Yu kin gɛt pen bak we nɔ de dɔn na yu nɛk ɛn bak, yu an ɛn fut dɛn kin swɛ? Sɔntɛnde, yu kin fil lɛk se yu nɔ de balans we yu de waka? If yu gɛt sayn dɛn lɛk dis, yu dɔktɔ go dɔn tɔk bɔt ɔpreshɔn pan yu spɛnal. Na nɔmal tin fɔ mek yu fred smɔl we yu yɛri dat. Bɔt if dɛn tɛl yu bɔt am di rayt we, yu go ebul fɔ lɛf da fred de. Tide, wi go tɔk bɔt wan pan dɛn spɛshal ɔpreshɔn dɛn de, we na laminoplasty.
Fɔ tɔk am simpul wan, wetin na laminoplasty?
Tink bɔt yu spayna lɛk wata paip. Insay da paip de na di men kebul we de kɛr mɛsej dɛn ɔlsay na wi bɔdi, we na di spɛshal kɔd. Naw, wetin kin apin if fɔ sɔm rizin, fɔ ɛgzampul, bikɔs ɔf wan disk we gɛt hεnia, di ples we de insay dis paip kin smɔl ɛn kɔnstrikt? di spεnal kכd we de insay, εn di nεv dεm we de kכmכt insay, de bigin fכ sכk. Na da tɛm de prɔblɛm lɛk pen ɛn swɛt kin kam.
Laminoplasty na ɔpreshɔn we de pul da prɛshɔn de ɛn opin di spɛshal kanal bak.
dis involv fכ kכt di ‘lamina’ (bon plet) na di bak pat pan wan vεrbra na di spayna, we yu nכ de pul am kכmplit, bכt fכ opin am sכmtεm na wan say, lεk we dεn de opin di domɔt, fכ mek spεs. dis de mek di prεshכn we de pan di spεnal kכd nכ de. Bɔku tɛm dɛn kin du dis ɔpreshɔn fɔ kɔmpreshɔn fraktrɔs na di sɛvikal spayna.
Udat dɛn kin se dɛn fɔ du dis ɔpreshɔn?
Dɛn kin se yu fɔ du dis ɔpreshɔn if yu dɔktɔ tink se yu spɛnal kɔd nid mɔ ples. Na mɔtalman, e kin fayn fɔ pipul dɛm wae gɛt dɛn sik ya:
- Nɛk ɛn bak pen: Pen we kin te fɔ lɔng tɛm ɛn we mɛrɛsin nɔ kin pul am.
- di an εn di leg dεm we de sכmtεm sכmtεm sכmtεm כ wik: di an εn leg dεm de lכs fכ fil bikoz fכ di nεv dεm we de kכmprεshכn.
- I nɔ kin izi fɔ waka: I nɔ kin balans ɛn fil se i nɔ kin tinap tranga wan we i de waka.
- Prɔblɛm dɛn we de wit di urinary ɛn bowel control: Dis kכndyushכn kin apin we siriכs prεshכn de pan di spεnal kכd.
- di sεvikal Spondylotic Myelopathy: di kכmpreshכn fכ di spεnal kכd bikoz fכ di dεjεnεreshכn fכ di vεrbra dεm na di nεk.
- Stenosis: di spεnal kanal de sכmtεm bikoz fכ difrεn rizin dεm.
di tin we impɔtant pas ɔl na dat, dis ɔpreshɔn de gi sɔpɔt ɛn stebul to di spayna, ɛn i de ɛp bak fɔ mek dɛn nɔ gɛt siriɔs nyurolɔjik dizayd lɛk paralayz.
Aw dɛn kin du di ɔpreshɔn ɛn di we dɛn we dɛn kin yuz
Di de we dɛn go du di ɔpreshɔn, dɛn go put yu ɔnda jenɛral anestezi so dat yu nɔ go fil ɛni pen. Di dɔktɔ we de du di ɔpreshɔn go fala dɛn tin ya:
.
2. fכ pul di tisu dεm: dεn de push di mכsul dεm εn כda tisu dεm jכnt na sayd fכ rich di spεnal bon.
3. Fɔ opin di lamina: Dɛn kin kɔt di lamina bon ɛn opin am na wan say lɛk domɔt fɔ mek ples. Na ya, dɛn nɔ kin pul di bon kpatakpata.
. biכs di vεrbra dεm nכ de fכs tכgeda, di muvmεnt na di nεk εn bak nכ de rεstrikt.
