Pseudoarthrosis ndi mawu omwe amagwiritsidwa ntchito kufotokoza zomwe zimachitika pamene msakani wosakanikirana sagonjetsa. Kusakanikirana kwa msana ndi mtundu wa opaleshoni yammbuyo yoperekedwa kwa mavuto osiyanasiyana kuphatikizapo osangokhalira kukonza mapiri a Scoliosis, mavuto a disc kapena / kapena kufooka kapena kusakhazikika kwa msana (zomwe zingathe kukhala ndi matenda kapena chotupa). Cholinga chachikulu cha msana wa msana ndi kuchepetsa kupweteka ndi kusintha ntchito.
Kwa spinal stenosis ndi / kapena radiculopathy, cholinga chotseketsa, kapena kupumira, mitsempha ndi / kapena msana wamtsempha pamene akudutsa pamphindi.
Malingana ndi American Academy of Orthopedic Surgeons (AAOS), kusungunuka kwa msana kumathandiza kwambiri. Lingaliro ndi kulumikizana nawo pafupi, zowawa zaperebrae palimodzi ndipo, pakapita nthawi, ziwalole kuti ziphatikize mu imodzi, fupa lolimba.
AAOS imanena kuti (nthawi zambiri pamodzi ndi "zida" monga ndodo, screws, ndi / kapena waya) zonse zamtsempha zimaphatikizapo kuyika mtundu wina wa mafupa pakati pa vertebrae yomwe imamera limodzi pamodzi. Nkhaniyi imatchedwa bone graft. AAOS imati kuphatikizidwa kumapangitsa kuti mafupa apangidwe ndipo kumapangitsa kuti machiritso ndi osakaniza.
Zimayambitsa
Koma chimachitika ndi chiyani ngati msana wa msana usatenge? Madokotala amatchula izi ngati "osagwirizana" kapena pseudoarthrosis. Ngati simunagwirizanitse, simungapangitse mafupa okwanira pokhapokha mutangoyamba njirayi.
Kawirikawiri, machiritso osauka a mafupa ndiwo omwe amatsogolera ku pseudoarthrosis. Nthawi zina izi zimakhala chifukwa chokonzekera ndi / kapena zomwe zimachitika pa opaleshoni; nthawi zina ndi chifukwa cha zinthu zomwe mumabweretsa patebulo monga kusuta fodya kapena kutenga steroids.
Pseudoarthrosis ndi Kusuta
Mzerewu pansipa umapereka mtundu wa "inu vs iwo" Kuyerekezera ndi pseudoarthrosis zoopsa.
Zindikirani kuti kukhala wosuta ndikokwera pamwamba pa mndandanda wa Zochitika Zathanzi . Ndikudziwa kuti ndizovuta kusiya kusuta fodya, koma muyenera kudziwa kuti madokotala ochipatala sangapitirize kusuta fodya (kupatulapo ngati moyo wanu uli pangozi popanda.)
Chifukwa chiyani? Chifukwa kusuta kungayambitse kuchepa kwa 33% potsata fusion, malinga ndi madokotala ochita opaleshoni Steven Ondra ndi Shaden Marzouk m'nkhani yawo "Revision Strategies kwa Lumbar Pseudarthrosis" yofalitsidwa pa webusaiti ya Medscape. Amati chifukwa chake kusuta kumawombera mitsempha yanu komanso kumachepetsa kuchuluka kwa mitsempha ya magazi ku malo a fusion. Kuti apambane, fusions amafunikira magazi kuti mitsempha yatsopano ndi yatsopano yamagazi (yomwe imakhala ndi diameter) imatha kupulumutsa.
