Ingabe ubulokhu uhlushwa ubuhlungu emhlane isikhathi eside? Ngisho nangemva kokuthatha imithi nokwenza i-physiotherapy , akukho ukuthuthuka? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukutshelile ngokuhlinzwa okubizwa ngokuthi "i-Spinal Fusion". Kujwayelekile kakhulu ukuzizwa wesaba futhi ukhathazekile uma uzwa lelo gama. Kodwa ungesabi. Lokhu kungaba ukwelashwa okungaletha impumuzo enkulu empilweni yakho. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, i-Spinal Fusion inqubo yokuhlinzwa ehlanganisa amathambo amabili noma ngaphezulu abe yisakhiwo esisodwa, esiqinile. Njengokufaka i-cast engalweni ephukile, le nqubo imisa ukunyakaza okungadingekile phakathi kwamathambo abangela ubuhlungu emhlane. Uma ehlanganiswa ndawonye, ukunyakaza kwaleyo ndawo kuyalinganiselwa. Lokhu kuqeda ubuhlungu nokungakhululeki okubangelwa yizinzwa ezizungezile, imisipha, kanye nemisipha edonswayo.
Kungani lolu hlobo lokuhlinzwa ludingeka?
Odokotela bavame ukuncoma lokhu kuhlinzwa njengendlela yokugcina. Okusho ukuthi, kuphela uma ubuhlungu bungenakulawuleka ngokwelashwa okufana nemithi, ukwelashwa ngokomzimba, kanye nemijovo ye-steroid . Futhi, ngaphambi kokwenza lokhu kuhlinzwa, udokotela udinga ukuthola ukuthi yini ngempela ebangela ubuhlungu bakho.
Uma ubuhlungu bakho emhlane bubangelwa yinoma yiziphi izimo ezilandelayo, lokhu kuhlinzwa kungakunikeza impumuzo enkulu.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Isifo sediski esiwohlokayo | Ubuhlungu buvela lapho 'idiski' ethambile phakathi kwamathambo omgogodla iguga futhi amathambo egudlana. |
| Ukuphuka | Ithambo eliphukile emgogodleni ngenxa yengozi noma esinye isizathu. |
| I-Scoliosis | Ukugoba komgogodla okungajwayelekile ohlangothini. |
| I-stenosis yomgogodla | Ukucindezelwa kwemizwa ngenxa yokuncishiswa komsele lapho umgogodla udlula khona. |
| I-Spondylolisthesis | Ukushelela kwe-vertebra phambili. |
| Izimila noma ukutheleleka komgogodla | Umdlavuza noma ezinye izimila kanye nokutheleleka emgogodleni. |
Silungiselela kanjani ngaphambi kokuhlinzwa?
Cishe isonto ngaphambi kokuhlinzwa, kuzodingeka ukuthi uhlolwe igazi kanye ne-X-ray yomhlane wakho .
Ithimba lakho lezokwelapha lizokuchazela yonke imininingwane mayelana nokuhlinzwa. Zizwe ukhululekile ukubuza noma yimiphi imibuzo onayo noma yini ongayiqondi. Kuwusizo olukhulu nakudokotela uma unolwazi oluphelele.
Cabanga ngalezi zinto ezinsukwini ezimbalwa ngaphambi kokuhlinzwa:
- Yazi kahle ukuthi uzofika nini esibhedlela. Hlela ukuthi othile akulande akuyise ekhaya.
- Buza udokotela wakho ngemithi ongayithatha nengayithathi ezinsukwini eziholela ekuhlinzweni bese uthola uhlu. Eminye imithi, njenge-aspirin, ingase inyuse ukopha futhi kufanele iyekwe. Khumbula, ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kwemvume kadokotela wakho.
- Thola ukuthi yini ngempela ongayidla futhi uyiphuze ngaphambi kokuhlinzwa nokuthi udinga ukuzila isikhathi esingakanani.
- Yenza izinguquko ezincane ekhaya lakho. Njengoba ungase ungakwazi ukugoba noma ukuphakamisa isikhashana, kungaba lula kakhulu ukuthola izinto ezifana nesihlalo esiphakanyisiwe, isihlalo sokugeza, izicathulo okulula ukuzigqoka, kanye ne-reach yokuthatha izinto eziwile.
Kwenziwa kanjani ukuhlinzwa?
Ukuhlinzwa kokuhlanganisa umgogodla kungenziwa ngezindlela ezimbili eziyinhloko. Eyokuqala iwukusika esiswini (i-anterior fusion), kanti enye iwukusika ngemuva (i-posterior fusion). Udokotela wakho uzonquma indlela engcono kakhulu ngokusekelwe esimweni sakho.
Ngemva kokwenza i-incision, udokotela ohlinzayo ususa ngokucophelela imisipha nezinye izicubu ukuze afinyelele umgogodla. Ngemuva kwalokho, ilunga elonakele phakathi kwamathambo omgogodla elibangela ubuhlungu liyasuswa.
Okulandelayo, izikulufo, izinduku, noma i-bone graft kusetshenziswa ukuxhumanisa amathambo amabili ndawonye bese uwabamba endaweni yawo. Lokhu kuhlanganiswa kwamathambo kungathathwa kwenye ingxenye yomzimba wakho (ngokuvamile ithambo lakho lesinqe). Noma kungaba ukuhlanganiswa kwamathambo komunye umuntu (i-donor graft). Ngezinye izikhathi, into ekhethekile ebizwa ngokuthi "i-bone morphogenetic protein" ekhuthaza ukukhula kwamathambo ifakwa ethanjeni.
