Loaʻa iā ʻoe kekahi ʻeha hiki ʻole ke hoʻomanawanui ma kou kua, ʻāʻī, a i ʻole nā wāwae? Manaʻo paha ʻoe i kekahi manawa ua mae a make ʻoe me kēia ʻeha? A laila ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi ʻoki kino i kapa ʻia ʻo Laminectomy. He mea weliweli iki ke kani o ka inoa. Akā, mai hopohopo. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano e hiki ai i nā mea a pau ke hoʻomaopopo.
He aha ka laminectomy?
I ka ʻōlelo maʻalahi, he ʻano ʻoki iwi kuamoʻo ka laminectomy. Hana ʻia ko kākou iwi kuamoʻo i nā iwi liʻiliʻi i hoʻopaʻa ʻia ma luna o kekahi. Ua kapa ʻia kēia mau mea he vertebrae. Loaʻa i kēlā me kēia vertebra kahi ʻāpana liʻiliʻi e like me ke kua ma ke kua i kapa ʻia ʻo ka lamina. Ma kēia ʻoki kino, wehe ke kauka i kahi hapa a i ʻole nā lamina āpau.
No ke aha mākou e hana ai i kēlā? ʻO ka hana ʻana pēlā e hoʻonui ai i kahi i loaʻa no ko mākou kaula iwi kuamoʻo a me nā aʻalolo i loko o ka iwi kuamoʻo. Hoʻokuʻu ʻia nā aʻalolo i hoʻopaʻa ʻia. A laila, loaʻa iā mākou ka hōʻoluʻolu nui mai ka ʻeha hiki ʻole ke hoʻomanawanui a me ka maneʻo.
No ke aha ʻoe e pono ai i kahi laminectomy?
ʻO ke kumu nui o kēia, ʻo ia ka haiki ʻana o ke kahawai o ka iwi kuamoʻo. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he spinal stenosis . I ko mākou ʻelemakule ʻana, a i ʻole no nā kumu ʻē aʻe, hiki ke haiki ke ala e hele ai ke kaula o ka iwi kuamoʻo. A laila hoʻomaka nā aʻalolo i loko e ʻomi ʻia. Hiki i kēia ke hana i nā hōʻailona like ʻole.
| Nā hōʻailona maʻamau e hiki ke kū mai ma muli o ke kaomi ʻana o ke aʻalolo | |
|---|---|
| 🔹 ʻEha ʻāʻī | 🔹 ʻEha poʻohiwi |
| ʻEha kua | 🔹 Nāwaliwali ma nā lima a me nā wāwae |
| 🔹 ʻŌʻinoʻino i nā wāwae | 🔹 Paʻakikī ke kāohi ʻana i ka ʻōpū a i ʻole ka ʻōpū mimi |
Pono paha ke ʻoki ʻana o Laminectomy no kekahi mau kumu ʻē aʻe ma waho aʻe o ka stenosis spinal.
- ʻArthritis : ʻEha a me ka pehu ʻana o nā hono.
- Nā iwi kuʻi: Hiki i nā iwi kuʻi e ulu ana ma waho o ka iwi kuamoʻo ke kaomi i nā aʻalolo.
- Disc Herniated: ʻO kahi ʻāpana mea e like me ka jelly ma waena o ka vertebrae e puka i waho a kaomi i nā aʻalolo.
- ʻO ka maʻi disk degenerative : Ke emi nei ka uluna ma waena o nā iwi kuamoʻo o ka iwi kuamoʻo me ka ʻelemakule.
- Nā ʻōpū o ka iwi kuamoʻo: I kekahi manawa hiki i kēia mau ʻōpū ke hana kokoke i nā aʻalolo a hoʻoulu i ke kaomi.
- Nā Maʻi ʻIwi Kuamoʻo: Nā maʻi e pili ana i ka iwi kuamoʻo.
