Opaleshoni ya Spinal Fusion

Zamkati

• Ntchito zamsakanizo wa msana
• Kukonzekera kusakanikirana kwa msana
• Kodi kusakanikirana kwa msana kumachitika bwanji?
• Kubwezeretsa kusakanikirana kwa msana
• Zovuta zakusakanikirana kwa msana
• Maonekedwe akusakanikirana kwa msana

Kodi kusakanikirana kwa msana ndi chiyani?

Kusakanikirana kwa msana ndi njira yochitira opaleshoni yomwe ma vertebrae awiri kapena kupitilirapo amalumikizidwa mpaka fupa limodzi lolimba popanda malo pakati pawo. Vertebrae ndi mafupa ang'onoang'ono, olumikizana a msana.

Mukusakanikirana kwa msana, mafupa owonjezera amagwiritsidwa ntchito kudzaza malo omwe nthawi zambiri amakhala pakati pamiyala iwiri yosiyana. Fupa likachira, sipakhalanso malo pakati pawo.

Kusakanikirana kwa msana kumatchedwanso:

• nyamakazi
• kusakanikirana kwa msana
• kusakanikirana kwamtsempha kwapambuyo
• kusakanikirana kwamkati

Ntchito zamsakanizo wa msana

Kusakanikirana kwa msana kumachitidwa pofuna kuchiza kapena kuthetsa zizindikiro za mavuto ambiri a msana. Njirayi imachotsa kuyenda pakati pama vertebrae awiri omwe amathandizidwa. Izi zitha kuchepetsa kusinthasintha, koma ndizothandiza kuthana ndi vuto la msana lomwe limapangitsa kuyenda kuyenda kupweteka. Matendawa ndi awa:

• zotupa
• msana stenosis
• ma disc a herniated
• osachiritsika chimbale matenda
• ma vertebrae osweka omwe atha kupangitsa kuti msana wanu usakhazikika
• scoliosis (kupindika kwa msana)
• kyphosis (kuzungulira modzidzimutsa kwa msana)
• kufooka kwa msana kapena kusakhazikika chifukwa chamatenda akulu, zotupa, kapena matenda
• spondylolisthesis (vuto lomwe vertebra imodzi imatsikira kumtunda pansi pake, ndikupweteka kwambiri)

Njira yosakanikirana ndi msana imaphatikizaponso discectomy. Mukamachita nokha, discectomy imaphatikizapo kuchotsa disc chifukwa cha kuwonongeka kapena matenda. Diski ikachotsedwa, zolumikizira mafupa zimayikidwa mu danga lopanda kanthu kuti pakhale kutalika pakati pa mafupa. Dokotala wanu amagwiritsa ntchito ma vertebrae mbali zonse ziwiri za disc yochotsedwayo kuti apange mlatho (kapena kusakanikirana) kudutsa mafupa olumikizidwa kuti alimbikitse kukhazikika kwanthawi yayitali.

Pamene kusakanikirana kwa msana kumachitika mu khomo lachiberekero limodzi ndi discectomy, kumatchedwa fusion fusion. M'malo mochotsa vertebra, dokotalayo amachotsa ma disc kapena mafupa am'mafupa a msana, omwe ali m'khosi. Pali ma vertebrae asanu ndi awiri olekanitsidwa ndi ma intervertebral discs mu khomo lachiberekero.

Kukonzekera kusakanikirana kwa msana

Nthawi zambiri, kukonzekera kusakanikirana kwa msana kuli ngati njira zina zopangira opaleshoni. Amafuna kuyezetsa magazi asanachitike.

Musanaphatikizidwe msana, muyenera kuuza dokotala wanu za izi:

• kusuta ndudu, zomwe zingachepetse mphamvu yanu yochira kuchokera kusakanikirana kwa msana
• kumwa mowa
• matenda aliwonse omwe muli nawo, kuphatikizapo chimfine, chimfine, kapena herpes
• Mankhwala aliwonse omwe mumamwa, kuphatikizapo zitsamba ndi zowonjezera

Muyenera kukambirana momwe mankhwala omwe mumamwa ayenera kugwiritsidwira ntchito musanachitike komanso mutatha. Dokotala wanu akhoza kukupatsani malangizo apadera ngati mukumwa mankhwala omwe angakhudze magazi. Izi zimaphatikizapo ma anticoagulants (oponda magazi), monga warfarin, ndi mankhwala osagwiritsa ntchito anti-inflammatory (NSAIDs), kuphatikiza aspirin ndi ibuprofen.

