Ke makaʻu nei ʻoe e pili ana i ke ʻoki ʻana no ka ʻeha o ke kua? E aʻo kākou i nā mea āpau e pili ana i ka laminectomy ma nā ʻōlelo maʻalahi.

Ua ʻeha paha kou kua no kekahi manawa? He ʻeha paha ia o ka ʻāʻī. Ua ʻōlelo anei kāu kauka i ke ʻoki kino ma hope o ka hoʻāʻo ʻana i nā lāʻau lapaʻau like ʻole a me nā hoʻoikaika kino? He mea maʻamau ke hopohopo iki a kānalua ke lohe ʻoe e pili ana i ke ʻoki kino hope. Akā, mai hopohopo. ʻO ka hapa nui o ka manawa, hana ʻia kēia mau ʻoki kino e maʻalahi ai kou ola. I kēia lā, e kamaʻilio mākou e pili ana i ka Laminectomy, kahi ʻoki kino holomua loa i hana pinepine ʻia i ia mau hihia.

I ka ʻōlelo maʻalahi, he aha ka Laminectomy?

He mea maʻalahi loa ia. E noʻonoʻo i kou iwi kuamoʻo e like me kahi tunnel pale e hele ai nā aʻalolo o kou kino. Hana ʻia kēia tunnel me nā vertebrae i hoʻopaʻa ʻia ma luna o kekahi. Ma ke kua o kēlā me kēia vertebra he iwi iwi. ʻO ia ka mea a mākou e kapa nei he lamina i ka lāʻau lapaʻau.

I kekahi manawa, ʻaʻole lawa ka hakahaka i loko o kēia tunnel a hoʻomaka nā aʻalolo e ʻūmiʻi. ʻO ia ka manawa e ʻike ai mākou i ka ʻeha hiki ʻole ke hoʻomanawanui a me ka mae ʻole. ʻO ke ʻoki Laminectomy e pili ana i ka wehe ʻana i nā ʻāpana āpau a i ʻole kekahi hapa o ke apo iwi i kapa ʻia ʻo ka lamina kahi e ʻūmiʻi ʻia ai nā aʻalolo. Hoʻonui kēia i ka hakahaka i loko o ke tunnel, e ʻae ana i nā aʻalolo e hana i kā lākou hana me ke kūʻokoʻa. Ua like ia me ka hoʻomaʻemaʻe ʻana i kahi pilikia kaʻa.

Hiki ke hana ʻia kēia hana ma nā wahi āpau ma ka iwi kuamoʻo:

• No ke kua haʻahaʻa: Ua kapa ʻia kēia he Lumbar Laminectomy. ʻO kēia ke kaʻina hana maʻamau.
• No nā iwi kuamoʻo ma ka ʻāʻī: Ua kapa ʻia kēia ʻo Cervical Laminectomy.
• I ka ʻaoʻao waena o ka iwi kuamoʻo: Ua kapa ʻia kēia he Thoracic Laminectomy.

He aha nā kūlana e hiki ke mālama ʻia me kahi laminectomy?

ʻO ka maʻamau, e ʻōlelo aku kāu kauka i kēia ʻoki kino e hōʻoluʻolu i ka ʻeha a me nā hōʻailona ʻē aʻe i hoʻokumu ʻia e ke kaomi ʻana o ke aʻalolo. E nānā kākou i nā kūlana nui e pōmaikaʻi ai mai kēia ʻoki kino.

Loaʻa iā ʻoe kēia mau ʻano?

Hiki i ke kauka ke noʻonoʻo i kēia ʻoki kino inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​ʻoiai inā ʻaʻole lākou e hoʻomaikaʻi me ka lawe ʻana i ka lāʻau lapaʻau a me ka hoʻoikaika kino:

• ʻEha mau ka ʻāʻī, poʻohiwi, a i ʻole ke kua .
• Ka nāwaliwali a i ʻole ka mae ʻana o nā lima a me nā wāwae.
• Ke paʻakikī ke kāohi ʻana i ka ʻōpū a me ka mimi.

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

Ma mua o ke ʻoki ʻana, e hālāwai ʻoe me kāu kauka ʻoki. E nānā pono ʻo ia iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona a me nā lāʻau lapaʻau i loaʻa iā ʻoe ma mua. A laila e kauoha ʻo ia i nā hoʻokolohua e like me kēia e nānā i ke kūlana o kou iwi kuamoʻo:

• Hoʻokolohua X-ray
• Nānā MRI
• Hoʻāʻo Myelogram

Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā mea hoʻohui) . Eia kekahi, e hōʻoia e haʻi i kāu kauka inā ʻoe e hoʻohana i ka paka a i ʻole nā ​​​​lāʻau lapaʻau. Hiki i ka puhipaka ke hoʻopaneʻe i ka ho'ōla a hoʻoulu i nā pilikia. Mai hoʻomaka a hoʻōki paha i ka lawe ʻana i kekahi mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.

