Ko Kuwedzera Kunokonzera Zvibereko Zvakanaka Kubva Muzvirongwa Zvepasi?
Kana uri kuronga kuvhiyiwa kumashure munguva pfupi, iwe unogona kunge uchifunga, uye zvichida uchinetseka, pamusoro pezvinhu zvose zvinogona kutadza. Izvi zvinonzi "zvinetso." Kunyangwe zvinetso zvinogona kubuda kubva pakuvhiyiwa pachako, nekugadzirira zvishomanana, uye huzhinji hwehutano hwehutano hwakanaka, unogona kukwanisa kuvhara nyaya dzakawanda dzisingadadi.
Matambudziko ane chokuita nekuvhiyiwa kumashure anowanzoitika kakawanda kune varwere vanodarika.
Izvo zvinosuruvarisa conundrum ndeyekuti kunyanya kuwandisa uye vanhu vakanyanya kupfurikidza kazhinji ndivo avo vanoda kuvhiyiwa kumashure .
Mhando dzeMatambudziko eEight Overweight Back Surgery Patients
Ndeapi matambudziko aunofanira kunge une hanya nazvo kana iwe uri kunyanya kuwandisa kana kuti wanyanyisa, uye unoronga kuva nekuvhiyiwa shure munguva pfupi?
Rimwe guru riri kuita kuti chiremba wako aone kuti iwe wakarurama. Izvi ndechokuti kuwana MRI yakarurama kana imwe firimu yekuongorora inogona kuoma zvikuru kune varwere vakawanda kupfuura kune avo vane hutano hwakanaka. Mafirimu asina kururama anogona kutungamirira kune kukanganisa kuongororwa uye chirongwa chakaipa chokuvhiya chiri kuitwa. Izvozvo zvinogona kutungamirira kuvhii pane zvisina kunaka zvepelinha, zvakare.
Uye pamwe nemamwe michina yekufamba nayo, zvinogona kuva zvakaoma kuti chiremba wako awane nzvimbo yakarurama yemutsara wako wemutsara. Izvozvowo ndezvekuisa chigadzirwa chokuvhiya chaunoda kuenda.
Zvimwe zvinetso zvezvechiremba zvinobvira, zvakare.
Izvi zvinosanganisira yakadzika vein thrombosis, pulmonary embolism, utachiona, pneumonia, matambudziko emwoyo, kushungurudzika kwehutano nekuputika kwekusimudzira. Matambudziko ane chokuita neanesthesia, somuenzaniso kubata apnea, zvinogonawo.
Anesthesia, pamwe chete nemishonga inorwadza iyo inoshanda mumutambo wemagetsi inogona kuderedza mitsipa inozarura pharynx, iyo inogadziriswa nemhepo panguva yekufema.
Ichi chiitiko chakakomba chinogona kuwedzera kumatambudziko ekufema ane chokuita nokuwedzerwa. Icho chinogona kunge chichiuraya.
Hypoxia-hypoventilation inogonawo kukanganisa kukwanisa kwako kufema; inowanikwa mu10% yevanhu vanorema zvakanyanya, uye zvinogona kuita kuti kudikanwa kwekuwedzera kurapa okisijeni panguva kana mushure mekuvhiyiwa.
Kuisa chinangwa kune imwezve ngozi inogona kuitika. Kana munhu ane urombo akazara ari patafura yekuvhiya, inogona kusvika pakusarudza pakati pekusvika panzvimbo yekuvhiya kana kuita imwe mamiriro ekurapa akaipa. Semuenzaniso, kutarisa ropa mukati mekuvhiyiwa kunogona kuwedzera matambudziko kune vashandi vezvokurapa varipo.
Sezvo kunetseka kwepakati pemagariro akafanana, kushungurudzika kwepamuviri kunonyanya kukonzera vanachiremba; kukanganiswa kumashure kwakakundikana ndeimwe nzira yakadaro. IAmerican Academy of Neurosurgeons inotaura kuti pakuberekwa kwakaitwa kugadzirisa kurwadziwa kunorwadza kwepamusoro, kushayikwa kwenhamba yevarwere vanorema zvakanyanya kune yakakura kudarika vamwe varwere.
