Ingabe nawe uzwa ubuhlungu obuqhubekayo entanyeni nasemhlane, ukungazweli ezithweni zakho? Ingabe ngezinye izikhathi uzizwa sengathi ulahlekelwa ibhalansi yakho uma uhamba? Uma unezimpawu ezinjengalezi, udokotela wakho kungenzeka ukuthi ukhulume ngokuhlinzwa komgogodla. Kuvamile ukuzizwa wesaba kancane uma uzwa lokho. Kodwa uma unolwazi olufanele ngakho, ungakunqoba lokho kwesaba. Namuhla, sizokhuluma ngokuhlinzwa okukhethekile okunjalo, i-laminoplasty.
Kalula nje, kuyini i-laminoplasty?
Cabanga ngomgogodla wakho njengepayipi lamanzi. Ngaphakathi kwalelo payipi kukhona ikhebula eliyinhloko elithwala imiyalezo emzimbeni wethu wonke, intambo yomgogodla. Manje, kwenzekani uma ngesizathu esithile, isibonelo, ngenxa yediski ehlutshiwe, isikhala ngaphakathi kwaleli payipi siba sincane futhi sinciphile? Intambo yomgogodla engaphakathi, kanye nemizwa ephuma kuyo, iqala ukucindezelwa. Yilapho kuvela khona izinkinga ezifana nobuhlungu kanye nokungazweli.
I-Laminoplasty iwukuhlinzwa okunciphisa lokho kucindezeleka futhi kuvulwe kabusha umsele womgogodla onciphile.
Lokhu kuhilela ukusika 'i-lamina' (ipuleti lethambo) ngemuva kwe-vertebra emgogodleni, ngaphandle kokulisusa ngokuphelele, kodwa ukulivula kancane ohlangothini olulodwa, njengokuvuleka komnyango, ukuze kudalwe isikhala. Lokhu kunciphisa ingcindezi emgogodleni. Lokhu kuhlinzwa kuvame ukwenziwa ngenxa yokuqhekeka kokucindezeleka emgogodleni wesibeletho.
Kunconywa bani lokhu kuhlinzwa?
Lokhu kuhlinzwa kunganconywa uma udokotela wakho ecabanga ukuthi umgogodla wakho udinga isikhala esithe xaxa. Ikakhulukazi, kungafaneleka kubantu abanezimo ezilandelayo:
- Ubuhlungu bentamo nomhlane: Ubuhlungu obuhlala isikhathi eside futhi obungaqedwa yimithi.
- Ukuba ndikindiki noma ubuthakathaka ezingalweni nasemilenzeni: Ukulahlekelwa umuzwa ezithweni ngenxa yokucindezelwa kwemizwa.
- Ubunzima bokuhamba: Ukulahlekelwa ibhalansi nokuzizwa ungazinzile ngenkathi uhamba.
- Izinkinga ngokulawula umchamo kanye namathumbu: Lesi simo singavela uma kunokucindezeleka okukhulu emgogodleni.
- I-Cervical Spondylotic Myelopathy: Ukucindezelwa komgogodla ngenxa yokuwohloka kwamathambo entanyeni.
- I-Stenosis: Ukuncishiswa komsele womgogodla ngenxa yezizathu ezahlukahlukene.
Okubaluleke kakhulu, lokhu kuhlinzwa kunikeza ukwesekwa kanye nokuqina komgogodla, futhi kusiza nokuvimbela izifo ezinkulu zezinzwa njengokukhubazeka.
Indlela ukuhlinzwa okwenziwa ngayo kanye nezindlela ezisetshenziswayo
Ngosuku lokuhlinzwa, uzonikezwa i-anesthesia ejwayelekile ukuze ungazizwa ubuhlungu. Udokotela ohlinzayo uzolandela lezi zinyathelo:
1. Ukwenza i-incision: Kwenziwa i-incision encane esikhumbeni ngemuva kwentamo, ngaphezu kwe-vertebra efanele.
2. Ukususwa kwezicubu: Imisipha nezinye izicubu zicindezelwa kancane eceleni ukuze zifinyelele ethanjeni lomgogodla.
3. Ukuvula i-lamina: Ithambo le-lamina liyasikwa bese livulwa ohlangothini olulodwa njengomnyango ukuze kudalwe isikhala. Lapha, ithambo alisuswa ngokuphelele.
