Nakuba sicabanga ukuthi ubuhlungu bomhlane buvamile njengoba siguga, ngezinye izikhathi lobu buhlungu bungaba bubi kakhulu usuku nosuku. Ikakhulukazi ubuhlungu obubangelwa ukuphuka kwamathambo noma njengoba sikubiza ngokuthi ukuphuka kokucindezela bungathinta imisebenzi yansuku zonke kuze kube yilapho kungenakwenzeka ukwenza lutho. Namuhla sikhuluma ngendlela yokwelapha ephumelela kakhulu yesimo esinjalo.
Kalula nje, iyini iKyphoplasty?
I-Kyphoplasty inqubo ekhethekile elapha amathambo (ama-vertebrae) emhlane wakho aphuke ngenxa yokushaywa. Cabanga ngakho, umgogodla wethu wakhiwe yinqwaba yamathambo amancane (ama-vertebrae) abekwe phezu komunye nomunye. Ngokukhula noma ngezinye izizathu, la mathambo angaba buthakathaka futhi angaphuka futhi awe phezu komunye nomunye ngisho nangokushaywa okuncane. Lokhu yilokho esikubiza ngokuthi `(ukuphuka kokucindezela)`.
Uma lokhu kwenzeka, izingcezu zamathambo eziphukile ziqala ukucindezela imizwa kanye nomgogodla emhlane. Lokhu kubangela ubuhlungu obungabekezeleleki emhlane, okwenza kube nzima ukuhamba nokunyakaza. Ngezinye izikhathi, ukugoba phambili komgogodla, okubizwa ngokuthi "i-kyphosis," nakho kungavela.
Ngakho-ke, kulokhu kwelashwa kwe- 'Kyphoplasty' , uhlobo lwesimende sezokwelapha (isimende samathambo) lufakwa ethanjeni eliphukile ngendlela ekhethekile ukuze luqiniswe. Kufana nokufaka usimende endaweni eqhekekile odongeni ukuze kulungiswe.
I-Kyphoplasty ne-Vertebroplasty - Uyini umehluko?
Nakuba lezi zindlela zokwelapha ezimbili zingase zizwakale zifana, kunomehluko omncane kodwa obalulekile. Zombili zihilela ukufaka usimende ethanjeni eliphukile emgogodleni. Kodwa-ke, ku-Kyphoplasty, ngaphambi kokuba usimende ubekwe, kufakwa ibhaluni elincane ethanjeni bese livuvukala.
Ku-kyphoplasty, ibhaluni lisetshenziswa ukudala isikhala phakathi kwamathambo awile, kuzama ukubuyisela ukuphakama kwamathambo okuqala. Isikhala sibe sesigcwaliswa ngesamente. Ku-vertebroplasty, leli bhaluni alisetshenziswa, kodwa i-samente ifakwa ngqo.
Lo mehluko ungaqondwa ngokucacile kusukela kuthebula elingezansi.
| Isici | I-Kyphoplasty | Ukuhlinzwa kwe-vertebroplasty |
|---|---|---|
| Ukusebenzisa ibhaluni | Yebo, ibhaluni liyafuthwa ukuze kudalwe isikhala ngaphambi kokuba kufakwe usimende. | Cha, ayisebenzisi ibhaluni. |
| Inhloso eyinhloko | Ukunciphisa ubuhlungu nokubuyisela ukuphakama kwethambo eliwile. | Ngokuyinhloko ukunciphisa ubuhlungu. |
Ubani ofanele lolu hlobo lokwelashwa?
Uma ubuhlungu bakho emhlane buqhubeka buba bubi usuku nosuku, kungenzeka ukuthi bubangelwa "ukuphuka kokucindezeleka". Imbangela eyinhloko yalesi simo yisifo esibizwa ngokuthi "i-osteoporosis" . Kalula nje, njengoba ukhula, amathambo akho aba buthakathaka, abe mancane, futhi aphuke kalula. Eminye imidlavuza ingalimaza amathambo akho futhi ibangele lokhu kuphuka.
Kodwa-ke, uma ubuhlungu bakho emhlane bubangelwa okunye, njenge-herniated disc, i-arthritis, noma i-spinal stenosis, khona-ke i-Kyphoplasty ingase ingakulungeli. Ngakho-ke, kungcono ukukhuluma nodokotela wakho ukuze uthole imbangela eqondile yobuhlungu bakho bese ukhetha ukwelashwa okufanele kakhulu.
Ukulungiselela ngaphambi kokuhlinzwa
Uma unquma ukwenza lokhu kuhlinzwa, udokotela uzokuxilonga ngaphambi kokwenza kanjalo. Uzokwenza izivivinyo eziningana ukuze anqume impilo yakho iyonke.
- Ukuhlolwa ngokomzimba
- Ukuhlolwa kwegazi
- Ukuhlolwa kwe-X-ray yomgogodla, i-CT (Computed Tomography), noma i-MRI ( magnetic resonance imaging )
Kubalulekile ukwazisa udokotela wakho nganoma yimiphi imithi oyithathayo kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unayo. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile, njengemithi yokunciphisa igazi , ezinsukwini ezimbalwa ngaphambi kokuhlinzwa. Ungase futhi welulekwe ukuthi ugweme ukudla noma ukuphuza amahora ambalwa ngaphambi kokuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Lokhu akuyona ukuhlinzwa okukhulu, ngakho-ke akukho okufanele ukwesabe.
