He hopena i ka ʻeha mau loa: E kamaʻilio kākou e pili ana i ka Rhizotomy

I kekahi manawa, loaʻa iā mākou ka ʻeha e nalowale ʻole ana me ka nānā ʻole i nā lāʻau lapaʻau a mākou e lawe ai a i ʻole ka hoʻōla kino a mākou e hana ai. Pehea ka paʻakikī o ke ola ʻana me kēia ʻeha mau no nā mahina, a i ʻole nā ​​​​makahiki? I kēia lā e kamaʻilio mākou e pili ana i kahi kaʻina hana lapaʻau kūikawā i hoʻohana ʻia no ka ʻeha mau a me nā kūlana kahi e paʻakikī ai nā ʻiʻo (spasticity) i paʻakikī ke kāohi me nā lāʻau lapaʻau ʻē aʻe.

No laila, he aha kēia rhizotomy?

I ka ʻōlelo maʻalahi, ʻo ka rhizotomy kahi hana lapaʻau e hōʻino a hoʻopilikia i ka hana o nā olonā nerve kikoʻī e hoʻoulu ai i ka ʻeha mau loa a i ʻole ka ʻoʻoleʻa o nā ʻiʻo.

E noʻonoʻo i ko kākou ʻōnaehana nerve e like me kahi ʻōnaehana o nā uea uila. Lawe kēia mau uea i nā leka mai ka lolo i nā ʻāpana ʻē aʻe o ke kino, a mai kēlā mau ʻāpana hoʻi i ka lolo. Ke manaʻo mākou i ka ʻeha, hoʻouna ka ʻeha i kahi hōʻailona i ka lolo mai kahi i manaʻo ʻia ai, me ka ʻōlelo ʻana, "Eia kahi e ʻeha ai." ʻO ka rhizotomy e pili ana i ka loaʻa ʻana o ke aʻalolo pololei e lawe ana i ka hōʻailona ʻeha, e hōʻino ana iā ia, a me ke kāohi ʻana i ka hōʻailona mai ka hele ʻana i ka lolo. Ua like ia me ka ʻoki ʻana i kahi uea uila hewa. Hoʻōki kēia i ka ʻeha.

Hoʻohana nā kauka i kekahi mau ʻano hana e hōʻino ai i kēia mau aʻalolo:

He aha nā kūlana i mālama ʻia me ka rhizotomy?

ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole ʻo ka rhizotomy kahi lāʻau lapaʻau laina mua. Manaʻo pinepine nā kauka he ala hope loa ia ke kūleʻa ʻole nā ​​​​lāʻau lapaʻau maʻalahi e like me nā ʻeha ʻeha, physiotherapy, a me nā poloka aʻalolo.

Aia kekahi mau ʻano nui o ka rhizotomy, e pili ana kēlā me kēia i nā aʻalolo like ʻole o ke kino.

ʻO ka Rhizotomy o ka Ganglion Trigeminal

Hoʻopili kēia i ka hui o nā aʻalolo trigeminal ma nā ʻaoʻao ʻelua o ko mākou maka. Hoʻohana ʻia ia no ka ʻeha nui a mau loa ma ka maka.

• ʻO ka Neuralgia Trigeminal: He ʻeha nui e like me ke kuʻi uila ma kekahi ʻaoʻao o ka maka.
• ʻO nā ʻeha poʻo cluster i kāohi ʻole ʻia e ka lāʻau lapaʻau.
• ʻEha maka atypical ʻaʻole hiki ke loaʻa ke kumu.
• ʻO ka neuralgia postherpetic (ʻeha maka e kū mai ana ma hope o ka moa).
• ʻEha maka i hoʻokumu ʻia e ka maʻi ʻaʻai.

ʻO ka Rhizotomy Facet

Hoʻopili kēia i nā aʻa aʻalolo e hele ana ma o nā hono facet ma waena o ko kākou vertebrae. Hana pinepine ʻia kēia no ka ʻeha kua a me ka ʻeha ʻāʻī.

• Inā hana ʻia ma ka ʻāʻī, ua kapa ʻia ia he cervical rhizotomy .
• Inā hana ʻia ma ke kua haʻahaʻa, ua kapa ʻia ia he lumbar rhizotomy .
• He lāʻau lapaʻau kūpono kēia no ka ʻeha mau loa i hoʻokumu ʻia e ka ʻaʻahu a me ka haehae ʻana i nā hono o ke kuamoʻo ma muli o nā maʻi e like me ka arthritis.

ʻO ke koho ʻana o ka dorsal Rhizotomy (SDR)

Hana kūikawā ʻia kēia no ka kāohi ʻana i ka spasticity i kekahi mau keiki me ka cerebral palsy . Pili kēia i ka hōʻino koho ʻana i kekahi o nā olonā nerve sensory ma ka ʻaoʻao haʻahaʻa o ke kaula spinal. Eia naʻe, ʻaʻole kūpono nā keiki āpau me ka cerebral palsy no kēia ʻoki kino. He mea kēia na nā kauka e hoʻoholo ai.

Pehea ʻoe e hoʻomākaukau ai no kēia lāʻau lapaʻau?

