He hopena i ka ʻeha i hoʻokumu ʻia e ka haki ʻana o ke kuamoʻo: E aʻo e pili ana i ke ʻoki ʻana o Kyphoplasty

I kekahi manawa, i ko kākou ʻelemakule ʻana a i ʻole ma muli o kahi maʻi lahilahi o ka iwi e like me ka osteoporosis, hiki i nā iwi o ka iwi kuamoʻo ke ʻomi ʻia, kuʻi ʻia, a haki. Ma ke ʻano lapaʻau, kapa mākou i kēia he 'vertebral compression fracture'. ʻO ka ʻeha hope i hoʻokumu ʻia e kēia hiki ke hoʻomanawanui ʻole ʻia i kekahi manawa. Me kēia ʻeha, hiki i ka iwi kuamoʻo ke kūlou i mua a kūlou. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūpono a maʻalahi hoʻi no kēia ʻano.

He aha maoli ka Kyphoplasty?

I ka ʻōlelo maʻalahi, ʻo 'Kyphoplasty' kahi hana maʻalahi e mālama ai i nā iwi haʻihaʻi (vertebrae) i loko o kou iwi kuamoʻo me ka ʻole o ka hana ʻana i kahi ʻoki nui. ʻO kekahi inoa no kēia ʻo 'Balloon Kyphoplasty'.

Ke kuʻi ʻia a haki ʻia kēia mau iwi o ka iwi kuamoʻo, e hiolo ana nā ʻāpana iwi i loko. Ke hana ʻia kēlā, kūlou ke iwi kuamoʻo i mua. Kāhea mākou i kēia ʻo 'Kyphosis', ʻo ia hoʻi 'hunching'. Ke piʻi aʻe kēia kūlou ʻana, hiki ke kau ʻia nā mea e like me ka nele o ka hakahaka o nā māmā e hanu pono ai a me nā ʻōpū i loko o ka ʻōpū ma lalo o ke kaomi. No laila, ʻo ke ʻoki ʻana o 'Kyphoplasty' ke kāohi nei i ke kuamoʻo mai kēlā ʻano.

No wai kēia ʻoki kino? He kūpono kēia iā ʻoe?

Na kāu kauka e hoʻoholo inā pono ʻoe i kēia ʻoki kino a i ʻole. ʻO ka poʻe maʻamau e kūpono no kēia kaʻina hana:

• Inā loaʻa iā ʻoe ka ʻeha nui o ke kua e hoʻonui ana i ka ʻino i kēlā me kēia lā, ma muli o ka haki ʻana o ka iwi ma ka iwi kuamoʻo.
• Inā ke hoʻokaumaha nei kēia ʻeha iā ʻoe a hiki ʻole iā ʻoe ke hana i kāu mau hana maʻamau .

Akā, hoʻokahi mea e hoʻomanaʻo ai, ʻo ke kumu o kou ʻeha hope, ʻo ia ka haki iwi. ʻAʻole e mālama kēia lāʻau i ka ʻeha i hoʻokumu ʻia e nā kumu ʻē aʻe, e like me ka 'Disk herniation' (kahi herniated disc ma waena o nā vertebrae), 'Arthritis' (ka mumū o nā hono), a i ʻole 'Stenosis' (ka haiki ʻana o ke kahawai spinal).

E hana mua kāu kauka i kahi X-ray, CT (computed tomography) scan, a i ʻole MRI (magnetic resonance imaging) e hōʻoia inā he haki kou iwi kuamoʻo. Inā manaʻo lākou he osteoporosis kou, hiki iā lākou ke hana i kahi scan kūikawā i kapa ʻia he DXA scan.

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

Ma mua o kou hoʻonohonoho ʻana i kāu ʻoki kino, e nānā kāu kauka iā ʻoe a hāʻawi iā ʻoe i nā kuhikuhi e pono ai. ʻO ka maʻamau, eia nā mea e hana ʻia:

• Hana ʻia kahi hoʻokolokolo kino piha.
• Ke kamaʻilio nei ʻoe e pili ana i nā maʻi āu i loaʻa ai i kēia manawa.
• Ke nīnau nei e pili ana i kāu mau maʻi allergies.
• E nīnau aku au iā ʻoe e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei.
• E hāʻawi lākou iā ʻoe i kekahi mau hoʻokolohua koko e pono ai.

A laila, eia kekahi mau ʻōlelo aʻoaʻo e kōkua iā ʻoe e hoʻomākaukau no ka lā o ke ʻoki kino:

• ʻO kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko, pono paha ʻoe e hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā. Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻae ʻole ʻia e kāu kauka.
• E noi ʻia ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola ma mua o ke ʻoki ʻana.
• Mai komo i nā mea hoʻonani i ka lā o ke ʻoki kino. E ʻaʻahu i nā lole ʻoluʻolu a palupalu.
• Inā ʻoe e puhipaka, e ho'āʻo e hōʻemi a hoʻōki paha. E noi i kāu kauka no ke kōkua me kēia.