Mupatsidwa mankhwala oletsa ululu, choncho muyenera kusala kudya kwa maola osachepera asanu ndi atatu musanachitike. Patsiku la opaleshoniyi, gwiritsani ntchito madzi pang'ono kuti mumwe mankhwala aliwonse omwe dokotala wakupatsani.

Kodi kusakanikirana kwa msana kumachitika bwanji?

Kusakanikirana kwa msana kumachitika mu dipatimenti yochita opaleshoni ya chipatala. Zimachitika pogwiritsa ntchito mankhwala oletsa ululu ambiri, chifukwa chake simudzazindikira kapena kumva kupweteka panjira.

Pomwe mukuchita izi, mudzagona pansi ndikukhala ndi khosi la magazi m'manja mwanu ndikuwunika mtima kwanu pachifuwa. Izi zimathandiza dotolo wanu komanso wopereka mankhwala ochititsa dzanzi kuti azitha kuyang'anira kugunda kwa mtima komanso kuthamanga kwa magazi mukamachita opaleshoni. Njira yonseyi imatha kutenga maola angapo.

Dokotala wanu amakonzekeretsani mafupa omwe adzagwiritsidwe ntchito kusakaniza ma vertebrae awiriwo. Ngati fupa lanu likugwiritsidwa ntchito, dotolo wanu amadula pamwamba pa fupa la m'chiuno ndikuchotsa kachigawo kakang'ono kake. Kuphatikizika kwa mafupa kungakhalenso fupa lopangidwa kapena allograft, lomwe ndi fupa lochokera ku banki la mafupa.

Kutengera komwe fupa lidzasakanizike, dotolo wanu amakupangirani mafupa.

Ngati mukukhala ndi chiberekero cha khomo lachiberekero, dotolo wanu nthawi zambiri amapanga timbewu tating'onoting'ono totseguka kutsogolo kwa khosi lanu kuti awulule msana wa khomo lachiberekero. Kukhadzikika kwa mafupa kudzaikidwa pakati pa ma vertebrae omwe akhudzidwa kuti agwirizane nawo. Nthawi zina, zomata zimalowetsedwa pakati pa vertebrae m'makola apadera. Njira zina zimayika kumtengowo kumbuyo kwa msana.

Pakalumikiza mafupa, dotolo wanu amatha kugwiritsa ntchito mbale, zomangira, ndi ndodo kuti msana usayende. Izi zimatchedwa kukonzekera kwamkati. Kukhazikika kowonjezera komwe kumaperekedwa ndi mbale, zomangira, ndi ndodo kumathandizira msana kuchira mwachangu komanso mopambana.

Kubwezeretsa kusakanikirana kwa msana

Pambuyo pakuphatikizika kwanu kwa msana, muyenera kukhala m'chipatala kwakanthawi kochepa ndikuwonanso. Izi zimatha masiku atatu kapena anayi. Poyamba, dokotala wanu akufuna kukuwonani momwe mungachitire ndi ochititsa dzanzi ndi opareshoni. Tsiku lanu lomasulidwa lidzadalira momwe thupi lanu lilili, machitidwe a dokotala wanu, ndi momwe mungachitire ndi izi.

Mukakhala mchipatala, mudzalandira mankhwala opweteka. Mupezanso malangizo a njira zatsopano zomwe mungafunikire kusunthira, popeza kusinthasintha kwanu kumatha kukhala kochepa. Mungafunike kuphunzira maluso atsopano kuyenda, kukhala, ndi kuyimirira bwinobwino. Mwinanso simungathe kuyambiranso zakudya zolimba masiku angapo.

