Yu kin gɛt pen bak we yu nɔ go ebul fɔ bia na yu bak, yu nɛk, ɔ yu leg? Sɔntɛnde, yu kin fil lɛk se yu nɔr de fil fayn ɛn yu nɔr gɛt layf wit dis pen? Dɔn yu dɔktɔ go dɔn tɛl yu bɔt wan ɔpreshɔn we dɛn kɔl Laminectomy. Di nem de mek yu fred smɔl. Bɔt nɔ wɔri. Lɛ wi tɔk bɔt dis simpul wan, di we we ɔlman go ɔndastand.
Wetin na laminectomy?
Fɔ tɔk am simpul wan, laminectomy na wan kayn ɔpreshɔn we dɛn kin du na in spayna. Wi spayna na smɔl smɔl bon dɛn we dɛn dɔn gɛda pan dɛnsɛf. dεn kכl dεn tin ya vεrbra. εvri vεrbra gεt wan sכmכl pat we lεk arch na di bak we dεn kכl di lamina. Insay dis ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul wan pat ɔ ɔl di lamina.
Wetin mek wi de du dat? we wi du dat, i de mek di ples we de fכ wi spεnal kכd εn di nεv dεm we de insay di spayna bכku. di nεv dεm we dεn kכmprεs de kכmכt. Dɔn, wi kin gɛt bɔku rilif frɔm pen ɛn we wi nɔ kin ebul fɔ bia.
Wetin mek yu nid fɔ du Laminectomy?
di men rizin fכ dis na di sכmtεm we di spεnal kanal de sכmtεm. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis spɛshal stenɔsis . As wi de ol, ɔ fɔ ɔda rizin, di rod we di spɛshal kɔd de pas kin smɔl. Dɔn di nɛf dɛn we de insay am kin bigin fɔ kɔmprɛs. Dis kin mek yu gɛt difrɛn sayn dɛn.
| Kɔmɔn simptom dɛm we kin apin bikɔs ɔf di kɔmpreshɔn na di nerve | |
|---|---|
| 🔹 Nek de pen | 🔹 Sɔlda de pen |
| 🔹 Bak pen | 🔹 Wiknɛs na di an ɛn leg |
| 🔹 Numbness na di leg | 🔹 I nɔ izi fɔ kɔntrol di bɔdi ɔ blad |
Laminectomy opareshכn kin nid fכ sεvεra כda rizin dεm apat frכm spεnal stenosis.
- Atraytis : Jɔyn de swel ɛn pen.
- Bon spur dεm: Bon spur dεm we de gro ausayd di spayna kin prεs pan di nεv dεm.
- εnia disk: Na tin we lεk jεli bitwin di vεrbra dεm de bulge kכmכt εn prεs pan di nεv dεm.
- Dijeneretiv Disk Disease : di kushכn bitwin di vεrbra dεm na di spayna de west wit di ej.
- di tכmכro dεm na di spεnal: sכmtεm dεn tכmכro dεm ya kin fכm nia di nεv dεm εn mek dεn prεshכn.
- Spinal Infεkshכn: Na infεkshכn kכndishכn dεm we de afekt di spayna.
Bɔt mɛmba se, dɔktɔ nɔ kin go ɔpreshɔn wantɛm wantɛm. Fɔs, dɛn kin tray tin dɛn lɛk fɔ mɛn dɛn bɔdi ɛn mɛrɛsin dɛn we dɛn kin gi dɛn. Na if dɛn wan ya nɔ wok nɔmɔ dɛn go tink bɔt fɔ mek dɛn tek laminectomy.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bifo dɛn du yu ɔpreshɔn, yu dɔktɔ go gi yu ditayli instrɔkshɔn dɛn bɔt aw fɔ pripia. Dɛn tin ya kin bi:
- Gɛt nyu imej tɛst: Yu dɔktɔ kin ɔda fɔ mek dɛn tek ɛkstrem rayt ɔ MRI skan fɔ mek yu si yu spayna klia wan.
- Stɔp fɔ tek sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn ) kin afɛkt di ɔpreshɔn ɛn di we aw pɔsin kin wɛl. So na di mɛrɛsin dɛn nɔmɔ we yu dɔktɔ tɛl yu fɔ tek .
- Nɔ smok: If yu de smok, yu go gɛt prɔblɛm dɛn bifo ɛn afta dɛn du di ɔpreshɔn. If i nɔ izi fɔ yu fɔ lɛf fɔ smok, tɔk to yu dɔktɔ bɔt am.
- Plan fɔ rɛst: Yu nɔ go ebul fɔ du ebi ebi wok fɔ sɔm tɛm afta di ɔpreshɔn. So, pak yu tin dɛn we yu go yuz na os bifo tɛm. Mek yu du bɔku wok dɛn na os as yu ebul.
- Mek yu fambul ɛn padi dɛn no: Na big trɛnk fɔ gɛt pɔsin fɔ sɔpɔt yu we yu de wɛl.
- Nɔ it ɔ drink ɛnitin afta midnayt di nɛt bifo di ɔpreshɔn: Dis rili impɔtant. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dɛn kin du dis ɔpreshɔn ɔnda jenɛral anestezi.. Dat min se yu nɔ go fil natin, yu go slip ɔl. Di dɔktɔ we de anestez ɛn in tim go tek tɛm wach ɔltin frɔm yu at rit to aw yu de blo ɔl di tɛm we dɛn de du di ɔpreshɔn.
Na di tin dɛn we dɛn fɔ du fɔ di ɔpreshɔn:
1. Anesthesia: Dɛn go put yu fɔ slip kɔmplit wan bay we yu put mask na yu fes ɔ bay we yu injekt mɛrɛsin insay wan vein na yu an.
