Sɔntɛnde yu kin fil shap pen we kin kɔmɔt na yu nɛk te to yu an, ɔ yu finga dɛn kin swɛ? Sɔntɛm yu kin ivin fil se yu nɔ ebul fɔ tinap tranga wan we yu de waka. di kכz fכ dεn tin ya kin bi wan pinch nεv na di sεvikal spayna. So, tide wi go tɔk bɔt wan ɔpreshɔn we rili saksesful fɔ dis kɔndishɔn. Dɛn kɔl dis ACDF ɔpreshɔn.
Wetin rili na ACDF ɔpreshɔn?
Fɔ tɔk am simpul wan, ACDF na akɔdin fɔ "Anterior Cervical Discectomy and Fusion." Mek wi ɔndastand dis insay Sinhala.
- Anterior Cervical min ‘frכm di fכnt pat na di nεk.’ Dis min se dɛn kin du dis ɔpreshɔn frɔm di sayd we di trot de.
- Discectomy min ‘fɔ pul wan disk’. Dis na di pat we tan lɛk jeli na wi spayna bitwin tu bon dɛn. I kin bulge aut ɛn pres pan wan nerve.
- Fushon min ‘fushon’. i min fכ put bon graft na di ples usay di disk we dεn pul bin de, fכ fכs di tu vεrbra dεm we de oba εn dכn tכgeda fכ mek wan strכng bon.
So, di ol pɔynt na fɔ go tru di frɔnt pat na yu nɛk, pul di disk we gɛt prɔblɛm, ɛn fuz dɛn tu vayb dɛn de togɛda. dis na fכ pul εni kכmpreshכn pan yu spεnal nεv כ spεnal kכd na yu nεk.
Udat dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ?
Bikɔs dis na big ɔpreshɔn, dɔktɔ dɛn kin jɔs du am afta ɔl di ɔda tritmɛnt dɛn nɔ wok. If yu gɛt di sayn dɛm wae de dɔŋ ya ɛn dɛn nɔr de bɛtɛ wit di standad tritmɛnt dɛm, yu dɔktɔ kin tink bɔt dis ɔpreshɔn.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen we de travul dɔŋ di an | Wan pen we kin fil lɛk ilɛktrik shɔk frɔm di nɛk, tru di sholda, dɔŋ di an te to di finga dɛn. |
| Numbness na an ɛn finga dɛn | Tingling ɔ numbness na di an ɛn finga dɛn. |
| Wiknɛs na di an | Tin dɛn lɛk we yu nɔ ebul fɔ ol sɔntin tranga wan wit yu an, tin dɛn we de fɔdɔm na grɔn. |
| Nɔ balans we yu de waka | Fɔ fil lɛk se yu go lɔs yu balans ɛn fɔdɔm we yu de waka. |
| Na bad bad pen na yu nɛk | Bɔrku pen na yu nɛk wae nɔr kin stɔp pan ɔl wae yu de tek mɛrɛsin ɔr yu de rɛst. |
Bɔt mɛmba se dɛn sayn ya nɔ min se dɛn fɔ du ɔpreshɔn pan am. Yu dɔktɔ go tray fɔs fɔ kɔntrol di sik wit fizik tritmɛnt, mɛrɛsin, ɛn sɔntɛm epidural steroid injɛkshɔn.
Dɛn kin jɔs tink bɔt ɔpreshɔn if dɛn tin dɛn de nɔ ɛp. Di las disizhɔn fɔ no if dɛn nid fɔ du ɔpreshɔn ɔ nɔ nid fɔ du ɔpreshɔn na yu spɛshal pɔsin we de mɛn yu spayna.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Sɔm tin dɛn de we yu fɔ rɛdi fɔ bifo yu du di ɔpreshɔn.
- Mit wit di dɔktɔ: Yu go nid fɔ mit wit yu dɔktɔ we de du di ɔpreshɔn bifo dɛn du di ɔpreshɔn. I go chɛk yu ɛn aks yu bɔt yu wɛlbɔdi ɛn ɛni mɛrɛsin we yu de tek.
- Test dɛn we yu nid: If yu nɔ du yu nɛk ɛkstrem rayt ɔ MRI skan, dɛn go ɔda dɛn. Dɛn tin ya go ɛp fɔ no usay di prɔblɛm de ɛn aw i siriɔs.
- Fɔ lɛf fɔ smok bad abit: If yu de smok, yu fɔ stɔp fɔ smok ɔltogɛda wan mɔnt bifo di ɔpreshɔn. Smok kin mek yu bon dɛn nɔ wɛl bad bad wan. Dɛn go aks yu bak fɔ stɔp fɔ drink rɔm.
- Blɔd tin dɛn: If yu de tek blɔd tin dɛn, yu go nid fɔ stɔp fɔ tek am sɔm dez bifo dɛn du yu ɔpreshɔn, lɛk aw yu dɔktɔ tɛl yu. Nɔ stɔp fɔ tek ɛni mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Sɔmbɔdi fɔ kɛr yu go na os: I rili impɔtant fɔ mek yu arenj bifo tɛm fɔ lɛ pɔsin kɛr yu go na os afta dɛn dɔn du yu ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Okay, naw lɛ wi si wetin de apin di tɛm we dɛn de du di ɔpreshɔn. Nɔ wɔri, yu go de ɔnda jenɛral anestezi so yu nɔ go fil ɛni pen. Yu go de slip fayn fayn wan.
