Kusiyana kweHurnied Disc
Munguva ye discectomy, zvikamu zve disc disc herniated iyo inomira pamutsipa kana pamutsipa wepelinha inobviswa chirwere. Kutadza kunokonzerwa apo dhayi inonzi heniated inokonzera marwadzo uye / kana zvimwe zviratidzo zvinosanganisira kushaya simba, kushaya simba kana magetsi kunzwa pasi petsoka kana ruoko.
Apo dhiiniti ye-herniated ndiyo inokonzera, zviratidzo izvi zvinonzi radiculopathy, asi vazhinji vasiri vati varo vanovataurira sa sciatica .
Paunenge uine discectomy, zvose kana chikamu chemarina , iyo inzvimbo yefupa kumashure kwe vertebra, inofanira kubviswa. Izvi zvinoita kuti chiremba chiremba asvike musungo uye disc. Zvichienderana nehuwandu hwetabhenakeri hubviswa, izvi zvinenge zvichange zvine rimwe remazita maviri. A laminectomy inobvisa zvose marina, apo hemilaminectomy inobvisa hafu yemamina.
Discectomy Inodiwa Rini?
Kazhinji yenguva, nzira dzakachengetedza dzakadai semishonga , utachiona hwepanyama, kana steroid majekiseni anoedzwa vasati vavhiyiwa. Kutaura zvazviri, kambani inonzi herniated inoporesa pasina kuvhiyiwa zvachose - asi izvi zvinogona kutora kusvika pagore. Kuva nedzectomy kunogona kupfupisa nguva yako yekuporesa. Kana kurwadziwa kwako kwakanyanya, kana kushaya simba / kushaya simba kunoonekwa, discectomy inogona kuva sarudzo yakanaka, asi kana zviratidzo zvako zvinyoro kana kuti zvisinganzwisisiki, kurapwa kungava zvose zvaunoda.
Chero nzira, kurukurai zviratidzo nezvisarudzo nechiremba wenyu.
Microdiscectomy
Microdiscectomy ndiyo inopedzisira isingaiti nzira yakagadziriswa. Chinhu chiduku chiduku chinoshandiswa muganda uye zviduku zviduku zvakagadziridzwa zvinoiswa mukati rose kusvika pavanosvika padhidhi. Kuvhiyiwa kwose kunoitika kuburikidza nemishonga.
Munguva ye microdiscectomy, mishonga haigoni kutemwa sezvinove panguva yekudzivirira discectomy; panzvimbo yazvo vanodzingwa kunze kwenzira.
Nemhaka yeizvi, nguva yekuporesa inowanzokurumidza uye inorwadza kudarika pane nzira yakazaruka.
Vhura Discectomy
Vhura discectomy chirwere chekudzokera shure . Icho chiri kuitwa munzvimbo yezvipatara pasi pevanhu vakawanda anesthesia. (Zvichida uchongoda kugara muchipatara kwezuva rimwe.)
Kuvhura discectomy kunosanganisira kuita incision iyo inenge 1 "yakareba, mishonga inofanira kutemwa kuti ipe chirwere chekuvhiya chinosvika padhidhi." Sezvakakurukurwa pamusoro apa, izvi zvinoreva nguva yakawanda yekupora kupora kupora kuchadiwa. mushure mekuzarura zvinogona kuva zvinorwadza, zvakare.
Zvimwe kunze kwekusiyana uye matambudziko mumashure-ekupora nguva yekuporesa, iyo nzira mbiri dzinoenzaniswa.
Chidzidzo chediki cha2011 chakabudiswa mu Journal of Orthopedic Surgery (kubva kuHong Kong) chakaona kuti zvose discectomy yakazaruka uye zvishoma nezvishoma zvinokonzerwa nedcectomy zvakakosha zvakafanana mukudzivirira zviratidzo. Asi, vanyori vanoti, kuvhiyiwa kwemaawa mashoma kunoda kugara kwenguva refu muchipatara, pakutanga kunodzokera kubasa nekudzokorora kwedambudziko rekutanga.
Izvozvo zvakati, vanyori vanonyevera kuti minimally invasive discectomy michina inonyanya kukumbira chiremba, uye inoda kudzidziswa kwakananga.
Kusarudza Chiremba Chiremba weDecutectomy
Maviri emapfupa neurosurgeons anoita marudzi akawanda ekuvhiya kumashure, kusanganisira kusaziva.