4. Ukuqina: Ithambo elivuliwe liqiniswa kusetshenziswa amapuleti amancane ensimbi nezikulufo, noma mhlawumbe i-graft encane yethambo, ukuze lihlale lisendaweni yalo. Njengoba amathambo omgogodla engahlanganiswanga ndawonye, ukunyakaza entanyeni nasemhlane akuvinjelwe.
5. Ukuthunga inxeba: Izicubu ziyabuyiselwa futhi inxeba lesikhumba liyathungwa.
Kunezindlela ezimbili eziyinhloko zokuvula i-lamina ngesikhathi sokuhlinzwa. Udokotela wakho uzokhetha indlela efanele kakhulu ngokusekelwe esimweni sakho.
| Igama Lendlela | Indlela yokukwenza (Incazelo) |
|---|---|
| Umnyango Ovulekile (Indlela Yomnyango Owodwa) | Olunye uhlangothi lwethambo le-lamina luyasikwa, luvulwe njengomnyango, bese luqiniswa ngamapuleti ensimbi. |
| Umnyango WaseFrance (Indlela Yeminyango Emibili) | I-lamina isikwa phakathi kwethambo, ivulwe nhlangothi zombili njengeminyango emibili, bese iqiniswa kusetshenziswa izixhumi zamathambo noma amanye amadivayisi. |
Ukuvuselelwa nokunakekelwa ngemva kokuhlinzwa
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Uzovunyelwa ukuya ekhaya kuphela ngemva kokuba i-anesthesia isiphelile ngokuphelele.
- Ukulawula Ubuhlungu: Sebenzisa amaphilisi obuhlungu njengoba nje udokotela wakho ekuyalele ubuhlungu bangemva kokuhlinzwa.
- Ukuphumula: Amaviki ambalwa okuqala abaluleke kakhulu. Phumula ngokwanele. Gwema imisebenzi enzima njengokuphakamisa izinsimbi, ukugoba, njll. Kulula kakhulu uma unomuntu ozokusiza ngemisebenzi yasekhaya.
- Ikhola Yesibeletho: Kwezinye izimo, udokotela wakho angase ancome ukugqoka ikhola ekhethekile ukuze anciphise ukunyakaza kwentamo futhi asize ekwelapheni.
- Ukuzivocavoca: Imisebenzi elula njengokuhamba ingaqalwa kabusha ngemva kwezinsuku ezimbalwa. Ngemva kwamasonto angaba ngu-6-12, uma usululame ngokuphelele, ungaqala ukuzivocavoca ngaphansi kwesiqondiso sochwepheshe wezokwelapha ngokomzimba, njengoba kuqondiswe udokotela wakho.
- Ukuhlolwa kabusha: Kufanele ubone udokotela futhi emavikini ambalwa ukuze uhlole ukuthi ukusikwa kuphola kanjani.
Kungathatha amasonto ayi-6 kuya kwayi-12 ukululama ngokuphelele. Ngakho-ke, kubaluleke kakhulu ukubekezela nokulandela imiyalelo kadokotela.
Izimo eziyingozi kanye nezimo lapho kufanele kufunwe khona iseluleko sezokwelapha esisheshayo
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane kakhulu ezihilelekile nge-laminoplasty, kodwa lezi azivamile kakhulu.
- Ukopha
- Ukutheleleka endaweni yokuhlinzwa
- Ukulimala kwemizwa
- Izinkinga ngokulawula umchamo noma amathumbu
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa kwakho, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) esibhedlela esiseduze.
- Ubuhlungu obukhulu noma obukhulayo
- Ukuvuvukala nokuguquka kombala wesikhumba endaweni yokuhlinzwa
- Imfiva
- Ubunzima bokuphefumula noma ukugwinya
- Isiyezi
- Ukungakwazi ukulawula umchamo noma indle
Uma unemibuzo noma ukukhathazeka ngesikhathi sakho sokululama, ungalokothi unqikaze ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Laminoplasty iyindlela yokuhlinzwa ephumelelayo nephephile yokunciphisa ingcindezi emgogodleni nasezinzwa.
- Lokhu kuqeda izimpawu ezifana nobuhlungu bentamo nomhlane kanye nokungazweli, futhi akuvimbeli ukunyakaza kwentamo.
- Njengoba kuthatha isikhathi ukululama ngokugcwele, ukuphumula nokulandela iseluleko sezokwelapha kubaluleke kakhulu.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (umkhuhlane, ubuhlungu obukhulu, ukuvuvukala) ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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