Nabani na okhe wahlushwa ziintlungu zomqolo uyazi ukuba kunzima kangakanani ukuphila nazo. Ngamanye amaxesha ezi ntlungu zomqolo zinokuphuma emilenzeni zize zibangele ukurhawuzelela. Njengesisombululo sale ntlungu inzima, engancediyo ngokuthatha amayeza nokwenza i-physiotherapy, ugqirha wakho angacebisa utyando. Olunye utyando olunjalo lubizwa ngokuba yi-PLIF. Musa ukoyika xa usiva eli gama. Ngoko ke namhlanje siza kuthetha ngokuba luyintoni olu tyando lwe-PLIF, lwenziwa njani, kwaye nokuba ufanele uloyike na.
Yintoni utyando lwe-PLIF?
Ngamafutshane, i-PLIF luhlobo lotyando lokuhlanganisa umqolo. Umqolo wethu wenziwe ngamathambo abizwa ngokuba yi-vertebrae abekwe phezu komnye nomnye. Phakathi kwala mathambo mabini, kukho indawo enomqamelo esebenza njenge-shock absorber emotweni. Oku sikubiza ngokuba yi-intervertebral disc.
Ekuhambeni kwexesha, ngenxa yengozi okanye enye imeko yempilo, le diski inokonakala. Emva koko inokudumba ize iqalise ukucinezela umthambo womqolo okufutshane. Kulapho ke kuqala khona iintlungu zomqolo ezinganyamezelekiyo kunye nentlungu ehamba ngemilenze yakho.
Kwi-PLIF surgery, oogqirha basusa idiski eyonakeleyo baze bafake isixhobo esikhethekileyo esibizwa ngokuba yi-'spacer' kwindawo leyo. Esi 'spacer' singenziwa ngesinyithi, iplastiki, okanye ithambo. Sinobude obufanayo nediski esusiweyo. Emva koko indawo izaliswa nge-bone graft. Oku kufana nokubeka udaka phakathi kwezitena xa kusakhiwa udonga lwezitena. Ekuhambeni kwexesha, amathambo amabini angaphezulu nangaphantsi ayadibana, enze ithambo elinye, elinamandla.
Kutheni le nto kwenziwa olu tyando lwe-PLIF?
Oogqirha badla ngokucinga ngolu tyando xa ezinye iindlela zonyango, ezifana neyeza lokuthomalalisa iintlungu kunye ne-physiotherapy, zingaphumelelanga. Le theyibhile ingezantsi idwelisa ezinye zeemeko eziphambili apho utyando lwe-PLIF lusetyenziswa khona.
| Imeko | Ingcaciso elula |
|---|---|
| Isifo seDiski esiwohlokayo | Njengoko sikhula, iidiski eziphakathi kwamathambo omqolo ziyaguga kwaye ziba buthathaka. |
| I-Spondylolisthesis | Ithambo elinye lityibilika phambili phezu kwelinye. |
| Ukukhubazeka komqolo okufana ne-scoliosis | Intlungu ebangelwa kukugoba komqolo ecaleni. |
| Iidiski zeHerniated eziphindaphindayo | Ukucinezelwa kwemithambo-luvo ngenxa yokuvela kwediski ngokuphindaphindiweyo. |
| I-Spine Stenosis | Ukucinezelwa kwemithambo-luvo ngenxa yokucutheka kwendlela yomqolo. |
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kotyando, uza kuhlolwa ngononophelo ukuze kubonwe ukuba olu tyando lufanelekile na kuwe.
Ingxoxo nogqirha
Ugqirha wakho uza kukubuza ngembali yakho yezonyango, utyando lwangaphambili, kunye namayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Baza kwenza nezinto ezifana novavanyo lwegazi ukujonga impilo yakho ngokubanzi.
Oku kubaluleke kakhulu: Ukuba ungumtshayi, uya kucetyiswa ukuba uyeke ngokupheleleyo ukutshaya . Uya kuxelelwa ukuba ungasebenzisi nantoni na equlethe i-nicotine, efana neecuba, i-bidis, ii-nicotine patches, i-chewing gum, okanye i-vapes. Uphando lubonise ukuba i-nicotine inokubangela ukuba i-bone grafts entsha ingakheki kakuhle, ilibazise ukuphola kwenxeba, kwaye yonyuse umngcipheko wosulelo.
