Isibhedlela Esingcono Kakhulu Sokuhlinzwa Kwe-Lumbar Canal Stenosis eBhubaneswar

Ukuhlinzwa Okuthuthukisiwe Kwe-Lumbar Canal Stenosis eBhubaneswar

I-Lumbar canal stenosis yenzeka lapho umsele womgogodla ophansi emuva uyancipha, udala ingcindezi emgogodleni kanye nezinzwa. Lokhu kuncipha kuvame ukuvela emgogodleni we-lumbar, ohlanganisa ama-vertebrae amahlanu esifundeni esisemuva. Lesi simo sithinta kakhulu abantu abadala abaneminyaka engaphezu kwengama-50 futhi singaba nomthelela omkhulu ekuhambeni kanye nezinga lempilo.

Umsele womgogodla uhlala futhi uvikela umgogodla othambile kanye nezimpande zezinzwa. Lapho lo msele uba mncane, ungacindezela lezi zakhiwo ezibalulekile zemizwa. Lokhu kucindezela kuvame ukuholela ezimpawu ezihlukahlukene eziba zimbi kakhulu ngokusebenza komzimba. Ukuncipha kungenzeka ezingeni elilodwa noma amazinga amaningi omgogodla. 

Izinhlobo Zokuhlinzwa Kwe-Lumbar Canal Stenosis

I-Decompressive ukulele imi njengendlela evamile yokuhlinzwa yokuhlinzwa. Phakathi nale nqubo, udokotela ohlinzayo ususa ingxenye engemuva ye-vertebra, ebizwa ngokuthi i-lamina, ukuze akhe indawo eyengeziwe yezinzwa. Le nqubo ibonakala iphumelela kakhulu ezigulini ezine-central canal stenosis ezithinta amazinga amaningi omgogodla.

Ezigulini ezine-stenosis enzima kakhulu, izinketho ezihlasela kancane zihlanganisa:

• I-Laminotomy - isusa ingxenye encane kuphela ye-lamina
• I-Foraminotomy - ikhulisa i-neural foramen lapho izimpande zezinzwa ziphuma khona
• I-Microendoscopic decompression - isebenzisa izimbobo ezincane nezinsimbi ezikhethekile
• I-Interspinous spacer placement - ifaka idivayisi phakathi kwama-vertebrae ukugcina isikhala

Odokotela Abahlinza Kakhulu Be-Lumbar Canal Stenosis 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

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  UDkt. Arjun Reddy K

  umxhumanisi

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
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  UDkt. NVS Mohan

  Sr. Umqondisi Wezempilo kanye neNhloko yoMnyango

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
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  UDkt. Ritesh Nawkhare

  umxhumanisi

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. Susant Kumar Das

  Asso. Umqondisi Womtholampilo

  Neurosurgery

  Bhala iNqunto
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  UDkt. Sachin Adhikari

  Sr. Consultant

  Neuroscience

  Bhala iNqunto
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  UDkt. SN Madhariya

  Sr. Consultant

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt Sanjeev Kumar

  Umxhumanisi Omncane

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. Sanjeev Gupta

  umxhumanisi

  Isayensi ye-Neuro

  Bhala iNqunto
• 

  UDkt. K. Vamshi Krishna

  Sr. Consultant Brain & Spine Surgeon

  Ukuhlinzwa kwe-Neuro

  Bhala iNqunto
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  UDkt. Arun Reddy M

  Sr. Consultant - Neurosurgeon & Endoscopic Spine Surgeon

  Neurosurgery

  Bhala iNqunto
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  UDkt. Vijay Kumar Terapalli

  umxhumanisi

  Bhala iNqunto
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  UDkt. Sandeep Talari

  umxhumanisi

  Ukuhlinzwa Okujwayelekile/ I-Neurosurgery

  Bhala iNqunto
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  UDkt. Atmaranjan Dash

