Ngā mea katoa mō te pokanga TLIF (Transforaminal Lumbar Interbody Fusion) mō te mamae tuara nui

He tangata koe kua roa e pāngia ana e te mamae o te tuara? I ētahi wā, ka puta he mamae nui o te tuara, kāore e memeha ahakoa kua tangohia he rongoā, kua mahia hoki he mahi whakaora tinana, tika? Nō reira, i roto i ēnei āhuatanga, ina kore e angitu ētahi atu maimoatanga, ka kōrero tātou mō tētahi pokanga motuhake e taunakihia ana e ngā tākuta i tēnei rā. Ko te pokanga TLIF tēnei. Ahakoa he uaua tēnei, kia mārama tātou ki tēnei mea.

Nā, he aha tēnei pokanga TLIF?

Ki te whakarāpopototanga, he momo pokanga tuaiwi te TLIF (Transforaminal Lumbar Interbody Fusion) . He mea hanga tō tātou tuaiwi i ngā wahi iti o te wheua (e kiia nei ko ngā vertebrae) e whakatakotoria ana tetahi ki runga i tetahi. I waenganui i ēnei wahi wheua e rua, pērā i te mea ngongo ru i roto i te motuka, he wāhi rite ki te tiēre e ngongo ana i te ru. Koinei te mea e kiia nei e tātou ko te kōpae intervertebral.

I roto i te wā, i te kaumātuatanga, i te aituā rānei, ka pakaru pea tēnei 'kōpae', ka pupuhi, ka pakaru rānei. Kātahi ka tīmata te pēhi i ngā io tuaiwi e tata ana ki tēnei 'kōpae' . Koinei te wāhi ka tīmata te mamae o te tuara, te ngau, me te mamae e heke ana i ngā waewae.

I roto i te pokanga TLIF, ka tangohia katoatia e ngā tākuta te kōpae pakaru ka whakakapia ki tētahi hononga wheua . Kātahi ka honoa ngā tuaiwi e rua o runga, o raro hoki hei hanga i tētahi wheua kaha. Ka kiia tēnei he hanumitanga. He rite ki te ringihanga raima me te whakatū i ngā pou e rua.

Mā wai te pokanga TLIF e tika?

Ehara tēnei pokanga i te rongoā mō ngā mamae tuara katoa. E taunaki ana ngā tākuta i tēnei pokanga mō te hunga e mamae ana i te mamae nui, ā, kāore anō kia taea te whakaora i a rātou anō mā te rongoā, te werohanga, me te whakaora tinana. He tino whai hua tēnei pokanga mō te hunga e whai ana i ēnei āhuatanga:

He aha ngā mea me whakarite e tātou i mua i te pokanga?

I mua i te pokanga, ka kōrero pai tō tākuta me te tīma hauora ki a koe, ka whakamārama hoki i ngā mea katoa.

• Arotake hauora: Ka mahia ngā mahi pēnei i ngā whakamātautau toto hei tirotiro i tō hauora whānui.
• Ngā Mōhiotanga Rongoā: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe i tēnei wā (tae atu ki ngā huaora me ngā rongoā otaota). Ka tonoa koe kia mutu te tango i ētahi rongoā, inā koa ngā rongoā ārai toto me ngā rongoā anti-inflammatory kore-steroidal (NSAID) , i ētahi rā i mua i te pokanga.
• Kaua e momi hikareti: Ki te mea he kai momi hikareti koe, me mutu rawa. Ka taea e te nikotīni te kore e ora tika te hononga wheua hou, te whakaroa i te whakaora o te patunga, me te whakanui ake i te tūponotanga o te mate.
• He tangata hei āwhina i a koe i te kāinga: Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. He mea tino nui kia whai tangata hei āwhina i a koe i muri i tō hokinga ki te kāinga, ā, mō ngā rā tuatahi e rua, e toru rānei.

He aha ngā mea ka tupu i te rā o te pokanga, ā, i te wā o te pokanga?

