Opaleshoni ya ACDF

Zamkati

• Kuchuluka kwa opareshoni ya ACDF
• Kodi opaleshoni ya ACDF imachitika bwanji?
• Chifukwa chiyani opaleshoni ya ACDF imachitika?
• Kodi ndimakonzekera bwanji opaleshoni ya ACDF?
• Kodi ndingayembekezere chiyani pambuyo pa opaleshoni?
• Kodi ndiyenera kuchita chiyani ndikachira?
• Chiwonetsero

Chidule

Opaleshoni ya anterior cervical diskectomy and fusion (ACDF) yachitika kuti muchotse ma disk kapena mafupa opindika m'khosi mwanu. Pemphani kuti muphunzire za kuchuluka kwake, momwe zimachitikira komanso chifukwa chake, komanso zomwe zimachitika pambuyo pake.

Kuchuluka kwa opareshoni ya ACDF

Kuchita opaleshoniyi kumachita bwino kwambiri. Pakati pa anthu omwe adachitidwa opareshoni ya ACDF kupweteka kwamikono adatinso kupumula ku zowawa, komanso anthu omwe adachitidwa opareshoni ya ACDF ya kupweteka kwa khosi akuti adapeza zabwino.

Kodi opaleshoni ya ACDF imachitika bwanji?

Dokotala wanu ndi anesthesiologist azigwiritsa ntchito mankhwala oletsa ululu kukuthandizani kuti mukhale osazindikira nthawi yonse ya opaleshoniyi. Lankhulani ndi dokotala wanu za zovuta zomwe zingachitike chifukwa cha opaleshoni musanachite opaleshoni ya ACDF, monga magazi kapena matenda.

Kuchita opaleshoni ya ACDF kumatha kutenga ola limodzi kapena anayi kutengera momwe muliri komanso kuchuluka kwa ma disks kuti muchotsedwe.

Kuti muchite opaleshoni ya ACDF, dokotalayo:

1. Amacheka pang'ono kutsogolo kwa khosi lanu.
2. Imasunthira mitsempha yanu yamagazi, chitoliro cha chakudya (esophagus), ndi chopopera (trachea) pambali kuti muwone ma vertebrae anu.
3. Imadziwika ndi ma vertebrae okhudzidwa, ma disks, kapena mitsempha ndipo imatenga ma X-ray amderali (ngati sanachite kale).
4. Gwiritsani ntchito zida zotulutsira mafupa kapena ma disks omwe awonongeka kapena kukankha misempha yanu ndikupweteka. Gawo ili limatchedwa diskectomy.
5. Amatenga fupa kuchokera kwinakwake m'khosi mwanu (autograft), kuchokera kwa wopereka (allograft), kapena amagwiritsa ntchito chinthu chopangira kuti akwaniritse malo opanda kanthu omwe atsalira ndi mafupa omwe achotsedwa. Gawo ili limatchedwa kusakanikirana kwa mafupa.
6. Amamangirira mbale ndi zomangira zopangidwa ndi titaniyamu kumathambo awiri ozungulira dera lomwe diski idachotsedwa.
7. Ikubwezeretsanso mitsempha yanu yamagazi, kum'mero, ndi trachea m'malo mwake.
8. Gwiritsani ntchito zokopa kuti mutseke pakhosi panu.

Chifukwa chiyani opaleshoni ya ACDF imachitika?

Opaleshoni ya ACDF imagwiritsidwa ntchito makamaka kuti:

• Chotsani disk mu msana wanu yomwe yawonongeka kapena yovulala.
• Chotsani mafupa pamiyala yanu yomwe imakutsitsimutsani. Mitsempha yolumikizana imatha kupangitsa kuti miyendo kapena manja anu azimva kufooka kapena kufooka. Chifukwa chake kuchiza gwero lamitsempha yothinana msana wanu ndi opaleshoni ya ACDF kumatha kuthetsa kapena kutha kufooka kapena kufooka uku.
• Chitani ndi disk ya herniated, yomwe nthawi zina imatchedwa disk yolowerera. Izi zimachitika zinthu zofewa mkatikati mwa diski zikatulutsidwa kudzera pazolimba zomwe zili m'mbali mwa disk.

Kodi ndimakonzekera bwanji opaleshoni ya ACDF?

M'masabata omwe akutsogolera opareshoni:

• Pitani ku nthawi iliyonse yomwe mungakonzekerere kukayezetsa magazi, X-ray, kapena mayeso a electrocardiogram (ECG).
• Saina fomu yovomereza ndikugawana ndi dokotala mbiri yanu.
• Uzani dokotala wanu za mankhwala aliwonse kapena zowonjezera zakudya, zitsamba kapena zina, zomwe mukugwiritsa ntchito pano.
• Osasuta musanachitike. Ngati ndi kotheka, yesetsani kusiya miyezi isanu ndi umodzi musanachite opareshoni, chifukwa kusuta kumachedwetsa kuchira. Izi zikuphatikiza ndudu, ndudu, fodya wotafuna, komanso ndudu zamagetsi kapena zotentha.
• Musamwe mowa uliwonse pafupifupi sabata imodzi musanachite izi.
• Musatenge mankhwala osagwiritsa ntchito steroidal anti-inflammatory (NSAIDs), monga ibuprofen (Advil), kapena oonda magazi, monga warfarin (Coumadin), pafupifupi sabata isanachitike.
• Pezani masiku ochepa pantchito yochitidwa opaleshoni ndi kuchira.

