Kuyingozi kangakanani utyando lomqolo?

Abantu abaninzi babandezeleka ngenxa yentlungu yediski edibeneyo, enokubangela intlungu emva kunye nomlenze kwaye, kwiimeko ezinzima, iingxaki zokuhamba. Noko ke, bakhetha ukubandezeleka kunokuba baye esibhedlele ukuze benze utyando kuba besoyikela ukuba olo tyando luza kufuna utyando olukhulu.

Enyanisweni, oku kukungaqondi kakuhle unyango lweediski ze-herniated, kuba ngokuphuhliswa kweyeza, utyando lwe-disc ye-herniated luye lwangena kwixesha elithi "ukulimala okuncinci, unyango oluchanekileyo, ukusebenza kakuhle, ukubuyiswa kokusebenza ngokukhawuleza, izinga eliphezulu lokunyanga".

Ngaphezu koko, kwiminyaka ephakathi, umgangatho wobomi kwiminyaka engama-20 phakathi kwama-50 nama-70 uphezulu ngokuqinisekileyo kuneminyaka engama-20 phakathi kwama-60 nama-80. iminyaka engama-20 kwisitayile sabo? Umnumzana Fu, oneminyaka engama-52 kwividiyo, ukhathazwe ziintlungu zomqolo iminyaka emininzi. Kwiinyanga ezintandathu ezidlulileyo, intlungu yakhe ephantsi yomqolo iye yanda kakhulu, iintlungu kunye nokungahambi kakuhle kwi-hip yakhe kunye nethole elisecaleni lasekunene, kwaye iinzwane zakhe ziye zaba ndindisholo kwaye azikhululekanga, ngoko ke walaliswa kwisibhedlele sethu ngenxa yokuhlinzwa okuncinci komgogodla. Iqela lika-Ye Xiaojian lenze utyando ngokwemeko yakhe yokwenyani, kwaye waphila kakuhle emva kotyando. Uye waphinda waqala ubomi bakhe obuqhelekileyo kwaye uyakwazi ukuqhuba ukuya nokubuya emsebenzini, njengoko uMnu Fu ngokwakhe watshoyo, “Ndiziva ngathi ndiyaphila kwaye ndiyakhaba ngoku”.

01 Yintoni utyando lomnqonqo olungangeneleli kancinci?

Utyando olungephi, njengoko igama libonisa, kukunciphisa umonakalo kwizicubu eziqhelekileyo kunye nokunciphisa impembelelo yotyando kumsebenzi wenkqubo yomzimba wonke, kwaye ichazwe njengenye yeendlela zotyando kwinkulungwane yama-21 ukusukela oko ukuzalwa kwayo.

Ubuncinci botyando lomqolo kusetyenziso lwemakroskopu yotyando okanye ukwandiswa okuphezulu, ukwandiswa kwendawo yokujonga utyando kwimisebenzi yotyando, ngokonakalisa ulusu oluncinci ukwenza "utyando lwe-endoscopic", ukuze utyando lomnqonqo kunye nobuncinci bomonakalo wonyango ekuphunyezweni. olona nyango lusebenzayo.

Kwintsimi yotyando lomqolo, kunye nophuhliso oluqhubekayo lwetekhnoloji encinci ye-invasive, unyango oluncinci lwezifo zomgogodla luya kuba yinto ezayo.

02. Ziziphi iimeko ezifanelekileyo zotyando oluncinci lomqolo?

Okwangoku, izifo ezininzi eziphazamisayo ze-lumbar spine zinokuphathwa ngotyando oluncinci, olona lumele luyi-lumbar disc herniation.

I-Lumbar disc herniation yimeko ye-pathological ebangelwa utshintsho oluguquguqukayo kunye nokulimala kwi-lumbar intervertebral discs, ephumela kwi-nucleus pulposus kunye nenxalenye ye-annulus fibrosus ephuma kwizicubu ezijikelezayo kwaye icinezele intambo yomgogodla ehambelanayo okanye iingcambu zentsholongwane yomgogodla.

Uphawu oluphambili kukunyanzeliswa kweengcambu ze-nerve okanye intambo yomgogodla, ebonakala njengentlungu engapheliyo ephantsi, intlungu ephumayo okanye ukuphazamiseka kwimilenze ephantsi, kwaye ngamanye amaxesha i-muscle spasm okanye i-muscle ilahleka kummandla we-paravertebral kunye nemilenze ephantsi, ukunciphisa umsebenzi kunye uvavanyo oluhle lwe-nerve traction.

