Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu obuqala entanyeni yakho buye ezingalweni zakho, noma ukungabi namandla eminweni yakho? Mhlawumbe uzizwa ungazinzile uma uhamba. Imbangela yalezi zinto ingaba ukucindezelwa komthambo emgogodleni wesibeletho. Ngakho-ke, namuhla sizokhuluma ngokuhlinzwa okuphumelele kakhulu kwalesi simo. Lokhu kubizwa ngokuthi ukuhlinzwa kwe-ACDF.
Kuyini ngempela ukuhlinzwa kwe-ACDF?
Kalula nje, i-ACDF isifinyezo segama elithi "Anterior Cervical Discectomy and Fusion." Ake sikuqonde lokhu ngesiSinhala.
- I-Anterior Cervical isho ukuthi 'kusukela ngaphambili entanyeni.' Lokhu kusho ukuthi lokhu kuhlinzwa kwenziwa ohlangothini lomphimbo.
- I-Discectomy isho 'ukususwa kwediski'. Lena yingxenye efana nejeli yomgogodla wethu phakathi kwamathambo amabili. Ingavuvukala icindezele imithambo yegazi.
- I-Fusion isho 'ukuhlanganiswa'. Kuhilela ukubeka i-bone graft endaweni lapho kwakukhona khona i-disc esusiwe, ukuhlanganisa ama-vertebrae amabili ngaphezulu nangaphansi ndawonye ukuze kwakhiwe ithambo elilodwa eliqinile.
Ngakho-ke, injongo iwukudlula ngaphambili kwentamo yakho, ususe idiski enenkinga, bese uhlanganisa lawo mathambo amabili ndawonye. Lokhu kwenzelwa ukunciphisa noma yikuphi ukucindezelwa kwemizwa yakho yomgogodla noma intambo yomgogodla entanyeni yakho.
Kunconywa bani lokhu kuhlinzwa?
Ngenxa yokuthi lokhu kuwukuhlinzwa okukhulu, odokotela bakwenza kuphela ngemva kokuba zonke ezinye izindlela zokwelapha zehlulekile. Uma unezimpawu ezingezansi futhi zingathuthuki ngokwelashwa okujwayelekile, udokotela wakho angase acabangele lokhu kuhlinzwa.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obuhamba phansi kwengalo | Ubuhlungu obuzwakala njengokushaya kukagesi kusukela entanyeni, ehlombe, kwehle ingalo kuye eminweni. |
| Ukuba ndikindiki ezandleni naseminweni | Ukuqaqamba noma ukuba ndikindiki ezandleni naseminweni. |
| Ubuthakathaka ezandleni | Izinto ezifana nokungakwazi ukubamba into ngokuqinile ngesandla sakho, izinto eziwela phansi. |
| Ukulahlekelwa ibhalansi lapho uhamba | Ukuzizwa sengathi uzolahlekelwa yibhalansi yakho bese uwe ngenkathi uhamba. |
| Ubuhlungu obukhulu entanyeni | Ubuhlungu obukhulu entanyeni obungapheli naphezu kokuthatha imithi noma ukuphumula. |
Kodwa khumbula, lezi zimpawu azidingi ukuhlinzwa. Udokotela wakho uzoqala azame ukuphatha lesi simo ngokwelashwa ngokomzimba, imithi, kanye nemijovo ye-epidural steroid.
Ukuhlinzwa kucatshangelwa kuphela uma lezo zinto zingasizi. Isinqumo sokugcina sokuthi ukuhlinzwa kuyadingeka noma cha senziwa uchwepheshe wakho womgogodla.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Kunezinto ezimbalwa okudingeka uzilungiselele ngaphambi kokuhlinzwa.
- Ukuhlangana nodokotela: Kuzodingeka uhlangane nodokotela wakho ohlinzayo ngaphambi kokuhlinzwa. Uzokuhlola futhi akubuze ngempilo yakho kanye nanoma yimiphi imithi oyiphuzayo.
- Ukuhlolwa okudingekayo: Uma ungakaze wenze i -X-ray noma i-MRI scan entanyeni, kuzokwenziwa i-oda. Lokhu kuzosiza ekutholeni indawo eqondile yenkinga kanye nobukhulu bayo.
- Ukuyeka imikhuba emibi: Uma ubhema, kufanele uyeke ngokuphelele okungenani inyanga ngaphambi kokuhlinzwa. Ukubhema kubambezela kakhulu ukuphulukiswa kwamathambo. Uzocelwa futhi ukuthi uyeke ukuphuza utshwala.
- Ama-blood thinners: Uma uthatha ama-blood thinners, kuzodingeka uyeke ukuwathatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa kwakho, njengoba kuyalelwe udokotela wakho. Ungayeki ukuthatha noma yimuphi umuthi ngaphandle kweseluleko sikadokotela wakho.
- Umuntu ozokuthatha akuyise ekhaya: Kubalulekile ukuhlela kusenesikhathi ukuthi othile akuyise ekhaya ngemva kokuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Kulungile, manje ake sibone ukuthi kuzokwenzekani ngesikhathi sokuhlinzwa. Ungakhathazeki, uzobe ungaphansi kwe-anesthesia ejwayelekile ngakho ngeke uzwe ubuhlungu. Uzobe ulele kahle.
