Kupera kwemafudzi kwakange kuri "chirwere chegoridhe" kuvhiyiwa kwemhando dzakawanda dzematambudziko kumashure kwenguva yakareba. Asi maererano nevatsigiri, shandudzo yekutsvaga - nzira itsva mutsva muUnited States - rimwe zuva ingatora.
Nokuti ikozvino, kunyange zvakadaro, mamwe akawanda emhemberero yepaspini inowanikwa kupfuura kubhadhara zvachose kubhadhara kwemaitiro epamusoro epanguva yakafanana nehutachiona hwehutachiona, scoliosis nezvimwewo.
Uye izvi zviri pasinei nekufunganya kusingaperi uye mibvunzo isina kupindurwa pamusoro pekusanganiswa.
Kuenzanisa kuenzanisa chiyero chemakumbo emakumbo emakumbo ekutengesa kubhadharira kubhadharira kubhadharira kwakaitwa pakati pemakore 2000 ne2008 akawana kuti kushandiswa kwema disc kwakimiririra 2% yemavhidhiyo ose emaperembudzi akapiwa. Chidzidzo chacho chakabudiswa munyaya yaOctober 2011 yebhuku rinonzi Surgical Neurology International.
Nei Uchifanira Kurega Kuchinja Chirwere?
Kwose kubviswa kwekadhi kwakagadziridzwa, kunyanya muchikamu, kubva pane kunetseka kwemigumisiro inonzi spinal fusion inogona kunge yakaita sezvikamu zvepamusoro pamusoro pepamusoro uye pasi peyero rekuvhiyiwa. Nemhaka yokuti mapfupa maviri ari pedyo akabatana pamwe chete mumutsipa wepelinha - kubvisa kushamwaridzana kwese mumucheto wako - nenzira iyo musana wako unofamba mushure mekunge kushandiswa kwacho kuchinjwa, uye kuwedzererwa kunowanikwa kuzvikamu zvakatarisana. Dzimwe nyanzvi dzinofunga kuti kuwedzera kuwedzerwa kunotungamirira kuhupenyu munzvimbo idzodzo.
Vamwe havana kunyatsoziva kuti kushandiswa kwemashure-kusanganiswa kwepashure kunokonzerwa nekuvhiyiwa.
Chero nzira, kufunga kwakashure kwekodzero yekodzero yose ndeyokuti inochengetedza hutano hwako hwemhepo kuti uende kumwero (s) nzira inenge yaitwa. Nenzira iyi, kuva nechinoshandiswa chekisi kunogona kubatsira kuderedza kuitika kwemashure kunoshandiswa kwekugadzirisa kushanduka mumunharaunda yomukati.
Kuzvidzivirira mumakumbo emumumvuri kumusoro uye pasi pechidziro chepelin fusion chinowanzozivikanwa sechidimbu chinopera, kana ASD .
Disc Disclacement Surgery - Chii Chatinoziva?
Kunyange zvazvo kuvhudzirwa kwekuchengetedzwa kwekuchengetedzwa, nechinamato chekugadziriswa sechimiro chakajairika, chiri chichiri chitsva muUnited States, uchapupu hunoti hunobudirira. Zvakangofanana, vanotsvakurudza vanoramba vachiunganidza mashoko akareba kwenguva yakareba pamusoro pemigumisiro uye njodzi.
Nokutsanangura zvinokonzerwa nemigumisiro, gore gumi, mushure mekupedzisira mhinduro yakabudiswa mumagazini ( Scientific Reports) muna 2017 yakasimbisa ruzivo rwechimwe (pakati pezvechiremba uye nyanzvi, zvishoma) izvo zvinoguma zvekutsvaira uye kushandiswa kwemafusi zvakangoenzana zvakaenzana. Vatsvakurudzi vakawana kuti kukurudzira kweAD mushure mekugadziriswa, kukurumidza kwekudzoka uye zvinorwadza zvikamu zvose zvaive zvakaenzana pakati pemitemo miviri.
