I.Ni kubaga ACDF bikwiye?
ACDF ni uburyo bwo kubaga. Igabanya urukurikirane rwibimenyetso biterwa no kwikuramo imitsi ikuraho disikuru ziva hagati ya vertebral hamwe nuburyo bubi. Nyuma yaho, uruti rw'umugongo ruzahagarara binyuze mu kubaga fusion.
Bamwe mu barwayi bemeza ko kubaga ijosi bishobora gutera ingorane, nko kongera umutwaro uterwa no guhuza uruti rw'umugongo, bikaviramo kwangirika kwa vertebrae. Ndetse bahangayikishijwe nibibazo bizaza nko kumira ingorane no gutontoma by'agateganyo.
Ariko uko ibintu bimeze ni uko amahirwe yo guterwa no kubagwa ijosi ari make, kandi ibimenyetso bikaba byoroheje. Ugereranije nubundi kubaga, ACDF nta bubabare ifite mugihe cyo kubaga kuko irashobora kugabanya kwangirika kwimitsi kuburyo bushoboka bwose. Icya kabiri, ubu bwoko bwo kubaga bufite igihe gito cyo gukira kandi burashobora gufasha abarwayi gusubira mubuzima busanzwe vuba. Byongeye kandi, ugereranije no kubaga insimburangingo ya cervical disque yo kubaga, ACDF irahenze cyane.
II.Urakangutse mugihe cyo kubaga ACDF?
Mubyukuri, kubaga ACDF bikorwa munsi ya anesthesia muri rusange. Nyuma yo kwemeza ko umurwayi n'amaboko agenda n'amaguru ari ibisanzwe, umuganga azatera anesthetike kuri anesthesia rusange. Kandi umurwayi ntazongera kwimurwa nyuma ya anesthesia. Noneho shyira igikoresho cyo kugenzura inkondo y'umura kugirango ukurikirane neza. X-imirasire izakoreshwa mugufasha mumwanya mugihe cyo kubagwa.
Mugihe cyo kubagwa, hagomba gukorwa intambwe ya 3cm mumurongo wo hagati w ijosi, gato ugana imbere ibumoso, unyuze mumyuka uhumeka hamwe n'umwanya wegeranye na esofagusi, kumwanya ugana imbere yumugongo winkondo y'umura. Abaganga bazakoresha ibikoresho bya microscopique kugirango bakureho disiketi hagati ya vertebral, ligamenti ndende ndende, hamwe namagufwa yamagufa agabanya imirongo yimitsi. Igikorwa cyo kubaga ntigisaba kugenda kumirongo yumutima. Noneho, shyira hagati ya vertebral disc fusion igikoresho kumwanya wambere, nibiba ngombwa, ongeramo micro titanium screw kugirango ifashe kugikemura. Hanyuma, shushanya igikomere.
III.Nkeneye kwambara ijosi ryinkondo y'umura nyuma yo kubagwa?
Igihe cyo kwambara ijosi nyuma yo kubagwa ACDF ni amezi atatu, ariko igihe cyihariye giterwa nuburyo bugoye bwo kubaga hamwe ninama za muganga. Mubisanzwe, inkondo y'umura igira uruhare runini mugikorwa cyo gukiza uruti rw'umugongo nyuma y'ibyumweru 1-2 nyuma yo kubagwa. Irashobora kugabanya kugenda kwijosi no kugabanya imbaraga nigitutu kurubuga rwo kubaga. Ibi ni ingirakamaro mu gukira ibikomere kandi ku rugero runaka bigabanya ububabare bw'abarwayi. Byongeye kandi, ijosi rirerire ryambaye igihe rishobora koroshya guhuza amagufwa hagati yumubiri. Ijosi ry ijosi ritanga inkunga ikenewe mugihe urinda uruti rwumugongo, wirinda kunanirwa guhuza biterwa no kugenda nabi.
Igihe cyo kohereza: Gicurasi-09-2025
