Noma ubani oke wahlushwa ubuhlungu emhlane uyazi ukuthi kunzima kangakanani ukuphila nabo. Ngezinye izikhathi lobu buhlungu emhlane bungaphuma emilenzeni futhi bubangele ukuqaqamba. Njengesixazululo salobu buhlungu obukhulu, obungasizi ngokuthatha imithi nokwenza i-physiotherapy, udokotela wakho angase asikisele ukuhlinzwa. Ukuhlinzwa okunjalo kubizwa ngokuthi i-PLIF. Ungesabi uma uzwa leli gama. Ngakho-ke namuhla sizoxoxa ngokuthi lokhu kuhlinzwa kwe-PLIF kuyini, kwenziwa kanjani, nokuthi kufanele yini ukwesabe.
Kuyini ukuhlinzwa kwe-PLIF?
Kalula nje, i-PLIF uhlobo lokuhlinzwa kokuhlanganisa umgogodla. Umgogodla wethu wakhiwe ngamathambo abizwa ngokuthi ama-vertebrae abekwe phezu komunye nomunye. Phakathi kwala mathambo amabili, kunendawo egobile esebenza njengesivikelo sokushaqeka emotweni. Lokhu sikubiza ngokuthi i-intervertebral disc.
Ngokuhamba kwesikhathi, ngenxa yengozi noma esinye isimo sezokwelapha, le diski ingalimala. Ngemuva kwalokho ingavuvukala bese iqala ukucindezela emthanjeni womgogodla oseduze. Yilapho-ke kuqala khona ubuhlungu obungabekezeleleki bomhlane kanye nobuhlungu obuhamba phansi emilenzeni yakho.
Ekuhlinzeni kwe-PLIF, odokotela abahlinzayo basusa idiski eyonakele bese befaka idivayisi ekhethekile ebizwa ngokuthi i-'spacer' esikhaleni. Le 'spacer' ingenziwa ngensimbi, ipulasitiki, noma ithambo. Ilingana ncamashi nokuphakama kwediski esusiwe. Isikhala sibe sesigcwaliswa nge-bone graft. Lokhu kufana nokufaka udaka phakathi kwezitini lapho kwakhiwe udonga lwezitini. Ngokuhamba kwesikhathi, amathambo amabili angaphezulu nangaphansi ayahlangana, akha ithambo elilodwa, eliqinile.
Kungani kwenziwa lokhu kuhlinzwa kwe-PLIF?
Odokotela bavame ukucabangela lokhu kuhlinzwa lapho ezinye izindlela zokwelapha, njengemithi yokwelapha izinhlungu kanye ne-physiotherapy, zehlulekile. Ithebula elingezansi libala ezinye zezimo eziyinhloko lapho kusetshenziswa khona ukuhlinzwa kwe-PLIF.
| Isimo | Incazelo elula |
|---|---|
| Isifo Sediski Esiwohlokayo | Njengoba sikhula, ama-disc aphakathi kwamathambo omgogodla ayaguga futhi abe buthakathaka. |
| I-Spondylolisthesis | Ithambo elilodwa lomgogodla liyashelela phambili phezu kwelinye. |
| Ukukhubazeka komhlane njenge-scoliosis | Ubuhlungu obubangelwa ukugoba komgogodla ohlangothini. |
| Ama-disc e-Herniated aphindaphindayo | Ukucindezelwa kwemizwa okuvela ekuphumeni kwediski okuphindaphindiwe. |
| I-Spine Stenosis | Ukucindezelwa kwemizwa ngenxa yokuncishiswa kwendlela yomgogodla. |
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, uzohlolwa ngokucophelela ukuze kubonakale ukuthi lokhu kuhlinzwa kukufanele yini.
Ingxoxo nodokotela
Udokotela wakho uzokubuza ngomlando wakho wezokwelapha, ukuhlinzwa kwangaphambilini, kanye nemithi oyiphuzayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Uzokwenza nezinto ezifana nokuhlolwa kwegazi ukuhlola impilo yakho iyonke.
Lokhu kubaluleke kakhulu: Uma ubhema, uzokwaziswa ukuthi uyeke ukubhema ngokuphelele . Uzotshelwa ukuthi ungasebenzisi noma yini equkethe i-nicotine, njengogwayi, ama-bidis, ama-nicotine patches, i-chewing gum, noma ama-vape. Ucwaningo lukhombisile ukuthi i-nicotine ingabangela ukuthi ama-graft amasha amathambo ahluleke ukwakheka kahle, abambezele ukuphola kwenxeba, futhi andise ingozi yokutheleleka.