Nezvenyaya dzakadai, hazvishamisi kuti vanachiremba vanodudza varwere avo vanorema kuderedza uremu vasati vaita! Bhuku ra2017 rakabudiswa mumagazini rinonzi Surgical Neurology International rinokurudzira kukurukura maitiro makuru ekurasikirwa kwekureruka kwekurema-kusanganisira chirongwa chekuraatric - chekuwedzera kwevarwere vemawere.
Kutaura zvazviri, vamwe vanachiremba vanovhiya havazobvumirwi kushanda pavanorwara zvakanyanya.
Nei Kuwedzera Kuwandisa uye Kuvhara Kunze Kwechiremba Varwere Vanowedzera Pangozi Nezveruzhinji Zvinoshandiswa?
Kuita kuti uwane mafungiro ekufungidzira uye kushandisa nzira dzekuvhiya panzvimbo chaiyo yakakodzera kumushure mako haisi yega zvinetso zvekuvhiya shure. Mamwe mararamiro ako ehutano angakuisa pangozi yakakwirira, zvakare.
Bhuku re2016 rekuongorora mabhuku ezvokurapa rakabudiswa mu Global Spine Journal rakawana kuti "kukonzera" mamiriro ezvinhu, kureva, zvirwere zvinowedzera zvinowanikwa mumatambudziko ekuderedza, zvichida zvinokonzera kuwanda kwehuwandu hwemashure ekushanda.
Zvinonyatsozivikanwa kuti kuneta kunosanganiswa nemagetsi, mwoyo uye zvimwe zvinetso zvakadai sechirwere chetachiona uye chirwere chemwoyo. Kuvapo kwehukama hwakadaro hunoita kuti kuvhiya kwako kuve kwakaoma kuti chiremba apedzise pasina chiitiko.
Kwete izvozvo chete, asi chidzidzo chacho chakawanawo kuti kungova kunetseka zvakanyanya kunogona-mukati uye pachega-kusimudza ngozi yako yepamusoro yekugadzirisa matambudziko.
Vanotsvakurudza kubva kuna Thomas Jefferson University vanobvumirana. Maererano nekufambisa zvinhu, vakawana kuti njodzi yekurovedza zvinetso inowedzera maererano nehuwandu hwekuwedzeredza. Mune mamwe mazwi, iyo yakakwirira mumuviri wako mass index (BMI), iyo yakakura ndiyo mukana wekuti uchaona dambudziko rine chokuita nekuvhiya kwako kumashure.
BMI, kana muviri mashizha index, chiyero chemuviri wemuviri maererano nekukwirira kwako. A BMI ye30 kana kupfuura inoratidza kuneta, uye munhu ane BMI ane makore makumi mana kana kupfuura anonzi anorema zvikuru.
Vatsvakurudzi veTomber Jefferson vakaona kuti varwere vanovhiya avo vaiva nehutano hwehutano hwakanga huine zvikamu gumi nemana zvezana zvinokonzera kukanganisa. Asi muvarwere vanorwara zvakanyanya, chirwere chacho chakakwira kusvika kumazana makumi matatu.
Makomborero Ezvishoma Anowanikwa Mupfungwa Ongororo
Kana yako BMI iri makumi matatu kana kupfuura, kuita chirwere chinodzoka shure kwako kunogona kuwedzera dambudziko repamutemo kune chiremba wako. Kungofanana chete, nyanzvi dzakawanda dzinokurudzira kuti vakawanda vanorwara havafaniri kurambidzwa kuvhiyiwa mushure mekuda kwemamiriro avo.
Minimally invasive chirwere chepfungwa (MIS) chinokonzera ngozi shoma shomanana kupfuura yemaitiro chaiwo, uye inogona kuva sarudzo kwauri.
