ʻAʻole anei e nalowale kou ʻeha hope me ka nānā ʻole i ka nui o ka lāʻau lapaʻau āu e lawe ai? I kekahi manawa e iho ana kēia ʻeha i kou mau wāwae, a manaʻo kou mau wāwae e like me ka mae wale? Inā hoʻopilikia kēia ʻeha iā ʻoe a hiki i kahi hiki ʻole iā ʻoe ke hana pono i kāu mau hana o kēlā me kēia lā, ua kamaʻilio paha kāu kauka iā ʻoe e pili ana i kahi ʻoki kino i kapa ʻia he laminectomy. He mea weliweli iki paha ke kani o ka inoa, akā he ʻoki kino maʻamau loa ia. No laila i kēia lā, e ʻimi kākou i nā pane i kāu mau nīnau a pau e pili ana i kēia, e like me ke kamaʻilio ʻana me kahi hoaaloha.
He aha ka laminectomy? I ka ʻōlelo maʻalahi...
E noʻonoʻo ʻoe ua like ke kaulahao iwi kuamoʻo a me nā aʻalolo e puka mai ana mai loko mai me nā kaʻa ma ke alanui paʻahana. Ke ālai nei nā hale ma nā ʻaoʻao ʻelua o ke alanui (ʻo ia hoʻi, ka iwi kuamoʻo) i ke alanui, e hana ana i kahi pilikia kaʻa. Ua like ke ʻoki ʻana o Laminectomy me ka hoʻonui ʻana i ke alanui.
I mea e pololei ai, i ka wā o kēia ʻoki kino, wehe ke kauka i kahi ʻāpana iwi liʻiliʻi i kapa ʻia ʻo 'lamina' ma ke kua o kekahi o kou mau iwi kuamoʻo. Hoʻonui kēia i ka hakahaka (spinal canal) kahi o ke kaula kuamoʻo a me nā aʻalolo. Hoʻokuʻu kēia i nā aʻalolo i ʻūmiʻi ʻia a ʻomi ʻia. ʻO kēia ka mea e hōʻemi ai i ka ʻeha a me ka maneʻo ma kou kua a me kou mau wāwae.
No ke aha ʻoe e pono ai i kahi laminectomy?
ʻAʻole hoʻohana koke nā kauka i ke ʻoki kino. Hoʻāʻo mua lākou i nā mea e like me ka hoʻōla kino a me nā lāʻau ʻeha. Akā inā ʻaʻole kēlā mau mea e kāohi i kāu mau hōʻailona, e noʻonoʻo lākou i ke ʻoki kino.
I ka hapanui o nā hihia, ʻo ke kumu nui o kēia he ʻano i kapa ʻia ʻo spinal stenosis . I ko kākou ʻelemakule ʻana, e mae ana ke cartilage ma waena o ko kākou vertebrae, a i kekahi manawa e hana ʻia nā iwi keu. ʻO kēia ke kumu e emi mālie ai ke alahele no ke kaula spinal. ʻO kēia emi ʻana ke kumu e ʻūmiʻi ai nā aʻalolo.
Hiki i ka stenosis spinal ke hana i nā hōʻailona e like me:
- ʻEha ʻāʻī
- ʻEha poʻohiwi
- ʻEha nui ke kua
- Ka nāwaliwali o nā lālā
- ʻO ke kani ʻana i nā wāwae
- He paʻakikī i kekahi poʻe ke kāohi i ko lākou ʻōpū a me ka mimi.
| Nā kumu ʻē aʻe e hiki ai ke alakaʻi i ke ʻoki laminectomy | |
|---|---|
| ʻO ka ʻāʻī o ke kino | ʻO ka pehu ʻana o nā hono ke kumu o nā loli i ka iwi kuamoʻo a ʻūmiʻi i nā aʻalolo. |
| Disk Herniated | ʻO ka uluna e like me ka jelly ma waena o nā vertebrae e puʻupuʻu i waho a kaomi i nā aʻalolo. Kāhea mākou i kēia he 'spinal disc herniation'. |
| Haʻihaʻi iwi | Ka haki ʻana o ka iwi kuamoʻo a me ka hōʻino ʻia ʻana o ke aʻalolo mai kahi ulia. |
| ʻO ka puʻupuʻu kuamoʻo | Ke ʻūmiʻi ʻana o ke aʻalolo ma muli o kahi puʻupuʻu e ulu ana kokoke i ke kaula kuamoʻo. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o ke ʻoki ʻana, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi maopopo no ka mea e hana ai. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi.
