Ingabe ubuye ube nobuhlungu obuqhubekayo entanyeni, ubunzima bokujika intamo yakho, noma umuzwa wobuhlungu obufana nokushaqeka kukagesi kanye nokungazweli okusuka entanyeni yakho kuye engalweni yakho? Udokotela wakho kungenzeka ukuthi ukutshelile ukuthi imbangela yi-herniated disc emgogodleni wakho wesibeletho. Ngakho-ke, enye indlela yokwelapha ephumelelayo yalokhu ukuhlinzwa kokufaka esikhundleni se-cervical disc esikhuluma ngayo namuhla. Kuvamile ukuzizwa wesaba kancane uma uzwa leli gama, kodwa ake sicacise ngakho.
Kuyini ukuhlinzwa kokufaka esikhundleni sediski yomlomo wesibeletho (i-CDR)?
Kalula nje, lokhu kuhlinzwa (Ukufakwa Kwediski Yomlomo Wesibeletho - i-CDR) kuhilela ukususa idiski eligugile nelilimele phakathi kwamathambo entanyeni yakho (umgogodla womlomo wesibeletho) bese ulifaka idiski yokwenziwa/yokufakelwa esikhundleni salo.
Cabanga ngama-disc aphakathi kwamathambo omgogodla wethu njengafana nezinciphisi zokushaqeka emotweni. Yilezi ezivimbela umgogodla wethu ukuthi ungagudluki ndawonye, okusivumela ukuthi sigobe, sisonte, futhi sinyakazise izintamo zethu kalula. Ngokuhamba kwesikhathi, la ma-disc ayaguga, abe yizicaba, futhi angacindezela imizwa edlula kuwo. Yilapho-ke ubuhlungu engikhulume ngabo ekuqaleni bufika khona.
Ngakho-ke umgomo oyinhloko walokhu kuhlinzwa ukubuyisela isikhala esasikhona idiski egugile, kanye nokunciphisa ukucindezelwa kwemizwa nokunciphisa ubuhlungu ngenkathi kugcinwa ukunyakaza okuhle kwentamo. Lawa madiski okwenziwa ngokuvamile enziwa ngezinsimbi ezifana ne-cobalt ne-titanium.
Kunconywa bani lokhu kuhlinzwa?
Lokhu kuhlinzwa kuvame ukunconywa kubantu abanesifo se-cervical degenerative disk, okungabangela ukucindezelwa kwemizwa (radiculopathy) noma ukulimala komgogodla (myelopathy) .
Into ebalulekile ukuthi udokotela ngeke akuncome lokhu kuhlinzwa ngokushesha. Ngokuvamile, lolu hlobo lokuhlinzwa lucatshangelwa kuphela ngemva kokuba ukwelashwa okungeyona eyokuhlinzwa njengemithi kanye ne-physiotherapy kuhlulekile ukuthuthukisa isimo okungenani inyanga nesigamu.
Futhi, akuwona wonke umuntu ongenza lokhu kuhlinzwa. Uma unezimo ezithile, ungase ungafaneleki kulokhu.
| Izimo ezingenza ukuhlinzwa kungafaneleki | Incazelo elula |
|---|---|
| Ukutheleleka okusebenzayo emzimbeni | Kukhona ingozi yokusabalalisa ukutheleleka ngenxa yokuhlinzwa. |
| Ukungezwani komzimba nezinsimbi ezithile | Uma une-allergy ensimbini eyenziwe ngayo idiski yokwenziwa, umzimba wakho ungase uyenqabe. |
| I-Osteoporosis | Ngenxa yesifo esibuthakathaka amathambo, idiski yokwenziwa ingase ingangeni kahle emgogodleni. |
| Ukungazinzi komgogodla wesibeletho | Uma amathambo e-vertebrae eshelela phezu komunye nomunye, lokhu kuhlinzwa akufaneleki. |
| I-arthropathy ye-facet enzima | Uma ukuqhekeka kwamalunga amancane axhumanisa umgogodla kukhulu, ukufaka esikhundleni sediski ngeke kuqede ubuhlungu. |
Udokotela wakho uzokuhlola bese enquma ukuthi lokhu kuhlinzwa noma okunye ukuhlinzwa, okufana ne-'ACDF' (i-Anterior Cervical Discectomy kanye ne-Fusion), kungcono kuwe.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho ohlinzayo (udokotela ohlinzayo wamathambo noma udokotela wezinzwa ochwepheshe kulokhu) uzohlangana nawe ngaphambi kokuhlinzwa. Nazi ezinye izinto ezingase zenzeke:
- Ukuhlolwa okuphelele komzimba.
- Ukubuza ngomlando wakho wezokwelapha kanye nezimpawu.
- Ukucela amaskeni anjenge-X-ray yentamo, i-MRI, noma i-myelogram.
- Buza nganoma yimiphi imithi kanye nezithasiselo zamavithamini ozithathayo njengamanje (ungayeki ukuthatha noma yimiphi imithi ngaphandle kokuthi udokotela wakho akutshele ukuthi uyenze).
