Yintoni inkqubo yokuzinzisa i-vertebrae?
I-Vertebroplasty yinkqubo yotyando eyenziwa ngoogqirha ukunyanga iingxaki ezithile kumqolo. Le nkqubo ibandakanya ukudibanisa ama-vertebrae amabini okanye ngaphezulu, ukuze abe lithambo elinye. Le nkqubo ijolise ekubuyiseleni ukuzinza komgogodla kunye nokulahla iintlungu zangasemva, ngakumbi intlungu eyonyuka ngokunyakaza.
Ziziphi iimeko ezifuna ukuzinziswa kwe-vertebrae?
Utyando lokuzinzisa i-vertebrae lusetyenziselwa ukunyanga iimeko ezibangela ukungazinzi kwe-vertebrae kumqolo, okukhokelela kwintlungu ebuhlungu xa uhamba. Ezi meko zingabangela ukuphuka kokuwa, ukunyanzeliswa komgogodla, kunye ne-osteoporosis-related fractures yomgogodla.
Ngawaphi amacebiso asisiseko emva kotyando?
Emva kwenkqubo yokuzinzisa i-vertebrae, kukho iingcebiso ezisisiseko ekufuneka zithotyelwe ukufezekisa umphumo ongcono. Phakathi kwezi ngcebiso kukubambelela ekuphumleni, ukuphepha ukuzikhandla okukhulu, kunye nokunciphisa naluphi na uxinzelelo kumqolo ngexesha lokuqala emva kokusebenza.
Kufuneka kwakhona ugweme ukuhlala ixesha elide kwaye ulale phantsi ngomqolo wakho, uhambe ngokukhawuleza kwaye ugweme uxinzelelo olugqithisileyo.Kukwacetyiswa ukuba ulandele ukutya okunempilo kwaye udibane nodokotela ngaphambi kokuba wenze naluphi na utshintsho kwisidlo.
Ukongezelela, ukuzivocavoca kufuneka kwenziwe rhoqo, ngokubambisana nengcali yengcali yomzimba, ukunceda ukuqinisa imisipha ejikeleze i-vertebrae ezinzile, ukuphucula ukunyakaza, kunye nokunciphisa intlungu. Ngokuthobela iingcebiso ezisisiseko ezikhankanyiweyo, isigulane sinokunciphisa ixesha lokuphinda sibuyele kwaye sikhawuleze inkqubo yokubuyisela.
Yenziwa njani inkqubo yokuzinzisa i-vertebrae?
Umqolo uqukethe i-vertebrae elandelelanayo eyahlulwe ngamadiski e-cartilage. Ezinye iimeko zonyango zibangela ukungazinzi kwe-vertebrae, kubangela intlungu ebuhlungu xa uhamba. Ezi ngxaki ziphathwa ngemisebenzi yokuqinisa umgogodla ojolise ekudibaniseni kunye nokuzinzisa kwindawo yazo echanekileyo.
Injongo yokuzinzisa umgogodla kukubuyisela ukuzinza komgogodla kunye nokuphelisa intlungu yomqolo kunye nomlenze onyuka ngokunyakaza. Ekusebenzeni, ii-vertebrae ezimbini okanye ngaphezulu zidibene kunye ukuze zenze ithambo elinye, elinceda ukunciphisa intlungu kunye nokubuyisela ukunyakaza kwisigulane.
Ukuzinza kwe-Vertebral ngokuqhelekileyo kwenziwa ngokufaka i-stents, izikrufu, kunye nezinye izinto zokulungisa ukuxhasa i-vertebrae entsha. Ezi zixhobo zifakwa ngotyando, kwaye inxeba liyavalwa emva kokuba utyando lugqityiwe.
Ukuzinziswa komgogodla kudla ngokufuna ixesha lokubuyisela okuphezulu kunye nokuphumla ukwenzela ukuba i-vertebrae ezinzileyo iphilise kwaye idibanise kunye. Emva kwenkqubo, isigulane kufuneka sibambelele kwimiyalelo yokunceda ekubuyiseleni ngempumelelo kunye nokunciphisa iingozi ezinokubakho ezinxulumene notyando.
