Ngezinye izikhathi, njengoba siguga noma ngenxa yesimo esincipha amathambo njenge-osteoporosis, amathambo emgogodleni angacindezelwa, achotshozwe, futhi aphuke. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'ukuphuka kokucindezeleka komgogodla'. Ubuhlungu bomhlane obubangelwa yilokhu ngezinye izikhathi bungabekezeleleki. Kanye nalolu buhlungu, umgogodla ungagoba phambili futhi ugobe. Ngakho-ke namuhla sikhuluma ngokwelashwa okusebenzayo kakhulu nokulula kwalesi simo.
Kuyini ngempela iKyphoplasty?
Kalula nje, i-'Kyphoplasty' iwukuhlinzwa okulula okwelapha amathambo aphukile (ama-vertebrae) emgogodleni wakho ngaphandle kokwenza i-incision enkulu. Elinye igama lalokhu yi-'Balloon Kyphoplasty'.
Uma la mathambo asemgogodla echotshozwa futhi ephukile, izingcezu zamathambo ziyawa ngaphakathi. Uma lokho kwenzeka, umgogodla ugoba phambili. Lokhu sikubiza ngokuthi 'iKyphosis', okusho 'ukugoba'. Uma lokhu kugoba kukhula, izinto ezifana namaphaphu angenaso isikhala esanele sokuphefumula kahle kanye nezitho ezisesiswini zingafakwa ngaphansi kwengcindezi. Ngakho-ke ukuhlinzwa kwe-'Kyphoplasty' kuvimbela umgogodla ekugobeni ngaleyo ndlela.
Into ebaluleke kakhulu ukuthi i-'Kyphoplasty' akuyona indlela enkulu neyesabisayo yokuhlinzwa. Kuyindlela 'engenasidingo', okusho ukuthi inqubo elula kakhulu ehilela kuphela ukwenza imbobo encane esikhumbeni.
Lolu hlobo lokuhlinzwa lungolwabani? Ingabe lukufanele?
Udokotela wakho uzonquma ukuthi uyakudinga lokhu kuhlinzwa noma cha. Abantu abalandelayo bavame ukufaneleka kule nqubo:
- Uma unezinhlungu ezinkulu zomhlane eziba zimbi kakhulu usuku nosuku, ezibangelwa ukuqhekeka kwethambo emgogodleni.
- Uma lobu buhlungu bukubangela ubunzima obukhulu kangangokuthi awukwazi ukwenza imisebenzi yakho evamile .
Kodwa into eyodwa okufanele uyikhumbule ukuthi imbangela yobuhlungu bakho emhlane kumele kube ukuphuka kwamathambo. Lokhu kwelashwa ngeke kwelaphe ubuhlungu obubangelwa ezinye izimbangela, njenge-'Disk herniation' (idiski ehlungiwe phakathi kwamathambo), i-'Arthritis' (ukuvuvukala kwamalunga), noma i-'Stenosis' (ukuncishiswa komsele womgogodla).
Udokotela wakho uzoqala ngokukwenza i-X-ray, i-CT (computed tomography) scan, noma i-MRI (magnetic resonance imaging) ukuqinisekisa ukuthi uphukile yini emgogodleni wakho. Uma besola ukuthi une-osteoporosis, bangenza ne-scan ekhethekile ebizwa ngokuthi i-DXA scan.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuthi uhlele ukuhlinzwa kwakho, udokotela wakho uzokuxilonga futhi akunike noma yimiphi imiyalelo edingekayo. Ngokuvamile, okulandelayo kuzokwenzeka:
- Kuhlolwa umzimba ngokuphelele.
- Ukhuluma ngezifo osuzihluphe muva nje.
- Ukubuza nge-allergies yakho.
- Ngizokubuza ngayo yonke imithi oyithathayo njengamanje.
- Bazokunikeza ukuhlolwa kwegazi okudingekayo.
Nanka amanye amathiphu azokusiza ukulungiselela usuku lokuhlinzwa:
- Eminye imithi, njengemithi yokunciphisa igazi, ingadinga ukuthi uyeke ukuyithatha izinsuku ezimbalwa. Kodwa khumbula, ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kwemvume kadokotela wakho.
- Uzocelwa ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokuhlinzwa.
- Ungagqoki ubucwebe ngosuku lokuhlinzwa. Gqoka izingubo ezikhululekile nezikhululekile.
- Uma ubhema, zama ukunciphisa noma ukuyeka. Cela usizo kudokotela wakho ngalokhu.
Kwenziwa kanjani ukuhlinzwa?
Lena inqubo elula kakhulu. Awunaso isizathu sokwesaba.
Okokuqala, udokotela wezinzwa uzokunika i-anesthesia. Ungase ulele ngokuphelele, noma ungase unikezwe i-sedative kancane ukuze ungezwa ubuhlungu.
Ngesikhathi sokuhlinzwa, uzophendulwa ngesisu bese ulaliswa phansi. Ngemuva kwalokho, udokotela ohlinzayo uzofaka inaliti ekhethekile engenalutho ebizwa ngokuthi i-'trocar' esikhumbeni sakho bese ingena ethanjeni eliphukile. Umshini we-X-ray okhethekile obizwa ngokuthi i-'fluoroscopy' usetshenziswa ukuqinisekisa ukuthi inaliti ingena endaweni efanele.
