Ingabe ungumuntu obelokhu ehlushwa ubuhlungu emhlane isikhathi eside? Ngezinye izikhathi, kuba nezinhlungu ezibuhlungu emhlane ezingapheli ngisho nangemva kokuthatha imithi nokwenza i-physiotherapy, akunjalo? Ngakho-ke, ezimweni ezinjalo, lapho ezinye izindlela zokwelapha zingaphumeleli, sizokhuluma ngokuhlinzwa okukhethekile odokotela abakuncomayo namuhla. Lokhu kubizwa ngokuthi ukuhlinzwa kwe-TLIF. Nakuba lokhu kuyinkimbinkimbi kancane, masikuqonde kalula.
Ngakho-ke, kuyini lokhu kuhlinzwa kwe-TLIF?
Kalula nje, i-TLIF (i-Transforaminal Lumbar Interbody Fusion) uhlobo lokuhlinzwa komgogodla. Umgogodla wethu wakhiwe yizicucu ezincane zamathambo (ezibizwa ngokuthi ama-vertebrae) ezibekwa phezu komunye. Phakathi kwalezi zicucu ezimbili zamathambo, njenge-shock absorber emotweni, kukhona isikhala esifana nejeli esimunca ukushaqeka. Yilokhu esikubiza ngokuthi i-intervertebral disk.
Ngokuhamba kwesikhathi, ngokuguga, noma ngenxa yengozi, le 'diski' ingaguga, iqhume, noma yonakale. Ngemuva kwalokho, imizwa yomgogodla egijima eduze kwale 'diski' iqala ukucindezelwa . Yilapho ubuhlungu bomhlane obungabekezeleleki, ukuqaqamba, kanye nobuhlungu obehla emilenzeni buqala khona.
Ekuhlinzeni kwe-TLIF, odokotela basusa ngokuphelele idiski elimele bese befaka i-bone graft esikhundleni sayo. Bese kuthi, amathambo amabili angaphezulu nangaphansi ahlanganiswe ndawonye ukuze akhe ithambo elilodwa eliqinile. Lokhu kubizwa ngokuthi i-fusion. Kufana nokuthela ukhonkolo bese ubeka izinsika ezimbili ndawonye.
Ubani ofanelekela ukuhlinzwa kwe-TLIF?
Lokhu kuhlinzwa akuyona indlela yokwelapha zonke izinhlungu zomhlane. Odokotela bavame ukukutusa kubantu abahlushwa izinhlungu ezinzima futhi abangakwazanga ukuthola impumuzo ngemithi, imijovo kanye ne-physiotherapy. Lokhu kuhlinzwa kungaba usizo kakhulu kubantu abanezimo ezilandelayo:
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Isifo sediski esiwohlokayo | Ngokukhula noma ngezinye izizathu, 'idiski' ephakathi kwamathambo omgogodla iyaguga futhi inciphe, okubangela ubuhlungu. |
| I-Spondylolisthesis | Ukushelela kwethambo elilodwa lomgogodla phambili noma emuva uma kuqhathaniswa nelinye. |
| I-Scoliosis | Umgogodla ugobile ohlangothini olulodwa ngesimo se-N. |
| Ama-disc e-herniated aphindaphindayo | Naphezu kokwelashwa, idiski iphuma ngokuphindaphindiwe futhi icindezele inzwa. |
| I-stenosis yomgogodla | Ubuhlungu bokucindezelwa kwemizwa buvela ngenxa yokuncishiswa komsele wezinzwa. |
Khumbula, udokotela wakho kuphela ozonquma ukuthi uyakudinga lokhu kuhlinzwa noma cha, ngemva kokubukeza zonke izimpawu zakho kanye nemibiko yokuskena.
Yini okufanele siyilungiselele ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho kanye nethimba lezokwelapha bazokhuluma nawe kahle futhi bakuchazele konke.
- Ukuhlolwa kwempilo: Izinto ezifana nokuhlolwa kwegazi zenziwa ukuhlola impilo yakho iyonke.
- Ulwazi Lwemithi: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo njengamanje (kufaka phakathi amavithamini kanye nemithi yamakhambi). Uzocelwa ukuthi uyeke ukuthatha imithi ethile, ikakhulukazi imithi yokuvimbela ukugabha kwegazi kanye nemithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) , ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Gwema ukubhema: Uma ubhema, kufanele uyeke nakanjani. I-Nicotine ingabangela ukuthi ithambo elisha lingaphili kahle, libazise ukuphola kwenxeba, futhi landise ingozi yokutheleleka.
- Umuntu ozokusiza ekhaya: Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Kubaluleke kakhulu ukuba nomuntu ozokusiza ngemva kokubuyela ekhaya, kanye nezinsuku ezimbili noma ezintathu zokuqala.
Kwenzekani ngosuku lokuhlinzwa nangesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa, uzocelwa ukuthi ungadli noma uphuze cishe amahora angu-8-12. Udokotela wezinzwa uzochaza ukuthi uzonikezwa kanjani umuthi wokubulala izinzwa.