Zeziphi iziphumo ebezingalindelekanga ezinokubakho emva kotyando?
Kukho ezinye iziphumo ezinokwenzeka emva kokuhlinzwa, kubandakanywa intlungu ephantsi kwindawo ejikeleze indawo yotyando, enokupheliswa ngokusebenzisa amayeza e-analgesic. Ukuphazamiseka kwenkqubo yokugaya ukutya, okufana nesicaphucaphu kunye nokuhlanza, kunokuvela ngenxa yeziphumo zamayeza asetyenziselwa ukuthomalalisa isigulana, kodwa ezi ziphumo zidlula kwaye ziyanyamalala emva kwexesha elifutshane.
Ezinye izigulane zihlupheka ngenxa yokungabikho kokunyakaza okanye ukuvakalelwa kwezinye iindawo emva kokusebenza, kwaye oku kuxhomekeke kuhlobo lomsebenzi owenziweyo kunye nendawo ye-vertebrae efakwe kuyo. Ke ngoko, ukuzivocavoca umzimba kufuneka kwenziwe kunye neengcali ukubuyisela ukunyakaza okuqhelekileyo kunye nokuziva.
Ezinye iingcebiso kufuneka zithathelwe ingqalelo emva kotyando, njengokuthobela iingcebiso zikagqirha malunga nokusetyenziswa kwamayeza kunye nokungenzi nawuphi na umsebenzi onzima kangangexesha elithile emva kotyando. Kufuneka kwakhona ugweme ukunyakaza okunamandla, ukunyuka ngokukhawuleza, kunye nokuhlala ixesha elide, ukwenzela ukugcina i-vertebrae ezinzileyo kwaye ugcine iziphumo zokusebenza.
Kwezinye iimeko, i-vertebrae ezinzileyo ingadinga ukususwa ngenxa yokuphuma kwegazi okanye ukuvuvukala, kwaye oku kufuna utyando olutsha. Ngaphezu koko, kuyimfuneko ukuqhubeka nokutyelela ugqirha ukuze ufumane naziphi na iingxaki ezinokwenzeka kwaye uqinisekise ukuzinza kwe-vertebrae efakwe.
Imingcipheko yokuzinzisa umqolo: Ungakuphepha njani?
Imingcipheko yokuzinzisa umqolo ibandakanya ukopha, usulelo lwebhaktheriya, usulelo lwamanxeba, kunye nokwanda kweentlungu. Ukuze ugweme le mingcipheko, kufuneka ulandele ukutya okunempilo, ukuphumla okwaneleyo emva kokuhlinzwa, kwaye uvavanye impilo kunye nesimo somqolo rhoqo.
Ubunzima beengozi ezinokubakho buxhomekeke kakhulu kubungakanani bengxaki yomgogodla. Kubalulekile ukudibana nodokotela ngaphambi kokuba wenze naluphi na unyango kumqolo. Kufuneka uqhagamshelane nogqirha wakho ukuba kukho naziphi na iimpawu ezingaqhelekanga ezivela emva koqhaqho.
Yonke imibuzo yezonyango ebuzwa ngugqirha kufuneka iphendulwe ngokucophelela ngaphambi kokuba wenze nayiphi na indlela yonyango. Isigulane kufuneka silungele ukugqiba unyango lwezonyango ngokuqhubekayo ukuze kuqinisekiswe ukubuyiswa okupheleleyo kunye nokuphepha nayiphi na ingozi enokwenzeka.
Akufunekanga ushukume ngokugqithisileyo kwiintsuku zokuqala emva koqhaqho, kungakhathaliseki ukuba luhlobo luni na olwenziwayo. Kubalulekile ukudibana nogqirha ukuba kukho naziphi na iimpawu eziqhelekileyo ezibonakala emva kokuhlinzwa, ezifana nomkhuhlane, intlungu, okanye umbala ongaqhelekanga wesilonda.