Akā e hoʻomanaʻo, ʻaʻole hele koke ke kauka no ke ʻoki kino. ʻO ka mea mua, hoʻāʻo lākou i nā mea e like me ka hoʻōla kino a me nā lāʻau lapaʻau i kuhikuhi ʻia. Inā ʻaʻole holo pono kēlā mau mea, e noʻonoʻo lākou i kahi laminectomy.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma mua o kou ʻoki kino, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi kikoʻī no ka hoʻomākaukau ʻana. Hiki i kēia mau mea ke komo pū me:
- E kiʻi i nā hoʻokolohua kiʻi hou: Hiki i kāu kauka ke kauoha i nā X-ray a i ʻole MRI scans e kiʻi i kahi kiʻi maopopo o kou iwi kuamoʻo.
- E ho'ōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai (me nā huaora a me nā mea hoʻohui ) ke hoʻopilikia i ke ʻoki kino a me ke kaʻina hana ho'ōla. No laila e lawe wale i nā lāʻau lapaʻau a kāu kauka e ʻōlelo ai iā ʻoe .
- E pale i ka puhipaka: Inā ʻoe e puhipaka, ʻoi aku ka nui o kou loaʻa ʻana i nā pilikia ma mua a ma hope o ke ʻoki ʻana. Inā pilikia ʻoe i ka haʻalele ʻana, e kamaʻilio me kāu kauka e pili ana i ia mea.
- E hoʻolālā e hoʻomaha: ʻAʻole hiki iā ʻoe ke hana i nā hana kaumaha no kekahi manawa ma hope o ke ʻoki ʻana. No laila, e hoʻopaʻa mua i kāu mau mea hale. E hoʻopau i nā hana hale he nui e like me ka hiki.
- E hoʻomaopopo i ka ʻohana a me nā hoaaloha: He ikaika nui ka loaʻa ʻana o kekahi e kākoʻo iā ʻoe i kou wā e hoʻōla ai.
- 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. E hahai pono i nā ʻōlelo a ke kauka.
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 ia hoʻi, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe loa ʻoe. E nānā pono ke kauka anesthesiologist a me kāna hui i nā mea āpau mai ka helu o kou puʻuwai a hiki i kou hanu ʻana i loko o ke ʻoki kino.
Eia nā ʻanuʻu o ke ʻoki kino:
1. Anesthesia: E hoʻohiamoe loa ʻia ʻoe ma ke kau ʻana i kahi pale maka ma kou maka a i ʻole ma ke komo ʻana i ka lāʻau lapaʻau i loko o kahi aa koko ma kou lima.
2. Ke kūlana: E hoʻohuli ʻia kou alo i lalo i mea e maʻalahi ai ka hana ʻana i ke ʻoki hope.
3. ʻOki ʻili: Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻili o ke kua ma luna o ka wahi ʻeha.
4. Wehe ʻana i nā lamina: E huki ke kauka i nā ʻiʻo i ka ʻaoʻao e hōʻike i ke kaula spinal. A laila, ʻoki ʻia a wehe ʻia nā ʻāpana iwi, nā spurs iwi, a i ʻole nā ligaments e kaomi ana i nā aʻalolo. Ua kapa ʻia kēia he decompression .
5. Nā ʻoki kino ʻē aʻe inā pono: I kekahi manawa, hiki ke hana ʻia nā ʻoki kino ʻē aʻe i ka manawa like me kēia ʻoki kino. No ka laʻana, ʻo ke ʻoki kino fusion spinal , kahi e hoʻohui ai i kekahi mau vertebrae e hoʻopaʻa i ka iwi kuamoʻo, a i ʻole ke ʻoki kino diskectomy , kahi e wehe ai i kahi disk herniated.
ʻO ka maʻamau, ma kahi o 1-3 mau hola kēia hana ʻoki, akā hiki ke loli ka manawa ma muli o ka paʻakikī o kou kūlana. ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu a i ʻole nā staples. A laila e hoʻihoʻi ʻia ʻoe i kou ʻaoʻao a ua hoʻōki ʻia ka anesthesia.
Ma hope o ke ʻoki ʻana a ma hope o ka hoʻi ʻana i ka home
Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi keʻena post-op a nānā pono ʻia. Ke ala ʻoe, e manaʻo iki ʻoe i ka hiamoe no kekahi manawa. He mea maʻamau ka manaʻo ʻana i ka ʻeha o ke kua. E hāʻawi ʻia ʻoe i nā lāʻau ʻeha no kēia. Pono ʻoe e noho ma ka haukapila no hoʻokahi a ʻelua paha lā.
