Kusanganiswa kwetsipa vertebrae kugadzirisa marwadzo uye zvirwere zvehutano
Cervical fusion inzira yekuvhiya iyo inobatanidza pamwe zvikamu zvakakuvadzwa zvemukoko weganda mumutsipa. Izvi zvinowanzodiwa apo chironga chechibereki chemazino - uye madhishi pakati pemiti yese yega-yakasvibiswa semugumisiro wekukuvadzwa kana kusingaperi kupfeka-uye-kusvimha.
Panguva yekuvhiyiwa, madhishi ari pakati peimwe kana akawanda akawanda anobviswa, uye pfupa rinokurudzirwa rinokurudzirana pamwe pedtebrae iri pedyo.
Kazhinji, chigadzirwa chesimbi chinoshandiswa kugadzirisa kufungidzira kusvikira pfupa rakura rakasimba.
Cervical Fusion Surgery kana Arthrodesis
Cervical fusion, iyo inonziwo arthrodesis , inounganidza zvachose pamwe chete (kana kupfuura) pedyo nemitetebrae. Kazhinji, pane denda repelinha pakati pemiti imwe neimwe ye vertebrae. Dhiyo inoita sechikwata, asi inobvumirawo kufamba kumwe pakati pe vertebrae. Kazhinji kazhinji kemikari yekervical inoshandiswa nokuti musana wemusana unokonzera matambudziko kuburikidza nekukandira musungo (unonzi disc herniation ). Izvi zvinokonzera kusuruvara zvinogona kukonzera kutsamwa kunounza zviratidzo zvekutambudzika, kusungira, uye kupera mumutsipa nemaoko.
Apo cervical cusion is performed, diski kana zviduku zve diski zvakabviswa. Mafupa emavheti akazobatanidzwa zvachose pamwe chete. Kushamwaridzana uku kunowanzova pamwe nefupa rakagadziriswa (chirongwa chisingaperi) uye kazhinji sende yesimbi, screw, kana tsvimbo (chirongwa chenguva pfupi).
Iyo simbi inongobata vertebrae muchinzvimbo apo bone rinogara rinoputira zvikamu pamwe chete. Kana kamwe pfupa rabatanidza vertebrae mbiri pamwe chete, kusanganiswa kunonzi kwakasimba, uye kuvezve kwezvinhu zvakajairika zvinotenderwa.
Kudzorerwa Kubva kuCervical Fusion
Kudzoka kubva kumudzimai wekodhiki kunoenderana nezvimwe zvinhu.
Sezvambotaurwa, chirwere chinonzi chinobudirira apo zviratidzo zvinowedzera, uye pfupa rakaporesa kune vertebrae yakasanganiswa. Izvi zvinowanzotora mwedzi miviri kusvika mitatu. Basa rinobvumirwa munguva iyoyo richavimba nesimba rekugadzirwa. Mune vamwe varwere vane simba rakasimba uye yakasimba kugadziriswa kwesimbi, mamwe mabasa anogona kubvumidzwa. Mumamiriro ezvinhu apo pane zvinonetsa pamusoro pekugona kwechiremba kufambisa vertebrae, kugona kunogona kuchenjerera.
Matambudziko Kubva Kuvhiya
Kunyanya kunetseka kwepervical fusion chirurgic ndiko kana kusingakwanisi kubvisa kurwadziwa kwehuro kunoramba kuripo. Nenzira yakanaka, kusangana uku hakusi kuwanzana, asi kunogona kuitika. Zvidzidzo zvakawana kubudirira kwehutano pakati pemakore makumi mapfumbamwe nemakumi matatu nemakumi matatu nemakumi mashanu nemapfumbamwe emubhedha wekervical fusion kurapa kurapa kwe radiculopathy (kurwadziwa kwehutano).
Chimwe chinetso chikuru chinokonzerwa nekervical fusion ndekushaikwa kwekukwidzika kwepfupa kwakakwana pakati pezvinyorwa zvinonzi vertebrae. Izvi zvinonzi fusion isina kukwana uye inogona kuda kuvhiyiwazve. Ifupa harigoni kukura zvakakwana nokuda kwezvikonzero zvinoverengeka uye kuita zvinhu zvakadai sokudzivisa kusvuta uye kusatora mishonga kana zvinodhaka izvo zvinozivikanwa kuti zvinopesana nemapfupa ekukura. Zvimwe zvikonzero (zvakadai somunhu wepanyama masimba simba) zvakaoma kuchinja.
Zvimwe zvinetso zvekondomu fusion zvinogona kusanganisira kushungurudzika kwehutano, kuoma kukumedza, utachiona, uye kubuda ropa. Varwere vakawanda vane hanya nekukuvadzwa kumutsipa wespelinha. Pamusoro pezvinetso zvose zvakanyorwa, izvi zvinogona kunge zvisingawanzoitiki. Dambudziko rekuputika kwemutsipa inopinda chikamu chiduku chezana.
Alternatives kwaCervical Fusion
Kana murwere achingova nekodhi duku kadiki, kazhinji kacho chidimbu che disc chinogona kubviswa kunze kwekuda kufanirwa. Asi kana murwere achida kuvhiyiwa zvakakwana, hapana maitiro akawanda akawanda - zvakadaro. Kune mitsva yekuvhiya mutsva mukuvandudzirwa kwemakumbo emakumbo emagunha ayo akagadzirirwa kubvisa tsvina yakakanganiswa asi achiri kubvumira kutama pamagetsi ekuvhiringidzika.
Izvi zvinosanganisira kusimba kwakasimba uye spinal disc replacement . Zakawanda zvinowanzoitwa mu-lumbar spine (pasi kumashure), izvi zvinogona kubatsira kubatsira kuramba uchifamba uye uchigadzirisa dambudziko rehurukuro.
Sources:
Rhee JM, et al. "Cervical Radiculopathy" J Am Acad Orthop Surg August 2007; 15: 486-494.