Kusokoneza

Diskectomy ndi opaleshoni yochotsa zonse kapena gawo la khushoni lomwe limathandiza kuthandizira gawo lina la msana wanu. Ma cushion awa amatchedwa ma disks, ndipo amalekanitsa mafupa anu a msana (vertebrae).

Dokotala wa opaleshoni amatha kuchotsa disk (diskectomy) m'njira zosiyanasiyana.

• Microdiskectomy: Mukakhala ndi microdiskectomy, dokotalayo safunika kuchita maopareshoni ambiri pamafupa, mafupa, mitsempha, kapena minofu ya msana wanu.
• Diskectomy kumunsi kwakumbuyo kwanu (lumbar spine) itha kukhala gawo la opaleshoni yayikulu yomwe imaphatikizaponso laminectomy, foraminotomy, kapena fusion fusion.
• Diskectomy m'khosi mwako (khomo lachiberekero) nthawi zambiri imachitika limodzi ndi laminectomy, foraminotomy, kapena fusion.

Microdiskectomy imachitika mchipatala kapena kuchipatala. Mudzapatsidwa mankhwala ochititsa dzanzi a msana (kuti muchepetse msana) kapena kuti anesthesia wamba (ogona komanso opanda ululu).

• Dokotalayo amapanga tinthu tating'ono (1 mpaka 1.5-inchi, kapena 2.5 mpaka 3.8-sentimita) podula kumbuyo kwanu ndikusunthira minofu yakumbuyo kutali ndi msana wanu. Dokotalayo amagwiritsa ntchito maikulosikopu yapadera kuti aone vutoli kapena ma disks ndi mitsempha panthawi yochita opaleshoni.
• Mitsempha ya mitsempha imapezeka ndikusunthidwa pang'ono.
• Dokotalayo amachotsa minyewa ndi ma disk ake.
• Minofu yakumbuyo imabwezeretsedwa m'malo.
• Chombocho chimatsekedwa ndimitengo kapena chakudya.
• Kuchita opaleshoni kumatenga pafupifupi 1 mpaka 2 maola.

Diskectomy ndi laminotomy nthawi zambiri zimachitika mchipatala, pogwiritsa ntchito mankhwala oletsa ululu (ogona komanso opanda ululu).

• Dokotalayo amadula kwambiri kumbuyo kwanu msana.
• Minofu ndi minofu zimasunthidwa modekha kuti ziwonetse msana wanu.
• Gawo laling'ono la lamina bone (gawo la mafupa ozungulira msana ndi mitsempha) limadulidwa. Kutsegulira kumatha kukhala kwakukulu ngati minyewa yomwe imadutsa msana wanu.
• Bowo laling'ono limadulidwa mu diski yomwe imayambitsa matenda anu. Zinthu kuchokera mkati mwa disk zimachotsedwa. Zidutswa zina za disk zitha kuchotsedwa.

Imodzi mwa ma diski anu akasamuka (herniates), gel osalala mkati mwake amalowa kukhoma la disk. Diskiyo imatha kupondereza msana ndi mitsempha yomwe ikutuluka m'mbali mwa msana wanu.

Zizindikiro zambiri zoyambitsidwa ndi disk ya herniated zimakhala bwino kapena zimapita pakapita nthawi osachitidwa opaleshoni. Anthu ambiri omwe ali ndi ululu wam'munsi kapena wam'khosi, ofooka, kapena ofooka pang'ono nthawi zambiri amachiritsidwa koyamba ndi mankhwala osagwiritsa ntchito zotupa, mankhwala, komanso zolimbitsa thupi.

Ndi anthu ochepa okha omwe ali ndi disk ya herniated omwe amafunika kuchitidwa opaleshoni.

Dokotala wanu angakulimbikitseni diskectomy ngati muli ndi herniated disk ndipo:

• Kupweteka kwa mwendo kapena mkono kapena dzanzi lomwe ndi loipa kwambiri kapena silikutha, zomwe zimapangitsa kuti zikhale zovuta kuchita ntchito za tsiku ndi tsiku
• Kufooka kwakukulu m'minyewa ya mkono wanu, mwendo wakumunsi kapena matako
• Ululu womwe umafalikira m'matako kapena m'miyendo mwanu

Ngati mukukumana ndi mavuto ndi matumbo kapena chikhodzodzo, kapena kuwawa ndikowopsa kotero kuti mankhwala opweteka kwambiri samathandiza, muyenera kuchitidwa opaleshoni nthawi yomweyo.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za opaleshoniyi ndi izi:

