Chithandizo cha kusweka kwa msana - Tiyeni tikambirane za Kyphoplasty!

Ngakhale timaganiza kuti kupweteka kwa msana kumakhala kwabwinobwino tikamakalamba, nthawi zina ululuwu umatha kukulirakulira tsiku ndi tsiku. Makamaka ululu womwe umabwera chifukwa cha kusweka kwa vertebrae kapena monga momwe timatchulira kusweka kwa compression kungakhudze zochita za tsiku ndi tsiku mpaka kufika poti sizingatheke kuchita chilichonse. Lero tikulankhula za njira yothandiza kwambiri yothandizira vutoli.

Mwachidule, kodi Kyphoplasty ndi chiyani?

Kyphoplasty ndi njira yapadera yomwe imachizira mafupa (vertebrae) kumbuyo kwanu omwe asweka chifukwa cha kumenyedwa. Taganizirani izi, msana wathu umapangidwa ndi mafupa ang'onoang'ono (vertebrae) omwe amaunikidwa pamwamba pa wina ndi mnzake. Ndi ukalamba kapena pazifukwa zina, mafupawa amatha kufooka ndipo amatha kusweka ndikugwa pamwamba pa wina ndi mnzake ngakhale ndi kumenyedwa pang'ono. Izi ndi zomwe timatcha `(compression fracture)`.

Izi zikachitika, zidutswa za mafupa osweka zimayamba kukanikiza mitsempha ndi msana kumbuyo. Izi zimayambitsa kupweteka kwa msana kosapiririka, zomwe zimapangitsa kuti zikhale zovuta kuyenda ndi kuyenda. Nthawi zina, kupindika kwa msana kutsogolo, kotchedwa ``kyphosis,'' kungachitikenso.

Kotero, mu chithandizo cha ' Kyphoplasty' ichi, mtundu wa simenti yachipatala (simenti ya mafupa) imayikidwa mu fupa losweka mwanjira yapadera kuti ililimbikitse. Zili ngati kuyika simenti mu mng'alu wa khoma kuti ikonze.

Kutsegula m'mimba ndi vertebroplasty - kusiyana kwake ndi kotani?

Ngakhale kuti njira ziwirizi zingamveke zofanana, pali kusiyana kochepa koma kofunikira. Zonse ziwiri zimaphatikizapo kulowetsa simenti mu fupa losweka la msana. Komabe, mu Kyphoplasty, simenti isanayikidwe, baluni yaying'ono imayikidwa mu fupa ndikufufumitsidwa.

Kusiyana kumeneku kungamveke bwino kuchokera pa tebulo ili m'munsimu.

Kodi chithandizochi n'choyenera kwa ndani?

Ngati ululu wanu wamsana ukukulirakulira tsiku ndi tsiku, ukhoza kukhala chifukwa cha "kusweka kwa minofu yopyapyala". Chifukwa chachikulu cha vutoli ndi matenda otchedwa "osteoporosis" . Mwachidule, pamene mukukalamba, mafupa anu amafooka, amachepa thupi, komanso amasweka mosavuta. Khansa zina zimathanso kuwononga mafupa anu ndikuyambitsa kusweka kumeneku.

Komabe, ngati ululu wanu wamsana umayamba chifukwa cha chinthu china, monga herniated disc, nyamakazi, kapena spinal stenosis, ndiye kuti Kyphoplasty si yoyenera kwa inu. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu kuti adziwe chomwe chimayambitsa ululu wanu ndikusankha chithandizo choyenera.

Kukonzekera musanachite opaleshoni

Ngati mwasankha kuchita opaleshoni iyi, dokotala adzakuyesani asanachite zimenezo. Adzachita mayeso angapo kuti adziwe thanzi lanu lonse.

• Kuwunika thupi
• Kuyezetsa magazi
• Kujambula kwa msana kwa X-ray, CT (Computed Tomography), kapena MRI ( magnetic resonance imaging )

Ndikofunikira kudziwitsa dokotala wanu za mankhwala aliwonse omwe mukumwa komanso ziwengo zilizonse zomwe mungakhale nazo. Mungapemphedwe kuti musiye kumwa mankhwala ena, monga mankhwala ochepetsa magazi , masiku angapo opaleshoni isanachitike. Mungalangizidwenso kuti musamadye kapena kumwa kwa maola angapo opaleshoni isanachitike.

