Cigabaccen Canji Sauya
Yan yanke shawara, yanke shawara. Kwararku ya ce kana buƙatar ɗaukar tiyata don kun kasance kuna shan ciwo da / ko fil kuma yana buƙatar da hannu daya, ba ma ambaci wasu alamar cututtuka da ke haɗuwa da radiculopathy cervical. Ta gaya muku aikin tiyata mafi mahimmanci domin wannan yanayin shine rikici na ciwon zuciya na baya (ACDF).
A gaskiya ma, ACDF yana da cikakkiyar tilasta aikin tiyata - kuma mafi yawan aikin tiyata.
Amma ƙwararriyar ta sanar da kai cewa saboda ACDF ya haɗa da hada-hadar (daya ko fiye) haɗin gizon intervertebral, za ku ba da damar da zai iya motsa wuyanku a wurin aikin tiyata - gaba daya. Ba wai kawai ba, sai ta gaya muku, amma kuma, saboda fusion, kuna gudu cikin hadarin bunkasa ɓangaren ɓangaren gefe.
Bayan haka, ko dai likitanku ya ambace shi ko kuka gano ta hanyar yin bincike mai zurfi cewa hanya da ake kira jimlar maye gurbi ya taimaka wa wasu mutane, musamman a Turai.
Amma menene, daidai ne jimlar juyawa?
Kwancen maye gurbin wani sabon fasaha ne wanda ke amfani da tsarin rigakafi - wanda ke nufin likita mai fiɗa ya shiga gaban wuyanka maimakon a cikin baya - don maye gurbin kwakwalwarku tare da wucin gadi. An yi amfani da shi wajen magance ƙwaƙwalwar ƙwayar cuta da kuma / ko cututtukan discogenic. An kuma yi amfani da shi a cikin tsagewar farfadowa.
Related: Menene Tsarkakewa kakar?
Kwanan sauya maye gurbin ta wuce wasu wasu sunayen, kazalika. Wadannan sun hada da: maye gurbin dashi na artificial, arthroplastic disc, jigilar kwakwalwa na kwakwalwa, da kuma kwakwalwa na kwakwalwa na kwakwalwa ko jujjuya na kwakwalwa lokacin da aka yi hanya cikin wuyansa. Lokacin da aka aikata bashin baya, an kira shi a matsayin mai kwakwalwa ta lumbar ko juyawa na maye gurbin lumbar.
FYI, arthroplasty wani suna ne don maye gurbin haɗin gwiwa ko sake ginawa. Acronyms don maye gurbin sun hada da TDR (jimlar maye gurbin) kuma TDA (maye gurbin diski).
Ɗaya daga cikin manyan amfanonin maye gurbin kwakwalwa, kamar yadda Caridi, Pumberger, Matthais, da Hughes (a cikin rubutun su na 2011, mai suna "Cervical Radiculopathy: A Review," wanda aka buga a mujallar Asibitin na Turawa na musamman ) shine yana kulawa tsawo a tsakanin ƙananan ƙasusuwan kasusuwa, yayin da lokaci ɗaya ke kare haɗin haɗin gwiwa don motsawa.
A matsayin sabon sababbin hanyoyin a Amurka (an kafa shi a Turai,) mai yiwuwa ka yi mamaki idan TDA ke aiki, da abin da sama da ƙasa suke.
Hanyoyin nazarin bincike, da kuma akalla ɗaya daga cikin ƙwararrun likitoci na musamman zasu iya ba da haske mai haske ga maye gurbin kwakwalwa. Alal misali, Cibiyar Labaran Ƙasa ta Arewacin Amirka ta ce a cikin gajeren lokaci, don ƙwayar cutar ƙanƙan daji guda ɗaya, ACDF da jigilar magungunan kwakwalwa na iya zama magunguna daidai.
Rao, et. al. sami maye gurbin kwakwalwa don zama mafi girma ga ACDF a hanyoyi da yawa. Sakamakon bincike na 2015 da aka wallafa a cikin Tarihin Tsibirin Traditional Orthopedic Traffic kuma ya cancanci, "Citical disc arthroplasty tare da kwakwalwa na kwakwalwa na gaba da fuska don maganin cututtukan cututtukan cututtuka na kwakwalwa.
