Kunyangwe tichifunga kuti kurwadziwa kwemusana kwakajairika sezvatinokura, dzimwe nguva kurwadziwa uku kunogona kuwedzera zuva nezuva. Kunyanya kurwadziwa kunokonzerwa nekutyoka kwemusana kana sezvatinoti kutyoka kwekumanikidzwa kunogona kukanganisa mabasa ezuva nezuva kusvika padanho rekuti hazvigoneke kuita chero chinhu. Nhasi tiri kutaura nezvenzira yekurapa inoshanda zvikuru yechirwere chakadaro.
Zvichitaurwa zviri nyore, chii chinonzi Kyphoplasty?
Kyphoplasty inzira yakakosha yekurapa mapfupa (vertebrae) ari kumusana wako akatyoka nekurohwa. Funga nezvazvo, musana wedu wakagadzirwa nemapfupa madiki (vertebrae) akaunganidzwa pamusoro peumwe neumwe. Nekukura kana zvimwe zvikonzero, mapfupa aya anogona kushaya simba uye anogona kutyoka nekuputsika pamusoro peumwe neumwe kunyangwe nekurohwa kudiki. Izvi ndizvo zvatinodaidza kuti `(compression fracture)`.
Kana izvi zvikaitika, zvidimbu zvemapfupa zvakatyoka zvinotanga kudzvanya tsinga nemusana kumusana. Izvi zvinokonzera kurwadziwa kwemusana kusingatsungiririki, zvichiita kuti zviome kufamba nekufamba. Dzimwe nguva, kutenderera kwemusana mberi, kunonzi ``kyphosis,'' kunogonawo kuitika.
Saka, mukurapwa uku kwe ' Kyphoplasty' , rudzi rwesimende yekurapa (simende yemapfupa) inopinzwa mubhonzo rakatyoka nenzira yakakosha kuti risimbiswe. Zvakafanana nekuisa simende mumukanwa uri pamadziro kuti igadziriswe.
Kyphoplasty neVertebroplasty - Musiyano uripi?
Kunyange hazvo kurapwa uku kuviri kunganzwika kwakafanana, pane musiyano mudiki asi wakakosha. Zvese zvinosanganisira kuisa simende mupfupa rakatyoka mumusana. Zvisinei, muKyphoplasty, simende isati yaiswa, bharumu diki rinoiswa mupfupa robva rafuridzirwa.
Mukuita kyphoplasty, bharumu rinoshandiswa kugadzira nzvimbo pakati pemapfupa akadonha, kuedza kudzoreredza kukwirira kwepfupa pakutanga. Nzvimbo yacho inobva yazadzwa nesimende. Mukuita vertebroplasty, bharumu iri harishandiswe, asi simende inoiswa zvakananga.
Musiyano uyu unogona kunzwisiswa zvakajeka kubva patafura iri pazasi.
| Hunhu | Kyphoplasty | Kuvhiyiwa kwemusana wevertebroplasty |
|---|---|---|
| Kushandisa bharumu | Ehe, bharumu rinofefeterwa kuti pave nenzvimbo simende isati yaiswa. | Kwete, haishandisi bharumu. |
| Chinangwa chikuru | Kuderedza marwadzo uye kudzorera kukwirira kwepfupa rakadonha. | Zvikuru kuderedza marwadzo. |
Kurapwa uku kwakakodzera ani?
Kana kurwadziwa kwemusana wako kuri kuramba kuchikura zuva nezuva, zvinogona kunge zvichikonzerwa ne "compression fracture". Chikonzero chikuru chechirwere ichi chirwere chinonzi "osteoporosis" . Zvichitaurwa zviri nyore, sezvaunokura, mapfupa ako anova asina simba, anotetepa, uye anotyoka zviri nyore. Mamwe magomarara anogonawo kukuvadza mapfupa ako uye kukonzera kutyoka uku.
Zvisinei, kana kurwadziwa kwemusana wako kuchikonzerwa nechimwe chinhu, senge herniated disk, arthritis, kana spinal stenosis, saka Kyphoplasty ingasave yakakunakira. Saka, zvakanaka kutaura nachiremba wako kuti aone chikonzero chaicho chekurwadziwa kwako uye kusarudza kurapwa kwakakodzera.
Kugadzirira usati wavhiyiwa
Kana ukasarudza kuvhiyiwa uku, chiremba achakuongorora asati aita izvozvo. Achaita bvunzo dzakawanda kuti aone hutano hwako hwese.
- Kuongororwa kwemuviri
- Kuongororwa kweropa
- Kuongororwa kwemusana neX-ray, CT (Computed Tomography), kana MRI ( magnetic resonance imaging )
Zvakakosha kuzivisa chiremba wako nezvemishonga yauri kutora uye chero allergies yaungave nayo. Unogona kukumbirwa kuti urege kutora mimwe mishonga, yakaita semishonga inobvisa ropa mumuviri , mazuva mashoma usati wavhiyiwa. Unogonawo kurayirwa kuti usadye kana kunwa kwemaawa mashoma usati wavhiyiwa.
Kuvhiyiwa uku kunoitwa sei?
Uku hakusi kuvhiyiwa kukuru, saka hapana chekutya.
