Diskectomy

Diskectomy kuvhiyiwa kuti ubvise zvese kana chikamu chemusvusvu icho chinobatsira kutsigira chikamu chepamuviri wako. Aya makushingi anonzi ma disks, uye iwo anokamura mapfupa ako emusana (vertebrae).

Chiremba anovhiya anogona kuita disk kubviswa (diskectomy) munzira idzi dzakasiyana.

• Microdiskectomy: Paunenge uine microdiskectomy, chiremba anovhiya haafanire kuvhiya zvakanyanya pamapfupa, majoini, mitsipa, kana mhasuru yemuzongoza wako.
• Diskectomy muchikamu chezasi chemusana wako (lumbar spine) inogona kuve chikamu chekuvhiya kukuru uko kunosanganisirawo laminectomy, foraminotomy, kana musana fusion.
• Diskectomy mumutsipa wako (cervical spine) inowanzoitwa pamwe ne laminectomy, foraminotomy, kana fusion.

Microdiskectomy inoitwa muchipatara kana kunze kwekuvhiya nzvimbo. Iwe unozopihwa musana wekunzwa (kuti ubate nzvimbo yako yemuzongoza) kana general anesthesia (yakarara uye isina kurwadziwa).

• Chiremba anovhiya anoita diki (1 kusvika 1.5-inch, kana 2.5 kusvika 3.8-centimeter) incision (cheka) kumusana kwako uye inofambisa tsandanyama dzekumashure kure nemuzongoza wako. Chiremba anovhiya anoshandisa maikorosikopu chaiyo kuti aone dambudziko dhisiki kana dhisiki uye tsinga panguva yekuvhiyiwa.
• Mutsipa wetsinga uripo uye zvinyoro nyoro uchienda kure.
• Chiremba anovhiya anobvisa dhisiki rakakuvara uye zvidimbu zve diski.
• Tsandanyama dzekumashure dzinodzoserwa panzvimbo.
• Iyo incision yakavharwa netambo kana sadza.
• Kuvhiya kunotora anenge 1 kusvika 2 maawa.

Diskectomy uye laminotomy zvinowanzoitwa muchipatara, uchishandisa general anesthesia (yakarara uye isina kurwadziwa).

• Chiremba anovhiya anoita akacheka akakura kumusana kwako pamusoro pemusana.
• Misumbu uye zvinyama zvinofambiswa zvinyoronyoro kuti uburitse musana wako.
• Chikamu chidiki chelamina bone (chikamu chemuzongoza chakakomberedza musana wesipinha nemitsipa) chinotemwa. Kuvhura kwacho kungave kwakakura seyakagundika inomhanya nemusana wako.
• Buri diki rinotemwa mu diski iri kukonzera zviratidzo zvako. Zvinyorwa kubva mukati me diski zvinobviswa. Zvimwe zvidimbu zve diski zvinogona zvakare kubviswa.

Kana rimwe remadhisiki ako rikabuda kunze kwenzvimbo (herniates), iro jeli rakapfava mukati rinosunda nemadziro edhisiki. Iyo diski inogona kubva yaisa kumanikidza pamutsipa wepelinha uye tsinga idzo dziri kubuda kunze kwepamuviri kora.

Zvizhinji zvezviratidzo zvinokonzereswa nedhisheni dhizaini zviri nani kana kuenda nekufamba kwenguva pasina kuvhiyiwa. Vazhinji vanhu vane marwadzo ekudzokera kumashure kana emutsipa, chiveve, kana kunyangwe hushoma hushoma hunowanzotanga kurapwa nemishonga inorwisa-kupisa, kurapwa kwemuviri, uye kurovedza muviri.

Vanhu vashoma chete vane herniated disk vanoda kuvhiyiwa.

