Ngubani ugqirha wezifo zengqondo? Ngaba wakha wadibana nomnye?

Ngaba wakha weva 'ngogqirha wezifo zengqondo'? Mhlawumbi wena okanye umntu omaziyo ucetyiswe loo nto ngugqirha, akunjalo? Kuqhelekile ukuziva usoyika kancinci xa usiva oko. "Owu, ndiyazibuza ukuba kuza kufuneka ndenze utyando ngoku." Kodwa ngubani kanye kanye ugqirha wezifo zengqondo? Ngaba wenza utyando kuphela? Siza kuchaza konke oku ngendlela elula kakhulu namhlanje, ngendlela onokuyiqonda.

Ngubani lo gqirha wezifo zengqondo? (Ugqirha wezifo zengqondo)

Ngamafutshane, ugqirha we-neurosurgeon ngugqirha oye wafumana uqeqesho olukhethekileyo . Uxilonga aze anyange izifo ezichaphazela inkqubo yethu yemithambo-luvo - ingqondo, umthambo womqolo (umthambo oyintloko kumqolo), kunye nazo zonke ezinye iimithambo-luvo . Abantu abaninzi bacinga ukuba oogqirha be-neurosurgeon benza utyando kuphela. Kodwa akunjalo. Bakwasebenzisa unyango olungelulo utyando, olufana namayeza, i-steroid injections, kunye nonyango lomzimba . Enyanisweni, bazama ukunyanga le meko ngaphandle kotyando nanini na kunokwenzeka. Utyando lucetyiswa kuphela xa zonke ezinye iindlela zonyango ziye zazanywa kwaye azizange zisebenze.

Iingcali zotyando lwemithambo-luvo zikwanyanga izifo zenxalenye yenkqubo yethu yemithambo-luvo ezixhasa le nkqubo. Oko kukuthi:

• Iziphumo ekhakhayini lakho.
• Izifo ze- vertebrae yomqolo .
• Iingxaki ngeediski zomgogodla (abantu abaninzi bathi 'idiski etyibilikileyo', yiloo nto iyiyo).
• Iingxaki ezinxulumene nemithambo yegazi .
• Ukonakala kwimibimbi ekhuselayo kunye nezicubu ezithambileyo ezigubungela izinto ezifana nengqondo yethu kunye nomqolo.

Kwanabanye oogqirha baya kuqhagamshelana noogqirha bemithambo-luvo xa befuna ulwazi olunzulu malunga nenkqubo yemithambo-luvo, kuba yiloo ndlela uqeqesho lwabo olubanzi ngayo.

Yintoni umahluko phakathi kwe-Neurology kunye ne-Neurosurgeon?

Oku kuyinto edideka kakhulu ngabantu abaninzi. Makhe sibone ukuba yintoni umahluko omkhulu phakathi kwezi zimbini.

Ingcali yezifo zengqondo ngugqirha oxilonga, onyanga, aze alawule izifo ezichaphazela inkqubo yethu yeemvakalelo (ubuchopho, umqolo, imithambo-luvo). Nangona kunjalo, ingcali yezifo zengqondo ayenzi utyando.

Kwelinye icala, ugqirha wezifo zengqondo uxilonga izifo zenkqubo yemithambo-luvo aze azinyange ngotyando nangonyango olungelulo utyando .

Khawucinge nje, ukuba unesifo okanye ingozi enxulumene nenkqubo yemithambo-luvo, ungaya kuqala kwingcali yemithambo-luvo. Yona iza kukuhlola ize ifumanise esi sifo. Emva koko, ukuba icinga ukuba imeko yakho ifuna okanye ingancedakala kutyando, iya kukuthumela kwingcali yemithambo-luvo ukuze ufumane iingcebiso ezithe vetshe, kwaye ukuba kuyimfuneko, unyango lotyando. Uyayazi?

Yintoni eyenziwa ngugqirha wezifo zengqondo?

Ugqirha wezifo zengqondo uhlola, axilonge, aze anyange iimeko ezichaphazela inkqubo yemithambo-luvo yomzimba wethu, equka ingqondo, intambo yomqolo, kunye nentambo yomqolo, kunye nazo zonke iimithambo-luvo eziphuma kwintambo yomqolo.

