Kubaga umugongo ni kangahe?

Abantu benshi bafite ububabare bwa disiki yatembye, ishobora gutera umugongo namaguru kandi, mugihe gikomeye, ibibazo byimodoka. Icyakora, bahitamo kubabara kuruta kujya mubitaro kubagwa kuko batinya ko kubagwa bizakenera gukomeretsa cyane.

Mubyukuri, uku ni ukutumva neza imiti ya disiki ya herniated, kubera ko hamwe n’iterambere ry’ubuvuzi, kubaga disiki ya herniated yinjiye mu gihe cy "ihahamuka rito, kuvurwa neza, gukora neza, gukira vuba vuba, gukira cyane".

Byongeye kandi, mugihe cyo hagati, ubuzima bwiza mumyaka 20 hagati ya 50 na 70 burarenze rwose mumyaka 20 iri hagati ya 60 na 80. None se kuki utabaga ubu, kugirango imyaka 50-70 ibeho Imyaka 20 muburyo bwabo? Bwana Fu, ufite imyaka 52 muri iyo videwo, amaze imyaka myinshi arwaye umugongo. Mu mezi atandatu ashize, ububabare bwo mu mugongo bwarushijeho kwiyongera, kubera ububabare no kutamererwa neza mu kibuno no ku nyana y’iburyo, kandi amano ye yacitse intege kandi bitamworoheye, ku buryo yinjiye mu bitaro byacu kubagwa umugongo byoroheje. Ikipe ya Ye Xiaojian yabazwe ukurikije uko ibintu bimeze, kandi yakize neza nyuma yo kubagwa. Yasubukuye ubuzima bwe busanzwe kandi abasha gutwara no kuva ku kazi, nk'uko Bwana Fu ubwe yabivuze, "Ndumva ndi muzima kandi ndatera imigeri ubu".

01 Kubaga umugongo byibasiye iki?

Kubaga byibuze byibasiye, nkuko izina ribigaragaza, ni ukugabanya kwangirika kwinyama zisanzwe no kugabanya ingaruka zo kubagwa kumikorere yumubiri wose, kandi byasobanuwe nkimwe mubyerekezo byo kubaga mu kinyejana cya 21 kuva igihe cyatangiriye ivuka ryayo.

Kubaga umugongo byibasiye cyane ni ugukoresha microscope yo kubaga cyangwa gukuza cyane, kwagura umurima wo kubaga uburyo bwo kubaga, hifashishijwe uruhu ruto rushoboka rushobora gukora "kubaga endoskopi", ku buryo kubaga umugongo byibuze byangiritse ku buvuzi mu ishyirwa mu bikorwa yubuvuzi bwiza cyane.

Mu rwego rwo kubaga uruti rwumugongo, hamwe niterambere rihoraho ryiterambere rya tekinoloji ntoya, kuvura byoroheje indwara zumugongo bizaba inzira yigihe kizaza.

02. Ni ibihe bintu bikwiriye kubagwa umugongo byoroheje?

Kugeza ubu, indwara nyinshi zangirika zumugongo zirashobora kuvurwa hakoreshejwe kubagwa byoroheje, kubihagararirwa cyane ni disiki ya herniation.

Lumbar disc herniation ni indwara yindwara iterwa nimpinduka zangirika no gukomeretsa kuri disiki ya lumbar intervertebral, bivamo nucleus pulposus hamwe na fibrosus ya annulus isohoka mumyanya ikikije kandi igahuza uruti rwumugongo cyangwa imizi yumugongo.

Ikimenyetso nyamukuru ni ugusenyera imizi yumutima cyangwa uruti rwumugongo, bigaragarira nkububabare budashira bwumugongo, ububabare bukabije cyangwa kunanirwa mu ngingo zo hepfo, ndetse rimwe na rimwe imitsi yimitsi cyangwa ndetse no guta imitsi mukarere ka paravertebral no mumaguru yo hepfo, kugabanya ibikorwa hamwe na a ikizamini cyiza cyo gukurura imitsi.

