Yu bak pen nɔ kin dɔn ilɛksɛf yu tek bɔku mɛrɛsin? Sɔntɛnde dis pen kin go dɔŋ yu leg, ɛn yu leg kin fil lɛk se dɛn de go numb? If dis pen de mɔna yu te yu nɔ ebul fɔ ivin du yu ɛvride wok fayn fayn wan, yu dɔktɔ go dɔn tɔk to yu bɔt wan ɔpreshɔn we dɛn kɔl laminectomy. Di nem kin tan lɛk se i de mek pɔsin fred smɔl, bɔt na ɔpreshɔn we dɛn kin du rili kɔmɔn. So tide, lɛ wi fɛn ansa to ɔl yu kwɛstyɔn dɛn bɔt dis, jɔs lɛk we yu de tɔk to yu padi.
Wetin na laminectomy? Fɔ tɔk am simpul wan...
Imajin se di spaynal kɔd ɛn di nerv dɛn we de kɔmɔt insay de tan lɛk motoka dɛn we de na rod we bɔku pipul dɛn de pas. Di bildin dɛm we de na di tu say dɛm na di rod (i.e., di spayna) de blok di rod, we de mek trafik jam. Laminectomy ɔpreshɔn tan lɛk fɔ mek di rod big.
fכ bi prεsis, we dεn de du dis כpεrayshכn, di dכkta de pul wan sכmכl bon we dεn kכl ‘lamina’ na di bak pat pan wan pan yu vεrbra. dis de mek di spεs (spinal kanal) usay di spεnal kכd εn di nεv dεm de big. Dis kin mek di nɛf dɛn we dɛn bin dɔn pinch ɛn kɔmprɛs fri. Dis na wae de mek yu bak ɛn yu leg nɔr de fil pen ɛn nɔr de fil fayn.
Wetin mek yu nid fɔ du Laminectomy?
Bɔku tɛm, dɔktɔ dɛn nɔ kin du ɔpreshɔn wantɛm wantɛm. Dɛn kin tray fɔs tin dɛn lɛk fyzikal tritmɛnt ɛn mɛrɛsin fɔ mek dɛn nɔ fil pen. Bɔt na if dɛn tin dɛn de nɔ kɔntrol yu sik dɛn nɔmɔ dɛn go tink bɔt fɔ ɔpreshɔn.
Bɔku tɛm, di men tin we kin mek dis apin na wan sik we dɛn kɔl spɛshal stenɔsis . As wi de ol, di katilej bitwin wi vεrbra dεm de west, εn sכmtεm εkstra bon spur dεm de fכm. dis kin mek di say we di spεnal kכd de pas kin sכmtεm sכmtεm sכmtεm. Dis narrowing de mek di nerves dem kompres.
Spinal stenosis kin mek yu gɛt sɔm sayn dɛm lɛk:
- Nek de pen
- Sɔlda pen
- Bak pen we kin mek pɔsin fil bad bad wan
- Wiknɛs na di an ɛn fut dɛn
- Tingling na di leg dɛn
- Sɔm pipul dɛn kin gɛt prɔblɛm fɔ kɔntrol dɛn bɔdi ɛn urine.
| Ɔda rizin dɛn we kin mek dɛn du ɔpreshɔn fɔ pul laminectomy | |
|---|---|
| Atraytis we pɔsin kin gɛt | di joyn dεm we de swεla de mek di spayna chenj εn i de pinch di nεv dεm. |
| Disk we gɛt Herniated | di kushכn we lεk jεli bitwin di vεrbra dεm de bulge kכmכt εn prεs pan di nεv dεm. Wi kin kɔl dis bak ‘spinal disk herniation’. |
| Bɔn Fraktrɔs | Wan brok spayna ɛn nerv we dɔn pwɛl bikɔs ɔf aksidɛnt. |
| Spinal Tumɔr we dɛn kɔl | di nεv kכmpreshכn bikoz fכ wan tכmכro we de gro nia di spεnal kכd. |
Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?
Bifo yu du di ɔpreshɔn, yu dɔktɔ go tɛl yu klia wan bɔt wetin fɔ du. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Dɔktɔ in advays
- Gɛt tɛst: Yu kin nid nyu tɛst ripɔt, lɛk X-ray ɛn MRI, fɔ no klia wan aw yu bak de.