- Better nasara tare da inganta jiji bayyanar cututtuka.
- Ƙarin tanadin motsi a matakin daidaitaccen aiki.
- Rahotancin matsalolin da aka ruwaito ko matsalolin da suka shafi hanya.
- Kadan da ake buƙatar gyaran gyare-gyare.
Amma har ma da wannan alamar sakamako, masu marubuta sun ce, ba a tabbatar da wasu amfani ba, ciki har da hasara ta jini yayin aikin tiyata, tsawon lokaci da za ku ciyar a asibiti da kuma inganta aiki.
Ren, et al., A cikin binciken da aka yi a shekara ta 2014, "Tsakanin lokaci na ƙarshe bayan maganin ƙwaƙwalwar ƙwaƙwalwar ƙwararruɗa idan aka kwatanta da ƙananan baya da kuma fuska: wani nazari na yau da kullum da ƙaddamarwa na gwajin gwagwarmayar da bazuwar," wanda aka buga a Turai Wakilin Spine ya sami magungunan gyare-tsaren gyare-gyare na jimlar jimlar kuɗi, idan aka kwatanta da ACDF.
Har ila yau, marubuta sun ce adadin maye gurbin na iya haifar da farfado da aikin a tsakiyar da dogon lokaci.
Amma sabanin Rao, et. al. (daga sama), Ren da masu bincikensa sun tabbatar da cewa an gudanar da bincike kadan don sanin idan da'awar cewa maye gurbin kwakwalwa na iya taimakawa wajen kauce wa ASD gaskiya ne.
Abubuwan da ke Nesa da Cibiyar Nazarin Lafiya
A Amurka, maye gurbin ƙwaƙwalwar kwakwalwa a halin yanzu an yi ne kawai a ƙananan ƙwayar wucin gadi. Saboda haka, yana yiwuwa wasu 'yan likitoci na tsararrun likitocin sun cancanci fasaha zuwa ma'anar inda marasa lafiya zasu iya ba su bita mai kyau.
Maganar kan titin yanar gizon yanar gizo shine cewa mutane suna son tafiya don neman likita wanda suke jin dadi. A gaskiya, mutane da yawa sun je Turai - musamman Spain da Jamus don samun hanyar da aka yi.
Da dama daga cikin tambayoyin game da aminci da sakamakon ba za a amsa ba. Akwai, duk da haka, wani taron tattaunawa na "ruwa mai sanyaya" wanda ake kira ADR Support, wanda mutumin da ke da ƙwayar TDR yana ci gaba. Jama'a a wannan rukunin suna ba da amsa madaidaiciya, cewa, yayin da ba a tabbatar da bincike ba, ana ɗaukar su ne daga abubuwan da suka faru da kuma labarun marasa lafiya.
Sources:
Caridi, John M., MD, Pumberger, Matthias, MD, Hughes, Alexander, P., MD Cervical Radiculopathy: A Review. Asibitin na Musamman na Wajibi. Satumba 2011. Samun shiga Janairu 2016.
Ƙungiyar Wuta ta Arewacin Amirka. Sanin asali da Jiyya na Rashin Ƙari na Cikikal daga Cututtukan Lafiya. Ƙungiyar Wuta ta Arewacin Amirka. 2010.
Ren, C., Song, Y., Xue, Y., Yang, X. Tsakanin sakamako na dindindin bayan daɗaɗɗen kwakwalwa na kwakwalwa idan aka kwatanta da ƙananan baya da fuska da baya: nazari na yau da kullum da kuma kwaskwarima na gwajin gwaji. Eur Spine J. 2014 May; 23 (5): 1115-23. Doi: 10.1007 / s00586-014-3220-3. Agusta 2014 Feb 11.
Rao, M, Nie, S., Xiao, B., Zhang, G., Gan, X., Cao, S. Cervical disetoplasty da ƙananan kwakwalwa na jiki da kuma fusion don magani na bayyanar cututtuka na cututtuka na kwakwalwa: wani zane-zane-zane na gwajin gwajin gwagwarmaya. Arch Orthop Trauma Surg. 2015 Janairu 135 (1): 19-28. Doi: 10.1007 / s00402-014-2122-5. Afub 2014 Dec 5.