Ua lōʻihi anei kou ʻeha ʻana i ke kua? ʻOiai ma hope o ka lawe ʻana i ka lāʻau lapaʻau a me ke ʻano physiotherapy , ʻaʻohe hoʻomaikaʻi? Inā pēlā, ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi ʻoki kino i kapa ʻia ʻo "Spinal Fusion". He mea maʻamau loa ke manaʻo iki i ka makaʻu a me ka hopohopo ke lohe ʻoe i kēlā inoa. Akā, mai makaʻu. Hiki i kēia ke lilo i lāʻau lapaʻau e hiki ke lawe mai i ka hōʻoluʻolu nui i kou ola. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, ʻo Spinal Fusion kahi hana ʻoki e hoʻohui i ʻelua a ʻoi aku paha vertebrae i loko o hoʻokahi ʻano ikaika. E like me ke kau ʻana i kahi cast ma kahi lima haki, hoʻōki kēia hana i ka neʻe pono ʻole ma waena o nā vertebrae e hoʻoulu ai i ka ʻeha hope. Ke hoʻohui ʻia lākou, ua kaupalena ʻia ka neʻe ʻana o kēlā wahi. Hoʻopau kēia i ka ʻeha a me ka ʻoluʻolu ʻole i hoʻokumu ʻia e nā aʻalolo a puni, nā ligaments, a me nā ʻiʻo e huki ʻia ana.
No ke aha he mea e pono ai kēia ʻano hana ʻoki kino?
ʻO ka maʻamau, ʻōlelo nā kauka i kēia ʻoki kino ma ke ʻano he koho hope loa. ʻO ia hoʻi, inā ʻaʻole hiki ke kāohi ʻia ka ʻeha me nā lāʻau lapaʻau e like me nā lāʻau lapaʻau, ka hoʻōla kino, a me nā inikini steroid . Eia kekahi, ma mua o ka hana ʻana i kēia ʻoki kino, pono ke kauka e ʻike pono i ke kumu o kou ʻeha.
Inā loaʻa kou ʻeha hope i kekahi o kēia mau kūlana, hiki i kēia ʻoki kino ke hāʻawi iā ʻoe i kahi hōʻoluʻolu nui.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Maʻi disk degenerative | Loaʻa ka ʻeha i ka wā e pau ai ka 'disc' palupalu ma waena o nā vertebrae a hamo nā iwi kekahi i kekahi. |
| Haʻihaʻi | Ka iwi haki ma ka iwi kuamoʻo ma muli o kahi ulia a i ʻole kekahi kumu ʻē aʻe. |
| Scoliosis | Ke kūlou ʻaoʻao ʻē aʻe o ka iwi kuamoʻo. |
| ʻO ke kuʻi ʻana o ka iwi kuamoʻo | Ke kaomi ʻana o nā aʻalolo ma muli o ka haiki ʻana o ke kahawai e hele ai ke kaula iwi kuamoʻo. |
| ʻO ka Spondylolisthesis | Ka paheʻe ʻana o kahi vertebra i mua. |
| Nā puʻupuʻu a i ʻole ka maʻi iwi kuamoʻo | Nā maʻi kanesa a i ʻole nā pūpū ʻē aʻe a me nā maʻi ma ka iwi kuamoʻo. |
Pehea mākou e hoʻomākaukau ai ma mua o ke ʻoki kino?
Ma kahi o hoʻokahi pule ma mua o ke ʻoki kino, pono ʻoe e hana i kekahi mau hoʻāʻo koko a me kahi X-ray o kou kua .
E wehewehe kāu hui lapaʻau i nā kikoʻī āpau e pili ana i ke ʻoki ʻana iā ʻoe. E ʻoluʻolu e nīnau i kāu mau nīnau a i ʻole kekahi mea āu e maopopo ʻole ai. He kōkua nui nō hoʻi ia i ke kauka inā ʻike maikaʻi ʻoe.
E noʻonoʻo i kēia mau mea i kekahi mau lā ma mua o ke ʻoki ʻana:
- E ʻike pono i ka manawa e hōʻea ai i ka haukapila. E hoʻonohonoho i kekahi e kiʻi iā ʻoe a lawe iā ʻoe i ka home.