Chiremba wako anogona kukurudzira diskectomy kana iwe uine herniated disk uye:

• Kurwadziwa kwegumbo kana ruoko kana chiveve izvo zvakashata kana kuti hazvisi kuenda, zvichiita kuti zviome kuita mabasa ezuva nezuva
• Kukanda kwakasimba mumhasuru dzeruoko rwako, gumbo repasi kana magaro
• Marwadzo anopararira mukati memagaro ako kana makumbo

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinetseka kuita ura hwako kana dundira, kana kurwadziwa kwacho kwakanyanya zvekuti mishonga yakasimba yekurwadziwa haibatsire, unofanirwa kuzovhiyiwa ipapo ipapo.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Zviitiko kumishonga
• Matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzekuvhiya uku ndedzekuti:

• Kukuvadza kune tsinga dzinobuda musana, zvichikonzera kushaya simba kana kurwadziwa kusingaendi
• Kutambudzika kwako kwemusana hakuiti nani, kana kurwadziwa kunodzoka gare gare
• Marwadzo mushure mekuvhiyiwa, kana zvese zvidimbu zve diski zvisina kubviswa
• Spinal fluid inogona kubuda uye ichikonzera kutemwa nemusoro
• Iyo diski inogona kubuda zvakare
• Mutsipa unogona kuwedzera kusagadzikana uye unoda kuvhiyiwa kwakawanda
• Utachiona hunogona kuda mishonga inorwisa mabhakitiriya, kugara kwenguva refu muchipatara, kana kuvhiyiwa kwakawanda

Udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora, kunyangwe mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Munguva yemazuva asati avhiyiwa:

• Gadzirira imba yako kuitira paunodzoka kubva kuchipatara.
• Kana iwe uchisvuta, unofanirwa kurega. Kudzoreredza kwako kuchanonoka uye pamwe kusatombonaka kana iwe uchiramba uchisvuta. Kumbira mupiki wako kuti akubatsire.
• Vhiki mbiri usati wavhiyiwa, unogona kukumbirwa kuti urege kunwa mishonga inoita kuti ropa rako rigwinike. 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 vanachiremba vanokurapa pamamiriro iwayo.
• Taura nemupi wako kana iwe wanga uchinwa doro rakawanda.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa.
• Nguva dzose rega mupi wako azive nezve chero kutonhora, dzihwa, fivha, herpes kuputika, kana zvimwe zvirwere zvaungave uinazvo.
• Ungangoda kushanyira chiremba wepanyama kuti udzidze zvimwe zviitwa zvekuita usati wavhiyiwa uye kudzidzira kushandisa madondoro.

Pazuva rekuvhiyiwa:

• Tevedzera rairo nezve nguva yekurega kudya uye kunwa.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kapfu kemvura.
• Uyai netsvimbo yako, chinofamba, kana wiricheya kana iwe unayo. Uyawo neshangu dzine sandara, dzisina tsoka.
• Tevedzera rairo nezve nguva yekuuya kuchipatara. Svika nenguva.

Mupiki wako anokukumbira kuti umuke uye ufambe famba nekukurumidza kana yako anesthesia yapera. Vanhu vazhinji vanoenda kumba zuva rekuvhiyiwa. Usazvifambisa kuenda kumba.

Tevedzera rairo nezvekuti ungazvichengete sei kumba.

Vanhu vazhinji vane zororo uye vanogona kufamba zvirinani mushure mekuvhiyiwa. Unhu uye kurira kunofanirwa kuve nani kana kunyangarika. Kurwadziwa kwako, chiveve, kana kushaya simba zvinogona kusapora kana kuenda kana iwe uine kukuvara kwetsinga usati wavhiyiwa, kana kana uine zviratidzo zvinokonzerwa nemamwe mamiriro emuzongoza.

Dzimwe shanduko dzinogona kuitika mumuzongoza wako nekufamba kwenguva uye zviratidzo zvitsva zvinogona kuitika.

Taura nemupi wako nezve nzira yekudzivirira ramangwana matambudziko kumashure.

Musana microdiskectomy; Microdecompression; Laminotomy; Kubvisa dhisiki; Kuvhiya musana - diskectomy; Discectomy

• Kuvhiya musana - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika

• Herniated nucleus pulposus
• Skeletal musana
• Spine inotsigira zvimiro
• Cauda equina
• Spinal stenosis
• Microdiskectomy - akateedzana

Ehni BL. Lumbar discectomy. Mune: Steinmetz MP, Benzel EC, eds. Benzel's Spine Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2017: chits. 93.

Gardocki RJ. Spinal anatomy uye nzira dzekuvhiya. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 37.

Gardocki RJ, Paki AL. Degenerative kusagadzikana kweiyo thoracic uye lumbar musana. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 39.