Yu gɛt prɔblɛm bak lɛk bad bad pen na yu nɛk ɛn yu nɔ kin fil fayn we kin go dɔŋ yu an? Yu dɔktɔ go dɔn tɛl yu se wan disk na yu nɛk dɔn slip ɛn i de pinch wan nerv. So we wi de tɔk bɔt ɔpreshɔn fɔ riples atifishal disk as sɔlv, i nɔmal fɔ fil fɔ fred smɔl. Bɔt nɔ wɔri. Wi go tɔk bɔt dis ɔpreshɔn, aw dɛn kin du am, wetin de bɛnifit, ɛn if ɛni prɔblɛm de, insay wan rili simpul we we yu go ɔndastand.
Wetin na dis atifishal disk riplesmɛnt ɔpreshɔn (CDR)?
fכ simpul wan, dis involv fכ pul wan disk we dεn dכn we dεn dכn west bitwin di vεrbra dεm na yu nεk (dεn kכl am di mεdikal dεm ``sεvikal spayna'') εn fכ riples am wit prosthεtik disk.
Imajin se bitwin di vεrbra dεm na wi spayna, rכba kushכn dεm de we de wok lεk shok abzכba na motoka. wi kכl dεn disk dεm ya bitwin di vεrbra dεm . Na dɛn de mek wi ebul fɔ bɛn, twist, ɛn muv wi nɛk ɛn bak izi wan. As tɛm de go, as dɛn disk ya de west ɛn wi spayna dɛn de lɔs ayt, di vɛrbra dɛn kin bigin fɔ rɔb pan dɛnsɛf, ɛn di nɛv dɛn we de rɔn nia de kin kɔmprɛs.
So di men gol fɔ dis ɔpreshɔn na fɔ mek di ples we di disk we dɔn pwɛl bin de trade, kam bak. Dis kin mek di nɛk ebul fɔ muv fayn fayn wan, ɛn i kin mek bak di sik dɛn lɛk pen ɛn swɛt bay we i de fri di nerv dɛn we dɔn pinch. Bɔku tɛm, dɛn kin mek dɛn atifishal disk dɛn ya wit tin dɛn lɛk kobalt, taytaniɔm, ɔ stenlɛs stiɛl.
Na nɔmal tin fɔ mek yu fil fred we yu yɛri di wɔd ɔpreshɔn na yu nɛk. bכt dis כpεrayshכn we dεn kכl ``Cervical Disk Replacement'', pan כl we na nyu tεknik, naw dεn de du am bכku saksesful wan εn sef wan כlsay na di wכl. Yu dɔktɔ go ɛksplen to yu ɔltin bɔt dis ɔpreshɔn.
Udat rili nid dis ɔpreshɔn?
Dɛn kin rɛkɔmɛnd dis ɔpreshɔn mɔ fɔ pipul dɛn we gɛt sɛvikal dijeneretiv disk sik. I kin bi gud sɔlvishɔn, mɔ fɔ di wan dɛn we gɛt radikulopati (fɔ ɛgzampul, pen, swɛt, wik we de rayt dɔŋ di an) ɔ maylopathy (fɔ ɛgzampul, kɔmpreshɔn pan di spɛnal kɔd) .
Tipikli, dɔktɔ go jɔs rɛkɔmɛnd dis ɔpreshɔn if di sayn dɛn nɔ dɔn bɛtɛ afta at le siks wiks we dɛn dɔn tek tritmɛnt dɛn we nɔ gɛt ɔpreshɔn lɛk mɛrɛsin ɛn fisiotɛrapi.
Dɔn bak, nɔto ɔlman kin gɛt dis ɔpreshɔn. Sɔm tin dɛn de we kin mek yu nɔ fit fɔ du dis ɔpreshɔn. Lɛ wi si wetin dɛn bi.
| Kɔndishɔn dɛn we kin mek ɔpreshɔn nɔ fayn | Fɔ tɔk am simpul wan... |
|---|---|
| Aktiv infεkshכn | Fɔ gɛt infɛkshɔn we dɛn nɔ trit ɛnisay na di bɔdi. |
| Alɛji dɛn we pɔsin kin gɛt wit mɛtal | Yu bɔdi nɔ gɛt alɛji fɔ di mɛtal we dɛn mek di atifishal disk wit. |
| Ɔstioporosis we pɔsin kin gɛt | Di bon dɛn rili wik ɛn dɛn kin brok. |
| di sεvikal spayna we nכ stebul | di sεvikal vεrbra dεm nכ de stebul εn dεn de slip. |
| Sivɛri facet arthropathy | siriכs we di sכm jכyn dεm bitwin di vεrbra dεm na di bak. |
Yu fɔ tɔk to yu dɔktɔ ɛn mek di las tin fɔ disayd if dis ɔpreshɔn fayn fɔ yu.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Afta dɛn dɔn arenj fɔ mek dɛn du yu ɔpreshɔn, yu go nid fɔ mit wit yu ɔpreshɔn dɔktɔ (we kin bi ɔtpidik ɔ nyurosɔjɛn) bak. Na sɔm tin dɛn we kin apin:
- Dɛn go gi yu wan kɔmplit ɛgzam fɔ yu bɔdi.
