Mavuto a Kusakanikirana Kwapakati kwa Matenda Opatsirana Opatsirana

Kodi Mukuika Mowopsya pa Gawo Lalikulu Kusinthika?

Ngati mukuganiza opaleshoni ya msana kwa dothi lopweteka kapena vuto linalake, mukhoza kukhala pachiopsezo cha ASD. ASD ndi yaifupi kwa gawo lapafupi, kapena kuvala kwina kwa pamtsempha pamtunda ndi pansi pa fusion. Nazi zifukwa zisanu zomwe zimayambitsa ngozi za ASD.

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Chifukwa cha Opaleshoni Yanu Yobwerera

Malingana ndi matenda omwe amachititsa opaleshoni yanu yammbuyo , mukhoza kukhala pachiopsezo chachikulu cha ASD .

Dr. John Toerge, dokotala wa osteopathic, pulofesa wa zamankhwala ku Yunivesite ya Georgetown, ndi Mkulu wa Zamankhwala a National Rehabilitation Hospital a Musculoskeletal Institute, akuti anthu amene amadwala matenda a msana chifukwa cha matenda osokoneza bongo ali pangozi yaikulu ya ASD. Toerge akunena izi chifukwa chakuti kutaya kwayamba kwayamba kale m'magulu pamwamba ndi pansi pa vutoli, ngakhale kuti simunazindikire zizindikiro. Kawirikawiri, dokotalayo sachita fuse yomwe ili pafupi, akuwonjezera.

Toerge akuti odwala omwe ali ndi matenda aakulu aumphawi angakhalenso pavuto lalikulu la ASD. Iye anati: "Anthuwa ali ndi zinthu zochepa zomwe zingathe kuchepetsa ngozi." "Pokhala ndi mphamvu zowonjezera, odwala ali ndi nyamakazi yochepa kwambiri, ndipo motere, amatha kuchepa msana."

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Zaka zanu

Ambiri amavomereza kuti zaka zimakhala zofunikira kwambiri pa chiopsezo cha ASD.

Pamene tikukalamba, timipira zathu zimakhala zovuta, zomwe zimaphatikizapo lingaliro lakuti opaleshoni yammbuyo imayambitsa ASD. Ndipotu, kafukufuku wina wa 1999 omwe anachitidwa ndi Hilibrand ndipo adafalitsidwa mu Journal of Bone and Joint Surgery , anapeza kuti kuwonetsa kwapadera monga momwe amawonera m'mafilimu (monga MRIs ndi CT scans) kunali imodzi mwazikulu kwambiri zoopsa za ASD.

Dr. Frank P. Cammisa, yemwe ndi mkulu wa opaleshoni yotchedwa Spinal Surgical Service ku chipatala cha opaleshoni yapadera ku New York, anati: "Mbiri ya chilengedwe ya kusintha kwa msana pamtsempha ndi kusintha kwakukulu pozindikira chifukwa cha ASD." "Ngati kusintha kumeneku kumachitika kale pamtsempha wanu, iwo angakhalepo (kapena akhoza kukhala) mu msinkhu umodzi, popanda kapena opaleshoni."

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Malo Opangira Opaleshoni Yanu

Msana wanu uli ndi mapiri otsutsana, omwe amakuthandizani kuti muziyenda bwino pamene mukuyenda. Mitsemphayi imagawidwa m'madera: Khosi ( khola lachiberekero ), chapamwamba ndi kumbuyo kwenikweni ( thoracic ), kumbuyo kwenikweni ( lumbar ), ndi malo a sacral . Ngati opaleshoni yanu ikuchitika pamene mzere umodzi umakhala wotsatira - mwachitsanzo, pamene thoracic imakhala lumbar (T12-L1) - chiopsezo chanu cha ASD chikhoza kukhala chapamwamba.

Nkhalango imatcha madera osinthika "magawo oyenda othandizira." Akuti kukhumudwa pamagulu opitilira nthawi zambiri amakhala ndi mavuto pambuyo pake. Izi zili choncho chifukwa, akuti, kusakanikirana koteroko kungapangitse katundu wochulukirapo pafupi kwambiri, zomwe zingachititse ngozi ya ASD, komanso matenda omwe ali pafupi.

Kuphunzira kwa Hilibrand komwe tatchula pamwambapa kunawona kuti ngozi ya ASD yosiyana malinga ndi malo a fusion. Ofufuzawo anapeza mazinga a C5-C6 ndi C6-7 (awa ndi awiri omwe ali otsika kwambiri m'mitsempha yanu) monga kuika chiopsezo chachikulu cha malo alionse m'khosi kuti asawonongeke osati mafilimu. Magulu awiriwa, kapena maulendo, ali pafupi kwambiri kapena pamagulu omwe amayendetsedwa ndi Dr. Toerge.

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Kutha kwa Fusion

Kawirikawiri, chiopsezo chanu cha ASD n'chokwera kwambiri ngati magulu ambiri akuphatikizidwa.

Dr. Cammisa akuti mavuto a msana omwe amachititsa kuti phokoso lalitali likhale lalitali (maulendo angapo akuphatikizidwa) zimakhala zoopsa kwambiri kwa ASD. Scoliosis ndi chitsanzo cha izi. Cammisa akufotokozera ngati mukuphatikizidwa kuchokera ku T4-L4 (mbali zamagulu oyendayenda, kapena mafupa osakanikirana, omwe amachoka pakati pa chifuwa chanu mpaka pansi pa mimba yanu) kukonza scoliosis, zikutheka kuti pa zaka Ndidzakhazikitsa ASD pa T4-5 ndi L5-S1. (T4-5 ndi L5-S1 ndi magulu oyendayenda omwe ali pamwambapa ndi pansi pa T4 ndi L4, mofanana.)