Ukulungiselela utyando
Ugqirha uza kukuchazela into ekufuneka uyenze ngaphambi kotyando.
| Ixesha | Izinto zokwenza |
|---|---|
| Malunga neveki ngaphambi kotyando |
|
| Ngomhla wotyando |
Lwenziwa njani olu tyando?
Olu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba awuyi kuva nto. Olu tyando ludla ngokuthatha malunga neeyure ezi-2-3.
1. Ugqirha uza kwenza utyando kumqolo wakho ongezantsi .
2. Yolula izihlunu zangasemva ngononophelo ziye emacaleni, ufikelele kumqolo.
3. Idiski eyonakeleyo isuswa ngokususa inxalenye yethambo lomqolo elibizwa ngokuba yi-'lamina', ngononophelo uhambisa i-membrane (dura) ejikeleze umthambo womqolo ecaleni.
4. Kulungiselelwa i-bone graft ukuze izalise indawo engenanto.
5. I-`spacer` (ngamanye amaxesha ebizwa ngokuba yi-`cage`) izaliswe yi-`bone graft`.
6. Emva koko, faka le 'spacer' kwindawo evulekileyo uze uyiqinise ngezikrufu ukuze ingashukumi.
7. Ekugqibeleni, izihlunu zibuyiselwa endaweni yazo kwaye i-incision ithungwe ivaliwe.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwindawo yokuchacha. Apho, ukubetha kwentliziyo yakho kunye nokuphefumla kwakho kuza kuhlolwa. Uza kunikwa amayeza eentlungu. Emva koko uza kudluliselwa kwigumbi eliqhelekileyo. Kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini ukujonga iingxaki ezifana nosulelo.
Ixesha lokuchacha kunye namanyathelo okuzikhusela
Uza kuziva ukhululekile xa iintlungu zakho zomqolo ziphelile. Kodwa ungakhawulezi ubuyele kwimisebenzi yakho yakudala. Kufuneka unike umzimba wakho ixesha lokuphola. Kungathatha iinyanga okanye unyaka ukuba i-bone graft yakheke ngokupheleleyo kwaye amathambo amabini adibane.
| Ixesha | Izinto ekungamele uzenze (ZIPHEPHE) |
|---|---|
| Iiveki zokuqala ezi-2-4 |
|
| Phakathi kweeveki ezi-4-6 |
Ukuba unale mpawu, bonana nogqirha ngokukhawuleza.
Ukuba ufumana naziphi na ezi mpawu xa ufika ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko.
- Ukuba umkhuhlane wakho ungaphezulu kwama-39.4 degrees Celsius (103 Fahrenheit).
- Ukuba uziva ubanda kwaye uqhaqhazela.
- Ukuba indawo yotyando ibomvu, idumbile, okanye ibuhlungu xa uyichukumisa.
- Ukuba kukho intlungu eqatha ngaphezu kokuba bekulindelwe.
Kuqhelekile ukuba uzive usoyika kwaye unexhala xa ucinga ngotyando lwe-PLIF. Kodwa khumbula, olu lunyango olusebenzayo kakhulu kwiintlungu ezinzima zomqolo nemilenze. Ungathandabuzi ukubuza ugqirha wakho nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Uza kukuchazela yonke into.
Umyalezo Wokuya Ekhaya
- I-PLIF lutyando oluphumeleleyo lwentlungu ebuhlungu yomqolo nemilenze engakhange ithomalaliswe zezinye iindlela zonyango.
- Ukuze utyando luphumelele, kubalulekile ukuyeka ngokupheleleyo ukutshaya nazo zonke iimveliso ezine-nicotine.
- Kubalulekile ukuba nomonde, kuba kungathatha iinyanga ezininzi okanye unyaka ukuze uphile ngokupheleleyo.
- Landela imiyalelo kagqirha wakho ngononophelo malunga nokugoba, ukuphakamisa, kunye nokuqhuba kwiinyanga ezimbalwa zokuqala emva kotyando.
- Thetha ngokukhululekileyo neqela lakho lezempilo. Musa ukoyika ukubabuza imibuzo namathandabuzo akho.
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