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt. Laxminadh Sivaraju

  Sr. Consultant

  I-Neurosurgeon

  Bhala iNqunto
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  UDkt. Gaurav Sudhakar Chamle

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. T. Narasimha Rao

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt. Venkatesh Yeddula

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt SP Manik Prabhu

  Sr. Consultant – Neurosurgery & Neurointerventionist

  Neurosurgery

  Bhala iNqunto
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  UDkt. Ankur Sanghvi

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. Mamindla Ravi Kumar

  Sr. Consultant

  Neurosurgery

  Bhala iNqunto
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  UDkt. Bhavani Prasad Ganji

  Sr. Consultant Umnyango Wokuhlinza Kwezinzwa

  Neurosurgery

  Bhala iNqunto
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  UDkt. MD Hameed Shareef

  Udokotela Ohlinzayo Wokuhlinza

  Neurosurgery

  Bhala iNqunto
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  UDkt. JVNK Aravind

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
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  Dr. Teja Vadlamani

  Udokotela Ohlinzayo We-Neuro

  Neurosurgery

  Bhala iNqunto
• 

  UDkt Sanjeev Kumar Gupta

  umxhumanisi

  Neurosurgery

  Bhala iNqunto
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  UDkt. Abhishek Songara

  Umeluleki Omkhulu - I-Neurosurgery

  Neurosurgery

  Bhala iNqunto
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  UDkt. Randhir Kumar

  Umqondisi Womtholampilo kanye Nomeluleki We-Sr - I-Neurosurgeon, i-Neurointerventionist kanye no-Endoscopic Spine Surgeon

  Neurosurgery

  Bhala iNqunto

Kungani Ngingase Ngidinge I-Lumbar Disc Replacement?

I-Lumbar disc replacement iba ukucatshangelwa ngokuyinhloko ezigulini ezinezinhlungu zasemuva ezivela ku-disc eyodwa noma amabili awonakele emgodleni ophansi. Umuntu ofanelekayo uneminyaka ephakathi kuka-35 no-45 ubudala, futhi ubuhlungu obukhulu ngokwanele ukuba buthinte imisebenzi yansuku zonke.

Ukuze ufanelekele ukushintshwa kwe-lumbar disc, iziguli kufanele zihlangabezane nemibandela ethile:

• Ukuhlungu obusemhlane okuvela kudiski eyodwa noma amabili ayinkinga
• Asikho isifo esihlangene esibalulekile noma ukucindezelwa kwezinzwa
• Igcinwe amandla amathambo ngaphandle kwamathambo
• Akukho ukuhlinzwa okukhulu komgogodla kwangaphambilini
• Ukungabi bikho kokukhubazeka komgogodla njenge i-scoliosis
• Isisindo somzimba phakathi kwezigaba ezinempilo

Izimpawu Ze-Lumbar Canal Stenosis Engase Idinge Ukuhlinzwa

Ubuhlungu beqolo buyinkomba eyinhloko, ehambisana nemizwa evuthayo efinyelela ezinqeni nasemilenzeni. Ngokuphawulekayo, cishe ama-43% abantu abathintekile baba buthakathaka. Ubuhlungu buvame ukuba bubi nakakhulu lapho umile noma uhamba isikhathi eside.

Izimpawu zesici zihlanganisa:

• Ukuba ndikindiki nokuluma okuthinta umlenze wonke
• Ukuqina noma ubuthakathaka emilenzeni
• Ukulahlekelwa ukuzwa ezinyaweni
• Ukwehla konyawo - ubuthakathaka obudala ukuthi unyawo lushaye phansi ngenkathi uhamba
• Umsebenzi wezocansi owehlisiwe

Isici esiyingqayizivele salesi simo 'uphawu lwenqola yokuthenga', lapho iziguli zithola khona impumuzo ngokuncika njengokungathi ziphusha inqola yezitolo. Ngokufanayo, abaningi bathola izitebhisi zokukhuphuka kulula kunokwehla, njengoba ukuma okuya phambili kunciphisa ukucindezela endaweni ethintekile.

