Unofanira Kuva Nokuvhiya kweCervical Radiculopathy?

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Neck Surgery for Radiculopathy Symptoms

Cervical radiculopathy inogona kuva nemuromo kutaura, asi kana wakambozviona, unogona kunge uchiziva zviratidzo zvayo. Izvi zvinosanganisira kurwadziwa, kushaya simba, kushaya simba uye / kana kugadzikana kwemasimba kunowira pasi.

Cervical radiculopathy ndiyo mamiriro ayo mune imwe kana akawanda emagunha emutsipa mumutsipa wako anotsamwisa kana kuomeswa. Inogona kukonzerwa ne disc disc, maronda arthritis kana stenosis kana mamwe mamiriro.

Mhonje yemasipundu midzi ndiyo mashomanana emagunha ane mutsara anobva mumutsara mukuru wepelinha. Kune rimwe kumativi ose kumativi ose emutsipa wepelinha. Kubva pamudzi, nhengo dzeropa dzinoenda kune dzimwe nzvimbo dzomuviri kuti dzinyore mazwi ekunzwa pamwe nekufamba.

Iwe unoda kuvhiyiwa kwechibereki radiculopathy here?

Mhinduro shoma ndeyekuti, kunyange zvazvo maererano nekuongorora kwechirwere chepervical radiculopathy ya2011, yakabudiswa neChipatara Chekuvhiyiwa Kunokosha (mumagazini yavo) nguva zhinji, varwere vanovandudza pasina iyo.

Vanyori vanorondedzera kuti zvose zvisingatauri uye zvinoshanda zvisati zvichishandiswa kurapwa zvinogona kubatsira varwere kudzivisa nzira dzisina kukodzera.

Asi, vanoti, kuvhiyiwa kunogona kudiwa apo radiculopathy yako inofambidzana nekusaremara kwekufambisa kana kurwadziwa kunokanganisa kusingapindi kutarisira kuchengetedza, kana kupedza nguva.

Zvimwe zvikonzero zvekuvhiyiwa, vanyori vanobvumirana, ndezvokuti zviratidzo zve radiculopathy zvinodzivisa uye mutsipa wakowo wakasimba.

Kana chimwe chezviitiko izvi chichirondedzera zvakaitika kwauri, iwe ungada kuziva kuti zvii zvekuvhiya zvinowanzoitwa kune vanhu vane chirwere chechirwere radiculopathy. Kubvunzurudzwa kwataurwa pamusoro apa kunorondedzera maitiro maviri evanhu vasina kumira. Izvi zvinokurukurwa gare gare munyaya ino.

Rudzi rwechitatu rwekuvhiya, disc arthroplasty, rutsva, asi rinoratidza zvizhinji zvevimbiso. Tichazotaura nezveiyo inotevera.

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Disc Arthroplasty - Unofanira Kuchengetedza Mafungiro Ari Mumuviri Wako Here?

Disc arthroplasty, rimwe remazita mazhinji akapiwa mushonga weppinal chirwere chinodzokorora, ndiyo nzira itsva yehutano hwekuderedza zviratidzo zve radiculopathy. Inoshandiswa zvakanyanya mumutsipa kupfuura pasi yakaderera, kunyange zvazvo kugadzirwa kwemaikisi ekugadzira mabhuku echepasi kumashure zvakare ishizha rakasimba. Zvichida chikonzero chinowedzera hutachiona hwemaarthroplasties hunoitwa mumutsipa kunze kwekuderera shure ndeyekuti mutsipa unokweretesa kune anterior, kana kuti mberi, inosvika iyo vakawanda vanovhiya vanofarira. (Izvi zvinokurukurwa zvakajeka muchikamu chinotevera.)

Sezvo zita racho rinoratidzira, mune dhi rekugadzirisa nzira, hupfeko yakagadzirirwa kutevedzera chimiro nekushanda kwekadhi yakasikwa inoshandiswa kuti igadzirise iyo yakasakara. Zvechokwadi dhi rekare rinobviswa, uye nzvimbo yacho yakacheneswa kunze kwekuti chigadzirwa chisati chaiswa.

Disc arthroplasty inonziwo "kufamba kwekuchengetedzwa kwepine." Izvo zvinowanzoitwa maitiro ekuvhiya zvinowanzobatanidza kufungira nzvimbo, iyo inobvisa mukana wekuti ugare uchifambisa iyo nzvimbo zvakare, kana nzira yacho yapera.

