Vertebroplasty

Vertebroplasty nthawi zambiri imakhala njira yothandizira odwala kuchiritsa msana. Pakuthyoka kwapafupa, lonse kapena gawo la fupa la msana limagwera.

Vertebroplasty imachitikira kuchipatala 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.

Cement amabayidwa mu fupa la msana wosweka kuti awonetsetse kuti isagwenso.

Njirayi ndi yofanana ndi kyphoplasty. Komabe, kyphoplasty imaphatikizapo kugwiritsa ntchito buluni yomwe imakhudzidwa kumapeto kwa singano kuti pakhale malo pakati pa ma vertebrae.

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

Vertebroplasty nthawi zambiri amakhala otetezeka. 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 kubweretsa ululu ngati zingakhudze msana kapena mitsempha). Vutoli limafala kwambiri ndi njirayi kuposa kyphoplasty. Mungafunike opareshoni ya msana kuti muchotse kutayikira kukachitika.

Nthawi zonse muuzeni omwe akukuthandizani:

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

M'masiku asanachitike opareshoni:

• Mutha kupemphedwa kusiya kumwa aspirin, ibuprofen, coumadin (Warfarin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi anu kuphimba masiku angapo m'mbuyomu.
• 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 musanachite opaleshoni.
• 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 kukhala 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 njirayi nthawi zambiri samva kupweteka pang'ono komanso amakhala ndi moyo wabwino pambuyo pa opaleshoni.

Nthawi zambiri amafunikira mankhwala ochepetsa ululu, ndipo amatha kuyenda bwino kuposa kale.

Kufooka kwa mafupa - vertebroplasty

• Vertebroplasty - mndandanda

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.

Yang EZ, Xu JG, Huang GZ, ndi al. Mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo kwa odwala okalamba omwe ali ndi matenda opatsirana osteoporotic vertebral compression fractures: omwe angakhale ophunzirira mwachisawawa. Maganizo (Phila Pa 1976). 2016; 41 (8): 653-660. PMID: 26630417 www.ncbi.nlm.nih.gov/pubmed/26630417.