Spine Surgery to Bvisa a Herniated Disc
A discectomy chirurudzo chinogadzirwa kuti abvise radhi yake inobva mumugwagwa wepelinha . Apo tsvina yekudzivirira inowanzoitika, chikamu chechidimbu chepinki chinowanzovharwa. Ichi chidimbu chinogona kupikisana nemutsara wepelinha kana mitsipa inopoteredza tambo yepelinha. Uku kudzvinyirira kunokonzera zviratidzo zvinenge zvakasiyana nemakumbo e-herniated, kusanganisira kushungurudzika kwemagetsi , kushaya simba uye kutinhira , uye kushaya simba.
Kushandiswa kwekuvhiyiwa kwekambani yehanied ndeyekubvisa chikamu chepinal disc chinokonzera kushungurudzika kweropa. Iyi nzira inonzi discectomy. Kuvhiya kwetsika kunonzi "discectomy" yakazaruka. Discectomy yakasununguka ndiyo inoshandiswa apo chiremba anovhiya anoshandisa tsvina shoma uye anotarisa dhatema rehenied chaiyo kuitira kuti abvise dhayi uye abvise kusuruvara kwemutsara.
Nzira
A discectomy inoshandiswa pasi peanesthesia. Kuvhiya kunotora nguva inenge awa, zvichienderana nehuwandu hwehutachi hwamambo, hukuru hwechiremba, nezvimwe zvinhu. A discectomy inogadzirwa nemurwere akarara pasi nechiso, uye kumashure kunongedzera kumusoro.
Kuti uibvise chikamu chetambo re-herniated, chiremba wako anoita kuti kuve nekukanganiswa pamusoro pepakati pako. Iyo incision inowanzosvika 3 masentimita murefu. Chiremba wako anobva avhara zvakanyanyisa maronda acho kubva pfupa rako.
Uchishandisa zvishandiso zvakakosha, chiremba wako anobvisa chidiki che bone uye ligament kubva kumashure kwepona. Iyi chikamu cheitiro yacho inonzi laminotomy.
Kana imwe nguva pfupa uye gorosi zvabviswa, chiremba wako anogona kuona, uye kudzivirira maronda emusana. Kamwe kambani yekudzidzira inowanikwa, tsvina yehairini yakabviswa.
Zvichienderana nechitarisiko uye mamiriro echose chinenge chiripo, mamwe mabhuku ehurukuro anogona kubviswa mukuvimba kwekudzivisa imwe chidimbu che disk kubva mukugadzira munguva yemberi. Kana kambani yacho yakacheneswa kubva kunharaunda yakapoteredza mitsipa, iyo incision yakavharwa uye bhanhire inoshandiswa.
Kudzorera
Varwere vanowanzomuka kubva pakuvhiyiwa nekuvandudzika kwekurwadziwa kwemakumbo avo; zvisinei, hazvisi zvisizvo kuti zviratidzo izvi zvitore mavhiki mashoma kuti zvishoma nezvishoma zviparadze. Nhamo dzakapoteredza incision yakajairika, asi kazhinji inonyatsochengetedzwa nemishonga inorwadza mumuromo. Varwere vanowanzopedza husiku humwe muchipatara asi kazhinji vanozobudiswa zuva rinotevera. A lumbar corset brace inogona kubatsira nedzimwe zviratidzo zvekutambudzika asi hazvidikanwi mumatambudziko ose.
Mabasa anozvininipisa anokurudzirwa mushure mekuvhiyiwa, zvakadai sokugara wakarurama uye kufamba. Varwere vanofanira kurega kusimudza zvinhu zvakakomba, uye vanofanira kuedza kusanamatira kana kushandura shure zvakanyanya. Varwere vanofanira kuchengetedza basa rakaoma kana kuti kurovedza muviri kusvikira vajekeswa nachiremba wavo.
Ngozi
Dambudziko rinowanzoitika kune discectomy nderokuti kune mukana wekuti imwe fragment ye disc icharatidza uye inokonzera zviratidzo zvakafanana munguva yemberi. Iyi inonzi inodzokorora disc herniation, uye njodzi yeiyi inoitika inenge 10-15%.
Vakawanda varwere vanowana zororo zvakawanda, kana zvisingaiti, zvezviratidzo zvavo kubva kune discectomy. Zvisinei, kubudirira kwegadziriro yacho inenge 85-90%, zvinoreva kuti 10 muzana yevarwere vanoita discectomy vacharamba vane zviratidzo zvinoramba zvichiitika. Varwere vane zviratidzo zvemazuva akawanda kwenguva refu vasati vambovhiyiwa, kana kukanganiswa kwakanyanya kweuropiritsi (zvakadai sekusava nesimba) kune pangozi yakanyanya yekusagadzikana kwekugadzirisa.
Dzimwe njodzi dzekuvhiya dzinosanganisira maronda emusana, kubuda ropa, uye utachiona. Zvose izvi zvinowanzoitwa kurapwa asi zvinogona kutora nguva yakareba yekurapwa kana kuvhiyiwazve.
Mimwe Miitiro yeChirwere-Inowanzopfuura Chirwere Chirwere
Matanho matsva angaita kuti chiremba wako aite chirongwa chinonzi microdiscectomy uye endoscopic discectomy.
Inonzi microdiscectomy inobata chirwere chinoshandiswa zvishoma zvisingashandisi chinoshandisa zviridzwa zvakananga uye zvisinganzwisisiki zviduku. An endoscopic discectomy chiremba wako anoshandisa zvidimbu zvakasiyana-siyana uye kamera kuti abvise dhiini yake inoshandiswa kuburikidza nezviduku zvishoma.
Iyo endoscopic microdiscectomy ndiyo nzira inopedza chinangwa chimwechete seyendarama yakazaruka discectomy, ichibvisa tsvina yake, asi inoshandisa zviduku zvishoma. Panzvimbo yekutarisa zvakananga zvidzidzo zvebhedheni uye kuibvisa, chiremba wako anoshandira kamera kadiki kuti awane chikamu uye zvishandiso zvinokosha kuti azvibvise. Iyo nzira inogona kunge isingadi kuti anesthesia inowanikwa uye inogadzirwa kuburikidza nekukanganiswa kwemadiki nekacheka kwemavara. Chiremba wako anoshandisa x-ray uye kamera "kuona" apo dhi rekuvhara, uye zvigadzirwa zvinokosha kubvisa chikamu.
Microdiscectomy uye endoscopic microdiscectomy zvakakodzera mune mamwe mamiriro ezvinhu, asi kwete mune zvose. Vamwe varwere vanoshandiswa zviri nani nevechidimbu discectomy yakavhurika. Kunyange zvazvo pfungwa yekukurumidza kudzoka yakanaka, zvinokosha zvikuru kuti chirwere chacho chinonyatsoitwa. Saka, kana yakazaruka discectomy inonyanya kukodzera mumamiriro ako ezvinhu, zvino inofungidzira zvishoma nezvishoma nzira dzisingafaniri kuitwa. Kurukura nachiremba wenyu kana chirwere chisina kuitika chisina kuitika chingakodzera iwe.
Sources:
Mathews HH uye Long BH "Maitiro Mininally Invasive for the Treatment of Intervertebral Disk Herniation" J Am Acad Orthop Surg March / April 2002; 10: 80-85.