I.Kuvhiyiwa kweACDF kwakakodzera here?
ACDF inzira yekuvhiya. Inorerutsa nhevedzano yezviratidzo zvinokonzerwa nekutsikirirwa kwetsinga nekubvisa protruding inter-vertebral discs uye degenerative structures. Mushure mezvo, cervical spine ichagadziriswa kuburikidza nekuvhiyiwa kwefusion.
Vamwe varwere vanotenda kuti kuvhiyiwa kwemutsipa kunogona kutungamirira kumatambudziko, zvakadai sekuwedzera kwemutoro unokonzerwa nemusana wepelinha fusion, zvichiita kuti vertebrae iparare. Vanotozvidya mwoyo pamusoro pezvinetso zvomunguva yemberi zvakadai sokumedza zvinonetsa uye kutsvinya kwechinguvana.
Asi mamiriro ezvinhu chaiwo ndeokuti mikana yezvinetso zvinokonzerwa nekuvhiyiwa kwemutsipa yakaderera, uye zviratidzo zvinyoro. Kuenzaniswa nekumwe kuvhiyiwa, ACDF haina kana kurwadziwa panguva yekuvhiya nekuti inogona kuderedza kukuvara kwemhasuru kusvika pamwero mukuru unobvira. Kechipiri, rudzi urwu rwekuvhiya rune nguva pfupi yekupora uye inogona kubatsira varwere kudzokera kuhupenyu hwese nekukurumidza. Uyezve, kana ichienzaniswa neyakagadzirwa cervical disc replacement surgery, ACDF inonyanya kudhura.
II.Wamuka here panguva yekuvhiyiwa kweACDF?
Muchokwadi, kuvhiyiwa kwe ACDF kunoitwa pasi peanesthesia munzvimbo yepamusoro. Mushure mekusimbisa kuti ruoko rwemurwere uye kufamba kwetsoka zvakajairika, chiremba anobaya jekiseni reanesthetics for general anesthesia. Uye murwere haazozununguswi zvakare mushure meanesthesia. Wobva waisa cervical nerve mutsara wekutarisa chiridzwa kuti urambe uchitarisisa. X-rays ichashandiswa kubatsira mukumisikidza panguva yekuvhiyiwa.
Panguva yekuvhiyiwa, 3cm incision inoda kuitwa pakati pemutsara wemutsipa, zvishoma kune kuruboshwe mberi, kuburikidza nemhepo uye nzvimbo iri pedyo nesophagus, kune nzvimbo yakananga pamberi pe vertebrae yekervical. Vanachiremba vachashandisa midziyo miduku-duku kubvisa ma-inter-vertebral discs, posterior longitudinal ligaments, uye bone spurs inomanikidza mitsetse yetsinga. Nzira yekuvhiya haidi kufamba kwemitsara yetsinga. Wobva waisa iyo inter-vertebral disc fusion mudziyo panzvimbo yekutanga, uye kana zvichidikanwa, wedzera micro titanium screws kuti ibatsire kugadzirisa. Pakupedzisira, suture ronda.
III.Ndinofanira kupfeka mutsipa wekervical mushure mekuvhiyiwa here?
Nguva yekupfeka simbi yemutsipa mushure mekuvhiyiwa kweACDF mwedzi mitatu, asi nguva chaiyo inoenderana nekuoma kwekuvhiyiwa uye mazano echiremba. Kazhinji, cervical brace inoita basa rakakosha mukurapa kweiyo cervical spine mavhiki 1-2 mushure mekuvhiyiwa. Inogona kurambidza kufamba kwemutsipa uye kuderedza kukurudzira uye kudzvinyirira panzvimbo yekuvhiya. Izvi zvinobatsira pakupora maronda uye pamwero wakati unoderedza marwadzo emurwere. Uye zvakare, kureba kwemutsipa brace kupfeka nguva kunogona kufambisa bone fusion pakati pemitumbi yevertebral. Mutsipa wemutsipa unopa rubatsiro rwakakosha paunenge uchidzivirira cervical spine, kudzivisa kukanganiswa kwefusion kunokonzerwa nekufamba kusina kunaka.
Nguva yekutumira: Chivabvu-09-2025