ʻŌlelo aʻo a ke kauka
- E hoʻāʻo ʻia: Pono paha ʻoe i nā hōʻike hoʻāʻo hou, e like me nā X-ray a me MRI, e loiloi pono i ke kūlana o kou kua.
- E hoʻōki i kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai (ʻoiai nā lāʻau ʻeha a me nā huaora) ke hoʻopilikia i ke ʻoki kino a me kou hoʻōla ʻana. No laila e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. E hoʻōki i ka lawe ʻana iā lākou no kekahi mau lā e like me ke kuhikuhi ʻana.
- E pale i ka puhipaka: Inā he mea puhipaka ʻoe, he mea nui loa e haʻalele ma mua o ke ʻoki ʻana. Hiki i ka puhipaka ke hana i nā pilikia ma hope o ke ʻoki ʻana a hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha.
- E hoʻomākaukau mua i nā hana o ka hale: Pono ʻoe e hoʻomaha no kekahi manawa ma hope o ke ʻoki ʻana. No laila, e kūʻai mua i nā mea pono o ka hale. E kamaʻilio me ka ʻohana a me nā hoaaloha a hoʻonohonoho i kekahi e kōkua iā ʻoe.
Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki kino. He mea nui loa kēia no ka anesthesia.
I ka lā o ke ʻoki kino...
- E ʻaʻahu i nā lole ʻoluʻolu a palupalu hoʻi.
- E wehe i nā mea hoʻonani a pau, e like me nā apo pepeiao, nā lei, a me nā kūpeʻe lima, a waiho iā lākou ma ka home.
- E lawe pū me ʻoe i kāu kāleka ʻinikua, kāleka ID, a pēlā aku.
- Ma hope o ke ʻoki kino, e hele pū ʻia ʻoe e kekahi e lawe iā ʻoe i ka home a mālama iā ʻoe.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha a e hiamoe loa ʻoe.
1. Anesthesia: E kau ke kauka anesthesiology i kahi pale maka ma luna o kou maka a hāʻawi iā ʻoe i ke kinoea anesthetic. Hiki iā ia ke hāʻawi iā ʻoe i ka lāʻau lapaʻau ma o ka intravenous. E hiamoe ʻoe i loko o kekahi mau hanu. E nānā kahi hui o nā loea i kou puʻuwai a me ka hanu ʻana i loko o ke ʻoki kino.
2. ʻOki kino:
- Ua hoʻohuli ʻia kou alo i lalo a ua hoʻomoe ʻia ʻoe me kou kua i luna.
- Hana ke kauka e hana ana i ke ʻoki ʻana i kahi ʻoki liʻiliʻi ma ka ʻili ma luna o ka wahi ʻeha.
- A laila, ua hoʻokuʻu mālie ʻia nā ʻiʻo a me nā ʻiʻo i ka ʻaoʻao e hōʻike i ka iwi kuamoʻo.
- I kēia manawa, e hele mai ka ʻāpana koʻikoʻi. ʻO nā ʻāpana iwi keu, nā kui iwi, a i ʻole nā ligaments e ʻūmiʻi ana i nā aʻalolo e ʻoki pono ʻia a wehe ʻia.
- I kekahi manawa, hiki ke hoʻohui ʻia kēia ʻoki kino me nā kaʻina hana ʻē aʻe. No ka laʻana, inā he paʻa ʻole o ka iwi kuamoʻo, hiki ke hana ʻia kahi ʻoki kino hoʻohui iwi kuamoʻo , kahi e hoʻohui ai i ʻelua iwi kuamoʻo. A i ʻole hiki ke hana ʻia kahi diskectomy , kahi e wehe ai i kahi disk herniated.
ʻO ka maʻamau, ma waena o 1 a me 3 mau hola ka lōʻihi o ka laminectomy. Eia nō naʻe, inā paʻakikī ke kūlana, hiki ke lōʻihi. I ka pau ʻana o ke ʻoki ʻana, e pani ʻia ka ʻoki me nā humuhumu a i ʻole nā staples. Ma hope o kēlā, e hoʻohuli ʻia ʻoe i lalo a hoʻāla ʻia mai ka anesthesia.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma ka haukapila...
Ma hope o kou ala ʻana, e lawe ʻia ʻoe i kahi keʻena post-op, kahi e mālama pono ai nā kahu maʻi iā ʻoe.
- Hiki paha iā ʻoe ke manaʻo i kahi lohi iki: Hiki paha iā ʻoe ke manaʻo i kahi ʻano hiamoe iki a hiamoe paha no kekahi mau hola ma hope o ke ala ʻana. He mea maʻamau kēia.
- E ʻeha paha ʻoe: He mea maʻamau ke ʻeha iki ma kahi o ke ʻoki ʻana. E hāʻawi ʻia ʻoe i nā lāʻau hoʻomaha ʻeha no kēia.
