Ho ruruha ha lesapo la mokokotlo e bile opereishene ea "khauta" ea mefuta e mengata ea mathata a morao ka nako e telele. Empa ho ea ka ba buellang, ts'ebetso ea disc - ts'ebetso e ncha United States - ka letsatsi le leng e ka nka.
Leha ho le joalo, hona joale, ho na le mefuta e mengata e mengata ea sefate sa mokokotlo e sebelisoang ho e-na le ho nkela sebaka se tloaelehileng sa li-spinal tse kang lefu la ho senya, scoliosis le ho feta.
'Me sena ke ho sa tsotellehe matšoenyeho a sa khaotseng le lipotso tse sa arabelloang mabapi le ho fusion.
Liphuputso li bapisoa le karolelano ea lumbar spinal fusions ho kenyelletsa lisebelisoa tse feletseng tsa li-disc tse entsoeng pakeng tsa lilemo tsa 2000 le 2008 tse fumanoang hore ho nkeloa li-disc ho ne ho emela 2% ea lisebelisuoa tsohle tsa mokokotlo tse fanoeng. Thuto e ile ea hatisoa khatisong ea October 2011 ea koranta ea Surgical Neurology International.
Ke Hobane'ng ha U Lokela ho Buuoa ka Lingaka?
Kakaretso ea li-disc e ncha e ile ea hlahisoa, bonyane ka karolo e itseng, ka lebaka la ho ameha ka liphello tsa mokokotlo oa mokokotlo o ka ba le likarolo tse nyenyane tse ka holimo le ka tlase ho sebaka sa ho buuoa. Hobane masapo a mabeli a haufi a kopantsoe mokokotlong oa mokokotlo - ho felisa ho sisinyeha hohle sebakeng seo sa mokokotlo - tsela eo mokokotlo oa hau o tsamaeang ka mor'a hore ts'ebetso e ka fetoloa, 'me khatello e eketsehileng e behoa lihlopha tse haufi. Litsebi tse ling li lumela hore khatello e eketsehileng e lebisa tlholehong libakeng tseo.
Ba bang ha ba tsebe hantle hore liphetoho tse joalo tsa mokokotlo oa mokokotlo li bakoa ke ho buuoa.
Ka tsela efe kapa efe, monahano o ka morao oa kakaretso ea disk ke hore o boloka bokhoni ba mokokotlo oa hao oa ho fallela boemong kapa mokhoa o entsoeng. Ka tsela ena, ho ba le ts'ebetso ea sesepa ho ka thusa ho fokotsa sekhahla sa poso liphetoho tse fokolang tsa ho fokotsa likarolo tse ling tsa mokokotlo.
Ho ikamahanya le methapo ea mokokotlo ka holimo le ka tlaase ho sebaka sa moferefere oa mokokotlo oa tloaelehileng o tsejoa e le sebaka se haufi le sekhahla sa ASD .
Phekolo ea Phatlalatso ea Disc - Re Tseba Eng?
Le hoja ho etsoa opereishene ea ho boloka leeto, le ho nkeloa sebaka ka disk e le mofuta o tloaelehileng haholo, e sa ntse e le ncha United States, bopaki bo supa katleho ea eona. Leha ho le joalo, bafuputsi ba tsoela pele ho bokella lintlha tsa nako e telele ka liphello le likotsi.
Ka ho tsebahatsa liphello tse tobileng, selemo sa 10, tlaleho ea nako e telele e hlahisoang koranteng ( Scientific Reports) ka 2017 e matlafalitse tsebo e tloaelehileng (har'a lingaka tsa litsebi le litsebi, bonyane) hore liphello tsa ts'ebetso ea ts'ebetso ea ts'ebetso le ea fusion e batla e lekana. Bafuputsi ba fumane hore tlhahiso ea ASD ka mor'a ts'ebetso, potlako ea ho hlaphoheloa le liphello tsa bohloko e ne e lekana ka ho lekana pakeng tsa mekhoa ena e 'meli.
