Risks na Cusion Spinal for Disgenerative Disc Disc

Shin kuna da haɗari don ƙaddamar da ragi na kusa?

Idan kuna la'akari da tiyata na fenti na cututtuka don maganin degenerative ko wasu matsala, za ku iya zama dan hadarin ASD. ASD ya takaice don raguwar ɓangaren da ke kusa, ko karin lalacewa da hawaye a kan gadon asibiti sama da ƙasa da fannin fusion. Ga dalilai biyar masu haɗari ga ASD.

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Dalili don Baya Backka

Dangane da ganewar asali wanda ke haifar da tiyata , za ka iya samun haɗari ga ASD .

Dr. John Toerge, likitan likitancin likita, farfesa a fannin ilimin likita a Jami'ar Georgetown, da kuma asibitin asibitin Cibiyar Kwalejin Lafiya na Gidajen Lafiya na kasar, ya ce mutanen da ke fama da fuka-fuka don maganin cututtukan cututtuka suna ci gaba da hadarin ASD. Toerge ya ce wannan shi ne saboda cikewar ya riga ya fara a cikin matakan da ke sama da ƙasa da matsala, ko da yake kayi watsi da bayyanar cututtuka. Kullum, likitan likita ba ya jawo wajan matakan, ya kara da cewa.

Toerge ya ce marasa lafiya da cututtukan cututtuka mai tsanani suna iya kara haɗari ga ASD. "Wadannan mutanen suna da abubuwa masu inganci da zasu iya rage haɗarin," in ji shi. "Tare da raguwa na raguwa, marasa lafiya da ciwon maganin ƙwaƙwalwar ƙwayar cuta ba su da ɗakin kuskure, kuma a irin wannan, sun fi dacewa da ƙara cigaba a cikin kashin baya."

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Your Age

An yarda dashi cewa shekarun suna taka muhimmiyar rawa wajen hadarin ASD.

Yayin da muka tsufa, ƙuƙwalwarmu suna nuna rashin karfin zuciya, wanda ya haifar da ra'ayin cewa sake tiyata yana haifar da ASD. A gaskiya ma, nazarin 1999 game da abubuwan haɗari ga ASD a cikin wuyansa, wanda Hilibrand ya gudanar da kuma buga shi a cikin Journal of Bone da Hadin Jima'i , ya gano cewa yawancin cigaba da aka gani a fina-finai (irin su MRIs da CT) yana daya daga cikin manyan hadarin ASD.

"Tarihin halitta na canje-canje na degenerative a cikin kashin baya shine mai canzawa a yayin da aka gano dalilin ASD," in ji Dokta Frank P. Cammisa, Ma'aikatar Harkokin Cikin Gida a Asibitin Asibitin Musamman na New York. "Idan waɗannan canje-canjen suna gudana a cikin kashin baya, suna iya kasancewa (ko zasu iya ci gaba) a cikin matakin fiye da ɗaya, tare da ko ba tare da tiyata ba."

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Yanayin Yanayi na Jirginku

Your spine yana da ƙungiyõyin adawa, wanda zai taimaka maka daidaita yayin da kake motsawa. Wadannan sassan suna rarraba zuwa yankuna: Abun (ƙwararru), babba da tsakiyar baya ( thoracic ), baya baya ( lumbar ), da kuma sacral . Idan aikin tiyata yana faruwa a inda wani tsarin tafiya zuwa na gaba - alal misali, inda thoracic ya zama lumbar (T12-L1) - hadarin da ASD zai iya zama mafi girma.

Toerge ya kira wadannan wurare masu juyawa "sassan motsi." Ya ce fannonin da ke motsa jiki suna nuna matsaloli a baya. Wannan shi ne saboda, ya ce, irin wannan fuska zai iya haifar da karuwa a kan haɗin gwaninta na tsakiya, wanda hakan zai iya ƙara haɗarin ASD, da kuma ɓangaren sashi na kusa.

Binciken Hilibrand da aka ambata a sama ya gano cewa hadarin ASD ya bambanta dangane da wurin da fusion yake. Masu bincike sun gano matakan C5-C6 da C6-7 (waɗannan su ne ɗakunan ƙasƙanci biyu mafi ƙasƙanci a cikin wuyanka) kamar yadda yake sanya haɗari mafi girma ga kowane yanki a cikin wuyansa don rashin karuwa ba a baya a fili akan fina-finai ba. Wadannan sassan motsi guda biyu, ko matakan, suna kusa da ko a cikin motsi na motsi wanda Dokta Toerge ya ambata.

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Length na Fusion

Gaba ɗaya, haɗarin ASD ya fi girma yayin da matakan da yawa suke fused.

Dokta Cammisa ya ce matsaloli na asali wanda ke buƙatar jigilar fuska (matakan da aka yi amfani da su) ya zama mafi haɗarin ASD. Scoliosis misali ne na wannan. Cammisa ya yi bayanin idan an yi amfani da ku daga T4-L4 (jigon motsin motsi, ko haɗin gwiwa, wanda ke motsawa daga tsakiyar kirjin ku zuwa ƙasa da button button) don gyara scoliosis, mai yiwuwa cewa a tsawon shekaru Za ta inganta ASD a T4-5 da L5-S1. (T4-5 da L5-S1 sune sassan motsi wanda ke tsaye sama da ƙasa T4 da L4, bi da bi).