Kugabanuka kwa disiki nuburyo bukomeye cyane bwa disiki ya herniation; iyo itavuwe mugihe, nucleus pulposus yagabanutse izarushaho kwiyongera, kwikuramo uruti rw'umugongo bizagenda byiyongera, ndetse na syndrome ya cauda equina bizatera kwangirika kudasubirwaho. Mubikorwa byubuvuzi, lumbar spondylolisthesis nayo ni imwe mu mpamvu nyamukuru zitera ububabare bwo mu maguru no ku kuguru, bigira ingaruka cyane ku barwayi bageze mu za bukuru ndetse n’abasaza kandi bigatuma ubuvuzi bugorana. Kubwibyo, turasaba ko abarwayi bagomba kujya mubitaro kwisuzumisha neza nyuma yo gutangira ibimenyetso.

Kubijyanye no kuvura, kubijyanye no kuvura disiki bitajyanye na lumbar spondylolisthesis cyangwa lumbar spine stabilite, kubagwa byoroheje byibasiye intervertebral foramenoscopic kubagwa bishobora kubanza kubanza kubanza kubaho, nubwo hariho umubare munini wibisubirwamo nibisigisigi, amahirwe yo kubaho aracyari make. Kugirango disike igabanuke hamwe nurwego rwohejuru rwo kwimura kubuntu kwa lumbar herniation, urashobora kandi guhitamo kubaga byoroheje byibasiye intervertebral foraminoscopic kubagwa, nubwo kubaga ari ibintu bitoroshye kandi bigoye, ariko urashobora kwiha amahirwe yo kwibasirwa na gato, nyuma ya byose , gufungura fusion kubaga nuburyo bwiza bwo kuvura.

03. Inzitizi zo kubaga umugongo byibasiye abaganga

Ugereranije no gufungura umugongo, kubaga umugongo byibasiye bitera ibibazo bibiri kubaganga.

Ikibazo cya mbere nubuhanga bwokubaga.

Kubaga byibuze byibasiwe bifite umurima muto cyane wo kureba ugereranije no kubaga gakondo, kandi umurima wo kureba ni muto. Kubaga byibuze byibasiye bisa no kubaza soya no gukora igikorwa cyiza cyane mumwanya muto. Kubwibyo, kubaga byibuze byibasiye bisaba urwego rwo hejuru cyane rwamahugurwa ya tekiniki nu mwuga kubaga ubwe ubwe, wagombye kuba afite ubumenyi bukomeye bwa anatomique no guca imanza, cyane cyane ubushobozi bwo kubaga ahantu hato cyane. Kurugero, uburyo bwa intervertebral foramenoscopy busaba gukata uruhu rwa mm 7 gusa. Kuvana mubisanzwe byari binini cyane bigana kuri bito bisaba gutsinda ingorane nyinshi zo mumitekerereze, ubuhanga nubuhanga.

Indi mbogamizi ni ubushake bwo kubaga.

Igihe natangiraga kwimenyereza kubaga umugongo byoroheje, byabaye ngombwa ko mfata x-ray kugirango nemeze ko buri ntambwe yo kubaga yagenze neza. Mu gihe cyo kubagwa, ntibyashobokaga ko umuganga ava mu cyumba, kubera ko yagombaga guhagarara iruhande rw'umurwayi kandi akanakorerwa X-hamwe.

Twari dufite imibare ivuga ko igihe twatangiraga gukora laminectomies ntoya cyane, byabaye ngombwa ko tubona scan hafi 200 mugikorwa kimwe. Ibikorwa byinshi ukora, niko imirasire ibona. Abaganga rwose ni "X-Abagabo".

Imirasire ya X-ray mugihe cyibikorwa byibasiye byangiza cyane kubaga ndetse numurwayi kumeza yibikorwa. Nigute imirasire ishobora kugabanuka mugihe uburinzi nibikoresho bidashobora gutezimbere byihuse? Kugabanya ibyangiritse kumurwayi? Igisubizo nugukomeza kunoza amahame nubuhanga.

Nyuma yimbaraga zidacogora mubushakashatsi no gukusanya ubunararibonye nubuhanga, amaherezo twashoboye kwemeza ko abarwayi bakira imirasire ya X-ray nkeya ishoboka mugihe cyo kubagwa, kandi turizera ko dushobora rwose kwita kubumuntu kuri buri murwayi ufite ingamba zifatika.

Ingingo yakuwe muri: Ibitaro bya Shanghai Tongren