkxalabo enkulu enkulu ye-fusion yentsholongwane yintsholongwane yintlupheko yokwanda kwamathambo okwaneleyo phakathi kwe-vertebrae esondeleyo. Oku kubizwa ngokuthi ukuxuba okungaphelelanga kwaye kungadinga ukuhlinzwa okongeziweyo. Amathambo angakwazi ukukhula ngokwaneleyo ngenxa yezizathu ezininzi kwaye enze izinto ezifana nokuphepha ukutshaya kwaye ungathathi imichiza okanye iziyobisi eziyaziwayo ukuba ziphazamise ukukhula kwethambo. Ezinye izinto (ezinjengezandla zethambo lomntu) kunzima ukutshintsha.
Ezinye iingxaki ze-fusion yomlomo zingabandakanya ukulimala kwentsholongwane, ubunzima bokugwinya, ukusuleleka, nokukhupha. Izigulane ezininzi zixhala malunga nokulimala kwintambo yomthambo. Kuzo zonke iingxaki ezibhalwe apha, oku mhlawumbi kuncinci. Umngcipheko wokulimala kwentambo yomgudu yincinci encinane yepesenti.
Eminye imiba yeFervical Fusion
Ukuba isigulane sinomtshini wesincinci esincinci, ngokuqhelekileyo nje isahlulo sediski singasuswa ngaphandle kokufuna ukuxuba. Kodwa ukuba isigulane sidinga ukuhlinzwa ngokugqithiseleyo, azikho ezinye iindlela ezininzi-kodwa. Kukho iinkqubo ezintsha zokupasa kwiphuhliso lweengxaki ze-spinal disc eziye zenzelwe ukususa idilesi eyonakalisiweyo kodwa ivumeleke ukunyakaza kwi-vertebrae echaphazelekayo.
Ezi zindlela ziquka ukuzinza okunamandla kunye nokutshintshwa kwe-spinal disc . Okuqhelekileyo eyenziwa kwisigxina se-lumbar (ngaphantsi komva), le nkqubo inokukunceda ukugcina isisombululo ngelixa usombulula ingxaki ye-disc.
Imithombo:
Rhee JM, et al. "I-Radiculopathy yomlomo wesibeleko" J Am Acad Orthop Surg Agasti 2007; 15: 486-494.