Yintoni ukufakelwa komlomo wesibeleko?

Ukufakelwa komgogodla womlomo wesibeleko zixhobo zonyango ezifakwe ngokuhlinzwa entanyeni ukubonelela ukuzinza kunye nenkxaso kumqolo wesibeleko. Zisetyenziselwa ukunyanga iimeko ezahlukeneyo, kubandakanywa nesifo se-disc degenerative, i-spinal stenosis, kunye neediski ze-herniated. Kule nqaku, siza kuxubusha iintlobo ezahlukeneyo zokufakelwa komgogodla wesibeleko, ukusetyenziswa kwazo, kunye neenkqubo zotyando ezibandakanyekayo.

Intshayelelo

Ukufakelwa komqolo wesibeleko kusetyenziselwa ukunyanga iimeko ezahlukeneyo ezichaphazela intamo kunye nomqolo wesibeleko. Ezi zixhobo zonyango zenzelwe ukubonelela ukuzinza kunye nenkxaso kumqolo womlomo wesibeleko, ukuvumela izigulane ukuba ziphinde zihambe kunye nokunciphisa intlungu.

I-Anatomy yeCervical Spine

Umgudu womlomo wesibeleko uyingxenye ephezulu yekholamu yomgogodla, equkethe i-vertebrae ezisixhenxe (C1-C7). La ma-vertebrae ahlukaniswe ngamadiski e-intervertebral, asebenza njengezinto eziphazamisayo kwaye avumele ukuguquguquka komqolo. Umqolo wesibeleko unoxanduva lokuxhasa ubunzima bentloko kunye nokukhusela intambo yomgogodla.

Kutheni kufuneka Ufakelo lweCervical Spinal?

Ukufakelwa komqolo wesibeleko kuyadingeka xa umgudu womlomo wesibeleko ungaqinisekanga okanye xa kukho uxinzelelo kwintambo yomgogodla okanye iingcambu zemithambo-luvo. Oku kunokubangelwa ziimeko ezahlukeneyo, kubandakanywa nesifo se-disc degenerative, i-spinal stenosis, iidiski ze-herniated, kunye nokuphuka.

Iindidi zokufakela i-Cervical Spinal Implants

Kukho iintlobo ezininzi zokufakelwa komqolo wesibeleko, nganye inokusetyenziswa kwayo kunye neenzuzo.

I-Anterior Cervical Plate

Ipleyiti yomlomo wesibeleko yangaphambili yipleyiti encinci yentsimbi edityaniswe phambi komqolo wesibeleko ngezikrufu. Le pleyiti inika uzinzo kumqolo ngelixa amathambo edibanisa kunye.

Ukutshintshwa kweDiski yoMbane

Ukutshintshwa kwediski yomlomo wesibeleko kubandakanya ukususa i-disc ye-intervertebral eyonakalisiweyo kwaye uyitshintshe nge-disc yokwenziwa. Le nkqubo inokunceda ukugcina ukunyakaza kumqolo kunye nokunciphisa umngcipheko wesifo secandelo elisondeleyo.

I-Posterior Cervical Fusion

Ukudityaniswa komlomo wesibeleko ngasemva kubandakanya ukudibanisa ama-vertebrae amabini okanye ngaphezulu kunye usebenzisa i-grafts yamathambo kunye nezikrufu zetsimbi. Le nkqubo isoloko isetyenziselwa ukunyanga i-spinal stenosis kunye nesifo se-disc degenerative.

I-Cervical Corpectomy kunye ne-Strut Gr aft

I-corpectomy yomlomo wesibeleko ibandakanya ukususa inxalenye ye-vertebral body ukukhulula uxinzelelo kwintambo yomgogodla okanye iingcambu ze-nerve. I-graft ye-strut isetyenziselwa ukuzinzisa umqolo.

I-Occipito-cervical Fusion

I-Occipito-cervical fusion yinkqubo ebandakanya ukudibanisa isiseko sokhayi kumqolo wesibeleko ongaphezulu. Le nkqubo isoloko isetyenziselwa ukunyanga iimeko ezifana ne-rheumatoid arthritis.

I-Laminoplasty

I-Laminoplasty yinkqubo ebandakanya ukudala indawo eninzi kwi-spinal canal ngokuhlaziya i-lamina (i-arch bony of the vertebrae). Le nkqubo inokunceda ukukhulula uxinzelelo kwintambo yomgogodla kunye neengcambu ze-nerve.

