Kuenzanisa Kubatsira kwaSpinal Fusion Surgery
Lumbar disc replacement yakatanga sekuwedzera kuve yakakurumbira kurapwa kwevanhu vane mamwe marudzi ekurwadziwa kwepashure. Kutanga kugamuchirwa neU.S. Food and Drug Administration muna 2004, chirwere chepasina rekuvhiya chinotsigirwa chinotsigirwa nemakore echokwadi-kushanda kwenyika, kunyanya kuEurope apo nzira yacho yave ichiitwa kwemakore anopfuura makumi matatu.
Pamusoro peDegenerative Disc Disease
Dhigenerative disc disc chirwere chekurwadziwa chinokonzerwa nekupfekenura kwechikwata chinosara pakati pemapfupa emumusana.
Sezvakagadzirirwa, korona yepasipinha inoumbwa nemapfupa akabatwa anonzi vertebrae. Aya mapfupa akaparadzaniswa nemukati unonzi spinal disc . Iyo disc inoumbwa nehutu asi hunyoroka hugonikiti hunoita kuti huchengetedze nzvimbo uye kuvimbika kwemupenya paunenge uchibvumira kufamba pakati pevheti. Iri sangano rakaoma rinopa isu kugadzikana kunodiwa kumira yakarurama pamwe chete nekugadzikana kwekukotamisa uye kushandura mune dzimwe nzira.
Zvinosuruvarisa, dhayi dzinogona kukonzera matambudziko apo dzinotanga kuzera, dzichiwedzera kukurumidza uye zvishoma nezvishoma kupfeka nguva. Pamusoro payo, rudzi urwu rwekudengenyeka harusi rwechimiro; vanhu vazhinji vachazviona kune zvimwe zvidimbu sezvavanokura. Mune zvimwe zviitiko, zvinogona kukonzera marwadzo uye, mune vamwe, kwete.
Sezvo zvakadaro, kana akatarisana nenhamo isingagadziriswi yemarwadzo emhando ipi zvayo, zvinokosha kuti ive nayo yakaongororwa nemumwe nyanzvi yemapfupa kuti anyore chaicho chinokonzera. Izvi zvingakubatsira kuti urege kuvhiyiwa zvisina kufanira uye utange nzira shomanana yekudzivirira uye yakakodzera.
Kunzwisisa Spinal Fusion Surgery
Mucherechedzo wepineti yava nenguva yakaonekwa sehutachiona hwekurapwa hwechirwere chechirwere chechirwere kana uye kana chete kana mamwe maitiro asina kushandiswa apera.
Izvi zvisati zvaitika, kurapwa kunofanira kunge kwakakwana kune zvisiri izvo zvisingasviki kana kuti zvishoma zvisingasviki zvinoshandiswa zvakadai sekurwisa-kupisa mishonga , chiremba , uye epidural steroid injections .
Kana zvichiratidzwa, chirwere chepamuviri chirwere chinosanganisira kubviswa kwedhairi yakakonzerwa kuti ikurudzire mapfupa ekukura munzvimbo yakasara. Nezvo izvi zvichiitika, nzvimbo yaimbove yakagadzirirwa nekadhi ichazozadza nefupa uye inobudirira fuse vertebrae pamwe chete. Nokudzivirira kufamba kwechikamu ichi, kuponeswa kunorwadza kunowanzova kwakanakisisa.
Zvisinei, pangava nezvinetso zvinogona kuderedza kushanda kwekuvhiya. Pakati pavo:
- Mutengo wekubudirira kwepelinus fusion inenge inenge 80 muzana. Kunyange zvazvo kuiswa kwakakwana hakusi nguva dzose kudikanwa pakununurwa kunorwadza, chero kukundikana kwekuwana fufuro yakakwana yekugadzirisa mapfupa kunogona kuderedza kubatsirwa kwekuvhiyiwa.
- Kugadzira musana wechipfuva kunogona kutungamirira kumutsipa kumashure uye kurasikirwa mukati mekutenderera.
- Nokunyanyisa musana, zvikamu zviri pamusoro uye pasi pekukanganiswa zvinowanikwa mukuwedzera kudzvinyirira. Sezvo zvakadaro, vanhu avo vakawana fusion vane mikana yekugadzirisa matambudziko pamwe chete nedhizinesi dziripo munguva yemberi.
Kubatsirwa uye Njodzi dzeLumbar Disc Replacement
Lumbar disc inoshandiswa yakafanana nedzimwe mhando dzekubatanidza kushandiswa , dzakadai sai dzinosanganisira mabvi kana chiuno.
Inosanganisira kubviswa kwe diski yakakonzerwa iyo inobva yashandiswa nesimbi kana kuti mapurasitiki.
Kubudirira kwekadhi inoshandiswa pakuvhiyiwa ndeyokuti spinal prosthetic inobvumira (uye dzimwe nguva kunyange kudzorera) kufamba kune chikamu chakakanganiswa pasina kutamisa dambudziko kune imwe nzvimbo. Zviri nani kuchengetedza kutenderera kwemupenya paunenge uchikwanisa kufanana nehutano hwekununurwa sekurwadziwa sepinus fusion.
Uyezve, chirwere chinoshandiswa pakushandurwa chinowanzodikanwa kuti chigare kwenguva refu chipatara chiriko, iyo maererano nekuongorora kubva kuCedars-Sinai Spine Centre muLos Angeles, inogona kuderedza zvirwere zvinotapirwa nezvipatara zvinokwana 54 kubva muzana.
Izvi hazvirevi kuti lumbar disc replacement chirurgic haisi kunze kwekukanganisa kwayo. Pakati pavo:
- Bhuku ra2014 rakabudiswa mupepanhau International Orthopedics rakagumisa kuti, nepo rakakosha zvikuru, hapana humwe uchapupu hwokuti lumbar disc replacement ndiyo yakakwirira kune spinal fusion.
- Kunyange zvazvo hutachiona hwema prosthetic huchipa hurumende yakasimba, vanogona kusakara uye vangada kuvhiyiwa mamwe maitiro mumugwagwa.
Nezvo izvo zvichitaurirwa, pakuenzanisa kubatsira kwe disk replacement chirurgical (kusanganisira kuponeswa kwepumusoro, kufamba kwakachengetedzwa, uye kuderera kunoshandiswa kwemitengo) kumusana wepelinha, vanachiremba vakawanda vemajoini nhasi vanobvumidza kushandiswa kwekadhi shanduro senzira yekuvhiya yokutanga pavanenge vachichengetedza musana wepelinha kwekuvhiyiwa kwekupedzisira.
> Sources:
> Buttacavoli, F .; Delamarter, R .; uye Kanim, L. "Kuenzanisa kwemari yevarwere vane ma-3-level maitiro ekugadzirisa mabhuku ekutengesa mabhuku anokwana 360 ° kufananidzwa pamatunhu matatu anoenderana nemagetsi ekutsvaga: kuongorora kunzwira tsitsi kune imwe nzvimbo yeU.S. SAS J. 2010; 4 (4): 107-14. DOI: 10.1016 / j.esas.2010.07.002.
> Wei, J .; Rwiyo, Y .; uye Chaoliang, L. "Kufananidza nekugadziriswa kwebhuku rose rekushandura pamwe nekukanganiswa kwechirwere chetachiona chechirwere chechirwere ichi: meta-kuongororwa kwemiedzo yakarongedzwa nemaitiro." Int Orthop. 2013; 37 (7): 1315-25. DOI: 10.1007 / s00264-013-1883-8.