He mea nui e ala aʻe mai kahi moe a hoʻomaka e hele wāwae i ka hikiwawe loa. Hiki i kēia ke kōkua i ka pale ʻana i ke kūkulu ʻia ʻana o nā ʻūpā koko. E paipai pinepine kāu kauka i ka hoʻōla kino.
E mālama i kēia mau mea ma hope o kou hoʻi ʻana i ka home:
- Mai hoʻokele: Mai hoʻokele no 1-2 mau pule. E haʻi pololei aku kāu kauka iā ʻoe i ka mea e hana ai.
- E pale i ka hāpai kaumaha: E pale i ke kūlou ʻana a i ʻole ka hāpai ʻana no kekahi mau pule.
- E mālama i nā humuhumu maʻemaʻe a maloʻo: ʻOiai aia lākou ma kou kua, e kōkua kekahi iā ʻoe e hoʻomaʻemaʻe i nā humuhumu. E noi i kāu kauka no nā kuhikuhi no ka ʻauʻau ʻana.
- Mai hele i nā wahi lōʻihi: Hiki i ka huakaʻi mokulele a me nā holo kaʻa lōʻihi ke hana i nā ʻūpā koko ma nā wāwae. Inā pono ʻoe e hele, e ala a hele a puni i kēlā me kēia hola.
Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o 4-6 mau pule. Eia nō naʻe, inā ua loaʻa iā ʻoe kahi fusion spinal, hiki ke hala ma kahi o 2-4 mau mahina e ho'ōla ai. He mea nui loa ke ahonui.
Nā pilikia a me nā pilikia o ke ʻoki kino
E like me nā hana ʻoki kino a pau, aia kekahi mau pilikia o ke kaʻina hana Laminectomy.
- Ke kahe ʻana o ke koko
- Nā ʻūpā koko
- Ka maʻi ma kahi ʻoki
- Ka pōʻino o ke aʻalolo
- Ka wai o ka iwi kuamoʻo (Cerebrospinal Fluid - CSF)
- I hoʻonāwaliwali ʻia ke kuamoʻo
E kūkākūkā pono kāu kauka ʻoki i kēia mau pilikia me ʻoe ma mua o ke ʻoki ʻana, no laila mai makaʻu e nīnau i kekahi mau nīnau āu e loaʻa ai.
He aha ka Post-Laminectomy Syndrome?
I kekahi manawa, he mea kākaʻikahi loa, ʻaʻole e nalowale loa ka ʻeha ma hope o kēia ʻoki kino e like me ka mea i manaʻo ʻia. I kekahi manawa e hoʻonui paha ka ʻeha a ʻike ʻia nā hōʻailona hou. ʻO kēia ka mea a mākou e kapa nei ʻo Post-Laminectomy Syndrome (a i ʻole Failed Back Surgery Syndrome).
Inā hana kēia, aia nā ʻano lapaʻau like ʻole i loaʻa. No laila, inā hoʻomau ka ʻeha ma hope o ke ʻoki ʻana a i ʻole inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe, e ʻike hou i kāu kauka i ka hikiwawe loa.
Leka Lawe-Home
- ʻO ka Laminectomy kahi hana maʻamau a holomua no ka ʻeha i hoʻokumu ʻia e ke kaomi ʻana o ke aʻalolo o ka iwi kuamoʻo.
- He mea nui loa e hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ke ʻoki ʻana e loaʻa ai nā hopena holomua.
- Inā ʻaʻole e emi ka ʻeha ma hope o ke ʻoki ʻana a inā paha e ʻike ʻia nā hōʻailona hou, mai hopohopo a e ʻike koke i kāu kauka.
- Loaʻa i kēlā me kēia ʻoki kino kekahi mau pilikia. He kuleana kou e hoʻomaopopo ʻia e pili ana iā lākou ma mua a e nīnau i kāu kauka i nā nīnau āu e loaʻa ai.
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