Izinto ekufuneka Ziqwalaselwe Phambi Kokwenza Utyando

Ngaphambi kokuba wenze utyando lokufakelwa komqolo wesibeleko, kukho izinto ezininzi ekufuneka zithathelwe ingqalelo. Oku kubandakanya iminyaka yesigulana, Phambi kokuba kwenziwe utyando lokufakelwa komqolo wesibeleko, kukho izinto ezininzi ekufuneka zithathelwe ingqalelo. Oku kuquka iminyaka yesigulana, impilo epheleleyo, ubuzaza bemeko yabo, kunye neengozi ezinokubakho kunye neenzuzo zenkqubo. Kubalulekile ukuba izigulane zibe neengxoxo ezicokisekileyo kunye nogqirha wazo ukuze zibone ukuba ngaba ukufakelwa komgogodla wesibeleko yindlela efanelekileyo yokonyango kwimeko yabo ethile.

Ukulungiselela Utyando

Ukulungiselela utyando lokufakelwa komgogodla womlomo wesibeleko kunokubandakanya amanyathelo aliqela, kuqukwa novavanyo lwegazi, imifanekiso yokuxilonga, nokuhlolwa komzimba. Izigulana zisenokufuna ukuyeka ukuthatha amayeza athile okanye izongezo phambi kotyando. Kubalulekile ukuba izigulana zilandele imiyalelo kagqirha wazo ngokusondeleyo ukuqinisekisa utyando olukhuselekileyo noluyimpumelelo.

Inkqubo yoTyando

Inkqubo yotyando yokufakelwa komgogodla womlomo wesibeleko iya kuxhomekeka kuhlobo lofakelo olusetyenziswayo kunye nemeko ethile yesigulane. Ngokuqhelekileyo, inkqubo iya kubandakanya ukwenza i-incision entanyeni kunye nokufikelela kumqolo wesibeleko. I-disc eyonakalisiweyo okanye i-vertebrae iya kususwa emva koko, kwaye ukufakelwa kuya kufakwa kwaye kugcinwe kwindawo. Emva kokuba i-implant isendaweni, i-incision iya kuvalwa, kwaye isigulane siya kuhanjiswa kwindawo yokubuyisela.

UkuBuyisa nokuBuyiselwa kwisimo sesiqhelo

Ukuchacha kuqhaqho lokufakelwa komqolo wesibeleko kunokuthatha iiveki okanye iinyanga ezininzi, kuxhomekeke kubungakanani botyando kunye nempilo yesigulana iyonke. Izigulane zinokudinga ukugqoka intamo yentamo okanye ikhola ixesha elithile ukuze uncede ukuxhasa intamo kunye nokukhuthaza ukuphilisa. Unyango lomzimba kunye nokubuyisela kwimeko yesiqhelo kunokuba yimfuneko ukunceda izigulane ziphinde zikwazi ukuhamba kunye namandla entanyeni nangaphezulu.

Imingcipheko enokubakho kunye neengxaki

Njengalo naluphi na utyando, kukho imingcipheko enokubakho kunye neengxaki ezinxulumene notyando lokufakelwa komqolo wesibeleko. Oku kunokubandakanya usulelo, ukopha, ukonakala kwemithambo-luvo, kunye nokungasebenzi kakuhle kokufakwa kwezityalo. Kubalulekile ukuba izigulane zixoxe ngezi ngozi kunye nogqirha wazo phambi kokuba zenziwe utyando.

I-Outlook yexesha elide

Umbono wexesha elide wezigulane ezenza utyando lokufakelwa komgogodla womlomo wesibeleko luya kuxhomekeka kwizinto ezahlukeneyo, kubandakanywa iminyaka yabo, impilo yonke, kunye nobungakanani botyando lwabo. Ngokuqhelekileyo, izigulane ezininzi zifumana ukuphuculwa okuphawulekayo kwiimpawu zabo kwaye ziyakwazi ukubuyela kwimisebenzi yazo eqhelekileyo kwiinyanga ezimbalwa zokuhlinzwa.

Ukuqukumbela

Ukufakelwa komgogodla womlomo wesibeleko yindlela ebalulekileyo yokonyango kwizigulane ezineemeko ezahlukeneyo zomlomo wesibeleko. Ngokubonelela ngokuzinza kunye nenkxaso kumqolo, ezi zixhobo zinokunceda izigulane ziphinde zihambe kwaye zinciphise intlungu. Nangona kukho imingcipheko enokubakho kunye neengxaki ezinxulumene notyando lokufakelwa komgogodla womlomo wesibeleko, iinzuzo zihlala zidlula iingozi. Ukuba ucinga ngotyando lokufakelwa komgogodla womlomo wesibeleko, kubalulekile ukuxoxa ngeenketho zakho kunye nogqirha wakho kwaye wenze isigqibo esinolwazi.