Kuyingozi kangakanani ukuhlinzwa komgogodla?

Abantu abaningi bahlushwa ubuhlungu be-disc ephukile, engabangela ubuhlungu be-back and emlenzeni futhi, ezimweni ezinzima, izinkinga zokuhamba. Nokho bancamela ukuhlupheka kunokuba baye esibhedlela ukuze bayohlinzwa ngoba besaba ukuthi ukuhlinzwa kuzodinga ukujutshwa kakhulu.

Eqinisweni, lokhu kuwukungaqondi kahle ukwelashwa kwama-discs e-herniated, ngoba ngokuthuthukiswa kwemithi, ukuhlinzwa kwe-disc herniated kungene enkathini "yokuhlukunyezwa okuncane, ukwelashwa okuqondile, ukusebenza kahle okuhle, ukubuyiswa okusheshayo kokusebenza, izinga eliphezulu lokuphulukisa".

Ngaphezu kwalokho, eminyakeni ephakathi, izinga lempilo eminyakeni engu-20 ephakathi kuka-50 no-70 liphakeme ngempela kuneminyaka engu-20 phakathi kuka-60 no-80. Pho kungani kungahlinzwa manje, ukuze abaneminyaka engu-50-70 ubudala baphile labo iminyaka engu-20 ngesitayela sabo? UMnu Fu, oneminyaka engama-52 kuvidiyo, usehlale iminyaka eminingi ehlushwa iqolo. Ezinyangeni eziyisithupha ezedlule, ubuhlungu bakhe obuphansi beqolo buye banda, ubuhlungu nokungakhululeki enqulwini nasenkonyaneni ebheke kwesokudla, futhi izinzwane zakhe ziye zaba ndikindiki futhi azikhululekile, ngakho wangeniswa esibhedlela sethu ukuze ahlinzwe kancane umgogodla. Ithimba lika-Ye Xiaojian lenze ukuhlinzwa ngokwesimo sakhe sangempela, futhi welulama ngemva kokuhlinzwa. Useqale kabusha impilo yakhe ejwayelekile futhi uyakwazi ukushayela nokubuya emsebenzini, njengoba noMnu Fu uqobo eshilo, “Ngizizwa sengathi ngiyaphila futhi ngiyakhahlela manje”.

01 Kuyini ukuhlinzwa komgogodla okungavamisile?

Ukuhlinza okungenamsoco kancane, njengoba negama libonisa, ukunciphisa umonakalo ezicutshini ezivamile futhi kuncishiswe umthelela wokuhlinzwa emsebenzini walo lonke uhlelo lomzimba, futhi kuye kwachazwa njengenye yezindlela zokuhlinzwa ekhulwini lama-21 kusukela ngesikhathi sokuhlinzwa. ukuzalwa kwayo.

Ukuhlinzwa komgogodla okuhlaselayo okuncane ukusetshenziswa kwesibonakhulu esihlinzayo noma ukukhulisa okuphezulu, kwandiswe inkambu yokuhlinza ukuze uhlinzekwe, ngokusebenzisa ukusika kwesikhumba okuncane kakhulu ukwenza "ukuhlinzwa kwe-endoscopic", ukuze ukuhlinzwa komgogodla kube nomonakalo omncane wezokwelapha ekusetshenzisweni. yokwelashwa okuphumelelayo kakhulu.

Emkhakheni wokuhlinzwa komgogodla, ngokuthuthukiswa okuqhubekayo kobuchwepheshe obungenasici, ukwelashwa okuncane kwezifo zomgogodla kuzoba umkhuba wesikhathi esizayo.

02. Yiziphi izimo ezifanele ukuhlinzwa komgogodla okungavamisile?

Njengamanje, izifo eziningi eziwohlokayo ze-lumbar spine zingelashwa ngokuhlinzwa okuncane, okumele kakhulu okuyi-lumbar disc herniation.

I-Lumbar disc herniation yisimo se-pathological esibangelwa izinguquko eziwohlokayo kanye nokulimala kwe-lumbar intervertebral discs, okuholela ku-nucleus pulposus kanye nengxenye ye-annulus fibrosus ephumela ezicutshini ezizungezile futhi icindezela intambo yomgogodla ehambisanayo noma izimpande zemizwa yomgogodla.

Uphawu oluyinhloko ukucindezelwa kwezimpande zezinzwa noma intambo yomgogodla, okubonakala njengobuhlungu obungapheli obuphansi emuva, ubuhlungu obukhiphayo noma ukuba ndikindiki emilenzeni engezansi, futhi ngezinye izikhathi i-muscle spasm noma ngisho nokuwohloka kwemisipha endaweni ye-paravertebral kanye nemilenze ephansi, ukulinganiselwa komsebenzi kanye ne-a. i-positive nerve traction test.

