Kei te pāngia hoki koe e te mamae tonu i tō kaki me tō tuara, te ngoikore o ō ringaringa me ō waewae? Kei te ahua ngaro tō taurite i ētahi wā ina hikoi koe? Mena kei a koe ēnei tohu, tera pea kua kōrero tō tākuta mō te pokanga tuaiwi. He mea noa te mataku ina rongo koe i tēnā. Engari ki te mōhio tika koe ki tēnā, ka taea e koe te wikitoria i taua mataku. I tēnei rā, ka kōrero tātou mō tētahi o aua pokanga motuhake, arā, te laminoplasty.
He aha te laminoplasty?
Whakaarohia tō tuaiwi he paipa wai. Kei roto i taua paipa te taura matua e kawe ana i ngā karere puta noa i tō tātou tinana, arā, te taura tuaiwi. Nā, he aha te mea ka tupu mēnā, hei tauira, nā te kōpae herniated, ka whaiti, ka piri te wāhi i roto i tēnei paipa? Ka tīmata te taura tuaiwi o roto, me ngā io e puta mai ana i waho, ki te pēhia. Koinā te wā ka puta ai ngā raruraru pēnei i te mamae me te korekore o te tinana.
He pokanga te laminoplasty e whakaiti ana i te pēhanga me te whakatuwhera anō i te awaawa tuaiwi kua whaiti.
Ko te tikanga o tēnei ko te tapahi i te 'lamina' (te pereti wheua) kei muri o te tuaiwi i te tuaiwi, me te kore e tangohia katoatia, engari me whakatuwhera paku ki te taha kotahi, pērā i te whakatuwheratanga o te tatau, hei hanga wāhi. Mā tēnei ka whakamama i te pēhanga ki te taurakira. He maha ngā wā ka mahia tēnei pokanga mō ngā whati pēhanga i roto i te tuaiwi kaki.
Mā wai tēnei pokanga e tūtohutia?
Tērā pea ka tūtohutia tēnei pokanga mēnā e whakaaro ana tō tākuta me nui ake te wāhi e hiahiatia ana e tō tuaiwi. Tērā pea he pai mō te hunga whai mate e whai ake nei:
- Mamae kaki me te tuara: He mamae e roa ana, ā, kāore e whakaorangia e te rongoā.
- Te ngoikore, te ngenge rānei o ngā ringa me ngā waewae: Te ngaronga o te rongo i ngā peka me ngā peka nā te pēhanga o ngā io.
- Te uaua ki te hikoi: Te ngaro o te taurite me te kore e pumau i te wa e hikoi ana.
- Ngā raruraru ki te whakahaere mimi me te puku: Ka puta pea tēnei āhuatanga ina he nui te pēhanga ki te taurakira.
- Te Myelopathy Spondylotic Cervical: Te pēhanga o te taurakira nā te pirau o ngā tuaiwi o te kaki.
- Stenosis: Te whaiti o te awa tuaiwi nā ngā take maha.
Ko te mea nui, ka tautokohia, ka pumauhia hoki te tuaiwi e tēnei pokanga, ā, ka āwhina hoki ki te ārai i ngā mate pūnaha io kino pērā i te pararutiki.
Te āhua o te mahi pokanga me ngā tikanga i whakamahia
I te rā o te pokanga, ka tukuna koe ki raro i te rongoā whakamoe whānui kia kore ai koe e mamae. Ka whai te taote pokanga i ēnei mahi:
1. Te tapahi: Ka tapahia he wahi iti ki te kiri kei muri o te kaki, i runga ake i te tuaiwi e tika ana.
2. Te tango kiko: Ka pana māriretia ngā uaua me ētahi atu kiko ki tahaki kia tae atu ai ki te wheua tuaiwi.
3. Te whakatuwhera i te lamina: Ka tapahia te wheua lamina, ā, ka whakatuwheratia tetahi taha pērā i te tatau hei hanga wāhi. I konei, kāore te wheua e tangohia katoatia.
4. Whakapūmau: Ka whakapūmautia te wheua kua tuwhera mā te whakamahi i ngā pereti me ngā tīwiri whakarewa iti, mā te whakamahi rānei i tētahi hononga wheua iti, hei pupuri i a ia ki tōna tūranga. Nā te mea kāore ngā tuaiwi i honoa ngātahi, kāore e herea te nekehanga o te kaki me te tuara.
