Cervical Disc Replacement
Zvisarudzo, zvisarudzo. Chiremba wako anoti unoda kuvhiyiwa nemutsipa nokuti wakanga uchinzwa marwadzo uye / kana pini uye nheyo pasi pembe imwe, kwete kutaura zvimwe zviratidzo zvinosangana nekervical radiculopathy. Anokuudza chirwere chinowanzozivikanwa nezvechiitiko ichi chiri chimiro chechirwere chechirwere chechirwere chechirwere chechirwere neyechirwere (ACDF.)
Chaizvoizvo, ACDF inobatsira nguva refu yekuvhiya - uye inowanzoitwa kuvhudzirwa nemutsipa.
Akabatana: Dzidza nezve ACDF
Asi zvino doc inokuzivisa kuti nokuti ACDF inosanganisira kudirana kwe (imwe kana kupfuura) mazamu ekuputira, iwe uchange uchinge uchinge uine simba rokutamisa mutsipa wako panzvimbo yekuvhiya - zvachose. Kwete chete izvozvo, anokuudza, asi zvakare, nekuda kwekugadzirisa, iwe unomhanyira mungozi yekukurumidza kusvika kune imwe nzvimbo inopera.
Zvadaro, kana chiremba wako anotaura nezvazvo kana kuti iwe unowana kuburikidza nekuwedzera kumwe kutsvakurudza kuti nzira inonzi yakashandiswa kugadzirisa disk yakabatsira vamwe vanhu, kunyanya muEurope.
Asi chii, chaizvoizvo kugadziriswa kwese disc?
Kushandiswa kwekodhi isati iri nzira itsva iyo inoshandisa nzira yekare - zvinoreva kuti chiremba anovhiya achipinda pamberi pehuro wako pane kupinda kumashure-kutora dambudziko rako rinorwara neine chimiro chekuita. Inoshandiswa kugadzirisa chirwere cheservic radiculopathy uye / kana kurwadziwa kukuru. Inoshandiswa zvakare mukuvhiya kwezvekuongorora.
Yakafanana: Chii Chinonzi Traction Spurs?
Kushandiswa kwekodhi kunowanikwa nemamwe mazita mashomanana, zvakare. Izvi zvinosanganisira: Kubviswa kwekadhi, maikirwo arthroplasty, total disc arthroplasty, uye cervical disc arthroplasty kana kuti cervical dis replacement apo nzira inoitwa mumutsipa. Kana yaitwa yakaderera shure, inonzi lumbar disc arthroplasty kana lumbar disc replacement.
FYI, arthroplasty imwe zita rekubatanidza kubatanidza kana kuvakazve. Mazita echibvumirano che diski anosanganisira TDR (total disc replacement) uye TDA (total dis replacement.)
Chimwe chikomborero chikuru chekuchengetedzeka kwekervical disc, maererano naCaridi, Pumberger, Matthais, uye Hughes (mumusangano wavo we 2011 wakanzi, "Cervical Radiculopathy: A Review," yakabudiswa mumagazini yeThe Hospital nokuda kweUkuvhiya chaihwo ) ndeyokuti inoramba kureba pakati pemamwe maviri ari pedyo nemapfupa emusana, panguva imwe chete ichichengetedza kukwanisa kwekubatana.
Sekuvandudzwa kwekutsvaga muUnited States (iyo yakawedzerwa zvikuru muEurope,) unogona kunge uchishamisika kana TDA inoshanda, uye chii chiri kumusoro uye pasi.
Tsvakurudzo dzinoverengeka dzekutsvakurudza, uye pamwe chete imwe nhengo yepamusoro-sangano yezvokurapa inogona kupa chiedza chemavara kune cervical dis replacement. Semuenzaniso, North American Spine Society inotaura kuti munguva pfupi, kune imwechete yepamusoro inopera simba rechirwere radiculopathy, ACDF uye total disc arthroplasty inogona kufanana nemishonga.
Akabatana: Discectomy
Rao, et. al. akawana cervical disc kushandurwa kuva mukuru kune ACDF nenzira dzinoverengeka. Kuongorora kwavo 2015 kwakabudiswa muChinyorwa cheOrpededic Trauma Surgery uye yaiva nekodzero, "Cervical disc arthroplasty uye anterior cervical discectomy uye kukanganiswa kwechirwere chechirwere chechirwere chechirwere chechirwere: meta-kuongororwa kwemiedzo yakarongedzwa," inonyora zvinotevera:
- Kubudirira kupfurikidza nekuvandudza zviratidzo zvemutsara.