Inkqubo yokuzinzisa i-vertebrae yenye yemisebenzi esekelwe kwi-teknoloji yanamhlanje. Njengoko iingcali zibonisa, kukho imingcipheko embalwa ehambelana nale nkqubo. Esikhundleni sokuxhalaba ngeengxaki ezinokuthi zibe khona, kungcono ukuqhubeka nokunakekelwa kwezonyango kwaye uphendule ngokucophelela nayiphi na imibuzo ugqirha anokuyibuza.
Ngaba imisebenzi yokuqinisa umgogodla idinga ixesha elide lokubuyisela?
Imisebenzi yokuqinisa umgogodla lutyando olwenziwayo ukunyanga iingxaki zomqolo, apho ii-vertebrae ezimbini okanye ngaphezulu zidibana ukuze zibe lithambo elinye. Umntu owenza olu tyando ufuna ixesha elide lokuchacha.
Ngamanye amaxesha, imisebenzi yokuzinzisa idinga ixesha lokubuyisela ukuya kwiinyanga ze-6, njengoko umntu ufumana intlungu kunye neengxaki ngelixa emile okanye ehleli.
Umntu unokufuna ukucwangcisa iiseshoni zonyango lomzimba okanye i-back brace ekhethekileyo ngexesha lokubuyisela emva kokuhlinzwa komgogodla.
Ixesha lokubuyela emsebenzini emva kwenkqubo yokufakela iyahluka ngokuxhomekeke kubume bomsebenzi. Ukuba umsebenzi use-ofisini kwaye awufuni mzamo womzimba, unokubuyela emsebenzini kwiinyanga ezimbini. Ukuba umsebenzi ufuna umgudu womzimba, unokuthatha ukusuka kwiinyanga ezi-3 ukuya kwezi-6.
Imisebenzi yokuqinisa i-Vertebral idinga ukuthotyelwa kwezikhokelo ezibalulekileyo emva kokusebenza, njengokuphumla okwaneleyo, ukuthobela unyango lomzimba, kunye nokuphepha ukunyanzeliswa komzimba okunzima.
Umntu kufuneka adibane nogqirha malunga nexesha lokubuyisela kwaye abuyele emsebenzini emva kokusebenza kokuzinza, njengoko oku kuxhomekeke kwimeko yomntu kunye nohlobo lomsebenzi wakhe.
Ngoobani abaguli abafanelekele utyando lokuzinzisa i-vertebral?
I-Vertebroplasty yinkqubo yotyando ejonge ukunyanga iingxaki zomqolo kunye nokunciphisa iintlungu ezibuhlungu ezinxulumene nale nxalenye yomzimba. Oogqirha abavumelani phakathi kwabo malunga nokuba zeziphi izigulana ezifanele ukwenziwa olu tyando.
I-Vertebroplasty yenzelwe izigulana ezineengxaki zomqolo ezenza i-vertebrae ingazinzi, ngakumbi kwizigulane eziphethwe yi-dorsal curvature kunye noxinzelelo kwi-nerve. Kukwacetyiswa kwezinye iimeko ezifunayo, njengokulimala kwezemidlalo okanye iingozi zendlela.
Kubalulekile ukuba isigulane senze iimviwo ezininzi kunye neemvavanyo phambi kokuhlinzwa, kubandakanywa i-x-rays kunye ne-MRI, ukufumanisa ubunzima bemeko, kunye nokuqinisekisa ukuba utyando lolona khetho lonyango olufanelekileyo, xa kuthelekiswa nolunye unyango olukhoyo.
I-Arthroscopic vertebral stabilization yinkqubo yokuhlinzwa encinci, njengoko iqhutywe ngomngxuma omncinci kwesikhumba endaweni ye-incision evulekile, kwaye ngoko ayichaphazeli kakhulu umsebenzi womqolo kunye nokuhamba kwexesha elizayo lomguli.
Kubalulekile ukuba isigulana silandele imiyalelo ebalulekileyo emva kotyando, ukuze kuthintelwe naziphi na iingxaki ezinokubakho okanye iingxaki. Izikhokelo ziquka ukuthobela ukuphumla okwaneleyo kunye nokutya okufanelekileyo, ukulandela zonke iinkqubo eziyimfuneko zokunyamekela isilonda sotyando, nokuphepha umsebenzi onamandla ngaphambi kokugqiba inkqubo epheleleyo yokuphilisa.
