Ngā mea katoa mō te pokanga ACDF mō te mamae o te kaki (Anterior Cervical Discectomy & Fusion)

Ka pāngia koe e te mamae nui i ētahi wā mai i tō kaki ki raro ki ō ringaringa, e te ngoikore rānei o ō maihao? Tērā pea ka paku pōturi koe i a koe e hikoi ana. Ko te take o ēnei mea he uaua kua werohia i te tuaiwi kaki. Nō reira, i tēnei rā ka kōrero tātou mō tētahi pokanga tino angitu mō tēnei mate. Ka kiia tēnei ko te pokanga ACDF.

He aha rawa te pokanga ACDF?

Ki te kī māmā noa, ko te ACDF he kupu whakarāpopoto mō "Anterior Cervical Discectomy and Fusion." Kia mārama tātou ki tēnei i te reo Sinhala.

• Ko te tikanga o te kupu Anterior Cervical ko 'mai i te mua o te kaki.' Ko te tikanga o tēnei ka mahia tēnei pokanga mai i te taha o te korokoro.
• Ko te tikanga o te "discectomy " ko te 'tango i te kōpae'. Koinei te wāhanga rite ki te tiēre o tō tātou tuaiwi i waenganui i ngā wheua e rua. Ka taea e ia te pupuhi ki waho ka pēhi i te io.
• Ko te tikanga o te hononga ko te 'hononga'. Ko te whakatakoto i tētahi hononga wheua ki te wāhi i tangohia ai te kōpae, mā te hono i ngā tuaiwi e rua o runga, o raro hoki hei hanga i tētahi wheua kaha.

Nō reira, ko te kaupapa matua he haere mā te taha mua o tō kaki, tangohia te kōpae raruraru, ka honoa aua tuaiwi e rua. Hei whakamama i te pēhanga o ō io tuaiwi, o tō taurakira rānei i roto i tō kaki.

Mā wai tēnei pokanga e tūtohu?

Nā te mea he pokanga nui tēnei, ka mahia noa e ngā tākuta i muri i te korenga o ngā maimoatanga katoa. Mena kei a koe ngā tohu i raro nei, ā, kāore e pai ake i ngā maimoatanga paerewa, ka whakaarohia pea e tō tākuta tēnei pokanga.

Engari kia maumahara, kāore ēnei tohu e hiahiatia he pokanga. Ka ngana tuatahi tō tākuta ki te whakahaere i te mate mā te whakaora tinana, ngā rongoā, me te werohanga steroid epidural pea.

Ka whakaarohia anake te pokanga mēnā kāore aua mea e āwhina. Ko te whakatau whakamutunga mō te hiahiatanga o te pokanga, kāore rānei, mā tō tohunga tuaiwi.

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Me pēhea te whakarite i mua i te pokanga?

He iti noa ngā mea me whakarite e koe i mua i te pokanga.

• Te tūtaki ki te tākuta: Me tūtaki koe ki tō taote pokanga i mua i te pokanga. Ka tirotirohia koe e ia, ka pātai atu hoki mō tō hauora me ngā rongoā katoa e tangohia ana e koe.
• Ngā whakamātautau e tika ana: Mena kāore anō kia tirohia he hihi-X, he matawai MRI rānei mō tō kaki, ka tonoa ēnei. Mā ēnei ka āwhina ki te whakatau i te wāhi tuturu o te raruraru me tōna kaha.
• Te whakarērea o ngā whanonga kino: Ki te kaipaipa koe, me mutu rawa atu i te iti rawa i te kotahi marama i mua i te pokanga. Ka whakaroa te kaipaipa i te whakaora o te wheua. Ka tonoa hoki koe kia mutu te inu waipiro.
• Ngā rongoā whakaiti toto: Mena kei te tango koe i ngā rongoā whakaiti toto, me mutu te tango i ēnei i ētahi rā i mua i tō pokanga, e ai ki ngā tohutohu a tō tākuta. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
• Te tangata hei kawe i a koe ki te kāinga: He mea nui kia whakaritea i mua i te wā kia kawe tetahi i a koe ki te kāinga i muri i te pokanga.

