Kodi mumamvanso kupweteka kwa msana pafupipafupi? Kodi ululuwu nthawi zina umamveka ngati ukutsika mwendo wanu? Anthu ambiri nthawi zina amanena motere, "Kodi diski yanga yatsika kuti?" Ndipotu, kwa anthu ambiri, ululuwu umachepa ndi mankhwala, kupuma, ndi chithandizo cha thupi. Komabe, nthawi zina vutoli likakula kwambiri, madokotala amalimbikitsa opaleshoni. Dzina la opaleshoniyo ndi 'Diskectomy'. Chifukwa chake lero, tiyeni tikambirane za izi kuti tithetse mafunso onse omwe muli nawo m'maganizo.
Mwachidule, kodi 'disk' iyi ndi chiyani?
Msana wathu umapangidwa ndi mafupa ang'onoang'ono, limodzi pamwamba pa linzake. Kuti mafupawa asakhudzene, pali ma cushion pakati. Ganizirani ngati 'zotengera mantha' m'galimoto. Ma cushion amenewo ndi omwe timawatcha ma intervertebral disc.
Chilichonse mwa ma diski awa chili ndi mphete yakunja yolimba pang'ono komanso gawo lamkati lofewa ngati jelly. Nthawi zina, pakakhala kupanikizika kwambiri, mphete yakunja iyi imang'ambika ndipo gawo lamkati lofanana ndi jelly limatuluka. Ndicho chomwe timatcha 'diski yotsetsereka'. Malinga ndi zamankhwala, timatcha disc iyi kuti herniated .
Disiki yomwe imatuluka motere imakankhira mitsempha yapafupi. Pamenepo ndi pamene timamva zizindikiro monga kupweteka ndi dzanzi kumbuyo, mkono, kapena mwendo. Kuchotsa diskectomy ndi opaleshoni yomwe imachotsa disk yomwe imatuluka ndikukankhira mitsempha.
Kodi njira zosiyanasiyana zochitira opaleshoniyi ndi ziti?
Njira yochitira opaleshoni yomwe dokotala wanu angasankhe ingasiyane malinga ndi vuto lanu komanso komwe diski ili (kumbuyo kapena khosi). Pali njira zingapo zazikulu.
| Njira yopangira opaleshoni | Mwachidule, momwe mungachitire |
|---|---|
| Tsegulani Diskectomy | Iyi ndi njira yachikhalidwe. Kuduladula kumapangidwa pafupifupi inchi imodzi kapena ziwiri kuchokera pa diski yomwe yakhudzidwa, minofu imakokedwa pang'onopang'ono, ndipo dokotala, akuyang'ana mwachindunji pa diski, amachotsa diskiyo. |
| Kuchotsa/Kuchotsa Microdiskectomy Kochepa | Apa, pakhungu pamakhala kudula pang'ono kwambiri (kochepera inchi imodzi). Kenako, zida zapadera ndi kamera (endoscope) zimayikidwa ndipo diskiyo imachotsedwa moyang'aniridwa ndi chowunikira. Izi siziwononga minofu kwambiri. |
| Opaleshoni ya khosi (Anterior Cervical Diskectomy ndi Fusion - ACDF) | Izi zimachitika kwa anthu omwe ali ndi diski ya herniated m'khosi mwawo. Chodabwitsa n'chakuti, opaleshoniyi imachitika kuchokera kutsogolo kwa khosi. Disikiyo imachotsedwa, ndipo fupa limayikidwa kapena choyikapo chapadera m'malo mwake kuti msana ukhazikike bwino. (Spinal Fusion). |
Kodi inenso ndikufunika opaleshoni iyi?
Funso ili ndi lofunika kwambiri. Si aliyense amene ali ndi herniated disc amene angafunike opaleshoni. Anthu pafupifupi 90 mwa 100 amachira popanda opaleshoni. Dokotala wanu adzayesa kaye:
- Kupereka mankhwala ochepetsa ululu ndi opumitsa minofu.
- Kutumiza ku chithandizo cha thupi.
- Mwina kupereka jakisoni wapadera mu msana (Epidural Steroid Injection).
Komabe, ngati palibe kusintha patatha miyezi ingapo ya chithandizochi, ndipo ngati pali zinthu zotsatirazi, dokotala angaganizire za opaleshoni:
- Ngati ululu kapena dzanzi m'dzanja kapena mwendo wanu ndi losapiririka ndipo simungathe kuchita ntchito za tsiku ndi tsiku.
- Ngati minofu ya m'dzanja kapena mwendo yafooka kwambiri.
- Ngati muli ndi ululu waukulu (sciatica) womwe umamveka ngati kugwedezeka kwamagetsi komwe kumatsika mwendo wanu.
Zadzidzidzi!