I te rā o te pokanga, ka tonoa koe kia kaua e kai, e inu rānei mō te 8-12 hāora. Mā te tohunga whakamoe e whakamārama te āhua o te hoatutanga o te whakamoe ki a koe.

I te wā o te pokanga, ka hurihia tō mata ki raro. Kātahi ka whai te tākuta i ēnei mahi:

1. Tapahi kiri: Ka tapahia he wahi iti ki te kiri o te tuara, kia paku ki te taha o te tuaiwi.

2. Te tango uaua: Hei tae atu ki te tuaiwi, ka kumea marietia ngā uaua kia wehea ki ngā taha.

3. Te whakatuwhera i te tuaiwi: E rua ngā wheua iti o te tuaiwi e kīia nei ko te 'lamina' me te 'facet joint' ka tangohia hei wāhi mō ngā io.

4. Te whakahurihuri i te io: Hei karo i tētahi kino ki te io, ka tino ata hurihia.

5. Te tango i te kōpae: Ka tangohia katoatia te kōpae pakaru, ā, ka horoia te wāhi.

6. Te whakatō wheua me te whakatakotoranga whare herehere: Hei whakakapi i te kōpae kua tangohia, ka whakatakotoria he 'whare herehere' motuhake kua whakakiia ki te whakatō wheua i waenganui i ngā tuaiwi e rua. Ka taea te tango i tēnei whakatō wheua mai i a koe, mai i tētahi atu pūtake rānei.

7. Te whakau i te tīwiri me te tokotoko: E rua ngā huinga tīwiri ka whakaurua ki roto i ngā tuaiwi e rua o runga, o raro hoki, ā, ka honoa ngā mea e rua e te tokotoko. Mā tēnei ka noho tonu ngā tuaiwi e rua ki te tūranga tae noa ki te tupu o te wheua hou.

8. Te tuitui i te patunga: Hei whakamutunga, ka honoa anō ngā uaua, kātahi ka tuituia te patunga kiri.

E rua ki te toru hāora te roa o tēnei pokanga.

He aha ngā mea ka tupu i muri i te pokanga? Me pēhea taku ora ake?

I muri i te pokanga, ka haria koe ki tētahi wāhanga tirotiro. Ka aroturukitia tō tere o te ngakau me tō manawa kia hoki mai anō tō māramatanga. Ka hoatu he rongoā mamae ki a koe. I te nuinga o te wā ka noho koe ki te hōhipera mō te toru ki te whā rā pea.

E rua, e toru marama ki te kotahi tau pea te roa o te ora katoa. Koinei te wā e hiahiatia ana kia honoa katoatia ai te wheua kua honoa ki ngā wheua e rua e toe ana.

Me pēhea te tūpato ina hoki ki te kāinga

Kia kore tō mamae, ka hiahia koe ki te hoki ki tō āhua o mua i te wā e taea ai. Heoi, he mea nui kia hoatu he wā ki tō tinana kia ora ai.

Ka tohutohu te tākuta kia hikoi poto koe i ia rā. Ka tino āwhina tēnei i te tukanga whakaora. Ka tohua hoki e ia he rongoā whakapakari tinana.

Ngā āhuatanga ohorere e hiahia ana kia toro atu ki te tākuta

Mena kei a koe ēnei tohu e whai ake nei, waea atu ki tō tākuta tonu atu.

• Mena he nui ake tō kirika i te 103 Fahrenheit (38.9 Celsius) .
• Ki te mātao koe, ka wiri hoki (ka pāngia koe e te makariri).
• Mena he whero te patunga pokanga, he pupuhi, he mamae rānei ina pā atu .
• Mena he nui atu te mamae i te mea i whakaarohia.

He mea noa te māharahara me te manukanuka mō te pokanga tuara. Engari he tokomaha kua taea te whakakore i te mamae o te tuara, ā, kua pai ake te oranga mā tēnei momo pokanga. Kōrerohia ki tō tākuta ō pātai, ō āwangawanga rānei.