Isisombululo sentlungu ebangelwa kukwaphuka komqolo: Funda ngotyando lweKyphoplasty

Ngamanye amaxesha, njengoko sikhula okanye ngenxa yemeko yokubhitya kwamathambo efana ne-osteoporosis, amathambo emgogodleni anokucinezelwa, atyumke, aze aphuke. Ngokwezonyango, oku sikubiza ngokuba 'kukuqhekeka koxinzelelo lomqolo'. Intlungu yomqolo ebangelwa koku ngamanye amaxesha ayinakunyamezeleka. Kunye nale ntlungu, umgogodle unokugoba phambili uze ugobe. Ngoko ke namhlanje sithetha ngonyango olusebenzayo nolulula kakhulu lwale meko.

Yintoni kanye kanye iKyphoplasty?

Ngamafutshane, i-'Kyphoplasty' lutyando olulula olunyanga amathambo aphukileyo (ii-vertebrae) kumqolo wakho ngaphandle kokwenza umngxuma omkhulu. Elinye igama lalo ngu-'Balloon Kyphoplasty'.

Xa la mathambo asemqolo etyumkile aze aphuke, iziqwenga zamathambo ziyawa ngaphakathi. Xa oko kusenzeka, umqolo ugoba phambili. Oku sikubiza ngokuba yi-'Kyphosis', oko kuthetha 'ukugoba'. Xa oku kugoba kusanda, izinto ezifana nemiphunga engenasithuba saneleyo sokuphefumla ngokufanelekileyo kwaye amalungu esiswini anokufakwa phantsi koxinzelelo. Ngoko ke utyando lwe-'Kyphoplasty' luyawuthintela umqolo ekugobeni ngaloo ndlela.

Ingaba olu tyando lulungiselelwe bani? Ingaba lufanelekile kuwe?

Ugqirha wakho uya kugqiba ukuba uyaludinga olu tyando okanye akunjalo. Abantu abalandelayo badla ngokufanelekela olu tyando:

• Ukuba unentlungu ebuhlungu emqolo eba mandundu imihla ngemihla, ebangelwa kukuqhekeka kwethambo elisemgogodleni.
• Ukuba le ntlungu ikubangela ubunzima obukhulu kangangokuba awukwazi ukwenza imisebenzi yakho yesiqhelo .

Kodwa into enye ekufuneka uyikhumbule kukuba unobangela weentlungu zakho zomqolo kufuneka ukuba kukuqhekeka kwamathambo. Olu nyango aluyi kunyanga iintlungu ezibangelwa zezinye izizathu, ezifana ne-'Disk herniation' (idiski ehluthwe phakathi kwamathambo), 'iArthritis' (ukudumba kwamalungu), okanye 'iStenosis' (ukuncitshiswa komjelo womqolo).

Ugqirha wakho uza kuqala enze i-X-ray, i-CT (computed tomography) scan, okanye i-MRI (magnetic resonance imaging) ukuqinisekisa ukuba umqolo wakho waphukile na. Ukuba bacinga ukuba une-osteoporosis, banokwenza ne-scan ekhethekileyo ebizwa ngokuba yi-DXA scan.

Uzilungiselela njani ngaphambi kotyando?

Ngaphambi kokuba ucwangcise utyando lwakho, ugqirha wakho uza kukuhlola aze akunike nayiphi na imiyalelo efunekayo. Ngokwesiqhelo, oku kulandelayo kuya kwenzeka:

• Uvavanyo olupheleleyo lomzimba lwenziwa.
• Uthetha ngezifo osandul’ ukugula kuzo.
• Ukubuza malunga ne-allergies yakho.
• Ndiza kukubuza ngazo zonke amayeza owasebenzisayo ngoku.
• Baza kukunika uvavanyo lwegazi oluyimfuneko.

Emva koko, nazi iingcebiso zokukunceda ulungiselele usuku lotyando:

• Amanye amayeza, afana ne-blood thinners, asenokufuna ukuba uyeke ukuwasebenzisa kangangeentsuku ezimbalwa. Kodwa khumbula, ungaze uyeke ukuthatha naliphi na iyeza ngaphandle kwemvume kagqirha wakho.
• Uza kucelwa ukuba ungatyi okanye ungaseli kangangeeyure ezimbalwa ngaphambi kotyando.
• Musa ukunxiba izacholo ngemini yotyando. Nxiba impahla ekhululekileyo nekhululekileyo.
• Ukuba uyatshaya, zama ukunciphisa okanye uyeke. Cela uncedo kugqirha wakho ngale nto.

