I.Ingabe ukuhlinzwa kwe-ACDF kuwufanele?
I-ACDF iyinqubo yokuhlinzwa. Inciphisa uchungechunge lwezimpawu ezibangelwa ukucindezelwa kwezinzwa ngokukhipha ama-inter-vertebral discs aphumayo kanye nezakhiwo eziwohlokayo. Ngemva kwalokho, umgogodla womlomo wesibeletho uzozinziswa ngokuhlinzwa kwe-fusion.
Ezinye iziguli zikholelwa ukuthi ukuhlinzwa kwentamo kungaholela ezinkingeni, njengokukhuphuka komthwalo obangelwa ukuhlanganiswa kwengxenye yomgogodla, okuholela ekuwohlokeni kwe-vertebrae eseduze. Baze bakhathazeke ngezinkinga zesikhathi esizayo ezifana nobunzima bokugwinya nokuhogela kwesikhashana.
Kodwa isimo sangempela siwukuthi amathuba okuba nezinkinga ezibangelwa ukuhlinzwa kwentamo aphansi, futhi izimpawu zilula. Uma kuqhathaniswa nokunye ukuhlinzwa, i-ACDF cishe ayinabo ubuhlungu ngesikhathi sokuhlinzwa ngoba inganciphisa ukulimala kwezicubu ngezinga elikhulu ngangokunokwenzeka. Okwesibili, lolu hlobo lokuhlinzwa lunesikhathi esifushane sokululama futhi lungasiza iziguli zibuyele empilweni evamile ngokushesha. Ngaphezu kwalokho, uma kuqhathaniswa nokuhlinzwa okufakwa esikhundleni sediski yomlomo wesibeletho, i-ACDF ibiza kakhulu.
II.Ingabe uphapheme ngesikhathi sokuhlinzwa kwe-ACDF?
Eqinisweni, ukuhlinzwa kwe-ACDF kwenziwa ngaphansi kwe-anesthesia ejwayelekile endaweni yokulala. Ngemva kokuqinisekisa ukuthi ukunyakaza kwesandla nonyawo kwesiguli kuyinto evamile, udokotela uzojova izinzwa zokubulala izinzwa. Futhi isiguli ngeke siphinde sinyakaze ngemva kwe-anesthesia. Bese ubeka ithuluzi lokuqapha umugqa wesibeletho somlomo wesibeletho ukuze uqaphe ngokuqhubekayo. Ama-X-ray azosetshenziswa ukusiza ekubekeni indawo ngesikhathi sokuhlinzwa.
Ngesikhathi sokuhlinzwa, i-3cm yokusika idinga ukwenziwa emgqeni ophakathi kwentamo, kancane ukuya ngaphambili kwesokunxele, ngomzila womoya kanye nesikhala esiseduze nomminzo, endaweni ngqo phambi komgogodla womlomo wesibeletho. Odokotela bazosebenzisa izinsimbi ezincane ukuze basuse ama-inter-vertebral discs, ama-posterior longitudinal ligaments, nama-bone spurs acindezela imigqa yezinzwa. Inqubo yokuhlinzwa ayidingi ukunyakaza kwemigqa yezinzwa. Bese, beka idivayisi yokuhlanganisa i-inter-vertebral disc endaweni yokuqala, futhi uma kunesidingo, engeza izikulufu ze-titanium ezincane ukuze usize ukuyilungisa. Ekugcineni, suture isilonda.
III.Ingabe ngidinga ukugqoka intamo yomlomo wesibeletho ngemva kokuhlinzwa?
Isikhathi sokugqoka iphini lentamo ngemva kokuhlinzwa kwe-ACDF yizinyanga ezintathu, kodwa isikhathi esiqondile sincike ebunzimeni bokuhlinzwa kanye nezeluleko zikadokotela. Ngokuvamile, i-brace yomlomo wesibeletho idlala indima ebalulekile enqubweni yokuphulukisa yomgogodla wesibeletho emavikini angu-1-2 ngemva kokuhlinzwa. Ingakwazi ukukhawulela ukunyakaza kwentamo futhi inciphise ukugqugquzela nokucindezela endaweni yokuhlinzwa. Lokhu kunenzuzo ekwelapheni kwesilonda futhi ngokwezinga elithile kunciphisa ubuhlungu besiguli. Ngaphezu kwalokho, isikhathi eside sokugqoka i-brace entanyeni singenza kube lula ukuhlangana kwamathambo phakathi kwemizimba yama-vertebral. I-neck brace inikeza ukwesekwa okudingekayo ngenkathi ivikela umgogodla womlomo wesibeletho, igwema ukuhluleka kwe-fusion okubangelwa ukunyakaza okungalungile.
Isikhathi sokuthumela: May-09-2025