Pehea e hana ʻia ai ke ʻoki kino?

He hana maʻalahi loa kēia. ʻAʻohe ou kumu e makaʻu ai.

ʻO ka mea mua, e hoʻomaʻamaʻa ke kauka anesthesiologist iā ʻoe. Ua hiamoe loa paha ʻoe, a i ʻole ua hoʻomaha iki ʻia paha ʻoe i ʻole ʻoe e ʻeha.

I ka wā o ke ʻoki ʻana, e hoʻohuli ʻia ʻoe ma kou ʻōpū a e hoʻomoe ʻia i lalo. A laila, e hoʻokomo ke kauka ʻoki i kahi nila hakahaka kūikawā i kapa ʻia ʻo 'trocar' ma o kou ʻili a i loko o ka iwi haʻihaʻi. Hoʻohana ʻia kahi mīkini X-ray kūikawā i kapa ʻia ʻo 'fluoroscopy' e hōʻoia i ke komo ʻana o ka nila i kahi kūpono.

Ke kau ka nila i kahi kūpono, hoʻokomo ʻia kahi mea liʻiliʻi e like me ka pōpō ma loko o ka iwi. A laila hoʻopiha ʻia ka pōpō. ʻO kēia ke kumu e piʻi hou ai ka iwi i hiolo, e hana ana i kahi hakahaka liʻiliʻi i loko. A laila hoʻokomo ke kauka i kahi ʻano kūikawā o ka sima iwi i loko o kēlā hakahaka. Hoʻopaʻakikī kēia sima i ka hala ʻana o ka manawa a hoʻoikaika i ka iwi. Pale kēia i ka iwi mai ka hiolo hou ʻana.

ʻAʻole i hala i hoʻokahi hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. ʻAʻole ia he kaʻina hana outpatient, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Aia kekahi mau pilikia?

E hāʻawi ke kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i ka mālama ʻana iā ʻoe iho ma hope o ke ʻoki kino. No ka mea hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi, he manaʻo maikaʻi e lawe mai i kekahi e lawe iā ʻoe i ka home.

E kau ʻia kahi kāʻei liʻiliʻi ma kahi i hana ʻia ai ke ʻoki kino. Pono e waiho ʻia kēia no ʻelua lā. Ma hope o ka pau ʻana o ka anesthesia, hiki ke ʻeha iki ka ʻeha. ʻO ka hoʻopili ʻana i ka hau i ka wahi hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha. ʻO ka maʻamau, e nalowale loa ka ʻeha i loko o ʻelua a ʻekolu lā. ʻO ka maʻamau, e emi ka ʻeha i loko o 48 mau hola. No kekahi poʻe, e nalowale koke ka ʻeha ma hope o ke ʻoki kino.

ʻOiai hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i ka wā koke, pono ʻoe e pale i nā hana ikaika e like me ka hāpai ʻana i nā mea kaumaha no kekahi mau pule.

Nā pilikia hiki ke loaʻa

ʻOiai he hana ʻoki kino palekana loa kēia, e like me nā hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi loa. ʻAʻole hiki pinepine kēia mau mea.

• Ka maʻi a i ʻole ke kahe ʻana o ke koko ma kahi i hana ʻia ai ke ʻoki.
• Hoʻonui ʻia ka ʻeha, ka numbness, a i ʻole ke kani ʻana.
• Ka pōʻino o ke aʻalolo.
• Inā loaʻa iā ʻoe ka osteoporosis, aia nō hoʻi ka pilikia o ka haki ʻana o nā iwi ʻē aʻe.
• He mea kākaʻikahi loa, hiki i kekahi o ka sima i hoʻokomo ʻia i loko o ka iwi ke kahe i waho. Hiki i kēia ke hana i nā kūlana e like me ka 'pulmonary embolism' (kahi paʻa i loko o nā māmā) a i ʻole ka 'spinal stenosis' (kahi haiki o ke kahawai spinal).

E hana kāu kauka i kāna mea maikaʻi loa e pale aku i kēia mau pilikia. E kuhikuhi ʻo ia i nā lāʻau lapaʻau e hoʻoikaika i kou mau iwi, ʻoiai inā he osteoporosis kou.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Inā ʻike ʻia kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, pono ʻoe e kāhea koke aku i kāu kauka .

• Inā ʻike ʻoe i nā hōʻailona o ka maʻi (e like me ka pehu ʻana, ka ʻulaʻula, ke ʻano ʻili ʻole, ke kuni ma kahi i ʻoki ʻia ai).
• Inā he nui ke kahe koko mai ka wahi i hana ʻia ai ke ʻoki.
• Inā ʻoe e manaʻo nei i kahi ʻano mae hou a ʻāwili paha.
• Inā e ʻoi aku ka ʻino o ka ʻeha ma kahi o ka emi ʻana.