Ke ʻeha nei hoʻi ʻoe i ka ʻeha hope ʻaʻole e nalowale me ka lawe ʻana i ka lāʻau lapaʻau, ka hana ʻana i ka physiotherapy, a me ka hana ʻana i nā mea āpau? I kekahi manawa hiki ke pālahalaha kēia ʻeha mai ke kua a i nā wāwae. I kēlā kūlana, ua haʻi aku paha kāu kauka iā ʻoe e pili ana i ke ʻoki ʻana o ALIF. He mea maʻamau ke manaʻo iki i ka makaʻu ke ʻōlelo ʻia ke ʻoki ʻana. Akā, mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi, he aha kēia ʻoki ʻana o ALIF, pehea e hana ʻia ai, a pehea e hoʻomākaukau ai no ia.
I ka ʻōlelo maʻalahi, he aha ke ʻoki ʻana o ALIF?
He mea paʻakikī paha ke kani ʻana o ka inoa ʻo ALIF, akā e wehewehe kākou i nā huaʻōlelo.
- A - Anterior: ʻO ke ʻano kēia "mai ke alo mai." ʻO ke ʻano kēia e komo ke kauka lapaʻau i kou iwi kuamoʻo ma o kahi ʻoki liʻiliʻi i hana ʻia ma ka ʻaoʻao o kou ʻōpū .
- L - Lumbar: Pili kēia i ka ʻaoʻao haʻahaʻa o kou kua . ʻO ka hapa nui o ka ʻeha kua e loaʻa ma kēia wahi.
- I - Interbody: ʻO ke ʻano kēia "ma waena o ʻelua vertebrae." Hana ʻia ko mākou iwi kuamoʻo me nā iwi liʻiliʻi (vertebrae) i hoʻopaʻa ʻia ma luna o kekahi. Hana ʻia ke ʻoki ma waena o ʻelua o kēia mau vertebrae.
- F - Fusion: ʻO ke ʻano kēia "e hui pū".
E noʻonoʻo ua pau ka ʻāpana like me ka cushion ma waena o ʻelua vertebrae i loko o kou iwi kuamoʻo (kapa mākou i kēia ʻo ka intervertebral disk). A laila e hamo pū kēlā mau vertebrae, e kaomi ana i nā aʻalolo e holo ana ma o lākou. ʻO ia ka manawa e hiki mai ai ka ʻeha nui o ke kua.
No laila, ma ke ʻoki ʻana o ALIF, hele ʻoe ma o ka ʻōpū a wehe i ka disc kahiko a luhi, a hoʻololi iā ia me kahi ʻāpana iwi hou a i ʻole kahi pā liʻiliʻi i hana ʻia me ka titanium (graft). I ka hala ʻana o ka manawa, hui pū nā vertebrae ʻelua ma luna a ma lalo me ka ʻāpana hou, e lilo ana i hoʻokahi iwi ikaika. A laila nalo ke kaomi ʻana o ke aʻalolo a emi iho ka ʻeha.
ʻO wai ka mea e pono ai kēia ʻoki kino ALIF?
ʻO ka maʻamau, ʻōlelo ke kauka i kēia ʻoki kino ke ʻole i kōkua nā lāʻau ʻē aʻe (lāʻau lapaʻau, hoʻoikaika kino, physiotherapy) i ka ʻeha o ke kua. Hoʻohana nui ʻia kēia ʻoki kino no nā kūlana penei:
- ʻO ka maʻi disk degenerative: Ke pau nā disc ma waena o ka vertebrae me ka ʻelemakule a i ʻole ma muli o nā kumu ʻē aʻe, e hoʻokau ana i ke kaomi ma nā aʻalolo.
- Lumbar Radiculopathy: ʻO nā kūlana e like me ka ʻeha a me ka numbness e hoʻomālamalama ana i lalo i nā wāwae ma muli o ke kaomi ʻana o ke aʻalolo spinal.
- Spondylolisthesis: ʻO ka paheʻe ʻana o kekahi vertebra i mua ma luna o kekahi.
- Scoliosis: Nā kūlana e like me ke kūlou ʻana o ka iwi kuamoʻo.
