Oko kufuneka ukwazi malunga nokutshintshwa kweDiski yeCervical

Ngaba uneentlungu zentamo ezingapheliyo, ubunzima bokujika intamo yakho, okanye ukuziva uneentlungu ezifana nokutshona kombane kunye nokungaziva mnandi okuphuma entanyeni yakho kuyehla engalweni yakho? Ugqirha wakho usenokuba ukuxelele ukuba unobangela yidiski ehluthwe yi-herniated kumqolo wakho wesibeleko. Ngoko ke, olunye unyango oluphumelelayo koku lutyando lokutshintshwa kwediski yesibeleko esithetha ngalo namhlanje. Kuqhelekile ukuba uzive usoyika kancinci xa usiva eli gama, kodwa masiqaphele oku.

Yintoni utyando lokutshintshwa kwediski yomlomo wesibeleko (CDR)?

Ngamafutshane, olu tyando (ukutshintshwa kweDiski yoMzimba - i-CDR) lubandakanya ukususa idiski egugileyo neyonakeleyo phakathi kwamathambo entanyeni yakho (umqolo wesibeleko) uze uyitshintshe ngediski yokwenziwa/yokufakelwa.

Cinga ngeediski eziphakathi kwamathambo omqolo kumqolo wethu njengezifana nezifunxi-gazi emotweni. Ezi zezona zinto zithintela umqolo wethu ukuba ungagudlani, zisivumele ukuba sigobe, sijijeke, kwaye sishukumise iintamo zethu ngokulula. Ekuhambeni kwexesha, ezi disc ziyawohloka, zithambile, kwaye zinokucinezela imithambo-luvo ehamba kuzo. Kulapho ke kuvela khona intlungu endikhankanyileyo ngaphambili.

Ngoko ke injongo ephambili yolu tyando kukubuyisela indawo eyayinayo idiski egugileyo, kunye nokunciphisa uxinzelelo lwemithambo-luvo kunye nokunciphisa iintlungu ngelixa kugcinwa intshukumo entle yentamo. Ezi diski zokwenziwa zihlala zenziwe ngeesinyithi ezifana ne-cobalt kunye ne-titanium.

Ngubani ocebisa olu tyando?

Olu tyando ludla ngokucetyiswa kubantu abanesifo se-cervical degenerative disk disease, esinokubangela ukuxinwa kwemithambo-luvo (radiculopathy) okanye umonakalo womqolo (myelopathy) .

Kwakhona, ayinguye wonke umntu onokwenza olu tyando. Ukuba uneemeko ezithile, usenokungakulungeli olu tyando.

Ugqirha wakho uza kukuhlola aze agqibe ukuba olu tyando okanye olunye utyando, olufana ne-'ACDF' (i-Anterior Cervical Discectomy kunye ne-Fusion), lulungele wena na.

Uzilungiselela njani ngaphambi kotyando?

Ugqirha wakho (ugqirha wamathambo okanye ugqirha wemithambo-luvo ochwephesha koku) uza kudibana nawe ngaphambi kotyando. Nazi ezinye izinto ezinokwenzeka:

• Uvavanyo olupheleleyo lomzimba.
• Ukubuza ngembali yakho yezonyango kunye neempawu.
• Ukucela iiskeni ezifana ne-X-ray yentamo, i-MRI, okanye i-myelogram.
• Buza malunga namayeza kunye nezongezo zeevithamini ozisebenzisayo ngoku (ungayeki ukuthatha nawaphi na amayeza ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenjenjalo).
• Ukuba usebenzisa iimveliso zecuba (ukutshaya, ukutshinga itshungama), qiniseka ukuba uxelela ugqirha wakho ngaloo nto. I-Nicotine iyacothisa ukuphola kwenxeba. Ke ngoko, uya kucetyiswa ukuba uyeke ukuzisebenzisa ubuncinane iiveki ezi-4 ngaphambi kotyando.

Nceda ubuze ugqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo ngeli xesha.

Lwenziwa njani utyando?

Oku kuyenzeka rhoqo.

1. Okokuqala, ingcali yokubulala iintlungu iza kukunika i-anesthesia eqhelekileyo. Ngoko awuyi kuva ntlungu, kwaye uya kulala ubuthongo ngokupheleleyo.

2. Emva koko ugqirha wenza umngxuma omncinci ngaphambili entanyeni.

3. I-trachea kunye ne-larynx zisuswa ngononophelo ecaleni ukuze zifikelele kumqolo.

4. Kuyo yonke i-operation, utyando lwenziwa xa ujonga ngaphakathi kusetyenziswa iteknoloji ekhethekileyo ye-X-ray ebizwa ngokuba yi-'fluoroscopy'.

5. Idiski eyonakeleyo isuswa ngononophelo kwaye kufakwa idiski entsha yokwenziwa endaweni yayo.

6. Ekugqibeleni, yonke into ihlanganiswe kwakhona kwaye isiqwenga sithungwe.

Kwenzeka ntoni emva kotyando kwaye zithini iingozi?

Emva kotyando, uza kusiwa kwigumbi lokuchacha kwaye ujongwe. Kunokwenzeka ukuba ulale esibhedlele ubusuku bonke. Ugqirha kunye nabasebenzi bomongikazi baza kukunika nayiphi na imiyalelo efunekayo ngaphambi kokuba ugoduke.

Iingxaki zexesha elifutshane (zinokwenzeka rhoqo)

• Usulelo lwenxeba.
• Ubunzima bokuginya (dysphagia).
• Ukurhawuzelela kwelizwi.
• Umqala obuhkungu.

Iingxaki zexesha elide

• Ukonakala kwecandelo elikufutshane (ASD): Umngcipheko wokonakala kweediski ezingaphezulu nangaphantsi kwediski esetyenziswayo.
• Iingxaki ngediski yokwenziwa: Kunqabile kakhulu ukuba kubekho into efana nokuqhekeka kwediski.
• Ukukhula kwethambo okungafunekiyo (H O): Ukukhula kwamathambo okungafunekiyo okujikeleze idiski. Oku kunokuthintela intshukumo yentamo.
• Amathuba amancinci okudinga olunye utyando kwixesha elizayo.

Musa ukoyika ngezi ngozi. Uninzi lwabantu luneziphumo ezilungileyo kakhulu kolu tyando. Ugqirha wakho uza kukuchazela konke oku.

Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?

Kungathatha malunga neenyanga ezi-6 ukuze uphile ngokupheleleyo, kodwa ungabuyela kancinci kancinci kubomi bakho besiqhelo.

• Iintsuku ezi-2 emva kotyando: Ungaqala imisebenzi yemihla ngemihla efana nokuzihlamba nokulungiselela ukutya ngokwakho.
• Kwiiveki ezi-2-3: Ungenza umsebenzi olula.
• Kwiiveki ezi-4-6: Ungabuyela kwimisebenzi emininzi, efana nemidlalo (ngaphandle kwemidlalo yokudibanisa umzimba).

La maxesha anokwahluka kumntu nomntu, ngoko ke kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Ixesha lokubona ugqirha ngoko nangoko

Ukuba ufumana naziphi na kwezi mpawu emva kokuba ubuyele ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.

• Inxeba liyaqhubeka liphuma igazi.
• Ulwelo olufana nobovu olumthubi okanye oluhlaza luyaphuma kwinxeba elisikiweyo.
• Intlungu enzima enganyamezelekiyo.
• Ifiva.
• Ubunzima obandayo okanye obuqhubekayo bokuginya.
• Ubuthathaka obutsha okanye ukuba ndindisholo.