Kusakanikirana kwa msana

Kuphatikizika kwa msana ndi opaleshoni yolumikizana mafupa awiri kapena kupitilira apo mumsana kotero palibe kuyenda pakati pawo. Mafupawa amatchedwa vertebrae.

Mudzapatsidwa mankhwala oletsa ululu, omwe amakugwiritsani tulo tofa nato kuti musamve kuwawa panthawi yochita opareshoni.

Dokotalayo adzadula (kutambasula) kuti awone msana. Opaleshoni ina, monga diskectomy, laminectomy, kapena foraminotomy, nthawi zambiri imachitika koyamba. Kusakanikirana kwa msana kungachitike:

• Pamsana panu kapena pakhosi pa msana. Mwina mukugona chafufumimba. Minofu ndi minofu zidzalekanitsidwa kuti ziwonetse msana.
• Kumbali yanu, ngati mukuchitidwa opaleshoni kumbuyo kwanu. Dokotalayo amagwiritsa ntchito zida zotchedwa retractor kuti alekanitse bwino, agwirizane ndi zofewa monga matumbo ndi mitsempha yamagazi, ndikukhala ndi malo ogwirira ntchito.
• Ndikucheka kutsogolo kwa khosi, mbali.

Dokotalayo amagwiritsa ntchito kulumikiza (monga fupa) kuti agwire (kapena kusakaniza) mafupa pamodzi mpaka kalekale. Pali njira zingapo zophatikizira ma vertebrae palimodzi:

• Zingwe zamafupa zolumikizira zitha kuyikidwa kumbuyo kwa msana.
• Mafupa olumikizidwa mafupa amatha kuikidwa pakati pa ma vertebrae.
• Zingwe zapadera zitha kuyikidwa pakati pa ma vertebrae. Zosayenera izi zodzaza ndi mafupa olumikizidwa.

Dokotalayo amatha kulumikiza mafupa m'malo osiyanasiyana:

• Kuchokera mbali ina ya thupi lanu (nthawi zambiri kuzungulira fupa lanu la m'chiuno). Izi zimatchedwa autograft. Dokotala wanu adzadula pang'ono pamfupa lanu la m'chiuno ndikuchotsa fupa kumbuyo kwa nthiti.
• Kuchokera ku bank bank. Izi zimatchedwa allograft.
• Malo olowetsa mafupa amathanso kugwiritsidwa ntchito.

Ma vertebrae amathanso kukhazikitsidwa pamodzi ndi ndodo, zomangira, mbale, kapena zitseko. Amagwiritsidwa ntchito kuti ma vertebrae asasunthike mpaka pomwe mafupa amalumikizidwa bwino.

Opaleshoni imatha kutenga maola 3 kapena 4.

Kuphatikizika kwa msana kumachitika nthawi zambiri limodzi ndi njira zina zochitira opaleshoni ya msana. Zitha kuchitika:

• Ndi njira zina zopangira opaleshoni ya msana, monga foraminotomy kapena laminectomy
• Pambuyo diskectomy mu khosi

Kusakanikirana kwa msana kungachitike ngati muli:

• Kuvulala kapena kusweka kwa mafupa a msana
• Msana wofooka kapena wosakhazikika womwe umayamba chifukwa cha matenda kapena zotupa
• Spondylolisthesis, vuto lomwe vertebrae imodzi imadumphira patsogolo pa ina
• Ma curvature achilendo, monga ochokera ku scoliosis kapena kyphosis
• Nyamakazi mu msana, monga msana stenosis

Inu ndi dokotalayo mungasankhe nthawi yomwe muyenera kuchitidwa opaleshoni.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za opaleshoniyi ndi izi:

• Matenda m'mabala kapena m'mafupa
• Kuwonongeka kwa mitsempha ya msana, kuyambitsa kufooka, kupweteka, kutaya chidwi, mavuto amatumbo kapena chikhodzodzo
• Ma vertebrae omwe ali pamwamba ndi pansi pamapangidwe amatha kutha, zomwe zimabweretsa mavuto ena pambuyo pake
• Kutuluka kwa madzimadzi a msana komwe kungafune kuchitidwa opaleshoni yambiri
• Kupweteka mutu

Uzani dokotala wanu mankhwala omwe mumamwa. Izi zikuphatikiza mankhwala, zitsamba, ndi zowonjezera zomwe mudagula popanda mankhwala.

M'masiku asanachitike opareshoni:

• Konzekerani nyumba yanu mukamachoka kuchipatala.
• Ngati mumasuta, muyenera kusiya. Anthu omwe ali ndi msana wosakanikirana ndikupitiliza kusuta sangachiritsenso. Funsani dokotala wanu kuti akuthandizeni.
• Kutatsala milungu iwiri kuti achite opaleshoni, adokotala angakufunseni kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), ndi mankhwala ena onga awa.
• Ngati muli ndi matenda a shuga, matenda a mtima, kapena mavuto ena azachipatala, dokotalayo adzakufunsani kuti mukaonane ndi dokotala wokhazikika.
• Lankhulani ndi dokotala ngati mumamwa mowa wambiri.
• Funsani dokotala wanu wa zachipatala mankhwala omwe muyenera kumamwa patsiku la opaleshonilo.
• Lolani dokotala wanu wa opaleshoni kudziwa za chimfine, chimfine, malungo, matenda a herpes, kapena matenda ena omwe mungakhale nawo.