Ukuhlolwa kokuxilonga kwe-Lumbar Canal Stenosis 

I-Magnetic Resonance Imaging (MRI) ime njengokuhlola okujwayelekile kwegolide futhi idala izithombe ezinemininingwane yomgogodla isebenzisa izizibuthe ezinamandla namaza omsakazo. 

Ama-X-ray, asetshenziswa ngokuyinhloko njengethuluzi lokuqala lokuxilonga, asiza ukukhomba izinguquko ezihlobene namathambo. Kamuva, lezi zithombe zingabonisa ukuncipha kwesikhala se-disc, ukwakheka kwe-osteophyte, kanye nokungazinzi okungenzeka. Ama-X-ray anamandla, athathwe ngesikhathi sokunyakaza komgogodla, angathola ukungazinzi kufika ku-20% wezimo ezingase zigejwe ngezikena ze-MRI ezijwayelekile.

Uma i-MRI ingafaneleki, odokotela batusa izikena ze-Computed Tomography (CT). Phakathi naleso sikhathi, i-CT myelogram, esebenzisa udayi ohlukile, ithuthukisa ukubonakala komgogodla kanye nezinzwa.

Izinketho Zokwelapha I-Lumbar Canal Stenosis 

Izinketho zokwelashwa okungezona ukuhlinzwa zihlanganisa:

• Imithi efana nama-NSAID kanye nama-antidepressants okunciphisa ubuhlungu
• Ukwelapha ngokomzimba ukugxila ekuguquguqukeni komgogodla namandla ayisisekelo
• Imijovo ye-steroid yokunciphisa ukuvuvukala kwezinzwa
• Ukuhamba nge-treadmill okusekelwe isisindo somzimba
• I-Lumbar corsets kanye nezinsiza zokuhamba
• Ukwelashwa kokushisa noma okubandayo
• Ukuxhashazwa komgogodla

Ukuhlinzwa kuba ukucatshangelwa kuphela ngemva kokuba ukwelashwa okuvamile kwehlulekile ukunikeza ukukhululeka.  

Izinqubo ze-Pre-lumbar Canal Stenosis Surgery

• Iziguli zithola ukuhlolwa okuphelele kwezokwelapha ngaphambi kokuhlinzwa kwe-lumbar canal stenosis ukuze kuqinisekiswe imiphumela emihle yokuhlinzwa.  
• Ukuhlolwa kwelebhu yangaphambi kokuhlinzwa- ukuhlolwa kwegazi, i-ECG, nokunye ukuhlola ukuze kuqinisekiswe ukuthi isiguli sikulungele ukuhlinzwa
• Ukuhlolwa kwe-imaging (i-MRI, i-CT scan, noma i-X-ray) ukuze kutholakale indawo eqondile yokuncipha.
• Imithi yokunciphisa igazi idinga ukunakwa okukhethekile, njengoba lokhu kufanele kumiswe ezinsukwini ezingu-7-10 ngaphambi kokuhlinzwa. 
• Ngaphezu kwalokho, iziguli kufanele ayeke ukubhema okungenani amasonto angu-4 ngaphambi kokuhlinzwa, njengoba i-nicotine yandisa ingozi yezinkinga futhi ilibazise ukuphulukiswa kwamathambo. 

Ngesikhathi se-Lumbar Canal Stenosis Surgery izinqubo

Odokotela abahlinzayo bomgogodla benza ukuhlinzwa kwe-lumbar canal stenosis ngaphansi kwezimo zokuqapha ngokucophelela. Inqubo ngokuvamile ithatha phakathi kwamahora amabili kuya kwayisithupha, nesikhathi sokuhlinzwa esimaphakathi semizuzu engu-129. 

