Ngā mea katoa mō te pokanga ALIF (Anterior Lumbar Interbody Fusion) mō te mamae o te tuara

Kei te pāngia hoki koe e te mamae o te tuara, ahakoa te tango rongoā, te mahi whakapakari tinana, me te mahi i ngā mea katoa? I ētahi wā ka horapa atu tēnei mamae mai i te tuara ki ngā waewae. I roto i tēnei āhuatanga, kua kōrero pea tō tākuta ki a koe mō te pokanga ALIF. He mea noa te mataku ina whakahuatia te pokanga. Engari kaua e manukanuka, ka kōrerohia e mātou ngā mea katoa i roto i ngā kupu māmā, he aha tēnei pokanga ALIF, me pēhea te mahi, me pēhea te whakarite mōna.

He aha te pokanga ALIF?

Ahakoa te ahua uaua o te ingoa ALIF, me wehewehea kia rite ki ngā kupu.

• A - Kei mua: Ko te tikanga o tēnei "mai i mua." Ko te tikanga ka uru atu te taote pokanga ki tō tuaiwi mā te tapahi iti i te taha o tō puku .
• L - Lumbar: E pā ana tēnei ki te wāhanga o raro o tō tuara . Ko te nuinga o te mamae o te tuara ka puta i tēnei wāhi.
• I - Interbody: Ko te tikanga o tēnei ko "i waenganui i ngā tuaiwi e rua." He mea hanga tō tātou tuaiwi i ngā wheua iti (vertebrae) e whakatakotoria ana tetahi ki runga i tetahi. Ka mahia te pokanga i waenganui i ēnei tuaiwi e rua.
• F - Hononga: Ko te tikanga o tēnei ko te "hononga tahi".

Whakaarohia kua tawhito te wāhanga rite ki te urunga i waenganui i ngā tuaiwi e rua o tō tuaiwi (e kiia ana tēnei ko te kōpae intervertebral). Kātahi ka mirimiri aua tuaiwi, ka pēhi i ngā io e rere ana i roto i a rātou. Ko te wā tēnā ka puta mai te mamae nui o te tuara.

Nō reira, i roto i te pokanga ALIF, ka haere koe mā roto i te puku ka tangohia te kōpae tawhito, kua tawhito, ka whakakapia ki tētahi wahi wheua hou, ki tētahi kēti iti rānei i hangaia ki te titanium (tāpiri). I roto i te wā, ka honoa ngā tuaiwi e rua o runga me raro ki te wahi hou, ka noho hei wheua kaha kotahi. Kātahi ka ngaro te pēhanga io, ā, ka iti haere te mamae.

Ko wai e hiahia ana ki tēnei pokanga ALIF?

I te nuinga o te wā ka tūtohu te tākuta i tēnei pokanga ina kore ētahi atu maimoatanga (rongoā, whakakori tinana, whakaora tinana) e āwhina i te mamae o te tuara. Ko te nuinga o te wā ka whakamahia tēnei pokanga mō ēnei āhuatanga e whai ake nei:

• Mate Kōpae Whakahekeheke: Ina memeha haere ngā kōpae i waenganui i ngā tuaiwi i te koroheketanga, i ētahi atu take rānei, ka pēhi i ngā io.
• Lumbar Radiculopathy: Ko ngā āhuatanga pēnei i te mamae me te mānumanu e horapa ana ki raro i ngā waewae nā te pēhanga o te io tuaiwi.
• Spondylolisthesis: Ko te nekehanga whakamua o tētahi tuaiwi ki runga ake i tētahi.
• Scoliosis: Ngā āhuatanga pēnei i te piko o te tuaiwi.
• Ahakoa he maha ngā pokanga tuara kua mahia ki mua, tera pea he pai tēnei tikanga.

Me pēhea te whakarite i mua i te pokanga?

Ehara tēnei i te mea ka taea te whakatau i roto i te rā kotahi. He maha ngā mea me whakamahere tahi kōrua ko tō tākuta. Me wehewehe tēnei whakaritenga kia maha ngā wāhanga.

Te āhua o te mahi pokanga

Kia haria koe ki te rūma pokanga, ka meinga koe e te tohunga whakamoe kia moe rawa, kia kore ai koe e mamae.

He mahi tahi tēnei pokanga. E rua ngā taote pokanga e whai wāhi nui ana ki tēnei.

