Zovuta

Kyphoplasty imagwiritsidwa ntchito kuthana ndi zophulika zopweteka mumsana. Pakuthyoka kwapafupa, lonse kapena gawo la fupa la msana limagwera.

Njirayi imatchedwanso balloon kyphoplasty.

Kyphoplasty imachitika mchipatala kapena kuchipatala cha odwala.

• Mutha kukhala ndi anesthesia am'deralo (ogalamuka komanso osamva kupweteka). Mwinanso mupezanso mankhwala okuthandizani kupumula komanso kugona tulo.
• Mutha kulandira anesthesia wamba. Mudzakhala mukugona ndipo simungamve ululu.

Mukugona chafufumimba. Wosamalira zaumoyo amatsuka m'dera lakumbuyo kwanu ndipo amagwiritsa ntchito mankhwala kuti dzanzi lisadzuke.

Singano imayikidwa kudzera pakhungu ndikulowa mufupa la msana. Zithunzi za x-ray zenizeni zimagwiritsidwa ntchito kutsogolera dokotala kumalo oyenera kumunsi kwanu.

Buluni imayikidwa kudzera mu singano, mpaka fupa, kenako imakhuta. Izi zimabwezeretsa kutalika kwa ma vertebrae. Simenti imalowetsedwa mu danga kuti iwonetsetse kuti isagwe kachiwiri.

Zomwe zimayambitsa kupsinjika kwa msana ndikuchepetsa mafupa anu, kapena kufooka kwa mafupa. Wothandizira anu akhoza kulangiza njirayi ngati mukumva kuwawa kwakanthawi kochepa kapena miyezi iwiri kapena kupitilira apo komwe sikumakhala bwino mukamagona pabedi, mankhwala opweteka, komanso mankhwala.

Wothandizira anu angalimbikitsenso njirayi ngati muli ndi vuto lopweteketsa msana chifukwa cha:

• Khansa, kuphatikiza angapo myeloma
• Kuvulala komwe kunayambitsa mafupa osweka mumsana

Kyphoplasty nthawi zambiri imakhala yotetezeka. Zovuta zingaphatikizepo:

• Magazi.
• Matenda.
• Thupi lawo siligwirizana ndi mankhwala.
• Kupuma kapena mavuto amtima ngati muli ndi anesthesia wamba.
• Kuvulala kwamitsempha.
• Kutayikira kwa simenti ya mafupa kumadera oyandikira (izi zimatha kupweteketsa ngati zingakhudze msana kapena mitsempha). Kutayikira kumatha kubweretsa mankhwala ena (monga opaleshoni) kuchotsa simenti. Mwambiri, kyphoplasty imakhala pachiwopsezo chochepa chothira simenti kuposa vertebroplasty.

Musanachite opareshoni, nthawi zonse uzani omwe akukuthandizani:

• Ngati mungakhale ndi pakati
• Ndi mankhwala ati omwe mukumwa, ngakhale omwe mudagula popanda mankhwala
• Ngati mwakhala mukumwa mowa wambiri

M'masiku asanachitike opareshoni:

• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen, coumadin (Warfarin), ndi mankhwala ena omwe amalepheretsa magazi anu kuphimba.
• Funsani mankhwala omwe muyenera kumwa patsiku la opareshoni.
• Ngati mumasuta, yesetsani kusiya.

Patsiku la opaleshoniyi:

• Nthawi zambiri mudzauzidwa kuti musamwe kapena kudya chilichonse kwa maola angapo mayeso asanayesedwe.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mumwe pang'ono pokha madzi.
• Mudzauzidwa nthawi yobwera.

Mwinanso mupita kunyumba tsiku lomwelo la opareshoni. Simuyenera kuyendetsa galimoto, pokhapokha ngati wothandizira wanu atanena kuti zili bwino.

Pambuyo pake:

• Muyenera kuyenda. Komabe, ndibwino kugona pabedi kwa maola 24 oyamba, kupatula kugwiritsa ntchito bafa.
• Pambuyo maola 24, pang'onopang'ono mubwerere kuzomwe mumachita.
• Pewani kuchita nawo zolemetsa komanso zovuta kwa milungu isanu ndi umodzi.
• Ikani ayezi pamalo abala ngati mukumva kuwawa kumene singano idalowetsedwa.

Anthu omwe ali ndi kyphoplasty nthawi zambiri samva kupweteka pang'ono komanso amakhala ndi moyo wabwino atachitidwa opaleshoni. Nthawi zambiri amafunikira mankhwala ochepetsa ululu, ndipo amatha kuyenda bwino kuposa kale.

Balloon kyphoplasty; Kufooka kwa mafupa - kyphoplasty; Kuphwanya psinjika - kyphoplasty

Evans AJ, Kip KE, Brinjikji W, ndi al. Kuyesedwa kosasinthika kwa vertebroplasty motsutsana ndi kyphoplasty pochiza mafupa opunduka. J Neurointerv Opaleshoni. 2016; 8 (7): 756-763. PMID: 26109687 www.ncbi.nlm.nih.gov/pubmed/26109687. (Adasankhidwa)

Savage JW, Anderson PA. Mafupa a msana opunduka. Mu: Browner BD, Jupiter JB, Krettek C, Anderson PA, olemba. Chifuwa cha Skeletal: Basic Science, Management, ndikumanganso. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 35.

Weber TJ. Kufooka kwa mafupa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 230.

Williams KD. Kuphulika, kusokonezeka, ndi kusweka kwa msana. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 41.