Vertebroplasty

Vertebroplasty inowanzo kuve nzira yekurapa yekurapa inoshandiswa kurapa marwadzo ekumanikidza anorwadza mumuzongoza. Mukupwanya kwekumanikidza, ese kana chikamu chemuzongoza pfupa rinodonha.

Vertebroplasty 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.

Cement inozojowa mupfupa remusana rakatyoka kuti ive nechokwadi chekuti haina kudonha zvakare.

Maitiro aya akafanana ne kyphoplasty. Nekudaro, kyphoplasty inosanganisira kushandiswa kwebhaluni iyo inofemerwa kumagumo kwetsono kugadzira nzvimbo pakati peiyo vertebrae.

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

Vertebroplasty 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 dzakakomberedza (izvi zvinogona kukonzera marwadzo kana zvikanganisa musana kana tsinga). Dambudziko iri rakajairika neiyi nzira kupfuura kyphoplasty. Unogona kuda kuvhiyiwa musana kuti ubvise kuvuza kana kukaitika.

Nguva dzose udza mupi wako:

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

Munguva yemazuva asati avhiyiwa:

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

Pazuva rekuvhiyiwa:

• Iwe unowanzo kazhinji kuudzwa kuti usanwa kana kudya chero chinhu kwemaawa akati wandei usati wavhiyiwa.
• 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. Zvisinei, zviri nani 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 maitiro aya vanowanzove nemarwadzo mashoma uye hupenyu huri nani mushure mekuvhiyiwa.

Ivo vanowanzo kuda mashoma ekurapa mishonga, uye vanokwanisa kufamba zvirinani kupfuura pakutanga.

Osteoporosis - vertebroplasty

• Vertebroplasty - akateedzana

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.

Yang EZ, Xu JG, Huang GZ, et al. Percutaneous vertebroplasty maringe nechengetedzo kurapwa mune vakwegura varwere vane acute osteoporotic vertebral compression fractures: inotarisirwa kurongedzwa yakarongedzwa kiriniki kudzidza. Musana (Phila Pa 1976). 2016; 41 (8): 653-660. PMID: 26630417 www.ncbi.nlm.nih.gov/pubmed/26630417.