1. Fɔ mek di say we yu kɔt: We yu dɔn slip ɔl, di dɔktɔ we de du di ɔpreshɔn go mek wan smɔl say we gɛt 1-2 inch na di fɔs pat pan yu nɛk, bɔku tɛm na di nɛk na di nɛk.
2. Fכ rich di spayna: Dɔn, fכ tek tεm bכku, dεn de muv yu trakya εn εsophagus to wan say εn yu rich na di spayna.
3. Disk Rimov: nεks, dεn kin pul di prכblεm disk we de prεs pan di nεv εn di bon spur dεm we dεn nכ want we dεn fכm rawnd am kכmplit wan.
4. Fusion: Naw di pat we impɔtant pas ɔl de kam. Dɛn kin put bon graft ɔ smɔl taytaniɔm kech we ful-ɔp wit bon paoda na di say we dɛn pul di disk. dis kin mek di tu vεrbra dεm we de oba εn dכn de fכs togeda as tεm de go, we de mek wan strכng bon. Jɔs lɛk aw brok an kin fiuz.
5. Fiks: Fɔ mek dɛn bon ya nɔ muv te dɛn alaynɛd fayn, bɔku tɛm dɛn kin fiks dɛn wit smɔl mɛtal plet ɛn skru.
6. Klos di say we dɛn kɔt: Fɔ dɔn, dɛn kin put ɔl wetin dɛn bin dɔn du na da say de bak na in ples, ɛn dɛn kin lɔk di say we dɛn kɔt ɛn siŋ am.
Dis ɔl ɔpreshɔn kin tek lɛk 1-2 awa.
Wetin kin apin afta di ɔpreshɔn? Aw na di tɛm fɔ wɛl?
Afta di ɔpreshɔn, dɛn go kɛr yu go na wan say usay dɛn de wach di tin dɛn we dɛn de du. Dɛn go de wach yu sik gud gud wan te yu gɛt kɔnshɛns bak. Bɔrku tɛm, yu go jɔs gɛt fɔ de na ɔspitul fɔ wan nɛt.
Dɛn tin ya impɔtant fɔ mɛn pɔsin:
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Di dɔktɔ go gi am mɛrɛsin fɔ mek i fil pen insay di fɔs dez.
- Rɛst: Yu fɔ gɛt bɔku rɛst fɔ di fɔs wik dɛn. Yu fɔ stɔp fɔ es wet ɛn du tin dɛn we de mek yu nɛk strɛs kpatakpata.
- Nɛk Bres: Sɔntɛnde, dɛn kin aks yu fɔ wɛr spɛshal bres fɔ sɔpɔt yu nɛk. Yu fɔ wɛr am fɔ lɔng tɛm lɛk aw yu dɔktɔ tɛl yu.
- Fizik tɛrapi: 4-6 wik afta di ɔpreshɔn, dɛn go tɛl yu fɔ du ɛksɛsayz ɔnda di sɔpɔtishɔn fɔ fisiotɛrapist fɔ mek di nɛk mɔsul dɛn strɔng.
I kin tek 6 to 12 mɔnt fɔ mek di bon wɛl ɛn strɔng. Bɔt smɔl smɔl yu kin bigin fɔ du di tin dɛn we yu bin de du. Dipen pan yu wok, yu kin ebul fɔ go bak na yu woke insay 3-6 wik, wit yu dɔktɔ in aprɔval.
Ɛni risk de fɔ dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt, dɛn tin ya nɔ kin bɔku. Di sakses rεt na 85%-95%. Na sɔm pan di prɔblɛm dɛn we kin apin.
| Sɔm prɔblɛm we kin apin | Wan simpul ɛksplen |
|---|---|
| I nɔ izi fɔ swɛla | Dis kin kɔmɔn fɔ di fɔs tɛm. Bɔku tɛm, i kin go afta sɔm dez. |
| Infɛkshɔn ɛn blɔd we de kɔmɔt | Risk dɛn we kin apin we dɛn du ɛni ɔpreshɔn. |
| Nɛv dɛn we dɔn pwɛl | Dis na tin we nɔ kin apin so ɔltɛm. Di vɔys kin chenj ɛn wan an kin wik. |
| Bɔn fushɔn nɔ kin apin. | Dis risk kin pasmak pan pipul dɛm wae de smok. |
| If yu gɛt dɛn sik ya afta dɛn dɔn du yu ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm: | |
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Mɛsej we dɛn kin kɛr go na os
- ACDF na ɔpreshɔn we rili saksesful fɔ di simptom dɛm we kin kam bikɔs ɔf di nerve compreshɔn, lɛk di nɛk pen ɛn di an dɛn we kin swɛla.
- Pan ɔl we dis na big ɔpreshɔn, yu kin rili wɛl if yu fala di rayt instrɔkshɔn dɛn.
- Fɔ mek di ɔpreshɔn go bifoI rili impɔtant fɔ avɔyd fɔ smok kpatakpata.
- Insay di tɛm we yu de wɛl, fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi dɔn gi yu di rayt we.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt di ɔpreshɔn ɔ di tɛm we yu go wɛl, nɔ fred fɔ tɔk to di dɔktɔ.
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