Nangona oogqirha bemithambo-luvo benokwenza utyando oluntsonkothileyo emgogodleni nasebuchotsheni bakho, badla ngokucebisa unyango olungenalo utyando, olungenalo utyando kuqala. Umzekelo, ukuba unentlungu engapheliyo emqolo, ugqirha wakho wemithambo-luvo angacebisa kuqala amayeza okulwa nokuvuvukala kunye/okanye unyango lomzimba. Ukuba olu nyango aluyithobeli intlungu yakho, ke utyando, ukuba kunokwenzeka, lunokuthathwa ingqalelo.

Ugqirha wemithambo-luvo unezakhono kwiintlobo ngeentlobo zotyando kunye nonyango. Nazi imizekelo embalwa:

• Utyando oluvulekileyo : Oku kuthetha utyando olubandakanya ukusikwa okulula.
• Utyando olungenabungozi kangako : Oku kubandakanya ukufaka izixhobo ezifana neekhamera ngokusebenzisa imingxunya emincinci. Oku kubangela amanxeba amancinci kunye nokuphiliswa ngokukhawuleza.
• Utyando lwe-Endoscopic : Le yindlela efana notyando olungena kakhulu emzimbeni.
• Utyando lweMicrosurgery : Utyando lwenziwe ngononophelo olukhulu kusetyenziswa imakroskopu.
• Utyando lweRadio : Oku akubandakanyi ukusika. Kunyangwa ngokukhupha imitha eninzi.
• Utyando lwe-Endovascular : Utyando olwenziwa ngokudluliswa kwezixhobo ezincinci kwimithambo yegazi.
• Iinkqubo zokungenelela kwiintlungu ezingapheliyo : Unyango olukhethekileyo lweentlungu ezingapheliyo.

Iingcali zotyando lwe-neurosurgery ziqeqeshwe kakhulu kwiimvavanyo ezifunekayo ukuxilonga nokunyanga izifo ze-neurological. Zinobuchule bokusebenza nokuhlalutya iziphumo zolu vavanyo:

• Iiskeni ze-CT (iiskeni ze-Computed Tomography)
• Iiskeni ze-MRI (iiskeni ze-MRI / iiskeni ze-Magnetic Resonance Imaging)
• Iiskeni zePET (iiskeni zePositron Emission Tomography)
• I-Magnetoencephalography (MEG)
• Uvavanyo lwe-EEG `(Ii-Electroencephalograms (EEG))`

Ziziphi iimeko eziqhelekileyo ezinyangwa ngoogqirha bemithambo-luvo?

Zininzi izifo ezinyangwa ngoogqirha bemithambo-luvo. Makhe sijonge ezimbalwa zazo:

• Iithumba zobuchopho
• I-Carpal tunnel syndrome : Imeko ebangelwa kukucinezelwa komthambo esihlahleni. Idla ngokuvela kubantu abasebenza kwiikhompyutha okanye abenza imisebenzi ephindaphindwayo ngezandla zabo.
• Ukuvuza kolwelo lomqolo (CSF): Olu lulwelo olujikeleze ingqondo kunye nomqolo. Luyavuza.
• Intlungu engapheliyo yomqolo okanye yentamo
• Izifo zobuchopho ezizalwa nazo : Umzekelo, `(Iingxaki zeChiari)` kunye `(Ii-Arachnoid cysts)`.
• Iingxaki zomnqonqo wokuzalwa : Umzekelo, `(i-Spina bifida)` kunye `(i-Tethered spinal cord)`.
• Ukungcangcazela okubalulekileyo : Imeko apho izinto ezifana nezandla, imilenze, kunye nentloko zingcangcazela khona.
• Iidiski zeHerniated : Njengoko bekutshiwo ngaphambili, idiski yomgogodla iyavuvukala.
• I-Hydrocephalus : Imeko apho ulwelo luqokelelana engqondweni, nto leyo ebangela ukuba intloko ikhule.
• Ii-aneurysms ze-Intracranial : Ukudumba okufana nebhaluni kumthambo wegazi engqondweni.
• I-Multiple Sclerosis (MS)
• Isifo sikaParkinson
• Imithambo-luvo ecinezelekileyo
• I-Sciatica : Intlungu ebuhlungu ehamba emlenzeni.
• Izifo zokuxhuzula, ezifana ne-Epilepsy
• Ii-spurs zamathambo omqolo (ii-osteophytes)
• I-stenosis yomgogodla
• Ukuqhekeka komqolo
• Iithumba zomqolo
• Ukukhubazeka komqolo : Umzekelo, i-scoliosis kunye ne-spondylolisthesis.
• Ukulimala kwentloko, ingqondo, intamo okanye umqolo

Musa ukoyika xa ubona olu luhlu. Kukho unyango lwazo zonke ezi zifo, kwaye azizizo zonke ezifuna utyando.