Chidzidzo che 2017 chakabudiswa mu Global Spine Journal chikaenzanisa migumisiro pakati pekudzidzira kwema disc uye kushandiswa kwemafusion marudzi muvarwere vashure kumashure. Vatsvakurudzi vakaona kuti kubvisa vanhu vakagadzirisa zvirwere zvakaratidza humwe huri nani mukururwa kwehurombo nekuremara kupfuura varwere vepinini vanorwara panguva imwe neimwe yekuvhiyiwa nguva yakadzidzwa (vhiki matanhatu, mwedzi mitatu, mwedzi mitanhatu negore rimwe.)
Uyewo mune iyi yekudzidza, vatachiona vakadzokera kubasa pamasvomere makumi matanhatu nemashanu mazuva achangobva kupfuura kufungidzira varwere.
Iwe Unofanirwa Zvakakwana Kuda Kubhadhara Chirwere Chekushandura?
Asi ichi chaingova chidzidzo chimwe chete pamusoro pekuvandudzwa kwemari. Chidzidzo che2015 chakabudiswa muAsia Spine Journal chakaona kuti kusvika ikozvino, zvisati zvadzo, zvakarezve kushanda nekuvhiyiwa kwezvekuvhima zvakaitika zvakaitika nehuwandu hwakafanana pasinei nokuti chirwere chekutanga (chinonzi "index") chaiva chechirchi disc kana kuti yakapiwa kervical discectomy nepinal fusion.
Izvozvo zvakataura, maererano naDkt. Joshua D. Auerbach, mukuru wekuvhiyiwa kwepemusoro paBronx-Lebanon Hospital Centre, muNew York City, chete kusvika ku5% yevarwere vanoda chirwere chepemusoro vanoita kuti vatsvake vese vakwanise kugadziriswa.
Zvinhu zvinopera, anoti, zvinogona kusanganisira kusarudzwa kwevarwere. Mune mamwe mazwi, ndezvipi zvaunofunga kuti iwe uchaona zvakachengeteka uye zvinobudirira mugumisiro?
Zvimwe zvinopesana zvinogona kuitika kumushandisirwo wekudzidzira rekudzidzira rega zvinogona kusanganisira:
- central or lateral recess stenosis
- facet arthritis
- spondylolysis uye spondylolisthesis
- sheniated disc ne radiculopathy
- osteoporosis
- pseudarthrosis
- yapfuura mushonga wokuvhiya
- ichida chikwata chema-multi-level replacement, kunyange zvazvo chidzidzo che 2018 chakabudiswa mupepanhau reNeurosurgery chakawana uchapupu hwehutori hwekudzikinura zvachose mumushonga wekervical kune imwe kana maviri mazinga.
> Sources:
> Auerbach, J., MD. Chief of Spine Surgery, Bronx-Lebanon Hospital Centre, Mupiro Wepurofesa Wokuvhiya, Albert Einstein College of Medicine. Telefonhare Hurukuro. March 2012.
> Kutya OO. et. al. Kushandiswa kwetachirwere disc arthroplasty pane chirwere chokuvhiya chirwere chechirwere chinokonzera chirwere: Kuongorora kweNyika Yose Inpatient Sample kubva muna 2000 kusvikira muna 2008. Surgery Neurol Int. 2011.
> Hellum, C., et. al. Kuvhiyiwa ne disc dischesis maererano nekugadzirisa zvirwere mune varwere vane kurwadziwa kwepamusoro uye kuchema kwekudzidzira: gore rekutevera kutevedzana kwekudzidza zvakasarudzwa. BMJ. May 2011.
> Mattei, T., MD, uye. al. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5544164/ Global Spine J. Aug 2017.
> Nunley, P., et. al. Cervical Disc Arthroplasty: Iye zvino Uchapupu uye Real-Global Application. Neurosurgery. Jan 2018.
> Skovrlj, B., et. al. Kubudirira Kunotevera Kushandurwa kweCervical Disc. Asian Spine J. Jun 2015
> Yang, S., et. al. A nterior cervical discectomy uye chirwere chekukanganiswa nekukwanisa kubhadhara disc: Kushandiswa kwekuenzanisa nemadhura gumi-gumi kutevera. Scientific Reports 7, Article nhamba: 16443. 2017.