Ube nobuhlungu emhlane isikhathi eside? Kungaba ubuhlungu entanyeni. Ingabe udokotela wakho ukuncomile ukuhlinzwa ngemva kokuzama imithi ehlukahlukene kanye nokuzivocavoca? Kuvamile ukuzizwa ukhathazekile futhi ungabaza uma uzwa ngokuhlinzwa emhlane. Kodwa ungakhathazeki. Esikhathini esiningi, lokhu kuhlinzwa kwenziwa ukuze kube lula impilo yakho. Namuhla, sizokhuluma nge-Laminectomy, ukuhlinzwa okuphumelelayo kakhulu okuvame ukwenziwa ezimweni ezinjalo.
Kalula nje, kuyini i-Laminectomy?
Kulula kakhulu. Cabanga ngomgogodla wakho njengomhubhe ovikelayo lapho imizwa yomzimba wakho ihamba khona. Lo mhubhe wakhiwe ngama-vertebrae abekwe phezu komunye nomunye. Ngemuva kwe-vertebra ngayinye kukhona i-bone arch. Yilokho esikubiza ngokuthi i-lamina kwezokwelapha.
Ngezinye izikhathi, asikho isikhala esanele ngaphakathi kwalomhubhe bese imizwa iqala ukucinana. Yilapho-ke sizwa khona ubuhlungu obungabekezeleleki kanye nokungazweli. Ukuhlinzwa kwe-laminectomy kuhilela ukususa yonke noma ingxenye ye-bone arch ebizwa ngokuthi i-lamina lapho imizwa icinana khona. Lokhu kwandisa isikhala ngaphakathi komhubhe, okuvumela imizwa ukuthi yenze umsebenzi wayo ngokukhululeka. Kufana nokususa isiminyaminya sezimoto.
Lokhu kuhlinzwa kungenziwa noma kuphi emgogodleni:
- Emhlane ongezansi: Lokhu kubizwa ngokuthi i-Lumbar Laminectomy. Lena inqubo evame kakhulu.
- Kwamathambo amathambo entanyeni: Lokhu kubizwa ngokuthi i-Cervical Laminectomy.
- Engxenyeni ephakathi yomgogodla: Lokhu kubizwa ngokuthi i-Thoracic Laminectomy.
Yiziphi izimo ezingelashwa nge-laminectomy?
Udokotela wakho uvame ukuncoma lokhu kuhlinzwa ukuze kuncishiswe ubuhlungu nezinye izimpawu ezibangelwa ukucindezelwa kwemizwa. Ake sibheke izimo eziyinhloko ezizuzisayo kulokhu kuhlinzwa.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| I-Spine Stenosis | I-Laminectomy inqubo eyenziwa ukwelapha isimo lapho imizwa emgogodleni incipha kancane kancane njengoba sikhula noma ngezinye izizathu. |
| Idiski Ene-Herniated | Idiski ehlungiwe yisimo lapho umcamelo ofana nojeli (idiski) phakathi kwamathambo amabili omgogodla uqhuma khona bese ucindezela imithambo. Lokhu kwaziwa ngokuthi "idiski ehlungiwe." |
| Ama-Bone Spurs | Ukwakheka kwamathambo amasha emgogodleni kanye nokunamathela kwawo ezinzwa. |
| I-arthritis yomgogodla | Ukucindezelwa kanye nobuhlungu obubangelwa ukuguguleka kwamalunga omgogodla. |
| Ezinye izizathu | Uma imizwa icindezelwa ngenxa yezimila, amathumba, noma ukwaphuka komgogodla. |
Ingabe nawe unazo lezi zimpawu?
Udokotela angase acabangele lokhu kuhlinzwa uma unezinye zalezi zimpawu, ikakhulukazi uma zingathuthuki naphezu kokuthatha imithi nokuzivocavoca:
- Ubuhlungu obuqhubekayo entanyeni, emahlombe, noma emhlane .
- Ubuthakathaka noma ukungakhululeki ezingalweni nasemilenzeni.
- Ubunzima bokulawula amathumbu kanye nesinye.