Luhlobo luni lotyando olwenziwa ngoogqirha bemithambo-luvo?

Oogqirha be-neurosurgery benza utyando olwahlukeneyo kwiindawo ezahlukeneyo zenkqubo yemithambo-luvo, kuquka ingqondo, umqolo, kunye nemithambo-luvo emilenzeni. Makhe sijonge ezinye zazo:

Iintlobo zotyando lobuchopho:

• Ukususwa kwamahlwili egazi
• Ukulungiswa kwe-Aneurysm
• Ukususwa kwethumba
• Ukuyeka Ukopha Ebuchosheni
• Ukulungisa umonakalo obangelwe yingozi
• Ukubeka i-shunt (ukususa ulwelo olugqithisileyo engqondweni)

Utyando lwemithambo-luvo ejikeleze umzimba (imithambo-luvo yamalungu omzimba):

• Ukukhululwa komhubhe weCarpal
• Ukukhululwa kwemithambo-luvo ye-Ulnar
• Ukuvuselelwa kwemithambo-luvo yeVagus

Iintlobo zotyando lomqolo:

• Utyando lwe-radiosurgery yomqolo olusebenzisa i-stereotactic
• Ukususwa kwenxalenye yediski (i-Diskectomy)
• Utyando lweLaminectomy
• Ukudibana komqolo
• Ukulungiswa kwe-vertebroplasty kunye ne-kyphoplasty (ukulungiswa kwe-vertebra eqhekekileyo ngesamente)
• Ukuzinza komqolo kunye nokwakhiwa kwakhona

La ngamagama nje. Ayizizo zonke iintlobo zotyando ezenziwayo kumntu wonke. Ugqirha uza kukhetha eyona ifanele imeko yakho.

Kutheni kufuneka ubone ugqirha wezifo zengqondo?

Uninzi lwexesha, ugqirha wakho wosapho okanye ingcali yakho yezifo zengqondo iya kukuthumela kugqirha wezifo zengqondo ukuba bafuna uvavanyo olunzulu lwemeko yakho yezifo zengqondo okanye ukuba bacinga ukuba utyando lunokuba luncedo.

Khumbula, ukuba nje ugqirha ukuthumele kugqirha wemithambo-luvo akuthethi ukuba kuya kufuneka utyando!

Endaweni yoko, uya kunikwa uvavanyo olupheleleyo lwe-neurological , imbali epheleleyo yeempawu zakho kunye nembali yezonyango , kunye novavanyo oluneenkcukacha lwemifanekiso (ezifana ne-MRI kunye ne-CT scans) ukufumanisa unobangela weempawu zakho. Emva koko, ugqirha wakho we-neurosurgeon - ngamanye amaxesha ngoncedo lwezinye iingcali - uya kuxoxa nawe ngeendlela ezilungileyo zonyango kuwe. Oku kungaba lunyango olungenalo utyando, utyando, okanye indibaniselwano yazo zombini.

Yintoni ekufuneka uyazi xa usiya kugqirha wezinzwa?

Xa undwendwela ugqirha wezintso, ungambuza imibuzo efana nale. Le mibuzo iya kukunceda woyise naluphi na uloyiko kunye namathandabuzo onokuba nawo.

Imibuzo onokuyibuza:

• "Gqirha, unamava angakanani ekwenzeni olu hlobo lotyando?"
• "Kuza kufuneka kwenziwe olu tyando ixesha elingakanani?"
• "Zithini iingozi ezinokubakho ngenxa yolu tyando?"
• "Zithini iingenelo zolu tyando?"
• "Utyando lwenziwa njani ?"
• "Ngaba ndifanele ndifumane uluvo lwesibini?"
• "Ngoobani abanye oochwephesha kwiqela lam lotyando?"
• "Ngubani omnye oza kuba kwiqela lam lokuchacha emva kotyando?"
• "Ndiza kuhlala ixesha elingakanani esibhedlele? Ndiza kuphola phi?"
• "Ndingaphila ngokukhawuleza nangokupheleleyo kangakanani?"
• "Ndingenza ntoni ukuze ndilungiselele utyando?"