- E hoʻomaka ʻoe e hele wāwae: Ma muli o ke ʻano o ke ʻoki kino, e noi ʻia ʻoe e ala a hele wāwae iki me ke kōkua o kahi kahu maʻi i kēlā ahiahi a i ʻole kekahi lā aʻe. He mea nui loa kēia no ka mea e hoʻomaikaʻi ka hele wāwae i ke kahe koko a hiki ke pale i nā ʻūpā koko i kou mau wāwae.
- Hoʻōla kino: E kuhikuhi aku kāu kauka iā ʻoe i kahi physiotherapist. E aʻo aku ʻo ia iā ʻoe i nā hoʻoikaika kino e hana mālie.
Ma hope o ka hoʻi ʻana mai i ka home...
- Mai kalaiwa no 1-2 mau pule.
- Mai kūlou i mua a hāpai paha i nā mea kaumaha no kekahi mau pule.
- E mālama i ka ʻeha maʻemaʻe a maloʻo . He mea paʻakikī ke kau ʻana i ka lāʻau lapaʻau i kahi ʻeha kua ma kāu iho, no laila e noi i kekahi lālā o ka ʻohana no ke kōkua.
- E nīnau i kāu kauka pehea e ʻauʻau ai.
- Hiki ke wehe ʻia nā humuhumu a i ʻole nā staples i loko o ʻelua pule. Mai hoʻāʻo e wehe iā lākou iho .
- E pale i nā mokulele lōʻihi a me nā holo kaʻa no kekahi manawa. Inā pono, e ala a hele a puni i kēlā me kēia hola.
He aha nā pilikia e hiki mai ana o kēia ʻoki kino?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia. Akā, he mea kakaikahi kēia. E wehewehe mua kāu kauka i kēia mau mea iā ʻoe.
| Pōpilikia | He wehewehe maʻalahi |
|---|---|
| Ke kahe ʻana o ke koko | Ke kahe koko iki ʻana i ka wā a ma hope paha o ke ʻoki kino. |
| Maʻi | Ka liʻiliʻi o ka loaʻa ʻana o ka maʻi ʻeha. |
| Nā ʻūpā koko | ʻO ke koko paʻa, ʻoi aku hoʻi ma nā wāwae. ʻO ka hele wikiwiki ke ala e pale aku ai i kēia. |
| Ka pōʻino o ke aʻalolo | ʻAʻole pinepine loa, hiki ke hōʻino ʻia kahi aʻalolo, hiki ai ke hoʻonāwaliwali a mae paha. |
| Ka Leakahe o ka Wai o ka Spinal | He kahe liʻiliʻi o ka wai cerebrospinal (CSF) a puni ke kaula spinal. |
He aha inā aia nō ka ʻeha ma hope o ke ʻoki kino? Post-Laminectomy Syndrome
I kekahi manawa, he mea kākaʻikahi loa, ʻaʻole e emi ka ʻeha e like me ka mea i manaʻo ʻia ma hope o ke ʻoki ʻana. I kekahi manawa e ʻike ʻia paha nā hōʻailona hou. ʻO kēia ke ʻanoʻO ia ka Post-Lamine Syndrome.
Inā ʻike ʻoe i kēia, he mea nui loa ia e haʻi koke aku i kāu kauka . Hiki ke loaʻa ke kumu a hiki ke hoʻomaka ʻia ka lāʻau kūpono (e like me nā hoʻoikaika kino kūikawā, nā lāʻau lapaʻau, nā inikini, a me nā mea ʻē aʻe). Mai hopohopo, aia nā hopena no nā mea āpau.
Leka Lawe-Home
- He hana maʻamau ka Laminectomy e mālama ai i ka ʻeha o ke kua a me nā wāwae i hoʻokumu ʻia e ke kaomi ʻana o ke aʻalolo. Hoʻokumu ia i kahi ākea no nā aʻalolo.
- ʻO ka maʻamau, ʻōlelo pinepine ke kauka i kēia ʻoki kino inā ʻaʻole i holomua nā lāʻau ʻē aʻe.
- He mea nui loa no ka ho'ōla koke ʻana e hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ke ʻoki ʻana.
- He manawa ka lōʻihi e ho'ōla ai. E hoʻomanawanui. ʻAʻole like ke ʻano o ka ho'ōla ʻana o nā kānaka a pau. Mai wikiwiki.
- Inā hoʻomau ka ʻeha ma hope o ke ʻoki ʻana a i ʻole e kū mai nā hōʻailona hou, mai kānalua e kamaʻilio me kāu kauka.
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