Musana fusion

Spinal fusion kuvhiyiwa kuti ubatanidze zvachose maviri kana anopfuura mapfupa mumuzongoza saka hapana kufamba pakati pavo. Aya mabhonzo anonzi vertebrae.

Iwe unozopihwa general anesthesia, inoisa iwe muhope huru kuti usanzwe kurwadziwa panguva yekuvhiyiwa.

Chiremba anovhiya anozoita yekucheka (incision) kuti uone musana. Kumwe kuvhiyiwa, senge diskectomy, laminectomy, kana foraminotomy, inowanzoitwa nguva dzose kutanga. Spinal fusion inogona kuitwa:

• Kumusana kwako kana mutsipa pamusoro pemusana. Ungave wakarara wakatarisa pasi. Tsandanyama nematuru zvichaparadzaniswa kuti zvifumure musana.
• Padivi rako, kana iwe uri kuvhiyiwa pazasi yako kumashure. Chiremba anovhiya anoshandisa maturusi anonzi anodzosera kupatsanura zvinyoronyoro, bata zvinyoro zvinyoro senge ura hwako nemidziyo yeropa zvakaparadzana, uye uine nzvimbo yekushanda
• Nechekucheka kumberi kwemutsipa, kuenda kudivi.

Chiremba anovhiya anoshandisa kubatanidza (senge pfupa) kubata (kana kusanganisa) mapfupa pamwe chete zvachose. Kune nzira dzinoverengeka dzekusanganisa vertebrae pamwechete:

• Mapepa emapfupa ekubatanidza anogona kuiswa pamusoro pechikamu cheshure chemusana.
• Bone kubatanidza zvinhu zvinogona kuiswa pakati pe vertebrae.
• Makheji akakosha anogona kuiswa pakati pevhebhiri. Aya mageji anodyarwa akazara nemapfupa ekubatanidza zvinhu.

Chiremba anovhiya anogona kutora pfupa kubatanidzwa kubva kunzvimbo dzakasiyana:

• Kubva kune chimwe chikamu chemuviri wako (kazhinji chakakomberedza pfupa rako repamuviri). Izvi zvinonzi autograft. Chiremba wako achaita chidimbu chiduku pamusoro pepfupa rako uye anobvisa rimwe pfupa kubva kumashure kwerimu rwechiuno.
• Kubva kubhanga remabhonzo. Izvi zvinonzi allograft.
• Chinhu chinotsiva bone chinotsiva chinogona kushandiswa.

Iwo ma vertebrae anogona zvakare kugadziriswa pamwechete nematanda, screws, mahwendefa, kana matanga. Iwo anoshandiswa kuchengetedza iwo vertebrae kubva mukufamba kudzamara pfupa rakabatanidzwa ranyatsopora.

Kuvhiya kunogona kutora maawa matatu kusvika mana.

Spinal fusion inowanzoitwa pamwe chete nedzimwe nzira dzekuvhiya dzemuzongoza. Zvinogona kuitwa:

• Nedzimwe nzira dzekuvhiya dzepinal stenosis, senge foraminotomy kana laminectomy
• Mushure me diskectomy mumutsipa

Spinal fusion inogona kuitwa kana iwe uine:

• Kukuvadza kana kutsemuka kumabhonzo ari muzongoza
• Musana wakaneta kana kusagadzikana unokonzerwa nezvirwere kana mamota
• Spondylolisthesis, mamiriro ayo ma vertebrae anodonhedza kumberi pamusoro peimwe
• Makemikari akasarudzika, akadai seaya anobva ku scoliosis kana kyphosis
• Arthritis mumuzongoza, senge spinal stenosis

Iwe nachiremba wako unokwanisa kusarudza paunoda kuvhiyiwa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Reaction kumishonga, matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzekuvhiya uku dzinosanganisira:

• Utachiona muronda kana vertebral mapfupa
• Kukuvadza kune tsinga yemusana, zvichikonzera kushaya simba, kurwadziwa, kurasikirwa kwekunzwa, matambudziko neura hwako kana dundira
• Iwo ma vertebrae pamusoro uye pazasi peiyo fusion anowanzo svaira, zvichitungamira kune mamwe matambudziko gare gare
• Kuvuza kweropa remusana kunogona kuda kuvhiyiwa kwakawanda
• Kutemwa nemusoro

Udza chiremba wako kuti ndeapi mishonga yauri kutora. Izvi zvinosanganisira mishonga, mahebhu, uye zvinowedzera zvawakatenga pasina mushonga.

