Ingabe nawe uzwa ubuhlungu obuphindaphindayo emhlane? Ingabe lobu buhlungu ngezinye izikhathi buzwakala sengathi buwela emlenzeni wakho? Abantu abaningi ngezinye izikhathi bathi, "Idiski yami ishelele kuphi?" Eqinisweni, kubantu abaningi, lobu buhlungu buya ngcono ngemithi, ukuphumula, kanye nokwelashwa ngokomzimba. Kodwa-ke, ngezinye izikhathi lapho lesi simo siba sibi kakhulu, odokotela batusa ukuhlinzwa. Igama lalobo kuhlinzwa yi-'Diskectomy'. Ngakho-ke namuhla, ake sixoxe ngalokhu ukuze sixazulule yonke imibuzo onayo engqondweni.
Kalula nje, iyini le 'diski'?
Umgogodla wethu wakhiwe yinqwaba yamathambo amancane, elinye phezu kwelinye. Ukuze uvimbele la mathambo ukuthi angagudlani, kukhona ama-cushion phakathi kwawo. Cabanga ngawo 'njenge-shock absorbers' emotweni. Lawo ma-cushion yilokho esikubiza ngokuthi ama-intervertebral disc.
Idiski ngayinye inendandatho yangaphandle eqinile kanye nengxenye yangaphakathi ethambile, efana nejeli. Ngezinye izikhathi, uma kunengcindezi enkulu, le ndandatho yangaphandle iyadabuka bese ingxenye yangaphakathi efana nejeli iphuma. Yilokho esikubiza ngokuthi 'idiski eshelelayo'. Ngokwezokwelapha, lokhu sikubiza ngokuthi idiski ye-herniated .
Idiski ephuma kanje icindezela imithambo eseduze. Yilapho-ke sizwa khona izimpawu ezifana nobuhlungu kanye nokungazweli emhlane, engalweni, noma emlenzeni. I-diskectomy inqubo yokuhlinzwa esusa idiski ephumayo futhi icindezele imithambo.
Yiziphi izindlela ezahlukene zokwenza lokhu kuhlinzwa?
Inqubo yokuhlinzwa udokotela wakho ayikhethayo ingahluka kuye ngesimo sakho nokuthi idiski itholakala kuphi (emhlane noma entanyeni). Kunezindlela eziningana eziyinhloko.
| Indlela yokuhlinzwa | Kalula nje, indlela yokukwenza |
|---|---|
| Vula i-Diskectomy | Lena yindlela yendabuko. Kwenziwa ukusika okungaba yi-intshi noma amabili ukusuka kudiski ethintekile, imisipha idonswa kancane eceleni, bese udokotela, ebheka ngqo kudiski, esusa idiski. |
| Ukuhlinzwa Okuncane Okungangeni Kakhulu/Okuncane Kakhulu | Lapha, kwenziwa ukusika okuncane kakhulu (okungaphansi kwe-intshi) esikhumbeni. Ngemuva kwalokho, kufakwa amathuluzi akhethekile kanye nekhamera (i-endoscope) bese idiski isuswa ngaphansi kokuqondisa komqaphi. Lokhu kubangela umonakalo omncane kakhulu emisipheni. |
| Ukuhlinzwa kwentamo (i-Anterior Cervical Diskectomy kanye ne-Fusion - i-ACDF) | Lokhu kwenzelwa abantu abane-disc ene-herniated entanyeni yabo. Okumangalisayo ukuthi lokhu kuhlinzwa kwenziwa kusukela ngaphambili entanyeni. I-disc iyasuswa, bese kufakwa i-bone graft noma i-implant ekhethekile endaweni ukuze kuqiniswe umgogodla. (Spinal Fusion). |
Ingabe nami ngidinga ukwenza lokhu kuhlinzwa?
Lona umbuzo obaluleke kakhulu. Akuwona wonke umuntu one-herniated disc ozodinga ukuhlinzwa. Cishe abantu abangu-90 kwabayi-100 bayalulama ngokwelashwa okungadingi ukuhlinzwa. Udokotela wakho uzoqala azame:
- Ukunikeza imithi yokuqeda izinhlungu kanye nemithi yokuphumula imisipha.
- Ukudluliselwa ekwelashweni ngokomzimba.
- Mhlawumbe ukunikeza umjovo okhethekile emgogodleni (i-Epidural Steroid Injection).
Kodwa-ke, uma kungekho ukuthuthuka ngemva kwezinyanga eziningana zalokhu kwelashwa, futhi uma kukhona izimo ezilandelayo, udokotela angase acabangele ukuhlinzwa:
- Uma ubuhlungu noma ukuba ndikindiki engalweni noma emlenzeni wakho kungabekezeleleki futhi ungakwazi ukwenza imisebenzi yansuku zonke.
