Nangona sicinga ukuba iintlungu zomqolo ziqhelekile njengoko sikhula, ngamanye amaxesha ezi ntlungu zinokuba zimbi imihla ngemihla. Ingakumbi iintlungu ezibangelwa kukwaphuka kwamathambo okanye njengoko sikubiza ngokuba kukuqhekeka kokucinezelwa zinokuchaphazela imisebenzi yemihla ngemihla ukuya kwinqanaba apho kungenakwenzeka ukwenza nantoni na. Namhlanje sithetha ngendlela yonyango esebenzayo kakhulu kwimeko enjalo.
Ngamafutshane, yintoni iKyphoplasty?
I-Kyphoplasty yinkqubo ekhethekileyo enyanga amathambo (ii-vertebrae) emqolo wakho aphulwe kukubetheka. Cinga ngayo, umqolo wethu wenziwe ngamathambo amancinci (ii-vertebrae) abekwe phezu komnye. Ngenxa yokwaluphala okanye ezinye izizathu, la mathambo anokuba buthathaka kwaye anokwaphuka aze awe phezu komnye nokuba kubetheka kancinci. Oku sikubiza ngokuba yi-`(compression fracture)`.
Xa oku kusenzeka, iziqwenga zamathambo eziphukileyo ziqala ukucinezela imithambo-luvo kunye nomqolo ongasemva. Oku kubangela iintlungu zomqolo ezinganyamezelekiyo, nto leyo eyenza kube nzima ukuhamba nokuhamba. Ngamanye amaxesha, ukugoba komqolo phambili, okubizwa ngokuba yi-'kyphosis,'' nako kunokwenzeka.
Ngoko ke, kolu nyango lwe- 'Kyphoplasty' , uhlobo lwesamente yezonyango (isamente yamathambo) lufakwa kwithambo eliphukileyo ngendlela ekhethekileyo ukuze liqiniswe. Kufana nokufaka isamente kwindawo eqhekekileyo eludongeni ukuze ilungiswe.
I-Kyphoplasty kunye ne-Vertebroplasty - Yintoni umahluko?
Nangona ezi ndlela zimbini zonyango zinokuvakala zifana, kukho umahluko omncinci kodwa obalulekileyo. Zombini ziquka ukufaka isamente kwithambo eliqhekekileyo kumqolo. Nangona kunjalo, kwiKyphoplasty, ngaphambi kokuba isamente ibekwe, kufakwa ibhaluni encinci ethanjeni ize ivuthelwe.
Kwi-kyphoplasty, ibhaluni isetyenziselwa ukudala isithuba phakathi kwamathambo awileyo, ukuzama ukubuyisela ubude bamathambo okuqala. Emva koko isithuba sizaliswa ngesamente. Kwi-vertebroplasty, le bhaluni ayisetyenziswa, kodwa isamente ifakwa ngqo.
Lo mahluko ungaqondwa ngokucacileyo kwitheyibhile engezantsi.
| Uphawu | I-Kyphoplasty | I-vertebroplasty |
|---|---|---|
| Ukusebenzisa ibhaluni | Ewe, ibhaluni iyavuthelwa ukuze idale indawo ngaphambi kokuba kubekwe isamente. | Hayi, ayisebenzisi ibhaluni. |
| Injongo ephambili | Ukunciphisa iintlungu nokubuyisela ukuphakama kwethambo eliwileyo. | Eyona nto iphambili kukunciphisa iintlungu. |
Ngubani ofanelekileyo kolu nyango?
Ukuba iintlungu zakho zomqolo ziya zisiba mandundu imihla ngemihla, kusenokwenzeka ukuba kungenxa "yokwaphuka kwemisipha". Eyona nto ibangela le meko sisifo esibizwa ngokuba yi "osteoporosis" . Ngamafutshane, njengoko ukhula, amathambo akho aba buthathaka, anciphe, kwaye aphuke lula. Eminye imiphunga inokonakalisa amathambo akho kwaye ibangele la maphuphu.
Nangona kunjalo, ukuba iintlungu zakho zomqolo zibangelwa yinto ethile, efana ne-herniated disk, i-arthritis, okanye i-spinal stenosis, ngoko iKyphoplasty isenokungakulungeli. Ke ngoko, kungcono ukuthetha nogqirha wakho ukuze ufumane unobangela wentlungu yakho kwaye ukhethe unyango olufanelekileyo.
Ukulungiselela ngaphambi kotyando
Ukuba ugqiba ekubeni wenze olu tyando, ugqirha uza kukuxilonga ngaphambi kokuba enze njalo. Uza kwenza uvavanyo oluninzi ukuze aqinisekise impilo yakho iyonke.
- Uvavanyo lomzimba
- Uvavanyo lwegazi
- Uvavanyo lwe-scan ye-spinal X-ray, i-CT (Computed Tomography), okanye i-MRI ( magnetic resonance imaging )
Kubalulekile ukwazisa ugqirha wakho malunga namayeza owasebenzisayo kunye nazo naziphi na ii-allergies onokuba nazo. Ungacelwa ukuba uyeke ukusebenzisa amayeza athile, afana ne -blood thinners, kwiintsuku ezimbalwa ngaphambi kotyando. Ungacetyiswa nokuba ungatyi okanye usele iiyure ezimbalwa ngaphambi kotyando.
Lwenziwa njani utyando?