5. Te tuitui i te tapahi: Ka whakahokia te kiko, ā, ka tuituia te tapahi kiri.
E rua ngā tikanga matua mō te whakatuwhera i te lamina i te wā e pokanga ana. Mā tō tākuta e whiriwhiri te tikanga tino tika i runga i tō āhua.
| Ingoa Hangarau | Me pēhea te mahi (Whakaahuatanga) |
|---|---|
| Tūwhera te Kūaha (Tikanga Tūaha Kotahi) | Ka tapahia tetahi taha o te wheua lamina, ka whakatuwheratia pērā i te tatau, ā, ka whakauhia ki ngā pereti whakarewa. |
| Kūaha Wīwī (tikanga tatau-rua) | Ka tapahia te lamina i waenganui o te wheua, ka whakatuwheratia i ngā taha e rua pērā i ngā tatau e rua, kātahi ka whakamau mā te whakamahi i ngā whakapiri wheua, i ētahi atu taputapu rānei. |
Te whakaoranga me te tiaki i muri i te pokanga
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. Ka whakaaetia koe kia hoki ki te kāinga ina mutu katoa te rongoā whakamoe.
- Te Whakahaere Mamae: Whakamahia ngā rongoā whakamamae mamae kia rite ki tā te tākuta i tohutohu ai mō te mamae i muri i te pokanga.
- Okiokinga: He mea tino nui ngā wiki tuatahi. Kia nui te okiokinga. Āta karohia ngā mahi taumaha pēnei i te hiki taumaha, te piko, me ētahi atu. He tino māmā ake mēnā he tangata hei āwhina i a koe ki ngā mahi o te whare.
- Kara o te kaki: I ētahi wā, ka tūtohu pea tō tākuta kia mau i tētahi kara motuhake hei whakawhāiti i te nekehanga o te kaki me te āwhina i te whakaora.
- Whakakorikori Tinana: Ka taea te tīmata anō i ngā mahi māmā pēnei i te hikoi i muri i ētahi rā. I muri i te 6-12 wiki pea, ina tino ora koe, ka taea e koe te tīmata whakakorikori tinana i raro i te arataki a te kaiwhakaora tinana, e ai ki ngā tohutohu a tō tākuta.
- Arotakenga Anō: Me toro atu anō koe ki te tākuta i roto i ētahi wiki hei tirotiro me pēhea te ora o te motu.
E ono ki te tekau mā rua wiki pea te roa hei whakaora katoa. Nō reira, he mea tino nui kia manawanui, kia whai hoki i ngā tohutohu a te tākuta.
Ngā āhuatanga mōrearea me ngā āhuatanga e tika ana kia rapua he tohutohu hauora tonu
Pērā i ngā mahi pokanga katoa, he iti noa iho ngā tūponotanga e pā ana ki te laminoplasty, engari he tino onge ēnei.
- Te toto
- Te mate i te wāhi i pokangahia
- Te pakaru o te io
- Ngā raruraru ki te whakahaere mimi, ki te puku rānei
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) i te hōhipera tata.
- Mamae nui, mamae haere rānei
- Te pupuhi me te rerekētanga o te kiri i te wāhi i pokangahia
- Kirika
- Te uaua ki te manawa, te horomi rānei
- Pōuriuri
- Te kore e taea te whakahaere i te mimi, i te tūtae rānei
Mena he pātai, he āwangawanga rānei āu mō te wā whakaora, kaua e mangere ki te pātai atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- He pokanga angitu, haumaru hoki te laminoplasty hei whakamama i te pēhanga ki te taurakira me ngā io.
- Ka whakamamaetia ngā tohu pēnei i te mamae o te kaki me te tuara me te māuiui, ā, kāore e whakawhāiti i te nekehanga o te kaki.
- I te mea he roa te wā e hiahiatia ana hei whakaora tino pai, he mea tino nui te okioki me te whai i ngā tohutohu a te taote.
- Ki te pāngia koe e ētahi tohu rerekē (kirika, mamae nui, pupuhi) i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta.
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