- Uma usebenzisa imikhiqizo kagwayi (ukubhema, ukuhlafuna itshungama), qiniseka ukuthi utshela udokotela wakho ngakho. I-Nicotine yehlisa ukuphola kwenxeba. Ngakho-ke, uzokwaziswa ukuthi uyeke ukuyisebenzisa okungenani amasonto ama-4 ngaphambi kokuhlinzwa.
Sicela ubuze udokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngalesi sikhathi.
Kwenziwa kanjani ukuhlinzwa?
Yile ndlela okuvame ukwenzeka ngayo.
1. Okokuqala, udokotela wezinzwa uzokunikeza umuthi wokubulala izinzwa ojwayelekile. Ngakho ngeke uzwe ubuhlungu, futhi uzolala ubuthongo obuphelele.
2. Udokotela ohlinzayo ube esesika kancane ngaphambili entanyeni.
3. I-trachea kanye ne-larynx kuhanjiswa eceleni ngokucophelela ukuze kufinyelelwe emgogodleni.
4. Kuyo yonke inqubo yokuhlinzwa, ukuhlinzwa kwenziwa ngenkathi ubheka ngaphakathi kusetshenziswa ubuchwepheshe obukhethekile be-X-ray obubizwa ngokuthi i-'fluoroscopy'.
5. Idiski eyonakele isuswa ngokucophelela bese kufakwa idiski entsha yokwenziwa endaweni yayo.
6. Ekugcineni, konke kuhlanganiswa futhi ukusikwa kuthungwe.
Kwenzekani ngemva kokuhlinzwa futhi yiziphi izingozi?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama futhi uqashwe. Cishe kuzodingeka uhlale esibhedlela ubusuku bonke. Udokotela kanye nabasebenzi bobuhlengikazi bazokunikeza noma yimiphi imiyalelo edingekayo ngaphambi kokuba uye ekhaya.
Izinkinga zesikhashana (zingenzeka kaningi)
- Ukutheleleka kwenxeba.
- Ubunzima bokugwinya (i-dysphagia).
- Ukuhosha kwezwi.
- Umphimbo obuhlungu.
Izinkinga zesikhathi eside
- Ukuwohloka kwesigaba esiseduze (ASD): Ingozi yokuwohloka kwamadiski angaphezulu nangaphansi kwediski esetshenziswayo.
- Izinkinga ngediski yokwenziwa: Akuvamile kakhulu ukuthi kwenzeke into efana nokuqhekeka kwediski.
- Ukwakheka kwethambo okungavamile (i-H O): Ukukhula kwethambo okungafunwayo eduze kwediski. Lokhu kunganciphisa ukunyakaza kwentamo.
- Amathuba amancane okudinga ukuhlinzwa okunye esikhathini esizayo.
Ungakhathazeki ngalezi zingozi. Iningi labantu lithola imiphumela emihle kakhulu kulokhu kuhlinzwa. Udokotela wakho uzokuchazela konke lokhu.
Kuthatha isikhathi esingakanani ukululama ngokuphelele?
Kungathatha cishe izinyanga eziyisithupha ukululama ngokuphelele, kodwa kancane kancane ungabuyela empilweni yakho evamile.
- Izinsuku ezimbili ngemva kokuhlinzwa: Ungaqala imisebenzi yansuku zonke njengokuzigeza nokuzilungiselela ukudla wedwa.
- Emasontweni ama-2-3: Ungenza umsebenzi olula.
- Emasontweni angu-4-6: Ungabuyela emisebenzini eminingi, njengezemidlalo (ngaphandle kwezemidlalo ezithintana).
Lezi zikhathi zingahluka kumuntu nomuntu, ngakho-ke kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Isikhathi sokubona udokotela ngokushesha
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya uvela ekuhlinzweni, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
- Ukusikeka kuyaqhubeka nokopha.
- Uketshezi olufana nobomvu oluphuzi noma oluhlaza luphuma esigaxeni.
- Ubuhlungu obukhulu obungabekezeleleki.
- Imfiva.
- Ubunzima obandayo noma obuqhubekayo bokugwinya.
- Ubuthakathaka obusha noma ukuba ndikindiki.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokushintsha idiski yomlomo wesibeletho kuyindlela yokwelapha ethatha indawo yediski egugile ngediski yokwenziwa, okunciphisa ubuhlungu nokugcina ukunyakaza kwentamo.
- Lokhu kuvame ukunconywa kulabo abangazange basabele kwezinye izindlela zokwelapha.
- Ngaphambi kokuhlinzwa, xoxa nodokotela wakho ngezinzuzo, ububi kanye nezingozi ukuze uqiniseke ukuthi uyaziqonda.
- Kuthatha isikhathi ukululama. Ukulandela imiyalelo kadokotela ngqo kubalulekile ukuze ululame ngokushesha.
- Qaphela izimpawu eziyisixwayiso ezingase zivele ngemva kokuhlinzwa. Uma ubona noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
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