Oogqirha kunye nezigulane kufuneka kwakhona bacebise ukuvavanya iingozi ezinokubakho kunye neenzuzo zokuzinzisa umgogodla, kunye nokuqinisekisa ukuba iyona ndlela ingcono kakhulu kwizigulane ezineengxaki zomgogodla, emva kokuhlalutya imeko ngokucophelela nangenyameko.
Lithini izinga lempumelelo yokuzinzisa umqolo?
Izinga lokuphumelela lokuzinza komgogodla liyahluka ngokuxhomekeka kwimeko yesigulane kunye nobungakanani bokuphuhliswa kwemeko yakhe. Nangona kunjalo, uphando lubonisa izinga lempumelelo eliphakathi kwe-70% kunye ne-90%. Ukuze ugweme iingxaki zecala lenkqubo yokuhlinzwa, isigulane kufuneka sinamathele kwimiyalelo yezonyango kunye neengcebiso ngexesha lokubuyisela.
Ngawaphi amanyathelo afanele alandelwe emva kokuba isigulane sifumana ukuzinza kwe-vertebral?
I-Vertebroplasty yenye yeenkqubo zotyando ezisetyenziselwa ukunyanga iingxaki zomqolo kunye nokuthomalalisa iintlungu. Emva kokwenza utyando, isigulane kufuneka silandele amanyathelo abalulekileyo ukuqinisekisa ukubuyisela ngokukhawuleza kwaye ugweme naziphi na iingxaki.
Izigulana ezifumana ukuzinza komgogodla ziyacetyiswa ukuba zigweme nayiphi na intshukumo ebeka uxinzelelo emqolo, njengokugoba umva ngokugqithisileyo ngelixa uphakamisa izinto, kunye nokuzivocavoca okunamandla okucinezela umzimba, njengokubaleka kunye nokuhamba ngebhayisikile.
Kwakhona kubalulekile ukugcina indlela yokuphila enempilo, kuquka ukutya okunempilo, ukulala ngokwaneleyo, kunye nokuphepha ukutshaya. Isigulane kufuneka kwakhona sibambelele kwiidosi zamayeza amiselwe ngugqirha.
Isigulana sinokubuyela emsebenzini emva kwexesha elifutshane ukuba umsebenzi ungowokuzola, kwaye imisebenzi enzima yomzimba kufuneka igwenywe kwixesha lokuqala emva kokuhlinzwa.
Isigulana sifanele siqhagamshelane nogqirha xa sibona naluphi na utshintsho olungaqhelekanga kwimpilo yakhe, njengentlungu egqithiseleyo, ukudumba, okanye ubushushu kwindawo engqonge utyando.
Ukongezelela, kufuneka uqhubeke uthatha amayeza amiselweyo kwaye unxibe i-splint yonyango ukukhusela umva kwimikhwa yangaphandle kunye nokuxhasa inkqubo yokuphulukisa isilonda Ukuhlala ixesha elide kunye nokunciphisa umqolo kufuneka kugwenywe.
Umonakalo wokuzinzisa i-vertebrae
I-Vertebral vaulting inokubangela iziphumo ebezingalindelekanga kunye neziphumo ezibi kumnqonqo. Phakathi kwemiphumo eqhelekileyo kukuba: intlungu kunye nokunciphisa ukunyakaza kwindawo engenakunyakaziswa, kunye neentlanzi kwiindawo ezikufutshane nesayithi elingenakunyakaziswa.
Isigulana sinokudinga ukuba sithathe i-painkillers ukukhulula intlungu kunye nokudumba, kwaye sinokugqithiselwa kukhathalelo olunzima ukuba kukho naziphi na iingxaki ezinzulu ezikhulayo.
Oogqirha bacebisa izigulana ukuba ziphephe ukusebenza ngokugqithisileyo kwaye ziphumle ngokupheleleyo kwixesha elilandela utyando. Akufanele uthathe amayeza ngaphandle kokubonisana nogqirha wakho, kwaye uyeke ukwenza nantoni na enokucaphukisa indawo yokubeka.