2. Pozishɔn: Dɛn go tɔn yu fes dɔŋ fɔ mek i izi fɔ du di bak ɔpreshɔn.
3. Skin incision: Dɛn kin kɔt smɔl na di skin na di bak ɔp di say we i de pen.
4. Lamina rimobul: di dכkta go pul di mכsul dεm na sayd fכ mek di spεnal kכd kכmכt na do. Dɔn, dɛn kin kɔt ɛn pul ɛni bon pat, bon spur, ɔ ligamɛnt we de prɛs pan di nɛv dɛn. Dɛn kɔl dis dikɔmpreshɔn .
5. Ɔda ɔpreshɔn dɛn if nid de: Sɔntɛnde, dɛn kin du ɔda ɔpreshɔn dɛn di sem tɛm wit dis ɔpreshɔn. fכ egzampl, spεnal fכshכn כpεrayshכn , we de jכyn sεvεra vεrbra dεm togeda fכ mek di spayna stebul, כ diskεktomi כpεrayshכn, we de pul wan disk we dεn hεnia.
Dis ɔpreshɔn kin tek lɛk 1-3 awa, bɔt di tɛm kin difrɛn difrɛn wan dipen pan di kɔmplisiti fɔ yu kɔndishɔn. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich ɔ step. Dɔn dɛn kin tɔn yu bak na yu sayd ɛn dɛn kin stɔp di anestezi.
Afta dɛn dɔn du di ɔpreshɔn ɛn afta dɛn dɔn go bak na os
Afta di ɔpreshɔn, dɛn go kɛr yu go na wan post-op yunit ɛn tek tɛm wach yu. We yu wek, yu go fil lɛk se yu de grog smɔl fɔ sɔm tɛm. I nɔmal fɔ fil sɔm bak pen. Dɛn go gi yu mɛrɛsin fɔ mek yu fil pen fɔ dis. Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez.
I impɔtant fɔ grap na bed ɛn bigin fɔ waka kwik kwik wan. Dis kin ɛp fɔ mek blɔd nɔ klɔt. Bɔku tɛm, yu dɔktɔ go tɛl yu fɔ trit yu bɔdi fayn.
Tek kia ɔf dɛn tin ya afta yu rich na os:
- Nɔ drayv: Nɔ drayv fɔ 1-2 wik. Yu dɔktɔ go tɛl yu di rayt tin fɔ du.
- Nɔ es ebi ebi tin: Nɔ fɔ bɛn ɔ es am fɔ sɔm wiks.
- Kip di stich dɛn klin ɛn dray: Bikɔs dɛn de na yu bak, mek sɔmbɔdi ɛp yu fɔ klin di stich dɛn. Aks yu dɔktɔ fɔ tɛl yu aw fɔ was.
- Nɔ travul fɔ lɔng tɛm: We yu travul wit plen ɛn rayd motoka fɔ lɔng tɛm, dat kin mek blɔd klɔt na yu leg. If yu fɔ travul, grap ɛn waka rawnd ɛvri awa.
Yu kin ɔltɛm go bak to nɔmal aktiviti dɛn insay 4-6 wik. Bɔt if yu dɔn gɛt spɛshal fushɔn bak, i kin tek lɛk 2-4 mɔnt fɔ wɛl. I rili impɔtant fɔ peshɛnt.
Risk ɛn prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn
Lɛk ɛni ɔpreshɔn, Laminectomy ɔpreshɔn gɛt sɔm prɔblɛm dɛn.
- Blɔd we de kɔmɔt
- Blɔd we de klɔt
- Infekshɔn na di say we dɛn de du di ɔpreshɔn
- Nɛv dɛn we dɔn pwɛl
- Spinal fluid lik (Sεribrospinal Fluid - CSF) .
- Di spayna we wik
Yu dɔktɔ go tɔk to yu klia wan bɔt dɛn prɔblɛm ya bifo di ɔpreshɔn, so nɔ fred fɔ aks ɛni kwɛstyɔn we yu go gɛt.
Wetin na Pɔst-Laminektomi Sindrom?
Sɔmtɛm, nɔr kin bɔrku, de pen nɔr kin dɔn ɔl afta dis ɔpreshɔn lɛk aw dɛn bin de ɛkspɛkt. Sɔmtɛm de pen kin bɔku ɛn nyu sayn dɛn kin kam. Dis na wetin wi kin kɔl Post-Laminectomy Syndrome (ɔ Failed Back Surgery Syndrome).
If dis kin apin, difrɛn tritmɛnt dɛn de we pɔsin kin gɛt. So if di pen kɔntinyu afta dɛn dɔn du di ɔpreshɔn ɔ if yu gɛt ɛni ɔda tin we nɔ kɔmɔn, go to yu dɔktɔ bak kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Laminectomy na wan kɔmɔn ɛn saksesful ɔpreshɔn fɔ pen we pɔsin kin gɛt we i de kɔmpreshɔn pan di spɛshal nɛv.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo ɛn afta di ɔpreshɔn fɔ mek yu gɛt fayn fayn rizɔlt.
- If di pen nɔ stɔp afta dɛn dɔn du di ɔpreshɔn ɔ if nyu sayn dɛn de sho, nɔ panik ɛn go to yu dɔktɔ kwik kwik wan.
- Ɛni ɔpreshɔn kin gɛt sɔm prɔblɛm dɛn. Na yu rayt fɔ mek dɛn tɛl yu bɔt dɛn bifo tɛm ɛn aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt.
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