Ngaba ungumntu obesoloko ehlushwa ziintlungu zomqolo ixesha elide? Ngamanye amaxesha, kukho iintlungu zomqolo ezinzima ezingapheliyo nasemva kokusela amayeza nokwenza i-physiotherapy, akunjalo? Ngoko ke, kwiimeko ezinjalo, xa ezinye iindlela zonyango zingaphumeleli, siza kuthetha ngotyando olukhethekileyo olucetyiswa ngoogqirha namhlanje. Oku kubizwa ngokuba lutyando lwe-TLIF. Nangona oku kunzima kancinci, masikuqonde ngokulula.
Know your body mass index (BMI) and weight classification
Ngoko ke, yintoni le TLIF operation?
Ngamafutshane, i-TLIF (i-Transforaminal Lumbar Interbody Fusion) luhlobo lotyando lomqolo. Umqolo wethu wenziwe ngamaqhekeza amancinci ethambo (abizwa ngokuba yi-vertebrae) abekwe phezu komnye. Phakathi kwezi ziqwenga zimbini zethambo, njenge-shock absorber emotweni, kukho indawo efana nejeli efunxa i-shock. Le yiloo nto siyibiza ngokuba yi-intervertebral disk.
Ekuhambeni kwexesha, ngokweminyaka, okanye ngenxa yengozi, le 'diski' inokuguga, idumbe, okanye yonakale. Emva koko, imithambo-luvo yomqolo ehamba kufutshane nale 'diski' iqala ukucinezelwa . Kulapho ke intlungu yomqolo enganyamezelekiyo, ukurhawuzelelwa, kunye nentlungu eyehla emilenzeni iqala khona.
Kwi-TLIF surgery, oogqirha bayisusa ngokupheleleyo idiski eyonakeleyo baze bayifake i-bone graft . Emva koko, amathambo amabini angaphezulu nangaphantsi adityaniswa ukuze enze ithambo elinye eliqinileyo. Oku kubizwa ngokuba yi-fusion. Kufana nokugalela ikhonkrithi kunye nokudibanisa iintsika ezimbini.
Ngubani ofanelekileyo kutyando lwe-TLIF?
Olu tyando alulonyango lwazo zonke iintlungu zomqolo. Oogqirha badla ngokulucebisa kubantu abanengxaki yeentlungu eziqatha nabangakhange bakwazi ukufumana isiqabu kwiimithi, iinaliti kunye ne-physiotherapy. Olu tyando lunokuba luncedo ngakumbi kubantu abanezi meko zilandelayo:
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Isifo sediski esiwohlokayo | Ngokukhula okanye ngenxa yezinye izizathu, 'idiski' ephakathi kwamathambo omqolo iyaphela ize inciphe, nto leyo ebangela iintlungu. |
| I-Spondylolisthesis | Ukutyibilika kwethambo elinye lethambo lisiya phambili okanye libuyela umva xa lithelekiswa nelinye. |
| I-Scoliosis | Umqolo ugobile kwelinye icala ngendlela efana no-N. |
| Iidiski ze-herniated eziphindaphindayo | Nangona unyango lukhona, idiski iphuma ngokuphindaphindiweyo kwaye icinezele imithambo-luvo. |
| I-stenosis yomgogodla | Intlungu yokucinezelwa kwemithambo-luvo iyenzeka ngenxa yokuncitshiswa komjelo wemithambo-luvo. |
Khumbula, ngugqirha wakho kuphela oya kugqiba ukuba uyaludinga olu tyando okanye akunjalo, emva kokuphonononga zonke iimpawu zakho kunye neengxelo zeskeni.
Yintoni esifanele siyilungiselele ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho kunye neqela lezonyango baza kuthetha nawe kakuhle baze bakuchazele yonke into.
- Ukuhlolwa kwempilo: Izinto ezifana novavanyo lwegazi zenziwa ukujonga impilo yakho ngokubanzi.
- Ulwazi Ngamayeza: Ufanele uxelele ugqirha wakho malunga nawo onke amayeza owasebenzisayo ngoku (kuquka iivithamini kunye namayeza esintu). Uza kucelwa ukuba uyeke ukusebenzisa amayeza athile, ingakumbi amayeza okunciphisa igazi kunye namayeza angengowe-steroidal anti-inflammatory (NSAIDs) , kwiintsuku ezimbalwa ngaphambi kotyando.
- Kuphephe ukutshaya: Ukuba ungumntu otshayayo, ngokuqinisekileyo kufuneka uyeke. I-Nicotine inokubangela ukuba ithambo elitsha lingaphili kakuhle, ilibazise ukuphola kwenxeba, kwaye yonyuse umngcipheko wosulelo.
- Umntu oza kukunceda ekhaya: Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa emva kotyando. Kubaluleke kakhulu ukuba nomntu oza kukunceda emva kokuba ubuyele ekhaya, kwaye kwiintsuku ezimbini okanye ezintathu zokuqala.
Kwenzeka ntoni ngomhla wotyando nangexesha lotyando?
Ngomhla wotyando, uza kucelwa ukuba ungatyi okanye ungaseli kangangeeyure ezisi-8-12. Ingcali ye-anesthesiologist iza kukuchazela indlela yokunikezelwa kwe-anesthesia.