Ukuhlala emva kokuzinza komgogodla
Emva kwenkqubo yokuzinzisa umgogodla, kucetyiswa ukuba ungahlali ixesha elide, njengoko ukuhlala kunokubangela uxinzelelo kwi-vertebrae kwaye kubangele umonakalo.
Kuphephe ukugoba okanye ukujija umqolo wakho ngelixa uhamba okanye uhamba, kwaye kufuneka ukuphephe ukuphakamisa amadolo akho ngaphezulu kwenqanaba lamathanga akho ngelixa uhleli.
Xa utshintsha indawo yokuhlala ukuze ume, kufuneka uhambise umzimba ekupheleni kwesihlalo uze ubeke izandla kwiingalo zesihlalo ukuze ume ngaphandle kokugoba.
Ungaqala ukuhamba iyure enye emva koqhaqho.Kucetyiswa ukuba uqale ukuhamba umgama omncinci kunye namaxesha amafutshane kwaye unyuse ngokuthe ngcembe ngengcebiso kagqirha.
Ukunciphisa uxinzelelo kwi-vertebrae ngelixa uhleli, inkxaso okanye umcamelo unokubekwa phantsi kwamadolo, ngokwengcebiso kagqirha.
Iimpawu zokungaphumeleli kwenkqubo yokuzinzisa i-vertebral
Ukungaphumeleli kwenkqubo yokuzinzisa umgogodla yenye yezona ziphumo ezibi kakhulu ezinokuthi zenzeke emva kokusebenza.
Umntu ochaphazelekayo unokuva intlungu ebuhlungu kakhulu emva kwenkqubo kwaye unokuziva ubuhlungu obukhulu kwindawo yangasemva.
Ukudumba kunokuvela kwindawo yenxeba lotyando, kwaye isigulana sinokuziva siphefumla nzima okanye sibe nobunzima bokuhamba.
Utyando olungaphumeleliyo lunokubangela ukukhululeka okungaphelelanga kweentlungu zangasemva okanye zentamo, kwaye kunokukhokelela kwezinye iingxaki ezinjengosulelo okanye ukopha.
Ubume be-vertebrae fixation screws
Uphando lubonisa ukuba izikrufu ze-vertebral ziintonga zentsimbi eziphothiweyo ezisetyenziselwa ukudibanisa i-vertebrae ebuthathaka okanye ebuthathaka kunye.
Ezi zikrufu ziza kwiimilo ezahlukeneyo kunye nobukhulu ukuze zilungele iimeko ezahlukeneyo zesigulane kunye neepateni zokulimala kwi-vertebrae yazo.
Oogqirha botyando bafuna isakhono esikhulu sokufakela ezi zikrufu kwaye baphephe ukonakalisa izicubu ezithambileyo ezijikeleze i-vertebrae.
Njengoko iteknoloji iphucula, izazinzulu zibiza ii-arsenals ezintsha ze-screws "izinto eziphuculweyo ze-bio-advanced" njengoko ziphuhlisa izinto ezilinganisa indalo kwaye zinceda i-vertebrae iphile ngcono.
Kuvunyelwa nini ukwabelana ngesondo emva kokuzinza komgogodla?
Abatshatileyo banokuzibuza ukuba balinde ixesha elingakanani ngaphambi kokulalana emva kwenkqubo ebuhlungu yokuzinzisa i-vertebrae. Oogqirha bacebisa ukuba balinde iiveki ezi-6 ukuya kwezi-8, de kube zonke izilonda ziphilisiwe kwaye i-vertebrae yaphila.
Izigulane kufuneka zibambelele ekuphumleni kwaye zigweme ubunzima kwixesha elibalulekileyo ngokukhawuleza emva kokusebenza. Nawuphi na umsebenzi onzima womzimba awuvumelekanga phambi kokuba ufumane imvume kagqirha.
Ngokuphononongwa okufanelekileyo ngugqirha, kwaye ukuba isigulane sivakalelwa ukuphakamisa kwendalo emzimbeni, ukulala ngesondo kunokuvunyelwa ngokuqaphela. Kunconywa ukuba ugweme izikhundla ezinokubeka uxinzelelo kwi-vertebrae ezinzile.