- Wi go aks bɔt yu mɛdikal histri ɛn di sik dɛn we yu gɛt naw.
- Dɛn go ɔda tɛst dɛn lɛk ɛks-ray ɛn MRI skan na dɛn nɛk.
- Dɛn kin aks bɔt di mɛrɛsin ɛn vaytamɛn dɛn we yu de tek naw.
- Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn ɔ bigin fɔ tek nyu wan dɛn bifo dɛn du yu ɔpreshɔn. Nɔ stɔp fɔ tek ɛni mɛrɛsin fɔ yusɛf te yu dɔktɔ tɛl yu fɔ tek am.
- If yu de yuz tabak prodakt (sigrɛt, chewing tobacco), tɛl yu dɔktɔ bɔt am.Di nikotin we de insay tabak de mek wund nɔ wɛl, so dɛn go advays yu fɔ stɔp fɔ yuz am fɔ lɛk 4 wiks bifo dɛn du di ɔpreshɔn.
Dis tɛm ya, yu gɛt rayt fɔ aks di dɔktɔ ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt bɔt di ɔpreshɔn. Dat na yu rayt.
Aw dɛn kin du di ɔpreshɔn?
Di de we dɛn go du yu ɔpreshɔn, wan dɔktɔ we de anestez go gi yu jenɛral anestezi. Dis min se yu go slip ɔl di tɛm we dɛn de du di ɔpreshɔn. Yu nɔ go fil ɛni pen. Dɔn di dɔktɔ we de du di ɔpreshɔn go fala dɛn tin ya:
1. Fɔ mek smɔl say we yu kɔt: Dɛn kin kɔt smɔl (incision) along wan kris na di skin we de bifo yu nɛk. Di lɔng ɛn usay di say we dɛn kɔt kin difrɛn difrɛn wan fɔ di kayn we aw yu de.
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3. Fɔ pul di disk we dɔn pwɛl: insay di ɔl di ɔpreshɔn, dɛn kin yuz spɛshal ɛkstrem rayt tɛknɔlɔji we dɛn kɔl ``fluoroscopy'' fɔ luk di rayt say ɛn pul di disk we dɔn pwɛl ɛn we dɔn pwɛl kpatakpata.
4. Atifishal disk implant: Dɛn kin put atifishal disk we gɛt di rayt saiz insay di ples usay di disk we dɛn pul bin de.
5. Stich di say we dɛn kɔt: Dɔn dɛn kin briŋ di ɔgan we dɛn bin muf go na sayd bak usay i bin de fɔs, ɛn dɛn kin tek tɛm lɔk di say we dɛn kɔt ɛn stich am.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. Di mɛdikal tim go wach yu at rit ɛn blɔd prɛshɔn te yu wek frɔm di anestezi.
Bɔku tɛm yu kin gɛt fɔ de na ɔspitul fɔ wan nɛt. Di dɔktɔ go mek yu no we yu go ebul fɔ go na os. Yu nɔ go ebul fɔ drayv go na os, so yu go nid pɔsin fɔ drayv yu go na os.
Yu dɔktɔ go gi yu sɔm tin dɛn fɔ ɛp yu wund fɔ wɛl kwik kwik wan afta yu dɔn go na os. Dɛn tin ya kin bi:
- Fɔ tek mɛrɛsin fɔ mek yu fil pen di rayt tɛm.
- Fɔ rɛst bɔku ɛn nɔ fɔ du bɔku tin fɔ sɔm dez (fɔ ɛgzampul, fɔ avɔyd fɔ es ebi ebi tin dɛn, fɔ rɔn, ɛn fɔ jomp).
- Fɔ kip di say we dɛn kɔt am klin ɛn aw fɔ kia fɔ am.
- Fɔ tek pat pan fizik tɛrapi.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit dɛn ɛn i gɛt smɔl smɔl prɔblɛm dɛn bak.