1. Tākuta Uru: Ko te mahi a tēnei tākuta he whakawātea i te huarahi mō te tākuta tuaiwi ki te uru atu ki tō tuaiwi. Ka tapahia e ia tō puku, tata ki te 2-3 inihi i raro i tō pito. Kātahi ka nekehia marietia ngā uaua puku, te pēke peritoneal, me ngā uaua toto ki tahaki hei whakawātea i te wāhi mō te taurakira.

2. Taote Tuaiwi: Inaianei ka riro mā te tohunga tuaiwi te mahi. Māna e tango katoa te kōpae kua pakaru, kua tawhito. Kātahi ka whakaurua te hononga wheua, te whare titanium rānei (whakakotahi) i kōrerotia e tātou i mua ake nei ki roto i te wāhi. Ki te kore e hiahia kia neke haere, ka whakaurua he tīwiri iti, ā, ka whakau.

Kia oti tēnei mahi, ka hoki mai te tākuta tuatahi ka whakahoki i ngā whekau, ngā uaua toto, me ērā atu ki tōna tūranga tika, ka tuitui i ngā uaua o te puku, ā, ka kati i te tapahi kiri.

Ko te tikanga ka roa te mahi pokanga mō tēnei, kotahi ki te rua hāora te roa, engari ka roa ake pea mēnā he maha ngā kōpae e hiahiatia ana kia whakakapia, mēnā rānei kua pokangahia tō puku i mua.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka puritia koe ki tētahi wāhi whakaora kia tae rā anō ki te wā e hoki ake ai tō māramatanga. I reira, ka tirotirohia tonutia tō manawa e ngā nēhi, ā, ka hoatu hoki he rongoā mamae ki a koe.

Kātahi ka whakawhitia koe ki te wāhanga. Me noho koe ki te hōhipera mō te toru ki te whā rā. I roto i tēnei wā,

• Kei te aro turuki mārie mātou mō ngā tohu o te mate urutā.
• I te rā tuatahi i muri i te pokanga, ka akiakihia koe kia ara ake, kia hikoi haere. He mea tino nui tēnei mō te tere o te ora.

Te tukanga whakaora

E hia pea ngā marama ka ora katoa. Tērā pea kāore e taea e koe te hiki i ngā taumaha, te piko i te hope, te huri rānei i tō tinana mō ētahi wiki. E hia pea te tau ka honoa katoatia te kongakonga wheua kua whakaurua ki ngā tuaiwi.

He aha ngā painga me ngā mōrearea o te pokanga ALIF?

Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti anō hoki ngā mōrearea.

Ngā Painga

• Kāore tēnei e whara i ngā uaua o muri o te tuara. Nā te mea kei te puku te tapahi, he iti ake te mamae, ā, he poto ake te wā whakaora.
• Mā tēnei tikanga ka taea te tango pai ake i te kōpae me te whakauru i tētahi kongakonga wheua nui ake i te pokanga wheua o muri o te hope o te lumbar intervertebral discectomy (PLIF).
• Ka taea te whakamahi i tēnei tikanga ahakoa e te tangata kua pokaina tōna tuara i mua.

Ngā Tūponotanga (Ngā Raruraru)

• He mea noa te mōrearea o te mate urutā me te toto nui i roto i ngā pokanga katoa.
• Te pakaru o te io.
• Te kino ki ngā whekau, ki te pūkahukahu, ki ngā oko toto rānei. (He tino onge ēnei)
• Te puta o ngā uaua o te puku mā roto i te tapahi (hernia tapahi).

Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.

Āhea te wā e tika ai kia kite i te tākuta i te wā e taea ai

Ki te pāngia koe e tētahi o ēnei tohu i muri i te hokinga ki te kāinga , waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera.

• Ki te pāngia koe e te kirika, ka mātao koe, ka wiri hoki.
• Mena he whero te patunga pokanga, he pupuhi, he mamae ki te pā atu, he pupuhi rānei (he tohu pea ēnei nō te mate).
• Mena he nui rawa atu te mamae i tō te whakaaro , ā, kāore e memeha ahakoa kua tangohia ngā rongoā whakamamae.

He mea noa te mataku me te whakaroa ina whakaaro koe ki te pokanga ALIF. Nā te mea kua pāngia pea koe e ngā raruraru tuara. He whakatau nui tēnei i roto i tō oranga. Nō reira, kōrero ki tō tākuta mō ō pātai me ō wehi katoa. Mā rātou e whakamārama ngā mea katoa ki a koe, ā, mā rātou koe e āwhina ki te whakatau i te whakatau pai rawa atu.