tiyatar wuya

Yin tiyatar wuya wani ma'aunin magani ne wanda ake amfani da shi musamman don raunin wuyan mara waraka. Ana yin tiyatar wuyan wuyan wuyan wuyan yawanci akan discectomy na baya na mahaifa tare da gyarawa, discectomy na gaban mahaifa ba tare da gyarawa ba ko discectomy na baya na mahaifa.

Yaushe ya kamata a yi wa ciwon wuyan aiki?

Idan magani mai ra'ayin mazan jiya ya kasa kuma ciwon ya ci gaba a daidai matakin karfi fiye da watanni 3 ko haifar da rashin aiki mai tsanani, tiyata na iya zama dole. Nau'u uku na tiyatar prolapse wuyansa sune discectomy na baya na mahaifa tare da gyarawa, discectomy na gaban mahaifa ba tare da gyarawa ba og discectomy na baya na mahaifa. Idan aka yi irin wannan aikin, yana da matukar muhimmanci ku ɗauki horon gyaran jiki da mahimmanci kuma ku yi iya ƙoƙarinku a can - wannan don tabbatar da mafi kyawun sakamako.

• Discectomy na gaba na mahaifa tare da gyarawa - Cire diski na intervertebral, ta hanyar tiyata daga gaban wuyansa, tare da gyaran jiki na gaba tare da farantin titanium ko makamancin haka. A cikin Turanci, ana kiran wannan hanya 'anterior cervical discectomy and fusion'. Babban nazari na baya-bayan nan (Fountas et al, 2007)¹ ya nuna haka Haɗarin mace-mace don irin wannan aikin tiyata shine 0.1% (1 cikin 1015 marasa lafiya sun mutu a irin wannan aikin). Adadin rikitarwa ya kasance 19.3% (196 daga cikin 1015 marasa lafiya sun sami matsala a lokacin ko bayan aikin) - mafi yawan rikitarwa shine dysphagia, watau wahalar haɗiye. Wannan ya kai kashi 9.5% na matsalolin). Wani bincike na marasa lafiya 71 ya nuna cewa 82% sun sami taimako na alamun alamun (Yu et al, 2005)².

• Discectomy na gaban mahaifa ba tare da gyarawa ba - Cire diski na intervertebral, ta hanyar tiyata daga gaban wuyansa, amma ba tare da gyaran jiki na gaba ba a cikin yankin da ake aiki. Wanda aka sani da 'anterior cervical discectomy without fusion' a Turanci. Nazarin tare da ayyuka 291 (Maurice-Williams et al, 1996)³ ake magana a kai inganta alamun alamun a cikin 94.5% na marasa lafiya da aka sarrafa, tabarbarewar kashi 3% og kasadar mace-mace 1.5% (4 daga cikin marasa lafiya 291 sun mutu).

• Discectomy na baya na mahaifa - Ya bambanta da discectomy na baya na mahaifa, mutum yana tafiya ta tsarin baya a nan. Nazarin kwanan nan (Yang et al, 2014)⁴ idan aka kwatanta shisshigi guda biyu kuma ya zo ga ƙarshe kamar haka:

"A cikin bincikenmu, sakamakon asibiti tsakanin hanyoyin 2 ba su bambanta sosai ba. Duk da haka, baya cikakken-endoscopiccervical discectomy na iya zama wanda aka fi so yayin la'akari da ƙarar cire diski, tsawon zaman asibiti, da canje-canjen rediyo na baya-bayan nan. A matsayin ingantaccen ƙarin ga tiyata na buɗe ido na gargajiya, FECD amintaccen madadin magani ne na CIVDH kuma mafi kyawun tsarin sa yana buɗe don tattaunawa.

 

Sakamakon asibiti bai bambanta sosai ba, kuma binciken ya nuna cewa discectomy na baya zai iya zama mafi kyau ga su biyu. Amma gabaɗaya ana cewa discectomy na baya ya fi haɗari, saboda dole ne ku wuce tasoshin jini da yawa don haka haɗarin zubar jini. Tattaunawar akan mafi kyawun hanyar tiyata yana gudana.

kafofin:
[1] Fountas KN, Kapsalaki EZ, Nikolakakos LG, Smisson HF, Johnston KW, Grigorian AA, Lee GP, Robinson JS Jr. Discectomy na gaban mahaifa da haɗuwa sun haɗu da rikitarwa. Spine (Phila Pa 1976). 2007 Oktoba 1; 32 (21): 2310-7.

[2] Yue WM, Brodner W, Highland TR. Sakamakon dogon lokaci bayan discectomy na mahaifa na baya da kuma haɗuwa tare da allograft da plating: 5- zuwa 11-shekara radiologic da kuma binciken binciken asibiti. Spine (Phila Pa 1976). 2005 Oktoba 1; 30 (19): 2138-44.

[3] Maurice-Williams RS, Dorward NL. Extended na gaba discectomy na mahaifa ba tare da fusion: aiki mai sauƙi kuma isa ga mafi yawan lokuta na ciwon mahaifa na mahaifa. Br J Neurosurg. 1996 Juni; 10 (3): 261-6.

[4] Yang JS, Chu L, Chen L, Chen F, Ke ZY, Deng ZL. Gaba ko baya kusanci na cikakken-endoscopic cervical discectomy domin cervical intervertebral disc herniation? Nazarin ƙungiyar kwatancen. Spine (Phila Pa 1976). 2014 Oktoba 1; 39 (21): 1743-50.

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