I-Lumbar disc prolapse iyindlela eyingozi kakhulu ye-lumbar disc herniation; uma ingelashwa ngesikhathi, i-nucleus pulposus ephukile izoba yimbi kakhulu, ukucindezelwa kwe-lumbar spinal nerve kuzoba kubi kakhulu, futhi ngisho ne-cauda equina syndrome izodala umonakalo ongenakulungiseka wezinzwa. Emisebenzini yomtholampilo, i-spondylolisthesis ye-lumbar nayo ingenye yezimbangela eziyinhloko zobuhlungu be-lumbar kanye nomlenze, othinta kakhulu iziguli ezineminyaka ephakathi nendawo futhi asebekhulile futhi kwenza ukwelashwa kube nzima. Ngakho-ke, siphakamisa ukuthi iziguli kufanele ziye esibhedlela ukuze zihlolwe ngokucacile ngemva kokuqala kwezimpawu.

Mayelana nokwelashwa, i-lumbar disc herniation engahlotshaniswa ne-spondylolisthesis ye-lumbar noma ukungazinzi kwe-lumbar spine, ukuhlinzwa okuncane kwe-intervertebral foramenoscopic kungacatshangelwa kuqala, nakuba kukhona ukuphindaphinda okuthile kanye nesilinganiso esisele, amathuba okuba kwenzeke kusesencane kakhulu. Ukuze uthole i-disc prolapse ngezinga eliphezulu lokufuduka kwamahhala kwe-lumbar herniation, ungakhetha futhi ukuhlinzwa okuncane kwe-intervertebral foraminoscopic, nakuba ukuhlinzwa kuyinkimbinkimbi futhi kunzima, kodwa usengakwazi ukuzinika ithuba lokungena kancane, emva kwakho konke. , ukuhlinzwa kwe-fusion evulekile kuyindlela yokugcina yokwelapha.

03. Izinselele zokuhlinzwa komgogodla okungavamisile kodokotela

Uma kuqhathaniswa nokuhlinzwa komgogodla ovulekile, ukuhlinzwa komgogodla okuphazamisa kancane kubangela izinselele ezimbili kodokotela.

Inselele yokuqala ikhono likadokotela ohlinzayo.

Ukuhlinza okuncane kakhulu kunomkhakha wokubuka omncane kakhulu uma kuqhathaniswa nokuhlinzwa kwendabuko, futhi umkhakha wokubuka ulinganiselwe. Ukuhlinza okuncane kakhulu kufana nokubaza ubhontshisi wesoya nokwenza umsebenzi obucayi kakhulu endaweni encane kakhulu. Ngakho-ke, ukuhlinza okuncane kakhulu kudinga izinga eliphezulu kakhulu lokuqeqeshwa kobuchwepheshe nochwepheshe kudokotela ohlinzayo ngokwakhe, okufanele abe nolwazi oluqinile lwe-anatomical nokwahlulela, ikakhulukazi ikhono lokuhlinza endaweni encane kakhulu. Isibonelo, inqubo ye-intervertebral foramenoscopy idinga ukusika kwesikhumba okungama-7 mm kuphela. Ukusuka ekusikeni okukhulu ngokwesiko ukuya kwencane kangako kudinga ukunqoba ubunzima obuningi obungokwengqondo, amakhono kanye nobuchwepheshe.

Enye inselele ukuzinikela kukadokotela ohlinzayo.

Lapho ngiqala ukwenza ukuhlinzwa komgogodla okungavamisile, kwadingeka ngithathe i-x-ray ukuze ngiqinisekise ukuthi isinyathelo ngasinye sokuhlinzwa sasiyimpumelelo. Ngesikhathi ehlinzwa, udokotela akazange aphume ekamelweni, ngoba kwakufanele ame eduze kwesiguli futhi ahlolwe ama-X-ray ndawonye.

Sasinezibalo zokuthi lapho siqala ukwenza ama-laminectomies ahlasela kancane, kwakudingeka sithole izikena ezicishe zibe ngu-200 ngokuhlinzwa okukodwa. Uma wenza imisebenzi eminingi, uthola imisebe eyengeziwe. Odokotela ngempela "X-Men".

Ukukhishwa kwemisebe evela kuma-X ray ngesikhathi senqubo yokuhlasela kancane kuyingozi kakhulu kudokotela ohlinzayo kanye nesiguli etafuleni lokuhlinza. Ngabe imisebe ingancishiswa kanjani lapho ukuvikela nezinto zokusebenza zingakwazi ukuthuthukiswa ngokushesha ngokwanele? Yehlisa umonakalo esigulini? Isixazululo siwukuqhubeka nokuthuthukisa izindinganiso namakhono okuhlinzwa.

Ngemva kwemizamo engapheli yokucwaninga nokuqongelela okuhlangenwe nakho nobuchwepheshe, ekugcineni siye sakwazi ukuqinisekisa ukuthi iziguli zithola imisebe ye-X-ray emincane ngangokunokwenzeka phakathi nokuhlinzwa, futhi sithemba ukuthi singakwazi ukwenza ngempela ukunakekela komuntu isiguli ngasinye ngezinyathelo ezingokoqobo.

I-athikili ikhiqizwe kabusha kusukela: Isibhedlela i-Shanghai Tongren