Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru

Kamar yadda shekarun yawan jama'a, degenerative lumbar spinal stenosis (DLSS) ya zama daya daga cikin mafi yawan yanayi na orthopedic, yana da matukar tasiri ga ingancin rayuwa da lafiyar jiki da tunanin mutum na tsakiya da tsofaffi.

Ganewar ganewa da maganin DLSS ya kasance mai kawo rigima. A saboda wannan dalili, Ƙungiyar Spine Society ta Arewacin Amirka (NASS) ta tsara jagororin don ganewar asali da kuma kula da DLSS a cikin 2011, da kuma Ƙwararrun Ƙwararrun Ƙwararrun Sinawa game da Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Lumbar a cikin 2014. A cikin 'yan shekarun nan, tare da fitowar kuma ci gaban ƙananan ƙwayoyin cuta da dabarun jiyya da kuma ra'ayi na gaggawar farfadowa bayan tiyata (ERAS), ganewar asali da magani na DLSS sun canza sosai, kuma akwai buƙatar ƙarawa da sabunta ƙa'idodin bincike da jiyya ko yarjejeniya. Kwamitin rigakafin cutar kasusuwa da gyaran kasusuwa na kungiyar likitocin gyaran fuska ta kasar Sin da reshen kungiyar kula da kiwon lafiya ta kasar Sin da ke kula da lafiyar kasusuwa, sun kaddamar da wata takardar tambayoyi ta hanyar yin amfani da tsarin binciken Delphi da aka gyara da kuma nazarin wallafe-wallafe, da abin da ke ciki. na tambayoyin da aka samu amincewar fiye da kashi 75% na masana (ciki har da yarjejeniya da yarjejeniya ta asali) an haɗa su a cikin nau'in yarjejeniya ta hanyar sanannun masana cikin gida a cikin aikin tiyata na kashin baya bayan zagaye biyar na tattaunawar taro da kuri'un binciken. An rubuta ijma'i akan wannan ijma'i.

Shawarwari 10:

Shawarwarin 1: DLSS yana nufin alamun da suka dace ta hanyar stenosis na kashin baya, raguwa na gefe da kuma tushen jijiya saboda cututtuka na lalacewa, ban da stenosis da lalacewa ta hanyar lumbar disc herniation, rashin kwanciyar hankali na lumbar, spondylolisthesis na lumbar ko scoliosis.

Shawarwarin 2: Sakamakon ganewar DLSS ya dogara ne akan ① lumbar, hip da ƙananan jin zafi ko tare da ƙumburi na lumbar da cauda equina bayyanar cututtuka tare da alamun bayyanar cututtuka na tsaka-tsakin lokaci; ② nazarin hotunan da ke nuna alamar kashin baya, radicular canal canal stenosis, saphenous fossa stenosis na gefe da sauran canje-canje; ③ alamun asibiti, alamu da alamun cututtukan canal segmental stenosis m.

Shawarwarin 3: Zaɓin tushen tushen jijiya dabara ce ta ƙarin bincike ta percutaneous huda, wanda zai iya fayyace wurin da ke da alhakin stenosis kuma yana da ƙimar aikace-aikacen asibiti mai kyau, kuma ana iya zaɓin zaɓin a cikin asibitoci da yanayi.

Shawarwarin 4: Marasa lafiya tare da DLSS waɗanda suka zaɓi maganin marasa aikin tiyata ya kamata a bi da su tare da maganin kumburi, analgesic, vasodilator da magungunan jijiya, kuma yakamata a kimanta ingancin bayan watanni 3 na magani na yau da kullun.

Shawarwarin 5: Sauƙaƙan raguwa na canal na kashin baya shine hanyar da za a zaɓa don maganin DLSS, tare da girman cirewar lamina da synovium da aka ƙaddara ta hanyar digiri na stenosis da synovial hyperplasia.

Shawarwarin 6: Buɗewar ɓarna na kashin baya shine babban aikin tiyata don maganin ƙwanƙwasa na lumbar. Dangane da wurin stenosis, ya kamata a zaɓi ƙaramin ɓarna, ɗan gajeren lokacin aiki da saurin dawowa bayan tiyata a duk lokacin da zai yiwu.

Shawarwarin 7: Ƙarƙashin ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ce ta asibiti, asibitocin da ke da wadannan yanayi. Ya kamata a ba da fifiko ga ƙananan ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta.Shawarwarin 8: Ga marasa lafiya tare da rashin zaman lafiya na lumbar da aka riga aka yi ko kuma rashin jin daɗi na ciki wanda zai iya haifar da rashin daidaituwa na yanki, gyaran lumbar da fusion ya kamata a yi domin sassan fused na iya kula da kwanciyar hankali na injiniya na dogon lokaci, da kuma Ya kamata a ƙayyade sassan fused bisa ga alamun asibiti da kewayon raguwa. Shawarwarin 9: Ƙaddamar da ciki na Lumbar yana ba da kwanciyar hankali nan da nan bayan ƙaddamar da ƙwayar kashin baya. An ƙayyade sassan gyare-gyare na ciki gaba ɗaya bisa ga girman raguwa da rashin kwanciyar hankali don ƙara tasirin haɗuwa na hanya.

Shawarwarin 10: Gudanar da RAS na yau da kullun don DLSS yakamata ya kasance mai aiki kuma na yau da kullun: kima da ya dace kafin yin aiki, daidaitaccen shirin tiyata, analgesia prophylactic da ilimin haƙuri; intraoperative m magudi, jijiya da taushi nama kariya da rage zub da jini; Dole ne a ba da analgesia na multimodal bayan tiyata kuma a ƙarfafa marasa lafiya don yin aikin gyaran jiki da wuri don samun saurin murmurewa.