Ni iki "Spacer" ishyirwa hagati y'imitsi yo mu bwonko mu guhuza imitsi yo mu bwonko bwa lumbar?

Nshuti zanjye, uretse gukoresha vis mu gufunga mu kubaga lumbar fusion, kuki "spacer" ishyirwa hagati y'amagufwa abiri? Ibyo ni iki mu by'ukuri, kandi bikora iki? Ibi ni ibibazo bikunze kubazwa.

Uyu munsi, reka tuvuge kuri iyi "spacer" - igice cyo ku ruhu akazu ko guhuza umubiri, izwi cyane nka Cage.
Iki gikoresho gito gikora uruhare runini mu kubaga uruti rw'umugongo, gifasha abarwayi benshi bafite ibibazo by'urutirigongo kugabanya ububabare no kongera gukora imirimo yabo ya buri munsi. Hanyuma, reka tumenye ibanga ry'aho urutirigongo ruhurira.

A cimyakafguhindagurika, bakunze kwita ikiraro, ni icyuma gishyirwa mu mubiri gikoreshwa mu kubaga uruti rw'umugongo. Inshingano yacyo nyamukuru ni ugushyirwa hagati y'imitsi ibiri yo mu ruti rw'umugongo mu gihe cyo kubaga, bigafasha imitsi yombi guhuriza hamwe, bityo bikongera ubushobozi bw'umugongo wo mu ruti rw'umugongo no kugabanya ububabare.

Imirimo y'ingenzi yaAgakingirizo ko mu mugongo
Garura uburebure bw'umwanya wo hagati y'intervertebral:Itsinda fguhindagurikacimyakaishobora gusubiza cyangwa gukomeza uburebure busanzwe bw'umwanya wo hagati y'ingingo, ibi bikaba bifasha kubungabunga imikorere ya disiki yo hagati y'ingingo n'isano isanzwe hagati y'umugongo wegeranye.
Tanga ituze:Itsindasagace k'umugongocimyakabishobora gutanga ituze, bikarinda urujya n'uruza rw'ingingo mu buryo budasanzwe, bityo bikagabanya ibimenyetso no kugabanya umuvuduko ku mugongo.

Guteza imbere guhuza amagufwa: ItsindalumbarifguhindagurikacimyakaUbusanzwe ikorwa mu bikoresho bihuye n’ibinyabuzima bishobora guhuzwa n’ingingo z’amagufwa zikikije, bigafasha koroshya ihuzwa ry’amagufwa ku buryo ishingwa mu mwanya w’intervertebral rihuza n’imibiri y’uruti rw’umugongo yegeranye mu gice kimwe gikomeye.
Gukangura gukira kw'amagufwa: Mu gushyira icyo gitereko mu mwanya w'intervertebral,ikiraro cy'umugongoItera igikomere cy’igufwa gicungwa. Iki gikomere gitera ingaruka mbi mu mubiri, bigatuma uturemangingo tw’amagufwa twiyongera kandi amagufwa agashya agahinduka.

Ubwoko bwaUdukingirizo two Guhuza Uruti rw'Umugongo
Meta Cage: Ubusanzwe ikorwa mu cyuma cya titaniyumu, ifite ubushobozi bwo guhuza neza ibintu n'imbaraga za mekanike.
Agasanduku k'udupira twa karuboni: Koroheje kurusha utuzu tw'icyuma, bifasha kugabanya umuvuduko ku igufwa rikikije.
PEEK (Polyetheretherketone) Cage: Igikoresho cya polymeri gifite modulus ikora neza isa n'iy'amagufwa y'umuntu, bifasha kugabanya ingaruka zo kurinda stress.
Ikigega gishobora kunyobwa: Ubwo bwoko bw'ikigega buhita bwinjirwa n'umubiri w'umuntu, bigagabanya ingaruka z'igihe kirekire ku mubiri w'amahanga.