Chero rudzi rwechiremba ruchave rwakagadzirirwa zvakanaka basa racho. Kusarudzwa kwechiremba wechiremba wekusaziva kwakaburuka kunowedzera kuongororwa kwehutano hwemunhu. Usanonoka kubvunza mibvunzo yakawanda usati wasarudza kuti ndiani achanyatsoita iyo nzira.
Kubudirira kweMatambudziko
Discectomy inoshanda inenge 80 kusvika ku90% yenguva yacho uye kazhinji inobatsira mukurumidzirwa kwekurwadziwa kwemakumbo uye zvimwe zviratidzo. Batsiro re discectomy rinoramba rakagadzikana pane nguva - chidzidzo chakabudiswa mumagazini reSpine chakaona kuti varwere vakawanda vanovhiya vaine ruzivo rwakakwana rwemakore gumi.
Uye chidzidzo che 2017 chakabudiswa munyaya yaNovember 2017 yemagazini inonzi Clinical Orthopedics uye Research yakananga yakawana kuti kupfuura makumi mapfumbamwe nematatu muzana ye discectomy varwere vaifamba zvakanaka makore manomwe mushure mekuita.
Asi ruzivo rwekutsvaga rwakatora mushure megore rimwe, 25% yevashandi vezvevhiya uye varwere vanochengetedza vakachengetedza vaida (zvimwe) chirongwa chepfungwa. Mushure memazana gumi, vazhinji vezvikwata vakazivisa kugadziriswa kwenguva refu kwekutambudzika kwavo, asi izvi zvaiva zvechokwadi kune vamwe vanhu vari muboka rekuvhiya (69%) kupfuura mune boka rekuchengetedza rakanaka (6%.)
Kuita kwekudzokorora kwemaharai ndeyechokwadi. Chirongwa chekugadziriswa kwegore re2015, chakawana kuti mushure memakore maviri, kurwadziwa kunogona kudzoka kusvika ku25% yevarwere avo vane dhigirii imwechete discectomy. Vanyori vanoti izvozvi, zvinenge 6% zvinoda kudzoka zvakare.
Mashoko akanaka ndeokuti kurapwa kwemaitiro ekudzoka kwenguva dzose hakusi nguva dzose. Zvakare, zvidzidzo zvinoratidza kuti kuvhiyiwa nekuchengetedzwa kwakachengeteka kwekuita mushure mokunge mushure mokunge discectomy iwane mitezo yakaenzana maererano nekununurwa kunorwadza.
Zvinetso zveMatambudziko
Pamwe chete nekwanisi ye reherniation (yakakurukurwa pamusoro) njodzi dzinokonzerwa nehutachiona hunosanganisa utachiona, kubuda ropa, kukuvadzwa kumusana wekugara, iyo inopoteredza mutsara , kana kukuvara kumisungo yakasviba, arteri kana mitsetse.
Kana ukacherechedza kubwinya kana kubudiswa kubva pakuchengetwa kwako, kurwadziwa kana kushaya simba pasi pemaoko ako kana gumbo, iwe unofara, une matambudziko ekuzora kana kubuda ropa, dana chiremba wako pakarepo.
Mushure mekunge Makasununguka
Iwe unogona kunge uine kurwadziwa kwepas-opera panzvimbo yekudzidzira iyo nguva pfupi mushure mekuvhiyiwa. Marwadzo kubva paudhi yako ye-herniated inogona kuramba kwenguva yakati, zvakare.
Ndiyo pfungwa yakanaka kutanga kutanga nokukurumidza mushure mekuita kwako sezvaunokwanisa. Izvi zvingangobatsira kukurumidze kupora, kudzivirira kupisa mavara uye kukurudzira musana wako. Mumavhiki mashomanana, unofanira kukwanisa kutasva bhasikoro kana kushambira. Vanhu vakawanda vanodzoka kuzoshanda mumavhiki maviri, 8 zvichienderana nemamiriro ekunyama basa ravo. Kurapa kwepanyama kunogona kukubatsira mukudzokera nokukurumidza kubasa uye mamwe mabasa. Kana chiremba wako asingakutaurire iwe PT, unogona kufunga kumubvunza pamusoro pazvo.
Varwere vazhinji, kunyanya neyokutanga discectomy, vanoita kuti vadzoke zvakare.
Sources:
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> Virk, S., et. al. Chii Chinonzi Kubhadharwa Kwezvinhu Zvisina Kuchinja Pashure Pekutanga Discectomy paNyika Yenyika? Clin Orthop Relat Res. Nov 2017.