Vamwe vanachiremba vanowanzopa musana wechipinha kuvarwere vavo vasingazivi . Asi nguva dzose inodiwa here?
Kazhinji, iwe haungatongopi kupiwa mushonga wepelinha paunenge uchivhiyiwa nehadhi. Chikonzero ndechekuti kusvika ikozvino, kunyanya, tsvakurudzo haibatsiri zvakakunakira iwe semurwere we discectomy ne fusion. Nemhaka yemigumisiro inopesana yekudzidza, nyanzvi dzinowedzera kuti mari yakawedzerwa uye yakakosha yezvinetso zvehutano zvakabatana hazvina kukodzera, saka vanorega kuzvikurudzira kuvarapi vatsva vanotevera mazano avo.
Sezvo nechinhu chipi nechipi muhupenyu, pane zvakasiyana, zvechokwadi. Kana iwe ukawanikwa uine kusagadzikana kwepasipo pamwe nekadhi yako ye-herniated, tsvakurudzo inoratidza kuti fusion inogona kuva yakakosha. Asi chokwadi ndechokuti, vanhu vakawanda vanoenda kuvhiya nokuda kwekodhi yekodhi haina hutachiona husina kusimba. Vanenge 5% chete varwere vanoita, maererano neResnick, et. al in yavo 2005 Mirayiridzo yakabudiswa mu Journal of Neurosurgery: Spine .
Zvimwe zviitiko zvakajairika zvekuwedzera mumutsipa wepelinha kune discectomy zvinosanganisira kuva mutambi uye / kana guru rinoshanda mushandi ane chirwere chisingaperi chisingarware uye radiculopathy (kurwadziwa kwemakumbo uye zviratidzo zvehutano.)
Kana izvi zvisingasviki kuvhidhiyo yako yokuvhiya, fusion inogona kubatsira pano zvakare. Kutsvakurudza kuenzanisa kushandiswazve (kuve nekuvhiyiwa kwokutanga redone) uye uye pasina kusanganiswa kwakawanikwa kuti zvose zvakabatsira mukudzivirira marwadzo nekuvandudza basa. Asi nguva chete yekugadzikana kunonyatsorongedzerwa ne discectomy ndeye apo chirwere chechipiri chiri kuitwa munzvimbo imwechete nokuti matambudziko ako ehurukudzo adzoka, pamwechete nehutachiona hwakashata, kusagadzikana uye / kana kuvapo kwehupenyu husingaperi huri shure .
Kugadziriswa kweDhi rekushandisa
MuUnited States maitiro ekugadzirisa tsvina ndeye itsva (yegore ra2016) inoshandiswa kugadzirisa marwadzo nekudzorera kufamba pakati pemiti yakasvibiswa nekutora nzvimbo yakasvibiswa inonzi intervertebral disc ne prosthesis. Inofungidzirwa kuti musipinha fusion, iyo inoguma kusingaoneki munzvimbo iyo nzira yacho yaitwa, inosanganiswa nekupedzisira kuchinja kwekuchinja kunowanikwa mumumhanyi wemasana kune kumusoro uye pasi.
Kushandura tsvina kunogona kunyanya kudzivisa kupera uku.
Kunyange zvazvo tsvakurudzo inoramba ichingowedzera, haisi mibvunzo yose pamusoro pekugadziriswa kwekadhi yakapindurwa. Semuenzaniso, vasayendisiti vachiri vasingazive kana zvichinyatsokubatsira iwe kudzivisa kusvibiswa kwechikamu chekufa kana chirwere (ASD). Ichokwadi, dzimwe nyanzvi haitendi kuti ASD inokonzerwa nemusana wekunamatira zvachose. Zvakangofanana, musana wechipfuva unonzi "yegoridhe standard" nzira; iyo ichiri nzira yekusarudzwa mumarudzi akawanda ekuvhiyiwa kwepemusoro, uye zvechokwadi kana kushandiswa kwe disc kana imwe nzira.
Kunobva:
Kurambazve, D., Choudhri, T., Zuva nezuva, A., Groff, M. Khoo, L., Matz, P., Mummaneni, P., Watters, W., Wang, J., Walters, B., Hadley , M. Nhungamiro yekushanda kwekugadzirisa zvirwere zvechirwere chinokonzera chirwere chepumbwe. Chikamu 8: Kubata fusion ye disc disclaimer uye radiculopathy. J Neurosurg: Nharaunda 2: 673-678, 2005.
Wang J., Dailey A., Mummaneni P., Ghogawala Z., Resnick D., Watters W., Groff M., Choudhri T., Eck J., Sharan A., Dhall S., Kaiser M. Guideline update ye kushanda kwe fusion nzira dzechirwere chinokonzera chiremera chemberi. Chikamu 8: Kubata fusion ye disc disclaimer uye radiculopathy. J Neurosurg Spine. July 2014 .. http://www.ncbi.nlm.nih.gov/pubmed/24980585