Zotsatira

Foraminotomy ndi opaleshoni yomwe imakulitsa kutsegula kumbuyo kwanu komwe mizu yamitsempha imasiya ngalande yanu ya msana. Mutha kukhala ndi kuchepa kwa kutseguka kwa mitsempha (foraminal stenosis).

Foraminotomy imachotsa mitsempha yotuluka m'mbali mwa msana wanu. Izi zimachepetsa ululu uliwonse womwe mumakhala nawo. Foraminotomy itha kuchitidwa pamlingo uliwonse wa msana.

Mudzakhala mukugona ndipo simumva kuwawa (general anesthesia).

Pa opaleshoni:

• Nthawi zambiri mumagona pamimba kapena mumakhala pagome logwirira ntchito. Kudulidwa (kudula) kumapangidwa pakati pa msana wanu. Kutalika kwa cheke kumatengera kuchuluka kwa msana wanu womwe ungagwiritsidwe ntchito.
• Khungu, minofu, ndi mitsempha zimasunthidwira kumbali. Dokotala wanu amatha kugwiritsa ntchito maikulosikopu kuti awone kumbuyo kwanu.
• Fupa lina limadulidwa kapena kumetedwa kuti litsegule mizu yotsegulira (foramen). Zidutswa zilizonse za disk zimachotsedwa.
• Mafupa ena amathanso kuchotsedwa kumbuyo kwa ma vertebrae kuti apange malo ambiri (laminotomy kapena laminectomy).
• Dokotalayo amatha kupanga msana wamtsempha kuti awonetsetse kuti gawo lanu la msana lakhazikika pambuyo pochitidwa opaleshoni.
• Minofu ndi ziwalo zina zimabwezeretsedwanso m'malo mwake. Khungu limasokonekera palimodzi.

Mtolo wa mitsempha (mizu ya mitsempha) imasiya msana wanu kudzera mumitseko yam'mimba mwanu. Malo amenewa amatchedwa neural foramens. Mitsempha ya mitsempha ikayamba kuchepa, imatha kukupanikiza. Matendawa amatchedwa foraminal spinal stenosis.

Kuchita opaleshoniyi kumatha kuganiziridwa ngati muli ndi zizindikilo zoopsa zomwe zimasokoneza moyo wanu watsiku ndi tsiku. Zizindikiro zake ndi izi:

• Ululu womwe ungamveke mu ntchafu yanu, mwana wang'ombe, kumbuyo kumbuyo, phewa, mikono kapena manja. Ululu nthawi zambiri umakhala wozama komanso wosasunthika.
• Ululu pochita zinthu zina kapena kusuntha thupi lanu mwanjira inayake.
• Dzanzi, kumva kulasalasa, ndi kufooka kwa minofu.
• Mavuto kuyenda kapena kugwira zinthu.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika chifukwa cha mankhwala kapena mavuto ampweya
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za foraminotomy ndi:

• Matenda m'mabala kapena m'mafupa
• Kuwonongeka kwa mitsempha ya msana, kuyambitsa kufooka, kupweteka, kapena kutaya mtima
• Pang'ono kapena palibe mpumulo ku zowawa pambuyo pa opaleshoni
• Kubwerera kwa ululu wammbuyo mtsogolo

Mudzakhala ndi MRI yowonetsetsa kuti foraminal stenosis ikuyambitsa matenda anu.

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 mukatha opaleshoni.
• Ngati mumasuta, muyenera kusiya. Kuchira kwanu kumachedwa pang'onopang'ono ndipo mwina sikungakhale bwino ngati mupitiliza kusuta. 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.
• Mungafune kupita kukaonana ndi dokotala kuti muphunzire zolimbitsa thupi musanachite opareshoni ndikugwiritsanso ntchito ndodo.

Patsiku la opaleshoniyi:

• Mudzafunsidwa kuti musamamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe dokotala wanu wakuuzani kuti mumamwe pang'ono.
• Bweretsani ndodo yanu, choyenda, kapena chikuku ngati muli nacho kale. Bweretsaninso nsapato zokhala ndi zidendene zosalala.
• Fikani kuchipatala nthawi yake.

Mudzavala kolala lofewa pambuyo pake ngati opaleshoniyi inali pakhosi panu. Anthu ambiri amatha kudzuka pabedi ndikukhala pansi pasanathe maola awiri atachitidwa opaleshoni. Muyenera kusuntha khosi lanu mosamala.

Muyenera kutuluka mchipatala tsiku lotsatira opaleshoniyo. Kunyumba, tsatirani malangizo amomwe mungasamalire bala lanu ndi msana wanu.

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

Foraminotomy ya msana foraminal stenosis nthawi zambiri imapereka mpumulo wathunthu kapena kupumula kuzizindikiro.

Mavuto amtsogolo amtsogolo amatha anthu atatha kuchitidwa opaleshoni ya msana. Mukadakhala kuti mulibe foraminotomy ndi msana, msana wam'mimba pamwambapa ndi pansi pake mungakhale ndi mavuto mtsogolo.

Mutha kukhala ndi mwayi wambiri wamtsogolo ngati mungafunike njira zingapo kuphatikiza pa foraminotomy (laminotomy, laminectomy, kapena fusion fusion).

Intervertebral foramina; Opaleshoni ya msana - foraminotomy; Kupweteka kumbuyo - foraminotomy; Stenosis - foraminotomy

• 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.