Loaʻa iā ʻoe kekahi mau pilikia e like me ka ʻeha nui o ka ʻāʻī a me ka mae ʻole e iho ana i lalo o kou lima? Ua haʻi aku paha kāu kauka iā ʻoe ua paheʻe kahi diski ma kou ʻāʻī a ke ʻūmiʻi nei i kahi aʻalolo. No laila, ke kamaʻilio mākou e pili ana i kahi ʻoki kino e pani ai i kahi diski hana ma ke ʻano he hopena, he mea maʻamau ke manaʻo iki i ka makaʻu. Akā, mai hopohopo. E kamaʻilio mākou e pili ana i kēia ʻoki kino, pehea e hana ʻia ai, he aha nā pono, a inā he mau pilikia, ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo.
He aha kēia ʻoki hana hoʻololi diski artificial (CDR)?
I ka ʻōlelo maʻalahi, pili kēia i ka wehe ʻana i kahi disc i hōʻino ʻia a luhi ma waena o nā vertebrae ma kou ʻāʻī (i ʻike ʻia ma ke ʻano lapaʻau ʻo ka "cervical spine") a hoʻololi iā ia me kahi disc prosthetic.
E noʻonoʻo ma waena o nā iwi kuamoʻo o ko kākou iwi kuamoʻo, aia nā uluna laholio e hana ana e like me nā mea hoʻokuʻu haʻalulu i loko o ke kaʻa. Kāhea mākou i kēia mau diski ma waena o nā iwi kuamoʻo . ʻO lākou ka mea e hiki ai iā mākou ke kūlou, wili, a hoʻoneʻe maʻalahi i ko mākou ʻāʻī a me ke kua. I ka hala ʻana o ka manawa, i ka wā e mae ai kēia mau diski a nalowale ke kiʻekiʻe o ko mākou mau iwi kuamoʻo, hoʻomaka nā iwi kuamoʻo e hamo kekahi i kekahi, a hiki ke hoʻopaʻa ʻia nā aʻalolo e holo kokoke ana.
No laila, ʻo ka pahuhopu nui o kēia ʻoki kino, ʻo ia ka hoʻihoʻi ʻana i ka hakahaka i noho mua ʻia e ka disc i pau. ʻAe kēia i ka ʻāʻī e neʻe pono, a hōʻoluʻolu hoʻi i nā hōʻailona e like me ka ʻeha a me ka mae ʻana ma ka hoʻokuʻu ʻana i nā aʻalolo i ʻūmiʻi ʻia. Hana pinepine ʻia kēia mau disc hana me nā metala e like me ka cobalt, titanium, a i ʻole ke kila kila.
He mea maʻamau ka makaʻu ke lohe ʻoe i ka huaʻōlelo ʻoki ʻāʻī. Akā, ʻo kēia ʻoki ʻana, i kapa ʻia ʻo "Cervical Disk Replacement", ʻoiai he ʻano hana hou, ua hana ʻia me ka holomua a me ka palekana ma ka honua holoʻokoʻa. E wehewehe kāu kauka iā ʻoe i nā mea āpau e pili ana i kēia ʻoki ʻana.
ʻO wai ka mea e pono ai kēia ʻoki kino?
ʻOi aku ka nui o kēia ʻoki kino i ka poʻe me ka maʻi disk degenerative cervical. Hiki iā ia ke lilo i hopena maikaʻi, ʻoi aku hoʻi no ka poʻe i loaʻa i ka radiculopathy (no ka laʻana, ka ʻeha, ka numbness, ka nāwaliwali e pālahalaha ana i lalo o ka lima) a i ʻole ka myelopathy (no ka laʻana, ke kaomi ʻana o ke kaula spinal) .
ʻO ka maʻamau, e ʻōlelo wale ke kauka i kēia ʻoki kino inā ʻaʻole i hoʻomaikaʻi ʻia nā hōʻailona ma hope o ʻeono pule o nā lāʻau lapaʻau ʻoki ʻole e like me ka lāʻau lapaʻau a me ka physiotherapy.
Eia kekahi, ʻaʻole hiki i nā kānaka a pau ke hana i kēia ʻoki kino. Aia kekahi mau kūlana e hiki ai iā ʻoe ke kūpono ʻole no kēia ʻoki kino. E nānā kākou i ke ʻano o ia mau mea.
| Nā kūlana e hiki ai ke hana i ke ʻoki kino kūpono ʻole | I ka ʻōlelo maʻalahi... |
|---|---|
| Maʻi ʻino | Loaʻa kahi maʻi i mālama ʻole ʻia ma kekahi wahi o ke kino. |
| Nā maʻi ʻaleka metala | He maʻi āpau kou kino i ka metala i hana ʻia ai ka diski hana ʻia. |
| ʻOsteoporosis | Ua nāwaliwali loa nā iwi a he palupalu hoʻi. |
| ʻO ke kuamoʻo cervical paʻa ʻole | He paʻa ʻole a paheʻe nā iwi kuamoʻo o ka cervical. |
| ʻO ka arthropathy facet koʻikoʻi | Ka ʻeha nui a me ka haehae ʻana o nā hono liʻiliʻi ma waena o nā iwi kuamoʻo ma ke kua. |
Pono ʻoe e kamaʻilio me kāu kauka a hana i ka hoʻoholo hope loa e pili ana i ke kūpono o kēia ʻoki kino iā ʻoe.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma hope o ka hoʻonohonoho ʻia ʻana o kāu ʻoki kino, pono ʻoe e hālāwai hou me kāu kauka ʻoki kino (ʻo ia paha he kauka ʻoki kino orthopedic a neurosurgeon paha). Eia kekahi mau mea e hiki ke hana ʻia:
- E hāʻawi ʻia ʻoe i kahi hoʻokolokolo kino piha.
