Isibhedlela Esingcono Kakhulu Sokuhlinza I-Cervical Disk Replacement eBhubaneswar

Ukushintshwa Kwediski Yesibeletho Okuthuthukisiwe eBhubaneswar

Ama-disc omlomo wesibeletho awonakele noma awonakele abangela ukucindezelwa kwezinzwa futhi kube nzima ubuhlungu entanyeni. I-Food and Drug Administration igunyaze ukuhlinza esikhundleni sediski yomlomo wesibeletho njengendlela ehlukile yokuhlanganisa umgogodla wendabuko muva nje. Le nqubo yesimanje iguqule ukuhlinzwa komgogodla futhi igcina izinga elimangalisayo lokwaneliseka kwesiguli se-90%, okuletha ithemba kubantu abahlukunyezwa ubuhlungu obungapheli bentamo.

Izinhlobo Zokushintshwa Kwediski Lomlomo wesibeletho

Odokotela bangakhetha kuzinketho ezimbalwa zokwenziwa zediski zokufakelwa kwe-cervical disc replacement. Idiski ngalinye lakhiwe ngezinto ezithile nezici ezihambisana nezidingo zesiguli. Amadiski okwenziwa esimanje afika ngezigaba ezintathu eziyinhloko ngokusekelwe ekwakhiweni kwawo:

• Amadiski omshini anama-endplates ensimbi nama-polymer cores
• Amadiski e-elastic afaka izinto eziguqukayo
• Ama-hydraulic discs aqukethe izingxenye eziwuketshezi

Odokotela Abangcono Kakhulu Bokubuyisela Idiski Yesibeletho eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

• 

  UDkt. Sohael Mohammed Khan

  umxhumanisi

  Ukuhlinzeka Ngokuhlinzeka Ngamafutha

  Bhala iNqunto
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  UDkt. Praveen Goparaju

  Udokotela Ohlinzayo Womgogodla Ohlasela Kancane Kancane

  Ukuhlinzeka Ngokuhlinzeka Ngamafutha

  Bhala iNqunto
• 

  UDkt. Aditya Sunder Goparaju

  Udokotela Ohlinzayo Womgogodla Wamathambo

  Ukuhlinzeka Ngokuhlinzeka Ngamafutha

  Bhala iNqunto
• 

  UDkt. P Venkata Sudhakar

  Udokotela Ohlinza Umgogodla Ongena Endoscopic Kancane

  I-Orthopedics kanye Nokuhlinzwa Komgogodla

  Bhala iNqunto

Izimbangela Zokushintshwa Kwediski Lomlomo wesibeletho

Iziguli zivame ukuthuthukisa ubuhlungu bentamo kanye nezimpawu ze-neurological ngenxa yezinkinga ze-cervical disc. Lezi zinkinga zenzeka kakhulu ezingeni le-C5-C6. Odokotela bayibiza ngokuthi a i-herniated disc lapho isikhungo esithambile sediski sivuza ngenxa yokuguga.

Iminyaka yakho yobudala ithinta izinkinga zediski ngaphezu kwanoma iyiphi enye into. Ukuwohloka kwe-Disc kubonakala kubantu abaningi ngeminyaka ye-60. Sibona ukuwohloka kwe-disc ngokuvamile njengoba abantu bekhula, kodwa akuwona wonke umuntu odinga ukuhlinzwa ngenxa yezimpawu zabo ezibuhlungu.

Iziguli zifanelekela ukushintshwa kwediski yomlomo wesibeletho lapho zihlangabezana nezimo ezithile:

• Isifo se-Cervical degenerative disc esinezinzwa ezipinkiwe
• Izimpawu eziqhubekayo ezihlala amasonto angu-6-12 naphezu kokwelashwa okuvamile
• Ubuhlungu obuphuma entanyeni kuye ezingalweni
• Ukuwohloka kwe-Disc phakathi kwama-vertebrae e-C3 ne-C7

Izimpawu zokushintshwa kwe-Cervical Disc

Izinhlungu zezinhlungu ziyehluka kakhulu kumuntu nomuntu. Abanye abantu bazizwa bengakhululekile, kuyilapho abanye bebhekana nobuhlungu obukhulu obuphazamisa ukuphila kwabo kwansuku zonke. Iziguli eziningi zizwa ubuhlungu obudlulela emahlombe abo nasezingalweni, kanye ebuthakathakeni kulezi zindawo.