Chidzidzo che2008 chinosanganisira varwere 58 hachina kukwanisa kuwedzera njodzi dzinowedzera yezvinetso mumatachiona eMIS akanga akaoma kana kuti kudarika.
Kune vakawanda varwere veMIS, marwadzo anotevera nzira yacho haashoma. Izvi zvingava chikonzero chimwe chikonzero nei varwere veMIS vakawanda vanogona kudzokerazve kubasa uye mamwe mabasa nekukurumidza kupfuura avo vane chirwere chekudzokera shure.
IAmerican Academy of Neurosurgeons inoratidza kuti kuderedzwa kunopedzisira kuri kuderedza maviri . MIS inoshandisa fluoroscopy iyo inobvumira kuti zviduku zviduku zviitwe, pamwe nekufamba kwepamusoro kwezvinhu zvinoshandiswa.
Shoko kubva
Kurasikirwa kweuviri kunogona kuva nhamba yako imwe yenzira yekubudirira kubudirira kumashure. Kurasikirwa uremu mushure mekuvhiyiwa kwako kunogona kubatsira kuderedza zvimwe zvezvinhu zvinokurukurwa pamusoro apa zvakadai sekuwana kuongororwa zvakanaka nekuvhiyiwa, kuchengetedzwa kwakachengeteka, kufamba nechigadzirwa chekuvhiya zvakarurama, kuchengeta iwe wakachengeteka uri pasi peanesthesia, iyo inosanganisira kuderedza dambudziko rekupererwa kweperesi, uye nezvimwe.
Izvozvo zvakati, sekunge kune chero upi zvawo upiwe shure, kuedza kutarisirwa kusina kuvhiringidza kutanga kungava pfungwa yakanaka. Izvi zvinogona kureva kuenda kune zvidzidzo zvezvemuviri zvinotsigira kushandiswa kumashure uye kugadzirisa kwekunze.
Kunyangwe kuve uremu hurefu kana hupfupa kunonamatira purogiramu yekurovedza muviri zvakaoma zvikuru, zvingangove zviri mune zvakanakisisa kufarira kuedza. Kune vanhu vazhinji, chirongwa chinonyatsogadzirirwa chirongwa chepurogiramu ndicho chinhu chikuru chekudzivirira chirwere chepamuviri zvachose. American Family Physician inoshuma kuti chirwere chemapurisa-chinotungamirirwa purogiramu yekuita kumba kumarwadzo anorwadza zvakanyanya chingabatsira kuderedza kudiwa kwako kweimwe mishonga yezvechiremba, zvichiita kuti mari inobhadhara inogadziriswa nzira.
Kana kuita zvidzidzo kunoratidza zvakaoma zvikuru, unogona kubvunza mushandi wako nezvekuvhima kwemvura , iyo inowanzova nyore nyore pamafundo.
> Kwakabva:
> Casazza, B., MD Kuziva uye Kurapa kweAlex Low Back Pain. American Family Physician. Feb. 2012. http://www.aafp.org/afp/2012/0215/p343.html
> Epstein, N., Zvimwe njodzi uye zvinetso zvekugadzira mushonga wepasipera muvarwere vanopfuvura zvakanyanya. Surgery Neurol Int. April 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868585/
> Jackson, K., et et. al. Migumisiro Yokuwedzerwa Kwokurapa Kwepasi: Kugadziriswa Kunongororwa kweMabhuku. Global Spine J. June 2016. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868585/
> Press release. Thomas Jefferson University. "Kunyanya Kuderedzwa Kunokonzerwa Nengozi Yakanyanya Yematambudziko Mupinal Surgery." SayenziDaily. Gumiguru 2006. https://www.sciencedaily.com/releases/2006/10/061010022634.htm
> McCormick, P. Lumbar Zvirwere Zvishoma: Kufunga Nevarwere Vose VANHU BANS Bulletin 2008 Gwaro 17 Nyaya 2.