Patsiku la opaleshoniyi:

• Musadye kapena kumwa kwa maola osachepera asanu musanachitike.
• Sambani ndi kuvala zovala zoyera, zotayirira.
• Osamavala zodzikongoletsera zilizonse kuchipatala.
• Pita kuchipatala maola awiri kapena atatu opaleshoni yanu isanakonzeke.
• Onetsetsani kuti wachibale kapena mnzanu wapamtima atha kupita nanu kunyumba.
• Bweretsani malangizo olembedwa pamankhwala aliwonse kapena zowonjezera zomwe muyenera kumwa komanso nthawi yomwe mungamwe.
• Tsatirani malangizo a dokotala ngati mukuyenera kumwa mankhwala abwinobwino. Imwani mankhwala aliwonse ofunikira ndi madzi ochepa chabe.
• Longedza katundu wanu aliyense wofunika m'thumba lachipatala ngati mungafune kugona usiku pambuyo pa opaleshoni.

Kodi ndingayembekezere chiyani pambuyo pa opaleshoni?

Pambuyo pa opareshoni, mudzadzuka m'chipinda cha chisamaliro cha pambuyo pa opaleshoni ndikusunthidwa kupita kuchipinda komwe mtima wanu, kuthamanga kwa magazi, komanso kupuma kwanu kuyang'aniridwa. Ogwira ntchito kuchipatala amakuthandizani kukhala tsonga, kusuntha, komanso kuyenda mpaka mutakhala omasuka.

Mukatha kusuntha bwinobwino, dokotala wanu adzakuwunikirani momwe alili ndikumasulani kuchipatala ndikukupatsani mankhwala opangira ululu ndi matumbo, chifukwa mankhwala opweteka amatha kuyambitsa kudzimbidwa.

Ngati mukuvutika kupuma kapena kuthamanga kwa magazi sikunabwerere mwakale, adokotala angakulimbikitseni kuti mugone kuchipatala usiku wonse.

Onani dotolo wanu pafupifupi milungu iwiri mutachitidwa opaleshoni kuti mukakutsatireni. Muyenera kuchitanso zochitika zatsiku ndi tsiku milungu inayi mpaka isanu ndi umodzi.

Onani dokotala wanu nthawi yomweyo ngati muwona izi:

• malungo akulu pamwamba kapena kupitilira 101 ° F (38 ° C)
• kutuluka magazi kapena kutuluka pamalo opareshoni
• kutupa kapena kufiira kosazolowereka
• kuwawa komwe sikutha ndi mankhwala
• kufooka komwe kunalibe asanachite opareshoni
• vuto kumeza
• kupweteka kwambiri kapena kuuma m'khosi mwako

Kodi ndiyenera kuchita chiyani ndikachira?

Mukachoka kuchipatala:

• Tengani mankhwala aliwonse omwe dokotala akukupatsani kuti mupweteke komanso kudzimbidwa. Izi zitha kuphatikizira mankhwala ozunguza bongo, monga acetaminophen-hydrocodone (Vicodin), ndi zofewetsa pansi, monga bisacodyl (Dulcolax).
• Musagwiritse ntchito NSAID iliyonse kwa miyezi isanu ndi umodzi.
• Musakweze chinthu chilichonse kupitirira mapaundi 5.
• Osasuta kapena kumwa mowa.
• Osayang'ana mmwamba kapena pansi pogwiritsa ntchito khosi lanu.
• Osakhala nthawi yayitali.
• Khalani ndi munthu wina wokuthandizani pazinthu zilizonse zomwe zingasokoneze khosi lanu.
• Valani zolimba pakhosi molingana ndi malangizo a dokotala wanu.
• Pitani kuchipatala nthawi zonse.

Osachita izi mpaka dokotala atakuwuzani kuti zili bwino:

• Gonana.
• Yendetsani galimoto.
• Sambirani kapena kusamba.
• Chitani zolimbitsa thupi, monga kuthamanga kapena kunyamula zolemera.

Katemera wanu ukayamba kuchira, yendani mtunda waufupi, kuyambira pafupifupi mailo 1 ndikuwonjezera mtunda, tsiku lililonse. Kuchita masewera olimbitsa thupi kungakuthandizeni kuti muchiritse.

Chiwonetsero

Kuchita opaleshoni ya ACDF nthawi zambiri kumachita bwino kwambiri ndipo kumatha kuthandizanso kuyendetsa khosi ndi kuyenda kwamiyendo. Kuchira kumatha kutenga nthawi yayitali, koma kupumula kwa zowawa komanso kufooka kumatha kukulolani kuti mubwerere kuzinthu zambiri za tsiku ndi tsiku zomwe mumakonda kuchita.