1. Ukuba ndikindiki: Okokuqala uzonikezwa `(local anesthesia)`, noma umjovo oqeda kuphela indawo lapho ukuhlinzwa kuzokwenziwa khona. Ngezinye izikhathi ungase ulaliswe (`sedation`). Ezimweni eziningi, uzoba ngokupheleleUkubulala izinzwa okuvamile akwenziwa.
2. Indawo: Ngesikhathi sokuhlinzwa, uzophendulwa ubuso bubheke phansi bese ubekwa ngesisu.
3. Ukufaka inaliti: Ngemuva kwalokho, esebenzisa uhlobo olukhethekile lwe-X-ray (`fluoroscopy`), udokotela ohlinzayo wenza imbobo encane kakhulu esikhumbeni esisemhlane wakho bese eqondisa inaliti engenalutho phakathi kwayo iye ethanjeni eliphukile.
4. Ukwanda kwebhaluni: Okulandelayo, ibhaluni elincane lifakwa ngenaliti ethanjeni bese livuvukala kancane kancane, kudala isikhala phakathi kwezingcezu zamathambo eziwile.
5. Ukugcwaliswa kwesimende: Ibhaluni liyasuswa bese kufakwa usimende wezokwelapha okhethekile esikhaleni esidalwe. Lokhu kuqinisa futhi kuzinzise ithambo.
Yonke inqubo ithatha isikhathi esingangehora elilodwa ngethambo elilodwa.
Izinzuzo zokwelashwa nokululama
Njengoba i-kyphoplasty iwukuhlinzwa okungenangozi kangako, ukululama kuyashesha kakhulu.
| Izinzuzo eziyinhloko zokwelashwa kwe-Kyphoplasty | |
|---|---|
| Ukuqeda ubuhlungu ngokushesha | Abanye abantu bathola ukukhululeka kobuhlungu ngokushesha ngemva kokuhlinzwa. Phakathi nezinsuku ezimbili, iningi labantu lisuke selinciphile kakhulu ubuhlungu futhi liyakwazi ukuhambahamba kalula. |
| Ukubuyisela ukuma komzimba | Ngokubuyisela ukuphakama kwethambo eliwile, i-kyphosis ingavinjelwa noma incishiswe. |
| ukululama okusheshayo | Iningi labantu lingaya ekhaya ngalolo suku. Ukwelashwa ngokomzimba ngokuvamile akudingeki. |
| Impumelelo ephezulu | Ucwaningo lubonise ukuthi abantu abangaphezu kuka-90% abathola lokhu kwelashwa bathola ukukhululeka ebuhlungwini. |
Ngemva kokuhlinzwa, uzohlala embhedeni cishe ihora ukuze usimende uqine kahle. Ngemva kwalokho, uzokwazi ukuhamba. Ungase uzwe ubuhlungu izinsuku ezimbalwa lapho inaliti ifakwe khona. Lokhu kuvamile. Kodwa-ke, udokotela wakho uzokweluleka ukuthi ugweme ukuphakamisa izinto ezisindayo noma ukuzivocavoca okunzima amasonto ambalwa .
Ingabe zikhona izingozi?
Njenganoma iyiphi inqubo yezokwelapha, iKyphoplasty inezingozi ezingavamile kakhulu. Lokhu akufanele ukwesabe, kodwa kubalulekile ukuzazi.
- Ukutheleleka: Kungavela kaningi kakhulu.
- Ukopha: Kusukela endaweni lapho inaliti ifakwe khona.
- Ukulimala kwemizwa: Lokhu kungabangela umuzwa wokuba ndikindiki.
- Ukungezwani komzimba: Kumakhemikhali asetshenziswa kuma-X-ray.
- Ukuvuza kwesimende: Akuvamile kakhulu, inani elincane lesimende elifakiwe lingavuza liphume ethanjeni. Lokhu kungabangela izinkinga ezifana nokuqhekeka kwegazi okuvalekile noma ukucinana komgogodla.
Khumbula ukuthi lezi zingozi azivamile , futhi udokotela wakho ohlinzayo uzothatha zonke izinyathelo ezidingekayo ukuze azinciphise.
Nini lapho kufanele uthole iseluleko sezokwelapha ngemva kokuhlinzwa
Ngemva kokubuyela ekhaya ngemva kokuhlinzwa, kubaluleke kakhulu ukwazisa udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezingavamile.
- Ukuvuvukala, ukushintsha kombala wesikhumba, noma umkhuhlane endaweni yokufaka inaliti (kungaba izimpawu zokutheleleka).
- Ukopha ngokweqile endaweni okuyo.
- Ukuba ndikindiki noma ukulahlekelwa umuzwa ezithweni.
- Ubuhlungu buya bukhula esikhundleni sokuncipha.
Uma uzizwa into efana nale, ungayinaki. Khuluma nodokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Kyphoplasty iyindlela yokwelapha ephumelela kakhulu yokuqhekeka komgogodla okucindezelwayo okwenzeka ngokuguga (i-osteoporosis).
- Lokhu kunciphisa ubuhlungu, kubuyisela ukuphakama kwethambo eliwile, futhi kuvimbele ukugoba komgogodla.
- Lokhu ukwelashwa okungadingi ukusikwa okukhulu, kuthatha cishe ihora, futhi kuvumela ukululama okusheshayo.
- Ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa ngoba uzozizwa ungasasebenzi kahle.
- Izingozi ziphansi kakhulu, kodwa uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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