Kyphoplasty

Kyphoplasty inoshandiswa kurapa zvinorwadza kumanikidza kupaza musana. Mukupwanya kwekumanikidza, ese kana chikamu chemuzongoza pfupa rinodonha.

Maitiro acho anonziwo balloon kyphoplasty.

Kyphoplasty inoitwa muchipatara kana kiriniki yekunze.

• Iwe unogona kunge uine anesthesia yemuno (wakamuka uye usingakwanise kunzwa kurwadziwa). Iwe ungangove zvakare unogamuchira mushonga wekukubatsira iwe kuzorora uye kunzwa kurara.
• Iwe unogona kugamuchira general anesthesia. Iwe unenge wakarara uye usingakwanise kunzwa kurwadziwa.

Unorara wakatarisa patafura. Anopa hutano anochenesa nzvimbo yemusana wako uye anozoshandisa mushonga kuhushatisa nzvimbo yacho.

Tsono inoiswa kuburikidza neganda uye mupfupa remuzongoza. Yechokwadi-nguva x-ray mifananidzo inoshandiswa kutungamira chiremba kunzvimbo chaiyo muzasi kwako kumashure.

Bhaluni rinoiswa kuburikidza netsono, mupfupa, uye ndokuzadzwa mweya. Izvi zvinodzosera kureba kwema vertebrae. Cement inozojowa munzvimbo kuti ive nechokwadi chekuti haina kudonha zvakare.

Chikonzero chakajairika chekumanikidza kutsemuka kwemuzongoza iko kutetepa kwemapfupa ako, kana osteoporosis. Wako mupi anogona kukurudzira iyi maitiro kana iwe uine zvakanyanya uye uchiremadza marwadzo kwemwedzi miviri kana kupfuura isinganatsirike nekuzorora kwemubhedha, mishonga inorwadza, uye kurapwa kwemuviri.

Wako mupi anogona zvakare kukurudzira iyi maitiro kana iwe uine inorwadza yekumanikidza kuputsika kwemuzongoza nekuda kwe:

• Kenza, kusanganisira akawanda myeloma
• Kukuvara kwakakonzera kutyoka mabhonzo muzongoza

Kyphoplasty inowanzo chengeteka. Zvinetso zvinogona kusanganisira:

• Kubuda ropa.
• Utachiona.
• Allergic reaction kumishonga.
• Kufema kana matambudziko emoyo kana uine general anesthesia.
• Kukuvara kwetsinga.
• Kuvuza kwesimende repfupa munzvimbo yakapoterera (izvi zvinogona kukonzera marwadzo kana zvikanganisa musana wesana kana tsinga). Kuvuza kunogona kutungamira kune kumwe kurapwa (sekuvhiyiwa) kubvisa simende. Kazhinji, kyphoplasty ine njodzi shoma yekudonha kwesimende pane vertebroplasty.

Usati wavhiyiwa, gara uchiudza mupi wako:

• Kana iwe uchigona kuve nepamuviri
• Ndeapi madhiragi auri kutora, kunyangwe ayo awakatenga pasina mushonga
• Kana wanga uchinwa doro rakawanda

Munguva yemazuva asati avhiyiwa:

• Iwe unogona kukumbirwa kumira kutora aspirin, ibuprofen, coumadin (Warfarin), uye mimwe mishonga inoita kuti zvive zvakaoma kuti ropa rako rigadzike.
• Bvunza kuti ndeapi madhiragi aunofanira kutora pazuva rekuvhiyiwa.
• Ukasvuta, edza kurega.

Pazuva rekuvhiyiwa:

• Iwe unowanzo gara uchiudzwa kuti usanwe kana kudya chero chinhu kwemaawa akati wandei usati wayedzwa.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
• Unozoudzwa nguva yekuuya.

Iwe uchaenda kumba nezuva rimwe chetero rekuvhiyiwa. Iwe haufanire kutyaira, kunze kwekunge mupi wako ati zvakanaka.

Mushure mekuita:

• Iwe unofanirwa kugona kufamba. Nekudaro, zvakanakisa kugara pamubhedha kwemaawa makumi maviri nemana ekutanga, kunze kwekushandisa imba yekugezera.
• Mushure memaawa makumi maviri nemana, zvishoma nezvishoma dzokera kuzviito zvako zvenguva dzose.
• Dzivisa kusimudza zvinhu zvinorema uye zvinonetsa kweinenge vhiki nhanhatu.
• Isa chando panzvimbo yemaronda kana uchirwadziwa pakapinzwa tsono.

Vanhu vane kyphoplasty vanowanzove nemarwadzo mashoma uye nehupenyu huri nani mushure mekuvhiyiwa. Ivo vanowanzoda mashoma ekurapa mishonga, uye vanokwanisa kufamba zvirinani kupfuura pakutanga.

Bhaluni kyphoplasty; Osteoporosis - kyphoplasty; Kudzvinyirira kutsemuka - kyphoplasty

Evans AJ, Kip KE, Brinjikji W, et al. Randomized inodzorwa kutongwa kwe vertebroplasty maringe ne kyphoplasty pakurapa kwe vertebral compression fractures. J Neurointerv Kuvhiya. 2016; 8 (7): 756-763. PMID: 26109687 www.ncbi.nlm.nih.gov/pubmed/26109687.

Savage JW, Anderson PA. Osteoporotic musana kutsemuka. Mune: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, uye Kuvakazve. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 35.

Weber TJ. Osteoporosis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 230.

Williams KD. Kutsemuka, kutsemuka, uye kutsemuka-kutsemuka kwemuzongoza. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits. 41.