Ngamanye amaxesha iintlungu zomqolo azinyamezeleki, akunjalo? Kukho amaxesha apho iintlungu zingapheliyo nasemva kokuthatha amayeza, ukufumana unyango lomzimba , nokwenza umthambo owahlukeneyo. Ukuba ungomnye wabo banengxaki yolu tyando, ugqirha wakho usenokuba ucebise ukuba kwenziwe utyando olubizwa ngokuba yi-'Spinal Fusion'. Usenokuziva usoyika kancinci xa usiva igama, kodwa wakuba uluqondile ukuba luyintoni, olo loyiko luya kuphela. Ke namhlanje, masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-Spinal Fusion?
Kulula kakhulu. Olu tyando lubandakanya ukuncamathisela amathambo omqolo amabini okanye ngaphezulu (okanye amathambo omqolo ngolwimi lwethu oluqhelekileyo) emqolo wakho kunye, kwenze isakhiwo esinye esiqinileyo. Khawuthelekelele ukuba ubuva intlungu ngenxa yokunyakaza phakathi kwamathambo omqolo amabini, ubuya kudibanisa loo mathambo omqolo mabini uze uyeke ngokupheleleyo loo ntshukumo.
Eyona njongo iphambili yoku kukuyeka intshukumo ebangela intlungu. Emva koko, xa loo mathambo edibene, awasayi kuhamba ngasemva nangaphambili njengoko ayesenza ngaphambili. Oku kuya kuyimisa ukutsala nokutyhala kwemithambo-luvo, imisipha, kunye nemisipha ekufutshane, kwaye intlungu kunye nokungonwabi okuzivayo kuya kuphela.
Kutheni udinga olu tyando?
Olu asilotyando lwazo zonke iingxaki zomqolo. Ukuba iintlungu zakho zomqolo azikaphucuki nangona usela amayeza, unyango lomzimba, kwaye ufumana inaliti ezifana nee-steroids, ugqirha wakho uya kuqwalasela utyando njengokhetho olulandelayo. Kwakhona, utyando ludla ngokucetyiswa kuphela ukuba ugqirha uyazi kakuhle into ebangela intlungu .
Ukuba intlungu yakho emqolo ibangelwa yenye yezi meko zilandelayo, olu tyando lunokubonelela ngoncedo.
| Imeko | Ingcaciso elula |
|---|---|
| Isifo seDiski esiwohlokayo | Njengoko sikhula, i-cartilage (iidiski) eziphakathi kwamathambo omqolo ziyawohloka. Emva koko amathambo omqolo aqala ukukhuhlana, nto leyo ebangela iintlungu. |
| Ukwaphuka | Ukuqhekeka okanye ukugqabhuka kwethambo emgogodleni. |
| I-Scoliosis | Ukugoba okungaqhelekanga komqolo kwicala elinye. |
| I-Spine Stenosis | Ukuncitshiswa kwendlela edlula kwi-spinal cord, nto leyo enokubangela ukucinezelwa kwemithambo-luvo. |
| I-Spondylolisthesis | I-vertebra emgogodleni ephuma phambili phezu kwe-vertebra engaphantsi kwayo. |
| Iithumba okanye usulelo lomqolo | Iithumba okanye usulelo emgogodleni. |
Uzilungiselela njani ngaphambi kotyando?
Malunga neveki ngaphambi kotyando, kuya kufuneka wenze uvavanyo lwegazi oluninzi kunye novavanyo olufana ne-X-ray yomqolo.
Ugqirha wakho kunye neqela lezonyango baya kukuchazela yonke into malunga notyando . Ungaze woyike ukubuza ukuba kukho into ongayiqondiyo. Kuluncedo kakhulu kugqirha ukuba unolwazi olupheleleyo kwaye ulungiselele.
Cinga ngezi zinto kwiintsuku ezimbalwa ngaphambi kotyando:
- Yazi kakuhle ukuba kufuneka ufike nini esibhedlele. Kwakhona, kubalulekile ukulungiselela umntu oza kukuqhubela esibhedlele aze akubuyisele ekhaya emva kotyando.
