Xa sicinga ngotyando lomqolo, uninzi lwethu luyoyika, akunjalo? Sicinga ngotyando olukhulu emqolo wethu kwaye kufuneka sihlale ebhedini iinyanga. Kodwa ngokuhambela phambili kwesayensi yezonyango, akufuneki siphinde soyike. Namhlanje siza kuthetha ngendlela ephucukileyo kakhulu yotyando lomqolo engonakalisi kakhulu umzimba. Oku kubizwa ngokuba yiMinally Invasive Spine Surgery.
Yintoni utyando lomqolo olungenamdla kangako?
Ngamafutshane, le yindlela yokwenza utyando lomqolo olungenamonakalo mkhulu kangangoko kwimisipha nakwizicubu ezijikeleze umqolo wakho.
Cinga nje, "kwi-open surgery" yesintu ngaphambili, ugqirha wayesenza umngxuma omde nobanzi emqolo ukuze abone apho aza kuhlinza khona. Emva koko, izihlunu kunye nezicubu ezikuloo ndawo zazisuswa ukuze kwenziwe utyando. Oku kuthetha ukuba kwakukho iintlungu ezininzi emva kotyando kwaye kwathabatha ixesha elide ukuphola.
Kodwa kule ndlela intsha, ebizwa ngokuba yiMinimally Invasive method, ugqirha wenza i-incision enye okanye ezingaphezulu ezincinci kakhulu endaweni ye-incision enkulu. Emva koko, kufakwa ityhubhu encinci yesinyithi okanye isixhobo esinekhamera (i-endoscope) ngaloo incision kwaye utyando lwenziwa ngaloo ndlela. Oku kubangela umonakalo omncinci kakhulu kwimisipha, kwizicubu, nakwisikhumba. Ngenxa yoko, ixesha lakho lokuchacha liyancipha kakhulu.
Zeziphi izifo zomqolo ezinokunyangwa ngale ndlela?
Le nkqubo ingenazo kakhulu izihlunu ingasetyenziselwa ukunyanga okanye ukulawula iingxaki ezininzi zomqolo. Ezinye zazo ziquka:
- I-Spondylosis yoMlomo
- Iidiski eziwohlokayo okanye "ezityibilikileyo"
- Idiski ene-herniated
- Ukungazinzi komqolo
- I-Kyphosis
- I-Scoliosis
- I-spinal stenosis (ukuncitshiswa komjelo womgogodla)
- Iithumba zomqolo
- Ukuqhekeka koxinzelelo lwe-vertebral
Ngubani ofanelekileyo kolu tyando?
Ugqirha wakho uza kugqiba ukuba ungumntu ofanelekileyo na kolu tyando. Uza kuqwalasela izinto ezininzi , eyona ibalulekileyo kukuba ingaba indawo yengxaki yakho yomqolo inokufikelelwa na ngokusebenzisa imingxunya emincinci enjalo.
Ngokwesiqhelo, utyando luqwalaselwa kuphela xa iimpawu zingenakuncitshiswa ngezinye iindlela, ezinje ngamayeza kunye nonyango lomzimba.
Ukuba unokwazi ukubona ngqo apho kumqolo wakho unobangela weempawu zakho, ugqirha wakho unokuthi acinge ngale nkqubo ingangenisi kakhulu kuba akufuneki avule wonke umqolo wakho ukuze afumane ingxaki.
Ufanele uzilungiselele njani ngaphambi kotyando?
Ngaphambi kotyando, kuya kufuneka udibane nogqirha wakho. Uza kukuhlola aze akuyalele iimvavanyo ezininzi ukuze acwangcise utyando. Uza kukunika nemiyalelo ekhethekileyo ekufuneka uyilandele ngaphambi kotyando. Eminye yayo yile:
- Yenza ezinye iimvavanyo emqolo wakho, ezifana ne-X-ray , i-CT (i-Computed Tomography) , okanye i-MRI (i-Magnetic Resonance Imaging) .
- Ukuba ungumntu otshayayo, yeka .
