Zimene Mukuyenera Kudziwa Zokhudza Kubwezeretsa Cervical Disk

Kodi mumamvanso kupweteka kwa khosi nthawi zonse, kuvutika kutembenuza khosi lanu, kapena kumva kupweteka kwamagetsi ngati kugwedezeka ndi dzanzi komwe kumachokera pakhosi lanu kupita ku dzanja lanu? Dokotala wanu mwina adakuuzani kuti chifukwa chake ndi herniated disc mu msana wanu wa khosi. Chifukwa chake, njira imodzi yothandiza kwambiri pa izi ndi opaleshoni yosinthira khosi yomwe tikukamba lero. Ndizachilendo kumva mantha pang'ono mukamva dzinali, koma tiyeni tidziwe izi.

Kodi opaleshoni yobwezeretsa diski ya chiberekero (CDR) ndi chiyani?

Mwachidule, opaleshoni iyi (Cervical Disk Replacement - CDR) imaphatikizapo kuchotsa disc yosweka, yowonongeka pakati pa vertebrae m'khosi mwanu (cervical spine) ndikuyiyikanso disc yopangira/yopangira.

Taganizirani za ma disc pakati pa mafupa a msana wathu ngati zinthu zoyamwitsa m'galimoto. Izi ndi zomwe zimalepheretsa msana wathu kukandana, zomwe zimatilola kupindika, kupindika, ndikusuntha khosi lathu mosavuta. Pakapita nthawi, ma disc awa amawonongeka, amafewa, ndipo amatha kufinya mitsempha yomwe imadutsa m'ma vertebrae. Pamenepo ndi pomwe ululu womwe ndatchula kale umabwera.

Cholinga chachikulu cha opaleshoniyi ndikubwezeretsa malo omwe diski yosweka inali nayo, komanso kuchepetsa kupsinjika kwa mitsempha ndikuchepetsa ululu pamene khosi likuyenda bwino. Ma diski opangidwa awa nthawi zambiri amapangidwa ndi zitsulo monga cobalt ndi titaniyamu.

Kodi opaleshoni iyi ikulangizidwa kwa ndani?

Opaleshoni iyi nthawi zambiri imalimbikitsidwa kwa anthu omwe ali ndi matenda a cervical degenerative disk, omwe angayambitse kupsinjika kwa mitsempha (radiculopathy) kapena kuwonongeka kwa msana (myelopathy) .

Komanso, si aliyense amene angachitidwe opaleshoniyi. Ngati muli ndi matenda enaake, simungakhale oyenera opaleshoniyi.

Dokotala wanu adzakuyang'anirani ndikusankha ngati opaleshoni iyi kapena opaleshoni ina, monga `ACDF` (Anterior Cervical Discectomy and Fusion), ndi yabwino kwa inu.

Kodi mumakonzekera bwanji musanachite opaleshoni?

Dokotala wanu (dokotala wa mafupa kapena dokotala wa mitsempha yemwe ndi katswiri pa izi) adzakumana nanu opaleshoni isanachitike. Nazi zina zomwe zingachitike:

• Kuyezetsa thupi kwathunthu.
• Kufunsa za mbiri yanu yachipatala ndi zizindikiro zake.
• Kupempha ma scan monga khosi la X-ray, MRI, kapena myelogram.
• Funsani za mankhwala aliwonse ndi mavitamini omwe mukumwa panopa (musasiye kumwa mankhwala aliwonse pokhapokha ngati dokotala wanu wakuuzani).
• Ngati mukugwiritsa ntchito fodya (kusuta, kutafuna chingamu), onetsetsani kuti mwauza dokotala wanu za izi. Nikotini imachepetsa kuchira kwa bala. Chifukwa chake, mudzalangizidwa kuti musiye kuzigwiritsa ntchito milungu inayi musanachite opaleshoni.

Chonde funsani dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo panthawiyi.

Kodi opaleshoniyi imachitidwa bwanji?

Umu ndi momwe zimachitikira nthawi zambiri.

1. Choyamba, dokotala wogonetsa adzakupatsani mankhwala ogonetsa. Kuti musamve ululu uliwonse, ndipo mudzakhala mutulo tofa nato.

2. Kenako dokotalayo amapanga kachidutswa kakang'ono kutsogolo kwa khosi.

3. Khosi la trachea ndi kholingo zimasunthidwa mosamala kuti zifike pamsana.

4. Pa opaleshoni yonse, opaleshoniyi imachitika poyang'ana mkati pogwiritsa ntchito ukadaulo wapadera wa X-ray wotchedwa `fluoroscopy`.

5. Disiki yowonongekayo imachotsedwa mosamala ndipo diski yatsopano yopangira imayikidwa m'malo mwake.

6. Pomaliza, chilichonse chimayikidwanso pamodzi ndipo chodulidwacho chimasokedwa.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni ndipo zoopsa zake ndi ziti?

Pambuyo pa opaleshoni, mudzatengedwera ku chipinda chochiritsira ndikukuyang'aniridwa. Mwina mudzayenera kukhala m'chipatala usiku wonse. Dokotala ndi ogwira ntchito yosamalira anamwino adzakupatsani malangizo aliwonse ofunikira musanapite kunyumba.

Mavuto a nthawi yochepa (sangachitike kawirikawiri)

• Matenda a bala.
• Kuvuta kumeza (dysphagia).
• Mawu omveka bwino.
• Chikhure.

Mavuto a nthawi yayitali

• Kuwonongeka kwa gawo loyandikana (ASD): Kuopsa kwa kuwonongeka kwa ma disc omwe ali pamwamba ndi pansi pa disc yomwe ikuyendetsedwa.
• Mavuto ndi ma disc opangidwa: Nthawi zambiri, chinthu chonga herniation ya ma disc chingachitike.
• Kuchuluka kwa mafupa m'thupi (Heterotopic ossification) (HO): Kusakula kwa mafupa kosafunikira mozungulira diski. Izi zitha kuchepetsa kuyenda kwa khosi.
• Mwayi wochepa woti mungafunike opaleshoni ina mtsogolo.

Musachite mantha ndi zoopsa izi. Anthu ambiri amapeza zotsatira zabwino kwambiri kuchokera ku opaleshoniyi. Dokotala wanu adzakufotokozerani zonsezi.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire bwino?

Zingatenge miyezi 6 kuti munthu achire bwino, koma pang'onopang'ono mukhoza kubwerera ku moyo wanu wachibadwa.

• Masiku awiri mutatha opaleshoni: Mutha kuyamba ntchito za tsiku ndi tsiku monga kusamba ndi kuphika chakudya nokha.
• Mu masabata awiri kapena atatu: Mutha kugwira ntchito yopepuka.
• Mu masabata 4-6: Mutha kubwerera ku zochitika zambiri, monga masewera (kupatula masewera olumikizana).

Nthawi imeneyi imatha kusiyana malinga ndi munthu, choncho ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.

Nthawi yoti mukaonane ndi dokotala nthawi yomweyo

Ngati mukukumana ndi zizindikiro izi mutapita kunyumba kuchokera ku opaleshoni, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala.

• Chotupacho chikupitirira kutuluka magazi.
• Madzi owoneka ngati mafinya achikasu kapena obiriwira amatuluka kuchokera pamalo odulidwawo.
• Ululu waukulu wosapiririka.
• Malungo.
• Kuvuta kumeza mopitirira muyeso kapena mosalekeza.
• Kufooka kwatsopano kapena dzanzi.