I. Ingabe ukuhlinzwa kwe-ACDF kuyakufanelekela?
I-ACDF inqubo yokuhlinzwa. Inciphisa uchungechunge lwezimpawu ezibangelwa ukucindezelwa kwemizwa ngokususa ama-disc aphumayo phakathi komgogodla kanye nezakhiwo eziwohlokayo. Ngemva kwalokho, umgogodla wesibeletho uzoqiniswa ngokuhlinzwa kwe-fusion.
Ezinye iziguli zikholelwa ukuthi ukuhlinzwa kwentamo kungaholela ezinkingeni, njengokwanda komthwalo okubangelwa ukuhlangana kwengxenye yomgogodla, okuholela ekuwohlokeni kwamathambo aseduze. Zize zikhathazeke nangezinkinga zesikhathi esizayo ezifana nobunzima bokugwinya kanye nokushoshozela kwesikhashana.
Kodwa isimo sangempela siwukuthi amathuba okuba nezinkinga ezibangelwa ukuhlinzwa kwentamo aphansi, futhi izimpawu zincane. Uma kuqhathaniswa nezinye izinhlinzeko, i-ACDF cishe ayinazo izinhlungu ngesikhathi sokuhlinzwa ngoba inganciphisa ukulimala kwemisipha ngezinga elikhulu ngangokunokwenzeka. Okwesibili, lolu hlobo lokuhlinzwa lunesikhathi esifushane sokululama futhi lungasiza iziguli ukuba zibuyele empilweni evamile ngokushesha. Ngaphezu kwalokho, uma kuqhathaniswa nokuhlinzwa kokufakelwa kwediski yomlomo wesibeletho, i-ACDF ingabizi kakhulu.
II. Ingabe uvukile ngesikhathi sokuhlinzwa kwe-ACDF?
Eqinisweni, ukuhlinzwa kwe-ACDF kwenziwa ngaphansi kwe-anesthesia ejwayelekile elele phansi. Ngemva kokuqinisekisa ukuthi ukunyakaza kwezandla nezinyawo zesiguli kuvamile, udokotela uzofaka i-anesthesia yokubulala izinzwa ejwayelekile. Futhi isiguli ngeke siphinde sithuthwe ngemva kwe-anesthesia. Bese ubeka ithuluzi lokuqapha umugqa wemizwa yomlomo wesibeletho ukuze liqaphe njalo. Ama-X-ray azosetshenziswa ukusiza ekubekeni indawo ngesikhathi sokuhlinzwa.
Ngesikhathi sokuhlinzwa, kudingeka kwenziwe ukusika okungu-3cm phakathi komugqa wentamo, kancane ngakwesobunxele, ngokusebenzisa indlela yokuphefumula kanye nesikhala esiseduze nomphimbo, endaweni ephambi ngqo komgogodla womlomo wesibeletho. Odokotela bazosebenzisa amathuluzi amancane ukususa ama-disc aphakathi komgogodla, imigqa ende engemuva, kanye nama-bone spurs acindezela imigqa yemizwa. Inqubo yokuhlinzwa ayidingi ukunyakaza kwemigqa yemizwa. Bese, beka idivayisi yokuhlanganisa i-disc yangaphakathi komgogodla endaweni yokuqala, futhi uma kudingeka, engeza izikulufo ezincane ze-titanium ukuze zisize ekulungiseni. Ekugcineni, hlikihla inxeba.
III.Ingabe ngidinga ukugqoka intamo yomlomo wesibeletho ngemva kokuhlinzwa?
Isikhathi sokugqoka i-brace yentamo ngemva kokuhlinzwa kwe-ACDF siyizinyanga ezintathu, kodwa isikhathi esithile sincike ebunzimeni bokuhlinzwa kanye neseluleko sikadokotela. Ngokuvamile, i-brace yentamo idlala indima ebalulekile enkambisweni yokuphulukiswa komgogodla wentamo emavikini angu-1-2 ngemva kokuhlinzwa. Ingavimbela ukunyakaza kwentamo futhi inciphise ukukhuthazwa kanye nengcindezi endaweni yokuhlinzwa. Lokhu kuwusizo ekwelapheni amanxeba futhi ngezinga elithile kunciphisa ubuhlungu besiguli. Ngaphezu kwalokho, isikhathi eside sokugqoka i-brace yentamo singenza kube lula ukuhlangana kwamathambo phakathi kwemizimba yomgogodla. I-brace yentamo inikeza ukwesekwa okudingekayo ngenkathi ivikela umgogodla wentamo, igweme ukwehluleka kokuhlangana okubangelwa ukunyakaza okungafanele.
Isikhathi sokuthunyelwe: Meyi-09-2025