- Hiki ke kūpono kēia ʻano hana no kekahi kanaka i hana i kekahi mau ʻoki kua ma mua.
ʻOiai he hana nui ke ʻoki ʻana o ALIF, hana ʻia ia ma o kahi ʻoki liʻiliʻi (minimally invasive) a emi iki ka hōʻino ʻana i ke kino. No laila, hiki ke pōkole ka manawa hoʻōla.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻAʻole kēia he mea hiki ke hoʻoholo ʻia i hoʻokahi lā. Nui nā mea e pono ai ʻoe a me kāu kauka e hoʻolālā pū. E māhele kākou i kēia hoʻomākaukau ʻana i kekahi mau ʻāpana.
| manawa | Nā mea e hana ai |
|---|---|
| He mau pule ma mua o ke ʻoki kino |
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| 7 lā ma mua o ke ʻoki kino | |
| I ka lā o ke ʻoki kino |
Pehea e hana ʻia ai ke ʻoki kino
Ma hope o kou lawe ʻia ʻana i ka lumi hana, e hoʻomoe loa ke kauka anesthesiologist iā ʻoe, no laila ʻaʻole ʻoe e ʻeha.
Ua like kēia ʻoki kino me kahi hana hui. ʻElua mau kauka ʻoki kino e komo nui ana i ia mea.
1. Kauka Lapaʻau Komo: ʻO ka hana a kēia kauka ke hana i ke ala no ke kauka lapaʻau iwi kuamoʻo e komo ai i kou iwi kuamoʻo. E hana ʻo ia i kahi ʻoki liʻiliʻi ma kou ʻōpū, ma kahi o 2-3 ʻīniha ma lalo o kou piko. A laila, e hoʻoneʻe pono ʻia nā ʻiʻo ʻōpū, ka ʻeke peritoneal, a me nā kīʻaha koko i ka ʻaoʻao e hana i kahi no ke kaula iwi kuamoʻo.
2. Kauka Lapaʻau Iwi Kuamoʻo: I kēia manawa, e lawe ka loea iwi kuamoʻo i ke kuleana. E wehe loa ʻo ia i ka disc i hōʻino ʻia a luhi. A laila, e hoʻokomo ʻia ka iwi i kālai ʻia a i ʻole ka pā titanium (graft) a mākou i kamaʻilio ai ma mua i loko o ka hakahaka. Inā makemake ʻoe ʻaʻole ia e neʻe a puni, e hoʻokomo ʻia nā wili liʻiliʻi a hoʻopaʻa ʻia.
A pau kēia hana, hoʻi mai ke kauka mua a hoʻihoʻi i nā ʻōpū, nā kīʻaha koko, a me nā mea ʻē aʻe i ko lākou wahi, humuhumu i nā ʻiʻo o ka ʻōpū, a pani i ka ʻoki ʻili.
ʻO ka maʻamau, ma kahi o hoʻokahi a ʻelua mau hola kēia hana ʻoki, akā hiki ke lōʻihi ka manawa inā pono e hoʻololi ʻia nā diski he nui a inā paha ua hana mua ʻia ʻoe i ke ʻoki ʻōpū.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e mālama ʻia ʻoe i loko o kahi hoʻōla a hiki i kou hoʻi hou ʻana i ka ʻike. Ma laila, e nānā mau nā kahu maʻi i kou pulse a me kou hanu ʻana, a hāʻawi iā ʻoe i nā lāʻau ʻeha.
A laila e hoʻoneʻe ʻia ʻoe i ka lumi mālama. Pono ʻoe e noho i ka haukapila no kahi o ʻekolu a ʻehā lā. I loko o kēia manawa,
- Ke nānā pono nei mākou i nā hōʻailona o ka maʻi.
- I ka lā mua ma hope o ke ʻoki kino, e paipai ʻia ʻoe e ala a hele wāwae iki. He mea nui loa kēia no ka ho'ōla wikiwiki ʻana.
Ke kaʻina hana hoʻōla
E hoʻomanaʻo, ʻaʻole like kēia kaʻina hana ho'ōla me ka holo ʻana i ka marathon a i ʻole ka holo wikiwiki ʻana i 100 mika. He mea nui loa ke ahonui.