- E nīnau mākou e pili ana i kou mōʻaukala olakino a me nā hōʻailona o kēia manawa.
- E kauoha lākou i nā hoʻokolohua e like me ka X-ray a me ka MRI scan.
- Nīnau lākou e pili ana i nā lāʻau lapaʻau a me nā wikamina āu e lawe nei.
- Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau a hoʻomaka paha i nā mea hou ma mua o ke ʻoki ʻana. Mai hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau iā ʻoe iho a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe.
- Inā ʻoe e hoʻohana i nā huahana paka (nā sikaleka, nā paka nau), e haʻi i kāu kauka e pili ana i ia mea.Hoʻolohi ka nikotine i loko o ka paka i ka ho'ōla ʻana o nā ʻeha, no laila e aʻo ʻia ʻoe e hoʻōki i ka hoʻohana ʻana iā ia ma ka liʻiliʻi he ʻehā pule ma mua o ke ʻoki ʻana.
I kēia manawa, loaʻa iā ʻoe ke kuleana e nīnau i ke kauka i nā nīnau, nā makaʻu, a i ʻole nā kānalua āu e pili ana i ke ʻoki kino. ʻO kou kuleana ia.
Pehea e hana ʻia ai ke ʻoki kino?
I ka lā o kou ʻoki kino, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā. ʻO ia hoʻi, e hiamoe loa ʻoe i ka wā o ke ʻoki kino. ʻAʻole ʻoe e ʻeha. A laila e hahai ke kauka ʻoki kino i kēia mau ʻanuʻu:
1. Ke hana ʻana i kahi ʻoki liʻiliʻi: Hana ʻia kahi ʻoki liʻiliʻi (ʻoki) ma kahi ʻāpana i ka ʻili ma ke alo o kou ʻāʻī. Hiki ke ʻokoʻa ka lōʻihi a me kahi o ka ʻoki ma muli o kou kūlana.
2. Ke hōʻea ʻana i ka iwi kuamoʻo: A laila, me ke akahele loa e neʻe ana i ka trachea a me ka esophagus i ka ʻaoʻao e pale aku i ka hōʻino ʻana i nā ʻōpū, hiki ke kauka ʻoki i ka vertebrae cervical.
3. Ka wehe ʻana i ka diski i hōʻino ʻia: Ma loko o ke ʻoki kino, hoʻohana ʻia kahi ʻenehana X-ray kūikawā i kapa ʻia ʻo "fluoroscopy" e nānā i kahi kikoʻī a wehe loa i ka diski i hōʻino ʻia a ʻeha.
4. Ke hoʻokomo ʻana i kahi diski hana: Ua hoʻokomo ʻia kahi diski hana o ka nui kūpono i loko o kahi i waiho ʻia ai ka diski i wehe ʻia.
5. Ke humuhumu ʻana i ka ʻoki: A laila e hoʻihoʻi ʻia ke kino i hoʻoneʻe ʻia i kona kūlana mua, a pani pono ʻia ka ʻoki a humuhumu ʻia.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e lawe ʻia ʻoe i kahi lumi hoʻōla. E nānā ke kime lapaʻau i kou puʻuwai a me ke koko a hiki i kou ala ʻana mai ka anesthesia.
Pono paha ʻoe e noho ma ka haukapila i ka pō. E haʻi aku ke kauka iā ʻoe i ka wā hiki iā ʻoe ke hoʻi i ka home. ʻAʻole hiki iā ʻoe ke hoʻokele i ka home, no laila e pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home.
E hāʻawi aku kāu kauka iā ʻoe i kekahi mau kuhikuhi e kōkua i kou ʻeha e ho'ōla koke ma hope o kou hoʻi ʻana i ka home. Hiki i kēia mau mea ke komo pū me:
- Ke lawe ʻana i ka lāʻau ʻeha i ka manawa kūpono.
- ʻO ka hoʻomaha nui a me ka kaupalena ʻana i ka hana kino no kekahi mau lā (no ka laʻana, ka pale ʻana i ka hāpai kaumaha, ka holo ʻana, a me nā hoʻomaʻamaʻa lele).
- Ka mālama ʻana i ka maʻemaʻe o ka wahi i ʻoki ʻia a pehea e mālama ai.
- Ke komo ʻana i ka hoʻoikaika kino.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a me nā pōʻino liʻiliʻi.
