Koj puas yog ib tug neeg uas tau mob nraub qaum ntev lawm? Qee zaum, muaj mob nraub qaum hnyav heev uas tsis ploj mus txawm tias tom qab noj tshuaj thiab ua kev kho mob lub cev, puas yog? Yog li, thaum muaj lwm yam kev kho mob tsis ua haujlwm, peb yuav tham txog kev phais tshwj xeeb uas cov kws kho mob pom zoo hnub no. Qhov no hu ua kev phais TLIF. Txawm hais tias qhov no nyuaj me ntsis, cia peb nkag siab yooj yim heev.
Yog li, qhov kev phais TLIF no yog dab tsi?
Hais yooj yim xwb, TLIF (Transforaminal Lumbar Interbody Fusion) yog ib hom kev phais mob pob txha caj qaum. Peb cov pob txha caj qaum yog ua los ntawm cov pob txha me me (hu ua vertebrae) uas muab ib daim tso rau saum ib daim. Nruab nrab ntawm ob daim pob txha no, zoo li lub tshuab nqus kev co hauv lub tsheb, muaj ib qho chaw zoo li jelly uas nqus kev co. Qhov no yog qhov peb hu ua intervertebral disk.
Raws li lub sijhawm dhau mus, nrog rau hnub nyoog, lossis vim muaj xwm txheej, cov 'disc' no tuaj yeem hnav tawm, nthuav tawm, lossis puas tsuaj. Tom qab ntawd, cov hlab ntsha hauv tus txha caj qaum uas khiav ze ntawm cov 'disc' no pib raug nias . Qhov ntawd yog qhov mob nraub qaum uas tsis tuaj yeem tsis quav ntsej, tingling, thiab mob uas mus rau ntawm ob txhais ceg pib los.
Hauv kev phais TLIF, cov kws kho mob yuav tshem tawm tag nrho cov disc uas puas lawm thiab muab pob txha hloov rau. Tom qab ntawd, ob lub pob txha caj qaum saum toj thiab hauv qab no yuav sib txuas ua ke los ua ib lub pob txha muaj zog. Qhov no hu ua kev sib koom ua ke. Nws zoo li nchuav cov pob zeb ua ke thiab teeb ob lub ncej ua ke.
Kev phais TLIF haum rau leej twg?
Kev phais mob no tsis yog kev kho mob rau txhua yam mob nraub qaum. Cov kws kho mob feem ntau pom zoo kom ua rau cov neeg uas raug mob hnyav thiab cov neeg uas tsis tau txais kev pab los ntawm kev siv tshuaj, kev txhaj tshuaj, thiab kev kho lub cev. Kev phais mob no tuaj yeem pab tau tshwj xeeb rau cov neeg uas muaj cov mob hauv qab no:
| Mob nkeeg | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab mob degenerative disk | Nrog hnub nyoog lossis lwm yam laj thawj, lub 'disc' ntawm cov vertebrae hnav tawm thiab nyias, ua rau mob. |
| Kev mob pob qij txha | Kev txav ntawm ib lub pob txha caj qaum mus tom ntej lossis rov qab piv rau lwm qhov. |
| Kab mob Scoliosis | Tus txha nqaj qaum nkhaus rau ib sab hauv tus duab N. |
| Cov kab mob herniated discs rov tshwm sim | Txawm tias tau kho los xij, lub disc pheej tawm thiab nias rau ntawm cov hlab ntsha. |
| Kev mob pob txha caj qaum | Qhov mob ntawm cov hlab ntsha tshwm sim vim yog qhov nqaim ntawm cov hlab ntsha. |
Nco ntsoov, tsuas yog koj tus kws kho mob thiaj li yuav txiav txim siab seb koj puas xav tau kev phais mob no lossis tsis xav tau, tom qab saib xyuas tag nrho koj cov tsos mob thiab cov ntawv qhia txog kev luam theej duab.
Peb yuav tsum npaj dab tsi ua ntej phais?
Ua ntej phais mob, koj tus kws kho mob thiab pab neeg kho mob yuav nrog koj tham kom meej thiab piav qhia txhua yam.
- Kev kuaj xyuas kev noj qab haus huv: Tej yam xws li kev kuaj ntshav yog ua los xyuas koj txoj kev noj qab haus huv feem ntau.
- Cov Lus Qhia Txog Tshuaj: Koj yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj tab tom noj (xws li cov vitamins thiab cov tshuaj ntsuab). Koj yuav raug hais kom tsum tsis txhob noj qee yam tshuaj, tshwj xeeb yog cov tshuaj anticoagulants thiab cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) , ob peb hnub ua ntej phais.
- Tsis txhob haus luam yeeb: Yog tias koj yog ib tug neeg haus luam yeeb, koj yuav tsum tso tseg kiag. Nicotine tuaj yeem ua rau cov pob txha tshiab tsis kho zoo, qeeb qhov txhab kho, thiab ua rau muaj kev pheej hmoo ntawm kev kis kab mob.
- Ib tug neeg los pab koj hauv tsev: Koj yuav tsum tau nyob hauv tsev kho mob ob peb hnub tom qab phais. Nws yog ib qho tseem ceeb heev uas yuav tsum muaj ib tug neeg los pab koj tom qab koj mus tsev, thiab rau thawj ob lossis peb hnub.
Muaj dab tsi tshwm sim rau hnub phais thiab thaum lub sijhawm phais?
Thaum hnub phais mob, koj yuav raug hais kom tsis txhob noj mov lossis haus dej li 8-12 teev. Tus kws kho mob anesthesiologist yuav piav qhia seb yuav muab tshuaj anesthesia rau koj li cas.