Ngesikhathi sokuhlinzwa, uzophendulwa ubuso bubheke phansi. Ngemuva kwalokho, udokotela uzolandela lezi zinyathelo:
1. Ukusikwa kwesikhumba: Kwenziwa ukusikwa okuncane esikhumbeni ngemuva, kancane ohlangothini lomgogodla.
2. Ukususwa kwemisipha: Ukuze kufinyelelwe emgogodleni, imisipha idonswa ngokucophelela iye emaceleni.
3. Ukuvula umgogodla: Amathambo amabili amancane emgogodleni abizwa ngokuthi 'i-lamina' kanye 'ne-facet joint' ayasuswa ukuze kuvuleke indlela yezinzwa.
4. Ukuphambukisa imizwa: Ukuze kugwenywe noma yimuphi umonakalo emsipheni, iphambukiswa ngokucophelela okukhulu.
5. Ukususa idiski: Idiski eyonakele isusiwe ngokuphelele futhi isikhala siyahlanzwa.
6. Ukufakwa kwethambo kanye nokubekwa kwekheji: Esikhundleni sediski esusiwe, kufakwa 'ikheji' ekhethekile egcwele ukufakelwa kwethambo phakathi kwamathambo amabili. Lokhu kufakwa kwethambo kungathathwa kuwe noma komunye umthombo.
7. Ukufakwa kwesikulufu nenduku: Kufakwa amasethi amabili ezikulufu kuma-vertebrae amabili ngaphezulu nangaphansi, bese amabili exhunywa ngenduku. Lokhu kugcina ama-vertebrae amabili endaweni yawo kuze kube yilapho ithambo elisha likhula.
8. Ukuthunga inxeba: Ekugcineni, imisipha iyahlanganiswa futhi inxeba lesikhumba liyathungwa.
Lokhu kuhlinzwa kuvame ukuthatha amahora amabili kuya kwamathathu .
Kwenzekani ngemva kokuhlinzwa? Ngizolulama kanjani?
Ngemva kokuhlinzwa, uzoyiswa eyunithi yokubheka. Ukushaya kwenhliziyo yakho kanye nokuphefumula kwakho kuzoqashwa kuze kube yilapho ubuyela engqondweni. Uzonikezwa imithi yobuhlungu. Ngokuvamile uzohlala esibhedlela cishe izinsuku ezintathu kuya kwezine.
Ukuhlinzwa kwe-TLIF kuyindlela ephumelela kakhulu yokunciphisa ubuhlungu bomhlane. Kodwa-ke, kuthatha isikhathi esithile ukululama ngokugcwele. Ukubekezela kubaluleke kakhulu.
Kungathatha noma yikuphi kusukela ezinyangeni ezimbalwa kuya onyakeni ukuze kuphole ngokuphelele. Lesi yisikhathi esithathayo ukuze ithambo elihlanganisiwe lihlangane ngokugcwele namanye amathambo amabili.
Indlela yokuqaphela lapho uya ekhaya
Uma ubuhlungu bakho sebuphelile, uzofuna ukubuyela esimisweni sakho sakudala ngokushesha okukhulu. Kodwa-ke, kubalulekile ukunikeza umzimba wakho isikhathi sokululama.
| Isikhathi | Izinto okufanele uzigweme |
|---|---|
| Amaviki okuqala angu-2-4 |
|
| Phakathi kwamasonto angu-4-6 |
Udokotela ukweluleka ukuthi uhambe ngezinyawo ezimfushane nsuku zonke. Kusiza kakhulu enkambisweni yokuphulukiswa. Uphinde akunike i-physiotherapy.
Izimo eziphuthumayo ezidinga ukuvakashela udokotela
Uma unezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Uma unomkhuhlane ongaphezu kuka-103 Fahrenheit (38.9 Celsius) .
- Uma uzizwa ubanda futhi uqhaqhazela (ukubanda).
- Uma inxeba lokuhlinzwa libomvu, livuvukile, noma libuhlungu uma ulithinta .
- Uma kukhona ubuhlungu obukhulu kakhulu kunalokho obekulindelwe.
Kuvamile ukuzizwa ukhathazekile kancane ngokuhlinzwa emhlane. Kodwa abantu abaningi bakwazile ukuqeda ubuhlungu emhlane futhi baphile impilo engcono ngalolu hlobo lokuhlinzwa. Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- I-TLIF uhlobo lokuhlinzwa oluphumelelayo lobuhlungu obukhulu bomhlane olungakaqedwa ngezinye izindlela zokwelapha.
- Kulokhu kuhlinzwa, idiski eyonakele iyasuswa bese kufakwa i-bone graft ukuze kuhlanganiswe amathambo amabili.
- Kubaluleke kakhulu ukugwema ukubhema ngaphambi kokuhlinzwa nokulandela imiyalelo kadokotela.
- Kungathatha izinyanga eziningana kuya onyakeni ukululama ngokuphelele, futhi kufanele ubekezele phakathi naleso sikhathi.
- Udokotela wakho uzokweluleka ukuthi ugweme imisebenzi efana nokugoba, ukuphakamisa, nokujika ngemva kokuhlinzwa.
- Uma uqaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ukuvuvukala kwesilonda, noma ubuhlungu obukhulu, xhumana nodokotela wakho ngokushesha.
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