I-Lumbar disc prolapse yindlela enzima kakhulu ye-lumbar disc herniation; ukuba ayiphathwa ngexesha, i-nucleus pulposus ekhulayo iya kuba mbi ngakumbi, ukunyanzeliswa kwe-lumbar spinal nerve kuya kuba nzima, kwaye i-cauda equina syndrome iya kubangela umonakalo ongenakulungiseka we-nerve. Kwinkqubo yeklinikhi, i-spondylolisthesis ye-lumbar nayo enye yezona zinto zibangela intlungu kunye nentlungu yomlenze, echaphazela kakhulu izigulane ezineminyaka ephakathi kunye nabantu abadala kwaye yenza unyango lube nzima. Ngoko ke, sicebisa ukuba izigulane kufuneka ziye esibhedlele ukuze zixilongwe ngokucacileyo emva kokuqala kweempawu.

Ngokonyango, i-lumbar disc herniation engahambelani ne-spondylolisthesis ye-lumbar okanye ukungazinzi kwe-lumbar spine, utyando oluncinci lwe-intervertebral foramenoscopic lunokuqwalaselwa kuqala, nangona kukho ukuphindaphinda okuthile kunye nezinga lokushiyeka, amathuba okuba kwenzeke kusephantsi. Kwi-disc prolapse kunye neqondo eliphezulu lokufuduka kwamahhala kwi-lumbar herniation, unokukhetha kwakhona utyando oluncinci lwe-intervertebral foraminoscopic, nangona utyando lunzima kakhulu kwaye lunzima, kodwa usenokuzinika ithuba lokungena kancinci, emva koko. , utyando oluvulekileyo lwe-fusion lolona khetho lonyango.

03. Imingeni yotyando lomnqonqo oluncinci kumagqirha

Xa kuthelekiswa notyando lomqolo oluvulekileyo, utyando lomnqonqo olungephi lubeka imingeni emibini koogqirha.

Ucelomngeni lokuqala bubuchule bogqirha wotyando.

Utyando olungephi lunendawo encinci yokujonga xa kuthelekiswa notyando lwemveli, kwaye icandelo lokujonga lilinganiselwe. Utyando olungenelelayo oluncinci lufana nokukrola imbotyi yesoya kunye nokwenza utyando oluethe-ethe kakhulu kwindawo encinci kakhulu. Ke ngoko, utyando olungephi lufuna inqanaba eliphezulu kakhulu loqeqesho lobuchwephesha kunye nobuchwephesha kugqirha ngokwakhe, ekufuneka abe nolwazi olomeleleyo lwe-anatomical kunye nesigwebo, ngakumbi isakhono sokwenza utyando kwindawo encinci kakhulu. Ngokomzekelo, inkqubo ye-intervertebral foramenoscopy idinga ukukhutshwa kwesikhumba kwi-7 mm kuphela. Ukusuka kwindawo enkulu ngokwesiko ukuya kwincinci enjalo kufuna ukoyisa ubunzima obuninzi bengqondo, ubuchule kunye nobunzima bobugcisa.

Olunye ucelomngeni kukuzinikela kukagqirha wotyando.

Xa ndandiqala ukwenza utyando lomnqonqo olungephi, kwafuneka ndithathe i-x-reyi ukuqinisekisa ukuba inyathelo ngalinye lotyando libe yimpumelelo. Ebudeni botyando, kwakungenakwenzeka ukuba ugqirha aphume kwelo gumbi, njengoko kwakufuneka eme ecaleni kwesigulana aze afakwe iX-ray kunye.

Sasinezibalo zokuba xa sasiqala ukwenza i-laminectomies ehlaselayo encinci, kwafuneka sifumane phantse izikena ezingama-200 kutyando olunye. Okukhona usenza imisebenzi emininzi, kokukhona ufumana i-radiation. Oogqirha ngokwenene "X-Men".

Ukukhutshwa kwemitha ye-X-rays ngexesha lenkqubo encinci ye-invasive kuyingozi kakhulu kugqirha kunye nesigulane kwitafile yokusebenza. Imitha yemitha ingancitshiswa njani xa ukhuseleko kunye nezixhobo zingenako ukuphuculwa ngokukhawuleza ngokwaneleyo? Ukunciphisa umonakalo kwisigulane? Isisombululo kukuphucula ngokuqhubekayo imigangatho yotyando kunye nezakhono.

Emva kwemigudu engapheliyo yokuphanda kunye nokuqokelela amava kunye nobuchwepheshe, ekugqibeleni siye sakwazi ukuqinisekisa ukuba izigulane zifumana i-X-reyi encinci kangangoko kunokwenzeka ngexesha lotyando, kwaye sinethemba lokuba sinokuziqhelanisa ngokwenene nokunyamekela koluntu kwisigulane ngasinye kunye namanyathelo asebenzayo.

Inqaku liveliswe kwi: Shanghai Tongren Hospital