1. Kusanzwa: Kutanga uchapihwa `(local anesthesia)`, kana jekiseni rinongobvisa kusanzwa kweganda panzvimbo pachaitirwa kuvhiyiwa. Dzimwe nguva unogona zvakare kurara (`sedation`). Kazhinji, unenge wava nechirwere chose.Anesthesia yemushonga mukuru haiitwe.
2. Nzvimbo: Panguva yekuvhiyiwa, uchadzoserwa chiso chako pasi woiswa nedumbu rako.
3. Kuisa tsono: Zvadaro, achishandisa rudzi rwakakosha rweX-ray (`fluoroscopy`), chiremba anovhiya anoburitsa buri diki kwazvo nepaganda riri kumusana wako uye anotungamira tsono ine buri nepakati payo ichipinda mubhonzo rakatyoka.
4. Kukwira kwebharumu: Zvadaro, bharumu diki rinopinzwa nepatsono mubhonzo rozofefeterwa zvishoma nezvishoma, zvichiita kuti pave nenzvimbo pakati pemapfupa akaputsika.
5. Kuzadza simende: Bharuni rinobviswa uye simende yakakosha yekurapa inopinzwa munzvimbo yakagadzirwa. Izvi zvinosimbisa uye zvinodzikamisa pfupa.
Maitiro ese anotora nguva shoma seawa imwe chete kuti pfupa rimwe chete richeke.
Mabhenefiti ekurapwa uye kupora
Sezvo kyphoplasty iri kuvhiyiwa kusinganyanyi kukuvadza mapfupa, kupora kunokurumidza.
| Zvakanakira zvikuru zveKyphoplasty kurapwa | |
|---|---|
| Kurerutsira marwadzo nekukurumidza | Vamwe vanhu vanonzwa kurwadziwa kushoma mushure mekuvhiyiwa. Mukati memazuva maviri, vanhu vazhinji vanenge vadzikira zvakanyanya uye vanokwanisa kufamba-famba zviri nyore. |
| Kudzorera chimiro chemuviri | Nekudzoreredza hurefu hwepfupa rakadonha, kyphosis inogona kudzivirirwa kana kuderedzwa. |
| Kupora nekukurumidza | Vanhu vazhinji vanogona kuenda kumba zuva rimwe chete. Kurapwa kwemuviri kazhinji hakudiwi. |
| Kubudirira kukuru | Ongororo dzakaratidza kuti vanhu vanopfuura 90% vanorapwa nenzira iyi vanonzwa kurerukirwa nemarwadzo. |
Mushure mekuvhiyiwa, ucharara pamubhedha kweinenge awa kuti simende igare zvakanaka. Mushure meizvozvo, uchakwanisa kufamba. Unganzwa kurwadziwa kwemazuva mashoma pakaiswa tsono. Izvi zvakajairika. Zvisinei, chiremba wako achakukurudzira kuti usaite maekisesaizi anorema kana kurovedza muviri kwakaoma kwemavhiki mashoma .
Pane njodzi here?
Sezvinoitwa mune mamwe maitiro ekurapa, Kyphoplasty ine njodzi dzisingawanzoitiki. Izvi hazvifaniri kutya, asi zvakakosha kuti uzvizive.
- Utachiona: Hunogona kuitika kashoma.
- Kubuda ropa: Kubva panzvimbo yakapinzwa tsono.
- Kukuvadzwa kwetsinga: Izvi zvinogona kukonzera kunzwa kusanzwa zvakanaka.
- Kurwara: Kumakemikari anoshandiswa muX-rays.
- Kubuda kwesimende: Kashoma, simende shoma inoiswa inogona kubuda mubhonzo. Izvi zvinogona kukonzera matambudziko akadai sekugwamba kweropa kunovhara tsinga yeropa kana kubaya musana.
Yeuka kuti njodzi idzi hadziwanzowaniki , uye chiremba wako achatora matanho ese anodiwa kuti adzideredze.
Nguva yekukumbira mazano echiremba mushure mekuvhiyiwa
Mushure mekudzokera kumba mushure mekuvhiyiwa, zvakakosha zvikuru kuzivisa chiremba wako nekukasika kana ukaona zviratidzo zvisingawanzoitiki.
- Kuzvimba, kuchinja ruvara rweganda, kana fivha panzvimbo yakapinzwa tsono (zvingave zviratidzo zvehutachiona).
- Kubuda ropa rakawanda kubva panzvimbo yacho.
- Kushaya simba kana kurasikirwa nemanzwiro mumakumbo.
- Marwadzo acho anotowedzera pane kudzikira.
Kana uchinzwa chimwe chinhu chakadai, usazviregeredza. Taura nachiremba wako nekukasika.
Mharidzo Yekuenda Nayo Kumba
- Kyphoplasty imishonga inoshanda zvikuru yekurapa kupwanyika kwemusana kunokonzerwa nekukwegura (osteoporosis).
- Izvi zvinoderedza marwadzo, zvinodzorera kukwirira kwepfupa rakadonha, uye zvinodzivirira musana wakakombama.
- Iyi imishonga isingade kuchekwa kukuru, inotora inenge awa imwe chete, uye inobvumira kuti ikurumidze kupora.
- Hauzonzwi kurwadziwa panguva yekuvhiyiwa nekuti unenge wava nefivha.
- Njodzi dzacho dzakaderera zvikuru, asi kana ukaona zviratidzo zvisingawanzoitiki mushure mekuvhiyiwa, zivisa chiremba wako nekukasika.
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