Asi nehurukuro yokugadzirira, chirevo chacho chinofanirwa kuchengetedzwa. Asi kunyatsoziva zvipikirwa zvakachengetedzwa zvinodzivirira hazvisi benzi hunopupurirwa, uye zvinogona kuti iwe uwane chirwere ichi uye ubuda maari haugoni kutamisa mutsipa wako.

Kufanana nedzimwe mutsara, kushandiswa kwebhuku kunoshandiswa kugadzirisa chirwere chechironical radiculopathy uye kurwadziwa kwekutaurirana. Iyo inoshandiswa zvakare pakuvhiya rezvekare.

Ko Dhiyo Arthroplasty Inofananidzwa neIpi Inowanzopiwa Neck Surgery?

Is disc arthroplasty chinhu chikuru chekuedza uye chechokwadi musana wechipfuva?

Dare remhosva rinenge richiri kunze kweiyo, asi nyanzvi yeMedscape mushumo kuti, kubva muna 2014, hakuna humwe humwe hunoti hunoti kuchengetedza kuenderera-iyo inobatsira zvikuru iyo yakaitwa nevatsigiri - mitsva mukudzivirira, kana kuderedza kushanduka kwekugadzirisa pamusoro uye pasi pe kuvhiyiwa nzvimbo.

Icho chimiro chekutsvaira chinonzi chinonzi chidimbu chinopera kana ASD , uye pangozi iyo inotsigira pfungwa kune dzimwe nzira dzekuvhiya. Kugadzirisa kukwanisa kweAIDS kunoratidzira muzvibatanidzi pamusoro kana pasi pepakutanga kwepamupa fusion site, maererano neiyo rep replacement vatsigiri, chikonzero disc arthroplasty yakagadzirwa pakutanga.

Kubva panguva iyoyo, zvidzidzo zvakawanda zvekutsvakurudza nekuongororwa kwezvidzidzo zvakabudiswa. Chidzidzo pamusoro penguva refu nemigumisiro ye disc disc arthroplasty yakabudiswa munyaya yaJune 2016 yeSpine yakawana kuti pamakore manomwe nemakumi manomwe kubva pakurongeka, zvigadziri izvi zvakanga zvichiri kushanda uye zvakaguma zveArthroplasty zvakaenzana neavo vekugadzirisa ACDF nzira ye radiculopathy zviratidzo, panguva imwechete.

Chimwe chidzidzo chaShangguan, chakabudiswa mumagazini yaMarch 2017 yePlSS One , yakawana kuti disc arthroplasty yakapfupisa nguva iyo varwere vaiva mukuvhiyiwa, uye zvakaguma nekufamba kwakanaka kwekufambisa panzvimbo yekuvhiya.

Zvimwe pane izvo zviyero zviviri, zvakagadziriswa nedare rekuvhiyiwa zvakafanana kana zvakafanana kune avo vanobva ku ACDF, asi kwete zviri nani. Matanho akadaro anosanganisira kuti ropa rakawanda rinorasika panguva yekufamba, mitsipa uye kurwadziwa kwemaoko mushure mekuita, uye zvinetso, zvinonzi "zviitiko zvakashata" izvo zvinokura mushure mokunge zvichisimudzwa, zvakare zvakare.

Uye pakupedzisira, dzimwe nguva hazvisi nyore sezvinongova nekodhi imwe chete yakatsiviwa. Kazhinji vanhu vane chirwere cheservic radiculopathy kana kurwadziwa kukuru kunoda kugadziriswa pane imwe nhamba.

A 2017 meta-analysis yakabudiswa muEuropean Spine Journal iyo yakaenzanisa disc arthroplasty neAACDF pazvikamu zviviri zvakatarisana yakawana nzira inofanira kuva yakaenzana maererano nemigumisiro yakawanda yekuvhiya. Izvozvo zvakati, varwere 'vehupenyu hwekufamba-famba kwaive nani zviri nani kune avo vakanga vane nzvimbo dzavo dzakatsiviwa.

Asi kunyange nemigumisiro iyi, vanyori vanonyevera kuti kushandiswa kwema disc pane imwe nhamba yepamusoro kunonzi "kukakavara."

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Anterior Cervical Discectomy uye uye pasina Fusion

Anterior Cervical Discectomy

Yokutanga, uye zvichida yakanyanya kufanana, kuvhiyiwa kwezviratidzo zvechirwere chechirwere chepachivande ndiyo inoratidzirwa yekervical decompression, aka ACD. Mukuvhiya uku, dhiyo inobviswa kuti ibatsire kubvisa zvinetso pamutsipa weperminal root.