Ndemanga ya 2016 yomwe ikufalitsidwa m'magazini ya Clinical Spine Surgery fusion kutali ndi chinthu chachikulu chokhudzana ndi kuchepa kwa gawo ndi matenda. Olembawo akusonyeza kuti kuchepetsa chiwerengero cha magulu osokonezeka kungakhale njira yabwino kuposa kusintha momwe kusakanikirana kwachitidwa.

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Kukhalapo Pambuyo Panthawi Yopanda Opaleshoni Yanu

Kukhazikika kwanu, komanso kugwirizana kwa mafupa anu pa opaleshoni, kungakhudze chiopsezo chanu cha ASD. Ngati muli ndi kysisis pa nthawi ya kusakanikirana, mutha kukumana ndi zovuta zanu pamapeto. Izi zingachititse ululu komanso kusintha kwa ASD kusintha. Zingathenso kutsogolera nyamakazi ya msana pamphindi.

Zojambula ziwiri zomwe zimagwirizana ndi chitukuko cha kusintha kwa msana komanso ASD zimagwirizana. Ngati malo anu ali otetezedwa m'mimba mwanu (yotchedwa "retard") pamasana opaleshoni, minofu yomwe imakugwiritsani ntchito yowongoka imatha kutopa mosavuta. Pakapita nthawi, izi zingachititse ululu ndi kusintha kosasintha m'dera lanu la msana.

Mbali ya sacrum yanu pa opaleshoni imapangitsa kusiyana. Kawirikawiri, pamwamba pa sacrum imayenda patsogolo pang'ono (monga momwe mapepala amachitira, zomwe takambirana pamwambapa). Ngati sacrum yanu imakhala yowonekera kapena pafupi ndi mawonekedwe a opaleshoni (zomwe zikhoza kukhala ngati mapepala anu akutsitsimutsidwa), chiopsezo chanu cha ASD chikhoza kuwonjezeka.

Ndipo potsiriza, kodi mumapita patsogolo pamutu? Ngati ndi choncho, ndipo mukukhala ndi msana, msanga wanu wa ASD ukhozanso kuwonjezeka.

Ngakhale zina mwazifukwazi zingathe kuchitidwa ndi dokotala wanu opaleshoni panthawiyi, kumbukirani kuti mumabweretsa pakhomo lanu.

Kwa ambiri a ife, kulumikiza ndi kusonkhanitsa zizolowezi; kwa ena, ndilo gawo lathu. Ngati phokoso lanu, kutsogolo, mutu wa sacral, ndi / kapena mapiritsi oyandikana ndi mitsempha ya m'mimba samapangidwira m'mafupa anu (ndipo nthawi zina, ngakhale atakhala), pakuwona wodwala zakuthupi pazochitika zolimbitsa thupi musanachite opaleshoniyo zingakuthandizeni kuchepetsa chiopsezo chanu cha ASD.

"Kuchita masewera olimbitsa thupi mosamala kuti mukhazikitse malo oopsa kungathandize kwambiri kuchepetsa zizindikiro zanu," akutero Toerge.

_Zotsatira:

_{Cammisa, F., MD, Chief FACS, Spinal Surgical Service ku chipatala cha opaleshoni yapadera. Imelo Kucheza. Jan 2012.}

_{Seti S, Cahill DW. Zowopsa kwa gawo loyandikana lapafupi pambali potsatiridwa ndi lumbar ndi zida zolimba zowonongeka kosasintha.J Neurosurg. 1999; 90 (2 Suppl): 163-9.}

_{Kyoung-Suok Cho, MD, ndi. al. Zinthu Zowopsa ndi Chithandizo Chochita Opaleshoni cha Chizindikiro Chakumapeto Kwambiri Kukonzekera pambuyo pa Lumbar Spine Fusion. J Korean Neurosurg Soc. 2009; 46 (5): 425-430.}

_{Hilibrand, A., MD. ndi. al. Kuchuluka kwa mankhwala ndi mitsempha pa zigawo Zowonjezera ku Site ya Anterior Anterior Cervical Arthrodesis.Yournal Bone ndi Opaleshoni Yophatikiza. 1999.}

_{Lee, CK kuchepa kwadzidzidzi kwa gawo pafupi ndi lumbar fusion.Spine (Phila Pa 1976). 1988 Mar; 13 (3): 375-7.}

_{Levin, ndi. al. Gawo Loyamba Kukonzekera Pambuyo pa Kusakanikirana Kwapakati kwa Matenda Opatsirana Opatsirana. Bulletin ya NYU Hospital for Joint Diseases 2007; 65 (1): 29-36}

_{Schlegel JD, ndi. al. Zomwe zimayambitsa matenda a Lumbar pafupi ndi thoracolumbar, lumbar, ndi lumbosacral fusions. Mpaka (Phila Pa 1976). 1996 Apr 15; 21 (8): 970-81.}

_{Toerge, J. DO, Medical Director Musculoskeletal Institute National Rehabilitation Hospital, Washington, DC. Imelo Kucheza. Jan 2012.}

_{Zhang, C., ndi. al. Gawo Loyamba Kukhazikitsidwa Kulimbana ndi Matenda Pambuyo pa Lumbar Spine Fusion Fusion for Degenerative Pathology: Kusanthula Mwadongosolo ndi Kufufuza Meta. Chipatala chachipatala. Feb 2016 http://www.ncbi.nlm.nih.gov/pubmed/26836484}