Utshintsho lwengxoxo yeCervical Disc
Izigqibo, izigqibo. Ugqirha wakho uthi udinga utyando lwentamo ngenxa yokuba ufumana intlungu kunye / okanye izikhonkwane kunye neenaliti phantsi kweengalo enye, ungakhankanyi ezinye iimpawu ezinxulumene ne-radiosispathy yomlomo wesibeleko. Utshela ukuba utyando oluqhelekileyo kule meko yinkcenkceshe yomlomo wesibeleko kunye ne-fusion (ACDF.)
Enyanisweni, i-ACDF yinkqubo yokuhlinzwa ngokukhawuleza-kunye neyona ndlela iqhutywe ngethambo.
Ezihlobene: Funda nge ACDF
Kodwa ke i-doc ikwazisa ukuba ngenxa yokuba i-ACDF ibandakanye ukuxuba (enye okanye ngaphezulu) amajoyina e-intervertebral, uya kuyeka ukukwazi ukuhambisa intamo yakho kwindawo yokuhlinzwa - ngokupheleleyo. Akunjalo kuphela, utsho kuni, kodwa kwakhona, ngenxa yokuxuba, ubeka umngcipheko wokuphuhliswa kwesigxina.
Okulandelayo, mhlawumbi ugqirha wakho uyakuchaza okanye ufumanisa ngokwenza uphando olungakumbi ukuba inkqubo ebizwa ngokuba yi-disk tot replacement iye yanceda abantu abathile, ngakumbi eYurophu.
Kodwa yintoni na, ngokukodwa i-diski yenani elipheleleyo?
Ingqikithi yediski yokutshintshwa yindlela esetyenziswayo entsha esebenzisa indlela yangaphambili - oko kuthetha ukuba ugqirha ugqirha phambi kwentamo yakho kunokuba ungene emva - ukufaka i-disc yakho yokugula kunye nomsebenzi onguchwepheshe. Isetyenziselwa ukujongana ne-radiculopathy yomlomo kunye / okanye intlungu ye-discogenic. Isetyenziswe kwakhona ekuhlaleni uphando.
Idibeneyo: Ziyintoni i-Traction Spurs?
Ukutshintshwa kwe-disc totali kuhamba ngamanye amagama ambalwa, ngokunjalo. Ezi zibandakanya: Ukutshintsha i-disk yokufakelwa, i-disc arthroplasty, i-disk disc arthroplasty, kunye ne-disc arthroplasty okanye i-disc yentshukumo yentsholongwane xa inkqubo yenziwa entanyeni. Xa kwenziwe i-back back, ibizwa ngokuba yi-lumbar disc arthroplasty okanye i-lumbar disc esikhundleni.
I-FYI, i-arthroplasty enye igama lokutshintshwa ngokuhlanganyela kunye nokuvuselelwa. Iimpawu zokubuyisela i-disc ziquka i-TDR (i-disk total replacement) kunye ne-TDA (i-disk total replacement.)
Enye inzuzo enkulu yenkunkuma yentsholongwane, ngokutsho kukaCaridi, uPumberger, Matthais, kunye noHughes (kwinqaku yabo ka-2011 enesihloko esithi, "I-Radiculopathy ye-Cervical: Uhlolo," epapashwe kwiphepha leSibhedlele seNtsholongwane ekhethekileyo ) kukuba ligcina ukuphakama phakathi kwamathambo omzimba osondeleyo, nangona ngexesha elifanayo ukugcina amandla okubambisana ukuhamba.
Njengendlela entsha yokufika e-US (ikwasekwa ngakumbi eYurophu,) unokuzibuza ukuba i-TDA isebenzayo, kwaye yiyiphi i-down and downsides.
Uphando lwezifundo zophando, kunye ncinane ubunxulumano oluthile lwezonyango lunokwenzela ukukhanya okuluhlaza kwi-disc. Ngokomzekelo, iNtshona American Spine Society ithi ngexesha elifutshane, kwinqanaba elilodwa lokunciphisa i-radiculopathy, i-ACDF kunye ne-disc i-arthroplasty yenani liyakwazi ukunyanga.
Ezihlobene: Discectomy
Rao, et. al. fumana indawo yokutshintsha i-cervical disk ukuba iphakame kwi-ACDF ngeendlela ezininzi. Uhlalutyo lwabo luka-2015 olwalupapashwe kwi- Archives of Orthopedic Trauma Surgery kwaye lunelungelo lokuthi, "I-diservctomy ye-cervical disorder ne-fusion ye-cervic discerctomy kunye ne-fusion ekwenzeni unyango lwesifo se-cervical disorder: i-meta-analysis of trials," lubonisa oku kulandelayo:
- Impumelelo engcono ekuphuculeni iimpawu zesigulane.