- E nīnau i kāu kauka e pili ana i nā lāʻau lapaʻau hiki iā ʻoe ke lawe a hiki ʻole ke lawe i nā lā ma mua o ke ʻoki ʻana a loaʻa kahi papa inoa. Hiki i kekahi mau lāʻau lapaʻau, e like me ka aspirin, ke hoʻonui i ke kahe koko a pono e hoʻōki. E hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau me ka ʻae ʻole o kāu kauka.
- E ʻike pono i ka mea hiki iā ʻoe ke ʻai a inu ma mua o ke ʻoki ʻana a me ka lōʻihi o kou pono e hoʻokē ʻai.
- E hana i kekahi mau hoʻololi liʻiliʻi i kou home. ʻOiai ʻaʻole hiki iā ʻoe ke kūlou a hāpai paha no kekahi manawa, e maʻalahi loa ka loaʻa ʻana o nā mea e like me kahi noho commode i hoʻokiʻekiʻe ʻia, kahi noho lumi ʻauʻau, nā kāmaʻa e maʻalahi ke kau, a me kahi mea hiki ke kiʻi i nā mea i hāʻule.
Pehea e hana ʻia ai ke ʻoki kino?
Hiki ke hana ʻia ke ʻoki ʻana i ka iwi kuamoʻo ma nā ʻano ʻelua. ʻO kekahi ma o ka ʻoki ʻana i loko o ka ʻōpū (anterior fusion), a ʻo kekahi ma o ka ʻoki ʻana i ke kua (posterior fusion). Na kāu kauka e hoʻoholo i ke ʻano hana maikaʻi loa ma muli o kou kūlana.
Ma hope o ka hana ʻana i ke ʻoki ʻana, neʻe mālie ke kauka ʻoki i nā ʻiʻo a me nā ʻiʻo ʻē aʻe i ka ʻaoʻao e hiki ai i ka iwi kuamoʻo. A laila, wehe ʻia ka hono i hōʻino ʻia ma waena o nā iwi kuamoʻo e hoʻoulu ai i ka ʻeha.
ʻO ka mea aʻe, hoʻohana ʻia nā wili, nā koʻokoʻo, a i ʻole kahi kāpili iwi e hoʻohui i nā vertebrae ʻelua a hoʻopaʻa iā lākou ma kahi. Hiki ke lawe ʻia kēia kāpili iwi mai kahi ʻāpana ʻē aʻe o kou kino (ʻo kou iwi ʻūhā maʻamau). A i ʻole he kāpili iwi mai kekahi kanaka ʻē aʻe (donor graft). I kekahi manawa, ua hoʻokomo ʻia kahi mea kūikawā i kapa ʻia ʻo "bone morphogenetic protein" e hoʻoulu ai i ka ulu ʻana o ka iwi i loko o ka iwi.
Hiki i kēia hana holoʻokoʻa ke hala i kekahi mau hola.
Hiki i kēia ʻoki kino ke hoʻoulu i nā pilikia?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana, akā he mea nui e hoʻomanaʻo he haʻahaʻa loa kēlā mau pilikia .
ʻO nā pilikia maʻamau e komo pū ana me ke kahe ʻana o ke koko, nā ʻūpā koko, ka maʻi, ka ʻeha, a me nā pilikia e pili ana i ka anesthesia.
Eia kekahi, aia kekahi mau pilikia e pili pono ana i kēia ʻoki kino:
- Ka hōʻino ʻana o nā aʻalolo : Hiki i kēia ke hana i kahi manaʻo o ka ʻeha i ka wāwae, akā he mea kakaikahi loa ka nalowale o ka neʻe ʻana.
- Pseudarthrosis: ʻO ke ʻano kēia i kekahi manawa ʻaʻole kūpono nā iwi i pili i ke hono. Inā hana ʻia kēia, hiki i ka ʻeha hope ke hoʻi hou mai i loko o kekahi mau mahina.
- Nā pilikia o ke kāpili ʻana o ka iwi: Inā he iwi i lawe ʻia mai kahi mea hāʻawi, he liʻiliʻi loa ka manawa e loaʻa ai ka maʻi a i ʻole ke hōʻole ʻana o ke kino iā ia.
Hiki iā ʻoe ke kōkua i ka pale ʻana i kekahi o kēia mau pilikia, ʻoiai ma ka ʻike ʻana i nā hōʻailona o ka maʻi.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka:
* Ka pehu nui, ka ʻulaʻula, a i ʻole ka pus a puni ka ʻeha ʻoki.