No ka mea, he hana ʻoki kino kēia, pono ʻoe e hana i kekahi mau hoʻokolohua ma mua e hōʻoia i ke kūpono o kou kino no ia mea a e pōmaikaʻi maoli ʻoe mai ia mea.

• Nā hoʻokolohua kiʻi: Hoʻohana ʻia nā scan MRI a me nā X-ray e nānā pono i ke aʻalolo i hoʻopilikia ʻia a me nā wahi a puni.
• Ke ālai ʻana o ke aʻalolo: No ka hoʻoholo pono ʻana inā paha aia ka pilikia ma kēia aʻalolo, hāʻawi ʻia kahi inikini e hoʻomāʻū i ke aʻalolo no kekahi manawa. Inā hōʻemi kēia i ka ʻeha, ʻoi aku ka maikaʻi o ka rhizotomy.
• Nā hoʻāʻo koko a me ka mimi: E nānā i ke olakino holoʻokoʻa o ke kino.

Inā e hana ʻia ana ke ʻoki kino ma lalo o ka anesthesia laulā, pono ʻoe e ʻike i kahi anesthesiologist. Eia kekahi, inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko, pono ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki kino. Mai hoʻōki i ka lawe ʻana i kāu mau lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka. E wehewehe kāu hui lapaʻau i nā mea āpau iā ʻoe.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

ʻOkoʻa kēia kaʻina hana ma muli o ke ʻano o ka rhizotomy, akā ma ke ʻano laulā, eia kekahi o nā ʻanuʻu i hahai ʻia:

1. Anesthesia: I ka hapanui o nā hihia, e hoʻohiamoe loa ʻia ʻoe (anesthesia laulā). I kekahi mau kaʻina hana maʻalahi, hiki ke hāʻawi ʻia iā ʻoe i kahi hiamoe māmā (sedation) a i ʻole kahi anesthetic kūloko (e hoʻomānoino wale ana i ka wahi).

2. Alakaʻi kiʻi: I ka wā o ke ʻoki ʻana, hoʻohana ʻia kahi ʻano hana i kapa ʻia ʻo fluoroscopy, e like me nā kukuna X, e hōʻoia i ka hoʻonoho pono ʻia ʻana o ka nila a i ʻole ka mea hana ma kahi kokoke i ke aʻalolo kūpono. I kekahi manawa, hiki ke hoʻokomo ʻia kahi wai kūikawā (contrast dye) i loko o kahi aʻalolo e ʻike maopopo ai i nā aʻalolo.

3. Ke hoʻāʻo ʻana i ke aʻalolo: Ma mua o ka hōʻino ʻana i ke aʻalolo, hāʻawi ʻia kahi hōʻailona uila liʻiliʻi i ke aʻalolo e hōʻoia i ka aʻalolo kūpono. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kahi hoʻāʻo e like me EMG (Electromyography).

4. Ka hōʻino ʻana o ke aʻalolo: ʻO ka mea hope loa, hoʻohana ʻia kekahi o nā ʻano ʻekolu i kūkākūkā ʻia ma mua (ʻoki ʻana, nā kemika, a i ʻole ka wela radiofrequency) e hoʻōki i ke aʻalolo e hoʻoulu ai i ka ʻeha mai ka hana ʻana.

Pehea ka holomua o kēia? He aha nā pilikia?

Nui ka poʻe e hana ana i ka rhizotomy e ʻike i ka hoʻomaha ʻeha lōʻihi . Eia naʻe, ʻaʻole loaʻa i nā kānaka a pau nā hopena like. ʻAʻole paha e ʻike kekahi poʻe i ka hoʻomaha ʻeha. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka hopena o kēia no kou kūlana.

ʻOkoʻa nā pilikia a me nā pilikia ma muli o ke ʻano o ka rhizotomy i hana ʻia.

• Ma keʻano laulā, he mea maʻamau ka ʻike ʻana i kekahi ʻeha, palapū, a me ke kahe ʻana o ke koko ma kahi o ke kui a i ʻole ka ʻoki ʻoki. E nalo ana kēia i loko o kekahi mau lā.
• He mea kākaʻikahi loa ka loaʻa ʻana o ka maʻi ma kēlā mau wahi.
• Pono e manaʻo ʻia kekahi mau hopena ʻaoʻao. No ka laʻana, ma hope o ka trigeminal rhizotomy no ka ʻeha o ka maka, e nalowale paha kou manaʻo ma kēlā ʻaoʻao o kou maka. E kūkākūkā kāu kauka i kēia mau mea āpau me ʻoe ma mua o ke ʻoki ʻana.

I ka wā e pono ai ʻoe e ʻike koke i ke kauka

Ma hope o ka lāʻau lapaʻau, inā pehu ka wahi ʻoki, ʻulaʻula, a piha paha i ka nahu (nā hōʻailona o ka maʻi), a inā loaʻa iā ʻoe nā pilikia aʻalolo hou, e like me ka maneʻo a i ʻole ke kani ʻana ma kekahi wāwae a lima paha, e kāhea koke aku i kāu kauka.