Ingaba iCervical Spine Fusion iyimfuneko nini?

Ukuhlanganiswa komlomo wesibeleko kuyadingeka xa uneengxaki ezinkulu. Ezi ziquka ukungazinzi kwentamo embi, uxinzelelo lwemithambo-luvo olungayi kuyeka, okanye intlungu engahambi kakuhle ngolunye ukhathalelo. Oogqirha banokucebisa ngolu tyando kwizinto ezifana nokwaphuka komnqonqo, ukukhubazeka, okanye ukuba olunye utyando alusebenzanga. Le theyibhile ingezantsi idwelisa ezinye zezizathu eziphambili zokufuna ukudityaniswa komlomo wesibeleko:

Unokuyithemba i-XC Medico kunye ne Inkqubo yoMnqonqo . Banika izisombululo ezikhuselekileyo nezikumgangatho ophezulu. Ezi ziyayifikelela imilinganiselo yezonyango yanamhlanje.

Izinto eziphambili zokuThatha

• Ukuhlanganiswa komlomo wesibeleko kuyadingeka ngenxa yokungazinzi kwentamo embi, intlungu eqhubekayo, okanye uxinzelelo lwe-nerve olungaphucukanga kunye nolunye unyango.

• Ezinye izizathu eziqhelekileyo zokudityaniswa komlomo wesibeleko zisifo se-disc degenerative, iidiski ze-herniated, i-spinal fractures, kunye ne-tumor.

• Iimpawu ezinjengeentlungu eziqhubekayo zentamo, iimpawu zoxinzelelo lwe-nerve, kunye nengxaki yokuhambisa intamo yakho kunokuthetha ukuba ufuna ukuxubana komlomo wesibeleko.

• Oogqirha badla ngokuzama unyango olungasebenzisi utyando kuqala phambi kokuba bacebise ukudityaniswa komlomo wesibeleko, ukuqinisekisa ukuba zonke iinketho zizanywa.

• Ukuxutywa komlomo wesibeleko kunokunceda ngeentlungu, ukunika ukuzinza okungcono, kwaye kukuncede uhambe ngcono, oko kunokwenza ubomi bakho bube ngcono kakhulu.

Ifuneka nini iCervical Fusion

Ukuhlanganiswa komlomo wesibeleko kuyadingeka xa intamo yakho idinga inkxaso engaphezulu. Oogqirha bacebisa olu tyando kwiingxaki ezinzulu. Unokuyidinga ukuba unokungazinzi okubi, iintlungu ezingayi kuyeka, okanye umonakalo wemithambo-luvo ongaphucukanga ngolunye ukhathalelo. I-XC Medico Spine System inika oogqirha implants ezikhethekileyo kunye nezixhobo. Ezi zinceda oogqirha botyando ukunyanga ezi ngxaki ngokukhuselekileyo.

Nantsi itafile ebonisa izizathu eziqhelekileyo zokudityaniswa komlomo wesibeleko kwaye kutheni oogqirha bekhetha olu tyando:

Ukungazinzi okumandla

Ukungazinzi okukhulu kuthetha ukuba amathambo okanye iigaments entanyeni yakho azikwazi ukugcina umqolo wakho uzinzile. Oku kunokwenzeka emva kokubetha kanzima, ithambo eliphukile, okanye ukulimala kwe-ligament. Ukungazinzi kunokulimaza intambo yakho yomqolo kunye nemithambo-luvo. Oogqirha bahlala besenza udibaniso lomlomo wesibeleko ukugcina imithambo-luvo yakho ikhuselekile kwaye bayeke ukwenzakala ngakumbi.

Ezinye oonobangela kunye neempawu zokungazinzi kakhulu zezi:

• Ukwaphuka komnqonqo ngesiquphe okanye ithambo elingekho kwindawo

• Ukwenzakala kwiLigament kwingozi

• Uxinzelelo lwe-nerve emva kokuphuka

• Amathumba okanye amaqhakuva aqhekeza amathambo

• Usulelo olufana nesifo sephepha okanye i-discitis

• Ukungazinzi kwe-Atlantoaxial (phakathi kwamathambo amabini entamo yokuqala)

• Ukukhubazeka okukhulu kunye neengxaki zemithambo-luvo

Ukuba unokungazinzi, unokuva iintlungu, ubuthathaka, okanye ukuba ndindisholo. Ungabona intloko yakho ithambekele okanye ube nengxaki yokuhambisa intamo yakho. Ukudityaniswa komlomo wesibeleko kunokugcina ezi ngxaki zingabi mandundu.

Oogqirha bakhetha i-fusion yomlomo wesibeleko ngenxa yokungazinzi kuba intamo ihamba kakhulu. Ukuhamba kakhulu kunokunqanda amathambo ukuba angaphili. Oogqirha botyando basebenzisa ukufakelwa okuqinileyo kunye nokuxhunyelelwa amathambo ukunceda amathambo akhule kunye. Kwiimeko ezinzima, banokusebenzisa zombini iindlela zangaphambili nasemva ukuze bafumane inkxaso eyongezelelweyo.

Isifo seDisgenerative Disc

Isifo se-disgenerative senzeka xa iidiski phakathi kwamathambo entamo yakho zigugile. Oku kuxhaphakile njengoko abantu bekhula. Iidiski ezigugileyo zinokubangela intlungu, ukuqina, kunye neengxaki zemithambo-luvo. Ukuba iyeza, unyango, okanye ukudutyulwa akuncedi, ugqirha wakho unokucebisa ukuxubana komlomo wesibeleko.

Itshathi engezantsi ibonisa ukuba le ngxaki iyenzeka kangaphi:

• Malunga ne-28% yabantu babonisa utshintsho lwediski kwi-X-reyi.

• Malunga ne-13% ineempawu.

• Malunga ne-6% idinga olunye utyando.

Ukuxutywa komlomo wesibeleko kunokunceda ngokumisa ukunyakaza okubuhlungu kunye nokukhusela imizwa. Uninzi lwabantu luqhuba kakuhle emva kotyando. Iingxaki zinqabile, ngakumbi ngokufakelwa kwezinto ezintsha ezifana nezo zikwi-XC Medico Spine System. Oogqirha botyando babona iziphumo ezilungileyo, ngakumbi kwi-fusion yenqanaba elinye.

Iidiski zeHerniated

I-disc ye-herniated ithetha ukuba inxalenye ethambileyo yediski ikhupha ngaphandle kwaye icinezele i-nerve. Oku kunokubangela intlungu ebukhali, ukubetha, okanye ubuthathaka kwiingalo zakho. Ukuba ukuphumla, amayeza, okanye unyango aluncedi, ukuxubana komlomo wesibeleko kunokufuneka.

Oogqirha basebenzisa utyando olubizwa ngokuba yi-anterior cervical discectomy kunye ne-fusion (ACDF). Bakhupha idiski embi baze badibanise amathambo. Oku kumisa iintlungu kwaye kugcine intamo yakho iqinile.

Nantsi itheyibhile ebonisa xa ukuhlanganiswa komlomo wesibeleko kuyadingeka kwiidiski ze-herniated:

Zomibini i-fusion yomlomo wesibeleko kunye nokutshintshwa kwediski kunokunceda intlungu kunye nokunyakaza. I-Fusion iyeka intshukumo kwindawo enyangweyo, ngelixa ukutshintshwa kwediski kukuvumela ukuba uhambe ngakumbi. Ukuphiliswa kwi-fusion kuthatha ixesha elide, kodwa zombini utyando lusebenza kakuhle.

Ukuqhekeka koMnqonqo

Ukuqhekeka komgogodla kuthetha ukuphuka kwethambo elinye okanye ngaphezulu kwentamo. Oku kunokwenzeka kwiingozi zeemoto, ukuwa, okanye imidlalo. Ezinye iifractures ziphilisa ngebrace, kodwa ezinye zidinga utyando. Ukuba amathambo ahamba kakhulu okanye acinezele i-nerve, i-fusion yomlomo wesibeleko yiyona nto ilungisayo.

Iifractures eziqhelekileyo ezifuna ukudibanisa zezi:

• I-C1-C2 i-fractures (amathambo amabini aphezulu entamo)

• I-C1 iphuka ngokushukuma okukhulu

• Ukwenzakala okuphezulu komlomo wesibeleko okungapholiyo ngeplanga

Oogqirha babona malunga ne-90% yezinga lokuphumelela kwinqanaba elinye okanye ezimbini zokudityaniswa komlomo wesibeleko kwezi meko. Iingxaki zakwangoko ngofakelo zinqabile.

Amathumba kunye noSulelo

Amathumba kunye nosulelo lunokwenza amathambo entamo yakho abe buthathaka. Oku kunokubangela intlungu, ukungazinzi, kunye nomonakalo wemithambo-luvo. Ukudibanisa komlomo wesibeleko kunceda ngokukhupha izicubu ezigulayo kunye nokwenza umqolo wakho uzinze.

Oogqirha basebenzisa umxube womlomo wesibeleko uku:

• Nyanga amathumba emathanjeni, kwizicubu ezithambileyo, okanye kwimithambo-luvo

• Lungisa ukungazinzi emva kokususa i-tumor okanye usulelo

• Ukunciphisa uxinzelelo lwe-nerve ekudumbeni okanye ekulahlekeni kwethambo

Itheyibhile engezantsi ibonisa ukuba ukudibanisa komlomo wesibeleko kunceda njani kwezi meko:

Unokulufuna olu tyando ukuba unentlungu, umkhuhlane, okanye iingxaki zemithambo-luvo ezintsha ezingaphucukanga ngamayeza.

Ukukhubazeka koMnqonqo

Ukukhubazeka komqolo kuthetha ukuba intamo yakho igophe ngendlela engaqhelekanga. Oku kunokwenzeka ukususela ekuzalweni, iingxaki zemisipha, okanye ezinye izifo. Ukukhubazeka okuqhelekileyo yi-scoliosis (i-curve esecaleni) kunye ne-kyphosis (i-curve yangaphambili).

Oogqirha basebenzisa umxube womlomo wesibeleko uku:

• Lungisa igophe kwaye uncede ukuma

• Nqanda iingxaki zemithambo-luvo ukuba zibe mbi ngakumbi

• Thintela iintlungu ezizayo kunye nenkathazo

Iindidi zokukhubazeka ezinyangwa ngokudityaniswa komlomo wesibeleko:

• Idiopathic scoliosis

• Congenital scoliosis

• I-Neuromuscular scoliosis

• I-kyphosis yasemva

• Scheuermann's kyphosis

• Congenital kyphosis

Uphononongo lubonisa ukuxubana komlomo wesibeleko kunokunceda ukumila kwentamo kunye nomsebenzi we-nerve. Oogqirha botyando banokusebenzisa ukufakelwa okukhethekileyo kunye neendlela zamagophe aqinileyo. I-XC Medico Spine System inika ukhetho oluninzi kolu tyando lunzima.

I-XC Medico Spine System inceda oogqirha botyando ukunyanga zonke ezi ngxaki. Inokufakelwa komgangatho ophezulu kunye nezixhobo zamatyala alula kunye nobunzima. Unokuthemba imveliso nganye ihlangabezana nemithetho engqongqo yokhuseleko kunye nomgangatho.

Iimpawu eziKhokelela kwi-Cervical Fusion

Xa ucinga ngokuxutywa komlomo wesibeleko, kufuneka ukhangele iimpawu ezithile ezingahambi ngokunyamekela rhoqo. Ezi mpawu zihlala zibonisa ukuba intamo yakho idinga inkxaso engaphezulu okanye ukuba i-nerve ijongene noxinzelelo.

Iintlungu zeNtamo eziZingisayo

Ungaziva iintlungu zentamo ezingabi ngcono xa uphumla, amayeza, okanye unyango. Oogqirha babiza le ntlungu eqhubekayo yentamo. Ngokumalunga ne-27% yabantu abafuna ukuxutywa komlomo wesibeleko banolu hlobo lweentlungu. Le ntlungu inokwenza imisebenzi yemihla ngemihla ibe nzima. Unokuqaphela ukuba iintlungu zihlala iiveki okanye iinyanga, nasemva kokuzama unyango olwahlukileyo.

Ukuba iintlungu zentamo yakho zihlala zibuya okanye ziba nzima, kufuneka uthethe nodokotela wakho.