Kodi opaleshoniyi imachitidwa bwanji?

Iyi si opaleshoni yaikulu, kotero palibe choopa.

1. Kusanza: Choyamba mudzapatsidwa `(local anesthesia)`, kapena jakisoni yomwe imachotsa dzanzi pamalo pomwe opaleshoni idzachitikire. Nthawi zina mungagonenso (`sedation`). Nthawi zambiri, mudzakhala osamva bwino.Mankhwala oletsa ululu (general anesthesia) sachitidwa.

2. Malo: Pa opaleshoni, mudzatembenuzidwira pansi chafufumimba ndipo mudzaikidwa chagada.

3. Kuyika singano: Kenako, pogwiritsa ntchito mtundu wapadera wa X-ray (`fluoroscopy`), dokotalayo amabowola kabowo kakang'ono kwambiri pakhungu la kumbuyo kwanu ndikutsogolera singano yopanda kanthu kudzera mmenemo kupita ku fupa losweka.

4. Kuchuluka kwa mabaluni: Kenako, baluni yaying'ono imalowetsedwa kudzera mu singano kulowa mu fupa ndipo pang'onopang'ono imatuluka mpweya, zomwe zimapangitsa kuti pakhale mpata pakati pa zidutswa za mafupa zomwe zagwa.

5. Kudzaza simenti: Baluni imachotsedwa ndipo simenti yapadera yachipatala imalowetsedwa m'malo omwe adapangidwa. Izi zimalimbitsa ndikukhazikitsa fupa.

Ntchito yonseyi imatenga ola limodzi lokha kuti fupa limodzi lidulidwe.

Ubwino wa chithandizo ndi kuchira

Popeza kyphoplasty ndi opaleshoni yochepa kwambiri, kuchira kumachitika mwachangu kwambiri.

Pambuyo pa opaleshoni, mudzagonekedwa pabedi kwa ola limodzi kuti simenti ikhazikike bwino. Pambuyo pake, mudzatha kuyenda. Mungamve kupweteka kwa masiku angapo pamene singano inalowetsedwa. Izi ndi zachilendo. Komabe, dokotala wanu adzakulangizani kuti mupewe kunyamula katundu wolemera kapena kuchita masewera olimbitsa thupi kwa milungu ingapo .

Kodi pali zoopsa zilizonse?

Monga momwe zimakhalira ndi njira ina iliyonse yachipatala, Kyphoplasty ili ndi zoopsa zina zomwe sizichitika kawirikawiri. Izi siziyenera kuopa, koma ndikofunikira kuzidziwa.

• Matenda: Angachitike kawirikawiri.
• Kutuluka magazi: Kuchokera pamalo pomwe singano inalowetsedwa.
• Kuwonongeka kwa mitsempha: Izi zingayambitse kumva dzanzi.
• Ziwengo: Kwa mankhwala omwe amagwiritsidwa ntchito mu X-ray.
• Kutuluka kwa simenti: Nthawi zambiri, simenti yochepa yomwe yaikidwa imatha kutuluka m'fupa. Izi zingayambitse mavuto monga magazi kuundana omwe amatseka mtsempha wamagazi kapena kukanikiza chingwe cha msana.

Nthawi yoti mupeze upangiri wa dokotala mukatha opaleshoni

Mukapita kunyumba mutachita opaleshoni, ndikofunikira kwambiri kudziwitsa dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zachilendo.

• Kutupa, kusintha kwa mtundu wa khungu, kapena kutentha thupi pamalo pomwe singano yalowetsedwa (zingakhale zizindikiro za matenda).
• Kutuluka magazi ambiri kuchokera pamalopo.
• Kusamva bwino kapena kutayika kwa kumva m'miyendo.
• Ululu umakula kwambiri m'malo mochepa.

Ngati mukumva ngati izi, musanyalanyaze. Lankhulani ndi dokotala wanu nthawi yomweyo.