Thaum lub sijhawm phais, koj yuav raug tig lub ntsej muag rau hauv av. Tom qab ntawd, tus kws kho mob yuav ua raws li cov kauj ruam no:
1. Kev txiav daim tawv nqaij: Yuav txiav ib qho me me rau ntawm daim tawv nqaij ntawm sab nraub qaum, me ntsis rau sab ntawm tus txha nqaj qaum.
2. Tshem cov leeg nqaij: Yuav kom ncav cuag tus txha nqaj qaum, cov leeg nqaij raug rub kom zoo zoo rau ob sab.
3. Qhib tus txha nqaj qaum: Ob lub pob txha me me hauv tus txha nqaj qaum hu ua 'lamina' thiab 'facet joint' raug tshem tawm kom ua chaw rau cov hlab ntsha.
4. Kev hloov cov hlab ntsha: Yuav kom tsis txhob muaj kev puas tsuaj rau cov hlab ntsha, nws raug hloov pauv kom zoo zoo.
5. Tshem tawm lub disk: Lub disk puas lawm raug tshem tawm tag nrho thiab qhov chaw raug ntxuav.
6. Kev cog pob txha thiab kev tso lub tawb: Hloov chaw ntawm lub disc uas raug tshem tawm, muaj ib lub 'cage' tshwj xeeb uas muaj pob txha cog rau ntawm ob lub vertebrae. Cov pob txha cog no tuaj yeem coj los ntawm koj lossis los ntawm lwm qhov chaw.
7. Kev ntsia hlau thiab pas nrig: Ob pawg ntsia hlau raug ntxig rau hauv ob lub pob txha caj qaum saum toj thiab hauv qab, thiab ob lub pob txha caj qaum raug txuas nrog ib tug pas nrig. Qhov no ua rau ob lub pob txha caj qaum nyob twj ywm kom txog thaum cov pob txha tshiab loj hlob tuaj.
8. Xaws qhov txhab: Thaum kawg, cov leeg nqaij raug muab rov qab ua ke thiab daim tawv nqaij raug xaws.
Feem ntau qhov kev phais mob no yuav siv sijhawm li ob mus rau peb teev .
Tom qab phais tas, yuav muaj dab tsi tshwm sim? Kuv yuav rov zoo li cas?
Tom qab phais tas, lawv yuav coj koj mus rau chav saib xyuas. Koj lub plawv dhia thiab ua pa yuav raug saib xyuas kom txog thaum koj rov qab nco qab. Lawv yuav muab tshuaj loog rau koj. Feem ntau koj yuav nyob hauv tsev kho mob li peb txog plaub hnub.
Kev phais TLIF yog ib txoj hauv kev zoo heev los txo qhov mob nraub qaum. Txawm li cas los xij, nws yuav siv sijhawm me ntsis kom rov zoo. Kev ua siab ntev yog qhov tseem ceeb heev.
Nws yuav siv sijhawm li ob peb lub hlis mus txog ib xyoos kom kho tau tag nrho. Nov yog lub sijhawm uas cov pob txha txuas nrog ob lub pob txha seem.
Yuav ua li cas ceev faj thaum mus tsev
Thaum koj qhov mob ploj mus lawm, koj yuav xav rov qab mus ua koj txoj kev ua neej qub sai li sai tau. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum muab sijhawm rau koj lub cev kom kho.
| Lub Sijhawm | Tej yam yuav tsum zam |
|---|---|
| 2-4 lub lim tiam thawj zaug |
|
| Nruab nrab ntawm 4-6 lub lis piam |
Tus kws kho mob qhia kom koj taug kev luv luv txhua hnub. Nws pab tau ntau yam rau txoj kev kho mob. Nws kuj tau sau ntawv kom koj siv lub cev kho mob.
Cov xwm txheej ceev uas yuav tsum tau mus ntsib kws kho mob
Yog koj muaj cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd.
- Yog tias koj kub taub hau tshaj 103 Fahrenheit (38.9 Celsius) .
- Yog koj xav tias txias thiab tshee hnyo (chills).
- Yog tias qhov txhab phais liab, o, lossis mob rau qhov kov .
- Yog tias muaj mob hnyav dua li qhov xav tau.
Nws yog ib qho ib txwm muaj uas yuav xav tias me ntsis ntxhov siab thiab ntxhov siab txog kev phais mob nraub qaum. Tab sis ntau tus neeg tau tshem tawm qhov mob nraub qaum thiab ua neej zoo dua nrog hom kev phais mob no. Tham nrog koj tus kws kho mob txog txhua lo lus nug lossis kev txhawj xeeb uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- TLIF yog ib hom kev phais mob uas ua tau zoo rau qhov mob nraub qaum hnyav uas lwm yam kev kho mob tseem tsis tau zoo.
- Hauv kev phais no, ib lub disc uas puas lawm raug tshem tawm thiab hloov nrog ib pob txha txuas los txuas ob lub vertebrae ua ke.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb ua ntej phais thiab ua raws li tus kws kho mob cov lus qhia.
- Nws yuav siv sijhawm ntau lub hlis mus rau ib xyoos kom rov zoo tag nrho, thiab koj yuav tsum ua siab ntev thaum lub sijhawm ntawd.
- Koj tus kws kho mob yuav qhia koj kom tsis txhob ua tej yam xws li khoov, tsa, thiab ntswj tom qab phais lawm.
- Yog koj muaj cov cim ceeb toom xws li kub taub hau, qhov txhab o, lossis mob hnyav, hu rau koj tus kws kho mob tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus