Yintoni uTyando lwe-OLIF?
I-OLIF (i-oblique lateral interbody fusion), yindlela encinci yokungena kwi-spinal fusion utyando apho i-neurosurgeon ifikelela kwaye ilungise umqolo ongaphantsi (i-lumbar) ukusuka ngaphambili kunye necala lomzimba.Lutyando oluxhaphake kakhulu.
I-disc ye-intervertebral ingaphambili kuyo yonke i-spinal structure, oko kukuthi, indlela ye-oblique yangaphambili ineenzuzo ezinkulu.
●Indlela yokubuyela umva yangaphambili inendlela ende ekufuneka ihambe kuyo.Kuthatha ulusu, i-fascia, imisipha, amalungu, ithambo, kwaye emva koko i-dura mater ukubona idiski.
● Utyando lwe-OLIF luyi-oblique lateral approach, ukusuka kwindawo ye-retroperitoneal ukuya kwindawo ye-disc intervertebral, kwaye emva koko uchungechunge lwemisebenzi, njengokunciphisa, ukulungiswa kunye nokudibanisa, kwenziwa.
Ke xa uthelekisa iindlela ezimbini ezahlukeneyo, kulula ukwazi ukuba yeyiphi indlela engcono, akunjalo?
I-Advanteji yoTyando lwe-OLIF
1. Inzuzo enkulu ye-oblique lateral approach kukuba utyando oluncinci, oluncinci lwegazi kunye ne-Les scar tissue.
2.Ayikutshabalalisa isakhiwo esiqhelekileyo, ayifuni ukunqumla isistim esiqhelekileyo samathambo okanye inkqubo ye-muscle kakhulu, kwaye ifikelela ngokuthe ngqo kwindawo ye-disc intervertebral ukusuka kwi-gap.
3.Izinga eliphezulu lokudibanisa.Ngenxa yokuphuculwa kwesixhobo, i-OLIF ifakwe ngakumbi ngekheji enkulu.Ngokungafaniyo nendlela yangasemva, ngenxa yokunyanzeliswa kwendawo, i-cage efakiweyo incinci kakhulu.Kucingelwa ukuba ukudibanisa imizimba emibini ye-vertebral kunye, inkulu ikheji efakiweyo, iphezulu izinga lokudibanisa.Okwangoku, kukho iingxelo zoncwadi ukuba ithiyori, izinga lokudityaniswa kwe-OLIF linokufikelela ngaphezu kwe-98.3%.Kuba ikheji ingasemva esondelayo, nokuba ikheji encinci imile okwembumbulu okanye imile okwezintso, indawo ekuhlalwa kuyo mhlawumbi ayikho ngaphezulu kwe-25% kakhulu, kwaye izinga lokudibanisa eliphunyeziweyo liphakathi kwama-85% -91%.Ke ngoko, izinga lokudityaniswa kwe-OLIF lelona liphezulu kulo lonke utyando lokudityaniswa.
4. Izigulane zinamava amahle emva kokusebenza kunye neentlungu ezincinci.Kuyo yonke imisebenzi, kwi-fusion yecandelo elilodwa, emva kokudibanisa phantsi komjelo wendlela yangasemva, isigulane ngokuqinisekileyo siya kufuna iintsuku ezimbalwa zokulawula intlungu kunye nokubuyisela emva kokusebenza.Kuthatha malunga neentsuku ezimbini okanye ezintathu ukuba isigulana siphume kancinci ebhedini sihambe sihamba.Kodwa ngenxa yotyando lwe-OLIF, ukuba wenza nje i-Stand-Alone okanye ukulungiswa okubandakanya isikrufu sangasemva se-pedicle, amava esigulane emva kokuhlinzwa kuya kuba kuhle kakhulu.Ngosuku lwesibini emva kotyando, isigulane sasiziva iintlungu ezincinci kwaye sinokuhamba phantsi.Oku kungenxa yokuba ingena ngokupheleleyo ukusuka kwitshaneli, ngaphandle komonakalo kuwo nawuphi na umgangatho onxulumene nemithambo-luvo, kwaye kukho iintlungu ezincinci.
I-5, i-OLIF yokubuyisela emva kokusebenza ngokukhawuleza.Xa kuthelekiswa notyando lwesiqhelo lwangasemva, izigulane emva kwe-OLIF zinokubuyela ngokukhawuleza kwaye zibuyele kubomi obuqhelekileyo kunye nomsebenzi kungekudala.
Ukuququmbela
Kwinqanaba elithile, izibonakaliso zeteknoloji ye-OLIF zigubungela ngokusisiseko zonke izifo eziphazamisayo ze-lumbar spine, ezifana ne-disc ehlanganisiweyo, i-lumbar spinal stenosis, i-spondylolisthesis ye-lumbar, njl. Kukho ezinye iinkalo ezifuna ukususwa, ezifana nesifo somgogodla. kunye nosulelo olufuna ukususwa ngaphambili.
Ezi zifo zinokunyangwa kakuhle yi-OLIF kwaye zinokufikelela iziphumo ezingcono zotyando xa kuthelekiswa notyando lwemveli lokuqala.
IQela lobuGcisa le-XC MEDICO liyingcali kwi-Spinal System Surgery, inokubonelela ngezisombululo zotyando lweklinikhi kubaxhasi bethu.
Ixesha lokuposa: Jun-08-2022