Discectomies don Discard Herniated Disc

by Anne Asher, CPT; Binciken by Grant Hughes, MD

Discectomies don Discard Herniated Disc

A yayin da ake rarrabawa, ƙananan ɓangaren kwakwalwa da ke kan jijiya ko a kan kashin baya suna cirewa a hankali. Ana kashe lalacewa a yayin da ɓangaren da ke ciki ya haifar da ciwo da / ko wasu alamun bayyanar cututtuka ciki har da ƙuntatawa, rauni ko alamar lantarki ƙasa ɗaya ko hannu.

Yayin da 'yar dabbar ta zama ta hanyar, wadannan bayyanar cututtukan suna kira radiculopathy, amma mutane da yawa marasa likita suna nuna su a matsayin sciatica .

Lokacin da kake da nakasa, duk ko ɓangaren lamina , wanda shine yanki na kashi a baya na vertebra, dole ne a cire shi. Wannan shi ne don taimaka wa likitan likita don isa jijiya da kuma diski. Dangane da yadda aka cire kashi, wannan ɓangaren hanya zai iya samun ɗaya daga cikin sunayen biyu. Tsararraki ta kawar da dukkan lamina, yayin da hemilaminectomy ya kawar da rabin rabin lamina.

Yaushe ne ake Bukatar Discectomy?

Yawancin lokaci, hanyoyi masu mahimmanci irin su magungunan , magungunan jiki, ko maganin steroid sunyi gwajin kafin aikin tiyata. A gaskiya ma, ƙwararren nau'in haɓaka yana warkewa ba tare da tiyata ba - amma wannan na iya ɗaukar har zuwa shekara guda. Samun ciwo zai iya rage lokacin warkar da ku. Idan jin zafi ya kasance mai tsanani, ko kuma rashin ƙarfi yana iya ganewa, wani ɓangare na iya zama kyakkyawan zabi, amma idan bayyanar cututtuka ta kasance m ko matsakaici, farfadowa yana iya zama duk abin da kake bukata.

Ko ta yaya, tattauna batuttuka da zaɓuɓɓuka tare da likitan ku.

Microdiscectomy

Microdiscectomy wani tsari ne maras kyau wanda aka yi a cikin saiti. An sanya karamin ƙananan fata a cikin fata kuma an sanya kayan aiki mai kwakwalwa a cikin hanya har sai sun isa diski. Dukan aikin tiyata yana faruwa ta wurin kayan aiki.

A lokacin microdiscectomy, ba a yanke tsokoki ba kamar yadda suke a yayin budewa; maimakon haka an cire su daga hanya.

Saboda wannan, lokaci na warkar yana da sauri kuma ba ta da zafi fiye da hanyar budewa.

Open Discectomy

Kullun budewa shine aikin tiyata na gargajiya. An yi a asibitin asibiti a karkashin asibiti. (Kila za a buƙatar ka zauna a asibitin wata rana.)

Cigaban budewa ya haɗa da yin gyare-gyaren da yake da kusan 1 "tsawo, dole ne a yanke ƙuda don bada likita a cikin diski. Kamar yadda aka tattauna a sama, wannan yana nufin ƙarin lokaci don warkar da wajan bayan warkar da ƙwaƙwalwa. bayan hanyoyin budewa zai iya zama mafi zafi, da.

Baya ga bambance-bambance da matsalolin da aka samu a lokacin warkar da cututtuka, hanyoyin biyu sunyi kama.

Wani ɗan binciken binciken da aka buga a jaridar Journal of Orthopedic Surgery (daga Hong Kong) a shekarar 2011 ya gano cewa duka bude jiki da kuma rikice-rikicen ƙananan ƙwayar cuta sunyi tasiri sosai wajen kawar da bayyanar cututtuka. Amma, marubuta sun ce, ƙwayar magungunan ƙananan da ake buƙata ta buƙatar kwanciyar hankali a ƙauyuka, baya dawowa don yin aiki da sake dawo da matsalar asali.

Wancan ya ce, marubuta sunyi tsammanin dabarun ƙwayoyin maganin ƙyama ne kawai a kan likita, kuma yana buƙatar takaddama.

Zabi wani likita mai fiɗa don Discectomy

Dukansu biyu sune magunguna da neurosurgeons sunyi nau'in farfadowa da yawa, ciki har da discectomies.

Ko dai likita zai kasance a shirye don aikin. Zaɓin likitan likitan likita don ƙaddamar da ƙwayar cuta ya zo ne don ƙwarewar ƙwarewar mutum. Kada ku yi shakka ku tambayi tambayoyi da yawa kafin ku yanke shawarar wanda zai yi hanya daidai.

Amfani da Discectomies

Discectomy yana aiki ne game da 80 zuwa 90% na lokaci kuma yakan haifar da saurin sauƙin ciwo da sauran cututtuka. Amfanin nakasassu na riƙe dashi a tsawon lokaci - binciken da aka buga a Jaridar Spine ya gano cewa mafi yawan marasa lafiya tiyata sun sami jin dadi sosai bayan shekaru 10.

Kuma binciken da aka yi a shekara ta 2017 da aka buga a watan Nuwambar 2017 na jaridar Clinical Orthopedics da Research Research sun gano cewa kimanin kashi tamanin da uku cikin dari na marasa lafiya da suka kamu da cutar ba su wuce shekaru bakwai ba bayan tafiyar.