- Zilolonge rhoqo ngaphambi kotyando. Oku kuya kugcina umzimba wakho kunye nezihlunu zakho zomelele kwaye kuncede ukunciphisa ixesha lokuchacha.
- Kusenokufuneka uyeke okanye uqale ukuthatha amayeza athile ngaphambi kotyando. Usenokucelwa ukuba uyeke ukuthatha izongezo ezithile ezinokuphazamisana nokuchacha kwakho. Kodwa khumbula, ungaze uyeke ukuthatha amayeza ngaphandle kwemvume kagqirha wakho.
- Landela imiyalelo ngqo malunga nento omawuyitye kwaye uyisele ngobusuku bangaphambi kotyando.
- Lungiselela umntu oza kukusa esibhedlele aze akubuyisele ekhaya ngomhla wotyando. Kukwangumbono omhle ukuba nomntu oza kukunceda ngemisebenzi yasekhaya kwiintsuku zokuqala zokuchacha.
Kwenzeka ntoni ngexesha lotyando?
Ngomhla wotyando lwakho, ingcali yokubulala iintlungu iza kukunika i-anesthesia. Ngokuxhomekeke kuhlobo lotyando olwenziwayo, unganikwa i-anesthesia yendawo, evala kuphela indawo ethile yomqolo wakho. Oku kuya kukushiya uphaphile kodwa ungakwazi ukuziva iintlungu. Okanye unganikwa i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo.
Ngexesha lotyando, ugqirha otyandayo ulandela la manyathelo:
1. Kwenziwa umsikelo omncinci okanye imisikelo emininzi eluswini lomqolo wakho, esifubeni, okanye esiswini.
2. Kufakwa ityhubhu encinci nge-incision kwaye utyando lwenziwa kusetyenziswa imakroskopu . Okanye, kufakwa i-endoscope enekhamera encamathiselwe encamini ukuze kubonwe indawo yotyando.
3. Kusetyenziswa izixhobo zotyando ezincinci kakhulu, utyando olufunekayo lugqitywa nge-endoscope okanye ezinye iityhubhu ezincinci (ii-tubular retractors).
4. Nje ukuba utyando lugqityiwe, zonke izixhobo ezazifakiwe ziyasuswa. Izihlunu kunye nezicubu zibuyela apho zazikhona.
5. Ekugqibeleni, amanxeba ayavalwa kwaye amabhandeji ayafakwa.
Le ndlela ilula kakhulu. Endaweni yokuvula ucango olukhulu uze ungene endlwini, kufana nokujonga ngesitshixo, ufake ucingo oluncinci, uze wenze oko kufuneka ukwenze. Ngoko ke ayizilimazi izinto ezingqongileyo.
Zithini iingenelo zolu tyando?
Makhe sijonge iingenelo zotyando lomqolo olungenamsebenzi kangako. Ezi ngenelo zibonakala ngokucacileyo xa zithelekiswa notyando oluvulekileyo lwendabuko.
| Inzuzo | Inkcazo |
|---|---|
| Ixesha elifutshane lokubuyisela kwimeko yesiqhelo | Ngenxa yokuba akukho monakalo mkhulu kwimisipha nakwizicwili, ungaphila ngokukhawuleza. |
| Iintlungu ezincinci | Intlungu emva kotyando incinci kakhulu kunasemva kotyando oluvulekileyo. |
| Amanxeba amancinci | Endaweni yesilonda esikhulu, kusele isilonda esinye okanye ezimbalwa ezincinci kakhulu. |
| Umngcipheko oncitshisiweyo wosulelo | Ngenxa yokuba imingxunya incinci, umngcipheko wokosuleleka kwenxeba uphantsi. |
| Ukopha kancinci | Umlinganiselo wegazi olahlekileyo ngexesha lotyando uncinci kakhulu. |
Ngenxa yezi zibonelelo, ungavuka ubuyele emsebenzini kwangethuba kunokuba wenze utyando oluqhelekileyo. Oku kuthetha ukuba akuyi kufuneka uthabathe ixesha elininzi emsebenzini okanye kwizifundo zakho.
Ngaba kukho naziphi na iingozi kolu tyando?