1. Ukwenza i-incision: Ngesikhathi ulele ngokuphelele, udokotela ohlinzayo uzokwenza i-incision encane engamasentimitha angu-1-2 ngaphambili kwentamo yakho, ngokuvamile eduze kwentamo.
2. Ukufinyelela umgogodla: Ngemuva kwalokho, ngokucophelela okukhulu, i-trachea yakho kanye ne-esophagus kuyasuswa eceleni bese ufinyelela umgogodla.
3. Ukususwa Kwediski: Okulandelayo, idiski eyinkinga ecindezela inzwa kanye nama-spurs ethambo angafuneki akheke nxazonke zayo kuyasuswa ngokuphelele.
4. Ukuhlanganiswa: Manje sekuza ingxenye ebaluleke kakhulu. I-bone graft noma ikheji elincane le-titanium eligcwele i-bone powder lifakwa endaweni lapho i-disc isusiwe khona. Lokhu kubangela ukuthi amathambo amabili angaphezulu nangaphansi ahlangane ndawonye ngokuhamba kwesikhathi, akhe ithambo elilodwa eliqinile. Njenge-fuse yengalo ephukile.
5. Ukuqina: Ukuze la mathambo angashukumi aze aqondane kahle, avame ukuqiniswa ngepuleti elincane lensimbi nezikulufo.
6. Ukuvala i-incision: Ekugcineni, konke okwenziwe kulolo hlangothi kubuyiselwa endaweni yalo, bese i-incision ivalwa futhi ithungwe.
Lokhu kuhlinzwa konke kuvame ukuthatha cishe amahora angu-1-2.
Kwenzekani ngemva kokuhlinzwa? Sinjani isikhathi sokululama?
Ngemva kokuhlinzwa, uzoyiswa egunjini lokuqapha. Isimo sakho sizoqashwa ngokucophelela uze ubuye uqonde. Ezimweni eziningi, kuzodingeka uhlale esibhedlela ubusuku obubodwa kuphela.
Lezi zinto zibalulekile ekwelapheni:
- Ama-Painkiller: Udokotela uzokunikeza ama-painkillers ezinsukwini zokuqala ezimbalwa.
- Ukuphumula: Kufanele uthole ukuphumula okwanele emasontweni ambalwa okuqala. Kufanele uyeke ngokuphelele ukuphakamisa izinsimbi nokwenza izinto ezikucindezela intamo yakho.
- I-brace yentamo: Ngezinye izikhathi, ungase ucelwe ukuthi ugqoke i-brace ekhethekile yokusekela intamo yakho. Kufanele uyigqoke isikhathi eside njengoba udokotela wakho encoma.
- Ukwelashwa ngokomzimba: Emasontweni angu-4-6 ngemva kokuhlinzwa, uzoyalwa ukuba wenze izivivinyo ngaphansi kokuqondisa kukadokotela we-physiotherapist ukuze uqinise imisipha yentamo.
Kungathatha izinyanga eziyi-6 kuya kweziyi-12 ukuthi ithambo liphole ngokugcwele futhi libe namandla. Kodwa kancane kancane ungabuyela emisebenzini yakho evamile. Kuye ngomsebenzi wakho, ungase ukwazi ukubuyela emsebenzini zingakapheli amasonto ama-3-6, ngemvume kadokotela wakho.
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Kodwa-ke, lezi azivamile. Izinga lempumelelo liphezulu lifinyelela ku-85%-95%. Nazi ezinye zezinkinga ezingaba khona.
| Inkinga engaba khona | Incazelo elula |
|---|---|
| Ubunzima bokugwinya | Lokhu kuvamile ezigabeni zokuqala. Ngokuvamile kuyaphela ngemva kwezinsuku ezimbalwa. |
| Ukutheleleka kanye nokopha kwegazi | Izingozi ezingase zivele kunoma yikuphi ukuhlinzwa. |
| Ukulimala kwemizwa | Lokhu kuyinto engavamile. Izinguquko zezwi kanye nobuthakathaka engalweni eyodwa kungenzeka. |
| Ukuhlangana kwamathambo akwenzeki. | Le ngozi iphezulu kakhulu kubantu ababhemayo. |
| Uma uhlangabezana nalezi zimpawu ngemva kokuhlinzwa, tshela udokotela wakho ngokushesha: | |
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Umlayezo Wokuya Nawe Ekhaya
- I-ACDF iyindlela yokuhlinzwa ephumelela kakhulu yezimpawu ezibangelwa ukucindezelwa kwemizwa, njengobuhlungu bentamo kanye nokungazweli ezandleni.
- Nakuba lokhu kuwukuhlinzwa okukhulu, ungalulama kahle kakhulu uma ulandela imiyalelo efanele.
- Empumelelweni yokuhlinzwaKubaluleke kakhulu ukugwema ngokuphelele ukubhema.
- Ngesikhathi sokululama, landela imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ngqo.
- Uma unemibuzo noma ukukhathazeka mayelana nokuhlinzwa noma isikhathi sokululama, ungesabi ukukhuluma nodokotela.
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