Bamwe mu barwayi bazi neza indwara baragira bati:Niba dukoresha agashinge k'amagufwa ka autologous, kuki tugikeneyespinusicGuteramo imyaka(Ingoyi)?
Tanga ituze ryihuse: Imwe mu nshingano z'ingenzi zasagace k'umugongofguhindagurikacimyakani ugutanga inkunga y'inkingi y'imbere n'iyo hagati no kunoza uburyo intervertebral stability ihagaze. Nubwo haba hari autologous bone graft, ikiraro gitanga inkunga yihuse y'imiterere y'aho kubagwa, kigabanya ingendo zidasanzwe hagati y'amagufwa, kandi kigatuma ububabare bugabanuka.
Guteza imbere guhuza amagufwa: Itsindaiumubirifguhindagurikacimyakabyoroshya ihuzwa ry'amagufwa. Nubwo igufwa rya autologous rifite ubushobozi bwiza bwo gukurura amagufwa no kuyayobora, ikiraro gikomeza neza uburebure n'aho igice cyo hagati y'amagufwa giherereye, bigatuma habaho ahantu heza ho guhuzwa kw'amagufwa.
Gabanya ingano y'igufwa rikeneweGukoreshaakazu ko guhuza umubiribigabanya ingano isabwa y’igufwa rya autologous. Gusarura amagufwa ya autologous bishobora gutera ububabare bwinyongera n’ingaruka mbi, kandi ikiraro kigabanya kwishingikiriza ku magufwa ya autologous.
Kongera umuvuduko wo guhuza amagufwa: Ubushakashatsi bwagaragaje ko gushyira amagufwa mu magufwa ya autologous hamwe n’ingufu zo mu kagozi n’inyundo zo mu kagozi bigabanya umuvuduko wo guhuza amagufwa. Cyane cyane mu mezi 3 na 6 nyuma yo kubagwa, umuvuduko wo guhuza amagufwa mu magufwa ya autologous uba uri hejuru ugereranije n’uwo mu magufwa ya allogeneic.
Kunoza ibisubizo by'ubuvuzi bwo kubaga: Gukoresha akazu ko gukurura abaganga b’inkondo y’umura binoza umusaruro wo kubagwa, bigabanya igihe cyo kubagwa, bigabanya amaraso atakaza mu gihe cyo kubagwa, byihutisha gukira nyuma yo kubagwa, kandi bifite umutekano mwinshi.

Ihuze n'imiterere itandukanye y'umwanya wo hagati y'amagufwa: Imiterere itandukanye y'umwanya wo hagati y'amagufwa ishobora kugira ingaruka ku buryo umubiri uhora uhagaze. Urugero, umwanya wo hagati y'amagufwa umeze nk'ipeya ni ikintu gishobora gutuma igice cyo inyuma cy'amagufwa kijya mu muyoboro w'umugongo. Kubwibyo, guhitamo ingano ikwiye y'amagufwa no kwemeza ko bifata neza amagufwa yo hagati y'amagufwa ni ingenzi cyane.
Kugabanya ingorane: Gukoresha uburyo bwoakazu ko guhuza umubiribifasha kugabanya ingorane ziterwa no kubagwa nko kwimura ikiraro. Guhitamo ikiraro gikwiye no kwemeza ko gihagaze neza bishobora kugabanya izi ngaruka.

Muri make, nubwo haba harimo no gutera amagufwa mu buryo bwa autologous, ikoreshwa ryaakazu ko guhuza umubiri (Kage) iracyakenewe. Itanga ituze ryihuse, iteza imbere guhuza amagufwa, igabanya ingano y'igufwa rikenewe, ikongera umuvuduko wo guhuza amagufwa, yongera ingaruka zo kubagwa, kandi igabanya ingorane. Iyi mirimo yose hamwe ituma akagega k'umubiri kaba ingenzi mu kubaga guhuza lumbar.

Niba ushaka kumenya byinshi kuri fusion cage, nyamuneka vugaTwandikire; itsinda ryacu rizaguha ubufasha bw'inzobere n'ibisubizo.