I. Ingaba utyando lwe-ACDF lufanelekile?
I-ACDF yindlela yotyando. Inciphisa uthotho lweempawu ezibangelwa kukucinezelwa kwemithambo-luvo ngokususa iidiski eziphakathi kwethambo lomqolo ezivelelayo kunye nezakhiwo eziwohlokayo. Emva koko, umqolo wesibeleko uya kuzinziswa ngotyando lokudibanisa.
Ezinye izigulana zikholelwa ukuba utyando lwentamo lunokubangela iingxaki, ezifana nokunyuka komthwalo okubangelwa kukudibana kwe-spinal segment, okubangela ukuwohloka kwe-vertebrae ekufutshane. Zide zixhalabele neengxaki zexesha elizayo ezifana nobunzima bokuginya kunye nokurhawuzelela okwexeshana.
Kodwa imeko yokwenyani kukuba amathuba okuba neengxaki ezibangelwa lutyando lwentamo aphantsi, kwaye iimpawu zincinci. Xa kuthelekiswa nezinye iindlela zotyando, i-ACDF ayinazo phantse iintlungu ngexesha lotyando kuba inokunciphisa umonakalo wezihlunu kangangoko kunokwenzeka. Okwesibini, olu hlobo lotyando lunexesha elifutshane lokuchacha kwaye lunokunceda izigulana ukuba zibuyele kubomi obuqhelekileyo ngokukhawuleza. Ngaphezu koko, xa kuthelekiswa notyando lokufakelwa idiski yomlomo wesibeleko, i-ACDF ixabisa kancinci.
II. Ingaba uvukile ngexesha lotyando lwe-ACDF?
Enyanisweni, utyando lwe-ACDF lwenziwa phantsi kwe-anesthesia eqhelekileyo xa elele phantsi. Emva kokuqinisekisa ukuba iintshukumo zezandla neenyawo zesigulana ziqhelekile, ugqirha uza kunika i-anesthetics kwi-anesthesia eqhelekileyo. Kwaye isigulana asiyi kuphinda sishukunyiswe emva kwe-anesthesia. Emva koko beka isixhobo sokujonga umgca wemithambo-luvo yomlomo wesibeleko ukuze siqhubeke nokujonga. Ii-X-reyi ziya kusetyenziswa ukunceda ekubekeni indawo ngexesha lotyando.
Ngexesha lotyando, kufuneka kwenziwe utyando oluyi-3cm kumgca ophakathi wentamo, kancinci kwicala lasekhohlo, ngokusebenzisa indlela yomoya kunye nendawo ekufutshane nomqala, ukuya kwindawo ephambi kwethambo lomqolo wesibeleko. Oogqirha baza kusebenzisa izixhobo ezincinci ukususa iidiski eziphakathi kwethambo lomqolo, ii-posterior longitudinal ligaments, kunye ne-bone spurs ezicinezela imigca yemithambo-luvo. Inkqubo yotyando ayifuni ukuhamba kwemigca yemithambo-luvo. Emva koko, beka isixhobo sokudibanisa idiski ephakathi kwethambo lomqolo kwindawo yokuqala, kwaye ukuba kuyimfuneko, yongeza izikrufu ze-micro titanium ukunceda ukuyilungisa. Ekugqibeleni, gquma inxeba.
III.Ngaba kufuneka ndinxibe intamo yomlomo wesibeleko emva kotyando?
Ixesha lokunxiba i-brace yentamo emva kotyando lwe-ACDF ziinyanga ezintathu, kodwa ixesha elithile lixhomekeke kubunzima botyando kunye neengcebiso zikagqirha. Ngokubanzi, i-brace yentamo idlala indima ebalulekileyo kwinkqubo yokuphiliswa komqolo wesibeleko kwiiveki ezi-1-2 emva kotyando. Ingathintela intshukumo yentamo kwaye inciphise ukukhuthazwa kunye noxinzelelo kwindawo yotyando. Oku kuluncedo ekuphilisweni kwenxeba kwaye ngandlela ithile kunciphisa iintlungu zesigulana. Ukongeza, ixesha elide lokunxiba i-brace yentamo linokwenza kube lula ukudibana kwamathambo phakathi kwemizimba ye-vertebral. I-brace yentamo inika inkxaso efunekayo ngelixa ikhusela umqolo wesibeleko, iphephe ukungaphumeleli kokudibana okubangelwa kukunyakaza okungafanelekanga.
Ixesha leposi: Meyi-09-2025