• Kokubili jikelele kanye nesifunda i-anesthesia kukhona izinketho zenqubo. 
• Kuwo wonke ukuhlinzwa, ukuqapha kwe-multimodal intraoperative kusiza ukuvimbela izinkinga ezingalindelekile.
• Ithimba elihlinzayo ligcina ukuxhumana njalo kuyo yonke inqubo. I-neurophysiologist isebenza eduze ne- udokotela obulala izinzwa ukuqapha ukusebenza kwezinzwa. Lokhu kubambisana kusiza ukukhomba izinkinga ezingase zibe khona ngaphambi kokuthi zibe izinkinga ezinkulu.
• Ngemva kokuhlanza nokuvala inzalo indawo yokuhlinza, odokotela benza imbobo encane emhlane ongezansi ukuze bafinyelele umgogodla. Ukukhetha phakathi kokuhlinzwa okuvulekile kanye namasu angavamisile kancane kuncike esimweni esithile. Ithimba labahlinzayo livumelanisa indlela yalo ngokusekelwe ekutholweni kwesikhathi sangempela kanye nemiphumela yokuqapha.
• Udokotela ohlinzayo uhambisa ngokucophelela imisipha eceleni ukuze aveze i-vertebrae ethintekile kanye nomsele womgogodla futhi asuse ingxenye ye-lamina, akhulise i-foramina, noma asuse ingxenye ye-disc eyonakele.
• Ngemva kwemiphumela efiselekayo, udokotela ohlinzayo wabeka kabusha imisipha nezicubu futhi wahlohla ngokucophelela imbobo. 

Izinqubo ze-Post Lumbar Canal Stenosis Surgery

• Ukuphathwa Kwezinhlungu: Ukulawulwa kobuhlungu kuqala ngokushesha ngemva kokuhlinzwa, neziguli eziningi zithola ubuhlungu obuphakathi obuhlala cishe izinsuku ezingu-3. 
• Uhlelo Oluhlelekile Lokuvuselela: Iziguli ziqala uhlelo lokubuyisela esimweni esihlelekile ngemva kwezinsuku ezimbalwa. Abelaphi bomzimba baqondisa iziguli ngokuzivocavoca okuqala kusukela osukwini olungemva kokuhlinzwa. Ukugxila kokuqala kuhlala kukunyakaza okulula, ngokuyinhloko ukuhamba nokulula kancane. Ngokushesha, iziguli zithuthukela ekuzilolongeni okuthuthuke kakhulu.
• Ukuqalisa kabusha Umsebenzi: Ukuthi ubuyela emsebenzini kuya ngezidingo zomsebenzi kanye nenqubekelaphambili yokuphulukisa. Abasebenzi basedeskini bavame ukuqala kabusha emsebenzini phakathi kwamaviki ama-4 kuya kwayi-8, kanti labo abanemisebenzi enzima bangase badinge izinyanga ezi-3 kuya kweziyisi-6. 

Kungani Khetha Izibhedlela Ze-CARE Zokuhlinza I-Lumbar Canal Stenosis?

CARE Izibhedlela Ima njengendawo ephambili ekuhlinzeni i-lumbar canal stenosis, esekelwa ithimba lochwepheshe abanolwazi olunzulu ngomgogodla. 

Ithimba lezokwelapha lisebenza ngokubambisana kuzo zonke izici ezikhethekile ukuze liqinisekise imiphumela emihle yesiguli. Le ndlela ihlanganisa ubuchwepheshe ba:

• Ochwepheshe bomgogodla
• Ochwepheshe bokuphatha ubuhlungu
• Ama-Physiotherapists
• Ongoti bokuhlunyeleliswa kwezimilo
• Abasebenzi abazinikele abahlengikazi

Izibhedlela ze-CARE zigcina izinsiza zesimanje ezinobuchwepheshe besimanje kanye nemishini ekhethekile. Impumelelo yesibhedlela ekulawuleni izimo eziyinkimbinkimbi zomgogodla isukela endleleni yaso egxile esigulini kanye nokugxila okungantengantengi ekuletheni ukunakekelwa kwekhwalithi ephezulu kakhulu.