Ngaba ukhe uzive uneentlungu ezingapheliyo entanyeni nasemqolo, ukungabi nazinzwane kwimilenze yakho? Ngaba ngamanye amaxesha uziva ngathi ulahlekelwa yibhalansi yakho xa uhamba? Ukuba uneempawu ezinje, ugqirha wakho usenokuba uthethe ngotyando lomqolo. Kuqhelekile ukuba uzive usoyika kancinci xa usiva loo nto. Kodwa ukuba unolwazi olufanelekileyo ngayo, ungayoyisa loo loyiko. Namhlanje, siza kuthetha ngotyando olulodwa olukhethekileyo, i-laminoplasty.
Ngamafutshane, yintoni i-laminoplasty?
Cinga ngomqolo wakho njengombhobho wamanzi. Ngaphakathi kuloo mbhobho kukho intambo ephambili ethwala imiyalezo emzimbeni wethu wonke, umthambo womqolo. Ngoku, kwenzeka ntoni ukuba ngesizathu esithile, umzekelo, ngenxa yediski ehluthwe yi-herniated, indawo engaphakathi kweli mbhobho iba mxinwa kwaye inciphile? Umthambo womqolo ongaphakathi, kunye nemithambo-luvo ephuma kuwo, iqala ukucinezelwa. Kulapho kuvela khona iingxaki ezifana nentlungu kunye nokungaziva.
I-Laminoplasty lutyando olunciphisa uxinzelelo kwaye luvule kwakhona umjelo womqolo.
Oku kuquka ukusika 'i-lamina' (ithambo) ngasemva kwe-vertebra emgogodleni, ngaphandle kokuyisusa ngokupheleleyo, kodwa ukuyivula kancinci kwelinye icala, njengokuvuleka kocango, ukuze kudalwe isithuba. Oku kunciphisa uxinzelelo kumthambo womqolo. Olu tyando ludla ngokwenziwa ngenxa yokuqhekeka koxinzelelo kumqolo wesibeleko.
Ngubani ocebisa olu tyando?
Olu tyando lunokucetyiswa ukuba ugqirha wakho ucinga ukuba umqolo wakho udinga indawo engakumbi. Ngokukodwa, lunokufaneleka kubantu abanezi meko zilandelayo:
- Intlungu yentamo nomqolo: Intlungu ehlala ixesha elide kwaye enganciphiyo ngamayeza.
- Ukuba ndindisholo okanye ubuthathaka kwiingalo nasemilenzeni: Ukulahlekelwa yimvakalelo kwiingalo nasemilenzeni ngenxa yokucinezelwa kwemithambo-luvo.
- Ubunzima bokuhamba: Ukulahlekelwa yibhalansi kunye nokungazinzi xa uhamba.
- Iingxaki zokulawula umchamo kunye namathumbu: Le meko inokwenzeka xa kukho uxinzelelo olukhulu kumqolo.
- I-Cervical Spondylotic Myelopathy: Ukucinezelwa komqolo ngenxa yokuwohloka kwamathambo entanyeni.
- I-Stenosis: Ukuncitshiswa komjelo womqolo ngenxa yezizathu ezahlukeneyo.
Okubaluleke kakhulu, olu tyando lubonelela ngenkxaso kunye nokuzinza komqolo, kwaye lukwanceda ekuthinteleni iingxaki ezinkulu zemithambo-luvo ezifana nokukhubazeka.
Indlela okwenziwa ngayo utyando kunye neendlela ezisetyenziswayo
Ngomhla wotyando, uza kufakwa phantsi kwe-anesthesia jikelele ukuze ungaziva ntlungu. Ugqirha uza kulandela la manyathelo:
1. Ukwenza i-incision: Kwenziwa i-incision encinci eluswini ngasemva kwentamo, ngaphezulu kwe-vertebra efanelekileyo.
2. Ukususwa kwezicubu: Izihlunu kunye nezinye izicubu zityhalelwa ecaleni kancinci ukuze zifikelele kwithambo lomqolo.
3. Ukuvula i-lamina: Ithambo le-lamina liyasikwa lize livulwe kwelinye icala njengocango ukuze kubekho indawo. Apha, ithambo alisuswanga ngokupheleleyo.
4. Ukuzinza: Ithambo elivulekileyo liqiniswa kusetyenziswa iipleyiti ezincinci zesinyithi kunye nezikrufu, okanye mhlawumbi i-graft encinci yethambo, ukuze lihlale lisendaweni yalo. Ekubeni amathambo omqolo engadibani, intshukumo entanyeni nasemqolo ayithintelwanga.