Iimpawu zoxinzelelo lweNerve

Uxinzelelo lwe-nerve lwenzeka xa kukho into ecinezela imithambo yomqolo wakho. Unokuqaphela:

• Iintlungu ezihamba ngengalo yakho

• Ukuba ndindisholo okanye ukuntyiloza ezandleni okanye kwiminwe yakho

• Ubuthathaka bemisipha kwiingalo zakho

Ezi mpawu zithetha ukuba imithambo-luvo yakho ayisebenzi kakuhle. Ungaziva 'izikhonkwane neenaliti' imvakalelo. Ubuthathaka okanye ii-reflexes ezicothayo nazo zinokubonakala.

Ukulahleka kokuhamba okanye uMsebenzi

Usenokukufumanisa kunzima ukususa intamo yakho. Ukujika intloko okanye ukujonga phezulu nasezantsi kunokuba buhlungu. Abanye abantu baphelelwa ngamandla ezingalweni okanye ezandleni. Usenokulahla izinto okanye ube nengxaki yokuphakamisa izinto. Ukuhamba kancinci kunokwenza ukuqhuba okanye ukufunda nzima.

Iintsilelo zeNeurological

Oogqirha bajonga iintsilelo zemithambo-luvo xa bethatha isigqibo ngotyando. Ezi ziquka:

Ukuba ubona nayiphi na yezi mpawu, kufuneka ubone ingcali yomgogodla. Ukhathalelo lwangethuba lunokunceda ekuthinteleni iingxaki ezingakumbi.

Indlela oogqirha abagqiba ngayo kwi-Cervical Fusion

Xa ubona ugqirha wakho ngenxa yeentlungu zentamo, balandela amanyathelo okunceda ukugqiba ukuba ukuhlanganiswa komlomo wesibeleko kuyadingeka. Oogqirha basebenzisa iimvavanyo, bajonge unyango lwakho lwangaphambili, kwaye bajonge ukuba imbi kangakanani ingxaki yakho.

Iimvavanyo zokuxilonga

Oogqirha baqala ngokubuza ngeempawu zakho. Bafuna ukwazi ukuba unentlungu yentamo okanye ubuthathaka. Bakubuza nokuba uziva iintlungu zemithambo-luvo engalweni yakho. Emva koko, benza uvavanyo lomzimba. Bajonga indlela oyishukumisa ngayo intamo yakho. Bavavanya amandla akho emisipha kunye ne-reflexes.

Nantsi itheyibhile ebonisa iimvavanyo eziqhelekileyo kwaye uvavanyo ngalunye lwenziwa ntoni:

Icebiso: I-MRI kunye ne-CT scans zinceda oogqirha babone umqolo wakho ngokucacileyo. Ezi mvavanyo zibonisa ukuba imithambo-luvo icinezelwe okanye iidiski zonzakele.

UNonophelo oluLungileyo aluphumelelanga

Oogqirha abakhethi utyando ngoko nangoko. Baqala bazame iyeza, unyango, okanye ukuphumla. Ukuba ezi zinto azisebenzi, unokufuna ukudityaniswa komlomo wesibeleko. Oogqirha bajonga iimpawu zokuba iintlungu zakho okanye ubuthathaka bakho abuyi kuba ngcono emva kolu nyango.

Nantsi itheyibhile ebonisa xa ukhathalelo olugcinayo lusilele:

Ukuba usenentlungu okanye ubuthathaka emva kokuzama yonke into, ugqirha wakho unokuthetha ngotyando.

Ubungqongqo bemeko

Oogqirha basebenzisa amanqaku ukuze babone ukuba intlungu yentamo yakho ichaphazela kangakanani ubomi bakho. I-Neck Disability Index (NDI) yinqaku elinye. Ibonisa ukuba zingakanani iintlungu zentamo ezikuyekisayo ekwenzeni izinto. Amanye amanqaku yi-Visual Analogue Scale (VAS) yeentlungu kunye namanqaku e-Japan Orthopedic Association (JOA).

Nantsi itheyibhile echaza amanqanaba e-NDI:

Uphando lubonisa abantu abanamanqaku aphezulu e-NDI banokuthatha ixesha elide ukuphilisa emva kotyando. Oogqirha basebenzisa la manqaku ukunceda ukugqiba ukuba ukuxutywa komlomo wesibeleko kukukhetha okulungileyo.

Qaphela: Ukuba intlungu yentamo ikugcina ungenzi izinto eziqhelekileyo, thetha nodokotela wakho malunga nento ongayenza.