Phuputso ea 2017 e phatlalalitsoeng ho Global Spine Journal e bapisa liphello pakeng tsa kakaretso ea li-disc le mefuta ea ho buuoa ka fusion ho bakuli ba tlaase. Bafuputsi ba fumane hore bakuli ba ts'oaetsanoang ka disc ba bontšitse ntlafatso e eketsehileng ho phomolo ea bohloko le ho holofala ho feta bakuli ba mokokotlo ba nako ea ho buuoa (libeke tse tšeletseng, likhoeli tse tharo, likhoeli tse tšeletseng le selemo.)
Hape thutong ena, bakuli ba disc ba khutletse mosebetsing ka karolelano matsatsi a mashome a tšeletseng a metso e mehlano ho feta bakuli ba fusion.
Na U Tšoaneleha ka ho Fetisisa ka Lesebelisuoa Tsa Phatlalatso?
Empa ena e ne e le thuto e le 'ngoe feela ea litefiso tsa phetolelo. Phuputso ea 2015 e phatlalalitsoeng ho Asian Spine Journal e fumane hore ho fihlela joale, bonyane, ho buoa hape le ho buuoa ka morao ho etsahetse ka hoo e ka bang tekanyo e ts'oanang ho sa tsotellehe hore na ho buuoa ka lekhetlo la pele (ho bitsoa "index") ho ne ho e-na le ts'ebetso ea mokokotlo oa li-cervical kapa e tloaelehileng haholo ho fanoa ka discectomy ea mokokotlo ka mokokotlo oa mokokotlo.
Seo se bolela hore ho latela Dr. Joshua D. Auerbach, mookameli oa ho buuoa ka mokokotlo setsing sa Bronx-Lebanon Hospital, New York City, ke bakuli ba ka bang 5% ba hlokang ho buuoa ka mokokotlo ho etsa hore batho ba khonang ho ba le ts'ebetso ea mohala.
O re, ho ka kenyelletsa khetho ea mokuli. Ka mantsoe a mang, ke mathata afe ao u tla ba le 'ona ka tsela e sireletsehileng le e atlehileng?
Litlhaloso tse ka khonang ho buuoa ka ho feletseng e ka 'na ea kenyelletsa:
- e bohareng kapa ka morao-rao ea stenosis
- lefu la masapo
- spondylolysis le spondylolisthesis
- sesepa sa herniated le radiculopathy
- ho fokola ha masapo
- pseudarthrosis
- pele opereishene ea mokokotlo
- ba hlokang li-multi-level dis substitution, le hoja tlhahlobo ea 2018 e hatisitsoeng koranteng ea Neurosurgery e fumane bopaki ba phetoho e feletseng ea li-cervical mokokotlong bakeng sa litekanyetso tse le 'ngoe kapa tse peli.
> Mehloli:
> Auerbach, J., MD. Chief of Spine Surgery, Setsi sa Lipetlele sa Bronx-Lebanone, Moprofesa oa Matichere oa Buuoa, Albert Einstein College of Medicine. Tlhahlobo Puisano. March 2012.
> Hola OO. le. al. Tšusumetso ea kakaretso ea arthroplasty ho ts'ebetso ea ho buuoa ea lefu la bokooa bo fokolang ka matla: Tlhahlobo ea Lekhotla la Lefatše le Inpatient Mohlala ho tloha ka 2000 ho ea ho 2008. Phekolo ea Neurol Int. 2011.
> Hellum, C., le. al. Ho buuoa ka ho itšireletsa ka mahlaseli a maiketsetso ho bakuli ba nang le bothata bo tlaase ba morao le ho senyeha habonolo: ho latela tlhahlobo ea ho ithuta ka selemo. BMJ. May 2011.
> Mattei, T., MD, le. al. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5544164/ Global Spine J. Aug 2017.
> Nunley, P., le. al. Cervical Disc Arthroplasty: Bopaki ba Hona joale le Boipheliso ba Sebele-Lefatše. Lisebelisuoa tsa phekolo. Jan 2018.
> Skovrlj, B., le. al. Phetoho ka mor'a ho nkeloa sebaka ka Cervical Disc. Asian Spine J. Joang 2015
> Yang, S., le. al. K'homphieutha e ka hare ho mokokotlo le ho buuoa ka mokokotlo ho fapana le phetoho ea kakaretso ea li-disc: Puisano ea ho bapisa le bonyane ba lilemo tse 10 ho latela. Litlaleho tsa Scientific 7, Nomoro ea Article: 16443. 2017.