Ƙananan ciwon baya shine matsala ta kowa wanda aka saba bi da shi tare da aikin ba tare da wani ba. Duk da haka, a wasu yanayi, waɗannan jiyya marasa nauyin na iya ba su wadata taimako. Idan kana buƙatar shan tiyata don matsalolin kwakwalwa, zaka iya buƙatar ƙarin ƙarfafawa na spine don hana karin matsaloli. Ƙarfafawa mai dorewa wani tsari ne wanda aka tsara don ba da izini ga wasu motsi na kashin baya yayin da yake cike da kwanciyar hankali don hana yunkuri da yawa.
Wannan ya zama madadin aikin tiyata.
Cikakken Ƙasa
Za'a iya buƙatar ƙwaƙwalwar asalin halitta don ɗaya daga dalilai uku:
- Rashin motsi na cututtuka na tsofaffin cututtuka yana haifar da ciwo
- Halin da aka samu ko cin zarafi ya ba da damar canza kashin baya ( spondylolisthesis )
- Tiyata yana buƙatar kawar da tsarin al'ada na al'ada
Idan kashin baya ba shi da ƙarfi, motsi mai yawa zai iya haifar da jijiyoyin da ke kusa da gefen kashin baya don a zuga. Wannan zai haifar da ciwo, ƙuntatawa, da rauni. Ta hanyar tabbatar da kashin baya, ra'ayin shine iyakance motsi marar haɗari na sassaƙƙun ƙwayoyi kuma ya hana ciwon ƙwayar cuta.
Dynamic Stabilization vs. Lumbar Fusion
A bisa al'ada, an kammala gyaran gyare-gyare na sparlan lumbar tare da fuska. An yi aikin tiyata na spine ta hanyar rawar jiki don bunkasa tsakanin rassa biyu ko fiye da ke kusa don hana motsi na gaba. Sau da yawa ana amfani da kayan aiki na ƙarfe don tabbatar da ƙananan sassa yayin da kasusuwa ta ƙare a tsakanin tsaka.
Dynamic stabilization shi ne madadin zuwa fusion. Ana amfani da kayan aikin da aka yi amfani da su a cikin ƙarfafawa na ƙarfafa don sarrafa adadin motsi a tsakanin gefe guda, amma bai kawar da wannan motsi ba.
Ɗaya daga cikin manyan matsaloli tare da fuska ta kashin baya shine cewa koda lokacin da duk ke da kyau kuma sassan sassa na sassaƙa, matsaloli zasu iya tashi a hanya.
Da zarar ƙungiyoyi biyu sun rabu da su, an ƙaddamar da wasu matsaloli a cikin fayafai a sama da ƙasa da fusion. Wadannan sassan suna da saurin ƙarar sauri, wanda zai haifar da ƙarin ƙwayoyin aiki a hanya. Wannan shi ne matsala musamman a cikin ƙarami, mafi yawan marasa lafiya.
Dynamic Stabilization Surgery
Dandalin gyaran gyare-gyaren ƙarfin farawa yana farawa kamar aikin tiyata. Da zarar an magance matsalolin diski, likitan likitanka ya sanya na'urar karfafawa ta ƙarfin don rage motsi a matakin ƙwayar cuta. Wata na'urar da aka gina da ake kira Dynesys.
Dynesys yana amfani da sutura zuwa alamar zuwa ƙananan ƙwayoyin cuta a matakan biyu. Kullun suna haɗa da igiya (don hana tsangwamawa) da tubes na filastik (don hana damuwa mai tsanani). Hadawa bayan bin tiyata Dynesys ya bambanta dangane da ƙayyadaddun hanyoyin da ake aiki da ita kuma dole ne a tattauna da likitanku.
Sakamako na Tiyata
Yana da mahimmanci a lura da cewa ba a yi nazari na tsawon lokaci ba tare da ƙarfafawa ba. Fata shi ne cewa wannan tsari zai taimaka wajen hana wasu matsalolin da aka gani tare da fushin fuska, ko da yake wannan ba a bayyana ba. Bugu da kari, akwai damuwa tare da na'urori masu ƙarfafawa, ciki har da ƙananan ƙananan rashin ƙarfi da ɓarna.
Dole ne a yi aiki da ƙarin don a bayyana mahimmancin muhimmancin karfafawa a cikin aikin tiyata na lumbar. Ƙarin bincike game da ƙarfafa karfafawa zai iya taimakawa wajen amsa wasu daga cikin matsalolin da ba a warware su ba.
Sources:
Kelly MP, et al. "Dynamic constructs for spinal fusion: wani bayanan shaida" Orthop Clin North Am. 2010 Apr, 41 (2): 203-15.
"Taro: Tsarin Dynamic Stainisation na Lumbar Spine," Orthopedics Today International, Maris / Afrilu 2006.