Nā Pōmaikaʻi a me ka holomua
Ua hōʻike ʻia e ka noiʻi ʻana ʻo ka hapa nui o ka poʻe e hana nei i kēia ʻoki kinoHāʻawi ia i ka hōʻoluʻolu nui mai ka ʻeha i ka wā pōkole a me ka wā lōʻihi. Kōkua nō hoʻi ia i ka mālama ʻana i ka neʻe maikaʻi ʻana o ka ʻāʻī me ke kaupalena ʻole ʻia. Hiki i ka hapa nui o ka poʻe ke hoʻi piha i kā lākou mau hana maʻamau ma hope o ʻeono mahina.
Nā pilikia a me nā pilikia
He mea kākaʻikahi loa nā pilikia ma hope o kēia ʻoki ʻana, akā he mea nui e ʻike iā lākou.
| ʻAno o ka pilikia | Wehewehena |
|---|---|
| Nā pilikia pōkole (hiki ke hana koke) | |
| Ka maʻi ʻeha | Ka hoʻoulu ʻana o kahi i ʻoki ʻia. |
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Paʻakikī ke ale ʻana i ka meaʻai a i ʻole nā wai. He manawa pōkole wale nō kēia. |
| Ka leo haʻalulu | He loli i ka leo. He manawa pōkole nō hoʻi kēia. |
| Nā pilikia lōʻihi (hiki ke hana i ka hala ʻana o ka manawa) | |
| Ka hoʻohaʻahaʻa ʻāpana pili (ASD) | Pau nā diski ma luna a ma lalo paha o ka diski hana i ka hala ʻana o ka manawa. |
| Nā pilikia disc artificial | I kahi manawa kākaʻikahi loa, hiki i kahi diski ke wehe a haki paha. |
| Ka ulu ʻana o ka iwi ma kahi kūpono ʻole (Heterotopic ossification - HO) | ʻO ka ulu ʻana o ka iwi hou a puni ka disc hana ʻia e kaupalena paha i ka neʻe ʻana o ka ʻāʻī. |
ʻEhia ka lōʻihi e hoʻōla piha ai?
Hiki ke hala a hiki i ʻeono mahina e hoʻōla piha ai. Akā hiki iā ʻoe ke hoʻi mālie i kāu mau hana maʻamau. ʻO ka manawa hoʻōla maʻamau penei:
- ʻElua lā ma hope o ke ʻoki kino: Hiki iā ʻoe ke hana i nā hana o kēlā me kēia lā ma kāu iho, e like me ka holoi ʻana i kou maka a me ka hana ʻana i ke kī.
- Pule ʻelua a ʻekolu: Hiki iā ʻoe ke komo i nā hana maʻamau a māmā.
- Nā pule ʻehā a ʻeono: Hiki iā ʻoe ke hoʻi i ka hapa nui o nā haʻuki pili ʻole.
Hiki ke ʻokoʻa kēia mau manawa mai kēlā kanaka a kēia kanaka, no laila he mea nui e nīnau i kāu kauka e pili ana i nā mea hiki iā ʻoe ke hana a me nā mea hiki ʻole ke hana a hahai pololei i kā lākou mau ʻōlelo aʻoaʻo.
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home ma hope o ke ʻoki ʻana, e kāhea koke i kāu kauka a i ʻole e hele i ka haukapila .
- Inā e kahe mau ana ke koko ma kahi i ʻoki ʻia.
- Inā e puka mai ana kahi wai e like me ka pehu melemele a ʻōmaʻomaʻo paha mai loko mai o ka ʻeha.
- Inā loaʻa iā ʻoe ka ʻeha nui .
- Inā loaʻa iā ʻoe ke kuni .
- Inā e piʻi ana ka paʻakikī i ke ale ʻana i ka meaʻai.
- Inā loaʻa iā ʻoe kahi maneo hou a nāwaliwali paha i kahi wāwae a lima paha .
Ma hope o ke ʻoki ʻana, pono ʻoe e ʻike i kāu kauka no kekahi mau manawa hoʻopaʻa e nānā ai pehea e ho'ōla nei kou ʻeha a inā paha e hana pono ana ka disc artificial. E haʻi aku kāu kauka iā ʻoe i ka wā e hiki mai ai kēia mau manawa.
Leka Lawe-Home
- He lāʻau palekana a maikaʻi hoʻi ke ʻoki ʻana i nā diski cervical (CDR) no ka ʻeha nui a me ke kaomi ʻana o nā aʻalolo i hoʻokumu ʻia e nā disc degenerative i ka ʻāʻī.
- Hiki i kēia ʻoki kino ke hōʻemi i ka ʻeha a mālama i ka neʻe maikaʻi ʻana o ka ʻāʻī.
- He mau mahina ka lōʻihi e ho'ōla piha ai, a he mea nui loa e hahai pololei i nā ʻōlelo a ke kauka.
- Inā he mau nīnau kāu e pili ana i ke ʻoki kino, ka manawa hoʻōla, a i ʻole kekahi mea ʻē aʻe, mai kānalua e nīnau i kāu kauka.











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