Ngexesha lotyando, uza kujika ubuso bujonge phantsi. Emva koko, ugqirha uza kulandela la manyathelo:
1. Ukusikwa kwesikhumba: Kwenziwa ukusikwa okuncinci eluswini olungasemva, kancinci ecaleni lomqolo.
2. Ukususwa kwemisipha: Ukuze ifikelele kumqolo, imisipha itsalwa ngononophelo iye emacaleni.
3. Ukuvula umqolo: Amathambo amabini amancinci kumqolo abizwa ngokuba yi-'lamina' kunye ne-'facet joint' ayasuswa ukuze kuvulwe indlela yemithambo-luvo.
4. Ukuphambuka kwemithambo-luvo: Ukuze kuthintelwe nawuphi na umonakalo kwimithambo-luvo, iphambuka ngononophelo olukhulu.
5. Ukususa idiski: Idiski eyonakeleyo isusiwe ngokupheleleyo kwaye indawo iyacocwa.
6. Ukufakwa kwethambo kunye nokubekwa kwekheyiji: Endaweni yediski esusiweyo, kubekwa 'ikheyiji' ekhethekileyo egcwele ithambo phakathi kwamathambo amabini. Le thambo lifakwa kuwe okanye komnye umthombo.
7. Ukufakelwa kwesikrufu kunye nenduku: Iiseti ezimbini zezikrufu zifakwa kwi-vertebrae ezimbini ngaphezulu nangaphantsi, kwaye ezimbini ziqhagamshelwe ngentonga. Oku kugcina i-vertebrae ezimbini zisendaweni yazo de ithambo elitsha likhule.
8. Ukuthunga inxeba: Ekugqibeleni, izihlunu ziyahlanganiswa kwaye inxeba lesikhumba liyathungwa.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu .
Kwenzeka ntoni emva kotyando? Ndiza kuphola njani?
Emva kotyando, uza kusiwa kwicandelo lokujonga. Ukubetha kwentliziyo yakho kunye nokuphefumla kwakho kuza kuhlolwa de ubuyele engqondweni. Uza kunikwa amayeza entlungu. Ngokwesiqhelo uza kuhlala esibhedlele malunga neentsuku ezintathu ukuya kwezine.
Utyando lwe-TLIF yindlela esebenzayo kakhulu yokunciphisa iintlungu zomqolo. Nangona kunjalo, kuthatha ixesha elithile ukuba umntu aphile ngokupheleleyo. Umonde ubaluleke kakhulu.
Kungathatha naphi na ukusuka kwiinyanga ezimbalwa ukuya kunyaka ukuze kuphole ngokupheleleyo. Eli lixesha elithathayo ukuba ithambo lidibane ngokupheleleyo namanye amathambo amabini.
Indlela yokulumka xa ubuyela ekhaya
Xa intlungu yakho iphelile, uya kufuna ukubuyela kwindlela yakho yakudala ngokukhawuleza. Nangona kunjalo, kubalulekile ukunika umzimba wakho ixesha lokuphola.
| Ixesha | Izinto ekufuneka uziphephe |
|---|---|
| Iiveki zokuqala ezi-2-4 |
|
| Phakathi kweeveki ezi-4-6 |
Ugqirha ucebisa ukuba uhambe kancinci yonke imihla. Oku kuya kunceda kakhulu kwinkqubo yokuphiliswa. Uza kukunika ne-physiotherapy.
Iimeko ezingxamisekileyo ezifuna ukutyelela ugqirha
Ukuba unezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.
- Ukuba umkhuhlane wakho ungaphezulu kwe-103 Fahrenheit (38.9 Celsius) .
- Ukuba uziva ubanda kwaye uqhaqhazela (ukubanda).
- Ukuba inxeba lotyando libomvu, lidumbile, okanye libuhlungu xa ulichukumisa .
- Ukuba kukho intlungu eqatha ngaphezu kokuba bekulindelwe.
Kuqhelekile ukuba novalo kancinci kwaye uxhalabele utyando lomqolo. Kodwa abantu abaninzi baye bakwazi ukuphelisa iintlungu zomqolo baze baphile ubomi obungcono ngolu hlobo lotyando. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- I-TLIF luhlobo lotyando oluphumeleleyo lweentlungu ezibuhlungu zomqolo olungakhange lupheliswe zezinye iindlela zonyango.
- Kolu tyando, idiski eyonakeleyo iyasuswa ize ithathelwe indawo yi-bone graft ukuze kudityaniswe amathambo amabini.
- Kubaluleke kakhulu ukuphepha ukutshaya ngaphambi kotyando nokulandela imiyalelo kagqirha.
- Kungathatha iinyanga eziliqela ukuya kunyaka ukuze uphile ngokupheleleyo, kwaye kufuneka ube nomonde ngelo xesha.
- Ugqirha wakho uza kukucebisa ukuba uphephe imisebenzi efana nokugoba, ukuphakamisa, kunye nokujika emva kotyando.
- Ukuba ufumanisa iimpawu ezilumkisayo ezifana nomkhuhlane, ukudumba kwenxeba, okanye intlungu eqatha, qhagamshelana nogqirha wakho ngoko nangoko.
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