Izimpawu ze-Neurological zingenye inkomba ebalulekile:

• Ubuhlungu obufana nokushaqeka kukagesi budubula phansi engalweni
• Izikhonkwane nezinaliti umuzwa ezandleni naseminwe
• Ukuba ndikindiki ezindaweni ezithintekile
• Ubuthakathaka emahlombe, ezingalweni, noma ezandleni
• Ukungaxhumani kahle nokulinganisela
• Ukunyakaza kwentamo eqinile

Izivivinyo zokuxilonga zokushintshwa kwe-Cervical Disc

Izivivinyo ezilula zokuxilonga zihlanganisa:

• Ama-X-ray anokubukwa kwe-anteroposterior, lateral, kanye nokuguquguqukayo ukuhlola isikhala sediski futhi kukhishwe ukungazinzi
• I-CT scan ekhombisa ukunemba kwe-72-91% ekuhloleni i-disc herniation
• Ukuhlolwa kwegazi, okuhlanganisa i-ESR ne-CRP, ukuhlola izimo zokuvuvukala
• I-Electromyography (EMG) kanye nezifundo ze-nerve conduction ezinokuzwela okungama-50-71%.
• Amabhulokhi ezimpande ezinzwa ezikhethiwe zokuqinisekisa ukubandakanyeka okuthile kwezinzwa
• I-MRI scan isalokhu iyindinganiso eyigolide yokuxilongwa. Ihlinzeka ngokulungiswa okuhle kakhulu kwezicubu ezithambile ngaphandle kokuchaya iziguli emisebeni. Le nqubo ye-imaging ethuthukisiwe yembula ngokucacile i-disc herniation, ukucindezelwa kwezinzwa, nezimo zomgogodla.

Izinketho Zokwelapha Ze-Cervical Disc

Iziguli eziningi (75-90%) zibonisa ukuthuthuka ngaphandle kokuhlinzwa, ngakho odokotela bavamise ukuqala ngokwelashwa okungahlinzeki.

• Ukuphathwa Kwe-Conservative: Isikhathi esifushane sokunganyakazi kwekhola siqala inqubo yokunakekelwa kwe-conservative futhi sithatha cishe isonto. 
• Ukwelashwa Kwemvelo: I-Physiotherapy idlala indima ebalulekile ekwelashweni. Iziguli zisebenza ngohlu lokujima lokunyakaza, izindlela zokuqinisa, nezindlela zokwelapha.
• Imithi: Odokotela bavame ukunikeza le mithi ukulawula ubuhlungu:
  • Izidakamizwa ezingekho-steroidal anti-inflammatory (NSAIDs)
  • Iziphumuli zemisipha zesikhashana 
  • Ama-steroid anqunyelwe njenge-prednisone (60-80 mg nsuku zonke izinsuku ezinhlanu)
• Ukuhlinzwa: Iziguli zidinga ukungenelela kokuhlinzwa uma izimpawu zazo zihlala isikhathi eside kunamaviki ayisithupha okwelashwa okulondolozayo. I-Discectomy yomlomo wesibeletho yangaphambili ene-fusion ihlala iyindinganiso yegolide, nakuba ukushintshwa kwediski okuphelele sekuyindlela ephumelelayo. Iziguli ezibhekana nezinkinga ezinzima zemizwa noma ubuhlungu obubalulekile obungaphenduli ekwelashweni okungahlinzwa kufanele zicabange ngalezi zinketho zokuhlinzwa.

Izinqubo Zokuhlinza I-Pre-Cervical Disc Replacement

Ithimba lezokwelapha lidinga ukuhlolwa okuphelele komzimba kanye nomlando ophelele wezokwelapha wesiguli ngaphambi kokuhlinzwa. Udokotela wakho ohlinzayo angase adinge izivivinyo eziningi ze-imaging zentamo njenge-X-ray, i-myelograms, noma i-MRIs.

Nakhu okufunwa yithimba lezokwelapha ukuthi ukwenze:

• Yeka ukuthatha izinto ezinciphisa igazi nezithasiselo ezingase zidale ukopha okwengeziwe
• Ukubhema ukunqamuka (okungenani amasonto amane ngaphambi kokuhlinzwa) njengoba i-nicotine ibambezela ukuphulukiswa
• Ungadli noma uphuze noma yini phakathi kwamabili ngaphambi kokuhlinzwa kwakho
• Thatha imithi yakho ngokuphuza amanzi amancane uma kudingeka
• Khumula bonke ubucwebe futhi ugqoke izingubo ezikhululekile, ezixegayo
• Qiniseka ukuthi othile angakushayela akuyise ekhaya ngemva kokuhlinzwa
• Iziguli kufanele zitshele udokotela wazo ohlinzayo mayelana nanoma yikuphi ukusabela okudlule kukho i-anesthesia emlandweni womndeni wabo. 