Ukulungiselela ukuhlinzwa
Udokotela uzochaza ukuthi yini okudingeka uyenze ngaphambi kokuhlinzwa.
| Isikhathi | Izinto okufanele zenziwe |
|---|---|
| Cishe isonto ngaphambi kokuhlinzwa |
|
| Ngosuku lokuhlinzwa |
Ukuhlinzwa kwenziwa kanjani?
Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ngeke uzwe lutho. Ukuhlinzwa kuvame ukuthatha cishe amahora ama-2-3.
1. Udokotela ohlinzayo uzokwenza i-incision emhlane wakho ongezansi .
2. Yelula imisipha yangemuva ngokucophelela iye ezinhlangothini, ifinyelele emgogodleni.
3. Idiski eyonakele isuswa ngokususa ingxenye yamathambo omgogodla ebizwa ngokuthi i-'lamina', ihambisa ngokucophelela ulwelwesi (i-dura) oluzungeze intambo yomgogodla eceleni.
4. Kulungiselelwa ukufakelwa kwamathambo ukuze kugcwaliswe isikhala esingenalutho.
5. I-'spacer' (ngezinye izikhathi ebizwa ngokuthi 'ikheji') igcwaliswa 'nge-bone graft'.
6. Bese ufaka le 'spacer' esikhaleni bese uyibopha ngezikulufo ukuze uyivimbele ukuthi inganyakazi.
7. Ekugcineni, imisipha iyabuyiselwa endaweni yayo bese kuthi i-incision ithungwe ivalwe.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa endaweni yokululama. Lapho, ukushaya kwenhliziyo yakho kanye nokuphefumula kuzoqashwa. Uzonikezwa imithi yobuhlungu. Uzobe usudluliselwa ewadini evamile. Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ukuze uhlole izinkinga ezifana nokutheleleka.
Isikhathi sokululama kanye nezinyathelo zokuphepha
Uzozizwa ukhululekile kakhulu lapho ubuhlungu bakho bomhlane sebuphelile. Kodwa ungasheshi ukubuyela emisebenzini yakho yakudala. Udinga ukunikeza umzimba wakho isikhathi sokululama. Kungathatha izinyanga noma ngisho nonyaka ukuthi ithambo elihlanganisiwe lakheke ngokugcwele futhi amathambo amabili ahlangane ndawonye.
| Isikhathi | Izinto okungafanele zenziwe (GWEMA) |
|---|---|
| Amaviki okuqala angu-2-4 |
|
| Phakathi kwamasonto angu-4-6 |
Uma unalezi zimpawu, bona udokotela ngokushesha.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu lapho ufika ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha.
- Uma unomkhuhlane ongaphezu kwama-degree Celsius angu-39.4 (103 Fahrenheit).
- Uma uzizwa ubanda futhi uthuthumela.
- Uma indawo yokuhlinzwa ibomvu, ivuvukile, noma ibuhlungu ukuyithinta.
- Uma kukhona ubuhlungu obukhulu kakhulu kunalokho obekulindelwe.
Kujwayelekile ukuzizwa wesaba kancane futhi ukhathazekile lapho ucabanga ngokuhlinzwa kwe-PLIF. Kodwa khumbula, lokhu kuyindlela yokwelapha ephumelela kakhulu yobuhlungu obukhulu bomhlane nomlenze. Unganqikazi ukubuza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Uzokuchazela konke.
Umlayezo Wokuya Nawe Ekhaya
- I-PLIF iwukuhlinzwa okuphumelelayo kobuhlungu obukhulu bomhlane nomlenze obungazange buqedwe ngezinye izindlela zokwelapha.
- Ukuze ukuhlinzwa kuphumelele, kubalulekile ukuyeka ngokuphelele ukubhema kanye nayo yonke imikhiqizo equkethe i-nicotine.
- Kubalulekile ukubekezela, njengoba kungathatha izinyanga eziningana noma ngisho nonyaka ukululama ngokuphelele.
- Landela imiyalelo kadokotela wakho ngokucophelela mayelana nokugoba, ukuphakamisa, nokushayela ezinyangeni ezimbalwa zokuqala ngemva kokuhlinzwa.
- Khuluma ngokukhululekile nethimba lakho lezempilo. Ungesabi ukubabuza imibuzo nokungabaza kwakho.
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