I-Percutaneous Discectomy: Isixazululo esingena kancane sezinkinga zediski

I-Percutaneous discectomy iyinqubo engavamile esetshenziselwa ukwelapha ama-disc herniated noma ama-bulging emgogodleni. Lobu buchwepheshe obusha buye buye bathandwa eminyakeni yamuva ngenxa yokuphumelela kwayo ekudambiseni ubuhlungu nokubuyisela ukuhamba kweziguli ezinezinkinga ezihlobene ne-disc. Kulesi sihloko, sizohlola izimiso ze-discectomy ye-percutaneous, izinzuzo zayo, kanye nomthelela wayo ongase ube khona emkhakheni wokuhlinzwa komgogodla.

Ama-intervertebral discs athambile, ama-cushions afana nejeli ahlala phakathi kwama-vertebrae futhi anikeze ukuguquguquka nokushaqeka komgogodla. Kodwa-ke, lapho i-disc herniates, noma iqhuma endaweni yayo evamile, ingacindezela izinzwa eziseduze, okubangela ubuhlungu, ukuphazamiseka, nobuthakathaka endaweni ethintekile. Izinketho zokwelapha zendabuko zamadiski e-herniated zihlanganisa izinyathelo zokulondoloza ezifana nokwelashwa ngokomzimba, imithi, kanye nemijovo ye-epidural steroid. Uma lezi zindlela zingaqedi izimpawu, ukuhlinzwa kungase kucatshangelwe.

I-Percutaneous discectomy inikeza enye indlela engavamile yokuhlinzwa okuvulekile kwendabuko yokwelapha amadiski e-herniated. Inqubo, ngokuvamile eyenziwa ngaphansi kwe-anesthesia yendawo, ihilela ukusebenzisa ithuluzi elikhethekile elibizwa ngokuthi i-cannula, elifakwa esikhumbeni ku-disc ethintekile ngaphansi kokuqondisa kwe-fluoroscopy noma ezinye izindlela zokucabanga. Uma i-cannula isendaweni, udokotela ohlinzayo usebenzisa izinsimbi ezihlukahlukene ukuze asuse impahla ye-herniated noma i-herniated disc, ekhulula ingcindezi emithanjeni yomgogodla kanye nokunciphisa izimpawu.

Enye yezinzuzo eziyinhloko ze-discectomy ye-percutaneous ukuphazanyiswa okuncane kwezicubu ezizungezile nezakhiwo. Ngokungafani nokuhlinzwa okuvulekile, okudinga ukucutshungulwa okukhulu nokuhlukaniswa kwemisipha, i-discectomy ye-percutaneous idinga kuphela ukubhoboza okuncane esikhumbeni, ukunciphisa ubuhlungu be-postoperative, ukukhwabanisa, kanye nesikhathi sokululama. Ukwengeza, le ndlela yokuhlasela kancane inciphisa kakhulu ingozi yezinkinga ezinjengokutheleleka nokulahlekelwa igazi, ikwenze kube inketho ekahle ezigulini eziningi.

Enye inzuzo ye-discectomy ye-percutaneous ukuthi ingenziwa esigulini esingaphandle noma ngosuku olufanayo lokukhishwa. Ezimweni eziningi, iziguli zingahlinzwa ngosuku olufanayo futhi zigoduke, ngaleyo ndlela zigweme ukuhlala isikhathi eside esibhedlela. Lokhu akusizi nje kuphela ukulondoloza izindleko, futhi kuvumela iziguli ukuthi zibuyele emisebenzini yansuku zonke futhi zisebenze ngokushesha, ukusheshisa ukululama okuphelele.

Ukuphumelela kwe-discectomy ye-percutaneous ekudambiseni izimpawu ezihambisana ne-disc herniation kuye kwasekelwa izifundo eziningi zomtholampilo kanye nemiphumela yesiguli. Ucwaningo luye lwabonisa ukuthi le nqubo ingathuthukisa kakhulu ubuhlungu, umsebenzi, kanye nekhwalithi yokuphila ezigulini ezine-symptomatic disc herniation. Ngaphezu kwalokho, ingozi ye-disc herniation ephindaphindiwe ngemva kwe-discectomy ye-percutaneous ibonakala iphansi, futhi iziguli eziningi zithola ukukhululeka kwezimpawu zesikhathi eside.

Njenganoma iyiphi inqubo yokuhlinzwa, kukhona ukucatshangelwa okuthile kanye nezingozi ezingase zibe khona ezihlobene ne-discectomy percutaneous. Iziguli ezinezimo zomgogodla eziyinkimbinkimbi, ukucindezelwa kwezinzwa okunzima, noma ukungazinzi okuphawulekayo kungase kungabi abantu abazongenela ukhetho kule ndlela encane yokuhlasela futhi kungase kudinge ukuhlinzwa okuvulekile kwendabuko ukuze kube nemiphumela emihle. Ukwengeza, nakuba izinkinga ezivela ku-discectomy ye-percutaneous zingavamile, kunengozi encane yomonakalo wezinzwa noma wegazi, ukutheleleka, noma ukukhululeka okungaphelele kwezimpawu.

Ukuqhubekela phambili, intuthuko eqhubekayo kumasu nezindlela ze-discectomy ze-percutaneous kulindeleke ukuthi ziqhubeke zithuthukisa imiphumela yesiguli futhi zandise ububanzi bezimo ezingase ziphathwe ngokuphumelelayo ngale ndlela. Izinqubo ezintsha ezifana nokusetshenziswa kwezindlela ezithuthukisiwe zokucabanga, usizo lwerobhothi, nezinsimbi zokuhlinza ezithuthukisiwe zingathuthukisa ukunemba nokuphepha kwe-discectomy ye-percutaneous, okwenza kube inketho ekhangayo ezigulini nodokotela abahlinzayo.

Ekuphetheni, i-discectomy ye-percutaneous iyisengezo esibalulekile ezinketho zokwelapha zezinkinga ze-disc. Imvelo yayo engavamile, imiphumela emihle, kanye namandla okuphulukisa ngokushesha kwenza kube inketho ephoqelekile ezigulini ezifuna ukukhululeka ezimpawu ezicindezelayo ze-disc herniated. Njengoba insimu yokuhlinzwa komgogodla iqhubeka nokuguquka, i-discectomy ye-percutaneous ingase idlale indima ebaluleke kakhulu ekwelapheni izifo ezihlobene ne-disc, ukuletha ithemba nokuthuthukisa izinga lokuphila kubantu abangenakubalwa.