Ngesikhathi Sezinqubo Zokuhlinza I-Cervical Disc Replacement

• Ukubulala izinzwa: Ithimba labahlinzayo liqala ukushintshwa kwediski yomlomo wesibeletho ngokunikeza isiguli izinzwa ezivamile ngomugqa we-IV. Amamonitha athuthukile alandelela izimpawu ezibalulekile zesiguli ngesikhathi sokuhlinzwa, okuhlanganisa umfutho wegazi, ukushaya kwenhliziyo, namazinga komoyampilo.
• Ukusika: Isixazululo esikhethekile se-antiseptic sihlanza indawo yentamo ngaphambi kokuba udokotela ohlinzayo enze ukusika okuyiyintshi eyodwa kuya kwamabili ngaphambili kwentamo. Ithimba elihlinzayo lihambisa kancane uqhoqhoqho kanye nomminzo eceleni ukuze lifinyelele umgogodla.

Ukuhlinzwa kuhamba ngalezi zigaba ezibalulekile:

• Ukususwa kwe-disc eyonakele kanye nanoma iyiphi i-bone spurs
• Ukubuyiselwa kobude bediski obujwayelekile
• Ukubekwa kwediski yokwenziwa kusetshenziswa isiqondiso se-X ray esibukhoma
• Ukufakwa ngokucophelela nokuvikela idivayisi
• Ukuvalwa kwe-incision nge-sutures absorbable

Izinqubo Zokuhlinza I-post-cervical Disc Replacement

• Ukunakekelwa Kwenxeba: Isigaba sokuqala sokululama sidinga ukunakekelwa okufanele kwenxeba. Ithimba labahlinzayo lisusa imithungo encibilikayo noma ama-staples ngemva kwezinsuku eziyisikhombisa. Ukugcina indawo yentamo yomile kubalulekile. Iziguli kufanele zimbambathe kancane indawo yenxeba ngemva kokugeza futhi zishintshe izingubo zokugqoka ngokuvumelana neziyalezo zethimba lazo lezempilo.
• Ukuphathwa Kwezinhlungu: Ukuphatha ubuhlungu kusiza ukululama. I-Paracetamol kunciphisa ukungakhululeki kwangemva kokuhlinzwa okuvame ukuba ngcono phakathi kwamaviki angu-2-4. Ithimba lokunakekelwa kwezempilo lincoma ukugwema imithi elwa nokuvuvukala phakathi nezinsuku zokuqala eziyi-10 ngemva kokuhlinzwa.
• Imiyalelo Yendlela Yokuphila: Ukubuyisela kuhlanganisa le mihlahlandlela yomsebenzi:
  • Gwema ukuphakamisa noma yini engaphezu kuka-2kg amasonto ayisithupha
  • Qala ukuhamba ngemva kweviki lokuqala - ukuzivocavoca okufanelekile
  • Gcina intamo yakho iqondile ngaphandle kokugobela phambili noma emuva
  • Phumula njalo ngehora ngesikhathi sokuhlala
  • Qala kabusha umsebenzi wedeski ngemuva kwamasonto amane

Kungani Khetha Izibhedlela ZOKUNAKEKELA Ngezinqubo Zokuhlinza I-Cervical Disc Replacement?

Izibhedlela ze-CARE zihola umkhakha wokunakekelwa kwezempilo kaBhubaneswar ezinkambisweni zokushintshwa kwediski yomlomo wesibeletho. Isibhedlela ukuhlinzekwa ngomgogodla umnyango uhlanganisa ndawonye odokotela abahlinzayo abanekhono, ubuchwepheshe obuphambili, nokunakekelwa okuphelele kweziguli endaweni eyodwa.

Yini eyenza izibhedlela ze-CARE zihluke:

• Amasistimu okuzulazula okuhlinza athuthukile ukuze kube nokunemba okungcono
• Izinhlelo ezikhethekile zokuvuselela emva kokuhlinzwa
• 24/7 izinsizakalo zokunakekelwa komgogodla eziphuthumayo
• Ochwepheshe abanamakhono omgogodla kanye namaqembu asekelayo
• Amayunithi esimanje anakekela abagula kakhulu anokuqapha ngemuva kokuhlinzwa