Advantej ɛn sakrifays
Risach dɔn sho se bɔku pan di pipul dɛn we kin du dis ɔpreshɔnI de gi big rilif frɔm pen fɔ shɔt ɛn lɔng tɛm. I de ɛp bak fɔ mek di nɛk muv fayn fayn wan ɛn nɔ gɛt ɛnitin fɔ stɔp am. Bɔrku pipul kin ebul fɔ go bak to dɛn nɔrmal tin fɔ du afta lɛk siks mɔnt.
Risk ɛn kɔmplikeshɔn dɛn
Kɔmplikɛshɔn afta dis ɔpreshɔn nɔ kin bɔku, bɔt i impɔtant fɔ no bɔt dɛn.
| Tayp ɔf kɔmplikeshɔn | Tɔk bɔt |
|---|---|
| Sɔt tɛm kɔmplikeshɔn (we kin apin kwik kwik wan) . | |
| Infekshɔn na wund | Fɛminɛshɔn na di say we dɛn kɔt am. |
| I nɔ kin izi fɔ swɛla (Dysphagia) . | I nɔ kin izi fɔ swɛla it ɔ wata. Bɔku tɛm, dis kin apin fɔ shɔt tɛm. |
| Di vɔys we de ala lawd wan | Wan chenj na di vɔys. Bɔku tɛm, dis kin apin bak fɔ shɔt tɛm. |
| Kɔmplikɛshɔn dɛm wae kin kam fɔ lɔng tɛm (we kin kam as tɛm de go) . | |
| Adjasεnt sεgmεnt dεjεnεreshכn (ASD) . | Di disk dɛn we de ɔp ɔ dɔŋ di atifishal disk kin west as tɛm de go. |
| Prɔblɛm dɛn we gɛt fɔ du wit atifishal disk | Na smɔl tɛm nɔmɔ, disk kin lɔs ɔ brok. |
| di bon dεm we de gro na di rכng ples (Hεterotopic ossification - HO) . | di nyu bon dεm we de gro rawnd di atifishal disk kin mek di nεk muv. |
Aw lɔng i kin tek fɔ mek i wɛl ɔltogɛda?
I kin tek siks mɔnt fɔ mek i wɛl ɔl. Bɔt smɔl smɔl yu kin go bak to yu nɔmal tin dɛn. Di tipik rikavari tɛm frɛm na lɛk dis:
- Tu dez afta di ɔpreshɔn: Yu kin du tin dɛn we yu kin du ɛvride fɔ yusɛf, lɛk fɔ was yu fes ɛn mek ti.
- Wik tu to tri: Yu kin du nɔmal tin dɛn we nɔ izi fɔ du.
- Wik 4 to siks: Yu kin go bak to bɔku pan di spɔt dɛn we nɔ gɛt kɔntakt.
Dɛn tɛm ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin, so i impɔtant fɔ aks yu dɔktɔ bɔt wetin yu kin du ɛn wetin yu nɔ go ebul fɔ du ɛn fala dɛn instrɔkshɔn dɛn gud gud wan.
Ustɛm yu nid fɔ go to dɔktɔ kwik kwik wan?
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ ɔ go na ɔspitul wantɛm wantɛm .
- If di say we dɛn kɔt am de blɔd ɔltɛm.
- If yɔlɔ ɔ grɛn wata we tan lɛk pus de kɔmɔt na di wund.
- If yu gɛt siriɔs pen .
- If yu gɛt fiva .
- If di prɔblɛm fɔ swɛla it de bɔku.
- If yu gɛt nyu swɛt ɔ wik na yu leg ɔ yu an .
Afta yu dɔn ɔpreshɔn, yu go nid fɔ go to yu dɔktɔ fɔ sɔm fɔlɔp apɔntinmɛnt dɛn fɔ chɛk aw yu wund de wɛl ɛn if di atifishal disk de wok fayn. Yu dɔktɔ go mek yu no we dɛn apɔntinmɛnt ya de.
Mɛsej we dɛn kin kɛr go na os
- sεvikal disk riplesmεnt כpεrayshכn (CDR) na sef εn ifektiv tritmεnt fכ siriכs pen εn nεv kכmpreshכn we di dεjεnεraytiv disk dεm na di nεk de kכz.
- Dis ɔpreshɔn kin mek di pen nɔ bɔku ɛn i kin mek di nɛk muv fayn fayn wan.
- I kin tek sɔm mɔnt fɔ mek i wɛl ɔl, ɛn i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan.
- If yu gɛt ɛni kwɛstyɔn bɔt di ɔpreshɔn, di tɛm we yu go wɛl, ɔ ɛni ɔda tin, nɔ shem fɔ aks yu dɔktɔ.
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