| Zinthu Zathanzi | Zinthu Zochita Opaleshoni |
|---|---|
| Kusuta | Chiwerengero cha makamu chinasokonekera |
| Kunenepa kwambiri | Mtundu wa fusion anachita |
| Kugwiritsa Ntchito Steroid Yosatha | Kusankha kwazitsulo zamatabwa (ndi autograft okondedwa). |
| Osteoporosis | Ulili ndi kukonzekera kwazumikizidwa pamwamba |
| Matenda a shuga | Kuyika kwazitsulo |
| Kusadya zakudya m'thupi | Kugwiritsira ntchito zipangizo zopangira opaleshoni kuti msanawo ukhale wogwirizana ndi kusungunuka pambuyo pa opaleshoni (yotchedwa kukonza mkati.) |
| Matenda a kutupa nyamakazi | Kodi uwu ndi opaleshoni yomasulira? |
| Matenda ena aakulu | |
| Pseudoarthrosis yapitayi |
Pogwiritsa ntchito opaleshoni, Scoliosis Research Society inati ngakhale ngakhale opaleshoni yabwino kwambiri, chiopsezo cha pseudoarthrosis ndi osachepera 5% - 15%. Ochita opaleshoni ayenera kuganizira zachinthu chodziwika bwino komanso chokhachokha, chikhalidwe cha "malo" ophatikizidwa ndi zinthu zina.
Pseudoarthrosis ndi Zinthu Zojambula Zamtundu
Malinga ndi zomwe mungagwiritse ntchito pazitsulo zamatabwa, pamene pali mwayi wambiri, kuphatikizapo kupanga nsapato za mfupa, akatswiri amavomereza kuti kugwiritsa ntchito fupa la wodwalayo (lotchedwa autograft) kuli bwino.
Koma izi sizingatheke nthawi zonse. Zimatengera zinthu monga thanzi lanu labwino, zomwe mzere wanu, msana kapena malo ena omwe mafupa amatengedwa) zimakhala ngati ngati kugwiritsa ntchito zipangizo (ie, ndodo, screws / / waya) zikukonzekera ndipo ngati kusakaniza kudzachitidwa kutsogolo kapena kumbuyo.
Kawirikawiri, anterior gawo fusion (anterior amatanthauza kutsogolo ndi chithunzi amatanthauza thupi lenileni zomwe zidagwidwa kuti apange msana wako). Ngakhale ndi zosiyana zonsezi, ngati mwakhalapo ndi pseudoarthrosis musanafike ndipo mukupyola opaleshoni yowonongeka, kugwiritsa ntchito zinthu zoyenera kuzigwiritsa ntchito.
Kuzindikira Pseudoarthrosis
Nthawi zambiri madokotala amavutika kupeza pseudoarthrosis. Chifukwa chimodzi cha izi ndi chakuti mukhoza kapena simukuzindikira zizindikiro. Chifukwa china n'chakuti palibe amene anganene motsimikiza kuti opaleshoni yako ya msana ikupweteka bwanji kapena zizindikiro zina zingachitike. Mutha kumva ululu kuchokera ku miyezi ya pseudoarthrosis kapena ngakhale pambuyo pa opaleshoni ya msana.
Ndipo potsiriza, nthawizina pseudoarthrosis ndi khungu kakang'ono kwambiri m'phfupa, kuwonetsetsa kuti filimuyo ikhale yovuta, ngati sizingatheke, kwa owerenga radiologist.
Chithandizo cha Pseudoarthrosis
Chithandizo cha pseudoarthrosis chikhoza kuyamba mwachindunji ndi mankhwala, mankhwala othandizira kapena kupweteka kwa ululu. Ngati izi sizikuthandiza kuthetsa zizindikiro zanu, dokotala wanu angapangire kuti akukonzanso opaleshoni .
Zotsatira:
AAOS. Kuthamanga kwa msana. Webusaiti ya OrthoInfo. http://orthoinfo.aaos.org/topic.cfm?topic=a00348
Scoliosis Research Society. Pseudoarthrosis. Kukalamba Kwambiri. SRS intaneti. https://web.archive.org/web/20150214215129/http://www.srs.org/patient_and_family/the_aging_spine/pseudarthrosis.htm
Ondra, S., MD, Marzouk, S., MD Revision Strategies kwa Lumbar Pseudarthrosis. Webusaiti ya Masewera. http://www.medscape.com/viewarticle/462180_2