Ubuhlungu bomhlane buyinto ecasulayo kakhulu, akunjalo? Uhlushwa kangakanani ukungakwazi ukwenza noma yimuphi umsebenzi, ukungakwazi ukulala kahle ebusuku? Ngezinye izikhathi, ngisho nokuphuza imithi nokwenza izinto ezahlukene ngeke kunciphise. Ngakho-ke, uma udokotela wakho ethi, "Kuzodingeka uhlinzwe," kuyinto evamile ukuzizwa wesaba kakhulu ngokuzumayo. Kodwa linda umzuzu. Ngokungafani nesikhathi esidlule, manje kunezindlela zokwelapha ezithuthukisiwe kakhulu zobuhlungu bomhlane, ezingabangeli umonakalo omkhulu emzimbeni, futhi ezingakusiza ukuthi ululame ngokushesha. Ake sixoxe ngalokho namuhla.
Kungani lokhu kuhlukile yize bethi 'ukusebenza'?
Esikhathini esidlule, ukuhlinzwa emhlane kwakuwukuhlinzwa okukhulu. Kwakudinga ukusikwa okukhulu kanye nokuphumula embhedeni amasonto. Kodwa ngobuchwepheshe besimanje, odokotela bangenza lokhu kuhlinza ngokusebenzisa ukusikwa okuncane kakhulu . Yilokhu esikubiza ngokuthi 'Ukuhlinzwa Okuncane Okungangenisi Umzimba'.
Kalula nje, odokotela abahlinzayo basebenzisa amathuluzi akhethekile ukwenza imihuzuko emincane ukulungisa izinkinga emalungeni noma kuma-disc phakathi kwamathambo omgogodla. Lokhu kusika kuncane kakhulu futhi kuphola ngokushesha .
Le ndlela ayibangeli umonakalo omkhulu emisipheni nasezinzwa, ngakho-ke ubuhlungu buyancipha ngemva kokuhlinzwa . Ezimweni eziningi, ungavuka embhedeni futhi phakathi namahora ambalwa.
Futhi, le ndlela ibangela ukopha okuncane, izibazi ezincane, kanye nengozi ephansi kakhulu yokutheleleka.
Uke wazama lezi zinto ngaphambi kokuhlinzwa?
Kodwa khumbula, ukuhlinzwa akuyona ikhambi elisheshayo lobuhlungu bomhlane. Ngaphambi kokusebenzisa noma yiluphi uhlobo lokuhlinzwa, kunezinye izindlela zokwelapha okufanele sizame nakanjani. Udokotela wakho cishe uzokutshela ngalezi zinto futhi.
- Ukwehlisa isisindo : Uma isisindo somzimba sikhuphuka, kuba nokucindezeleka okukhulu emgogodleni.
- Iziqeda-zinhlungu: Ukuthatha imithi efana ``nemithi elwa nokuvuvukala engeyona eye-steroidal - ama-NSAID'' njengoba kunqunywe udokotela.
- Ukuzivocavoca okufanele: Ukwenza izivivinyo zokuqinisa umhlane njengoba kuyalelwe umelaphi noma udokotela.
- Ukuphumula: Phumula njengoba kudingeka uma ubuhlungu bukhulu.
- Imijovo ye-Steroid: Imijovo ekhethekile enikezwa ukunciphisa ubuhlungu nokuvuvukala.
Uma ubuhlungu bakho bunganciphi ngemva kokwenza lezi zinto, udokotela wakho angase asikisele ukuthi 'Ukuhlinzwa Okungangeneleli Kakhulu' njengesinyathelo esilandelayo.
Yimiphi imisebenzi yokuhlinzwa evame ukwenziwa engadingi ukungenelela okukhulu?
Kunezinhlobo eziningana eziyinhloko zokuhlinzwa ezenziwa ngaphansi kwalolu hlelo. Ake sibheke ukuthi ziyini nokuthi zihilelani.
| Uhlobo lokuhlinzwa (Inqubo) | Kalula nje, kwenzekani ngalokhu? |
|---|---|
| Ukususwa kwe-Discectomy | Ukususa noma ukunciphisa usayizi wediski evuvukele phakathi kwamathambo omgogodla acindezela inzwa. |
| Ukuhlinzwa kwe-Laminectomy | Ukususa ithambo (i-lamina) elicindezela umgogodla ukuze kuncishiswe ingcindezi. |
| Ukuhlanganiswa Komgogodla | Ukuze kuncishiswe ubuhlungu, ijoyinti elingazinzile liyaqiniswa ngamajoyinti azungezile kusetshenziswa izikulufo noma izinduku. |
Lokhu kuhlinzwa kwenziwa kanjani?
