Disk kutsiva - lumbar musana

Lumbar spine disk kutsiva ndiko kuvhiyiwa kwepazasi kumashure (lumbar) nzvimbo. Izvo zvinoitwa kurapa musana stenosis kana dhisiki matambudziko uye kubvumira zvakajairika kufamba kwemusana.

Spinal stenosis iripo kana:

• Iyo nzvimbo yeiyo musana wechipfuva yakatetepa.
• Kuvhurika kwemidzi yemitsipa ichisiya musana wepelinha kuve wakamanikana, uchiisa kumanikidza kwetsinga.

Munguva yakazara yedhisheni kutsiva (TDR), chikamu chemukati chekakanganiswa musana dhisiki chinotsiviwa neyakagadzirwa dhisiki kudzorera yakajairika kufamba kwemusana.

Kazhinji kazhinji, kuvhiya kunoitwa kune chete diski, asi pane dzimwe nguva, nhanho mbiri padhuze nepadhuze dzinogona kutsiviwa.

Kuvhiya kunoitwa pasi peanesthesia. Iwe unenge wakarara uye haunzwi chero kurwadziwa.

Panguva yekuvhiyiwa:

• Iwe ucharara nemusana wako patafura yekushandisa.
• Maoko ako akaputirwa panzvimbo yegokora uye akapetwa pamberi pebhokisi rako.
• Chiremba wako anovhiya (cheka) padumbu rako. Kuita oparesheni kuburikidza nemudumbu kunotendera kuti chiremba anovhiya asvike musana pasina kukanganisa misana yemusana.
• Iyo matumbu nhengo uye mitsipa yeropa inoendeswa kudivi kuti uwane mukana kumusana.
• Chiremba wako anobvisa chikamu chakakanganisika che diski uye anoisa iyo nyowani dhisiki munzvimbo yayo.
• Nhengo dzese dzinodzoserwa munzvimbo dzadzo.
• Iyo incision yakavharwa netambo.

Kuvhiya kunotora anenge maawa maviri kuti apedze.

Makushingi-kunge ma disks anobatsira iyo musana kugara mobile. Tsinga dziri munzvimbo yepazasi yemuzongoza dzinomanikidzwa nekuda kwe:

• Kuderedza diski nekuda kwekukuvara kwekare
• Kubhururuka kweiyo disk (protrusion)
• Arthritis iyo inowanikwa musana wako

Kuvhiya kwepelinha stenosis kunogona kutariswa kana uine zviratidzo zvakakomba zvinokanganisa hupenyu hwako hwezuva nezuva uye haunatsiridze neimwe nzira yekurapa. Zviratidzo zvinowanzo sanganisira:

• Marwadzo anogona kunzwika muhudyu yako, mhuru, yakaderera musana, fudzi, maoko, kana maoko. Iwo marwadzo anowanzo kudzika uye akatsiga.
• Marwadzo kana uchiita zvimwe zviitiko kana kufambisa muviri wako neimwe nzira.
• Unhu, kurira, uye kushaya simba kwemhasuru.
• Kuoma nekuenzanisa uye kufamba.
• Kurasikirwa kwedundira kana ura.

Taura nemupi wako wezvehutano nezvekuti kuvhiyiwa kwakakukodzera here. Haasi munhu wese ane marwadzo ekudzokera kumashure anoda kuvhiyiwa. Vanhu vazhinji vanotanga kurapwa nemishonga, kurapwa kwepanyama, uye kurovedza muviri kuzorodza kurwadziwa kwemusana.

Munguva yechinyakare musana kuvhiyiwa kwepelinha stenosis, chiremba anovhiya anozoda kukwiza mamwe emapfupa ari mumuzongoza wako kuti musana wako unyatsogadzikana. Nekuda kweizvozvo, zvimwe zvikamu zvemuzongoza wako pazasi uye pamusoro peiyo fusion inogona kuve nemikana yekuve nematambudziko ediski mune ramangwana.

Nediski kutsiva kuvhiya, hapana fusion inodiwa. Nekuda kweizvozvo, musana wepamusoro uye pasi penzvimbo yekuvhiya uchiri wakachengetedza kufamba. Uku kufamba kunogona kubatsira kudzivirira mamwe matambudziko e disk.

Unogona kuve mukwikwidzi wekushandurwa kwediski kana zvinotevera zviri zvechokwadi:

• Hausi kunyanyisa kufutisa.
• Chikamu chimwe chete kana zviviri zvemusana wako zvine dambudziko iri uye dzimwe nzvimbo hazvina kudaro.
• Iwe hauna arthritis yakawanda mumajoini emuzongoza wako.
• Iwe hauna kumbovhiyiwa musana munguva yakapfuura.
• Iwe hauna kumanikidza kwakanyanya pamitsipa yemuzongoza wako.
  

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Kubuda ropa, kuwanda kweropa, uye hutachiona

Ngozi dzeTDR ndidzo:

• Wedzera mukurwadziwa kumashure
• Dambudziko nekufamba
• Kukuvara kuura
• Ropa rinovhara mumakumbo
• Isina kujairika pfupa kuumbwa mumhasuru uye tendon dzakakomberedza musana wesana
• Kuita zvepabonde kusagadzikana (zvakajairika muvarume)
• Kukuvadza kune iyo ureter uye dundira
• Utachiona panzvimbo yekuvhiya
• Kuputsa kwedhisiki rekugadzira
• Chakagadzirwa dhisiki inogona kubva panzvimbo
• Kusunungura kusimwa
• Kuoma mitezo

Wako mupi acharaira bvunzo yekufungidzira senge MRI, CT scan, kana x-ray kuti uone kana uchida kuvhiyiwa.

