iki Gutera umugongo ni ?
Gutera umugongo nibikoresho byubuvuzi bikoreshwa mukuvura indwara zumugongo nka disiki ya herniated, stenosis spinal, na scoliose. Ibi bikoresho mubusanzwe bikozwe mubikoresho biocompatibilité nka titanium cyangwa PEEK (polyetheretherketone) kandi byashizweho kugirango bibe byatewe mu ruti rw'umugongo kugirango bihamye cyangwa bisimbuze ibyangiritse cyangwa birwaye.
Ubwoko bumwe busanzwe bwo gutera umugongo harimo:
Imiyoboro ya pedicle: Izi nsinga zikoreshwa mugukomeretsa inkoni zicyuma kumugongo kandi zigatanga ituze kumurongo wurugingo.
Inkoni: Inkoni z'icyuma zikoreshwa muguhuza imiyoboro ya pedicle cyangwa izindi ntera zomugongo kugirango zitange inkunga yinyongera kandi ituze kumugongo.
Akazu ka interineti: Ibi ni ibikoresho byinjijwe hagati yintegamubiri ebyiri kugirango bigumane uburebure busanzwe nuburinganire bwumugongo, no gutanga inkunga no gutuza.
Disiki yubukorikori: Ibi nibikoresho bikoreshwa mugusimbuza disiki yangiritse cyangwa irwaye hagati yumugongo.
Isahani hamwe na screw: Ibi bikoreshwa mugutanga ituze no gushyigikirwa igice cyimbere (imbere) cyumugongo.
Ibikoresho byo gutera umugongo
Gutera umugongo birashobora gukorwa mubikoresho bitandukanye, harimo:
Titanium: Titanium nicyuma cyoroheje kandi gikomeye gikunze gukoreshwa mugutera umugongo. Nibinyabuzima bihuje, bivuze ko bidashoboka gutera ingaruka mbi mumubiri.
Ibyuma bitagira umwanda: Ibyuma bitagira umwanda nicyuma gikomeye kandi kiramba nacyo gikunze gukoreshwa mugutera umugongo. Ntabwo ihenze kuruta titanium, ariko ntabwo ari biocompatible.
Cobalt-chromium: Cobalt-chromium ni icyuma kivanze nacyo gikoreshwa mugutera umugongo. Irakomeye kandi irwanya ruswa, ariko ntabwo ibangikanye na titanium.
Polyetheretherketone (PEEK): PEEK ni ubwoko bwa plastiki bukoreshwa kenshi mumagage. Ifite imiterere isa n'amagufwa kandi irashobora guteza imbere gukura kw'amagufwa.
Fibre ya karubone: Fibre ya karubone ni ibintu byoroshye kandi bikomeye bikoreshwa rimwe na rimwe mugutera umugongo. Nibinyabuzima kandi.
Guhitamo ibikoresho byatewe biterwa nibintu byinshi, harimo ibyo umurwayi akeneye byihariye, aho byatewe mu ruti rwumugongo, hamwe nubunararibonye bwa muganga. Ni ngombwa kuganira ku ngaruka zishobora guterwa n’inyungu za buri kintu cyatewe hamwe n’umuganga ubaga umugongo wujuje ibyangombwa mbere yo kubagwa.
Nigute ushobora guhitamo umugongo wo kubaga?
Guhitamo umugongo wo kubaga biterwa nibintu byinshi, harimo:
Impamvu z'abarwayi: Imyaka y'umurwayi, ubuzima muri rusange, amateka y'ubuvuzi, n'ubucucike bw'amagufwa birashobora kugira ingaruka ku guhitamo kwatewe umugongo. Guterwa bimwe ntibishobora kuba bibereye abarwayi bafite ubuzima runaka cyangwa bafite amagufwa adakomeye.
Imiterere yumugongo: Imiterere yihariye yumugongo, nkahantu hamwe nuburemere bwibyangiritse cyangwa ubumuga, birashobora kugira ingaruka kumahitamo yatewe. Kurugero, gushiramo bitandukanye birashobora gukoreshwa muguhuza umugongo hamwe no kubaga umugongo.