Eia kekahi, e hoʻonohonoho i kekahi e lawe iā ʻoe i ka home ma hope o ke ʻoki ʻana. He mea maʻalahi loa ia nou inā loaʻa iā ʻoe kekahi e kōkua iā ʻoe ma ka home no kekahi mau lā.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

ʻAʻohe mea e makaʻu ai. Ma mua o ka hoʻomaka ʻana o ke ʻoki kino, e hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha a e hiamoe loa a hiki i ka pau ʻana o ke ʻoki kino . E kau ʻia kou alo i lalo ma luna o kahi moena kūikawā i ka wā o ke ʻoki kino.

I ka wā o ke ʻoki kino, hana ke kauka i kēia mau hana:

1. Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻili kahi e ʻeha ai kou kua a ʻāʻī paha.

2. E pahu mālie i ka ʻili a me nā ʻiʻo e hiki aku i ka iwi kuamoʻo.

3. I kekahi manawa hoʻohana ʻia kahi microscope ʻoki kino kūikawā e hoʻonui i ka wahi i nīnau ʻia.

4. A laila , e wehe pono ʻia nā lamina, nā iwi kuʻi, a i ʻole nā ​​ʻāpana disc e hoʻoulu ai i ke kaomi ʻana o ke aʻalolo .

5. Inā pono, hiki ke hana ʻia i ka manawa like kahi ʻoki kino e hoʻonui ai i nā lua kahi e puka ai nā aʻalolo (foraminotomy) a i ʻole kahi ʻoki kino e hoʻopaʻa i ka iwi kuamoʻo (spinal fusion).

6. ʻO ka hope loa, hoʻihoʻi ʻia ka ʻiʻo a me ka ʻili i ko lākou wahi a pani ʻia ka ʻoki me nā humuhumu.

ʻO ka maʻamau, ma kahi o hoʻokahi a ʻekolu hola ka lōʻihi o kēia ʻoki kino, akā inā hana ʻia nā ʻoki kino ʻē aʻe i ka manawa like, ʻoi aku ka lōʻihi o ka manawa.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A me ka wā hoʻōla?

Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi keʻena nānā. Ke ala ʻoe mai ka anesthesia, e ʻike paha ʻoe i kekahi ʻeha a me ka ʻoluʻolu ʻole. E hāʻawi ʻia ʻoe i nā lāʻau ʻeha no kēia.

I kekahi manawa hana ʻia kēia ʻoki ma o kahi ʻoki liʻiliʻi loa a hoʻokomo ʻia nā mea hana kūikawā (ʻoki iwi kuamoʻo minimally invasive) . I kēlā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a i ʻole ka lā aʻe. Inā hana ʻia ma o kahi ʻoki nui a me kahi mea e like me ka spinal fusion, pono ʻoe e noho ma ka haukapila no kekahi mau lā.

Ma mua o kou hoʻi ʻana i ka home, e hālāwai kekahi mea hoʻoponopono kino me ʻoe a e aʻo iā ʻoe pehea e ala ai mai kahi moe, pehea e hele mālie ai, a me nā mea maikaʻi a me nā mea maikaʻi ʻole e hana ai.

ʻAʻole like ka manawa hoʻōla no kēlā me kēia kanaka. Hiki i kahi ʻoki maʻalahi ke hala i 4-6 mau pule e hoʻōla piha ai. Eia nō naʻe, inā hana ʻia me ka hoʻohui ʻana o ka iwi kuamoʻo, hiki ke hala ma kahi o ʻeono mahina. I ka hoʻomaka ʻana , ʻaʻole maikaʻi ke kūlou, wili, a hāpai koke paha i nā mea kaumaha . Ma hope iki, i kēlā me kēia lā, pono ʻoe e hoʻomaʻamaʻa i nā hana maʻamau ma ka hahai ʻana i nā ʻōlelo a ke kauka.

He aha nā pono a me nā pilikia?

E like me nā ʻoki kino āpau, loaʻa iā Laminectomy kona mau pono a me kekahi mau pilikia liʻiliʻi. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.

E hoʻolohe i kēia mau hōʻailona!

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki kino, he mea nui loa ia e mālama pono i kou kino. Inā he mau hopohopo kāu, mai kānalua e kamaʻilio me kāu kauka .