Ngentuthuko nokuthuthukiswa komphakathi kanye nokusetshenziswa kabanzi kwemikhiqizo ye-elekthronikhi ehlakaniphile, indlela yokuphila "yokuxosha" iye yaba yinto evamile kancane kancane. Okwamanje, inani labantu abahlushwa izifo zomgogodla wesibeletho liyakhula unyaka nonyaka, futhi inani labantu abathintekayo liya ngokuya liba lincane. Ngakho-ke singazivimbela futhi siphaphe kanjani izifo zomgogodla wesibeletho?
Izinhlobo Ezivamile Zezifo Zomgogodla Wesibeletho
1. I-Spondylosis Yesibeletho Esonakele
I-degenerative cervical spondylosis ingenye yezinkinga zomgogodla womlomo wesibeletho ezivame kakhulu, phakathi kwazo lapho i-cervical intervertebral disc herniation ivame kakhulu. Ivela kakhulu lapho kwenzeka izinguquko eziwohlokayo engxenyeni ngayinye ye-cervical intervertebral disc. Ngaphansi kwamandla angaphandle, indandatho ye-fibrous ye-intervertebral disc iyaqhuma, bese i-nucleus pulposus ewohlokile iphuma, okubangela ukucindezelwa komgogodla noma izimpande ze-spinal nerve, okuholela ekuqaleni kwalesi sifo.
2. Ukulimala Komgogodla Wesibeletho
Ukulimala komgogodla womlomo wesibeletho kuhlukaniswe ngokulimala komgogodla ongaphezulu komlomo wesibeletho kanye nokulimala komgogodla ophansi womlomo wesibeletho. Ukulimala komgogodla ophansi womlomo wesibeletho uhlobo oluvame kakhulu lokuhlukumezeka emtholampilo, okubangelwa kakhulu umthelela omkhulu wangaphandle.
3. Izimila Zomgogodla Wesibeletho
Izimila zomgogodla wesibeletho zibhekisela ezimila eziyinhloko noma zesibili ezenzeka emgogodleni wesibeletho. Izimila eziyinhloko zomgogodla wesibeletho azivamile, kuyilapho izimila zesibili ezisakazeka kakhulu zivamile. Izimila eziyingozi zivame ukutholakala kubantu abadala, kanti izilonda ezingengozini zivame ukutholakala ezinganeni nasebasha abaneminyaka engu-18 nangaphansi. Ngokwezokwelapha, ukwelashwa ngokuvamile kuhilela ukuhlinzwa kokususwa kwesilonda kulandelwe ukulungiswa kwangaphakathi ukuze kulondolozwe ukusebenza komgogodla wesibeletho ngangokunokwenzeka.
Ukwelashwa kwezokwelapha kuhlukaniswe ngokwelashwa okulondolozayo kanye nokwelashwa kokuhlinzwa. Lesi sihloko sigxile kakhulu ezindleleni zokwelapha ngokuhlinzwa.
Njengamanje, izindlela ezintathu ezinkulu zokuhlinzwa zisetshenziswa kabanzi emtholampilo:
Ukususwa Kwe-Discectomy Yangaphambili Yesibeletho kanye Nokuhlanganiswa Kwaso (i-ACDF)
Ukususwa Kwesisu Kwangaphambili Kwesibeletho kanye Nokuhlanganiswa Kwaso (i-ACCF)
Ukulawulwa Kwangaphambili Kokuhlaliswa Kwangaphambili Nokuhlanganiswa (i-ACAF)
I-Anterior Cervical Discectomy and Fusion (ACDF) inqubo yokuhlinzwa ejwayelekile ye-cervical spondylosis. Izinqubo zayo zokuhlinzwa zifaka phakathi izingxenye ezimbili eziyinhloko: ukuqeda ukucindezeleka kanye nokwakhiwa kabusha kokuqina.
IIpuleti Lomlomo Wesibeletho Langaphambilii-implant yangaphakathi eyenzelwe ngqo umgogodla womlomo wesibeletho. Ukwakheka kwayo kwepuleti eliphansi kuqinisekisa ukuqina okuqinile nokuzinzile, kuyilapho kunciphisa ngempumelelo izimpawu ezimbi ngemuva kokuhlinzwa ezibangelwa yi-implant.
Ipuleti lomlomo wesibeletho elingaphambili lomgogodlaizici:
Ubukhulu bepuleti obuphansi obuvumela ukwelashwa kwamazinga amaningi e-pathologies ewohlokayo nokugwema i-dysphagia
Ifasitela elikhulu lokufakelwa kwamathambo ukuze kubhekwe ngqo ukufakelwa kwamathambo
Setha kabusha indlela yokucindezela ithebhulethi, jikelezisa ngo-90˚ ngokwewashi ukuze ukhiye, kulula ukulungisa nokubuyekeza, ukusebenza okulula, ukukhiya kwesinyathelo esisodwa
Isikulufu esizithintayo esinohlangothi oluguquguqukayo, sinciphisa ukuthepha futhi songe isikhathi sokusebenza
Umgodi wepuleti elihlanganisiwe: 12 mm
Ingxenye yokugoqa enwebeka kancane kancane: 16 mm
Izikhala zokulungisa izikulufo ezengeziwe, kanye nezinketho ezihlukile zokulungisa kusengaphambili
Umklamo ophansi ukuze kuncishiswe ukuthinteka kwesakhiwo sendawo, kanye nobukhulu bepuleti obungu-1.9 mm kuphela
Ama-hyper screw angulations anciphisa ukususwa kwe-anterior longitudinal ligament resection.
Nciphisa ukuthinteka kwe-anterior longitudinal ligament kanye namazinga aseduze.
Ipuleti elihlanganisiwe, ukukhiya okubonakalayo kokuthinta
Ipuleti Lomlomo Wesibeletho NgaphambiliImininingwane
| Imigodi | Ubude |
| Izimbobo ezi-4 | 19.0mm/21.0mm/23.0mm/25.0mm/27.5mm/30.0mm |
| Izimbobo ezi-6 | 32.5mm/35.0mm/37.5mm/40.0mm/42.5mm/45.0mm/47.5mm |
| Izimbobo eziyi-8 | 52.5mm/55.0mm/57.5mm/60.0mm/62.5mm/65.0mm/67.5mm/70.0mm/72.5mm |
| Izimbobo eziyi-10 | 75.0mm/77.5mm/80.0mm |
Isikhathi sokuthunyelwe: Meyi-12-2026