- Stɔp sɔm mɛrɛsin dɛm: Sɔm mɛrɛsin dɛm wae yu de tek (ivin pen kil ɛn vaytamɛn dɛm) kin ambɔg di ɔpreshɔn ɛn yu wɛl bɔdi. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Stɔp fɔ tek dɛn fɔ sɔm dez lɛk aw dɛn tɛl yu fɔ tek dɛn.
- Nɔ smok: If yu na pɔsin we de smok, i rili impɔtant fɔ lɛ yu lɛf fɔ smok bifo yu du di ɔpreshɔn. Smok kin mek yu gɛt prɔblɛm afta yu dɔn ɔpreshɔn ɛn i kin mek yu wund nɔ wɛl.
- Pripia di wok dɛn we yu fɔ du na os bifo tɛm: Yu go nid fɔ rɛst fɔ sɔm tɛm afta di ɔpreshɔn. So, bay di tin dɛn we yu nid fɔ yuz na os bifo tɛm. Tɔk to yu fambul ɛn padi dɛn ɛn arenj fɔ lɛ pɔsin ɛp yu.
Nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn. Dis rili impɔtant fɔ anestezi.
Na di de we dɛn go du di ɔpreshɔn...
- Wear fayn klos we nɔ gɛt natin fɔ du wit am.
- Rimov ɔl di jɔyri, lɛk iaring, nɛks, ɛn breslɛt, ɛn lɛf dɛn na os.
- Tek yu inshɔrans kad, ID kad, ɛn ɔda tin dɛn wit yu.
- Afta di ɔpreshɔn, pɔsin go de wit yu fɔ kɛr yu go na os ɛn kia fɔ yu.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi. Dis min se yu nɔ go fil ɛni pen ɛn yu go slip ɔl.
1. Anestezi: Di dɔktɔ we de anestez go put mask oba yu fes ɛn gi yu anestezi gas. I kin gi yu mɛrɛsin bak insay in bɛlɛ. Yu go slip insay sɔm briz. Wan tim we gɛt spɛshal pipul dɛn go wach aw yu at de bit ɛn aw yu de blo ɔl di tɛm we dɛn de du di ɔpreshɔn.
2. Ɔpreshɔn:
- Dɛn tɔn yu fes dɔŋ ɛn mek yu ledɔm wit yu bak ɔp.
- Di dɔktɔ we de du di ɔpreshɔn kin kɔt smɔl pat na di skin oba di say we i de fil pen.
- Dɔn, dɛn kin push di mɔsul dɛn ɛn di tisu dɛn na di sayd smɔl smɔl fɔ mek di spayna kɔmɔt na do.
- Naw di impɔtant pat de kam. Ɛni ɛkstra bon fragmɛnt, bon spur, ɔ ligamɛnt we de pinch di nɛv dɛn, dɛn kin tek tɛm kɔt am ɛn pul am.
- Sɔntɛnde, dɛn kin jɔyn dis ɔpreshɔn wit ɔda ɔpreshɔn dɛn. fכ egzampl, if di spεnal instεbiliti de, dεn kin du spεnal fכs כpεraysh כn, we de jכyn tu vεrbra dεm togeda. Ɔ dɛn kin du diskɛktɔmi , we kin pul wan disk we gɛt hεnia.
Laminectomy kin tek bitwin 1 ɛn 3 awa. Bɔt if di sik tranga, i kin tek lɔng tɛm. We di ɔpreshɔn dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich ɔ step. Afta dat, dɛn go tɔn yu ɔpsayd ɛn wek frɔm di anestezi.
Wetin kin apin afta di ɔpreshɔn?
Na di ɔspitul...
Afta yu wek, dɛn go kɛr yu go na wan post-op wɔd, usay di nɔs staf go tek kia ɔf yu gud gud wan.
- Yu kin fil smɔl smɔl: Yu kin fil smɔl smɔl ɔ yu kin slip fɔ sɔm awa afta yu wek. Dis na nɔmal tin.
- Yu kin fil sɔm pen: I nɔmal fɔ fil sɔm pen na di say we dɛn de du di ɔpreshɔn. Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen fɔ dis.