Uye sezvatichataura pamusoro pezasi, fusion inoshandiswawo ne ACD uye mumamiriro ezvinhu akadaro, iyo zita re ACDF.

An anterior cervical discectomy ndiyo nzira iyo chiremba anovhiya achipinda mumutsipa kubva mberi (mukati mehuro, kuti ive yakarurama) kuti asvike uye abvise zvakaparadzwa intervertebral disc mashoko. Mune mhirizhonga inonzi cervical discectomy, mitsipa yemutsipa inodzingwa kuti ibudise zvivako zvakasiyana-siyana, kureva, trachea, esophagus, disc, uye mapfupa emupfupa.

Vanyori vekudzokororwa kwambotaurwa kare vanoti, kazhinji, vanachiremba vanofarira nzira yekunze nokuti inovapa mukana wakanakisisa wekudzorera mhembwe yemutsipa wepanyama, kugadzirisa mutsara uye kufanotaura kuti zvinokonzera maruva emutsipa midzi.

Anterior Cervical Discectomy neFusion

Anterior cervical decompression yakaitwa pamwe uye isina kusanganiswa, asi vanachiremba vakawanda vanosarudza kufungidzira.

Izvozvo zvakati, "kushamwaridzana kana kusapindira" chisarudzo chekuvhiya kwechikwata chechikamu chechipiri kana chechipiri chiri kukakavadzana pakati pevadzidzisi vepfungwa. Chidzidzo che 2016 chakabudiswa mu Journal of Neurosurgery: Spine yakawana mazinga akawanda ari kukanganiswa uye akanganiswa, yakawanda mungozi yepasiporesi yemutsipa uye kurwadziwa kwehondo pamwe nemamwe matambudziko.

Kuiswa kwe hardware, kureva, mahwendefa, zvivharo, zvigadziro uye zvakadai sokubatsira kwangu mikana yako yekubudirira kunobudirira, maererano nevanyori. Vanyori vanotaurawo kuti hardware inogona kubatsira kuderedza nyaya dzekuita (kyphosis, kunyanya) pamwe nemamwe marudzi emapfupa emapfupa emapfupa.

Kazhinji kana iwe uine huwandu huwandu humwe huri kukanganiswa, chiremba wako anovhiya achishandisa ndiro yekare. Izvi ndezvokuchengetedza kwako uye kubudirira kwebato racho.

Asi zvinetso zvinogona uye zvinoitika. Muchiitiko ichi chiremba wako angaratidza kusunungura kwekare hardware kubva kuvhidhiyo yeAACD, iyo inoda imwezve nzira inoparadza.

Unofanirwa Here Kubvumirana neFusion ?

Uyu mubvunzo unonyengera unobva pane zvakasiyana-siyana zvezvinhu. Zvakare, kana chiremba wako achivhiya paanopfuura imwechete yepamusoro yepamusoro mako, mhinduro yacho inogona kuva hongu. Asi kuongorora kwebhuku ra2012 rakabudiswa muWorld Orthopedic Journal rakawana zvishoma, kana pane musiyano pakati pemigumisiro kubva ku ACD ne ACDF. Vaya vatsvakurudzi vakawana humwe uchapupu hushoma hwokuti kuva nekubatanidzwa pamwe neAACD (kureva, ACDF) kuvhiya kwakabereka zvirwere zvinopfurikidza zvekuvhiya kupfuura yakakwana ACD.

Zvakanakisisa kukurukura zvaunogona kuita nevarapi vako zvizere, uye tora mhinduro yechipiri kana iwe une mibvunzo kana zvinetso pamusoro pechisarudzo ichi chinokosha.

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Laminoforaminotmy yeCervical Radiculopathy Symptoms

Chirwere chinotevera chinowanzoitirwa chirwere chepervical radiculopathy, chinonzi posterior cervical laminoforaminotomy, inotora posterior, kana kumashure, inosvika.

Pamusoro peRaminoforaminotmy yeCervical Radiculopathy Symptoms

Iwe usatizaza nguva ino inotyisa, regai tiiparadzanise kuti tinyatsonzwisisa kuti ndeipi iyo nzira iripo. Sezvatave takurukura, kupera shure kunoreva nzira kubva kumashure, uye chiberekero chinoreva mutsipa wako. Icho chinokwana-chiremera chinoreva kudururwa asi kwete kubvisa.

