ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka hoʻololi ʻana o ka Cervical Disk

Loaʻa iā ʻoe kekahi ʻeha mau o ka ʻāʻī, ka paʻakikī i ka hoʻohuli ʻana i kou ʻāʻī, a i ʻole ka manaʻo o ka ʻeha e like me ke kuʻi uila a me ka mae ʻole e holo ana mai kou ʻāʻī a i lalo i kou lima? Ua haʻi aku paha kāu kauka iā ʻoe ʻo ke kumu he herniated disc i loko o kou iwi kuamoʻo cervical. No laila, ʻo kahi lāʻau lapaʻau holomua no kēia ʻo ia ke ʻoki hoʻololi disc cervical a mākou e kamaʻilio nei i kēia lā. He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēia inoa, akā e maopopo kākou.

He aha ke ʻano o ke ʻoki hoʻololi disc cervical (CDR)?

I ka ʻōlelo maʻalahi, ʻo kēia ʻoki kino (Cervical Disk Replacement - CDR) e pili ana i ka wehe ʻana i kahi disc i pau a hōʻino ʻia ma waena o nā vertebrae i kou ʻāʻī (cervical spine) a hoʻololi iā ia me kahi disc artificial/prosthetic.

E noʻonoʻo i nā diski ma waena o nā vertebrae i loko o ko kākou iwi kuamoʻo e like me nā mea hoʻopaʻa haʻalulu i loko o ke kaʻa. ʻO kēia nā mea e pale ai i ko kākou iwi kuamoʻo mai ka hamo ʻana, e ʻae ana iā kākou e kūlou, wili, a hoʻoneʻe maʻalahi i ko kākou ʻāʻī. I ka hala ʻana o ka manawa, e mae kēia mau diski, e pālahalaha, a hiki ke ʻūmiʻi i nā aʻalolo e holo ana ma o lākou. ʻO ia ka manawa e hiki mai ai ka ʻeha aʻu i ʻōlelo ai ma mua.

No laila, ʻo ka pahuhopu nui o kēia ʻoki kino, ʻo ia ka hoʻihoʻi ʻana i ka hakahaka i loaʻa i ka disc i pau, a e hōʻoluʻolu i ke kaomi ʻana o ke aʻalolo a hōʻemi i ka ʻeha me ka mālama ʻana i ka neʻe maikaʻi o ka ʻāʻī. Hana pinepine ʻia kēia mau disc hana me nā metala e like me ka cobalt a me ka titanium.

No wai kēia ʻoki kino i ʻōlelo ʻia?

Hoʻohana pinepine ʻia kēia ʻoki kino no nā poʻe me ka maʻi disk degenerative cervical, hiki ke hoʻopilikia i ke aʻalolo (radiculopathy) a i ʻole ka hōʻino ʻana o ke kaula spinal (myelopathy) .

Eia kekahi, ʻaʻole hiki i nā kānaka a pau ke hana i kēia ʻoki kino. Inā loaʻa iā ʻoe kekahi mau kūlana, ʻaʻole paha ʻoe e kūpono no kēia.

E nānā kāu kauka iā ʻoe a hoʻoholo inā ʻo kēia ʻoki kino a i ʻole kekahi ʻoki kino ʻē aʻe, e like me `ACDF` (Anterior Cervical Discectomy and Fusion), ka mea kūpono loa iā ʻoe.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

E hālāwai kāu kauka lapaʻau (he kauka lapaʻau orthopedic a he neurosurgeon paha i loea i kēia) me ʻoe ma mua o ke ʻoki ʻana. Eia kekahi mau mea e hiki ke hana ʻia:

• He hoʻokolohua kino piha.
• Ke nīnau nei e pili ana i kou mōʻaukala olakino a me nā hōʻailona.
• Ke noi nei i nā scan e like me ka X-ray o ka ʻāʻī, MRI, a i ʻole myelogram.
• E nīnau e pili ana i nā lāʻau lapaʻau a me nā mea hoʻopihapiha wikamina āu e lawe nei (mai hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau ke ʻole kāu kauka e haʻi aku iā ʻoe).
• Inā ʻoe e hoʻohana i nā huahana paka (puhi paka, nau ʻana i ka gum), e hōʻoia e haʻi i kāu kauka e pili ana i ia mea. Hoʻolohi ka nikotine i ka ho'ōla ʻana o ka ʻeha. No laila, e aʻo ʻia ʻoe e hoʻōki i ka hoʻohana ʻana iā lākou ma ka liʻiliʻi he 4 mau pule ma mua o ke ʻoki ʻana.

