Lingaliro limodzi lopambana la opaleshoni zampano (mwachizolowezi) -ngakhale atagwiritsidwa ntchito ndi tizilombo toyambitsa matenda, opaleshoni ya mafupa kapena ena-ndizo kuti ngati mwatchulidwa kuti mupite naye limodzi, zikutanthauza kuti mudzakhala opaleshoni yatsopano.
Ngakhale kuti izi siziri zoona nthawi zonse, (ndipo chonde kumbukirani kuti muli ndi ufulu wofufuza maganizo kuchokera kwa dokotala mmodzi), zingakhale zothandiza kwa inu mufukufuku wanu kuti mupeze kafukufuku wambiri kuyang'ana mlingo wogwiritsira ntchito opaleshoni ya msana , njira yomwe amachititsa opaleshoni ya opaleshoni ndi mafupa a m'mitsempha, imatanthawuza mbali iyi.
Mwachitsanzo, Cowan, Dimick, Wainess, Upchurch, Chandler, La Marca adapeza phunziro lawo la 2006, "Kusintha kwa kugwiritsiridwa ntchito kwa msana m'madzi ku United States," zomwe zidachitika m'madera atatu akuluakulu a msana zikuwonjezeka pakati pa 1993 ndi 2003 Nkhuku zonyansa , zimati, zinawonjezeka ndi 89%, pomwe fusions mumzinda wa thoracolumbar (m'madera otsika kwambiri) adadzuka ndi 31%. Ndipo phokoso lamtsempha la msana liwonjezeka ndi 134%!
Ofufuzawo anapeza kuti matenda a chiberekero ndi azinyalala amakula kwambiri kwa odwala omwe anali a zaka zapakati pa 40 ndi 59. Chiwerengero cha fusions choperekedwa kwa odwala zaka 60 kapena kupitanso chinawuka.
Ndipo potsiriza, Cowan, et. al. anapeza kuti monga njira yochiritsira matenda, kupweteka kwa msana kunali kofala kwambiri mu 2003 kusiyana ndi 1997; Mu 1997, inali njira yowirikiza kawiri; mu 2003, cha 19.
Kodi N'chiyani Chimachititsa Kuti Anthu Azivutika?
Wina angaganizire zifukwa zingapo zowonjezereka.
Koma mu phunziro lawo, "United States imachita opaleshoni yowonongeka ya lumbar kuti izi zisawonongeke," Deyo, et. al. analongosola ndondomeko za zipsyinjo za msana zomwe zinaperekedwa pakati pa 1998 ndi 2001. (Iwo amagwiritsa ntchito Project Health Inpatient Sample ndi US Census data kuti achite zimenezo.)
Olemba pulogalamuyi akunena kuti kuwonjezeka kwa njira zowonongeka, zomwe zinali "zazikulu zomwe zikuwonjezeka mu njira zina zamakedzana," zimawoneka kuti zikugwirizana ndi mgwirizano wa FDA wa mapulaneti atsopano.
Deyo, et. al. Onaninso ndemanga kuti panthawiyi, kuwonjezeka kofulumira kwa opaleshoni ya msana kumapezeka mu gulu la anthu 60; m'mawu ena, okalamba ndi okalamba.
Deyo ndi gulu lake akuyitanitsa deta yabwino yokhudzana ndi momwe odwala amatha kukhalira otha msinkhu, podziwa kuti "kuwonjezeka uku sikunayanjanitsidwe ndi malipoti a zizindikiro zofotokozedwa kapena zowonjezereka bwino."
Zotsatira:
Cowan J., Dimick J., Waima R., Upchurch G., Chandler W., La Marca F. Kusintha kwa kugwiritsidwa ntchito kwa msanganizo wa msana ku United States. Neurosurgery. July 2006.
Zinthu ndi Zochiritsira. Webusaiti ya AANS, Tsamba la Chidziwitso cha Odwala.
Deyo R., Gray D., Kreuter W., Mirza S., Martin B. United States amachititsa opaleshoni yokhala opaleshoni yowonongeka. Mphepete. June 2005.
Gologorsky Y., Knightly J., Chi J., Groff M. The Nationwide Inpatient Sampulatifomu yachitsanzo sichitanthauzira bwino momwe angapangire opaleshoni. J Neurosurg Spine. Dec 2014.