Ukubukwa: 143 Umbhali: Isihleli Sesihleli Sokushicilela: 2022-09-14 Imvelaphi: Isizango
Izimila zomgogodla wesibeletho amadivaysi ezokwelapha afakwe ngokuswela entanyeni ukuhlinzeka ngokokuziswa nokusekelwa komgogodla wesibeletho. Zisetshenziselwa ukwelapha izimo ezahlukahlukene, kufaka phakathi isifo se-disc disc, i-stenosis yomgogodla, nama-disc amabi. Kulesi sihloko, sizoxoxa ngezinhlobo ezahlukene zesibeletho se-spinal izimila, ukusetshenziswa kwazo, nezinqubo zokuhlinzwa ezibandakanyekile.
Izimila zomgogodla wesibeletho zisetshenziselwa ukwelapha izimo ezahlukahlukene ezithinta intamo nomgogodla wesibeletho. Lawa madivaysi ezokwelapha aklanyelwe ukuhlinzeka ngozokwenza nokusekelwa komgogodla wesibeletho, okuvumela iziguli ukuthi ziphinde zikwazi ukuhamba futhi zinciphise izinhlungu.
Umgogodla wesibeletho uyingxenye engenhla yekholomu yomgogodla, oqukethe i-vertebrae eyisikhombisa (C1-C7). Lawa ma-vertebrae ahlukaniswe ama-disc we-interverteral, asebenza njengokuthi athuke athuke futhi avumele ukuguquguquka komgogodla. Umgogodla wesibeletho unesibopho sokusekela isisindo sekhanda nokuvikela intambo yomgogodla.
Izimila zomgogodla wesibeletho ziyadingeka lapho umgogodla wesibeletho ungazinzile noma lapho kunokucindezela emgogodleni noma ezimpandeni zezinzwa. Lokhu kungabangelwa yizimo ezahlukahlukene, kufaka phakathi isifo se-disc disc, i-stenosis yomgogodla, ama-disc anama-herniated, kanye nokuqhekeka.
Kunezinhlobo eziningi zezinto zomgogodla womlomo wesibeletho, ngamunye enokusetshenziswa kwawo kanye nezinzuzo.
Ipuleti lesibeletho elingaphandle liyipuleti elincane lensimbi elinamathiselwe ngaphambili komgogodla wesibeletho ngezikulufo. Leli puleti linikeza ukuqina komgogodla ngenkathi amathambo ehlangana ndawonye.
Ukubuyiselwa kwesibeletho kwe-DICS kufaka ukususa i-disc elonakalisiwe ye-intervertebral disc bese uyifaka esikhundleni nge-disc yokufakelwa. Le nqubo ingasiza ukugcina ukunyakaza emgogodleni futhi inciphise ingozi yesifo sengxenye eseduze.
Ukuhlanganiswa komlomo wesibeletho kufaka ukugcoba ama-vertebrae amabili noma ngaphezulu ndawonye kusetshenziswa ama-Bonell falls kanye nezikulufo zensimbi. Le nqubo ivame ukusetshenziselwa ukwelapha i-stenosis yomgogodla kanye nesifo se-disc degegerative.
ICervical Corpectomy ifaka ukususa ingxenye yomzimba we-vertebral ukudambisa ingcindezi entanjeni yomgogodla noma izimpande zezinzwa. Ukuxhunyelelwa strut kusetshenziselwa ukuqinisa umgogodla.
I-Eccipito-Courvical Fusion inqubo ehilela ukugcoba isisekelo sekhanda emgogodleni wesibeletho esiphezulu. Le nqubo ivame ukusetshenziselwa ukwelapha izimo ezinjenge-rheumatoid arthritis.
I-Lamimonoplasty yinqubo efaka ukudala isikhala esithe xaxa emgodini womgogodla ngokuvuselela i-lamina (i-bony arch ye-vertebrae). Le nqubo ingasiza ukudambisa ingcindezi emgogodleni nasezimpandeni zezinzwa.