Amma nazarin Spine da aka samu bayan shekara 1, 25% na masu aikin tiyata da masu kula da magungunan ra'ayin mazan jiya sun bukaci (karin) tiyata a cikin lumbar. Bayan shekaru 10, yawancin kungiyoyi biyu sun nuna rashin jin dadi na tsawon lokaci, amma wannan gaskiya ne ga karin mutane a cikin ƙungiyar tiyata (69%) fiye da ƙungiyar kula da mazan jiya (6%).

Halin yiwuwar sake dawowa da labarun shine ainihin abu. Binciken da aka yi na yau da kullum na 2015, ya gano cewa bayan shekaru biyu, ciwon zai iya komawa zuwa kashi 25 cikin dari na marasa lafiya da ke fama da rashin lafiya. Mawallafa sun ce wadannan daga cikin wadannan, kimanin kashi 6 cikin dari suna buƙatar sakewa.

Labarin mai dadi shine tiyata don ƙwaƙwalwar launi na yau da kullum ba koyaushe ba. Bugu da ƙari, nazarin ya nuna cewa tiyata da kuma kula da mazan jiya don kulawa da ita a bayan wani rikice-rikice na samun daidaito a cikin sharuddan taimako na jin zafi.

Abubuwan da ke faruwa na Discectomies

Tare da yiwuwar yin gyare-gyare (tattauna a sama) haɗari na cututtuka sun hada da kamuwa da cuta, zubar da jini, rauni ga dura mater, wanda shine sutura a kusa da kashin baya , ko rauni ga jijiyoyi, arteries ko veins.

Idan ka lura da redness ko fitarwa daga cikewarka, zafi ko rauni da hannunka ko ƙafa, za ka zama mummunan hali, da matsalolin damuwa ko zub da jini, kira likitanka nan da nan.

Bayan Bayanin Yanayinka

Kuna iya samun ciwo bayan aiki a bayan ginin da ke bisan bayan bin tiyata. Ciwo daga ƙwaƙwalwar karenka zai iya jinkirta dan lokaci, ma.

Kyakkyawan ra'ayin da za a fara fara tafiya bayan da ka yi aiki kamar yadda kake iya. Wannan zai iya taimakawa wajen dawowa da sauri, ya hana maganin wulakanci kuma ya shirya shirin kashin baya. A cikin makonni biyu, ya kamata ku iya hawa bike ko yin iyo. Mafi yawancin mutane sun sake komawa aiki a cikin makonni takwas da takwas, dangane da yadda aikin su yake. Jiki na jiki zai iya taimaka maka a cikin saurin dawowa zuwa aiki da wasu ayyukan. Idan likitanku ba ya kai ku ga PT ba, kuna iya yin la'akari da tambayar ta game da shi.

Mutane da yawa marasa lafiya, musamman ma tare da rikici na farko, yi cikakken farfadowa.

_Sources:

_{Garg, B., Nagraja, U., Jayaswal, A. Microendoscopic ƙwaƙƙwarar hanzari don ƙwaƙwalwar launi na lumbar: binciken binciken da ba zai yiwu ba.} _{J Orthop Surg (Hong Kong).} _{Afrilu 2011. Samun shiga zuwa 2016. Http://www.ncbi.nlm.nih.gov/pubmed/21519072}

_{Dewing et al.} _{Ayyukan microdiscectomy na lumbar a cikin yara, masu aiki yawanci: daidaituwa tsakanin nau'in nau'i da nauyinta.} _{Spine (Phila Pa 1976).} _{Jan 2008.}

_{Atlas et al.} _{Sakamakon lokaci mai tsawo na gyaran ƙwayar cuta da rashin kulawa na sciatica na biyu zuwa labarun labaran lumbar: sakamako na shekaru 10 daga binciken nazarin na lumbar maine.} _{Spine (Phila Pa 1976).} _{Feb 2005. http://www.ncbi.nlm.nih.gov/pubmed/15834338}

_NASS. _{Open Discectomy.} _NASS. _{Burr Ridge, IL.} _{Samun shiga: Feb 11 10.}

_{Legrand et al.} _{Spine Sashe na Ƙasar Faransa don Rheumatology.} _{Sciatica daga labarun launi: Jiyya ko tiyata?} _{Ƙungiyar hadin gwiwa ta hadin gwiwa.} _{Dec 2007.}

_{Parker S., Mendenhall S., Godil S., Sivasubramanian P., Cahill K., Ziewacz J., McGirt M. Tsarin Lalacewa na Ƙarƙashin Ƙarƙashin Bayan Ƙaƙƙwarar Layi na Ƙarƙashin Ƙarƙashin Ƙarƙwara don Herniated Dissa da Ƙimarsa a kan Sakamakon Sakamakon Mai haƙuri.} _{Clin Orthop Relat Res.} _{Yuni 2015. Samun shiga watan Feb 2016. http://www.ncbi.nlm.nih.gov/pubmed/25694267}

> Virk, S., et. al. Mene ne Rate of Discectomies na Gyara Bayan Yankin Farko a Ƙasa na Ƙasar? Clin Orthop Relat Res. Nov 2017.