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa kwenzelwe ukuthuthukisa ikhwalithi yempilo yakho lapho ezinye izindlela zokwelapha zehlulekile.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, uzohlangana nodokotela wakho ohlinzayo. Uzokuhlola kahle, akubuze ngezimpawu zakho kanye nanoma yikuphi ukwelashwa oke wakwenza ngaphambilini. Uzobe eseyala ukuhlolwa okufana nalokhu ukuhlola isimo somgogodla wakho:
- Ukuhlolwa kwe-X-ray
- Ukuskena kwe-MRI
- Ukuhlolwa kwe-Myelogram
Ungakhohlwa ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo) . Futhi, qiniseka ukuthi utshela udokotela wakho uma usebenzisa ugwayi noma izidakamizwa. Ukubhema kungalibazisa ukuphulukiswa futhi kubangele izinkinga. Ungaqali noma uyeke ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
Futhi, hlela ukuthi othile akuyise ekhaya ngemva kokuhlinzwa. Kuzoba lula kakhulu kuwe uma unomuntu ozokusiza ekhaya izinsuku ezimbalwa.
Kwenzekani ngesikhathi sokuhlinzwa?
Akukho okufanele ukwesabe. Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokufaka ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe ubuhlungu futhi uzolala ngokuphelele kuze kube yilapho ukuhlinzwa kuqediwe . Uzobekwa phansi ngobuso kumatilasi okhethekile ngesikhathi sokuhlinzwa.
Ngesikhathi sokuhlinzwa, udokotela ulandela lezi zinyathelo:
1. Kwenziwa ukusika okuncane esikhumbeni lapho umhlane noma intamo yakho ibuhlungu khona.
2. Sunduza isikhumba nemisipha kancane ukuze ufinyelele umgogodla.
3. Ngezinye izikhathi kusetshenziswa i-microscope ekhethekile yokuhlinzwa ukuze kukhuliswe indawo okukhulunywa ngayo.
4. Ngemuva kwalokho , i-lamina, ama-bone spurs, noma izingcezu zediski ezibangela ukucindezelwa kwemizwa ziyasuswa ngokucophelela .
5. Uma kudingeka, ukuhlinzwa kokukhulisa imigodi lapho imizwa iphuma khona (i-foraminotomy) noma ukuhlinzwa kokuqinisa umgogodla (i-spinal fusion) kungenziwa ngesikhathi esifanayo.
6. Ekugcineni, imisipha nesikhumba kubuyiselwa endaweni yaso bese inxeba livalwa ngokuthunga.
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora elilodwa kuya kwamathathu, kodwa uma kwenziwa okunye ukuhlinzwa ngesikhathi esifanayo, isikhathi singase sibe side.
Kwenzekani ngemva kokuhlinzwa? Nesikhathi sokululama?
Ngemva kokuhlinzwa, uzoyiswa egunjini lokuqapha. Uma uvuka ekuhlinzweni kwe-anesthesia, ungase uzizwe ubuhlungu nokungakhululeki. Uzonikezwa ama-painkiller ngalokhu.
Ngezinye izikhathi lokhu kuhlinzwa kwenziwa ngokusikwa okuncane kakhulu bese kufakwa amathuluzi akhethekile (ukuhlinzwa komgogodla okungenasidingo) . Uma kunjalo, uzokwazi ukuya ekhaya ngalolo suku noma ngosuku olulandelayo. Uma kwenziwa ngokusikwa okukhulu futhi ngento efana nokuhlanganiswa komgogodla, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa.
Ngaphambi kokuba uye ekhaya, udokotela wezokwelapha uzohlangana nawe akufundise ukuthi uvuka kanjani embhedeni, ukuthi uhambe kanjani ngokucophelela, nokuthi yiziphi izinto ezinhle nezimbi okufanele uzenze.
Isikhathi sokululama asifani kuwo wonke umuntu. Ukuhlinzwa okulula kungathatha amasonto angu-4-6 ukuze kululame ngokugcwele. Kodwa-ke, uma kwenziwa ngokuhlanganiswa komgogodla, kungathatha cishe izinyanga eziyisithupha. Ekuqaleni , akukuhle ukugoba, ukusonta, noma ukuphakamisa izinto ezisindayo ngokuzumayo . Kancane kancane, usuku nosuku, kufanele ujwayele imisebenzi evamile ngokulandela imiyalelo kadokotela.
Yiziphi izinzuzo nezingozi?