- Uma imisipha engalweni noma emlenzeni ibuthakathaka kakhulu.
- Uma unesihlungu esinzima (sciatica) kuzwakala sengathi ushaqeke ngogesi emlenzeni wakho.
Isimo esiphuthumayo!
Uma uzizwa sengathi ulahlekelwa ukulawula imilenze yomibili ngokuzumayo, noma uma uhlangabezana nesimo esibizwa ngokuthi i-Cauda Equina Syndrome, kuyisimo esiphuthumayo esibi kakhulu. Uma lokhu kwenzeka , kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha, ngaphandle kokulibala.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Uma unquma ukuhlinzwa, udokotela ohlinzayo uzohlangana nawe akuchazele konke.
- Uzohlolwa kahle.
- Ukuhlolwa kwezithombe, okufana ne-MRI scan, kwenziwa.
- Bazokubuza ngomlando wakho wezokwelapha ophelele kanye nemithi oyiphuzayo.
- Uma ubhema, welulekwa ukuthi uyeke ukubhema ngokuphelele okungenani amasonto ama-4 ngaphambi kokuhlinzwa, njengoba i-nicotine ibambezela kakhulu ukuphulukiswa kwenxeba.
- Buza udokotela noma yimiphi imibuzo onayo ngalesi sikhathi.
Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa?
Isikhathi sokululama siyahlukahluka kumuntu nomuntu. Kuncike ebunzimeni besimo sakho, impilo yakho iyonke, nokuthi ulandela kahle kangakanani imiyalelo kadokotela wakho.
Ngokuvamile, abantu abaningi baqala ukuzizwa bengcono phakathi nesonto elilodwa kuya kwamane . Isikhathi sokululama sokuhlinzwa okuncane sifushane nakakhulu.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngokucophelela ngemva kokuhlinzwa.
- Kufanele ugweme ngokuphelele ukugoba umhlane wakho, ukuphakamisa izinsimbi, nokujikajika amasonto amathathu kuya kwayisithupha. Ukwenza lezi zinto kwandisa ingozi yokuthi idiski ye-herniated iphinde ivele.
- Ungaqala umsebenzi olula cishe emavikini amabili.
- Ungabuyela emisebenzini evamile yansuku zonke cishe emavikini ayisithupha.
- Uma ufuna umsebenzi onzima noma ezemidlalo, kuzodingeka ulinde cishe izinyanga ezintathu.
Izingozi zokuhlinzwa kanye nesikhathi sokubonana nodokotela
Njenganoma yikuphi ukuhlinzwa, i-diskectomy ingaba nezingozi ezincane. Kodwa-ke, lezi azivamile. Kubalulekile ukucaca ngalokhu.
| Izingozi ezingaba khona ezihlobene nokuhlinzwa | Izimpawu ezidinga usizo lwezokwelapha ngokushesha |
|---|---|
| Ukungezwani komzimba nokubulala izinzwa, ukopha, ukutheleleka kwamanxeba. | Ukuvuvukala, ukubomvu, kanye nomkhuhlane endaweni yenxeba. |
| Amahlule egazi. | Uma ubuhlungu bukhula esikhundleni sokuncipha. |
| Ukulimala kwemizwa. | Ukungazweli noma ubuthakathaka bemisipha . |
| Ukuvuza koketshezi lomgogodla (CSF). | Ubunzima bokuphefumula. |
| Mhlawumbe ubuhlungu buzohlala bufana noma idiski izophinde ishelele. | Ubunzima bokuchama noma ukukhipha indle. |
Ubuhlungu bomhlane buyinkinga yokuphila konke. Kujwayelekile ukwesaba ukuhlinzwa. Kodwa khumbula, lokhu kuyindlela yokwelapha evame ukuphumelela futhi engakusiza ukuthi ubuyisele impilo yakho endleleni efanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Diskectomy inqubo yokuhlinzwa eyenziwayo yesifo se-herniated disk esingelapheki ngezinye izindlela zokwelapha futhi esibangela izimpawu ezinzima.
- Kunezinhlobo ezahlukene zezinqubo, njengokuvuleka kanye nokungahlaseli kakhulu. Khuluma nodokotela wakho ngendlela engcono kakhulu kuwe.
- Isikhathi sokululama ngemva kokuhlinzwa sibaluleke kakhulu. Qiniseka ukuthi ulandela iseluleko sokugwema ukugoba, ukuphakamisa, nokusonta .
- Uma uhlangabezana nezimpawu ezifana nokulahlekelwa amandla emilenze ngokuzumayo noma ukulahlekelwa ukulawula umchamo/indle, phuthuma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
- Lokhu akusikho okufanele ukwesabe. Ithimba lakho lezokwelapha lihlala likulungele ukukusiza. Babuze konke okusengqondweni yakho.
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