- Ukulondolozwa kwamanyathelo amaninzi kwinqanaba eliqhutywayo.
- Iingxaki ezimbalwa ezibikwe okanye iingxaki ezinxulumene nenkqubo.
- Isidingo esincinci sokuhlinzwa ngokutsha.
Kodwa nangona isethi yeziphumo ezithembisayo, ababhali bathi, ezinye iintlobo azikaze ziboniswe, kuquka ukulahleka kwegazi ngexesha lotyando, ubude bexesha oza kuchitha esibhedlele kunye nokusebenza okuphuculweyo.
Ren, et al., Kwisifundo sabo se-2014 esithi, "Iziphumo ezide phakathi kwexesha elide emva kokuba i-disc disperctomy ne-fusion ihlaziywe kwangaphambili. I-Journal ye-Spine nayo yafumana isantya esezantsi sokuhlaziywa ngokutsha kwi-diski ye-disc, ngokuthelekiswa ne-ACDF.
Ababhali bathi kwakhona ukutshintshwa kwediski kunokubangela ukubuyiswa ngcono komsebenzi kwixesha elide kunye nexesha elide.
Kodwa ngokungafani noRao, et. al. (ukusuka phezulu), uRen kunye nabaphandi bakhe bathi zifundo ezimbalwa eziye zenziwa ukuze kuqinisekiswe ukuba ibango lokuba inkunkuma yentsholongwane yentsholongwane ingakunceda ukuphepha i-ASD yinyaniso.
Izibonelelo ngaphandle koPhando loPhando lwezoPhando
EU.S., ukutshintshwa kwediski yomlomo kwenzelwa okwangoku kuphela kwimeko encinci yokuhlinzwa yentamo ye-sliver. Ngenxa yoko, kunokwenzeka ukuba oogqirha abancinci abancinci baye baqhayisa ubuchule kwiqondo apho izigulane zabo zinokubanika ukunyaniseka ukubuyekezwa.
ILizwi kwi-intanethi kwisitalato kukuba abantu bazimisele ukuhamba ukufumana ugqirha abanokuziva bakhululekile. Enyanisweni, abaninzi baya eYurophu-ngokukodwa iSpeyin neJamani ukuba benze inkqubo.
Imibuzo emininzi malunga nokukhuseleko kunye neziphumo aziphenduli. Kukho ke kunjalo, iforum edibanisa amanzi ebizwa ngokuba yi-ADR Support, iqalwe yindoda ene-TDR ephumelelayo. Abantu abakwi-forum banika iimpendulo ezichanekileyo, ukuba, nangona kungabonakaliswa ngophando, bathatyathwa ngqo kwii-patient's stories and stories.
Imithombo:
UCaridi, uJohn M., MD, uPumberger, uMatias, MD, Hughes, Alexander, P., MD I-Radiculopathy: I-Review. Isibhedlele soPhengululo olukhethekileyo. NgoSeptemba 2011. Kufumaneka ngo-Jan 2016.
Umbutho waseMntla waseMntla waseMelika. Ukuxilongwa kunye nokunyangwa kwe-Radiculopathy yesibeleko kwi-Degenerative Disorders. Umbutho waseMntla waseMntla waseMelika. 2010.
Ren, C., Ingoma, Y., Xue, Y., Yang, X. Iziphumo ezide phakathi kwexesha elide emva kokuba i-disc i-arthroplasty i-cervical disthctomy ne-fusion: ukuhlaziywa ngokuchanekileyo kunye nokuhlaziywa kweemvavanyo ezilawulwa ngononophelo. I-Eur Spine J. ngo-Meyi 2014; 23 (5): 1115-23. i-doi: 10.1007 / s00586-014-3220-3. Epub 2014 Feb 11.
URoo, M., Nie, S., Xiao, B., Zhang, G., Gan, X., Cao, S. I-disc ye-cervical kunye ne-cervic discectomy kunye ne-fusion ekwenzeni unyango lwesifo se-cervical: i-meta-analysis lwezilingo ezilawulwa ngononophelo. Arch Orthop Trauma Surg. 2015 Jan; 135 (1): 19-28. i-doi: 10.1007 / s00402-014-2122-5. I-Epub 2014 Ngomhla wama-5.