Fusion fuska ya kasance magungunan "ma'auni na zinariya" don yawancin matsaloli na baya na dogon lokaci. Amma bisa ga masu goyon baya, maye gurbin maye gurbin - hanyar sabuwar hanyar a Amurka - na iya ɗaukar rana ɗaya.
A yanzu, duk da haka, an yi fuska da yawa daga cikin fuska fiye da duka maye gurbin maye gurbin maganganu na yanayin asali kamar cututtukan cututtuka degenerative, scoliosis da sauransu.
Kuma wannan shi ne duk da damuwa da damuwa da tambayoyin da ba a amsa ba game da haduwa.
Wani bincike da yayi la'akari da rawar da aka yi a cikin kwakwalwa na lumbar a cikin shekaru 20 zuwa 2000 da 2008 ya gano cewa gurbin maye gurbin wakiltar kashi 2 cikin dari na dukkanin tarin fannin jiki. An wallafa wannan binciken a cikin watan Oktobar 2011 na mujallar MI Neurology International.
Me yasa Damarar Canji?
Dukkan maye gurbin diski ya ci gaba, a kalla a wani ɓangare, daga damuwa akan abubuwan da zasu iya haifar da fuska a cikin ƙananan sassan da ke sama da kuma a karkashin wurin aikin tiyata. Saboda wasu kasusuwa guda biyu suna haɗuwa tare a cikin fuska na kashin baya - kawar da dukkanin motsi a wannan matakin na kashin baya - hanyar da spine ta motsa bayan aiki na iya canzawa, tare da ƙara matsa lamba a kan gidajen da ke kusa. Wasu masana sunyi imanin cewa matsalolin da ake karawa zai haifar da rashin daidaito a waɗannan yankuna.
Wasu ba su da tabbacin cewa irin wannan canji na baya-bayan nan yana iya haifar da tiyata.
Ko ta yaya, tunanin da ke gaba bayan maye gurbin kuri'a shi ne cewa yana kiyaye ikon ku na iya motsawa a matakin (s) anyi hanya. Ta wannan hanyar, samun maye gurbin zai iya taimakawa rage rashin tasiri na canje-canje a cikin ƙananan kwakwalwa.
Rikici a cikin asibitoci a sama kuma a ƙasa da shafin yanar gizo na fusion na kashin baya an san shi a matsayin ɓangaren hakar kashi, ko ASD .
Canjin Sauye-gyare na Disc - Menene Muke Sanuwa?
Kodayake aikin tiyata, tare da maye gurbi a matsayin mafi yawan al'ada, har yanzu yana da ƙari a cikin Amurka, hujjoji sun nuna tasirinta. Hakazalika, masu bincike suna ci gaba da tattara bayanai na tsawon lokaci akan sakamakon da hadarin.
Ta hanyar gano abubuwan da suka dace, shekaru 10, rahoton da aka yi a cikin jarida ( Rahoton Kimiyya) a shekara ta 2017 ya ƙarfafa ilimin da aka sani (tsakanin likitoci da masana, a kalla) sakamakon sakamakon maye gurbin fice da fuska sune daidai. Masu bincike sun gano cewa ci gaba na ASD bayan hanya, saurin dawowa da sakamakon ciwo duk sun kasance daidai ne tsakanin hanyoyin biyu.
Nazarin shekara ta 2017 da aka wallafa a cikin jaridar Global Spine Journal idan aka kwatanta sakamakon da aka samu a tsakanin jimlar maye gurbi da kuma jigilar nau'in tiyata a marasa lafiya. Masu binciken sun gano cewa marasa lafiya na maye gurbin sun sami ƙarin ci gaba a cikin jinƙai da rashin jin daɗi fiye da ƙwararrun marasa lafiya a kowane lokaci na aikin tilasta yin aiki (makonni shida, watanni uku, watanni shida da shekara daya).
Har ila yau, a cikin wannan binciken, marasa lafiya marasa lafiya sun sake komawa aiki a cikin kwanaki sittin da biyar ba tare da jimawa ba.
Kuna da Kyawawan Fitarwa Don Ƙarin Rigar Canjin Ciki?
Amma wannan bincike ne guda daya kawai game da sauyin gyara. Binciken da aka yi a shekarar 2015 wanda ya buga a Asiya Asiya Asiya ya gano cewa a halin yanzu, akalla, sake yin gyaran-gyare da gyaran tsararraki ya faru a game da irin wannan jimlar ko da kuwa korar farko (da ake kira "index") ta kasance mai maye gurbin kwakwalwa ko kuma yawanci An ba da launi na kwakwalwa tare da fuska.
Wannan ya ce, bisa ga Dokta Joshua D. Auerbach, shugaban aikin tiyata a Bronx-Lebanon Hospital Center, New York City, kawai har zuwa kashi 5 cikin 100 na marasa lafiya da ke buƙatar tayar da tabarbaƙi suna yin 'yan takara masu kyau don maye gurbin kuri'a.
Abubuwan iyakance, in ji shi, na iya hada da zaɓi na haƙuri. A wasu kalmomi, menene ƙananan za ku fuskanci wata nasara da nasara?
Abubuwan da za a iya yarda da su zuwa cikakkun aikin tiyata zai iya hada da:
- tsakiya ko a kaikaice komawa stenosis
- facet arthritis
- spondylolysis da spondylolisthesis
- kwayar da ke da ƙwayar cuta tare da radiculopathy
- osteoporosis
- pseudarthrosis
- gyaran jini na baya
- yana bukatar sauyawa na sauyawa, duk da cewa binciken da aka yi a shekara ta 2018 a cikin jarida Neurosurgery ya sami hujjojin jimlar maye gurbi a cikin kwakwalwar mahaifa don daya ko biyu matakai.
> Sources:
> Auerbach, J., MD. Babban Cibiyar Harkokin Spine, Bronx-Lebanon Hospital Cibiyar, Mataimakin Farfesa na Tiyata, Albert Einstein College of Medicine. Tambayar waya. Maris 2012.
> Nawa OO. et. al. Rashin tasiri na tarin fuka-fuka akan ƙwaƙwalwar ƙwayar cuta na cututtuka na lumbar degenerative: Tattaunawar samfurin Inpatient na Ƙasar daga 2000 zuwa 2008. Surg Neurol Int. 2011.
> Hellum, C., et. al. Yin aiki tare da ƙwararriyar kwakwalwa tare da gyarawa a marasa lafiya tare da ciwo mai rauni da ƙwayar degenerative: biye da shekaru bayan binciken binciken bazuwar. BMJ. Mayu 2011.
> Mattei, T., MD, et. al. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5544164/ Spine Global Jum 2017.
> Nunley, P., et. al. Citical Disk Arthroplasty: Shaida ta yanzu da kuma Gidajen Duniya. Neurosurgery. Jan 2018.
> Skovrlj, B., et. al. Ayyukan Bayanai Bayan Sauya Cervical Disc. Asian Spine J. Jun 2015
> Yang, S., et. al. Cutar da ke ciki na kwakwalwa da gyaran fuska tare da maye gurbin maye gurbin: Sauran binciken da ya dace da kimanin shekaru 10. Rahoton Kimiyya 7, Lambar Shafin: 16443. 2017.