Utyando lwe-spinal fusion ngenye yeenkqubo eziqhelekileyo zokunyanga iintlungu eziphantsi. Olu uphando luyaqhubeka luphikisana njengoko luyindleko, i-invasive, kunye nokuphulukana ngokutsha kunokuthatha ezinyangeni eziliqela. Kwabanye abantu abaneentlungu ezisezantsi kwaye bancinci ukuba bangabi ne-sciatica kunye nesisu somgulane, ukunyanzeliswa kokunyanzeliswa komzimba kunokuba yinto enokukhathala ngokubhekiselele kwixesha lokubuyisela kunye nohlahlo lwabiwo-mali, ngokweengcali.
Isifo se-Lumbar disc kunye ne-sciatica senzeke xa izibilini zinyanyiswa ngenxa yokunciphisa imijelo emacaleni emilenze yethu yomlanjwane ebizwa ngokuba yi-neuroforamina. Njengoko abantu bekhula, abaninzi bahlakulela amaqondo ahlukeneyo eentlungu ezisezantsi ezibangelwa ukuguqulwa kwezinto ezithintela umlanjana kwindawo efanelekileyo.
I-neuroforamina iyancipha kwaye iimbulunga ziyaxubha, zenze ukuba ubuhlungu obuhle bubuhlungu buhambelana nesifo se-lumbar. Ukukulungisa oku, oogqirha kufuneka bafeze i-vertebrae baze badibanise i-neuroforamina.
Kwi-stenosis yomgogodla, umgudu ongaphantsi komgudu ungaphinda ucindezeleke obangela ubuhlungu obukhulu, ikakhulukazi kubantu abaneminyaka engama-70 ubudala nangaphezulu, ukuya kwimeko apho ukuhamba kunzima kakhulu. Abaninzi bakholelwa ukuba le nkqubo, nangona kunjalo, iqala xa izigulane zise-50s zazo zisekelwe kwiingxelo ze-MRI.
Ukunyanzeliswa koBugqirha bokuSebenza
Le yilapho impikiswano phakathi kwe-fusion kunye ne-decompression nje yokugqithisa idlala.
Bobabini ubucholuli buyifumene nomgudu, ngokukhawuleza ukunciphisa uxinzelelo olubekwe kwiimbilini kunye nentlungu ehambelana nayo. Nangona kunjalo, uphando luye lwafumanisa ukuba utyando lwe-compression lufezekisa umlinganiselo ofanayo wokuphulukiswa kwintlungu njenge-spinal fusion eneengxaki ezimbalwa.
Umphandi okhokelayo wophando ngumgqirha wamazinyo.
Uluhlu lwezinto ezintathu eziphambili zokunciphisa ngokwezinto ezilandelayo:
- ixesha elifutshane lokusebenza
- ixesha elifutshane lokubuyisela esibhedlele
- ukunciphisa iindleko
Spondylolisthesis
Nangona kunjalo, kukho izigulane ezithile eziza kuzuza ezinye iintlobo ngokufumana utyando lwe-spinal fusion. Bafuna ukukhethwa ngokunyanisekileyo ukuphucula iziphumo zabo. Iziphumo zophando zibonisa ukuba umxube we-spinal uncedo kakhulu kwiziganeko zokusasaza ezifana nezifunyenwe kwizigulane eziphethwe yi-spondylolisthesis. Oku kungenxa yokuba i-spondylolisthesis yintsholongwane apho iimbulunga ezantsi kwintshona zikhonkxiwe ngenxa yethoba elisemngceleni olufudukayo kwindawo yayo efanelekileyo.
Izinzuzo zokuNciphisa
Ngeemeko zokunciphisa umthambo, nangona kunjalo, ukuxinwa kwempahla ngokuqhelekileyo kwavelisa inzuzo enkulu. Ngokuchasene nokufakela i-vertebrae ezimbini enethemba lokuba ingcinezelo iya kuncitshiswa kwi-nerve, ukuchithwa kwemithwalo kususa inxalenye ye-vertebra ebophe umgca ongaphantsi. Oku kukhulula ngokukhawuleza uxinzelelo olusuka kwimbilini ngaphandle kokuvelisa izixhobo ezingabonakaliyo kunye nezixhobo zethambo. I-Laminectomy yenye igama lo msebenzi.
Ngaba Ubomi Bobubele Bungenziwa Kanye?
Ngokutsho kwabaphandi baseSweden, abaninzi abagqirha bavame ukusebenzisa ukunyanzeliswa kwe-compression kunye ne-spinal fusion ukwenzela ukunciphisa ingozi yokuba isiguli siya kufuna enye into emva koko.
Isifundo esenziwe eSweden saqulunqwa ngabafundi abathathi-247 abaneminyaka elidala ukususela kwiminyaka engama-50 ukuya kuma-80. Umntu ngamnye uthatha isigulane esineentlungu ezibuhlungu ezibangelwa ukuhla kwamanzi emgogodla. Phantse isiqingatha saquka i-vertebra engafanelekanga. Umntu ngamnye othabatha inxaxheba wayekhethwe ngokukhethiweyo ukuba angene kwi-decompression kuphela okanye ukunciphisa ngaphandle kwe-spinal fusion.
Ixesha elifutshane kunye. Iziphumo zexesha elide
Kwakungenohluko olukhulu kwimiphumo emfutshane phakathi kweeqela ezimbini emva kokutyunjwa kwezigulane. Ukwahlukana endaweni yoko kwafunyanwa ngexesha lokubuyisela. Izigulane ze-Fusion zafuneka zihlale esibhedlele phantse kabini ngokude zizigulane zokuxinwa.
Iqela le-fusion lichithe ixesha elingakumbi kwigumbi lokusebenza, lalahlekelwa igazi elingaphezulu, kwaye kwafuneka lihlawule ngakumbi ukuhlinzwa kwabo.
Umgangatho woBomi
Kubalulekile ukuba uqaphele ukuba xa kufika kwizigulane ezinezithambo ezingekho emthethweni kwi-vertebra yazo, abo bafumana umfutho wesipelingi babenomgangatho obhetele wobomi emva kokuhlinzwa ngaphandle kwabo bafumana unyango loxinzelelo. Ukongezelela, zonke izigulane ezithotywayo zonyango lwangomngcipheko lwangaphantsi zifuna ukuhlinzwa okwesibini.
Oogqirha banokuqhubeka besetyenziselwa ukuxhamla umthambo ngenxa yokuba iziphumo zihlala zihlala njalo; nangona kunjalo, ukuxuba komgudu kungasayi kuba yinto ekhethekileyo ngaso sonke isikhathi ukususela kwimeko yombono. Ukuphanda apho izigulane ngabaviwa abazisebenzisayo ngokunciphisa ukunyanzeliswa kwengcinezelo ziya kusindisa bobabini abanikezeli kunye nezigulane neendleko ezingadingekile kunye nexesha lokubuyiselwa, okubangela ukhathalelo olungcono kunye nokuphucula umgangatho wobomi.