I kawr leh i hnungzang na reng reng, i taksa peng hrang hranga natna i nei bawk em? I kal laiin i balance hloh ang maiin i inhria em? Hetiang symptoms i neih chuan i doctor hian spinal surgery chungchang a sawi tawh mai thei. Chu thu i hriat chuan hlauhna tlem a awm chu thil pangngai a ni. Mahse, chu mi chungchâng dik taka hriattîr i nih chuan chu hlauhna chu i hneh thei a ni. Vawiin hian chutiang surgery bik pakhat, laminoplasty chungchang kan sawi dawn a ni.
A awlsam zawngin, laminoplasty tih hi eng nge ni?
I ruhro chu tui pipe angin ngaihtuah rawh. Chu pipe chhungah chuan kan taksa pum puia thuchah phurtu cable lian ber, ruhro (spinal cord) a awm a. Tunah chuan, eng emaw chhan vangin, entirnan, herniated disc avang hian he pipe chhunga hmun hi a tawi a, a inzawm khawm a nih chuan eng nge thleng ang? A chhunga spinal cord, leh a chhunga nerve chhuak te chu a inzawm khawm tan a. Chutah chuan natna leh rilru hahna ang chi harsatna a lo chhuak thin.
Laminoplasty hi chu pressure tihziaawmna leh spinal canal hawn lehna tur surgery a ni.
Hei hian ruhro chhunga vertebra hnung lama ‘lamina’ (ruh) chu hrual vek lovin, a sir khatah tlem tal hawn, kawngkhar hawn ang maia hawn a, hmun siam a huam a ni. Hei hian spinal cord-a pressure a tiziaawm a ni. He surgery hi cervical spine-a compression fracture awmte tan an ti fo thin.
He surgery hi tute tan nge tih a tha?
I doctor-in i spinal cord hian hmun tam zawk a mamawh nia a hriat chuan he surgery hi tih a tha thei ang. A bik takin, a hnuaia natna nei tan chuan a tha thei ang:
- Kawng leh hnungzang na: Natna rei tak a awm a, damdawi hmanga tihdam theih loh.
- Kut leh kea rilru hahna emaw, chak lohna emaw: Nerve compression avanga kut leh kea hriatna hloh.
- Kal harsa: Kal laiin balance hloh leh nghet lo anga inhriatna.
- Urinary leh bowel control lama harsatna: Hetiang dinhmun hi ruhro (spinal cord)-a pressure nasa tak a awm chuan a lo awm thei a ni.
- Cervical Spondylotic Myelopathy: Kawr chhunga ruhro (vertebrae) a chhe lutuk avanga ruhro (spinal cord) a compression.
- Stenosis: Chhan hrang hrang avanga ruhro (spinal canal) a tawi.
A pawimawh ber chu he surgery hian ruhro chu a pui a, a nghet thei bawk a, chubakah neurological disorder na tak tak, paralysis ang chi te pawh a veng thei bawk.
Surgery tih dan leh hman dan tur
Surgery ni hian general anesthesia pek i nih avangin natna i nei lo ang. Surgeon chuan hengte hi a zawm ang:
1. Incision siam: A kawr hnunglam, a kaihhnawih vertebra chungah vunah hian incision te tak te siam a ni.
2. Tissue removal: Muscle leh tissue dangte chu zawi zawiin a sir lamah an nawr a, ruh ruh (spinal bone) thleng tur a ni.
3. Lamina hawn: Lamina ruh chu tan a, a sir khatah kawngkhar ang maiin hawn a, hmun siam a ni. Hetah hian ruh chu a chhuak kim lo.
4. Stabilization: Ruh hawn chu a hmuna awm reng turin metal plate leh screw te te hmangin, a nih loh leh ruh graft te tak te hmangin an stabilized thin. Vertebrae te hi an inzawm khawm loh avangin kawr leh hnungzang chhunga chetna hi tihkhawtlai a ni lo.
5. Incision suturing: Tissue chu a lo awm leh a, vun incision chu suture a ni.
Surgery neih laiin lamina hawn dan tlangpui pahnih a awm. I doctor chuan i dinhmun a zirin a hman dan tur dik ber a thlang ang.
| Technique Hming | A tih dan tur (Description) . |
|---|---|
| Kawngkhar hawn (Kawngkhar pakhata hman dan) . | Lamina ruh sir khat chu an tan a, kawngkhar ang maiin an hawng a, thir plate hmangin an nghet tlat a ni. |
| French Door (Kawngkhar pahnih hmanga siam) . | Lamina hi ruh lai takah an tan a, a sir lehlamah kawngkhar pahnih ang maiin hawn a ni a, ruh graft emaw hmanraw dang emaw hmangin an siam tha leh thin. |
Surgery hnua dam leh enkawl dan
Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Anesthesia a reh vek hnuah chauh in lama haw phalsak i ni ang.
- Pain Management: Operation hnua natna nei tan doctor-in a sawi ang chiah hian painkiller hmang ang che.
- Chawlh hahdam: Kar hmasa te hi a pawimawh hle. Chawlh hahdam tam rawh. Thil hahthlak tak tak, rit phurh, ben, etc. te pumpelh la, inchhung hnathawhnaah puitu tur i neih chuan a awlsam zawk hle.
- Cervical Collar: A then phei chuan i doctor chuan kawr chetna tihtlem nan leh damna atana pui turin collar bik bun a rawt mai thei.
- Exercise: Ni engemaw zat hnuah kea kal ang chi thil tenawm tak tak tih leh theih a ni. Kar 6-12 vel hnuah, i dam kim tawh chuan, i doctor-in a tih angin physical therapist kaihhruaina hnuaiah exercise i tan thei ang.
- Re-examination: Kar tlemte hnuah doctor i pan leh tur a ni a, incision chu engtin nge a dam tih enfiah tur a ni.
A dam kim theih nan kar 6 atanga kar 12 vel a ngai thei. Chuvang chuan dawhthei taka awm a, Doctor thupek zawm a pawimawh hle.
Risk dinhmun leh damdawi lam thurawn lak nghal tur dinhmun
Surgery dang ang bawkin laminoplasty-ah hian hlauhawmna tenau tak tak a awm a, mahse hengte hi a tlem hle.
- Thisen chhuak
- Surgery hmuna natna hrik awm
- Nerve tihchhiat a ni
- Urinary emaw bowel control lama harsatna awm thei
I operation hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- Natna nasa tak emaw, na zual zel emaw
- Surgery neihna hmuna vun hring leh rawng danglam
- Khawsik
- Thâwk harsa emaw, ei harsa emaw
- Luak chhuak thei
- Zun emaw, bawlhhlawh emaw control theih lohna
I dam leh hun tur chungchangah zawhna emaw, ngaihtuahna emaw i neih chuan doctor zawt hreh ngai suh.
Take-Home Thuchah a ni
- Laminoplasty hi surgery hlawhtling leh him tak a ni a, spinal cord leh nerve-a pressure tihziaawmna a ni.
- Hei hian kawng leh hnungzang na leh bengchheng ang chi natna lanchhuahna a tiziaawm a, kawng chetna a tikhawtlai lo.
- A dam kim theih nan hun engemaw chen a mamawh avangin chawlh hahdam leh damdawi lam thurawn zawm hi a pawimawh hle.
- Operation hnua natna lan chhuah dan danglam (khawsik, natna nasa tak, hring) i neih chuan doctor hnenah hriattir nghal tur a ni.
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