Cabanga ukuthi udokotela ohlinzayo wenza i-incision encane kakhulu emhlane wakho bese efaka idivayisi efana ne-tube (i-'tubular retractor') ngayo eduze komgogodla. Ngekhamera encane noma i-microscope ekugcineni kwale tube, indawo yokuhlinzwa ibonakala kahle esikrinini esikhulu egumbini lokuhlinza. Yilokhu okuvumela udokotela ukuthi enze lokhu kuhlinzwa ngokunembe kakhulu nangobunono.
Ake sifunde nge-implants entsha yomgogodla
Ngezinye izikhathi, ukuze kulungiswe ukugoba komgogodla noma ukuze kuqiniswe amalunga angazinzile, odokotela abahlinzayo kudingeka basebenzise amadivayisi ahlukahlukene (ama-implant). Lokhu kufaka phakathi izinto ezifana nezikulufo, izinduku, namakheji.
Kodwa insimbi engagqwali ayisasetshenziswa njengakuqala. Izimila zesimanje zenziwe ngensimbi efana ne -titanium , enamandla kakhulu futhi inengozi encane yokutheleleka. Ezinye izimila zenziwe ngezinto ezifana ne-hydroxyapatite, ekhuthaza ukukhula kwamathambo . Lokhu kuzisiza ukuthi zingene kahle emzimbeni futhi zikhiqize imiphumela ephumelelayo.
Kodwa khumbula, lolu hlobo lokuhlinzwa alufanele wonke umuntu. Udokotela wakho uzokuxilonga ukuze abone ukuthi uyaludinga ngempela yini.
Ezinye izixazululo zobuhlungu bemizwa
Uma ubuhlungu bakho emhlane bubangelwa ukulimala kwemizwa, kukhona uhlobo oluhlukile lokufakelwa. Kubizwa ngokuthi i-spinal cord stimulator . Lokhu kuhilela ukufaka idivayisi encane ngaphansi kwesikhumba sezinqe zakho noma isisu. Ama-pulse kagesi athumelayo azokuvimba uzizwe ubuhlungu futhi esikhundleni salokho, uzozwa umuzwa wokuthuthumela. Ngaphambi kokuyifaka unomphela, ungayizama ukuze ubone ukuthi iyasebenza yini kuwe.
Uma konke lokhu kungenziwa, futhi ubuhlungu bukhulu futhi bungenakulawulwa, kufakwa iphampu yobuhlungu yangaphakathi njengesixazululo sokugcina. Lokhu kukhipha umuthi onamandla wokubulala izinhlungu, njenge-morphine, ngqo endaweni ezungeze umgogodla.
Ukwelashwa kwesikhathi esizayo kuzoba njani?
Isayensi yezokwelapha ithuthuka usuku nosuku, futhi kulindeleke ukwelashwa okumangalisayo okwengeziwe kobuhlungu bomhlane esikhathini esizayo.
- Amaseli Okuqala: Ucwaningo luyaqhubeka okwamanje lokunciphisa ubuhlungu ngokufaka amaseli okuqala ezindaweni zezicubu ezonakele bese ekhula abe masha.
- Ukuphrinta okungu-3-D: Lobu buchwepheshe buvumela ukuthi kwenziwe izitho zokufakelwa ukuze zilingane kahle nomgogodla wesiguli ngasinye.
- I-Nanotechnology: Ososayensi baphenya ukuthi ijeli eyenziwe ngezinhlayiya ezincane kakhulu ingafakwa yini ezindaweni ezonakele zomgogodla futhi ivuselele amathambo noma i-cartilage.
Nakuba lokhu kusesesigabeni socwaningo, kusobala ukuthi ukwelashwa kobuhlungu bomhlane kuzoba lula futhi kuphumelele kakhudlwana esikhathini esizayo.
Umlayezo Wokuya Nawe Ekhaya
- Ungesabi ukuya kohlinzwa uma unikezwa ubuhlungu bomhlane. Manje kunezindlela zokululama ezithuthukisiwe kakhulu, ezingangenisi kakhulu, futhi ezisheshayo kunangaphambili.
- Ukuhlinzwa kucatshangelwa kuphela uma zonke ezinye izindlela zokwelapha (ukwehlisa isisindo, ukuvivinya umzimba, imithi) zehlulekile.
- Ukuhlinzwa Okungangeneleli Kakhulu kuyindlela yokwelapha eyenziwa ngokusika okuncane, enikeza ukululama okusheshayo, futhi enciphisa ubuhlungu ngemva kokuhlinzwa.
- Ukusetshenziswa kwezimila ezintsha (njenge-titanium) kuye kunciphisa ingozi yokutheleleka futhi kwathuthukisa imiphumela.
- Udokotela wakho kuphela onganquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe, ngakho-ke vula umlomo naye nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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