Ngaba nawe unengxaki yomqolo obuhlungu obungapheliyo nangona usela amayeza, wenza i-physio, kwaye wenza yonke into? Ngamanye amaxesha le ntlungu inokusasaza ukusuka emqolo ukuya emilenzeni. Kwimeko enjalo, ugqirha wakho usenokuba ukuxelele ngotyando lwe-ALIF. Kuqhelekile ukuba uzive usoyika kancinci xa kukhankanywa olu tyando. Kodwa ungakhathazeki, siza kuthetha ngayo yonke into ngokulula, ukuba luyintoni olu tyando lwe-ALIF, lwenziwa njani, kwaye lulungiselelwe njani.
Ngamafutshane, yintoni utyando lwe-ALIF?
Igama elithi ALIF lisenokuvakala liyinkimbinkimbi kancinci, kodwa masilichaze ngamagama.
- A - Ngaphambili: Oku kuthetha "ukusuka ngaphambili." Oku kuthetha ukuba ugqirha uza kufikelela emqolo wakho ngomngxuma omncinci owenziwe ecaleni lesisu sakho .
- L - I-Lumbar: Oku kubhekisa kwinxalenye esezantsi yomqolo wakho . Uninzi lweentlungu zomqolo zenzeka kule ndawo.
- I - Interbody: Oku kuthetha "phakathi kwamathambo amabini angasemva." Umqolo wethu wenziwe ngamathambo amancinci (ii-vertebrae) abekwe phezu komnye. Utyando lwenziwa phakathi kwala mathambo mabini angasemva.
- F - Ukudibana: Oku kuthetha "ukudibana kunye".
Khawuthelekelele ukuba inxalenye efana nomqamelo phakathi kwamathambo amabini emqolo wakho (esiyibiza ngokuba yi-intervertebral disk) igugile. Emva koko loo mathambo ayagudlana, ecinezela imithambo-luvo ehamba kuwo. Kulapho ke kuvela khona intlungu ebuhlungu yomqolo.
Ngoko ke, kutyando lwe-ALIF, udlula esiswini uze ususe idiski endala, egugileyo, uze uyitshintshe ngethambo elitsha okanye ikheyiji encinci eyenziwe nge-titanium (graft). Ekuhambeni kwexesha, amathambo amabini angaphezulu nangaphantsi adibana neqhekeza elitsha, abe lithambo elinye eliqinileyo. Emva koko ucinezelo lwemithambo-luvo luyanyamalala kwaye intlungu iyaphela.
Ngubani ofuna olu tyando lwe-ALIF?
Ugqirha udla ngokucebisa olu tyando xa ezinye iindlela zonyango (amayeza, umthambo, i-physiotherapy) zingancedanga kwiintlungu zomqolo. Olu tyando lusetyenziswa kakhulu kwezi meko zilandelayo:
- Isifo seDiski esiwohlokayo: Xa iidiski eziphakathi kwamathambo omqolo ziwohloka ngenxa yokwaluphala okanye ngenxa yezinye izizathu, nto leyo ebangela uxinzelelo kwimithambo-luvo.
- I-Lumbar Radiculopathy: Iimeko ezinje ngentlungu kunye nokungaziva mnandi okuphuma emilenzeni ngenxa yokucinezelwa komthambo womqolo.
- I-Spondylolisthesis: Ukutyibilika kwethambo elinye lethambo phambili phezu kwelinye.
- I-Scoliosis: Iimeko ezifana nokugoba komqolo.
- Le ndlela ingafaneleka nakubani na oye watyandwa umqolo izihlandlo ezininzi ngaphambili.
Nangona utyando lwe-ALIF luyinkqubo enkulu, lwenziwa ngokusikwa okuncinci (okungenasithintelo kangako) kwaye lubangela umonakalo omncinci emzimbeni. Ke ngoko, ixesha lokuchacha linokuba lifutshane.
Uzilungiselela njani ngaphambi kotyando?
Oku akuyonto inokugqitywa ngosuku olunye. Zininzi izinto ekufuneka nizicebe kunye wena nogqirha wakho. Masiwahlule la malungiselelo abe ngamacandelo aliqela.
| ixesha elibekiwe | Izinto zokwenza |
|---|---|
| Kwiiveki ezimbalwa ngaphambi kotyando |
|
| Iintsuku ezisi-7 ngaphambi kotyando | |
| Ngomhla wotyando |
Indlela oluqhutywa ngayo utyando
Emva kokuba usiwe kwigumbi lotyando, ingcali yokubulala iintlungu iza kukwenza ulale ngokupheleleyo, ukuze ungabi nantlungu.
Olu tyando lufana nomzamo weqela. Oogqirha ababini ikakhulu bathatha inxaxheba kulo.
1. Ugqirha Wokufikelela: Umsebenzi walo gqirha kukuvula indlela yokuba ugqirha womqolo akwazi ukufikelela kumqolo wakho. Uza kwenza umngxuma omncinci esiswini sakho, malunga ne-intshi ezi-2-3 ngaphantsi kwenkaba yakho. Emva koko, izihlunu zesisu, i-peritoneal sac, kunye nemithambo yegazi ziya kushenxiswa ngononophelo ukuze kubekho indawo yomqolo.
