Diski m'malo - lumbar msana

Lumbar spine disk m'malo mwake ndi opareshoni yam'munsi kumbuyo (lumbar). Zimachitika pofuna kuthana ndi vuto la msana kapena vuto la disk ndikulola kusunthika kwabwino kwa msana.

Spinal stenosis imakhalapo pamene:

• Danga la gawo la msana lachepetsedwa.
• Kutseguka kwa mizu yamitsempha yomwe imasiya gawo la msana kumakhala kocheperako, ndikupanikiza mitsempha.

Pakasinthidwa kwathunthu ka disk (TDR), gawo lamkati la disk ya msana yowonongeka limasinthidwa ndi diski yokumba kuti ibwezeretse kuyenda koyenera kwa msana.

Nthawi zambiri, opareshoni imachitika kamodzi kokha, koma nthawi zina, magawo awiri oyandikana amatha kusinthidwa.

Kuchita opaleshoni kumachitika pansi pa anesthesia wamba. Mudzakhala mukugona ndipo simumva kuwawa kulikonse.

Pa opaleshoni:

• Mugona chagada pa tebulo logwirira ntchito.
• Mikono yanu imamangiriridwa kumtunda kwa chigongono ndikupinda kutsogolo kwa chifuwa chanu.
• Dokotala wanu amadula pamimba panu. Kuchita opareshoni pamimba kumalola dokotalayo kufikira msana popanda kusokoneza misana.
• Ziwalo zam'mimba ndi mitsempha yamagazi zimasunthidwira mbali kuti zikwaniritse msana.
• Dokotala wanu amachotsa gawo lomwe lawonongeka ndikuika chimbale chatsopano pamalo ake.
• Ziwalo zonse zimabwezeretsedwa m'malo mwake.
• Kutsekedwa kotsekedwa ndi zotchinga.

Kuchita opaleshoni kumatenga pafupifupi maola awiri kuti amalize.

Ma disks ngati ma cushion amathandizira msana kukhala woyenda. Mitsempha m'munsi mwa msana imapanikizika chifukwa cha:

• Kupindika kwa disk chifukwa chovulala kwakale
• Kutuluka kwa disk (kutulutsa)
• Matenda a nyamakazi omwe amapezeka msana wanu

Kuchita opaleshoni ya msana wam'mimba kumatha kuganiziridwa ngati muli ndi zizindikilo zoopsa zomwe zimasokoneza moyo wanu watsiku ndi tsiku ndipo sizikusintha ndi mankhwala ena. Zizindikiro nthawi zambiri zimaphatikizapo:

• Ululu womwe ungamveke mu ntchafu yanu, ng'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.
• Zovuta ndikumayenda bwino.
• Kutaya chikhodzodzo kapena matumbo.

Lankhulani ndi wothandizira zaumoyo wanu ngati opaleshoni ikuyenera. Sikuti aliyense amene ali ndi kupweteka kwakumbuyo amafunika kuchitidwa opaleshoni. Anthu ambiri amathandizidwa koyamba ndi mankhwala, kulimbitsa thupi, komanso kuchita masewera olimbitsa thupi kuti athetse ululu wammbuyo.

Pa opaleshoni yam'mbuyo yam'mimba yam'mimba yam'mimba, dokotalayo amafunika kusakaniza mafupa ena mumsana wanu kuti msana wanu ukhale wolimba. Zotsatira zake, mbali zina za msana wanu pansipa komanso pamwamba pa maphatikizidwe zitha kukhala ndi mavuto a disk mtsogolo.

Ndi opaleshoni yama disk m'malo mwake, sipafunika kusakanikirana. Zotsatira zake, msana pamwambapa ndi pansi pa malo opangira opaleshoni adasungabe kuyenda. Kusunthaku kungathandize kupewa mavuto ena a disk.

Mutha kukhala woyenera kuchitidwa opaleshoni ya disk ngati izi ndi zowona:

• Simuli wonenepa kwambiri.
• Gawo limodzi kapena awiri okha a msana wanu ali ndi vutoli ndipo madera ena sanatero.
• Mulibe nyamakazi yambiri m'malo olumikizana ndi msana wanu.
• Simunachitidwepo msana m'mbuyomu.
• Mulibe kupanikizika kwakukulu pamitsempha ya msana wanu.
  

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Matupi awo sagwirizana mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, ndi matenda

Zowopsa za TDR ndi izi:

• Wonjezerani kupweteka kwakumbuyo
• Zovuta ndi kuyenda
• Kuvulaza matumbo
• Magazi amaundana m'miyendo
• Kupanga mafupa osazolowereka mu minofu ndi matope ozungulira msana
• Kulephera kugonana (kofala kwambiri mwa amuna)
• Kuwonongeka kwa ureter ndi chikhodzodzo
• Matenda pamalo opatsirana
• Kutha kwa disk yokumba
• Diski yokumba imatha kuchoka m'malo mwake
• Kutsegula kumasula
• Kufa ziwalo

Wothandizira anu adzaitanitsa mayeso ojambula monga MRI, CT scan, kapena x-ray kuti muwone ngati mukufuna opaleshoni.

