Ngaba nawe uneentlungu zomqolo ezihlala zihleli? Ngaba le ntlungu ngamanye amaxesha ivakala ngathi yehla emlenzeni wakho? Abantu abaninzi ngamanye amaxesha bathi, "Itshibilike phi idiski yam?" Enyanisweni, kubantu abaninzi, le ntlungu iba ngcono ngamayeza, ukuphumla, kunye nonyango lomzimba. Nangona kunjalo, ngamanye amaxesha xa le meko iba mandundu, oogqirha bacebisa utyando. Igama lotyando yi-'Diskectomy'. Ke namhlanje, masithethe ngale nto ukuze siphendule yonke imibuzo onayo engqondweni.
Kalula nje, yintoni le 'diski'?
Umqolo wethu wenziwe yinqwaba yamathambo amancinci, elinye phezu kwelinye. Ukuze la mathambo angakhuhlani, kukho imiqamelo phakathi kwawo. Cinga ngawo 'njengezinto ezifunxa uloyiko' emotweni. Ezo miqamelo zezo sizibiza ngokuba zii-intervertebral discs.
Idiski nganye kwezi inesangqa sangaphandle esomeleleyo kancinci kunye nenxalenye yangaphakathi ethambileyo, efana nejeli. Ngamanye amaxesha, xa kukho uxinzelelo olukhulu, le sangqa yangaphandle iyakrazuka kwaye inxalenye yangaphakathi efana nejeli iyaphuma. Yiloo nto siyibiza ngokuba yi-'slipped disc'. Ngokwezonyango, le sangqa siyibiza ngokuba yi-herniated disc .
Idiski ephuma ngolu hlobo icinezela umthambo okufutshane. Kulapho ke sifumana khona iimpawu ezifana neentlungu kunye nokungaziva mnandi emqolo, engalweni, okanye emlenzeni. I-diskectomy yinkqubo yotyando esusa idiski ephumayo kwaye icinezele umthambo.
Ziziphi iindlela ezahlukeneyo zokwenza olu tyando?
Inkqubo yotyando olukhethwa ngugqirha wakho inokwahluka ngokuxhomekeke kwimeko yakho kunye nendawo idiski efumaneka kuyo (umqolo okanye intamo). Kukho iindlela ezahlukeneyo eziphambili.
| Indlela yotyando | Ngamafutshane, indlela yokwenza ngayo |
|---|---|
| Vula iDiskectomy | Le yindlela yendabuko. Kwenziwa ukusika malunga ne-intshi enye okanye ezimbini ukusuka kwidiski echaphazelekayo, izihlunu zitsalwa ecaleni kancinci, aze ugqirha, ejonge ngqo kwidiski, ayisuse idiski. |
| Utyando oluncinci/oluncinci lwe-Microdiskectomy | Apha, kwenziwa umngxuma omncinci kakhulu (ongaphantsi kwe-intshi enye) eluswini. Emva koko, kufakwa izixhobo ezikhethekileyo kunye nekhamera (i-endoscope) kwaye idiski isuswe phantsi kweliso lemonitha. Oku kubangela umonakalo omncinci kakhulu kwimisipha. |
| Utyando lwentamo (i-Anterior Cervical Diskectomy kunye ne-Fusion - ACDF) | Oku kwenziwa kubantu abane-disc ene-herniated entanyeni. Okumangalisayo kukuba, olu tyando lwenziwa ngaphambili entanyeni. I-disc iyasuswa, kwaye kufakwa i-bone graft okanye i-implant ekhethekileyo kwindawo ukuze kuzinziswe umqolo. (Spinal Fusion). |
Ngaba kufuneka ndenze olu tyando nam?
Lo ngumbuzo obaluleke kakhulu. Asinguye wonke umntu one-herniated disc oya kufuna utyando. Malunga nabantu abangama-90 kwabayi-100 baya kuphola ngonyango olungelulo utyando. Ugqirha wakho uza kuqala azame oku:
- Ukunika amayeza okuthomalalisa iintlungu kunye nemithi yokukhulula imisipha.
- Ukudluliselwa kunyango lomzimba.
- Mhlawumbi ukunika inaliti ekhethekileyo emgogodleni (i-Epidural Steroid Injection).
Nangona kunjalo, ukuba akukho phuculo emva kweenyanga ezininzi zonyango, kwaye ukuba kukho ezi meko zilandelayo, ugqirha unokuqwalasela utyando:
- Ukuba intlungu okanye ukuba ndindisholo engalweni okanye emlenzeni wakho akunyamezeleki kwaye awukwazi ukwenza imisebenzi yemihla ngemihla.
- Ukuba izihlunu ezingalweni okanye emlenzeni zibuthathaka kakhulu.