Binciken 2016 da meta-bincike da aka wallafa a mujallolin jaridar Clinical Spine Surgery fusion tsawon lokaci shine babbar hanyar da ke hade da ɓangaren ɓangare da cutar. Mawallafa sun nuna cewa ƙayyade yawan matakan da aka ƙaddamar zai iya zama kyakkyawan tsari fiye da canza yadda za'a yi fusion.

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Bayanai kafin da kuma lokacin da kake da baya

Matsayinka, kazalika da gyaran ƙasusuwanka a lokacin tiyata, na iya shafar hadarin da ASD ya yi. Idan kana da kyoshin a lokacin fuska, za a iya samun damuwa a kan fax ɗinka na fac . Wannan na iya haifar da ciwo da kuma canjin canjin degenerative na ASD. Hakanan zai iya haifar da cututtuka na kashin baya a facet joints.

Abubuwa biyu da suka hada da ci gaba da canjin yanayi da ASD suna da nasaba da juna. Idan kwanakinka ya zama kamar ƙwanƙirin ka ya koma baya (wanda ake kira pelvic retroversion) a lokacin tiyata, da tsokoki da ke da alhakin rike ka tsaye zai iya ƙara wuya sau da yawa daga baya. Bayan lokaci, wannan zai haifar da ciwo da kuma canjin canji a wannan yanki na kashin baya.

Harshen sautin yayin aikin tiyata yana da bambanci, ma. Yawanci, saman sacrum tilts kadan a gaba (kamar yadda ƙashin ƙugu, tattauna a sama). Idan yaronka ya faru ne a tsaye ko kusa da wani matsayi na tsaye a lokacin tiyata (wanda zai iya zama idan an kwantar da kwasirinka), haɗarin ASD zai iya ƙaruwa.

Kuma a karshe, kuna da sa ido gaba? Idan haka ne, kuma kana da ciwon fuska, za a iya kara yawan haɗarin ASD.

Yayinda wasu daga cikin wadannan batutuwa zasu iya yin magana da su a yayin da ake gudanar da su, ku tuna cewa ku kawo matsayi tare da ku zuwa tebur aiki.

Ga yawancin mu, matsayi shine haɗuwa da halaye a cikin lokaci; ga wasu, shi ne ɓangare na tsarinmu. Idan kyhonsis, mika kai, kullun sacral, da / ko kwaskwarima ba a gina jikinka (kuma a wasu lokuta, ko da sun kasance), ganin likitan kwantar da hankali don aikin motsa jiki na gida kafin ka yi aikin tiyata zai iya taimaka maka rage wasu halayen ASD naka.

"Ayyukan da aka zaɓa da kyau don tabbatar da yankunan da ba su da kariya ba zai iya taimakawa wajen rage alamun alamunku," inji Toerge.

_Sources:

_{Cammisa, F., MD, Babban Jami'in FACS, Ma'aikatar Harkokin Cikin Gida a Asibitin Aiki na Musamman. Interview Email. Jan 2012.}

_{Etebar S, Cahill DW. Hadarin Dalili don kuskure-kashi gazawar bin lumbar fixation tare da m instrumentation ga degenerative instability.J Neurosurg. 1999; 90 (2 Gida): 163-9.}

_{Kyoung-Suok Cho, MD, et. al. Abubuwan da ke tattare da hadarin da kuma M Jiyya ga Sakamakon Bambanci na Musamman Tsakanin Bayanin Lumbar Spine Fusion. J Korean Neurosurg Soc. 2009 Nuwamba; 46 (5): 425-430.}

_{Hilibrand, A., MD. et. al. Radiculopathy da kuma Myelopathy a Sections kusa da Site na wani tsohon Anterior Cervical Arthrodesis.Journal na Kashe da Hadin gwiwa. 1999.}

_{Lee, CK Ƙarƙasa ƙananan ɓangaren da ke kusa da lumbar fusion.pine (Phila Pa 1976). 1988 Mar; 13 (3): 375-7.}

_{Levin, et. al. Tsakanin Tsakanin Tsakanin Tsakanin Bayan Raunin Cizon Cizon Ƙwayar Ciki don Cutar Duka Dama. Bulletin of the NYU Hospital for Syndrome Diseases 2007; 65 (1): 29-36}

_{Schlegel JD, et. al. Lumbar motsi sassan sifofi kusa da thoracolumbar, lumbar, da kuma lumbosacral fusions. Spine (Phila Pa 1976). 1996 Fabrairu 15; 21 (8): 970-81.}

_{Toerge, J. DO, Cibiyar Harkokin Kimiyya ta Cibiyar Mustaloskeletal Institute of Rehabilitation Hospital, Washington, DC. Interview Email. Jan 2012.}

_{Zhang, C., et. al. Tsarin Rashin Gangaguwa da Sakamakon Bamasa Bayan Cutar Lumbar Cusion don Tsarin Halitta: Tsarin Gwaji Tare Da Tattaunawa ta Meta na Lissafi. Clinic Spine Surg. Feb 2016 http://www.ncbi.nlm.nih.gov/pubmed/26836484}