Ukwelashwa Okuthuthukisiwe Kokuphuka Komgogodla eBhubaneswar
Umgogodla ukwa kwenzeka lapho i-vertebrae eyodwa noma ngaphezulu ye-33 kukholomu yomgogodla iphuka noma iqhekeka. Lokhu kulimala, okuvame ukubizwa ngokuthi ukulimala "okuphukile", kuyahlukahluka ngobukhulu kanye nohlobo. Izigidi zihlushwa ukuphuka komgogodla womgogodla minyaka yonke, kanti abesifazane banamathuba aphindwe kabili kunabesilisa okuba nakho. Ukuphuka komgogodla okudabukisayo, okuvame ukubangelwa izingozi noma ukuwa, kubala amacala ayi-160,000 ngonyaka. Izinhlobo ezijwayelekile zokuphuka zifaka ukucindezelwa, ukuqhuma, ukuphazamiseka kwe-flexion, nokuhlukana kwe-fracture. Kwamathambo iyimbangela ehamba phambili, ikakhulukazi kubantu asebekhulile, lapho i-thoracolumbar junction (T11-L2) iyindawo esengozini kakhulu. Ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile, njengoba owesifazane oyedwa kwabane abane-vertebral fractures ehlala engatholakali.
Izinhlobo Zokuphuka Komgogodla
Ukuphuka komgogodla kuhlukaniswa ngokusekelwe endaweni yokulimala, indlela, nokuzinza:
- I-Compression Fractures: Ngokuvamile exhunyaniswa ne-osteoporosis, lokhu kuthinta ingxenye engaphambili ye-vertebra, okubangela ukuba iwa. Zizinzile futhi azivamile ukudinga ukuhlinzwa.
- I-Burst Fractures: Okubangelwa ukuhlukumezeka okunomthelela omkhulu, lokhu kuphuka kuphahlaza i-vertebra ibe yizicucu eziningi. Cishe ama-90% avela phakathi kwe-T9 ne-L5.
- Ithuba (I-Flexion-Distraction) Ukuphuka: Okujwayelekile ezingozini zezimoto, lokhu kubangelwa ukunyakazisa ukuya phambili kungazelelwe, kudala amakhefu avundlile.
- I-Fracture-Dislocations: Uhlobo olunzima kakhulu, olubandakanya ama-vertebrae aphukile asuka ekuqondaneni, okuyingozi ukulimala komgogodla.
Ama-fractures aphinde ahlukaniswe njengezinzile (umgogodla uhlala uqondile) noma ongaqinile (ama-vertebrae asuka endaweni). Ukwelashwa kuncike ohlotsheni lokuphuka, ukuzinza, nokubandakanyeka kwezinzwa.
Odokotela Abangcono Kakhulu Bokwelapha Ukuphuka Komgogodla eNdiya
Izimbangela Zokuphuka Komgogodla
Ukuphuka komgogodla kuvela ezimweni ezimbili eziyinhloko:
- I-High-energy Trauma: Izingozi zezimoto (50% wamacala ezigulini ezincane), ziyawa, ukulimala kwezemidlalo, noma ukuhlukunyezwa ngokomzimba
- I-Low-energy Trauma: I-Osteoporosis yenza amathambo abe buthaka, enze imisebenzi evamile njengokukhwehlela noma ukugoba kube yingozi.
Izingozi:
- Ubudala - abantu abangaphezu kweminyaka engama-65 bathambekele kakhulu ekuwohlokeni kwamathambo okuhlobene neminyaka kanye nokuphuka komgogodla.