Izwi rokuti "lamino" uye "foramino" rinoreva nzvimbo dzomupinha bone uye / kana koromo.

Ita marina ndeye chikamu chemhete yebony mushure meumwe munhu vertebra. Iyo marina inowedzera mushure mutsindo unopera kune rumwe rutivi rwe vertebra, kusvika kune imwe, kurutivi rumwe, rwehutachiona huri shure.

Izwi rokuti foramina rinoreva gomba, uye paanenge achitaura pamusoro pemusana, rinoreva masango kune rumwe rutivi rwemutsara wepelinha pazvikamu zvose, zvakagadzirwa nemaviri maviri akavakidzana, akaiswa (1 kumusoro uye 1 pasi) vertebrae.

Imba yakagadzirwa nemaspine musinga midzi, uye marina ndiwo chikamu chemapfupa ega anoita denga uye pasi reforamina.

Itai Kuti Zvose Zvadzoke Pamwe - Chii chinonzi Laminoforaminotomy?

Kuzvidzorera pamwe zvakare, izwi rokuti posterior cervical laminoforaminotomy ndiyo nzira iyo chiremba anovhiya achipinda nechekumutsipa komutsipa kuti adzore, asi kwete kubvisa imwe, mbiri kana mbiri dzezvikamu zvepamusoro; iyi ingadai iri lamina, iyo iri kumashure kweganda rimwe nerimwe, uyewo imwe kana mamwe emakomba ari kurutivi.

Iyi nzira inogadziriswa kuitira nzvimbo yehutu. Chinangwa chekuvhiya ndechokubvumira kudengenyeka kwemitsipa kuburikidza neforamina kuti irege kuitika. Nokubvisa mapfupa mumatina uye / kana kuti foramina , musana wacho unonzi "wakaodzwa mwoyo."

Nzira Yakasvibiswa Kumakumbo Okuvhiya - Makomborero

Zvakanakira kushandisa nzira yakasvikira ndeyekuti kukanganiswa hakuwanzodiki uye kuti chiremba anokwanisa kuchengetedza kunaka kwepelinha nekuenzanisa.

Izvo zvinokanganisa ndezvokuti kuwanda kwekuderedzwa kunogona kuitika mukuvhiyiwa kwakafanana neizvi kunogumira. Nekudaro, maererano nekudzokororwa kunotaurwa pamusoro apa, kushandiswa kwakanakisisa kwemaitiro apfupi kunogona kunge kuri kubvisa zvinyoro zviduku zvinotapira zvinokonzera neuroforaminal spinal stenosis , mamiriro ezvinhu anokwanisa uye anokonzera chirwere chechiredhi radiculopathy.

Kana zvasvika kune iyo, kusarudzwa kwekuvhiya kune zvakawanda zvine chokuita nemashandiro ako anoita chiremba uye kukwanisa kuchengetedza kugadzirwa kwepamuviri uye kuenzanisa panguva uye mushure mekugadzirisa, chiitiko chinopedzisa.

_Sources

_{Botelho, Richardo, V., uye. al. Kusarudzwa Kwokuvhiyiwa Kwakanakisisa Mushure mekunge Nhamba Yakadzika Anterior Cervical Spine Discectomy: Ongororo Yakarongeka. Vhura Orthop J. March 2012. Yakasvika muna Jan 2016.}

_{Caridi, John M., MD, Pumberger, Matias, MD, Hughes, Alexander, P., MD Cervical Radiculopathy: Ongororo. Chipatara Chekuvhiya Kunokosha. Sept. 2011. Yakasvika muna Jan 2016.}

> Sasso W. Murefu weMitambo yeMakiriniki Emigumisiro yeCervical Disc Arthroplasty: Inofanirwa, Randomized, Kudzorwa Chiedzo. Wakapona. June 2016. https://www.ncbi.nlm.nih.gov/pubmed/27333341

> Shangguan, L. Tsvaga cervical disc arthroplasty uye anterior cervical discectomy uye fusion muzvirwere zvechirwere chechirwere chechirwere: Meta-analysis. PLoS One. Kurume. 2017 https://www.ncbi.nlm.nih.gov/pubmed/28358860

> Zou, S. Anterior cervical discectomy uye fusion (ACDF) pamwe nekervical disc arthroplasty (CDA) yezvikamu zviviri zvinokonzera kervical dis degenerative disease: meta-analysis ye randomzed controlled trials. Eur Spine J. April 2017 https://www.ncbi.nlm.nih.gov/pubmed/27314663