Patsiku la opaleshoniyi:

• Tsatirani malangizo osamwa kapena kudya chilichonse musanadye.
• Tengani mankhwala omwe munauzidwa kuti mumwe ndikumwa madzi pang'ono.
• Fikani kuchipatala nthawi yake.

Mutha kukhala mchipatala kwa masiku atatu kapena anayi mutachitidwa opaleshoni.

Mudzalandira mankhwala opweteka kuchipatala. Mutha kumwa mankhwala opweteka pakamwa kapena kuwombera kapena kulowetsa mtsempha (IV). Mutha kukhala ndi pampu yomwe imakuthandizani kuti muchepetse kuchuluka kwa mankhwala opweteka omwe mumalandira.

Muphunzitsidwa momwe mungasunthire bwino komanso momwe mungakhalire, kuyimirira, ndikuyenda. Mudzauzidwa kuti mugwiritse ntchito njira "yolembetsera" mukadzuka pabedi. Izi zikutanthauza kuti mumasuntha thupi lanu lonse nthawi imodzi, osapotoza msana wanu.

Simungathe kudya chakudya chokhazikika masiku awiri kapena atatu. Mudzapatsidwa michere kudzera mu IV ndipo mudzadyanso chakudya chofewa. Mukachoka kuchipatala, mungafunike kuvala chovala kumbuyo kapena kuponya.

Dokotala wanu adzakuuzani momwe mungadzisamalire kunyumba mukatha opaleshoni ya msana. Tsatirani malangizo amomwe mungasamalire kumbuyo kwanu kunyumba.

Opaleshoni sikuti nthawi zonse imathandizira kupweteka ndipo nthawi zina, imatha kukulitsa. Komabe, mwa anthu ena opaleshoni imatha kukhala yothandiza pamavuto owopsa omwe samakhala bwino ndi mankhwala ena.

Ngati mutakhala ndi ululu wopweteka kwambiri musanachite opareshoni, mudzakhalabe ndi ululu pambuyo pake. Kusakanikirana kwa msana sikungathe kuchotsa ululu wanu wonse ndi zina.

Ndizovuta kuneneratu kuti ndi anthu ati omwe angasinthe komanso kuchuluka kwa opareshoni yothandizira, ngakhale atagwiritsa ntchito mayeso a MRI kapena mayeso ena.

Kutaya thupi ndi kuchita masewera olimbitsa thupi kumawonjezera mwayi wanu wokhala bwino.

Mavuto amtsogolo amtsogolo amatha kutheka atachitidwa opaleshoni ya msana. Pambuyo pakuphatikizika kwa msana, dera lomwe lidalumikizidwa limodzi silingathenso kuyenda. Chifukwa chake, khosi la msana pamwambapa komanso pansi pa maphatikizidwe zimatha kupanikizika msana ukuyenda, ndipo zimatha kubweretsa mavuto mtsogolo.

Vertebral interbody maphatikizidwe; Kusakanikirana kwamtsempha kwapambuyo; Nyamakazi; Kuphatikizika kwamkati kwa msana; Opaleshoni ya msana - kusakanikirana kwa msana; Kupweteka kwakumbuyo - kusakanikirana; Heniated litayamba - maphatikizidwe; Msana stenosis - maphatikizidwe; Laminectomy - maphatikizidwe; Kusakanikirana kwa msana; Kusakanikirana kwa msana kwa Lumbar

• Chitetezo cha bafa cha akulu
• Kupewa kugwa
• Kuteteza kugwa - zomwe mungafunse dokotala wanu
• Opaleshoni ya msana - kutulutsa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Scoliosis
• Kusakanikirana kwa msana - mndandanda

Bennett EE, Hwang L, DJ Hoh, Ghogawala Z, Schlenk R. Zizindikiro zakusakanikirana kwa msana chifukwa cha kupweteka kwa axial. Mu: Steinmetz MP, Benzel EC, olemba. Opaleshoni ya Spine ya Benzel: Njira, Kupewa Kuphatikiza, ndi Kuwongolera. Wolemba 4. Philadelphia, PA: Elsevier; 2017: chap 58.

(Adasankhidwa) Liu G, Wong HK. Laminectomy ndi fusion. Mu: Shen FH, Samartzis D, Fessler RG, olemba. Buku la Cervical Spine. Philadelphia, PA: Elsevier; 2015: chaputala 34.

Wang JC, Dailey AT, Mummaneni PV, et al. Ndondomeko zosinthira magwiridwe antchito amachitidwe osakanikirana a matenda opatsirana a msana. Gawo 8: kusakanikirana kwa lumbar kwa disc herniation ndi radiculopathy. J Neurosurg Msana. 2014; 21 (1): 48-53. PMID: 24980585 www.ncbi.nlm.nih.gov/pubmed/24980585. (Adasankhidwa)