Lonke lolu hlinzwa lungathatha amahora amaningana.
Ingabe lokhu kuhlinzwa kungadala izinkinga?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa kubalulekile ukukhumbula ukuthi lezo zingozi ziphansi kakhulu.
Izingozi ezivamile zifaka phakathi ukopha, amahlule egazi, ukutheleleka, ubuhlungu, kanye nezingozi ezihlobene nokubulala izinzwa.
Ngaphezu kwalokho, kunezinkinga eziningana eziqondene ngqo nalokhu kuhlinzwa:
- Ukulimala kwemizwa : Lokhu kungabangela umuzwa wokuba ndikindiki emlenzeni, kodwa ukulahlekelwa ukunyakaza akuvamile kakhulu.
- I-Pseudarthrosis: Lokhu kusho ukuthi ngezinye izikhathi amathambo axhunywe esilungwini awahlangani kahle. Uma lokhu kwenzeka, ubuhlungu bomhlane bungabuya ezinyangeni ezimbalwa.
- Izinkinga zokufakelwa kwamathambo: Uma kuyithambo elithathwe kumnikeli, kunethuba elincane kakhulu lokutheleleka noma umzimba ulenqabe.
Ungasiza ekuvimbeleni ezinye zalezi zinkinga, ikakhulukazi ngokuqaphela izimpawu zokutheleleka.
Uma unalezi zimpawu, shayela udokotela wakho ngokushesha:
* Ukuvuvukala okukhulu, ukubomvu, noma ubomvu obuzungeze inxeba lokuhlinzwa.
* Umkhuhlane (ngaphezu kwama-degree Fahrenheit ayi-100).
* Uma ubuhlungu buqhubeka buba bubi kakhulu.
* Uma uzizwa ubanda futhi uqhaqhazela (njengalapho une-chickenpox).
Isikhathi sokululama ngemva kokuhlinzwa
Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Ngokuvamile cishe izinsuku ezine. Kodwa-ke, lesi sikhathi singahluka kuye ngempilo yakho kanye nezinye izimo zezokwelapha.
Phakathi nalesi sikhathi, uzoxhunywa emishinini eqapha izinto ezifana nokushaya kwenhliziyo yakho. Uzoba namapayipi amaningana axhunywe kuwe.
- Umugqa we-IV engalweni yakho: Yilapho uzonikezwa khona uketshezi, ama-antibiotic, kanye nemithi yobuhlungu.
- I-catheter ye-epidural: Abanye abantu bathola imithi yobuhlungu ngepayipi elincane elifakwa emhlane wabo.
- I-catheter yomchamo:Ungase ukuthole kunzima ukuvuka uye endlini yangasese ezinsukwini ezimbalwa zokuqala, ngakho ungase ufune ukukushiya lokhu kuvuliwe. Ngisho noma lokhu kungase kuzwakale kungakhululekile, kubaluleke kakhulu ukuhlala unganyakazi kuze kube yilapho umhlane wakho uphola.
Ngesikhathi usesibhedlela, odokotela be-physiotherapists kanye nabelaphi bezokwelapha bazokuvakasha. Bazokufundisa ukuthi uvuke kanjani embhedeni, uhlale esihlalweni, futhi uhambe kahle . Ngaphambi kokuba uye ekhaya, kuzothathwa i-X-ray yomhlane wakho ukuze kubonakale ukuthi ukuhlinzwa kuphumelele yini. Kuzodingeka ubuye ezinsukwini ezingaba yi-10 ukuze kususwe imithungo yakho. Ngemuva kwalokho kuzodingeka ubuye uzobona udokotela ukuze ahlolwe futhi ahlolwe ngemva kwamasonto angu-4-6, izinyanga eziyisithupha, unyaka owodwa, kanye neminyaka emibili.
Khumbula, ukululama ekuhlinzweni komhlane kudinga ukuzinikela nokusebenza kanzima . Kungathatha izinyanga eziyisithupha kuya onyakeni ukululama ngokugcwele. Kufanele uqhubeke nokwelashwa ngokomzimba ngisho nangemva kokuphuma esibhedlela. Ezinyangeni eziyisithupha zokuqala, gwema ukugoba, ukusonta, nokuphakamisa noma yini esindayo . Ungaphakamisi lutho olusindayo kunebhodlela elincane lamanzi. Ngakho-ke, kungase kudingeke uvumele umndeni wakho wenze eminye yemisebenzi yasekhaya isikhashana!
Umlayezo Wokuya Nawe Ekhaya
- I-Spinal Fusion iwukuhlinzwa okukhulu okwenziwa ngenxa yobuhlungu obukhulu bomhlane lapho ezinye izindlela zokwelapha ziye zahluleka khona.
- Kubaluleke kakhulu ukulungiselela kahle ngaphambi kokuhlinzwa. Xoxa ngakho konke nodokotela wakho futhi wenze indawo yasekhaya lakho ibe ntofontofo.
- Ukululama kuthatha isikhathi nokuzinikela. Landela imiyalelo kadokotela wakho wezokuzivocavoca umzimba ngqo.
- Qaphela izimpawu zokutheleleka, njengokuvuvukala kwesilonda nomkhuhlane. Uma ubona into efana nale, shayela udokotela wakho ngokushesha.
- Lona umzamo weqembu. Wena, udokotela wakho, abelaphi, nomndeni wakho kudingeka nibambisane kulolu hambo. Bhekana nale nselele ngaphandle kokwesaba.
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