Me pēhea te mahi i te pokanga?

Āe, kia kite tātou i te aha ka puta i te wā o te pokanga. Kaua e manukanuka, ka pangia koe e te rongoā whakamoe whānui, nō reira kāore koe e mamae. Ka moe pai koe.

1. Te tapahi: I a koe e moe katoa ana, ka tapahia e te taote pokanga he tapahi iti, 1-2 inihi te roa, ki mua o tō kaki, i te nuinga o te wā i te tuakoi o te kaki.

2. Te tae atu ki te tuaiwi: Kātahi ka nekehia tō trachea me tō esophagus ki te taha, ā, ka tae atu koe ki te tuaiwi.

3. Te Tango i te Kōpae: Muri iho, ka tangohia katoatia te kōpae raruraru e pēhi ana i te io me ngā wheua koiwi kāore e hiahiatia kua hanga huri noa.

4. Te Hononga: Ko te wāhanga tino nui tēnei. Ka whakaurua he hononga wheua, he kete iti rānei kua whakakiia ki te paura wheua ki te wāhi i tangohia ai te kōpae. Mā tēnei ka honoa ngā tuaiwi e rua o runga, o raro hoki i roto i te wā, ka hanga he wheua kaha kotahi. Pērā i te hononga o te ringa whati.

5. Te Whakapūmau: Hei ārai i te nekeneke o ēnei wheua kia tika rā anō te tūnga, he maha ngā wā ka whakapūmautia ki tētahi pereti whakarewa iti me ngā tīwiri.

6. Te kati i te tapahi: Hei whakamutunga, ka whakahokia ngā mea katoa i mahia ki taua taha ki tōna tūranga tika, kātahi ka kati te tapahi, ka tuia.

Ko te roanga o tēnei pokanga katoa he 1-2 hāora te roa.

He aha ngā mea ka tupu i muri i te pokanga? He pēhea te roa o te wā whakaora?

I muri i te pokanga, ka haria koe ki tētahi wāhanga tirotiro. Ka aro turukihia tō āhua kia hoki mai anō tō māramatanga. I te nuinga o te wā, kotahi noa te pō e noho ai koe ki te hōhipera.

He mea nui ēnei mea mō te whakaora:

• Ngā rongoā whakamamae: Ka tohua e te tākuta ngā rongoā whakamamae mō te mamae i ngā rā tuatahi.
• Okiokinga: Me nui te okiokinga mō ngā wiki tuatahi. Me mutu rawa te hiki taumaha me te mahi i ngā mea e whakararu ana i tō kaki.
• Taupoki Kaki: I ētahi wā, ka tonoa pea koe kia mau i tētahi taupoki motuhake hei tautoko i tō kaki. Me mau e koe mō te roa e taunakitia ana e tō tākuta.
• Whakaora tinana: 4-6 wiki i muri i te pokanga, ka tohutohuhia koe kia mahi i ngā mahi whakakori tinana i raro i te tirotiro a tētahi kaiwhakaora tinana hei whakapakari i ngā uaua o te kaki.

E ono ki te tekau mā rua marama pea te roa o te ora me te kaha o te wheua. Engari ka taea e koe te hoki mārire ki ō mahi o ia rā. I runga i tō mahi, tera pea ka taea e koe te hoki ki te mahi i roto i ngā wiki e toru ki te ono, me te whakaae a tō tākuta.

He tūponotanga kei roto i tēnei pokanga?

Pērā i ngā pokanga katoa, kei reira ētahi mōrearea. Heoi, he onge ēnei. Ko te ōrau angitu he teitei ki te 85%-95%. Anei ētahi o ngā raruraru ka pā mai.