* Kuni (ʻoi aku ma mua o 100 degere Fahrenheit).
* Inā e ʻoi aku ka ʻino o ka ʻeha.
* Inā ʻoe e anu a haʻalulu (e like me ka wā e loaʻa ai iā ʻoe ka maʻi puʻupuʻu).
Ka manawa ho'ōla ma hope o ke ʻoki kino
Pono ʻoe e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki kino. ʻO ka maʻamau ma kahi o 4 mau lā. Eia nō naʻe, hiki ke loli kēia manawa ma muli o kou olakino a me nā kūlana olakino ʻē aʻe.
I loko o kēia manawa, e hoʻopili ʻia ʻoe i nā mīkini e nānā i nā mea e like me kou helu puʻuwai. E loaʻa pū kekahi mau ʻōmole i hoʻopili ʻia iā ʻoe.
- He laina IV ma kou lima: ʻO kēia kahi e hāʻawi ʻia ai ʻoe i nā wai, nā lāʻau ʻalopelo, a me nā mea ʻeha.
- Catheter Epidural: Loaʻa i kekahi poʻe ka lāʻau ʻeha ma o kahi ʻōmole lahilahi i kau ʻia ma ko lākou kua.
- ʻO ke catheter mimi:E paʻakikī paha iā ʻoe ke ala aʻe a hele i ka lua no nā lā mua, no laila makemake paha ʻoe e waiho i kēia. ʻOiai paha he mea ʻoluʻolu ʻole kēia, he mea nui loa ia e noho mālie a hiki i ka ho'ōla ʻana o kou kua.
ʻOiai ʻoe ma ka haukapila, e kipa aku nā physiotherapists a me nā occupational therapists iā ʻoe. E aʻo lākou iā ʻoe pehea e ala ai mai kahi moe, e noho ma kahi noho, a e hele pono . Ma mua o kou hoʻi ʻana i ka home, e lawe ʻia kahi X-ray o kou kua e ʻike ai inā ua holomua ke ʻoki ʻana. Pono ʻoe e hoʻi mai ma kahi o 10 mau lā e wehe ʻia kou mau humuhumu. A laila pono ʻoe e hoʻi mai e ʻike i ke kauka no nā kipa hahai ma 4-6 mau pule, 6 mahina, 1 makahiki, a me 2 mau makahiki.
E hoʻomanaʻo, ʻo ka hoʻōla ʻana mai ke ʻoki kua e pono ai ka hoʻolaʻa a me ka hana nui . Hiki ke hala i 6 mau mahina a i hoʻokahi makahiki e hoʻōla piha ai. Pono ʻoe e hoʻomau me ka hoʻōla kino ma hope o kou haʻalele ʻana i ka haukapila. No nā mahina 6 mua, e pale i ke kūlou ʻana, ka wili ʻana, a me ka hāpai ʻana i kekahi mea kaumaha . Mai hāpai i kekahi mea kaumaha ma mua o kahi ʻōmole wai liʻiliʻi. No laila, pono paha ʻoe e ʻae i kou ʻohana e hana i kekahi o nā hana hale no kekahi manawa!
Leka Lawe-Home
- He ʻoki kino nui ka Spinal Fusion i hana ʻia no ka ʻeha kua koʻikoʻi kahi i holo pono ʻole ai nā lāʻau ʻē aʻe.
- He mea nui loa ka hoʻomākaukau maikaʻi ma mua o ke ʻoki ʻana. E kūkākūkā i nā mea āpau me kāu kauka a e hoʻoluʻolu i kou home.
- Pono ka manawa a me ka hoʻolaʻa no ka hoʻōla ʻana. E hahai pono i nā kuhikuhi physiotherapy.
- E makaʻala i nā hōʻailona o ka maʻi, e like me ka pehu ʻana o ka ʻeha a me ke kuni. Inā ʻike ʻoe i kekahi mea e like me kēia, e kāhea koke aku i kāu kauka.
- He hana hui kēia. Pono ʻoe, kāu kauka, nā mea hoʻōla, a me kou ʻohana e hana pū ma kēia huakaʻi. E kū i kēia pilikia me ka makaʻu ʻole.
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