Iindlela ezizezinye kwi-Cervical Fusion

Ukuba unentlungu yentamo okanye iingxaki zemithambo-luvo, unokufuna ezinye izinto onokukhetha kuzo ngaphandle kokuxubana komlomo wesibeleko. Abantu abaninzi baziva bebhetele ngonyango olungadingi kutyando okanye ngotyando oluncinane. Olu khetho lunokukunceda ukuba uphephe ukudibanisa okanye ulinde ixesha elide ngaphambi kokuba uyifune. Bakwakunceda ukuba uqhubeke uhambisa intamo yakho.

Iinketho ezingezizo Utyando

Oogqirha badla ngokuzama unyango olungasebenzisi utyando kuqala. Ezi zinokunceda ngeentlungu kwaye zenze kube lula ukuhamba. Bakwakunceda ukuba ubuyele kubomi bakho besiqhelo. Nalu ukhetho oluqhelekileyo olungasebenzisi utyando:

Icebiso: Unyango lomzimba kunye nenaliti yomqolo inceda abantu abaninzi. Usenokungafuni utyando ukuba olu nyango luyakusebenzela.

Ezinye iiNkqubo zoCando

Ukuba ukhathalelo olungasebenzisi utyando aluncedi, usenolunye utyando ekufuneka uluzame. Olu tyando lulungisa ingxaki kwaye lunceda intamo yakho ihlale iguquguquka.

• I-Cervical Disc Replacement (CDR): Igcina intamo yakho ihamba kwaye ithatha uxinzelelo kwiimbilini.

• I-Endoscopic Lumbar Discectomy: Isebenzisa ikhamera encinci kunye nezixhobo zokususa izinto zediski kunye nokunciphisa intlungu.

• I-Coflex Lumbar Interlaminar Isixhobo: Inika inkxaso yakho yomqolo kwaye ikuvumela ukuba uqhubeke uhamba.

• I-Endoscopic Rhizotomy: Inyanga iintlungu ezihlala ixesha elide ngekhamera encinci kunye nezixhobo. Ibangela ingozi encinci kwizicubu.

• Inkqubo ye-Intracept: Ijolise kwiintlungu zentlungu ngaphakathi kwethambo ngaphandle kokwenza amanxeba amakhulu.

Kufuneka uthethe nogqirha wakho malunga nolu khetho. Olona khetho lufanelekileyo luxhomekeke kwiimpawu zakho, ubudala kunye nempilo. Abantu abaninzi baziva bengcono ngaphandle kokudinga ukuxubana komlomo wesibeleko.

Imingcipheko ye-Cervical Fusion Risks and Benefits

Iinzuzo kwizigulana

Unokubuza ukuba i-fusion yomlomo wesibeleko inceda njani. Abantu abaninzi baziva bebhetele kakhulu emva kolu tyando. Nazi ezinye iingenelo eziphambili:

• Ukuphelisa iintlungu: Uya kuba neentlungu ezincinci zentamo. Utyando lumisa intshukumo ebuhlungu kwaye luthomalalisa uxinzelelo lwemithambo-luvo.

• Uzinzo oluphuculweyo: Intamo yakho iya kuziva izinzile. Oku kwehlisa ithuba lakho lokwenzakala kwakhona.

• Ukuhamba okuphuculweyo: Abantu abaninzi banokuhambisa intamo yabo ngcono. Imisebenzi yemihla ngemihla iba lula.

• Uthintelo lokuwohloka ngakumbi: Utyando lunokuyigcina ingxaki yakho ukuba ibe mandundu.

• Ukunyuka komgangatho wobomi: Ngeentlungu ezincinci kunye nokuhamba okungcono, unokwenza izinto ezininzi ozonwabelayo.

Uninzi lwezigulane zithi intlungu kunye nokunyakaza kwabo kuba ngcono emva kokuhlinzwa. Olunye uphando lufumene i-71% yayinentlungu encinci. Malunga nama-88% bathi impilo yabo yabangcono.

Icebiso: Ukuba wenze utyando kwakamsinya, ungaphila ngcono.