Ubunararibonye bwo kubaga: Ubunararibonye no kubaga bishobora no kugira uruhare muguhitamo kwimikwa. Bamwe mu babaga bashobora kuba bafite uburambe hamwe nubwoko bumwe na bumwe bwo gutera, kandi bashobora guhitamo kubikoresha kubarwayi babo.
Ibikoresho byatewe: Guhitamo ibikoresho byatewe nabyo bigomba gutekerezwa, kuko ibikoresho bitandukanye bifite imiterere itandukanye kandi birashobora kuba byiza kubarwayi cyangwa imiterere runaka.
Ingaruka ninyungu: Ingaruka zishobora kuvamo ninyungu za buri bwoko bwatewe bigomba kuganirwaho numurwayi, harimo ibyago byo kunanirwa kwatewe cyangwa ingorane, ibishobora kuvuka igihe kirekire, ndetse no gukira neza.
Nigute abaganga bashiraho umugongo?
Uburyo nyabwo bwo gushiraho umugongo biterwa nubwoko bwatewe hamwe nuburyo bwihariye buvurwa, ariko muri rusange, intambwe zigaragara muribikorwa ni izi zikurikira:
Anesthesia: Umurwayi ahabwa anesthesia rusange kugirango barebe ko nta ubwenge bafite kandi nta bubabare bafite muburyo bwose.
Gutemagura: Umuganga ubaga akora igisebe mu ruhu no mumitsi hejuru yumwanya wumugongo.
Gutegura urutirigongo: Umuganga ubaga akuramo ingirangingo zose zangiritse cyangwa zirwaye mu ruti rw'umugongo, nka disiki ya herniated disque cyangwa amagufwa, kandi agategura aho azaterwa.
Gushyira icyatewe: Umuganga abaga noneho ashyira igitera ahantu hateganijwe umugongo. Ibi birashobora kubamo imigozi, inkoni, akazu, cyangwa ubundi bwoko bwo gushiramo.
Kurinda icyatewe: Iyo icyatewe kimaze kuba, umuganga ubaga ayiziritse ku mugongo akoresheje imigozi, insinga, cyangwa ibindi bikoresho.
Gufunga: Umuganga ubaga ahita afunga ibice akoresheje suture cyangwa staples hanyuma agashyiraho igitambaro cyangwa kwambara.
Gukira: Umurwayi akurikiranwa ahantu hakira amasaha menshi kandi ashobora guhabwa imiti yububabare cyangwa ubundi buvuzi bufasha mugihe gikenewe.
Nyuma yuburyo, umurwayi azakenera gukurikiza gahunda yo gusubiza mu buzima busanzwe kugirango afashe kugarura imbaraga nimbaraga zumugongo. Porogaramu yihariye izaterwa nubwoko bwatewe hamwe n’umurwayi ku giti cye ndetse n’imiterere ye.
Ninde ushobora kungukirwa no gutera umugongo?
Gutera umugongo mubisanzwe bikoreshwa mubarwayi bafite ibibazo bitera ububabare, intege nke, cyangwa umutekano muke. Bimwe mubintu bishobora kugirira akamaro gutera umugongo harimo:
1. Indwara ya disiki
2. Disiki ya Herniated cyangwa bulging
3. Uruti rw'umugongo
4. Spondylolisthesis
5. Kuvunika umugongo
6. Indwara ya Scoliyose
7. Ibibyimba by'umugongo
Gutera umugongo akenshi bikoreshwa mugihe imiti itari kubagwa nko kuvura umubiri, imiti, cyangwa inshinge zumugongo zananiwe gutanga ubutabazi. Icyemezo cyo gukoresha uruti rwumugongo ubusanzwe gifatwa ninzobere yumugongo, nkumuganga ubaga amagufwa cyangwa neurosurgueon, uzasuzuma uko umurwayi ameze kandi agasaba gahunda yo kuvura ikwiye.