- Abesifazane, ikakhulukazi abesifazane abasesikhathini sokunqamuka kokuya esikhathini, basengozini enkulu
- Ubuzwe- Abamhlophe/Inzalo yase-Asia
- Izimo zezokwelapha ezifana nomdlavuza (myeloma, i-lymphoma), hyperthyroidism, noma ukusetshenziswa kwe-steroid isikhathi eside
- Izici zendlela yokuphila- Ukubhema, ukuntuleka kwevithamini D, nesisindo somzimba esiphansi
Izimpawu Zokuphuka Komgogodla
Izimpawu zokuphuka komgogodla zisukela kokuncane kuye kwezinzima:
- Ubuhlungu Bendawo: Bubukhali, buba bubi nakakhulu ngokuhamba, ukuphakamisa, noma ukugoba.
- Izinguquko Emzimbeni: Ukuncipha kobude, ukuma okugobile, ukuvuvukala, noma imisipha ye-muscle.
- Izinkinga ze-Neurological: Ukuba ndikindiki, ukucula, noma ubuthakathaka bemilenze. Izimo ezimbi kakhulu zingase zibandakanye ukungasebenzi kahle kwesinye/amathumbu.
- Izimpawu Zokuhlukumezeka: Izinkinga zokuphefumula, ukukhubazeka, noma izinkinga zokulinganisela ngemva kwezingozi.
Ukuphuka okuhlobene ne-osteoporosis kungase kuthuthuke buthule, kutholwa kuphela ngezithombe. Ubuhlungu obungapheli bokubuyela emuva buvame ukuphikelela ngisho nangemva kokuphulukiswa.
Izivivinyo zokuxilonga zokuphuka komgogodla
Ukuxilongwa okunembile kuhilela inhlanganisela yamathuluzi:
- Ama-X-ray: Ukuthwebula kwesithombe sokuqala ukuthola ukuphuka kanye nezinkinga zokuqondanisa.
- I-CT Scans: Nikeza ukubukwa komgogodla we-3D, ukuhlonza ukuphuka ngokushesha—okulungele izimo eziphuthumayo.
- I-MRI: Ihlola izicubu ezithambile nezinzwa futhi ihlukanise amafracture amadala aqhathaniswa namasha.
- I-Bone Scans: Hlola umsebenzi wokuphulukisa kuma-fractures.
- Izivivinyo Zezinzwa: Izivivinyo zokuhlola, amandla emisipha, nokuzwa ukuze kuhlolwe ukulimala kwezinzwa.
Ama-CT scan akhethwa ngokuhlaziywa okuningiliziwe kokuphuka, kuyilapho i-MRI isiza ukuhlola ukubandakanyeka kwezinzwa.
Izinketho zokwelapha
Ukwelashwa kuncike ekuqineni kokuphuka kanye nomthelela wezinzwa:
- Ukwelashwa okungahlinzeki:
- Imithi: Ama-NSAID noma ama-opioid esikhathi esifushane obuhlungu.
- I-Bracing: Izinsimbi eziqinile eziqinile zinza umgogodla kuze kufike ezinyangeni eziyisi-6.
- Ukwelashwa Kwemvelo: Igxile ekuqiniseni ingqikithi, ukulungiswa kokuma, kanye nokuhamba.
- Ukwelashwa Kokuhlinzwa: Odokotela batusa ukungenelela kokuhlinzwa ngenxa yobuhlungu obukhulu, ukulimala kwezinzwa, noma ukungazinzi komgogodla
- I-Vertebroplasty/Kyphoplasty: Izinqubo ezihlasela kancane ezijova usimende kuma-vertebrae aphukile. I-Kyphoplasty isebenzisa ibhaluni ukubuyisela ukuphakama.
- I-Spinal Fusion: Ixhuma ama-vertebrae ngezikulufu/izinduku zokuphuka okungazinzile.
- I-Decompression Surgery: Ikhulula ingcindezi ezinzwa noma intambo yomgogodla.
Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa
Ukulungiselela kuqinisekisa ukuphepha kanye nemiphumela emihle:
- Ukuhlolwa Kwezokwelapha: Ukuhlolwa kwegazi, ama-EKG, nokugunyazwa okukhethekile.