Hiki ke hala i kekahi mau mahina e ho'ōla piha ai. ʻAʻole paha ʻoe e hiki ke hāpai i nā mea kaumaha, kūlou ma ka pūhaka, a hoʻohuli paha i kou kino no kekahi mau pule. Hiki ke hala a hiki i hoʻokahi makahiki no ka hui piha ʻana o ka ʻāpana iwi i hoʻokomo ʻia me nā iwi kuamoʻo.
He aha nā pōmaikaʻi a me nā pilikia o ke ʻoki ʻana o ALIF?
E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a me nā pōʻino liʻiliʻi.
Nā Pōmaikaʻi
- ʻAʻole kēia e hōʻino i nā ʻiʻo ma hope o ke kua. Ma muli o ka ʻoki ʻana ma ka ʻōpū, ua emi ka ʻeha a ua emi ka manawa e hoʻōla ai.
- ʻO kēia ʻano hana e hiki ai ke wehe maikaʻi ʻia o ka diski a me ka hoʻokomo ʻana i kahi ʻāpana iwi nui aʻe ma mua o ka posterior lumbar intervertebral discectomy (PLIF).
- Hiki ke hoʻohana ʻia kēia ʻano hana e kekahi mea i hana mua ʻia ke ʻoki kua.
Nā Pōpilikia (Nā Pilikia)
- He mea kūlohelohe ka pilikia o ka maʻi a me ke kahe nui ʻana o ke koko i loko o kekahi ʻoki kino.
- Ka pōʻino o ke aʻalolo.
- Ka hōʻino ʻana i nā ʻōpū, ka ʻōpū mimi, a i ʻole nā kīʻaha koko. (He mea kākaʻikahi loa kēia)
- Ka puka ʻana o nā ʻiʻo o ka ʻōpū ma o ka ʻoki ʻana (hernia incisional).
E wehewehe kāu kauka i kēia mau mea a pau iā ʻoe.
I ka wā e ʻike ai i ke kauka i ka wā hikiwawe loa
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home , e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
- Inā loaʻa iā ʻoe ke kuni, e anu a haʻalulu.
- Inā ʻulaʻula ka ʻeha ʻoki, pehu, ʻeha ke pā aku, a i ʻole e kahe ana ka pus (he mau hōʻailona paha kēia o ka maʻi).
- Inā ʻoi aku ka ʻeha ma mua o ka mea i manaʻo ʻia a ʻaʻole i emi iho ma hope o ka lawe ʻana i nā mea hoʻomaha ʻeha.
He mea maʻamau ka makaʻu a me ke kānalua i ka noʻonoʻo ʻana e pili ana i ke ʻoki ʻana iā ALIF. No ka mea, ua ʻeha nui paha ʻoe i nā pilikia kua. He hoʻoholo nui kēia i kou ola. No laila, e kamaʻilio me kāu kauka e pili ana i kāu mau nīnau a me nā makaʻu āpau. E wehewehe lākou i nā mea āpau iā ʻoe a kōkua iā ʻoe e hana i ka hoʻoholo maikaʻi loa.
Leka Lawe-Home
- He ʻoki kino holomua ke ʻoki ALIF e wehe ana i nā disc i pau i ke kua haʻahaʻa a hoʻohui i nā vertebrae.
- Hana ʻia kēia ma o kahi ʻoki liʻiliʻi ma ka ʻōpū, i ʻole e hōʻino ʻia nā ʻiʻo o ke kua, no laila wikiwiki ka hoʻōla ʻana.
- ʻO ka mālama pono ʻana i nā hana palekana, e like me ka haʻalele ʻana i ka puhipaka ma mua o ke ʻoki ʻana, he mea nui loa ia no ka loaʻa ʻana o nā hopena maikaʻi.
- He manawa ka lōʻihi e hoʻōla ai, no laila e hoʻomanawanui a e hahai i nā ʻōlelo a ke kauka.
- E makaʻala i nā hōʻailona e like me ke kuni a me ka pehu ʻana o ka ʻeha ma hope o ke ʻoki ʻana. Inā loaʻa kekahi o kēia mau mea, e ʻimi koke i ke kōkua lapaʻau.
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