- Yu go bigin fɔ waka: Dipen pan di kayn ɔpreshɔn, dɛn go aks yu fɔ grap ɛn waka rawnd smɔl wit di ɛp we nɔs go ɛp yu da ivintɛm de ɔ di nɛks de. Dis rili impɔtant bikɔs we yu waka, i kin mek yu blɔd go fayn ɛn i kin mek blɔd nɔ klɔt na yu leg.
- Fizik tritmɛnt: Yu dɔktɔ go rifer yu to fisiotɛrapist. I go tich yu ɛksesaiz dɛn fɔ du sloslo.
Afta yu kam bak na os...
- Nɔ drayv fɔ 1-2 wik.
- Nɔ bɛn fɔ go bifo ɔ es ebi ebi tin dɛn fɔ sɔm wiks.
- Kip di wund klin ɛn dray . I nɔ kin izi fɔ yuz mɛrɛsin fɔ yu bak injury fɔ yusɛf, so aks yu fambul fɔ ɛp yu.
- Aks yu dɔktɔ bɔt aw fɔ was.
- Yu kin pul di stich ɔ step dɛn insay lɛk tu wiks so. Nɔ tray fɔ pul dɛn yusɛf .
- Nɔ travul fɔ lɔng tɛm ɛn fɔ rayd motoka fɔ sɔm tɛm. If nid de, grap ɛn waka rawnd ɛvri awa.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt dɛn tin ya nɔ bɔku. Yu dɔktɔ go ɛksplen dɛn tin ya to yu bifo tɛm.
| Denja | Simpul ɛksplen |
|---|---|
| Blɔd we de kɔmɔt | Smɔl blɔd we de kɔmɔt we dɛn de du di ɔpreshɔn ɔ afta dɛn dɔn du di ɔpreshɔn. |
| Sik we de prɛd | Smɔl chans fɔ gɛt wund infɛkshɔn. |
| Blɔd we De Klɔt | Blɔd kin klɔt, mɔ na di leg dɛn. Fɔ waka kwik na di we fɔ mek dis nɔ apin. |
| Di Nɛv dɛn we De Damej | Na smɔl tɛm nɔmɔ, wan nerve kin pwɛl, we kin mek pɔsin wik ɔr nɔr de fil fayn. |
| Spinal Fluid Lik we de na di bɔdi | sכm sכm lik fכ di sεribrospεnal fכluid (CSF) we de rawnd di spεnal kכd. |
Wetin fɔ du if pen stil de afta dɛn dɔn du di ɔpreshɔn? Pɔst-Laminektomi Sindrɔm
Sɔntɛnde, na smɔl tɛm nɔmɔ, di pen nɔ kin stɔp lɛk aw dɛn bin de tink afta dɛn dɔn ɔpreshɔn am. Sɔntɛnde, nyu sayn dɛn kin apia. Na so i biDɛn kɔl am Post-Laminectomy Syndrome.
If yu gɛt dis, i rili impɔtant fɔ tɛl yu dɔktɔ wantɛm wantɛm . Dɛn kin fɛn di kɔz ɛn dɛn kin bigin fɔ gi di rayt tritmɛnt (lɛk spɛshal ɛksɛsayz, mɛrɛsin, injɛkshɔn, ɛn ɔda tin dɛn). Nɔ wɔri, sɔlv de fɔ ɔltin.
Mɛsej we dɛn kin kɛr go na os
- Laminectomy na wan kɔmɔn ɔpreshɔn we dɛn kin du fɔ trit bak ɛn leg pen we kin kam bikɔs ɔf di nerv kɔmpreshɔn. I de mek mɔ ples fɔ di nerv dɛn.
- Bɔku tɛm, dɔktɔ kin tɛl dɛn fɔ du dis ɔpreshɔn if ɔda tritmɛnt dɛn nɔ dɔn wok fayn.
- I rili impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo ɛn afta di ɔpreshɔn.
- I kin tek tɛm fɔ mek i wɛl. Na fɔ peshɛnt. Nɔto ɔlman kin mɛn di sem we. Nɔ rɔsh am.
- If pen kɔntinyu afta dɛn dɔn du di ɔpreshɔn ɔ nyu sayn dɛn de kam, nɔ shem fɔ tɔk to yu dɔktɔ.
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