- Kunyatsokuchengetedza kushandiswa panzvimbo yakashandiswa.
- Zvishomanana zvinetso zvinorondedzerwa kana zvinetso zvine chokuita neyo nzira.
- Pasina chido chekuvhiyiwazve.
Asi kunyange nehutano hunovimbiswa hwezviitiko, vanyori vanoti, zvimwe zvikomborero hazvisati zvichingoratidzwa, kusanganisira kurasikirwa kweropa panguva yekuvhiyiwa, nguva yakareba iwe uchapedza muchipatara nekuvandudza kushanda.
Ren, et al., Mubhuku ravo ra2014 rine musoro, "Mid-to-term results out after cervical disc arthroplasty inowed with anterior discectomy and fusion: a systematic review and meta-analysis of randomized controlled trials," yakabudiswa muEurope Spine Journal akawanawo chidimbu chepasi chekuvhiyazve kwekodhi yekodzero yekuchinja, kana ichienzaniswa neAACDF.
Vanyori vanotaurawo kuti kushandiswa kwekadhi kunogona kuita kuti kuve nekuvandudzwa kwebasa mukati uye kwenguva refu.
Asi kusiyana neRao, uye. al. (kubva kumusoro), Ren uye vatsvakurudzi vake vanotaura kuti zvishomanana zvidzidzo zvakaitwa kuti zvione kana kudai kubvumirwa kushandiswa kwekondomu kunogona kubatsira kudzivirira ASD ichokwadi.
Zvinyorwa kunze kweMedzinza Research Sphere
MuSouth, cervical disc replacement ikozvino inowanikwa mune zviduku zvishoma zvekuvhara misoro. Nemhaka yeizvi, zvinotarisirwa kuti vashoma vashambadziro vedzinza vakanyaradza unyanzvi kusvika apo varwere vavo vanogona kuvatsanangurira nekunyatsoongorora maitiro.
Shoko pa (internet) mumugwagwa nderokuti vanhu vanoda chaizvo kuenda kunotsvaka chiremba vane wavanonzwa vakasununguka. Ichokwadi, vazhinji vanoenda kuEurope - kunyanya Spain neGermany kuti nzira yacho iite.
Mazhinji emibvunzo pamusoro pekuchengeteka uye zvigumisiro hazvina kupindurwa. Pane, zvisinei, iyo hurukuro ye "mvura inononoka" inonzi ADR Support, yakatanga nemurume akanga ane chirongwa cheTDR chakabudirira. Vanhu vari panhandare iyoyo vanopa mhinduro dzakananga, kuti, kana isingaratidzwa nekutsvakurudza, inotorwa zvakananga kubva kudii rep replacement vatano 'zvakaitika uye nyaya.
Sources:
Caridi, John M., MD, Pumberger, Matias, MD, Hughes, Alexander, P., MD Cervical Radiculopathy: Ongororo. Chipatara Chekuvhiya Kunokosha. Sept. 2011. Yakasvika muna Jan 2016.
North America Spine Society. Kuziva uye Kurapa kweCervical Radiculopathy kubva kuDegenerative Disorders. North America Spine Society. 2010.
Ren, C., Rwiyo, Y., Xue, Y., Yang, X. Pakati pemigumisiro yakareba kwenguva refu mushure mekuberekwa kwechirwere chetachiona arthroplasty yakaenzaniswa neanterior discectomy uye fusion: kurongeka kwakarongeka uye meta-kuongorora miedzo yakarongeka yakasarudzwa. Eur Spine J. 2014 May; 23 (5): 1115-23. doi: 10.1007 / s00586-014-3220-3. Epub 2014 Feb 11.
Rao, M., Nie, S., Xiao, B., Zhang, G., Gan, X., Cao, S. Cervical disc arthroplasty pamwe nechemberi yekervical discectomy nekukanganiswa kwechirwere chechirwere chechirwere chechirwere chechirwere: meta-analysis ye miedzo yakarongedzwa nemaitiro. Arch Orthop Trauma Surg. 2015 Jan; 135 (1): 19-28. doi: 10.1007 / s00402-014-2122-5. Epub 2014 Dec 5.