Intlungu ebuyela emva yinkathazo eqhelekileyo ephathwa ngokungenelelo olungaphelelwanga. Nangona kunjalo, kwezinye iimeko, ezi zonyango ezingenasvasive zingenakho ukubonelela ngoncedo olwaneleyo. Ukuba udinga ukutyunjwa kwiingxaki ze-spinal dis, ungaphinda ufune ukuqiniswa okongeziweyo kwintsipho ukukhusela iingxaki ezingaphezulu. Ukuzinza okuzinzileyo yindlela yokucwangcisa eyenzelwe ukuvumela ukuhamba kwenkxwaba ngexesha lokulondoloza ukuzinzi okwaneleyo ukukhusela ukunyakaza okukhulu.
Oku kuye kwaba ngenye indlela yokuhlinzwa okwenziwa nge-lumbar fusion.
Uzinzo lwesisu
Ukuzinza komgudu kunokufunwa esinye sezizathu ezintathu:
- Ukunyakaza kwe-disin disin spin kubangele intlungu
- I-defenital or defected defect ivumela umgudu ukuba awuqiniseke ( spondylolisthesis )
- Uphando lufuna ukususwa kwezakhiwo eziqhelekileyo zokuzinzisa umgudu
Ukuba umgudu wakho awuzinzile, ukunyakaza okugqithiseleyo kunokubangela ukuba iinzwa ezikufuphi kwikholamu yomgcini-mgcini ifakwe. Oku kunokukhokelela entlungu yomlenze, ukuphazamiseka, kunye nobuthathaka. Ngokuzinzisa umqolo womgca, le ngcamango ukukhawulela ukunyuka okungavumelekanga kwamagqabi omgogodla nokukhusela ukunyanzelwa kweentambo.
Ukuzinza kweDynamic kunye neLumbar Fusion
Ngokwesiko, ukuzinza kwe-lumbar spine kwafezwa nge-fusion. Utyando lwe- Fusion lomgudu lufezekiswa ngokuvuselela amathambo ukuba akhule phakathi kwamacandelo amabini okanye ngaphezulu angaphantsi kwemilenze ukukhusela isisombululo esizayo. Ngokuqhelekileyo ukusetyenziswa kwezixhobo zetsimbi kusetyenziselwa ukuzinzisa izigulana zomgogodla xa amathambo ekugqibeleni enza i-vertebrae.
Ukuzinza okuzinzileyo kukunye ukuxuba. Isixhobo esisetyenziselwa ukuzinza okuzinzileyo senzelwe ukulawula inani lokunyuka phakathi kwe-vertebrae esondeleyo, kodwa ayikuphelisa ngokupheleleyo le ntshukumo.
Enye yeengxaki ezinkulu kunye nomswakama wamagundane kukuba nangona xa zonke zihamba kakuhle kwaye izigulane zamagqabi zixhamla, iingxaki zivela phantsi kwendlela.
Emva kokuba amaqhezu amabini omgogodla afakile, ukuxinzelela okugqithisiweyo kudluliselwa kuma-discs apha ngasentla naphantsi kwe-fusion. Ezi ziqendu zivame ukugqithisa ngokukhawuleza, ezinokubangela ukuba kwenziwe iinkqubo zonyango ezongezelelweyo endleleni. Oku kunzima kakhulu kwiigulane ezincinci, ezikhutheleyo.
Ukunyanga okuzinzileyo
Ukuhlinzwa okuzinzileyo kuqala ukufana nokuhlinzwa okwenziwa ngumthunzi. Xa sele sele idibene neengxaki ze disc, i-dktr Esinye isixhobo esifakwe ngokuqhelekileyo sibizwa ngokuthi yiDynesys.
UDynesys usebenzisa iisundu zokumisa kwi-vertebrae kumanqanaba amabini omdaka osondeleyo. Izikrini zixhunyiwe ngentambo (ukukhusela ukuxhatshazwa okugqithisileyo) kunye nezibatho zeplastiki (ukukhusela ukunyanzeliswa okugqithisileyo). Ukubuyiselwa ngokulandela utyando lwe-Dynesys kuyahlukahluka kuxhomekeke kwiinkqubo ezithile zokuhlinzwa kwaye kufuneka uxoxwe nodokotela wakho.
Iziphumo zoBucholo
Kubalulekile ukuba uqaphele ukuba izifundo zexesha elide kunye nokuzinza okuzinzileyo azizange zenziwe. Ithemba kukuba le nkqubo iya kunceda ukukhusela ezinye zeengxaki ezibonwe ngentshukumo yomzimba, nangona oku kungakhange kuboniswe ngokucacileyo. Ukongezelela, kukho iinkxalabo kunye nezixhobo ezizinzileyo zokuzinza, kuquka nezinga eliphezulu ezikhoyo zokungaphumeleli nokukhutshwa.
Umsebenzi omningi kufuneka uyenze ukuze ulungele ukucacisa indima yokuzinzisa okuzinzileyo kwi-lumbar. Uphando olungakumbi malunga nokuzinza okunamandla kunokunceda ukuphendula ezinye zezi ngxaki ezingaxilwanga.
Imithombo:
Kelly MP, et al. "Ukwakhiwa kwamandla okwenza umthambo womgudu: uhlolo olusekeke kwisiseko" I-Orthop Clin North Am. Ngo-2010 kuMatshi; 41 (2): 203-15.
"I-Symposium: I-Dynamic Stabilization ye-Lumbar Spine," I-Orthopedics Today International, Matshi / Epreli 2006.