Madokotala ena nthawi zambiri amapereka odwala matenda a discectomy . Koma kodi nthawi zonse ndi kofunikira?
Kawirikawiri, simungapangidwe msangamsanga wamtsempha pamene mukuchitidwa opaleshoni ya disc. Chifukwa chake n'chakuti pakadali pano, kafufuzidwe sichikuthandizani phindu lanu ngati wodwala wa discectomy ndi fusion. Chifukwa cha zotsatira zotsutsana, akatswiri amawona kuti ndalama zowonjezera komanso zomwe zingakhale zovuta zokhudzana ndi thanzi labwino sizili zoyenera, choncho amalephera kulangiza kwa madokotala omwe amatsatira malangizo awo.
Monga ndi chirichonse mu moyo, pali zosiyana, ndithudi. Ngati mumapezeka kuti muli ndi vuto la msana pamodzi ndi disc yanu ya herniated, kafukufuku amasonyeza kuti kusungunuka kungakhale kofunika. Koma zoona zake n'zakuti, anthu ambiri opita ku opaleshoni ya herniated alibe msinkhu wosasinthika. Odwala asanu okha ndi awiri okha, malinga ndi Resnick, et. Zotsatira zake za 2005 zomwe zalembedwa mu Journal of Neurosurgery: Zam'mphepete .
Zowonjezereka zowonjezera pa kuwonjezera msana wamtsempha kwa discectomy zimaphatikizapo kukhala wothamanga ndi / kapena wogwira ntchito lolemetsa ndi ululu wopweteka kwambiri ndi radiculopathy (ululu wa mwendo ndi zizindikiro za mitsempha.)
Ngati izi sizingakhale opaleshoni yanu yoyamba ya disc, kusakanikirana kungakhale kothandiza pano. Kafukufuku woyerekeza kuchitidwa opaleshoni (pokhala ndi opaleshoni yoyamba redone) komanso popanda kusakanikirana amapeza kuti zonsezi zinkathandiza kuthetsa ululu ndi kupititsa patsogolo ntchito. Koma nthawi yokha yomwe kusakanikirana kumatsimikiziridwa motsimikizika ndi discectomy ndi pamene opaleshoni yachiwiri ikuchitidwa kumalo omwewo chifukwa mavuto anu a diski abwerera, kuphatikizapo kuwonongeka, kusakhazikika komanso / kapena kukhalapo kwa ululu wopweteka kwambiri .
Kugwiritsa Ntchito Malangizo Othandizira
Kuyikira kwa chida cha United States ndi njira yatsopano (yomwe ya 2016) yomwe imayesetsa kuthetsa ululu ndi kubwezeretsa kayendetsedwe pakati pa mabotolo ogwidwa ndi matendawa pogwiritsa ntchito njira yowonongeka ya intervertebral ndi prosthesis. Zikuganiziridwa kuti kusungunuka kwa msana, komwe kumabweretsa kusasunthika kumalo kumene njirayi ikuyendera, kumagwirizananso ndi kusintha kosasintha komwe kumachitika m'magulu a msana m'mwamba ndi pansipa.
Chotsulo cha disk chimatha kusokoneza izi.
Ngakhale kuti kafufuzidwe akupitirizabe kuwonjezeka, sikuti mafunso onse onena za m'malo osankhidwa ayankhidwa. Mwachitsanzo, asayansi sakudziwa ngati zikuthandizani kuti mupewe kuwonongeka kwa gawo kapena matenda (ASD). Ndipotu akatswiri ena samakhulupirira kuti ASD imayamba chifukwa cha kusungunuka kwa msana. Mofananamo, msana wachisanu umatengedwa kuti ndi "ndondomeko ya golidi"; ikadali njira yodzisankhira mu mitundu yambiri ya opaleshoni ya msana, ndipo ndithudi pamene malo osungira malo ndi njira ina.
Chitsime:
Kukhalanso, D., Choudhri, T., Daily, A., Groff, M. Khoo, L., Matz, P., Mummaneni, P., Watters, W., Wang, J., Walters, B., Hadley , M. Malangizo othandizira kupanga njira zowonongeka za matenda osokoneza bongo. Gawo 8: Kuphatikizana kwapadera kwa disc and herculoation. J Neurosurg: Champhepete 2: 673-678, 2005.
Wang J., Dailey A., Mummaneni P., Ghogawala Z., Resnick D., Watters W., Groff M., Choudhri T., Eck J., Sharan A., Dhall S., Kaiser M. Guideline ntchito ya fusion ya matenda opweteka a mphuno ya lumbar. Gawo 8: Kuphatikizana kwapadera kwa disc and herculoation. J Neurosurg Spine. July 2014 .. http://www.ncbi.nlm.nih.gov/pubmed/24980585