Nantsi indlela yokulungiselela intlanganiso:

• Bhala uluhlu lwezinto ezibalulekileyo ekufuneka uzixoxe nogqirha wakho wezifo zengqondo.
• EyakhoNdixelele ngotshintsho oluye lwenzeka kwimpilo yakho iyonke.
• Sixelele ngazo naziphi na iimpawu ezintsha onazo okanye naluphi na utshintsho kwiimpawu ezindala .
• Thatha iikopi zeengxelo zovavanyo eziskeniweyo ezivela kwabanye oogqirha.
• Zisa uluhlu lwamayeza onke, iivithamini, izongezo, kunye namayeza esintu owasebenzisayo ngoku.
• Sixelele nge -allergies zakho.
• Ukuba kunokwenzeka, hamba nomhlobo okanye ilungu losapho. Bangakubhala phantsi oko ugqirha akuthethayo baze bakuncede.
• Ukuba kukho enye into ekufuneka uyazi, cela ukuba ungayinika olunye usuku.

Kuthatha ixesha elingakanani ukuba ngugqirha wezifo zengqondo? Ngaba luhambo olulula?

Ukuba ngugqirha wemithambo-luvo akulula. Kufuna iminyaka yemfundo noqeqesho. Ngokwesiqhelo:

• Iminyaka emi-4 ngaphambi kokugqiba izifundo (Imfundo yangaphambi kwezonyango).
• Iminyaka emi-4 yesikolo sezonyango.
• Uqeqesho lonyaka omnye kwicandelo lotyando oluqhelekileyo.
• Ixesha lokuhlala kwicandelo le-neurosurgery liyiminyaka emi-5-7.

Oko kuthetha ukuba kuthatha phakathi kweminyaka eli-14 neli-16 ukuba ngugqirha wemithambo-luvo! Eli lelinye lawona maxesha oqeqesho amade kwicandelo lezonyango. Kuba eli candelo liyinkimbinkimbi kakhulu.

Abanye oogqirha be-neurosurgery, emva kolu qeqesho, bafumana "i-Fellowship" kwenye ingcali (umz., umqolo, utyando lwe-neurosurgery lwabantwana). Kwakhona, kufuneka baqhubeke nokufunda izinto ezintsha kwaye bazi iteknoloji entsha.

Iindawo ezininzi ezikhethekileyo zotyando lwe-neurosurgery:

• Utyando lwemithambo yegazi (olunxulumene nemithambo yegazi yengqondo)
• I-neuroradiology yotyando lwe-Endovascular
• Utyando lwesifo sokuwa
• Utyando lwe-neurosurgery olusebenzayo
• I-Neuro-oncology (umhlaza wenkqubo yemithambo-luvo)
• Utyando lwengqondo lwabantwana
• Utyando lomqolo

Umyalezo Wokuya Ekhaya

Kuqhelekile ukuba uzive uxhalabile xa uxilongwa. Nangona kunjalo, ukuba unentlungu engapheliyo okanye imeko echaphazela inkqubo yemithambo-luvo, njengesifo sikaParkinson, ugqirha wemithambo-luvo unokukunceda ukulawula nokunyanga imeko yakho.

Iingcali zotyando lwemithambo-luvo zezona zingcali ziphambili kweli candelo. Banolwazi ngamayeza amva nje, unyango, kunye notyando olunokukunceda.

Ugqirha wakho wengqondo uza kusebenza nawe ukuze amisele isicwangciso sonyango esifanelekileyo kuwe. Ngoko ke, zive ukhululekile ukudibana naye nize nixoxe ngezinto ezikuxhalabisayo. Khumbula, utyando alusoloko lusisombululo sokugqibela. Kwiimeko ezininzi, baya kwenza konke okusemandleni abo ukukunceda uphile ngaphandle kotyando.

Ugqirha wezifo zengqondo, Utyando lobuchopho, Utyando lomqolo, I-Neurology, Ingcali yezifo zengqondo, Inkqubo yemithambo-luvo