Ngati mwadzidzidzi mukumva ngati mukulephera kulamulira miyendo yonse iwiri, kapena ngati mukukumana ndi vuto lotchedwa Cauda Equina Syndrome, ndi vuto lalikulu kwambiri. Ngati izi zitachitika , muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) kuchipatala nthawi yomweyo, mosazengereza.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Ngati mwasankha kuchitidwa opaleshoni, dokotala wa opaleshoni adzakumana nanu ndikukufotokozerani zonse.
- Mudzafufuzidwa bwino.
- Mayeso ojambulira zithunzi, monga MRI scan, amachitidwa.
- Adzakufunsani za mbiri yanu yonse ya matenda ndi mankhwala omwe mukumwa.
- Ngati ndinu wosuta fodya, mukulangizidwa kuti musiye kusuta fodya milungu inayi musanachite opaleshoni, chifukwa nikotini imachedwetsa kwambiri kuchira kwa bala.
- Funsani dokotala mafunso aliwonse omwe muli nawo panthawiyi.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa opaleshoni?
Nthawi yochira imasiyana malinga ndi munthu aliyense. Zimatengera kuopsa kwa vuto lanu, thanzi lanu lonse, komanso momwe mumatsatira malangizo a dokotala wanu.
Kawirikawiri, anthu ambiri amayamba kumva bwino mkati mwa sabata imodzi mpaka zinayi . Nthawi yochira opaleshoni yaing'ono yodulidwa ndi yochepa kwambiri.
Chofunika kwambiri ndikutsatira malangizo a dokotala mosamala mukatha opaleshoni.
- Muyenera kupewa kupindika msana wanu, kunyamula zolemera, ndi kupotoza kwa milungu itatu mpaka isanu ndi umodzi. Kuchita izi kumawonjezera chiopsezo chakuti disc ya herniated ichitikenso.
- Mukhoza kuyamba ntchito yopepuka patatha milungu iwiri.
- Mungathe kubwerera ku zochita zanu za tsiku ndi tsiku patatha milungu isanu ndi umodzi.
- Pa ntchito yovuta kapena masewera, muyenera kudikira pafupifupi miyezi itatu.
Zoopsa za opaleshoni ndi nthawi yoti mukaonane ndi dokotala
Monga opaleshoni iliyonse, opaleshoni ya diskectomy ikhoza kukhala ndi zoopsa zazing'ono. Komabe, izi sizichitika kawirikawiri. Ndikofunikira kudziwa bwino izi.
| Zoopsa zomwe zingachitike chifukwa cha opaleshoni | Zizindikiro zomwe zimafuna chithandizo chamankhwala mwachangu |
|---|---|
| Kutupa kwa mankhwala oletsa ululu, kutuluka magazi, matenda a mabala. | Kutupa, kufiira, ndi malungo pamalo pomwe bala lavulala. |
| Magazi amaundana. | Ngati ululu ukuwonjezeka m'malo mochepa. |
| Kuwonongeka kwa mitsempha. | Kusanza mwadzidzidzi kapena kufooka kwa minofu . |
| Kutuluka kwa madzi a m'mphuno (CSF). | Kuvuta kupuma. |
| Mwina ululu udzakhalabe womwewo kapena diski idzagwanso. | Kuvuta kukodza kapena kuchita chimbudzi. |
Kupweteka kwa msana ndi vuto lomwe limakhalapo kwa moyo wonse. Ndizachibadwa kuopa opaleshoni. Koma kumbukirani, iyi ndi njira yochiritsira yomwe nthawi zambiri imakhala yopambana ndipo ingakuthandizeni kubwezeretsa moyo wanu panjira yoyenera.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa diski ndi opaleshoni yomwe imachitidwa pa vuto la herniated disk lomwe silinachiritsidwe ndi mankhwala ena ndipo limayambitsa zizindikiro zoopsa.
- Pali mitundu yosiyanasiyana ya njira, monga njira yotseguka komanso yosalowa kwambiri. Lankhulani ndi dokotala wanu za njira yomwe ili yoyenera kwa inu.
- Nthawi yochira pambuyo pa opaleshoni ndi yofunika kwambiri. Onetsetsani kuti mwatsatira malangizowa kuti mupewe kupindika, kukweza, ndi kupotoza .
- Ngati mukuona zizindikiro monga kutayika mwadzidzidzi kwa mphamvu ya miyendo kapena kutayika kwa njira yowongolera mkodzo/ndowe, pitani ku chipatala nthawi yomweyo ku Emergency Treatment Unit (ETU).
- Palibe chifukwa choopera izi. Gulu lanu lachipatala nthawi zonse limakhala lokonzeka kukuthandizani. Afunseni chilichonse chomwe chili m'maganizo mwanu.
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