- Ukuba unentlungu ebuhlungu (sciatica) evakala ngathi kukubetheka ngombane emlenzeni wakho.
Ingxamiseko!
Ukuba ngequbuliso uziva ngathi ulahlekelwa kukulawula imilenze yomibini, okanye ukuba ufumana imeko ebizwa ngokuba yiCauda Equina Syndrome, yingxamiseko enkulu kakhulu. Ukuba oku kuyenzeka , kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko, ngaphandle kokulibazisa.
Uzilungiselela njani ngaphambi kotyando?
Ukuba ugqiba ekubeni wenze utyando, ugqirha uza kudibana nawe akuchazele yonke into.
- Uza kuhlolwa kakuhle.
- Uvavanyo lwemifanekiso, olufana ne-MRI scan, luyenziwa.
- Baza kukubuza ngembali yakho epheleleyo yezonyango kunye namayeza owasebenzisayo.
- Ukuba ungumntu otshayayo, uyacetyiswa ukuba uyeke ngokupheleleyo ukutshaya ubuncinane iiveki ezi-4 ngaphambi kotyando, njengoko i-nicotine ilibazisa kakhulu ukuphola kwenxeba.
- Buza ugqirha nayiphi na imibuzo onayo ngeli xesha.
Kuthatha ixesha elingakanani ukuphola emva kotyando?
Ixesha lokuchacha liyahluka kumntu nomntu. Kuxhomekeke kubukhali bemeko yakho, impilo yakho iyonke, kunye nokuba uyilandela kakuhle kangakanani imiyalelo kagqirha wakho.
Ngokwesiqhelo, uninzi lwabantu luqala ukuziva lungcono kwiiveki ezi-1 ukuya kwezi-4 . Ixesha lokuchacha emva kotyando oluncinci lifutshane nangakumbi.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngononophelo emva kotyando.
- Kufuneka ukuphephe ngokupheleleyo ukugoba umqolo wakho, ukuphakamisa iintsimbi, kunye nokujikajika iiveki ezi-3 ukuya kwezi-6. Ukwenza ezi zinto kwandisa umngcipheko wokuba idiski ye-herniated iphinde ivele.
- Ungaqala umsebenzi olula malunga neeveki ezimbini.
- Ungabuyela kwimisebenzi yemihla ngemihla malunga neeveki ezintandathu.
- Ngomsebenzi onzima okanye imidlalo, kuya kufuneka ulinde malunga neenyanga ezi-3.
Iingozi zotyando kunye nexesha lokubona ugqirha
Njengalo naluphi na utyando, i-diskectomy inokuba neengozi ezincinci. Nangona kunjalo, ezi azixhaphakanga. Kubalulekile ukucacisa ngale nto.
| Iingozi ezinokubakho ezinxulumene notyando | Iimpawu ezifuna unyango olukhawulezileyo |
|---|---|
| Ukunganyamezelani ne-anesthesia, ukopha, usulelo lwenxeba. | Ukudumba, ukuba bomvu, kunye nomkhuhlane kwindawo yenxeba. |
| Amahlwili egazi. | Ukuba intlungu iyanda endaweni yokuncipha. |
| Ukonakala komthambo. | Ukungaziva ngqindilili okanye ubuthathaka bemisipha . |
| Ukuvuza kolwelo lomqolo (CSF). | Ubunzima bokuphefumla. |
| Mhlawumbi iintlungu ziya kuhlala zinjalo okanye idiski iya kutyibilika kwakhona. | Ubunzima bokuchama okanye bokukhupha indle. |
Iintlungu zomqolo yimeko ehlala ihleli. Kuqhelekile ukoyika utyando. Kodwa khumbula, olu lunyango oluhlala luphumelela kwaye lunokukunceda ubuyisele ubomi bakho endleleni.
Umyalezo Wokuya Ekhaya
- I-Diskectomy yinkqubo yotyando eyenziwa kwimeko yediski ene-herniated engakhange inyangwe ngamanye amayeza kwaye ibangela iimpawu eziqatha.
- Kukho iintlobo ezahlukeneyo zeenkqubo, ezinje ngokuvula nokungena emzimbeni kancinci. Thetha nogqirha wakho ngendlela efanelekileyo kuwe.
- Ixesha lokuchacha emva kotyando libaluleke kakhulu. Qiniseka ukuba uyalilandela icebiso lokuphepha ukugoba, ukuphakamisa, kunye nokujika .
- Ukuba ufumana iimpawu ezifana nokulahlekelwa ngamandla emilenze ngequbuliso okanye ukulahlekelwa yindlela yokuchama/indle, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Oku akuyonto ifanele uyoyike. Iqela lakho lezonyango lihlala likulungele ukukunceda. Babuze yonke into esengqondweni yakho.
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