Mukachoka kuchipatala mungafunike kuvala zolimba kuti msana wanu usagwirizane bwino. Simungathe kuyambiranso zochitika zanu mpaka thupi lanu litasakanikirana ndi fupa. Kusakaniza kumatha kutenga milungu isanu ndi umodzi kapena kupitilira apo. Dokotala wanu angakulimbikitseni kukonza thupi kuti likuthandizeni kulimbitsa msana wanu ndikuphunzira njira zosunthira bwino.

Kuchira kwathunthu kusakanikirana kwa msana kumatenga miyezi itatu kapena isanu ndi umodzi. Zaka zanu, thanzi lanu lonse, komanso thanzi lanu zimakhudza momwe mungachiritsire mwachangu ndikutha kubwerera kuzinthu zomwe mumachita kale.

Zovuta zakusakanikirana kwa msana

Kusakanikirana kwa msana, monga opaleshoni iliyonse, kumabweretsa mavuto ena, monga:

• matenda
• kuundana kwamagazi
• kutaya magazi ndi kutaya magazi
• mavuto a kupuma
• matenda a mtima kapena sitiroko panthawi yochita opaleshoni
• machiritso osakwanira
• zimachitikira mankhwala kapena mankhwala ochititsa dzanzi

Kuphatikizika kwa msana kumakhalanso pachiwopsezo cha zovuta zotsatirazi:

• Matenda m'matenda am'mimba kapena bala
• kuwonongeka kwa msana, komwe kumatha kuyambitsa kufooka, kupweteka, komanso matumbo kapena chikhodzodzo
• kupsinjika kowonjezera pamafupa oyandikana ndi mafinya osakanikirana
• kupweteka kosalekeza pamalo olumikizira mafupa
• magazi aundana m'miyendo omwe amatha kukhala pachiwopsezo ngati apita kumapapu

Vuto lalikulu kwambiri limakhala kuundana kwa magazi komanso matenda, zomwe zimachitika m'masabata oyamba atachitidwa opaleshoni.

Ma hardware akuyenera kuchotsedwa ngati akupanga kupweteka kapena kusapeza bwino.

Lumikizanani ndi dokotala wanu kapena funani thandizo ladzidzidzi mukakumana ndi zina mwazizindikiro za magazi.

• ng'ombe, bondo, kapena phazi lomwe limafufuma mwadzidzidzi
• kufiira kapena kufatsa pamwambapa kapena pansi pa bondo
• kupweteka kwa ng'ombe
• kupweteka kwa kubuula
• kupuma movutikira

Lumikizanani ndi dokotala wanu kapena funsani thandizo ladzidzidzi mukakumana ndi izi:

• kutupa kapena kufiira m'mbali mwa bala
• ngalande ya magazi, mafinya, kapena madzi ena pachilondacho
• malungo kapena kuzizira kapena kutentha kwakukulu pamadigiri 100
• kugwedezeka

Maonekedwe akusakanikirana kwa msana

Kusakanikirana kwa msana ndi mankhwala othandiza pazinthu zina za msana. Kuchira kumatha kutenga miyezi ingapo. Zizindikiro zanu komanso mulingo wamtendere uzisintha pang'onopang'ono mukayamba kulimba mtima komanso kudalira kayendedwe kanu. Ndipo ngakhale kuti njirayi singathetseretu ululu wanu wonse wammbuyo, muyenera kuchepetsa kupweteka.

Komabe, popeza njirayi imasintha momwe msana umagwirira ntchito polepheretsa gawo limodzi, madera omwe ali pamwamba ndi pansi pake akuphatikizika ali pachiwopsezo chowonjezeka chakutha. Amatha kukhala opweteka akamayamba kuchepa ndipo mutha kukumana ndi mavuto ena.

Kulemera kwambiri, kutakataka, kapena kukhala wofooka kumathanso kumatha kuyika pachiwopsezo cha mavuto am'mimba. Kukhala ndi moyo wathanzi, kusamalira zakudya komanso kuchita masewera olimbitsa thupi, kudzakuthandizani kuti mukhale ndi zotsatira zabwino.