Ngā mea e hiahia ana koe kia mōhio mō te Whakakapinga Kōpae Cervical

Kei te mamae tonu tō kaki, kei te uaua rānei te huri i tō kaki, kei te ahua rānei koe i te mamae me te ngoikore o te kaki e rere ana i tō kaki ki raro i tō ringa? Tērā pea kua kōrero mai tō tākuta ki a koe ko te take he kōpae hernia i roto i tō tuaiwi kaki. Nō reira, ko tētahi maimoatanga angitu mō tēnei ko te pokanga whakakapinga kōpae kaki e kōrerohia ana e tātou i tēnei rā. He mea noa te mataku ina rongo koe i tēnei ingoa, engari kia mārama tātou.

He aha te pokanga whakakapinga kōpae kaki (CDR)?

Ki te whakarapopototanga, ko tēnei pokanga (Whakakapinga Kōpae Uha - CDR) he tango i tētahi kōpae kua tawhito, kua pakaru i waenganui i ngā tuaiwi o tō kaki (tuarā o te kaki) ka whakakapia ki tētahi kōpae horihori/whakakapi.

Whakaarohia ngā kōpae i waenganui i ngā tuaiwi o tō tātou tuaiwi he rite ki ngā mea ārai ru i roto i te motuka. Koinei ngā mea e ārai ana i tō tātou tuaiwi kia kaua e mirimiri tetahi ki tetahi, e āhei ai tātou ki te piko, ki te takahuri, ki te neke hoki i ō tātou kaki. I roto i te wā, ka pakaru ēnei kōpae, ka papatahi, ā, ka taea te wero i ngā io e rere ana i roto i a rātou. Ko te wā tēnā e puta mai ai te mamae i kōrerotia e au i mua ake nei.

Nō reira, ko te whāinga matua o tēnei pokanga he whakaora i te wāhi i noho ki te kōpae kua tawhito, me te whakamamae i te pēhanga io me te whakaiti i te mamae me te pupuri tonu i te nekehanga pai o te kaki. Ko ēnei kōpae horihori he mea hanga ki ngā konganuku pērā i te cobalt me ​​te titanium.

Mā wai tēnei pokanga e tūtohu?

He maha ngā wā ka tūtohutia tēnei pokanga mō te hunga e pāngia ana e te mate kōpae pirau o te kaki, ka pā pea tēnei ki te pēhanga io (radiculopathy) te kino rānei o te taurakira (myelopathy) .

Waihoki, kāore e taea e te katoa te mahi i tēnei pokanga. Mena he āhuatanga ōu, tērā pea kāore koe e tika mō tēnei.

Ka tirohia koe e tō tākuta, ā, ka whakatau mēnā ko tēnei pokanga, ko tētahi atu pokanga rānei, pērā i te `ACDF` (Anterior Cervical Discectomy and Fusion), te mea pai mōu.

Me pēhea te whakarite i mua i te pokanga?

Ka tūtaki tō taote pokanga (he taote pokanga wheua, he taote pokanga roro rānei he tohunga ki tēnei mahi) ki a koe i mua i te pokanga. Anei ētahi mea ka pā mai pea:

• He whakamātautau tinana katoa.
• Te pātai atu mō tō hītori hauora me ō tohumate.
• Te tono mō ngā karapa pēnei i te hihi-X o te kaki, te MRI, te myelogram rānei.
• Pātai atu mō ngā rongoā me ngā tāpiringa huaora e tangohia ana e koe i tēnei wā (kaua e mutu te tango i tētahi rongoā ki te kore koe e kīia e tō tākuta).
• Ki te whakamahi koe i ngā hua tupeka (momi hikareti, ngaungau kapia), me whakamōhio atu ki tō tākuta. Ka whakaroa te nikotīni i te whakaora o te patunga. Nō reira, me mutu te whakamahi i ēnei i te iti rawa i te 4 wiki i mua i te pokanga.

Tena koa pātai atu ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe i tēnei wā.

Me pēhea te mahi i te pokanga?

Koinei te āhua o te nuinga o te wā.

1. Tuatahi, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe. Nō reira, kāore koe e mamae, ā, ka moe pai koe.

2. Kātahi ka tapahia e te taote pokanga he wahi iti ki mua o te kaki.

3. Ka nekehia marietia te trachea me te larynx ki tahaki kia tae atu ai ki te tuaiwi.

4. I te roanga o te pokanga, ka mahia te pokanga me te titiro ki roto mā te whakamahi i tētahi hangarau hihi-X motuhake e kiia nei ko te `fluoroscopy`.

5. Ka tangohia marietia te kōpae pakaru, ā, ka tāutahia he kōpae horihori hou hei whakakapi.

6. Hei whakamutunga, ka honoa anō ngā mea katoa, ā, ka tuia te tapahi.

He aha ngā mea ka tupu i muri i te pokanga, ā, he aha ngā mōrearea?

I muri i te pokanga, ka haria koe ki te rūma whakaora, ā, ka tirotirohia. Me noho pea koe i te hōhipera mō te pō. Mā te tākuta me ngā nēhi koe e hoatu ngā tohutohu e tika ana i mua i tō hokinga ki te kāinga.

Ngā raruraru poto (tērā pea he onge te puta)

• Te mate urutā.
• Te uaua ki te horomi (dysphagia).
• Te pāorooro o te reo.
• Korokoro mamae.

Ngā raruraru roa

• Te pirau o te wāhanga tata (ASD): Te mōrearea o te pirau o ngā kōpae i runga ake, i raro hoki i te kōpae kua whakahaerea.
• Ngā raruraru o te kōpae horihori: He tino onge, ka puta he mea pēnei i te hernia o te kōpae.
• Te whakapūtanga wheua heterotopic (HO): Te tipu wheua kāore e hiahiatia ana huri noa i te kōpae. Ka taea e tēnei te whakawhāiti i te nekehanga o te kaki.
• He iti noa te tūponotanga e hiahiatia ana tētahi atu pokanga a muri ake nei.

Kaua e mataku ki ēnei mōrearea. He tino pai ngā hua o tēnei pokanga mō te nuinga o te tangata. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.

Kia pēhea te roa o te wā e ora katoa ai?

E ono marama pea te roa hei whakaora katoa, engari ka taea e koe te hoki mārire ki tō oranga noa.

• E rua ngā rā i muri i te pokanga: Ka taea e koe te tīmata i ngā mahi o ia rā pēnei i te horoi i a koe anō me te taka kai māu ake.
• I roto i ngā wiki e 2-3: Ka taea e koe te mahi i ngā mahi māmā.
• I roto i ngā wiki 4-6: Ka taea e koe te hoki ki te nuinga o ngā mahi, pērā i ngā hākinakina (haunga ngā hākinakina pā).

Ka rerekē pea ēnei wā i ia tangata, i ia tangata, nō reira he mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta.

Āhea te wā tika kia kite tonu i te tākuta

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

• Kei te toto tonu te motu.
• Ka maringi mai he wai, he rite ki te pupuhi, he kōwhai, he kakariki rānei, mai i te motu.
• Te mamae nui e kore e taea te manawanui.
• Te kirika.
• Te uaua haere tonu, te uaua rānei ki te horomi.
• He ngoikore hou, he ngoikore rānei.