Imingcipheko enokwenzeka

Lonke utyando lunomngcipheko. Kuya kufuneka uyazi ukuba ujonge ntoni emva kokudityaniswa komlomo wesibeleko. Eminye imingcipheko eqhelekileyo yile:

• Usulelo apho kwenziwa utyando

• Ukopha okanye amahlwili egazi

• Ukulimala kwe-nerve okanye ubuthathaka

• Ingxaki yokuginya okanye ukuthetha

Ithuba leengxaki emva kokuhlanganiswa komlomo wesibeleko phakathi kwe-13.2% kunye ne-19.3%. Ukudibanisa ngasemva, malunga ne-15% ukuya kwi-25%.

'Abantu abaninzi banokufumana ukukhubazeka kwe-segmental motor emva kokuhlanganiswa kwe-posterior fusion. Oku kunokwenzeka ukuba umqolo ushukunyiswa ngexesha lotyando. Ingakhama ingcambu ye-nerve kwaye ibangele ukukhubazeka. Abantu abaneengxaki zokuphefumla, njenge-asthma, basengozini enkulu yokusuleleka emva kokuhlinzwa kunabo abangenayo i-asthma.'

Kufuneka uthethe nogqirha wakho malunga nempilo yakho ngaphambi kokuhlinzwa. Oku kunokunceda ukunciphisa umngcipheko wakho kwaye kukunike iziphumo ezingcono.

Unokudinga ukuxubana komlomo wesibeleko ukuba unentlungu enamandla okanye intamo yakho ayizinzanga. Ngamanye amaxesha, iingxaki zemithambo-luvo azibi ngcono ngolunye unyango. Olu tyando lunokukunceda ngeendlela ezininzi:

• Yehlisa iintlungu kwaye igcine intamo yakho iqinile.

• Kuthatha uxinzelelo kwintambo yakho yomqolo kunye nemithambo-luvo.

• Ikunceda uhambe ngcono kwaye ukonwabele ubomi ngakumbi.

Izixhobo ezitsha ezifana nokuhamba kunye nerobhothi zinceda oogqirha ukuba benze utyando ngokukhuselekileyo. Kwakhona benza utyando oluchanekileyo. Kufuneka usoloko ucela iingcebiso kwingcali yomqolo. I-XC Medico's Spine System ikunika ukhathalelo olukhuselekileyo kunye noncedo lweengcaphephe onokumthemba.

FAQ

Yintoni ukuhlanganiswa komqolo wesibeleko?

I-Cervical spine fusion lutyando oludibanisa amathambo amabini okanye ngaphezulu entanyeni yakho. Oku kunceda ukuyeka ukunyakaza okubuhlungu kunye nokukhusela intambo yakho yomgogodla. Oogqirha basebenzisa izifakelo ezikhethekileyo, ezifana nezo ukusuka XC Medico , ukugcina intamo yakho izinzile.

Kuthatha ixesha elingakanani ukuchacha kumxube womlomo wesibeleko?

Uninzi lwabantu lubuyela kwimisebenzi eqhelekileyo kwiiveki ezi-6 ukuya kwezi-12. Ugqirha wakho unokucebisa unyango lomzimba. Ixesha lokuphilisa lixhomekeke kwimpilo yakho kunye nohlobo lotyando.

Ngaba ndiza kulahlekelwa yintshukumo yentamo emva kokudityaniswa komlomo wesibeleko?

Unokuphulukana nentshukumo ethile apho amathambo adityanisiwe. Abantu abaninzi basahambisa iintamo zabo kakuhle. I-XC Medico's Spine System inceda ukugcina intamo yakho izinzile ngelixa ivumela intshukumo ekhuselekileyo.

Ngaba ukudityaniswa komlomo wesibeleko kukhuselekile?

Ukuhlanganiswa komlomo wesibeleko lutyando oluqhelekileyo nolukhuselekileyo. Oogqirha basebenzisa izifakelo ezikumgangatho ophezulu, ezifana nezo zisuka kwi-XC Medico, ukunciphisa umngcipheko. Uninzi lwezigulane ziziva ngcono emva kotyando.

Ndimele ndithethe nini nogqirha malunga nokudityaniswa komlomo wesibeleko?

Ufanele uthethe nogqirha ukuba unentlungu yentamo, ubuthathaka, okanye ubundisholo obungaphucukanga. Ukunyamekela kwangethuba kunokukunceda uphephe iingxaki ezingakumbi.