- Cela ugqirha wakho uluhlu lwamayeza onokuwasela nongenakuwasela kwiintsuku ezingaphambi kotyando. Amanye amayeza, anjenge-aspirin, anokunyusa ukopha kwaye kufuneka uyeke. Ungaze uyeke ukuthatha naliphi na iyeza ngaphandle kwemvume kagqirha wakho.
- Fumana kanye kanye into onokuyitya nonokuyisela ngaphambi kotyando kunye nexesha omele uzile ngalo .
- Lungisa imeko-bume yekhaya lakho.Ekubeni kuza kuba nzima kuwe ukugoba okanye ukuhlala phantsi emva kotyando, kuya kuba luncedo kakhulu ukulungiselela izinto ezifana nezitulo zangasese eziphakamileyo, isitulo sokuhlamba, izihlangu zokutyibiliza, kunye nee-reachers zokukunceda uthabathe izinto phantsi.
Lwenziwa njani olu tyando?
Utyando lokudibanisa umqolo lunokwenziwa ngeendlela ezimbini eziphambili.
1. Ukudibanisa Ngaphambili: Kule nto, ugqirha wenza isilonda ecaleni kwesisu sakho.
2. Ukudibanisa Kwangasemva: Kule nto, ukusika kwenziwa ngasemva.
Emva kokwenza i-incision, ugqirha ususa izihlunu kunye nezinye izicubu ngononophelo ukuze afikelele kumqolo. Emva koko, ilungu okanye amalungu aphakathi kwamalungu onakeleyo abangela intlungu ayasuswa.
Okulandelayo, izikrufu, iintonga, okanye i-bone graft zisetyenziselwa ukubamba amalungu amabini ukuze angashukumi. Ukuba i-bone graft ithathwe emzimbeni wakho, idla ngokuthathwa kwithambo lakho lesinqe. Kwezinye iimeko, kusetyenziswa ithambo lomnye umntu (i-donor graft). Abanye oogqirha bafaka into ebizwa ngokuba yiBone Morphogenetic Protein emgogodleni, ekhuthaza ukukhula kwamathambo.
Olu tyando lungathatha iiyure ezininzi.
Ziziphi iingxaki ezinokubakho?
Kukho iingozi ezithile ngalo naluphi na utyando. Yinto eqhelekileyo leyo. Kodwa kubaluleke kakhulu ukuba uzazi kwangaphambili, uzithintele, kwaye uziqaphele ngokukhawuleza ukuba ziyenzeka.
Ngezantsi kukho ezinye zeengozi ezinokubakho ezinxulumene nolu tyando.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iingozi eziqhelekileyo ezinxulumene nalo naluphi na utyando | |
| Ukopha | Ukopha kakhulu ngexesha okanye emva kotyando. |
| Amahlwili egazi | Kukho umngcipheko wokuqhekeka kwegazi, ingakumbi emilenzeni. |
| Usulelo | Usulelo lwenxeba ngotyando. |
| Iingozi ezinxulumene ne-anesthesia | Iimpendulo ezinokwenzeka kumayeza anikwayo ukuze kusetyenziswe i-anesthesia. |
| Iingozi ezithile kutyando lokuhlanganisa umgogodla | |
| Ukulimala kwemithambo-luvo | Imeko efana nokuba ndindisholo emlenzeni inokwenzeka. Iimeko ezinzima ezifana nokulahlekelwa kukuhamba aziqhelekanga. |
| I-Pseudoarthrosis | Ngamanye amaxesha amathambo awadibani kakuhle. Ukuba oko kuyenzeka, iintlungu zomqolo zingabuya emva kweenyanga ezimbalwa. |
| Iingxaki ezinxulumene nokufakelwa kwamathambo | Ukuba lithambo elithathwe komnye umntu, kukho umngcipheko omncinci wokuba umzimba ungalifuni okanye ubangele usulelo. |
Xelela ugqirha wakho ngokukhawuleza ukuba unenye yezi mpawu zilumkisayo:
- Ukudumba okugqithisileyo, ukuba bomvu, okanye ulwelo olufana nobovu oluphuma enxebeni.
- Umkhuhlane (ngaphezulu kwama-degrees Fahrenheit ali-100).
- Intlungu ayinyamezeleki.
