Me ako noa tātou mō te pokanga PLIF (Posterior Lumbar Interbody Fusion) mō te mamae nui o te tuara.

E mōhio ana te hunga kua pāngia e te mamae o te tuara ki te uaua o te noho tahi me tēnei mamae. I ētahi wā ka horapa atu tēnei mamae o te tuara ki raro i ngā waewae, ka pā te ngau kino. Hei otinga mō tēnei mamae nui, kāore nei e āwhinahia mā te tango rongoā me te whai i te whakaora tinana, ka tūtohu pea tō tākuta kia pokangahia. Ko tētahi o aua pokanga ko te PLIF. Kaua e mataku ina rongo koe i tēnei ingoa. Nō reira, i tēnei rā ka kōrero tātou mō te aha tēnei pokanga PLIF, me pēhea te mahi, me te mea me wehi koe i tēnei.

He aha te pokanga PLIF?

Ki te whakarāpopototanga, he momo pokanga honohono tuaiwi te PLIF. He wheua kei roto i tō tātou tuaiwi e kiia nei ko ngā tuaiwi e whakatakotoria ana tetahi ki runga i tetahi. I waenganui i ēnei wheua e rua, he wāhi kua whakakīia hei ārai i te ru i roto i te motuka. Ka kiia tēnei ko te kōpae intervertebral.

I roto i te wā, nā te aituā, nā tētahi atu mate hauora rānei, ka pakaru pea tēnei kōpae. Kātahi ka pupuhi, ka tīmata te pēhi i te io tuaiwi e tata ana. Ko te wā tēnā ka tīmata ai te mamae o te tuara me te mamae e haere ana ki raro i ō waewae.

I roto i te pokanga PLIF, ka tangohia e ngā taote pokanga te kōpae pakaru , ka whakauruhia he taputapu motuhake e kiia nei ko te 'spacer' ki roto i te wāhi. Ka taea te hanga i tēnei 'spacer' ki te konganuku, ki te kirihou, ki te wheua rānei. He rite tonu te teitei ki te kōpae i tangohia. Kātahi ka whakakīia te wāhi ki te hononga wheua. He rite tēnei ki te whakatakoto moata ki waenganui i ngā pereki i te wā e hanga ana i te pakitara pereki. I roto i te wā, ka honoa ngā tuaiwi e rua i runga ake nei, i raro hoki, ka hanga he wheua kotahi, kaha.

He aha i mahia ai tēnei pokanga PLIF?

Ko te tikanga ka whakaarohia tēnei pokanga e ngā tākuta ina kore e angitu ētahi atu maimoatanga, pērā i ngā rongoā whakamamae mamae me te whakaora tinana. Kei te ripanga i raro nei ētahi o ngā take matua e whakamahia ai te pokanga PLIF.

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

I mua i te pokanga, ka tirotirohia koe kia kitea ai mēnā he pai tēnei pokanga māu.

Kōrero ki te tākuta

Ka pātai atu tō tākuta ki a koe mō tō hītori hauora, ngā pokanga o mua, me ngā rongoā e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota). Ka mahia hoki e rātou ngā mahi pēnei i te whakamātautau toto hei tirotiro i tō hauora whānui.

Te whakarite mō te pokanga

Mā te tākuta koe e whakamārama ki ngā mea me mahi e koe i mua i te pokanga.

Me pēhea te mahi i te pokanga?

Ka mahia te pokanga i raro i te rongoā whakamoe whānui, arā, kāore koe e rongo i tetahi mea. E 2-3 hāora te roa o te pokanga.

1. Ka tapahia e te taote pokanga tō tuara o raro .

2. Āta totorohia ngā uaua o te tuara ki ngā taha, kia tae atu ki te tuaiwi.

3. Ka tangohia te kōpae pakaru mā te tango i tētahi wāhanga o ngā tuaiwi e kiia nei ko te 'lamina', me te neke mārire i te kiriuhi (dura) e karapoti ana i te taurakira ki tahaki.

4. Ka whakaritea he hononga wheua hei whakakī i te wāhi takoto kau.

5. Ka whakakīia te 'mokowā' (e kiia ana i ētahi wā he 'whare') ki te 'whakapiri wheua'.

6. Kātahi, whakauruhia tēnei 'mokowā' ki roto i te āputa, ka whakau ki ngā tīwiri hei ārai i te nekeneke.

7. Hei whakamutunga, ka whakahokia ngā uaua ki tōna tūranga tika, ā, ka tuia te tapahi kia kati.

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

I muri i te pokanga, ka haria koe ki tētahi wāhi whakaora. I reira, ka aroturukitia tō tere o te ngakau me tō manawa. Ka hoatu he rongoā mamae ki a koe. Kātahi ka whakawhitia koe ki tētahi wāhanga noa. Me noho koe ki te hōhipera mō tētahi rā, e rua rānei, hei tirotiro i ngā raruraru pēnei i te mate pāwera.

Te wā whakaora me ngā mahi ārai

Ka tino marino koe ina ngaro tō mamae tuara. Engari kaua e hoki wawe ki ō mahi o mua. Me hoatu he wā ki tō tinana kia ora ai. Ka roa pea ngā marama, tae atu ki te tau , kia tino hanga te hononga wheua, kia honoa ai ngā tuaiwi e rua.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu.

Ki te pā mai tētahi o ēnei tohu ki a koe ina tae koe ki te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu atu.

• Mena he nui ake tō kirika i te 39.4 nekehanga Celsius (103 Fahrenheit).
• Ki te mea kei te mātao koe, kei te wiriwiri hoki.
• Mena he whero te wāhi i pokanga, he pupuhi, he mamae rānei ki te pā atu.
• Mena he nui atu te mamae i te mea i whakaarohia.

He mea noa te mataku me te manukanuka ina whakaarohia te pokanga PLIF. Engari kia maumahara, he maimoatanga tino whai hua tēnei mō te mamae nui o te tuara me te waewae. Kaua e mangere ki te pātai atu ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Māna e whakamārama ngā mea katoa ki a koe.