Bothata bo tloaelehileng ba ho khutlela morao ke bothata bo tloaelehileng boo ka tloaelo bo tšoaroang ka mehato e sa buuoeng. Leha ho le joalo, maemong a mang, mekhoa ena e ke keng ea fana ka liphallelo tse lekaneng. Haeba o hloka ho buuoa bakeng sa mathata a mokokotlo oa mokokotlo, u ka boela ua hloka ts'ebetso e eketsehileng ea mokokotlo ho thibela mathata a eketsehileng. Ho tsitsisa matla ke mokhoa oa ho buuoa o etselitsoeng ho lumella ho tsamaea ha mokokotlo ha o ntse o boloka botsitso bo lekaneng ba ho thibela ho sisinyeha ho hoholo.
Sena se fetohile mokhoa o mong oa ho buuoa ke lumbar fusion.
Botsofali ba Mokokotlo
Ho ka 'na ha hlokahala hore ho be le botsitso ba mokokotlo bakeng sa se seng sa mabaka a mararo:
- Ho sisinyeha ha lesapo la mokokotlo oa mokokotlo ho baka bohloko
- Bothata bo fokolang kapa bo fumanoeng bo lumella mokokotlo hore o fetohe o sa tsitsang ( spondylolisthesis )
- Ho buoa ho hloka hore ho tlosoe mehaho e tloaelehileng ea ho tsitsisa mokokotlo
Haeba mokokotlo oa hau o sa tsitsitse, ho tsamaea ka mokhoa o feteletseng ho ka etsa hore methapo e haufi le mokokotlo oa khohlopo e be pinched. Sena se ka lebisa bohloko ba maoto, ho sithabela, le bofokoli. Ka ho tsitsisa mokokotlo oa mokokotlo, khopolo ke ho fokotsa lebelo le sa tloaelehang la likarolo tsa mokokotlo le ho thibela ho kenngoa ha methapo.
Matla a Matla khahlanong le Lumbar Fusion
Ka tloaelo, ho tsitsisoa ha lumbar spine ho ile ha finyelloa ka fusion. Ho buuoa ka mokokotlo oa mokokotlo ho finyelloa ke lesapo le tsosang ho hōla pakeng tsa tse peli kapa tse fetang tse ling tse haufi le sefate sa mokokotlo ho thibela ho sisinyeha ha nako e tlang. Hangata lisebelisoa tsa tšepe li sebelisoa ho tsitsisa likarolo tsa mokokotlo athe bone e qetella e e-na le pakeng tsa vertebrae.
Ho tsitsisa matla ke mokhoa o mong oa ho fusion. Sesebelisoa se sebelisetsoang ho tsitsisa matla se etselitsoe ho laola palo ea ho tsamaea pakeng tsa vertebrae e haufi, empa ha e felise mokhatlo ona ka ho feletseng.
E 'ngoe ea mathata a maholo ka mokokotlo oa mokokotlo ke hore le ha tsohle li tsamaea hantle' me lihlopha tsa mokokotlo li fuse, mathata a ka hlaha fatše.
Hang ha lihlopha tse peli tsa mokokotlo li kopane, khatello e eketsehileng e fetisetsoa li-discs ka holimo le ka tlase ho fusion. Likarolo tsena li atisa ho fela ka potlako, tse ka etsang hore ho etsoe lisebelisoa tse eketsehileng tseleng. Sena ke bothata bo khethehileng ho bakuli ba bacha, ba mafolofolo haholoanyane.
Ho Buuoa ka Matla a Matla
Ho buuoa ka matla ho tsitsitseng ho qala haholo joaloka ho buuoa ha mokokotlo oa mokokotlo oa mokokotlo. Hang ha mathata a li-disk a sebetsitsoe, ngaka ea hau e buoang e beha mochine o tsitsitseng oa ho tsitsisa ho fokotsa lebelo la leihlo la disk. Sesebelisoa se seng se tloaelehileng se bitsoa Dynesys.
Dynesys o sebelisa sekontiri ho khomarela li-vertebrae tse peli tse haufi le mokokotlo. Lisebelisoa li amahanngoa le thapo (ho thibela tsitsipano e feteletseng) le li-tubes tsa polasetiki (ho thibela compression e feteletseng). Ho tsosolosoa ka mor'a ho buuoa ke Dynesys ho fapana ho ea ka tse tobileng tsa mokhoa oa ho buoa 'me ho lokela ho tšohloa le ngaka ea hau.
Liphello tsa ho buuoa
Ke habohlokoa ho hlokomela hore lithuto tsa nako e telele le botsitso bo matla ha lia etsoa. Tšepo ke hore mokhoa ona o tla thusa ho thibela tse ling tsa mathata a bonoang ka mokokotlo oa mokokotlo, le hoja sena se sa bontšoa ka ho hlaka. Ho phaella moo, ho na le matšoenyeho ka lisebelisoa tse matla tse tsitsitseng, ho kenyelletsa le litekanyetso tse phahameng tsa ho kenya letsoho le ho hlakola.
Mosebetsi o mong o lokela ho etsoa ho hlalosa hantle karolo ea ho tsitsisa ts'ebetsong ka lisebelisoa tsa lumbar tsa mokokotlo. Ho etsa lipatlisiso tse eketsehileng mabapi le botsitso bo matla ho ka thusa ho arabela tse ling tsa mathata ana a sa rarolloe.
Lisebelisoa:
Kelly MP, le al. "Matla a hahang bakeng sa fusion ea mokokotlo: tlhahlobo e thehiloeng bopaking" Orthop Clin North Am. 2010 Apr; 41 (2): 203-15.
"Symposium: Matla a Matla a Lumbar Spine," Orthopedics Today International, March / April 2006.