Lwenziwa njani utyando?

Le yinkqubo elula kakhulu. Awunasizathu sokoyika.

Okokuqala, ingcali yokubulala iintlungu iza kukunika i-anesthesia. Usenokuba ulele ngokupheleleyo, okanye usenokuba uthomalaliswe kancinci ukuze ungabi nantlungu.

Ngexesha lotyando, uza kujika ngesisu sakho uze ulale phantsi. Emva koko, ugqirha uza kufaka inaliti ekhethekileyo engenanto ebizwa ngokuba yi-'trocar' eluswini lwakho nakwithambo elaphukileyo. Umatshini we-X-ray okhethekileyo obizwa ngokuba yi-'fluoroscopy' usetyenziswa ukuqinisekisa ukuba inaliti ingena kwindawo efanelekileyo.

Xa inaliti ikwindawo efanelekileyo, kufakwa isixhobo esincinci esifana nebhaluni ethanjeni. Emva koko ibhaluni iyavuthelwa. Oku kubangela ukuba ithambo eliwileyo liphinde liphakame, kwenze indawo encinci ngaphakathi. Emva koko ugqirha ufaka uhlobo oluthile lwesamente yamathambo kuloo ndawo. Le samente iyaqina ngokuhamba kwexesha kwaye iqinise ithambo. Oku kuthintela ithambo ukuba lingawi kwakhona.

Lonke olu tyando luthatha ngaphantsi kweyure . Kwaye aluyonkqubo yokulaliswa ngaphandle, oko kuthetha ukuba ungagoduka ngaloo mini inye.

Kwenzeka ntoni emva kotyando? Ngaba kukho naziphi na iingozi?

Ugqirha uza kukunika imiyalelo ecacileyo yendlela yokuzinyamekela emva kotyando. Ekubeni ungaya ekhaya ngaloo mini inye, licebo elihle ukuzisa umntu oza kukuthatha akuse ekhaya.

Ibhandeji elincinci liza kufakwa kwindawo apho kwenziwe khona utyando. Eli bhandeji kufuneka lishiywe malunga neentsuku ezimbini. Emva kokuba i-anesthesia iphelile, inxeba lisenokuba buhlungu kancinci. Ukufaka umkhenkce kwindawo kunokunceda ekunciphiseni iintlungu. Iintlungu zihlala ziphela ngokupheleleyo kwiintsuku ezimbini ukuya kwezintathu. Iintlungu zihlala ziphela kwiiyure ezingama-48. Kwabanye abantu, iintlungu zihamba emva nje kotyando.

Nangona ungaphinda uqalise imisebenzi eqhelekileyo kungekudala, kufuneka uziphephe izinto ezinzima ezifana nokuphakamisa iintsimbi kangangeeveki ezimbalwa.

Iingxaki ezinokwenzeka

Nangona olu lutyando lukhuselekileyo, njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu. Ezi azifumaneki rhoqo.

• Usulelo okanye ukopha kwindawo yotyando.
• Ukwanda kwentlungu, ukuba ndindisholo, okanye ukurhawuzelela.
• Umonakalo wemithambo-luvo.
• Ukuba une-osteoporosis, usengozini yokuphuka amanye amathambo.
• Kunqabile kakhulu ukuba inxenye yesamente efakwe ethanjeni iphume. Oku kunokubangela iimeko ezifana ne-'pulmonary embolism' (ukuvaleka kwemiphunga) okanye i-'spinal stenosis' (ukuncitshiswa komjelo womqolo).

Ugqirha wakho uza kwenza konke okusemandleni akhe ukuthintela ezi ngozi. Uza kukunika amayeza okuqinisa amathambo akho, ingakumbi ukuba une-osteoporosis.

Kufuneka uthethe nini nogqirha?

Ukuba kukho naziphi na kwezi mpawu emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko .

• Ukuba ubona iimpawu zosulelo (umz., ukudumba, ukuba bomvu, ukutshintsha kombala wolusu, umkhuhlane kwindawo yotyando).
• Ukuba kukho ukopha okugqithisileyo kwindawo yotyando.
• Ukuba uziva unesithukuthezi esitsha okanye imvakalelo yokurhawuzelela.
• Ukuba intlungu iba mandundu endaweni yokuncipha.