Uma inaliti isisendaweni efanele, kufakwa ithuluzi elincane elifana nebhaluni ethanjeni. Ibhaluni libe selivuvukele. Lokhu kubangela ukuthi ithambo eliwile liphinde liphakame, okudala isikhala esincane ngaphakathi. Udokotela ube esefaka uhlobo olukhethekile lwesimende samathambo kuleso sikhala. Lesi simende siyaqina ngokuhamba kwesikhathi futhi siqinise ithambo. Lokhu kuvimbela ithambo ukuthi lingawi futhi.
Yonke inqubo ithatha isikhathi esingaphansi kwehora . Futhi akuyona inqubo yokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku.
| Izinzuzo eziyinhloko zokuhlinzwa kwe-kyphoplasty | Incazelo |
|---|---|
| Ukulahlekelwa ubuhlungu | Ubuhlungu obukhulu obubangelwa umgogodla ophukile buncishiswa kakhulu noma buqedwe ngokuphelele. |
| Ukuvimbela ukuqunjelwa | Kuvimbela i-kyphosis (ukugoba) komgogodla futhi kubuyisela ukuma komzimba. |
| Indlela elula futhi esheshayo | Ukuhlinzwa okulula okungadingi ukusikwa okukhulu futhi kungaqedwa ngaphansi kwehora. |
| ukululama okusheshayo | Ukwelashwa ngokuzivocavoca umzimba noma ukuvuselelwa kwesikhathi eside ngokuvamile akudingeki ngemva kokuhlinzwa. |
Kwenzekani ngemva kokuhlinzwa? Ingabe zikhona izingozi?
Udokotela uzokunikeza imiyalelo ecacile yokuthi ungazinakekela kanjani ngemva kokuhlinzwa. Njengoba ungaya ekhaya ngalolo suku, kuwumqondo omuhle ukuletha othile ozokuthatha akuyise ekhaya.
Kuzofakwa ibhandishi elincane endaweni lapho kwenziwa khona ukuhlinzwa. Lokhu kufanele kushiywe cishe izinsuku ezimbili. Ngemva kokuba i-anesthesia isiphelile, inxeba lingase libe buhlungu kancane. Ukufaka iqhwa endaweni kungasiza ekunciphiseni ubuhlungu. Ubuhlungu buvame ukuphela ngokuphelele ezinsukwini ezimbili kuya kwezintathu. Ubuhlungu buvame ukuphela zingakapheli amahora angu-48. Kwabanye abantu, ubuhlungu buyaphela ngokushesha ngemva kokuhlinzwa.
Nakuba ungaqhubeka nemisebenzi evamile maduze, kufanele ugweme imisebenzi enzima njengokuphakamisa izinsimbi amasonto ambalwa.
Izinkinga ezingaba khona
Nakuba lokhu kuyindlela yokuhlinzwa ephephile kakhulu, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane kakhulu. Lokhu kwenzeka kaningi.
- Ukutheleleka noma ukopha endaweni yokuhlinzwa.
- Ubuhlungu obandayo, ukungazweli, noma ukuqaqamba.
- Ukulimala kwemizwa.
- Uma une-osteoporosis, usengozini yokuphuka amanye amathambo.
- Akuvamile kakhulu ukuthi esinye isimende esifakwe ethanjeni singavuza. Lokhu kungabangela izimo ezifana ne-'pulmonary embolism' (ukuvaleka kwamaphaphu) noma i-'spinal stenosis' (ukuncipha komsele womgogodla).
Udokotela wakho uzokwenza konke okusemandleni akhe ukuvimbela lezi zingozi. Uzokunikeza imithi yokuqinisa amathambo akho, ikakhulukazi uma une-osteoporosis.
Kunini lapho udinga ukukhuluma nodokotela?
Uma kuvela noma yiziphi zalezi zimpawu ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Uma ubona izimpawu zokutheleleka (isib. ukuvuvukala, ukubomvu, ukushintsha kombala wesikhumba, umkhuhlane endaweni yokuhlinzwa).
- Uma kukhona ukopha okukhulu endaweni yokuhlinzwa.
- Uma uzizwa ungezwani nomzimba noma umuzwa wokucasuka.
- Uma ubuhlungu buba bubi kakhulu esikhundleni sokuncipha.
Umlayezo Wokuya Nawe Ekhaya
- I-Kyphoplasty iyindlela elula, ephumelelayo, futhi ephephile yokwelapha ubuhlungu obukhulu nokuvuvukala okubangelwa ukuqhekeka kokucindezela.
- Lokhu kuhilela ukuphakamisa ithambo eliwile ngebhaluni elincane bese ugcwalisa isikhala ngohlobo olukhethekile lwesimende (`isimende samathambo`).
- Lokhu akuyona inqubo enkulu yokuhlinzwa. Kuthatha isikhathi esingaphansi kwehora. Ngokuvamile ungaya ekhaya ngalolo suku.
- Ubuhlungu buzophela kakhulu zingakapheli izinsuku ezimbili. Abanye abantu bathola impumuzo ngokushesha.
- Uma unobuhlungu obukhulu, ukuvuvukala, ukungazweli, noma ukopha ngokweqile ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha.
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