Munguva yemazuva asati avhiyiwa:

• Gadzirira imba yako kuitira paunobuda muchipatara.
• Kana iwe uchisvuta, unofanirwa kurega. Vanhu vane musana fusion uye vanoramba vachiputa vangasapora futi. Kumbira chiremba wako kuti akubatsire.
• Vhiki mbiri usati wavhiyiwa, chiremba wako anogona kukukumbira kuti urege kunwa mishonga inoita kuti ropa rako rigone kugwamba. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), nemimwe mishonga yakaita seiyi.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana mamwe matambudziko ekurapa, chiremba wako anovhiya anokukumbira kuti uone chiremba wako wenguva dzose.
• Taura nachiremba wako kana wanga uchinwa doro rakawanda.
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa.
• Rega chiremba wako anovhiya azive nezve chero kutonhora, furuwenza, fivhiri, herpes breakout, kana zvimwe zvirwere zvaungave uine.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezvekusanwa kana kudya chero chinhu usati waitwa.
• Tora mishonga yawakanzi utore nekunwa zvishoma mvura.
• Svika kuchipatara nenguva.

Unogona kugara muchipatara kwemazuva matatu kana mana mushure mekuvhiyiwa.

Iwe unozogamuchira mishonga yekurwadziwa muchipatara. Unogona kutora mushonga wemarwadzo nemuromo kana kupfurwa kana mutsinga (IV). Unogona kunge uine pombi iyo inokutendera iwe kudzora marwadzo ekurapa aunowana.

Iwe unozodzidziswa mafambiro akanaka uye kugara, kumira, uye kufamba. Iwe uchaudzwa kuti ushandise "log-rolling" hunyanzvi kana uchisimuka pamubhedha. Izvi zvinoreva kuti unofambisa muviri wako wese panguva imwe chete, usingamonyanise musana wako.

Unogona kusakwanisa kudya chikafu chakajairika kwemazuva maviri kusvika matatu. Iwe unozopihwa zvinovaka muviri kuburikidza neIV uye zvakare uchadya chikafu chisina kutsetseka. Paunobuda muchipatara, ungangoda kupfeka bhureki yekusimbisa kana kukanda.

Chiremba wako anozokuudza maitiro ekuzvichengeta wega kumba mushure mekuvhiyiwa musana. Tevedza rairo yekuti ungatarisira sei musana wako kumba.

Kuvhiya hakuwanzo kugadzirisa marwadzo uye mune zvimwe zviitiko, kunogona kuita kuti zviwedzere. Nekudaro, mune vamwe vanhu kuvhiyiwa kunogona kushanda pakurwadziwa kwakanyanya kusingaite zvirinani nemamwe marapirwo.

Kana iwe uine kurwadziwa kusingaperi musana usati wavhiyiwa, ungangove uchine marwadzo mushure. Spinal fusion haigoni kutora marwadzo ako uye zvimwe zviratidzo.

Zvakaoma kufanotaura kuti ndevapi vanhu vanozogadziridza uye nekuvhiyiwa kwakawanda sei kunopa, kunyangwe uchishandisa MRI scans kana imwe bvunzo.

Kuderedza uremu uye kurovedza muviri kunowedzera mikana yako yekunzwa zvirinani.

Matambudziko emangwana emusana anogona kuitika mushure mekuvhiyiwa musana. Mushure memusana musana, iyo nzvimbo yakasunganidzwa pamwechete haichakwanise kufamba. Naizvozvo, iyo yemuzongoza ikholamu pamusoro uye pazasi peiyo fusion inowanzo kuve inomanikidzwa kana musana uchifamba, uye zvinogona kukonzera matambudziko gare gare.

Vertebral interbody fusion; Posterior musana fusion; Arthrodesis; Anterior musana fusion; Kuvhiya musana - musana fusion; Kutambudzika kwekudzokera shure - fusion; Herniated dhisiki - fusion; Musana stenosis - fusion; Laminectomy - fusion; Cervical musana fusion; Lumbar musana kusanganiswa

• Kuchengetedzwa kwekugezera kwevakuru
• Kudzivirira kudonha
• Kudzivirira kudonha - chii chekubvunza chiremba wako
• Kuvhiya musana - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika

• Scoliosis
• Spinal fusion - akateedzana

Bennett EE, Hwang L, Hoh DJ, Ghogawala Z, Schlenk R. Zviratidzo zvemuzongoza fusion ye axial pain. Mune: Steinmetz MP, Benzel EC, eds. Benzel's Spine Kuvhiya: Matekiniki, Kudzivisa Kunzvenga, uye manejimendi. 4th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 58.

Liu G, Wong HK. Laminectomy uye fusion. Mune: Shen FH, Samartzis D, Fessler RG, eds. Chinyorwa cheCervical Spine. Philadelphia, PA: Elsevier; 2015: chits. 34.

Wang JC, Dailey AT, Mummaneni PV, et al. Nongedzo yekuvandudza mashandiro eiyo fusion maitiro eakawedzera kurwara kwechirwere chembumburu. Chikamu 8: lumbar fusion yedisiki herniation uye radiculopathy. J Neurosurg Mutsipa. 2014; 21 (1): 48-53. PMID: 24980585 www.ncbi.nlm.nih.gov/pubmed/24980585.