Olu asilotyando olukhulu, ngoko ke akukho nto yokoyika.
1. Ukuba ndindisholo: Okokuqala uza kunikwa `(local anesthesia)`, okanye inaliti evala kuphela indawo apho utyando luza kwenziwa khona. Ngamanye amaxesha ungalaliswa (`sedation`). Kwiimeko ezininzi, uza kuba ndindisholo ngokupheleleyo.I-anesthesia eqhelekileyo ayenziwa.
2. Indawo: Ngexesha lotyando, uza kujika ujonge phantsi uze ubekwe ngesisu sakho.
3. Ukufaka inaliti: Emva koko, esebenzisa uhlobo olukhethekileyo lwe-X-ray (`fluoroscopy`), ugqirha wenza umngxuma omncinci kakhulu eluswini olusemqolo wakho aze akhokele inaliti engenanto ngaphakathi kwayo iye kwithambo elaphukileyo.
4. Ukunyuka kwebhaluni: Okulandelayo, kufakwa ibhaluni encinci ngenaliti emathanjeni ize ivuthe kancinci, kwenze isithuba phakathi kwamathambo awileyo.
5. Ukuzaliswa kwesamente: Ibhaluni iyasuswa kwaye kufakwa isamente ekhethekileyo yezonyango kwindawo eyenziweyo. Oku kuyayiqinisa kwaye kuzinzise ithambo.
Lonke eli qhinga lithatha iyure nje kuphela kwithambo elinye.
Iingenelo zonyango kunye nokuchacha
Ekubeni i-kyphoplasty ilutyando olungenabungozi kangako, ukuchacha kukhawuleza kakhulu.
| Iingenelo eziphambili zonyango lweKyphoplasty | |
|---|---|
| Ukunceda intlungu ngokukhawuleza | Abanye abantu bafumana isiqabu sentlungu ngoko nangoko emva kotyando. Kwiintsuku ezimbini, uninzi lwabantu lunciphise kakhulu iintlungu kwaye luyakwazi ukuhambahamba lula. |
| Ukubuyisela ukuma komzimba | Ngokubuyisela ukuphakama kwethambo eliwileyo, i-kyphosis inokuthintelwa okanye incitshiswe. |
| Ukubuyela umva ngokukhawuleza | Uninzi lwabantu lunokubuyela ekhaya ngaloo mini inye. Unyango lomzimba alusoloko lufuneka. |
| Impumelelo ephezulu | Izifundo zibonise ukuba abantu abangaphezu kwama-90% abafumana olu nyango bafumana isiqabu kwiintlungu. |
Emva kotyando, uza kugcinwa ebhedini kangangeyure ukuze i-samente ihlale kakuhle. Emva koko, uza kukwazi ukuhamba. Usenokuziva ubuhlungu kangangeentsuku ezimbalwa apho inaliti ifakiwe khona. Oku kuqhelekile. Nangona kunjalo, ugqirha wakho uza kukucebisa ukuba uphephe ukuphakamisa izinto ezisindayo okanye ukuzilolonga okunzima kangangeeveki ezimbalwa .
Ngaba kukho naziphi na iingozi?
Njengakwezinye iinkqubo zonyango, iKyphoplasty ineengozi ezingaqhelekanga. Ezi azifanele zoyike, kodwa kubalulekile ukuba uzazi.
- Usulelo: Lunokwenzeka rhoqo.
- Ukopha: Ukusuka kwindawo apho inaliti yayifakwe khona.
- Ukonakala kwemithambo-luvo: Oku kunokubangela ukuziva ngathi awunanto.
- Ii-Allergies: Kwiikhemikhali ezisetyenziswa kwi-X-ray.
- Ukuvuza kwesamente: Kunqabile kakhulu ukuba isixa esincinci sesamente efakiweyo siphume ethanjeni. Oku kunokubangela iingxaki ezifana nokuqhekeka kwegazi okuvalela umthambo wegazi okanye ukucinezela umqolo.
Khumbula ukuba ezi ngozi azifumaneki lula , kwaye ugqirha wakho uza kuthatha onke amanyathelo afunekayo ukuze azinciphise.
Ixesha lokufuna ingcebiso kagqirha emva kotyando
Emva kokuba ubuyele ekhaya emva kotyando, kubaluleke kakhulu ukwazisa ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na iimpawu ezingaqhelekanga.
- Ukudumba, ukutshintsha kombala wolusu, okanye umkhuhlane kwindawo yokufaka inaliti (kusenokuba ziimpawu zosulelo).
- Ukopha kakhulu kwindawo leyo.
- Ukungaziva okanye ukulahlekelwa yimvakalelo kwimilenze.
- Intlungu iba mandundu endaweni yokuncipha.
Ukuba uziva into efana nale, musa ukuyityeshela. Thetha nogqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Kyphoplasty yindlela ephumelelayo kakhulu yonyango lokuqhekeka komqolo okubangelwa kukwaluphala (i-osteoporosis).
- Oku kunciphisa iintlungu, kubuyisela ukuphakama kwethambo eliwileyo, kwaye kuthintela ukugoba komqolo.
- Olu lunyango olungadingi kuhlinzwa okukhulu, luthatha malunga neyure, kwaye luvumela ukuba umntu aphile ngokukhawuleza.
- Awuyi kuva ntlungu ngexesha lotyando kuba uza kuba ndindisholo.
- Iingozi ziphantsi kakhulu, kodwa ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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