Ngaba utyando lwe-ACDF luyinzuzo?
I-ACDF yinkqubo yotyando. Inciphisa uluhlu lweempawu ezibangelwa ukunyanzeliswa kwemithambo-luvo ngokususa iidiski ze-inter-vertebral eziphumayo kunye nezakhiwo eziwohlokayo. Emva koko, umqolo wesibeleko uya kuzinziswa ngotyando lwe-fusion.
Ezinye izigulane zikholelwa ukuba utyando lwentamo lunokukhokelela kwiingxaki, ezifana nokunyuka komthwalo obangelwa ukuhlanganiswa kwecandelo lomgogodla, okubangelwa ukuhla kwe-vertebrae esondeleyo. Bade bakhathazeke ngeengxaki zexesha elizayo ezinjengokuginya ubunzima kunye nokutshiza okwexeshana.
Kodwa imeko yangempela kukuba amathuba okuba neengxaki ezibangelwa ukuhlinzwa kwentamo ziphantsi, kwaye iimpawu zincinci. Xa kuthelekiswa nolunye utyando, i-ACDF phantse ayinantlungu ngexesha lotyando kuba inokunciphisa umonakalo wezihlunu kangangoko kunokwenzeka. Okwesibini, olu hlobo lotyando lunexesha elifutshane lokubuyisela kwaye lunokunceda izigulane zibuyele kubomi obuqhelekileyo ngokukhawuleza. Ngaphezu koko, xa kuthelekiswa nokuhlinzwa kokutshintshwa kwediski yomlomo wesibeleko, i-ACDF ineendleko eziphezulu.
II.Ngaba uvukile ngexesha lotyando lwe-ACDF?
Enyanisweni, utyando lwe-ACDF lwenziwa phantsi kwe-anesthesia jikelele kwindawo yokulala. Emva kokuqinisekisa ukuba ukunyakaza kwesandla kunye neenyawo zesigulane kuqhelekileyo, ugqirha uya kufaka i-anesthetics ye-anesthesia jikelele. Kwaye isigulane asiyi kushukunyiswa kwakhona emva kwe-anesthesia. Emva koko ubeke isixhobo sokubeka iliso somgca we-nerve yomlomo wesibeleko ukwenzela ukujonga okuqhubekayo. Ii-X-reyi ziya kusetyenziswa ukunceda ekubekeni indawo ngexesha lotyando.
Ngethuba lotyando, i-3cm incision kufuneka yenziwe kumgca ophakathi entanyeni, kancane ukuya ngakwesobunxele, nge-airway kunye nesithuba esisecaleni kwe-esophagus, kwindawo ngqo phambi kwe-vertebrae yomlomo wesibeleko. Oogqirha baya kusebenzisa izixhobo ze-microscopic ukususa i-inter-vertebral discs, i-posterior longitudinal ligaments, kunye ne-bone spurs ecinezela imigca ye-nerve. Inkqubo yotyando ayifuni ukuhamba kwemigca ye-nerve. Emva koko, faka i-inter-vertebral disc fusion isixhobo kwindawo yokuqala, kwaye ukuba kuyimfuneko, yongeza i-micro titanium screws ukunceda ukuyilungisa. Ekugqibeleni, suture inxeba.
III.Ngaba kufuneka ndinxibe intamo yomlomo wesibeleko emva kokuhlinzwa?
Ixesha lokunxiba intsimbi yentamo emva kotyando lwe-ACDF ziinyanga ezintathu, kodwa ixesha elikhethekileyo lixhomekeke kubunzima botyando kunye neengcebiso zikagqirha. Ngokuqhelekileyo, i-brace yomlomo wesibeleko idlala indima ebalulekileyo kwinkqubo yokuphulukisa umqolo wesibeleko kwiiveki ezi-1-2 emva kokuhlinzwa. Inokuthintela ukunyakaza kwentamo kunye nokunciphisa ukuvuselela kunye noxinzelelo kwindawo yotyando. Oku kunenzuzo ekunyangeni kwenxeba yaye ukusa kumlinganiselo othile kunciphisa iintlungu zesigulana. Ukongeza, ixesha elide lokunxiba intamo yentamo kunokuncedisa ukudityaniswa kwamathambo phakathi kwemizimba ye-vertebral. Intambo yentamo inikezela ngenkxaso efunekayo ngelixa ikhusela umqolo wesibeleko, ukuphepha ukungaphumeleli kwe-fusion okubangelwa ukunyakaza okungafanelekanga.
Ixesha lokuposa: May-09-2025