Wopereka wanu akufuna kudziwa ngati:

• Ali ndi pakati
• Mukumwa mankhwala aliwonse, othandizira, kapena zitsamba
• Ali ndi matenda ashuga, oopsa, kapena ali ndi matenda ena aliwonse
• Ndimasuta

Uzani wothandizira 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 TDR ndikupitilizabe kusuta sangachiritsenso. Funsani dokotala wanu kuti akuthandizeni kusiya.
• Sabata imodzi musanachite opareshoni, omwe amakupatsani akhoza kukupemphani kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn).
• Ngati muli ndi matenda a shuga, matenda a mtima, kapena mavuto ena azachipatala, dokotalayo adzakufunsani kuti mukaonane ndi dokotala wokhazikika.
• Lankhulani ndi dokotala ngati mumamwa mowa wambiri.
• Funsani dokotala wanu za mankhwala omwe muyenera kumwa patsiku la opaleshonilo.
• Lolani dokotala wanu adziwe nthawi yomweyo ngati mukudwala chimfine, chimfine, malungo, kapena matenda ena omwe mungakhale nawo.
• Mungafune kukachezera othandizira kuti muphunzire machitidwe olimbitsa thupi musanachite opaleshoni.

Patsiku la opaleshoniyi:

• Tsatirani malangizo osamwa kapena kudya kalikonse musanachitike. Izi zitha kukhala maola 6 mpaka 12 asanachite opareshoni.
• Tengani mankhwala omwe dokotala wanu adakuwuzani kuti mumwe pang'ono pokha madzi.
• Wothandizira anu adzakuuzani nthawi yoti mufike kuchipatala. Onetsetsani kuti mwafika nthawi.

Mudzakhala mchipatala masiku awiri kapena atatu mutachitidwa opaleshoni. Wothandizira anu adzakulimbikitsani kuti muyimirire ndikuyamba kuyenda mwamsanga pamene anesthesia amatha. Muyenera kuvala corset brace kuti muthandizidwe ndikuchira mwachangu. Poyambirira, mudzapatsidwa zakumwa zoonekeratu. Pambuyo pake mupita patsogolo ku chakudya chamadzi komanso cholimba.

Wopereka wanu adzakufunsani kuti musachite izi:

• Chitani chilichonse chomwe chikutambasula msana wanu kwambiri
• Tengani mbali pazinthu zomwe zimaphatikizapo kukwapula, kupindika, ndi kupotoza monga kuyendetsa galimoto ndikukweza zinthu zolemetsa kwa miyezi itatu mutatha opaleshoni

Tsatirani malangizo amomwe mungasamalire kumbuyo kwanu kunyumba.

Mutha kubwereranso kuzinthu zachilendo miyezi itatu mutachitidwa opaleshoni.

Kuopsa kwa zovuta kumakhala kotsika pambuyo pa lumbar disk m'malo. Kuchita opaleshoniyi nthawi zambiri kumathandizira kuyenda kwa msana kuposa zina (maopaleshoni a msana). Ndi njira yotetezeka ndipo ululu umachitika atangopitidwa kumene. Kuopsa kwa msana wam'mimba (paravertebral muscle) kuvulala ndikotsika poyerekeza ndi mitundu ina ya maopaleshoni a msana.

Lumbar disk arthroplasty; Thoracic disk arthroplasty; Kupanga litayamba; Kusintha kwathunthu kwa disk; TDR; Chimbale chojambula; Chimbale m'malo; Dongosolo lochita kupanga

• Lumbar vertebrae
• Diski ya intervertebral
• Matenda a msana

Duffy MF, Zigler JE. Lumbar yathunthu ya disk arthroplasty. Mu: Baron EM, Vaccaro AR, olemba. Njira Zothandizira: Opaleshoni ya Spine. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 42.

Gardocki RJ, Park AL. Matenda osachiritsika a thoracic ndi lumbar msana. Mu: Azar FM, Beaty JH, olemba. Opaleshoni ya Campbell. Wolemba 14th. Philadelphia, PA: Elsevier; 2021: chaputala 39.

Johnson R, Guyer RD. Lumbar disc degeneration: Anterior lumbar interbody fusion, degeneration, ndi disc m'malo. 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 49.

Vialle E, Santos de Moraes OJ. (Adasankhidwa) Lumbar chojambulajambula. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 322.

Zigler J, Gornet MF, Ferko N, Cameron C, Schranck FW, Patel L. mayesero olamulidwa. Padziko Lonse J. 2018; 8 (4): 413-423. PMID: 29977727 adatulutsidwa.ncbi.nlm.nih.gov/29977727/.