- Ukufanekisa: Izikena ze-CT/MRI ziqondisa ukuhlela ukuhlinzwa.
- Ukulungiswa Kwendlela Yokuphila: Yeka ukubhema, lawula isisindo, futhi uhlele ukusekelwa kwangemva kokuhlinzwa.
- Ukuphathwa Kwemithi: Lungisa izinto ezinciphisa igazi futhi sikashukela imithi.
Ngesikhathi Sokuhlinzwa Ukuphuka Komgogodla
Amathimba okuhlinza alandela imigomo eqinile:
- I-Anesthesia Induction: Ukuphathwa kwe-anesthesia jikelele
- Ukuma: Ithimba labahlinzayo libeka isiguli ukuze sikwazi ukufinyelela umgogodla.
- I-Incision: Udokotela ohlinzayo wenza i-incision eqondile phezu kwe-vertebra ephukile futhi uhlehlisa ngokucophelela imisipha ezungezile ukuze ufinyelele umgogodla.
- Ukuqapha: Ithimba labahlinzayo lilandelela izimpawu ezibalulekile, ukusebenza kwezinzwa, nokulahlekelwa igazi kuyo yonke inqubo.
- Ukuzinza: Kuye ngohlobo lokuphuka, udokotela ohlinzayo angase asebenzise izikulufu, izinduku, noma amapuleti ukuze azinzise umgogodla futhi abuyisele ukuqondanisa.
- Ukuvala: Ukuvalwa kwe-incision kusetshenziswa ama-sutures noma ama-staples
- Ubude besikhathi: amahora angu-1-6, kuye ngobunkimbinkimbi.
Ukubuyisela ngemva kokuhlinzwa
Ukubuyisela kugxile ekwelapheni nasekubuyiseleni umsebenzi:
- Ukuhlala Esibhedlela: Izinsuku ezi-1-5 zokuqapha kanye nokuvuselelwa kokuqala.
- Ukuphathwa Kwezinhlungu: Imithi kanye nokwelashwa kweqhwa / ukushisa.
- Ukwelashwa ngokomzimba: Kuqala phakathi namahora angu-24 ukuthuthukisa ukuhamba.
- Imihlahlandlela Yomsebenzi:
- Gwema ukugoba/ukuphakamisa amaviki ayisi-6.
- Qalisa kabusha ukushayela emavikini angu-2-6.
- Buyela emsebenzini emavikini angu-4-8 (imisebenzi yedeski).
Ama-aphoyintimenti okulandelela alandelela inqubekelaphambili yokuphulukiswa ngama-X ray nezivivinyo.
Kungani Khetha Izibhedlela Ze-CARE?
Izibhedlela ze-CARE eBhubaneswar zihamba phambili ekunakekelweni kokuphuka komgogodla nge:
- Ithimba Lochwepheshe: Odokotela abahlinzayo abagunyazwe yibhodi, ochwepheshe bezinzwa, kanye nabelaphi be-rehab.
- Ubuchwepheshe obuthuthukisiwe: izithombe ze-3D, amathuluzi angavamisile kancane, nezinhlelo zokuzulazula komgogodla.
- Ukunakekela Okuphelele: Izinhlelo zokuhlenga eziqondene nawe kanye nezindawo ezilawulwa ukutheleleka
- Ukufinyeleleka: Izinsizakalo eziphuthumayo ezingama-24/7 nokusekelwa komshwalense
HyderabadIzibhedlela ze-CARE, eBanjara Hills I-CARE Outpatient Centre, e-Banjara Hills CARE Izibhedlela, HITEC City CARE Hospitals, Nampally Izibhedlela zaseGurunanak CARE, Musheerabad I-CARE Hospitals Outpatient Centre, i-HITEC City CARE Hospitals, Malakpet
Raipur
Bhubaneshwar
Visakhapatnam
Nagpur
esilengayo
Chh. Sambhajinagar
Imitholampilo Nezikhungo Zezokwelapha