Njenganoma yikuphi ukuhlinzwa, i-Laminectomy inezinzuzo zayo kanye nezingozi ezincane. Udokotela wakho uzokuchazela konke lokhu.
| Izinzuzo Eziyinhloko | Izingozi ezingaba khona |
|---|---|
| Ubuhlungu nokulahlekelwa umuzwa ngenxa yokucindezelwa kwemizwa. | Ukutheleleka kwesilonda. |
| Ukuthola amandla kabusha ezingalweni nasemilenzeni. | Ukulimala kwemizwa (okungavamile kakhulu). |
| Ukukwazi ukuhamba nokusebenza kalula futhi. | Ukopha. |
| Lolu ukuhlinzwa okunezinga lempumelelo elingu-90% , kanti iziguli ezingu-75% zanelisekile ngemiphumela. | Ubuhlungu bungase bungapheli ngokuphelele noma buphinde bubuye esikhathini esizayo. |
Nakani lezi zimpawu!
Uma ubuyela ekhaya ngemva kokuhlinzwa, kubaluleke kakhulu ukunakekela umzimba wakho kahle. Uma unenkinga, ungangabazi ukukhuluma nodokotela wakho .
| Uma unalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
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Umlayezo Wokuya Nawe Ekhaya
- I-Laminectomy iyindlela yokuhlinzwa evamile kakhulu futhi ephumelelayo eyenziwa ukuze kuncishiswe ubuhlungu obubangelwa ukucindezelwa kwemizwa yomgogodla.
- Ungesabi lokhu kuhlinzwa. Kuzokusiza kakhulu ukunciphisa ubuhlungu bomhlane wakho futhi kwenze impilo yakho ibe lula futhi.
- Ngaphambi kokuhlinzwa, khuluma nodokotela wakho ngokukhululekile ngazo zonke izinzuzo nezingozi ezihilelekile.
- Ukuze uqinisekise ukuthi uyalulama ngokushesha nangokuhle, landela imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ngokucophelela ngemva kokuhlinzwa.
- Uma kuvela izimpawu ezingavamile, funa iseluleko sezokwelapha ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini i-Tinnitus / Ukukhala Ezindlebeni?
I-tinnitus ukuzwa umsindo wokukhala/ukubhonga, ukushaya ikhwela, ukuklewula/ukubhonga, noma umsindo ovunguzayo ovela ezindlebeni zakho lapho kungekho msindo wangaphandle okhona. Lolu uphawu olubi olungabonwa abanye abantu futhi lungaba lubi kakhulu kangangokuthi lungabaphambanisa (ukungalali/ukucindezeleka kwengqondo).
💬 Yiziphi izizathu eziyinhloko zokuzwa imisindo ngaphakathi endlebeni (i-tinnitus)?
Isizathu esiyinhloko nesiyinombolo 1 salokhu 'Ukuvezwa Komsindo Omkhulu/Ukuhlukumezeka Kwe-Acoustic' - Lo msindo uvela lapho amangqamuzana ezinwele ezinhle ku-cochlea efa/ebhujiswa unomphela yiminyaka yokulalela umculo ophakeme ngama-headphone (ama-Earbud/ama-Headphone) kanye nezikhali zasefektri/ezempi! Ngaphezu kwalokho, 2) Ukuthintana kwe-Earwax. 3) Ukulahlekelwa ukuzwa okuhlobene nobudala (i-Presbycusis/Ukulahlekelwa ukuzwa okuhlobene nobudala). 4) Ukwanda komfutho wegazi kanye nemiphumela emibi yemithi ethile (i-Aspirin/Ama-Antibiotics).
💬 Uma uzwa umsindo endlebeni (i-Tinnitus), yiziphi 'izimo eziphuthumayo' okufanele uzibonele udokotela ngokushesha (udokotela wezifo zemizwa/we-ENT) ngaphandle kokufaka ama-oyela/ama-cotton buds endlebeni?
Uma kukhona umsindo, ungathola udokotela we-ENT (indlebe, ikhala, umphimbo) ukuze ahlanze ukungcola endlebeni. Kodwa ingozi enkulu! 1) Uma indlebe eyodwa ngokuzumayo iba 'buthuntu' ngokuphelele (Ukulahlekelwa Ukuzwa Okungazelelwe/Ukulahlekelwa Ukubona)' ngalo msindo, 2) Uma ungakwazi ukubekezelela umsindo futhi uzwa 'I-Vertigo Enzima - njengokungathi igumbi liyajikeleza/isifo sikaMeniere)', 3) Uma uzwa ukungakhululeki/ukuqaqamba kolunye uhlangothi lomzimba/lobuso (I-Brain Tumor/Stroke) khona-ke kuyisimila sobuchopho/stroke! Udinga ukulaliswa esibhedlela ngokushesha!
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