5. Ukuthungwa kwesikhumba: Izicubu ziyabuyiselwa kwaye ulusu luyathungwa.
Kukho iindlela ezimbini eziphambili zokuvula i-lamina ngexesha lotyando. Ugqirha wakho uya kukhetha eyona ndlela ifanelekileyo ngokusekelwe kwimeko yakho.
| Igama leTekhnoloji | Indlela yokwenza oku (Inkcazo) |
|---|---|
| Ucango Oluvulekileyo (Indlela Yocango Olulodwa) | Icala elinye lethambo le-lamina lisikiwe, livulwe njengocango, lize liqiniswe ngeepleyiti zesinyithi. |
| Ucango lwaseFransi (Indlela yeengcango ezimbini) | I-lamina isikwa phakathi kwethambo, ivulwe kumacala omabini njengeengcango ezimbini, ize iqiniswe kusetyenziswa izixhobo zokufakelwa amathambo okanye ezinye izixhobo. |
Ukubuyiselwa kunye nokhathalelo emva kotyando
Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Uza kuvunyelwa ukuba uye ekhaya kuphela emva kokuba i-anesthesia iphelile ngokupheleleyo.
- Ulawulo lweentlungu: Sebenzisa amayeza okudambisa iintlungu njengoko ugqirha wakho emyalele ukuba akwenze emva kotyando.
- Ukuphumla: Iiveki zokuqala ezimbalwa zibaluleke kakhulu. Phumla ngokwaneleyo. Kuphephe imisebenzi enzima efana nokuphakamisa iintsimbi, ukugoba, njl. Kulula kakhulu ukuba unomntu onokukunceda ngemisebenzi yasekhaya.
- Ikhola yomlomo wesibeleko: Kwezinye iimeko, ugqirha wakho unokucebisa ukuba unxibe ikhola ekhethekileyo ukuze unciphise intshukumo yentamo kwaye uncede ekuphilisweni.
- Ukuzilolonga: Imisebenzi elula efana nokuhamba ingaqalwa kwakhona emva kweentsuku ezimbalwa. Emva kweeveki ezimalunga nezi-6-12, xa sele uphilile ngokupheleleyo, ungaqala ukuzilolonga phantsi kwesikhokelo sogqirha wezonyango, njengoko kuyalelwe ngugqirha wakho.
- Ukuhlolwa kwakhona: Kuya kufuneka uphinde ubonane nogqirha kwakhona kwiiveki ezimbalwa ukuze ujonge ukuba inxeba liphola njani.
Kungathatha iiveki ezi-6 ukuya kwezili-12 ukuba umntu aphile ngokupheleleyo. Ngoko ke, kubaluleke kakhulu ukuba nomonde nokulandela imiyalelo kagqirha.
Iimeko zomngcipheko kunye neemeko apho kufuneka kufunwe ingcebiso yezonyango ngokukhawuleza
Njengakwezinye iindlela zotyando, kukho iingozi ezincinci kakhulu ezibandakanyekayo kwi-laminoplasty, kodwa ezi azixhaphakanga kakhulu.
- Ukopha
- Usulelo kwindawo yotyando
- Umonakalo wemithambo-luvo
- Iingxaki zokulawula umchamo okanye amathumbu
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kotyando lwakho, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe leNgxamiseko (ETU) kwisibhedlele esikufutshane.
- Intlungu ebuhlungu okanye eyandayo
- Ukudumba kunye nokutshintsha kombala wolusu kwindawo yotyando
- Ifiva
- Ubunzima bokuphefumla okanye ukuginya
- Isiyezi
- Ukungakwazi ukulawula umchamo okanye isitulo
Ukuba unemibuzo okanye iinkxalabo malunga nexesha lakho lokuchacha, ungaze ungathandabuzi ukubuza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Laminoplasty lutyando oluphumelelayo nolukhuselekileyo lokunciphisa uxinzelelo kumqolo nakwimithambo-luvo.
- Oku kunciphisa iimpawu ezifana neentlungu zentamo nomqolo kunye nokungakhululeki, kwaye akuthinteli ukushukuma kwentamo.
- Ekubeni kuthatha ixesha elithile ukuze uphile ngokupheleleyo, ukuphumla nokulandela iingcebiso zonyango kubaluleke kakhulu.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (umkhuhlane, iintlungu eziqatha, ukudumba) emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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