E ʻoluʻolu e nīnau i kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai i kēia manawa.

Pehea e hana ʻia ai ke ʻoki kino?

Penei ka hana maʻamau.

1. ʻO ka mea mua, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā. No laila, ʻaʻole ʻoe e ʻeha, a e hiamoe loa ʻoe.

2. A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma ke alo o ka ʻāʻī.

3. Hoʻoneʻe pono ʻia ka trachea a me ka larynx i ka ʻaoʻao e hiki ai i ka iwi kuamoʻo.

4. Ma loko o ke ʻoki kino, hana ʻia ke ʻoki kino me ka nānā ʻana i loko me ka hoʻohana ʻana i kahi ʻenehana X-ray kūikawā i kapa ʻia ʻo `fluoroscopy`.

5. Wehe pono ʻia ka diski i hōʻino ʻia a hoʻokomo ʻia kahi diski hana hou ma kona wahi.

6. ʻO ka hope loa, ua hoʻihoʻi ʻia nā mea a pau a ua humuhumu ʻia ka ʻoki.

He aha ka mea e hana ma hope o ke ʻoki ʻana a he aha nā pilikia?

Ma hope o ke ʻoki kino, e lawe ʻia ʻoe i kahi lumi hoʻōla a nānā ʻia. Pono paha ʻoe e noho ma ka haukapila i ka pō. E hāʻawi ke kauka a me nā kahu maʻi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai ma mua o kou hoʻi ʻana i ka home.

Nā pilikia pōkole (hiki ke loaʻa pinepine ʻole)

• Ka maʻi ʻeha.
• Ka paʻakikī i ke ale ʻana (dysphagia).
• Ka leo palahalaha.
• ʻeha ka ʻāʻī.

Nā pilikia lōʻihi

• Ka hōʻino ʻana o ka ʻāpana pili (ASD): Ka pilikia o ka hōʻino ʻana o nā diski ma luna a ma lalo o ka diski i hana ʻia.
• Nā pilikia me ka disc artificial: He mea kākaʻikahi loa, hiki ke hana ʻia kahi mea e like me ka herniation disc.
• ʻO ka ossification Heterotopic (HO): Ka ulu ʻana o ka iwi i makemake ʻole ʻia a puni ka disc. Hiki i kēia ke kaupalena i ka neʻe ʻana o ka ʻāʻī.
• Ka liʻiliʻi o ka manawa e pono ai ke hana ʻoki kino ʻē aʻe i ka wā e hiki mai ana.

Mai hopohopo i kēia mau pilikia. Loaʻa i ka hapa nui o ka poʻe nā hopena maikaʻi loa mai kēia ʻoki kino. Na kāu kauka e wehewehe i kēia mau mea āpau iā ʻoe.

ʻEhia ka lōʻihi e hoʻōla piha ai?

Hiki paha ma kahi o 6 mau mahina e ho'ōla piha ai, akā hiki iā ʻoe ke hoʻi mālie i kou ola maʻamau.

• 2 lā ma hope o ke ʻoki kino: Hiki iā ʻoe ke hoʻomaka i nā hana o kēlā me kēia lā e like me ka holoi ʻana iā ʻoe iho a me ka hoʻomākaukau ʻana i kāu meaʻai ponoʻī.
• I loko o 2-3 mau pule: Hiki iā ʻoe ke hana i nā hana māmā.
• I loko o 4-6 mau pule: Hiki iā ʻoe ke hoʻi i ka hapa nui o nā hana, e like me nā haʻuki (koe naʻe nā haʻuki pili).

Hiki ke ʻokoʻa kēia mau wā mai kēlā kanaka a kēia kanaka, no laila he mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka.

I ka manawa e ʻike koke ai i ke kauka

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home mai ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.

• Ke kahe mau nei ke koko o ka ʻoki.
• Ke kahe nei kahi wai e like me ka nahu melemele a ʻōmaʻomaʻo paha mai ka ʻoki.
• ʻEha nui hiki ʻole ke hoʻomanawanui.
• Kuni.
• Hoʻonui a paʻakikī paha ka ale ʻana.
• Ka nāwaliwali hou a i ʻole ka maneʻo ʻole.