Ingabe nawe uhlushwa ubuhlungu bomhlane obungapheli naphezu kokuthatha umuthi, ukwenza i-physio, nokwenza konke? Ngezinye izikhathi lobu buhlungu bungasakazeka kusukela emhlane kuya emilenzeni. Esimweni esinjalo, udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa kwe-ALIF. Kuvamile ukuzizwa wesaba kancane lapho kukhulunywa ngokuhlinzwa. Kodwa ungakhathazeki, sizoxoxa ngakho konke ngamagama alula, ukuthi lokhu kuhlinzwa kwe-ALIF kuyini, kwenziwa kanjani, nokuthi ungakulungiselela kanjani.
Kalula nje, kuyini ukuhlinzwa kwe-ALIF?
Igama elithi ALIF lingase lizwakale liyinkimbinkimbi kancane, kodwa ake silihlukanise ngamagama.
- A - Ngaphambili: Lokhu kusho ukuthi "ukusuka phambili." Lokhu kusho ukuthi udokotela ohlinzayo uzofinyelela umgogodla wakho ngokusikwa okuncane okwenziwe ohlangothini lwesisu sakho .
- L - I-Lumbar: Lokhu kubhekisela engxenyeni engezansi yomhlane wakho . Ubuhlungu obuningi bomhlane buvela kule ndawo.
- I - Umzimba Ohlangene: Lokhu kusho "phakathi kwamathambo amabili ahlangene." Umgogodla wethu wakhiwe ngamathambo amancane (ama-vertebrae) abekwe phezu komunye nomunye. Ukuhlinzwa kwenziwa phakathi kwalawa mathambo amabili ahlangene.
- F - Ukuhlanganiswa: Lokhu kusho "ukuhlangana ndawonye".
Cabanga ukuthi ingxenye efana nomcamelo phakathi kwamathambo amabili emgogodleni wakho (esikubiza ngokuthi i-intervertebral disk) isigugile. Bese lawo mathambo egudlana ndawonye, ecindezela imizwa edlula kuwo. Yilapho-ke kuvela khona ubuhlungu obukhulu emhlane.
Ngakho-ke, ekuhlinzeni kwe-ALIF, udlula esiswini bese ususa idiski endala, egugile, bese uyishintsha ngengxenye entsha yethambo noma ikheji elincane elenziwe nge-titanium (i-graft). Ngokuhamba kwesikhathi, amathambo amabili angaphezulu nangaphansi ayahlangana nengxenye entsha, abe yithambo elilodwa eliqinile. Bese ukucindezeleka kwemizwa kuyanyamalala futhi ubuhlungu buyaphela.
Ubani odinga lokhu kuhlinzwa kwe-ALIF?
Udokotela uvame ukuncoma lokhu kuhlinzwa uma ezinye izindlela zokwelapha (imithi, ukuvivinya umzimba, i-physiotherapy) zingasizanga ngobuhlungu bomhlane. Lokhu kuhlinzwa kusetshenziselwa kakhulu lezi zimo ezilandelayo:
- Isifo Sediski Esiwohlokayo: Lapho ama-disc aphakathi kwamathambo omgogodla ewohloka ngokuguga noma ngenxa yezinye izizathu, okubangela ingcindezi emizweni.
- I-Lumbar Radiculopathy: Izimo ezinjengobuhlungu kanye nokungazweli okukhanya emilenzeni ngenxa yokucindezelwa komthambo womgogodla.
- I-Spondylolisthesis: Ukushelela kwethambo elilodwa lomgogodla phambili phezu kwelinye.
- I-Scoliosis: Izimo ezinjengokugoba komgogodla.
- Le ndlela ingafaneleka ngisho nakumuntu oke wahlinzwa umhlane izikhathi eziningana ngaphambilini.
Nakuba ukuhlinzwa kwe-ALIF kuwukuhlinzwa okukhulu, kwenziwa ngokusikwa okuncane (okungenasivikelo kakhulu) futhi kubangela umonakalo omncane emzimbeni. Ngakho-ke, isikhathi sokululama singaba sifushane kakhulu.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Lokhu akuyona into enganqunywa ngosuku olulodwa. Kunezinto eziningi wena nodokotela wakho okudingeka nizihlele ndawonye. Ake sihlukanise lokhu kulungiselela kube izingxenye eziningana.
| ubude besikhathi | Izinto okufanele zenziwe |
|---|---|
| Emasontweni ambalwa ngaphambi kokuhlinzwa |
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| Izinsuku eziyi-7 ngaphambi kokuhlinzwa | |
| Ngosuku lokuhlinzwa |
Indlela ukuhlinzwa okwenziwa ngayo
Ngemva kokuba uyiswe egumbini lokuhlinzwa, udokotela wezinzwa uzokulalisa ngokuphelele, ukuze ungazizwa ubuhlungu.
Lokhu kuhlinzwa kufana nomzamo weqembu. Odokotela ababili abahlinzayo bahlanganyela kakhulu kukho.
1. Udokotela Ohlinzayo: Umsebenzi walo dokotela ukuvula indlela yokuthi udokotela ohlinzayo womgogodla afinyelele umgogodla wakho. Uzokwenza i-incision encane esiswini sakho, cishe amasentimitha angu-2-3 ngaphansi kwenkaba yakho. Ngemuva kwalokho, imisipha yesisu, isikhwama se-peritoneal, kanye nemithambo yegazi kuzosuswa ngokucophelela eceleni ukuze kuvuleke isikhala sentambo yomgogodla.