Ngaphambi kokuhlinzwa komgogodla wesibeletho, kunezici ezimbalwa okufanele zibhekwe. Lokhu kufaka phakathi iminyaka yesiguli, ngaphambi kokuhlinzwa komgogodla wesibeletho, kunezici ezimbalwa okufanele zibhekwe. Lokhu kufaka phakathi iminyaka yesiguli, impilo ephelele, ubukhulu besimo sabo, kanye nezingozi ezingaba khona nezinzuzo zenqubo. Kubalulekile ukuba iziguli zibe nengxoxo ephelele nodokotela wazo ukuthola ukuthi ngabe izimila zomgogodla zomlomo wesibeletho ziyinkambo efanele yokwelashwa ngesimo sabo esithile.
Ukulungiselela ukuhlinzwa komgogodla wesibeletho kungabandakanya izinyathelo eziningana, kufaka phakathi ukuhlolwa kwegazi, ukuskena kokucabanga, nokuhlolwa ngokomzimba. Iziguli nazo zingadinga ukuyeka ukuthatha imishanguzo ethile noma izithasiselo ngaphambi kokuhlinzwa. Kubalulekile ukuthi iziguli zilandele imiyalo kadokotela yazo eduze ukuze ziqinisekise ukuhlinzwa okuphephile nokuphumelela.
Inqubo yokuhlinzwa yezikhukhula zomlomo wesibeletho izoncika ohlotsheni lokufakelwa okusetshenziswa kanye nesimo esithile sesiguli. Ngokuvamile, inqubo izobandakanya ukwenza i-incision entanyeni nasekufinyeleleni umgogodla wesibeletho. I-disc elimele noma i-vertebrae izobe isisuswa, futhi okufakwayo kuzofakwa futhi kuvikelwe endaweni. Lapho ukufakwa kusendaweni, ukuvela kuzovalwa, futhi isiguli sizohanjiswa endaweni yokutakula.
Ukubuyiselwa kusuka ekuhlinzweni komgogodla komgogodla wesibeletho kungathatha amasonto ambalwa noma izinyanga, kuya ngesilinganiso sokuhlinzwa kanye nempilo yesiguli yonke. Iziguli zingadinga ukugqoka i-brace yentamo noma ikhola yesikhathi sokusiza ukusekela intamo yazo futhi kukhuthaze ukuphulukiswa. Ukwelashwa ngokomzimba kanye nokuvuselelwa komzimba kungadingeka futhi ukusiza iziguli zithole ukuhamba nokuqina emntanyeni nasemizimbeni ephezulu.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezingaba khona nezinkinga ezihambisana nokuhlinzwa komgogodla wesibeletho. Lokhu kungafaka ukutheleleka, ukopha, ukulimala kwezinzwa, kanye nokwehluleka ukufakwa. Kubalulekile ukuthi iziguli zidingide lezi zingozi nodokotela wazo ngaphambi kokuhlinzwa.
Umbono wesikhathi eside ezigulini ezibhekene nokuhlinzwa komgogodla wesibeletho kuzoncika ezintweni ezahlukahlukene, kufaka phakathi iminyaka yazo, impilo yonke, kanye nobungako bokuhlinzwa kwabo. Ngokuvamile, iningi leziguli lithola ukuthuthuka okukhulu ezimpawuni zabo futhi liyakwazi ukubuyela emisebenzini yalo ejwayelekile ezinyangeni ezimbalwa zokuhlinzwa.
Izimila zomgogodla wesibeletho ziyindlela ebalulekile yokwelashwa yeziguli ezinezimo ezahlukahlukene zomgogodla wesibeletho. Ngokuhlinzeka ngokuqina nokusekelwa emgogodleni, la madivayisi angasiza iziguli ukuba zithole ukuhamba futhi zinciphise izinhlungu. Ngenkathi kunezingozi ezingaba khona nezinkinga ezihambisana nokuhlinzwa komgogodla wesibeletho, izinzuzo zivame ukwedlula ubungozi. Uma ucubungula ukuhlinzwa komgogodla wesibeletho, kubalulekile ukuxoxa ngezinketho zakho nodokotela wakho futhi wenze isinqumo esinolwazi.
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