- Ndiziva ndibanda kwaye ndingcangcazela.
Ukubuyiselwa emva kotyando
Emva kotyando, kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Inani leentsuku lixhomekeke kwimpilo yakho, impilo yakho, kunye nokuba unayo nayiphi na eminye imiba yezempilo. Ngokwesiqhelo uya kuhlala malunga neentsuku ezi-4. Usenokukwazi ukuya ekhaya kwangethuba, okanye unokufuneka uhlale malunga neveki.
Ngeli xesha, uza kuqhagamshelwa kwiimatshini ezijonga izinto ezifana nesantya sentliziyo yakho. Uza kuba neetyhubhu ezininzi ezifakwe emzimbeni wakho.
- Ityhubhu ye-IV (i-cannula): Le ifakwa emthanjeni osengalweni yakho ukuze inike ulwelo, amayeza okubulala iintsholongwane, kwaye ngamanye amaxesha ithomalalisa iintlungu.
- I-Epidural Catheter: Abanye abantu banikwa amayeza entlungu ngetyhubhu encinci efakwe emqolo wabo.
- Ikhathetha: Ekubeni kuza kuba nzima kuwe ukuvuka uye kwigumbi lokuhlambela kwiintsuku zokuqala ezimbalwa, kuza kufakwa ikhathetha ukuze kukhutshwe umchamo wakho. Oku kusenokuvakala kungathandeki kancinci, kodwa mhlawumbi awuyi kuva kwaphela. Kubaluleke kakhulu ukuba uhlale kwindawo enye ude umqolo wakho uphole.
Ngexesha lokuhlala kwakho esibhedlele, iingcali zonyango lomzimba kunye neengcali zonyango lonyango lomzimba ziya kukunceda. Baza kukufundisa ngqo indlela yokuvuka ebhedini, uhlale esitulweni, kwaye uqale ukuhamba kwakhona.
Ngaphambi kokuba uthunyelwe ekhaya, ugqirha uza kuthatha i-X-ray ukuqinisekisa ukuba ithambo lidibene kakuhle. Kuya kufuneka ubuye emva kweentsuku ezili-10 ukuze kususwe imithungo yakho. Emva koko, kuya kufuneka ubuye ukuze ufumane utyelelo olulandelayo kwiiveki ezi-4-6, kwiinyanga ezi-6, kunyaka omnye, nakwiminyaka emi-2.
Khumbula, ukuchacha emva kotyando lomqolo kufuna ukuzinikela nokusebenza nzima . Kungathatha ukuya kuthi ga kwiinyanga ezi-6 okanye unyaka ukuze umqolo wakho uphile ngokupheleleyo.
Ufanele uqhubeke nonyango lwakho lomzimba emva kokuba uphumile esibhedlele. Ugqirha wakho uza kukuxelela ukuba kufuneka uye kangaphi. Qiniseka ukuba ulandela la macebiso ukuze ukhusele umqolo wakho kwiinyanga ezi-6 zokuqala :
- Kuphephe ukujikajika, ukugoba, kunye nokuphakamisa izinto ezinzima.
- Ungazami nokuphakamisa into enzima ngaphezu kwebhotile enkulu yamanzi!
- Ngoko ke, nika amalungu osapho imisebenzi efana nokuhlamba izitya kunye nokuhlamba impahla okwethutyana.
Umyalezo Wokuya Ekhaya
- I-Spinal Fusion lutyando oludibanisa amathambo omqolo amabini okanye ngaphezulu ukuze kumiswe intshukumo ebuhlungu.
- Oku kudla ngokucetyiswa xa ezinye iindlela zonyango, ezinje ngamayeza kunye nonyango lomzimba, zingazisanga ncedo.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo kunye nokulungiselela kakuhle ngaphambi kotyando.
- Njengakwezinye iintlobo zotyando, kukho iingozi, kodwa zinokulawulwa ngokuzazi.
- Ukuchacha ngokupheleleyo kuthatha ixesha, kwaye ukuzinikela kwakho kunye nokuthobela iingcebiso zonyango kubalulekile. Ukuba unamathandabuzo, qhagamshelana nogqirha wakho ngoko nangoko.
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