2. Udokotela Wokuhlinza Umgogodla: Manje uchwepheshe womgogodla uyathatha izintambo. Uzosusa ngokuphelele idiski eyonakele, egugile. Ngemuva kwalokho, i-bone graft noma i-titanium cage (i-graft) esikhulume ngayo ekuqaleni izofakwa esikhaleni. Uma ufuna ingahambi, kuzofakwa izikulufo ezincane bese zilungiswa.
Uma lo msebenzi usuphelile, udokotela wokuqala uyabuya abeke amathumbu, imithambo yegazi, njll. endaweni yawo, athunge imisipha yesisu, bese evala indawo yokusika isikhumba.
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora elilodwa kuya kwamabili, kodwa kungathatha isikhathi eside uma kudingeka kushintshwe amadiski amaningi noma uma uke wahlinzwa isisu ngaphambilini.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzogcinwa endaweni yokululama uze ubuye uqonde. Lapho, abahlengikazi bazohlola njalo ukushaya kwenhliziyo yakho nokuphefumula kwakho, futhi bakunike imithi yobuhlungu.
Ngemuva kwalokho uzodluliselwa ewadini. Kuzodingeka uhlale esibhedlela cishe izinsuku ezintathu kuya kwezine. Phakathi nalesi sikhathi,
- Siqapha ngokucophelela noma yiziphi izimpawu zokutheleleka.
- Ngosuku lokuqala ngemva kokuhlinzwa, uzokhuthazwa ukuba uvuke uhambe kancane. Lokhu kubaluleke kakhulu ukuze ululame ngokushesha.
Inqubo yokutakula
Khumbula, le nqubo yokuphulukiswa ayifani nokugijima i-marathon noma ukusheshisa amamitha ayi-100. Ukubekezela kubaluleke kakhulu.
Kungathatha izinyanga eziningana ukululama ngokugcwele. Ungase ungakwazi ukuphakamisa izinsimbi, ukugoba okhalweni, noma ukujika umzimba wakho amasonto ambalwa. Kungathatha isikhathi esingangonyaka ukuthi ingxenye yethambo efakiwe ihlangane ngokugcwele namathambo omgogodla.
Yiziphi izinzuzo nezingozi zokuhlinzwa kwe-ALIF?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane.
Izinzuzo
- Lokhu akulimazi imisipha ngemuva komhlane. Ngenxa yokuthi ukusikwa kusesiswini, ubuhlungu buyancipha futhi isikhathi sokululama sincane.
- Le ndlela ivumela ukususwa okungcono kwediski nokufakwa kwengxenye enkulu yethambo kune-posterior lumbar intervertebral discectomy (PLIF).
- Le ndlela ingasetshenziswa ngisho nangumuntu oke wahlinzwa umhlane ngaphambilini.
Izingozi (Izinkinga)
- Ingozi yokutheleleka kanye nokopha ngokweqile kuyingxenye yanoma yikuphi ukuhlinzwa.
- Ukulimala kwemizwa.
- Ukulimala kwamathumbu, esinyeni, noma emithanjeni yegazi. (Lokhu akuvamile kakhulu)
- Ukuvela kwemisipha yesisu ngokusebenzisa i-incision (incisional hernia).
Udokotela wakho uzochaza konke lokhu kuwe.
Isikhathi sokubona udokotela ngokushesha okukhulu
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya , shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Uma unomkhuhlane, zizwe ubanda futhi uqhaqhazele.
- Uma inxeba lokuhlinzwa libomvu, livuvukele, libuhlungu uma ulithinta, noma likhipha ubomvu (lokhu kungaba izimpawu zokutheleleka).
- Uma ubuhlungu bubukhulu kakhulu kunalokho obekulindelwe futhi bungapheli ngisho nangemva kokuthatha imithi yobuhlungu.
Kuvamile ukuzizwa wesaba futhi ungabaza lapho ucabanga ngokuhlinzwa kwe-ALIF. Ngoba kungenzeka ukuthi usuvele ubhekene nezinkinga eziningi zomhlane. Lesi yisinqumo esikhulu empilweni yakho. Ngakho-ke khuluma nodokotela wakho ngayo yonke imibuzo yakho nokwesaba kwakho. Bazokuchazela konke futhi bakusize wenze isinqumo esingcono kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-ALIF kuyindlela yokuhlinzwa ephumelelayo esusa ama-disc agugile emhlane ongezansi futhi ihlanganise amathambo omgogodla ndawonye.
- Lokhu kwenziwa ngokusikwa okuncane esiswini, ukuze imisipha yangemuva ingonakali, ngakho-ke ukululama kuyashesha.
- Ukunamathela ngokuqinile ezindleleni zokuzivikela, njengokuyeka ukubhema ngaphambi kokuhlinzwa, kubaluleke kakhulu ukuze uthole imiphumela ephumelelayo.
- Kuthatha isikhathi ukululama, ngakho-ke yiba nesineke futhi ulandele imiyalelo kadokotela.
- Qaphela izimpawu eziyisixwayiso ngemva kokuhlinzwa, njengomkhuhlane kanye nokuvuvukala kwamanxeba. Uma kwenzeka noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
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