2. Ugqirha Wotyando Lomqolo: Ngoku ingcali yomqolo ithatha indawo. Iza kuyisusa ngokupheleleyo idiski eyonakeleyo negugileyo. Emva koko, i-bone graft okanye i-titanium cage (i-graft) esithethe ngayo ngaphambili iza kufakwa kwindawo leyo. Ukuba ufuna ingahambi, kuza kufakwa izikrufu ezincinci zize zilungiswe.
Xa lo msebenzi ugqityiwe, ugqirha wokuqala ubuya aze abuyisele amathumbu, imithambo yegazi, njl.njl. endaweni yawo, athunge izihlunu zesisu, aze avale ulusu olusikiweyo.
Olu tyando ludla ngokuthatha malunga neyure enye ukuya kwezimbini, kodwa lungathatha ixesha elide ukuba kufuneka kutshintshwe iidiski ezininzi okanye ukuba ukhe watyandwa isisu ngaphambili.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kugcinwa kwindawo yokuchacha ude ubuyele engqondweni. Apho, abahlengikazi baza kujonga rhoqo ukubetha kwentliziyo yakho kunye nokuphefumla kwakho, baze bakunike amayeza entlungu.
Emva koko uza kudluliselwa kwigumbi lokulinda. Kuya kufuneka uhlale esibhedlele malunga neentsuku ezintathu ukuya kwezine. Ngeli xesha,
- Sijonga ngononophelo naziphi na iimpawu zosulelo.
- Ngosuku lokuqala emva kotyando, uya kukhuthazwa ukuba uvuke uhambe kancinci. Oku kubaluleke kakhulu ukuze uphile ngokukhawuleza.
Inkqubo yokubuyisela kwimeko yesiqhelo
Khumbula, le nkqubo yokuphiliswa ayifani nokubaleka i-marathon okanye ukubaleka iimitha ezili-100. Umonde ubaluleke kakhulu.
Kungathatha iinyanga ezininzi ukuba uphile ngokupheleleyo. Usenokungakwazi ukuphakamisa iintsimbi, ukugoba esinqeni, okanye ukujika umzimba wakho kangangeeveki ezimbalwa. Kungathatha ukuya kuthi ga kunyaka ukuba iqhekeza lethambo elifakiweyo lihlangane ngokupheleleyo nethambo lomqolo.
Zithini iingenelo kunye neengozi zotyando lwe-ALIF?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezincinci.
Iingenelo
- Oku akulimazi izihlunu ezingasemva komqolo. Ngenxa yokuba isilonda sikwisisu, iintlungu azinciphi kwaye nexesha lokuphola alincinci.
- Le ndlela ivumela ukususwa okungcono kwediski kunye nokufakwa kweqhekeza elikhulu lethambo kune-posterior lumbar intervertebral discectomy (PLIF).
- Le ndlela ingasetyenziswa nangumntu okhe watyandwa umqolo ngaphambili.
Iingozi (Iingxaki)
- Umngcipheko wosulelo kunye nokopha kakhulu ubalulekile kulo naluphi na utyando.
- Umonakalo wemithambo-luvo.
- Ukonakala kwamathumbu, isinyi, okanye imithambo yegazi. (Oku kunqabile kakhulu)
- Ukuvela kwemisipha yesisu ngokusebenzisa i-incision (incisional hernia).
Ugqirha wakho uza kukuchazela konke oku.
Ixesha lokubona ugqirha ngokukhawuleza kangangoko kunokwenzeka
Ukuba ufumana naziphi na kwezi mpawu emva kokubuyela ekhaya , fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
- Ukuba unomkhuhlane, yiva ubanda kwaye ungcangcazele.
- Ukuba inxeba lotyando libomvu, lidumbile, libuhlungu xa ulichukumisa, okanye likhupha ubovu (ezi zisenokuba ziimpawu zosulelo).
- Ukuba intlungu inzima kakhulu kunokuba bekulindelwe kwaye ayipheli nasemva kokuthatha amayeza okudambisa iintlungu.
Kuqhelekile ukuba noloyiko kwaye ungathandabuzi xa ucinga ngotyando lwe-ALIF. Kuba mhlawumbi sele ukhe wabandezeleka kakhulu ziingxaki zomqolo. Esi sisigqibo esikhulu ebomini bakho. Ngoko ke thetha nogqirha wakho ngayo yonke imibuzo yakho kunye noloyiko lwakho. Baza kukuchazela yonke into kwaye bakuncede wenze isigqibo esifanelekileyo.
Umyalezo Wokuya Ekhaya
- Utyando lwe-ALIF lutyando oluphumeleleyo olususa iidiski ezigugileyo kumqolo ongezantsi kwaye ludibanise amathambo omqolo kunye.
- Oku kwenziwa ngokusikwa okuncinci esiswini, ukuze izihlunu zomqolo zingonakaliswa, ngoko ke ukuchacha kuyakhawuleza.
- Ukunamathela ngokungqongqo kumanyathelo okhuseleko, njengokuyeka ukutshaya ngaphambi kotyando, kubaluleke kakhulu ukuze ufumane iziphumo eziphumelelayo.
- Kuthatha ixesha ukuba uphile, ngoko ke yiba nomonde kwaye ulandele imiyalelo kagqirha.
- Qaphela iimpawu ezilumkisayo emva kotyando, ezinje ngomkhuhlane kunye nokudumba kwamanxeba. Ukuba kukho nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
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