5. Suturing di incision: di tisu de kam bak εn di skin incision de suture.
Tu men we dɛn de fɔ opin di lamina we dɛn de du ɔpreshɔn. Yu dɔktɔ go pik di we we go fayn fɔ yu bay aw yu sik.
| Teknik Nem fɔ di wok | Aw fɔ du am (Diskripshɔn) . |
|---|---|
| Opin Doa (Singl Door Mɛtɔd) . | Dɛn kin kɔt wan say na di lamina bon, opin am lɛk domɔt, ɛn tay am wit mɛtal plet dɛn. |
| French Door (We fɔ yuz tu domɔt) . | Dɛn kin kɔt di lamina na di midul pan di bon, opin am na di tu say dɛn lɛk wan pe domɔt, ɛn fiks am bay we dɛn yuz bon graft ɔ ɔda tin dɛn. |
Fɔ wɛl ɛn fɔ kia fɔ am afta dɛn dɔn ɔpreshɔn am
Yu go nid fɔ de na ɔspitul fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dɛn go alaw yu fɔ go na os afta di anestezi dɔn west ɔl.
- Pen Manejmɛnt: Yuz pen kil jɔs lɛk aw yu dɔktɔ tɛl yu fɔ pen afta yu dɔn ɔpreshɔn.
- Rɛst: Di fɔs wik dɛn rili impɔtant. Gɛt bɔku rɛst. Nɔ du tin dɛn we de mek yu strɛs lɛk fɔ es wet, fɔ bɛn, ɛn ɔda tin dɛn I kin izi fɔ yu if yu gɛt pɔsin fɔ ɛp yu fɔ du wok na os.
- Sɛvikal Kɔla: Sɔntɛnde, yu dɔktɔ kin se yu fɔ wɛr spɛshal kɔla fɔ mek yu nɔ muv yu nɛk ɛn ɛp fɔ mek yu wɛl.
- Ɛksesaiz: Yu kin bigin fɔ du layt tin dɛn lɛk fɔ waka bak afta sɔm dez. Afta lɛk 6-12 wiks, we yu dɔn wɛl, yu kin bigin fɔ du ɛksɛsayz ɔnda di gayd fɔ pɔsin we de mɛn yu bɔdi, lɛk aw yu dɔktɔ tɛl yu.
- Ri-ɛgzamin: Yu fɔ go to dɔktɔ bak insay sɔm wiks fɔ chɛk aw di say we dɛn kɔt de wɛl.
I kin tek 6 to 12 wiks fɔ mek i wɛl. So, i rili impɔtant fɔ peshɛnt ɛn du wetin di dɔktɔ tɛl wi fɔ du.
Risk situeshɔn ɛn situeshɔn usay dɛn fɔ aks fɔ dɔktɔ wantɛm wantɛm
Jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin we pɔsin de du laminoplasty, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
- Blɔd we de kɔmɔt
- Infekshɔn na di say we dɛn de du di ɔpreshɔn
- Nɛv dɛn we dɔn pwɛl
- Prɔblɛm dɛn we de wit di urinary ɔ bowel control
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Pen we bad ɔ we de mek pɔsin fil pen mɔ ɛn mɔ
- Di skin kin swel ɛn chenj in kɔlɔ na di say we dɛn du di ɔpreshɔn
- Fiva
- I nɔ kin izi fɔ yu fɔ blo ɔ fɔ swɛla
- Diziz we pɔsin kin gɛt
- Nɔ ebul fɔ kɔntrol di urine ɔ stɔl
If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt di tɛm we yu go wɛl, nɔ ɛva shem fɔ aks yu dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Laminoplasty na ɔpreshɔn we kin wok fayn ɛn we nɔ kin sef fɔ mek dɛn nɔ gɛt prɛshɔn pan di spɛnal kɔd ɛn di nerv dɛn.
- Dis kin mek yu nɔr gɛt sɔm kayn sik lɛk yu nɛk ɛn bak pen ɛn nɔr de fil fayn, ɛn nɔr de stɔp yu nɛk fɔ muv.
- Bikɔs i kin tek sɔm tɛm fɔ mek i wɛl, i rili impɔtant fɔ rɛst ɛn fala di advays dɛn we di dɔktɔ gi yu.
- If yu gɛt ɛnitin we nɔ kɔmɔn (fiva, bad bad pen, swɛlin) afta yu dɔn du di ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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