Ewe, njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekayo kule nkqubo, kodwa ezi ziphantsi kakhulu.
- Ukopha
- Amahlwili egazi
- Usulelo
- Umonakalo wemithambo-luvo
- Iimpawu aziphucuki
- Intlungu
- Amathambo angadibani njengoko kulindelekile (i-Pseudoarthrosis)
- Impendulo kwi-anesthesia
- Umonakalo wezicubu
- Ukuvuza kolwelo lomqolo
Kunqabile kakhulu, utyando lusenokungahambi njengoko bekulindelwe. Ukuba oku kuyenzeka, kunokufuneka utyando lwesibini okanye ugqirha unokufuneka atshintshe kwindlela engeyiyo eyokuhlutha kakhulu aye kwindlela yotyando oluvulekileyo.
Yintoni onokuyilindela ngexesha lokuchacha?
Ixesha elithathwayo ukuze uphile ngokupheleleyo linokwahluka ukusuka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa, kuxhomekeke kwiminyaka yakho, impilo iyonke, kunye nohlobo lotyando olwenziweyo.
Ngexesha lokuchacha, kuya kufuneka uphumle ngokwaneleyo . Oku kunokuba nzima ukuba uqhele indlela yokuphila esebenzayo. Kufuneka uphephe ukuphakamisa izinto ezisindayo kunye nemisebenzi enzima kangangeeveki ezimbalwa emva kotyando. Kuluncedo kakhulu ukuba nomntu oza kukunceda ngemisebenzi yasekhaya kwiintsuku ezimbalwa zokuqala.
Ukuze akuncede ufumane amandla akho kwaye uphile ngokukhawuleza, ugqirha wakho unokucebisa unyango lomzimba . Kwakhona, qiniseka ukuba uya kuma -aphoyintimenti okulandela emva kotyando. Kulapho iqela lezonyango linokujonga khona ukuchacha kwakho lize liphendule nayiphi na imibuzo onokuba nayo.
Ufanele ubize ugqirha okanye uye esibhedlele ngokukhawuleza nini
Ukuba ufumana naziphi na iimpawu ezilandelayo emva kotyando, kufuneka ukhathazeke.
| Amathuba | Iimpawu |
|---|---|
| Thetha nogqirha wakho: | |
| Ukopha igazi elivela enxebeni | Ukuba inxeba liyaqhubeka nokopha. |
| Ifiva | Ukuba ubushushu bomzimba buyanyuka. |
| Intlungu ebuhlungu | Ukuba unentlungu enzima engenakulawuleka nokuba usebenzisa amayeza. |
| Ukudumba | Ukuba indawo ejikeleze inxeba idumba ngendlela engaqhelekanga. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko: | |
| Ubunzima bokuphefumla | Ukuba uziva kunzima ukuphefumla. |
| Intloko ebuhlungu kakhulu | Ukuba unentloko ebuhlungu kakhulu. |
Iintlungu zomqolo zinokuba nefuthe elikhulu kubomi bakho bemihla ngemihla. Kuqhelekile ukuba woyike ingcamango yotyando, kodwa le nkqubo ingenazo izihlunu ayoyikisi ngaphezu kotyando lwesintu. Oogqirha abenza olu tyando baqeqeshwe kakhulu. Ngoko ke, qiniseka ukuba uxoxa ngazo naziphi na iingxaki okanye uloyiko onokuba nalo nogqirha wakho ngaphambi kokuba wenze olu tyando.
Umyalezo Wokuya Ekhaya
- Utyando Lomqolo Olungena Ngomdla Kakhulu yindlela yanamhlanje yotyando lomqolo olungenazo izithintelo.
- Oku kubangela ukuba iintlungu zingabi ninzi, ixesha elifutshane lokuphiliswa, kunye namanxeba amancinci kunotyando lwendabuko.
- Njengakwezinye iindlela zotyando, kukho iingozi ezithile, kodwa ziphantsi kakhulu.
- Ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando kubalulekile ukuze uphile ngokukhawuleza.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemeko yakho, iindlela zonyango, kunye neengenelo kunye neengxaki zotyando.
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