• Kuwonongeka kwa mitsempha yomwe imatuluka msana, kuyambitsa kufooka kapena kupweteka komwe sikupita
• Ululu wanu wam'mbuyo sukukhala bwino, kapena kuwawa kumabweranso pambuyo pake
• Ululu pambuyo pa opaleshoni, ngati zidutswa zonse za disk sizichotsedwa
• Msana wamafuta amatha kutuluka ndikupangitsa mutu
• Diski itha kutulukanso
• Matenda amatha kukhala osakhazikika ndipo angafunike kuchitidwa opaleshoni yambiri
• Kutenga komwe kungafune maantibayotiki, kukhala mchipatala nthawi yayitali, kapena kuchitidwa opaleshoni yambiri

Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

M'masiku asanachitike opareshoni:

• Konzekerani nyumba yanu mukamabwera kuchokera kuchipatala.
• Ngati mumasuta, muyenera kusiya. Kuchira kwanu kumachedwa pang'onopang'ono ndipo mwina sikungakhale bwino ngati mupitiliza kusuta. Funsani omwe akukuthandizani kuti akuthandizeni.
• Milungu iwiri musanachite opareshoni, mutha kupemphedwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), ndi mankhwala ena ngati awa.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena mavuto ena azachipatala, dokotalayo akupemphani kuti muonane ndi madokotala omwe amakuchitirani zoterezi.
• Lankhulani ndi omwe amakupatsani ngati mumamwa mowa wambiri.
• Funsani omwe akukuthandizani mankhwala omwe muyenera kumwa patsiku la opaleshonilo.
• Nthawi zonse muziwuza omwe akukuthandizani za chimfine, chimfine, malungo, kuphulika kwa herpes, kapena matenda ena omwe mungakhale nawo.
• Mungafune kupita kukaonana ndi dokotala kuti muphunzire zolimbitsa thupi zomwe muyenera kuchita musanachite opareshoni komanso kugwiritsa ntchito ndodo.

Patsiku la opaleshoniyi:

• Tsatirani malangizo okhudza nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mutenge ndi madzi pang'ono.
• Bweretsani ndodo yanu, choyenda, kapena chikuku ngati muli nacho kale. Bweretsaninso nsapato zokhala ndi zidendene zosalala.
• Tsatirani malangizo okhudza nthawi yoti mufike kuchipatala. Fikani pa nthawi yake.

Wothandizira anu adzakufunsani kuti mudzuke ndikuyenda mofulumira pamene anesthesia yanu yatha. Anthu ambiri amapita kunyumba tsiku la opareshoni. Osayendetsa nokha kupita kunyumba.

Tsatirani malangizo amomwe mungadzisamalire nokha kunyumba.

Anthu ambiri amamva kupweteka ndipo amatha kuyenda bwino atachitidwa opaleshoni. Dzanzi ndi kumva kulasalasa ziyenera kukhala bwino kapena kutha. Kupweteka kwanu, kufooka, kapena kufooka kwanu sikungakhale bwino kapena kungochoka ngati mungawononge mitsempha musanachite opareshoni, kapena ngati muli ndi zizindikilo zoyambitsidwa ndi zina msana.

Zosintha zina zimatha kuchitika mumsana mwanu pakapita nthawi ndipo zidziwitso zatsopano zimatha kuchitika.

Lankhulani ndi omwe akukuthandizani za momwe mungapewere mavuto amtsogolo.

Msana microdiskectomy; Kusokoneza pang'ono; Laminotomy; Kuchotsa disk; Opaleshoni ya msana - diskectomy; Discectomy

• Opaleshoni ya msana - kutulutsa
• Chisamaliro cha bala la opaleshoni - chotseguka

• Msuzi wa Herniated pulposus
• Mafupa msana
• Magulu othandizira kumbuyo
• Cauda equina
• Matenda a msana
• Microdiskectomy - mndandanda

Ehni BL. Lumbar discectomy. Mu: Steinmetz MP, Benzel EC, olemba. Opaleshoni ya Spine ya Benzel. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 93.

Gardocki RJ. Matenda a msana ndi njira zopangira opaleshoni. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 37.

Gardocki RJ, Park AL. Matenda osachiritsika a thoracic ndi lumbar msana. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 39.