Laminectomy

Laminectomy ndi opaleshoni yochotsa lamina. Ili ndi gawo la mafupa omwe amapanga vertebra mu msana. Laminectomy itha kuchitidwanso kuti muchotse ma spurs kapena disk herniated (slipped) mu msana wanu. Njirayi imatha kuthana ndi msana kapena msana.

Laminectomy imatsegula ngalande yanu yamtsempha kuti mitsempha yanu yam'mimba ikhale ndi malo ambiri. Zitha kuchitidwa limodzi ndi diskectomy, foraminotomy, ndi fusion fusion. Mudzakhala mukugona ndipo simumva kuwawa (general anesthesia).

Pa opaleshoni:

• Nthawi zambiri mumagona pamimba panu patebulo logwirira ntchito. Dokotalayo amadula pakati (kumbuyo) kapena m'khosi.
• Khungu, minofu, ndi mitsempha zimasunthira kumbali. Dokotala wanu amatha kugwiritsa ntchito maikulosikopu kuti awone kumbuyo kwanu.
• Gawo kapena mafupa onse a lamina atha kuchotsedwa mbali zonse ziwiri za msana wanu, pamodzi ndi ma spinous process, gawo lakuthwa kwa msana wanu.
• Dokotala wanu amachotsa tizidutswa tating'onoting'ono ta ma disk, mafupa, kapena minofu ina yofewa.
• Dokotalayo amathanso kupanga foraminotomy panthawiyi kukulitsa kutsegula komwe mizu yamitsempha imatuluka msana.
• Dokotala wanu amatha kupanga maphatikizidwe a msana kuti awonetsetse kuti msana wanu ukhazikika pambuyo pochitidwa opaleshoni.
• Minofu ndi ziwalo zina zimabwezeretsedwanso m'malo mwake. Khungu limasokonekera palimodzi.
• Opaleshoni amatenga 1 mpaka 3 maola.

Laminectomy nthawi zambiri imachitika pofuna kuchiza msana wam'mimba (kuchepa kwa msana). Njirayi imachotsa mafupa ndi ma disks owonongeka, ndipo imapanga mpata wochulukirapo msana ndi gawo.

Zizindikiro zanu zingakhale:

• Ululu kapena dzanzi mu mwendo umodzi kapena zonse ziwiri.
• Ululu kuzungulira tsamba lanu lamapewa.
• Mutha kumva kufooka kapena kulemera m'matako kapena m'miyendo mwanu.
• Mutha kukhala ndi zovuta kutaya kapena kuwongolera chikhodzodzo ndi matumbo.
• Mutha kukhala ndi zizindikilo, kapena zizindikilo zoyipa, mukayimirira kapena kuyenda.

Inu ndi dokotala wanu mungasankhe nthawi yomwe muyenera kuchitidwa opaleshoni pazizindikirozi. Zizindikiro za msana wamatenda nthawi zambiri zimaipiraipira pakapita nthawi, koma izi zimatha kuchitika pang'onopang'ono.

Zizindikiro zanu zikafika povuta kwambiri ndikusokoneza moyo wanu watsiku ndi tsiku kapena ntchito yanu, opaleshoni ingathandize.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika chifukwa cha mankhwala kapena zovuta kupuma
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za opaleshoni ya msana ndi izi:

• Matenda m'mabala kapena m'mafupa
• Kuwonongeka kwa mitsempha ya msana, kuyambitsa kufooka, kupweteka, kapena kutaya mtima
• Kupweteka pang'ono kapena kopanda ululu pambuyo pa opaleshoni
• Kubwerera kwa ululu wammbuyo mtsogolo
• Kutuluka kwa msana kwamadzimadzi komwe kumatha kubweretsa mutu

Ngati muli ndi msana, msana wanu wam'mwamba pamwambapa ndi pansi pake mungakupatseni mavuto mtsogolo.

Mudzakhala ndi x-ray ya msana wanu.Muthanso kukhala ndi MRI kapena CT myelogram musanachitike ndondomeko yotsimikizira kuti muli ndi msana wam'mimba.

Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba 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.
• Kwa sabata limodzi musanachite opareshoni, mutha kufunsidwa kuti musiye kumwa magazi. Ena mwa mankhwalawa ndi aspirin, ibuprofen (Advil, Motrin), ndi naproxen (Aleve, Naprosyn). Ngati mukumwa warfarin (Coumadin), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban powder (Xarelto), kapena clopidogrel (Plavix), lankhulani ndi dotolo wanu musanayime kapena kusintha momwe mumamwa mankhwalawa.
• Ngati muli ndi matenda a shuga, matenda a mtima, kapena mavuto ena azachipatala, dokotalayo adzakufunsani kuti mukaonane ndi dokotala wokhazikika.
• Lankhulani ndi dokotala wanu wa opaleshoni ngati mumamwa mowa kwambiri.
• Funsani dokotala wanu wa zachipatala mankhwala omwe muyenera kumamwa patsiku la opaleshonilo.
• Lolani dokotalayo adziwe nthawi yomweyo ngati mukudwala chimfine, malungo, malungo, kapena matenda ena omwe mungakhale nawo.
• Mungafune kupita kukaona othandizira kuti muphunzire zolimbitsa thupi musanachite opareshoni ndikuchita ndodo.

Patsiku la opaleshoniyi:

• Mudzafunsidwa kuti musamamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe dokotala wanu adakuwuzani kuti mumwe pang'ono pokha madzi.
• Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala. Onetsetsani kuti mwafika nthawi.

Wothandizira anu adzakulimbikitsani kuti mudzuke ndikuyenda mofulumira pamene anesthesia amatha, ngati mulibe msana.

Anthu ambiri amapita kunyumba 1 mpaka 3 masiku atachitidwa opaleshoni. Kunyumba, tsatirani malangizo amomwe mungasamalire bala lanu ndi msana wanu.

Muyenera kuyendetsa galimoto pasanathe sabata kapena awiri ndikuyambiranso ntchito yopepuka patatha milungu inayi.

Laminectomy ya msana stenosis nthawi zambiri imapereka kwathunthu kapena kupumula kuzizindikiro.

Mavuto amtsogolo amtsogolo ndi otheka kwa anthu onse pambuyo pa opaleshoni ya msana. Mukadakhala ndi laminectomy ndi maphatikizidwe a msana, gawo la msana pamwambapa komanso pansi pamapangidwe ake atha kukhala ndi mavuto mtsogolo.

Mutha kukhala ndi mavuto amtsogolo ngati mungafunike njira zingapo kuphatikiza laminectomy (diskectomy, foraminotomy, kapena fusion fusion).

Kusokonezeka kwa Lumbar; Kukhumudwitsa laminectomy; Opaleshoni yamtsempha - laminectomy; Kupweteka kumbuyo - laminectomy; Stenosis - laminectomy

• Opaleshoni ya msana - kutulutsa

Bell GR. Laminotomy, laminectomy, laminoplasty, ndi foraminotomy. Mu: Steinmetz MP, Benzel EC, olemba. Opaleshoni ya Spine ya Benzel. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 78.

Permanent PB, Rihn J, Albert TJ. Kuwongolera maopareshoni a lumbar spinal stenosis. Mu: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, olemba. Rothman-Simeone ndi Herkowitz a The Spine. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 63.