Wako mupi achazoda kuziva kana iwe:

• Une pamuviri
• Uri kutora chero mishonga, zvinowedzera, kana mahebhu
• Une chirwere cheshuga, hypertensive, kana kuti une chero imwe mamiriro ekurapa
• Uri kusvuta

Udza mupiki wako kuti ndeapi mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Munguva yemazuva asati avhiyiwa:

• Gadzirira imba yako kuitira paunobuda muchipatara.
• Kana iwe uchisvuta, unofanirwa kurega. Vanhu vane TDR uye vanoramba vachiputa vangangopora zvakare. Kumbira chiremba wako kuti abatsire kurega.
• Vhiki rimwe pamberi pekuvhiyiwa, mupi wako anogona kukukumbira kuti urege kutora mishonga inoita kuti zvive zvakaoma kuti ropa rako rigadzike. Izvi zvinosanganisira aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn).
• 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 kuti ndeapi mishonga yaunofanira kutora pazuva rekuvhiyiwa.
• Rega chiremba wako azive ipapo ipapo kana iwe ukawana dzihwa, dzihwa, fivhiri, herpes breakout, kana zvimwewo zvirwere zvaungave uinazvo.
• Ungangoda kushanyira chiremba wepanyama kuti udzidze kurovedza muviri kuti uite usati wavhiyiwa.

Pazuva rekuvhiyiwa:

• Tevedza rairo pakusanwa kana kudya chero chinhu usati waitwa. Izvi zvinogona kunge zviri maawa matanhatu kusvika gumi nemaviri usati wavhiyiwa.
• Tora mishonga yawakaudzwa nachiremba kuti utore nekunwa mvura shoma.
• Mupiki wako anokuudza iwe kuti usvike nguvai kuchipatara. Iva nechokwadi chekusvika nenguva.

Iwe uchagara muchipatara mazuva maviri kusvika matatu mushure mekuvhiyiwa. Wako mupi achakukurudzira kuti umire uye utange kufamba nekukurumidza apo anesthesia inopera. Iwe ungatofanira kupfeka corset brace yekutsigira uye nekukurumidza kupora. Pakutanga, iwe unozopihwa zvinwiwa zvakajeka. Iwe uchazo fambira mberi kune chinwiwa uye chakati-chakasimba chikafu.

Wako mupi achakukumbira kuti usa:

• Ita chero chiitiko chinotambanudza musana wako zvakanyanya
• Tora chikamu muzviitiko zvinosanganisira kurwa, kukombama, uye kumonyanisa senge kutyaira uye kusimudza zvinhu zvinorema kweinenge mwedzi mitatu mushure mekuvhiyiwa

Tevedza rairo yekuti ungatarisira sei musana wako kumba.

Unogona kudzoka kuzviito zvakajairika mwedzi mitatu mushure mekuvhiyiwa.

Ngozi yezvinetso yakaderera mushure me lumbar disk kutsiva. Kuvhiyiwa kunowanzo kusimudzira kufamba kwesana remukono zvirinani kupfuura zvimwe (musana kuvhiya). Iyo nzira yakachengeteka uye kusununguka kwekurwadziwa kunoitika munguva pfupi mushure mekuvhiyiwa. Ngozi yemusana musana (paravertebral mhasuru) kukuvara ishoma pane mamwe marudzi ekuvhiya musana.

Lumbar disk arthroplasty; Thoracic dhisiki arthroplasty; Chakagadzirwa dhisiki kutsiva; Yese diski kutsiva; TDR; Disc arthroplasty; Disc kutsiva; Chakagadzirwa disc

• Lumbar vertebrae
• Intervertebral disk
• Spinal stenosis

Duffy MF, Zigler JE. Lumbar yakazara disk arthroplasty. Mune: Baron EM, Vaccaro AR, eds. Maitiro Ekushandisa: Spine Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2018: chitsuwa 42.

Gardocki RJ, Paki AL. Degenerative kusagadzikana kweiyo thoracic uye lumbar musana. Mune: Azar FM, Beaty JH, eds. Kushanda kwaCampbell Orthopedics. 14th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 39.

Johnson R, Guyer RD. Lumbar disc degeneration: Anterior lumbar interbody fusion, degeneration, uye disc kutsiva. Mune: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, eds. Rothman-Simeone naHerkowitz's The Spine. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 49.

Vialle E, Santos de Moraes OJ. Lumbar arthroplasty. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 322.

Zigler J, Gornet MF, Ferko N, Cameron C, Schranck FW, Patel L. Kufananidza kwe lumbar yakazara disc kutsiva pamwe nekuvhiya musana fusion yekurapa kweimwe-danho rinodzikira denda chirwere: meta-ongororo yemashanu-makore mhedzisiro kubva kuakasarudzika. kudzorwa miedzo. Global Spine J. 2018; 8 (4): 413-423. PMID: 29977727 pubed.ncbi.nlm.nih.gov/29977727/.