Aliyense amene wavutikapo ndi ululu wa msana amadziwa momwe zimakhalira zovuta kukhala nawo. Nthawi zina ululu wa msana uwu ukhoza kutuluka m'miyendo ndikuyambitsa kumva kuwawa. Monga yankho la ululu waukuluwu, womwe suthandizidwa ndi kumwa mankhwala ndi kuchita physiotherapy, dokotala wanu angakulangizeni opaleshoni. Opaleshoni imodzi yotereyi imatchedwa PLIF. Musachite mantha mukamva dzinali. Chifukwa chake lero tikambirana za opaleshoni iyi ya PLIF, momwe imachitikira, komanso ngati muyenera kuiopa.
Kodi opaleshoni ya PLIF ndi chiyani?
Mwachidule, PLIF ndi mtundu wa opaleshoni yolumikiza msana. Msana wathu umapangidwa ndi mafupa otchedwa vertebrae omwe amaikidwa pamwamba pa wina ndi mnzake. Pakati pa mafupa awiriwa, pali malo otetezedwa omwe amagwira ntchito ngati choletsa kugwedezeka m'galimoto. Timatcha izi kuti intervertebral disc.
Pakapita nthawi, chifukwa cha ngozi kapena matenda ena, diski iyi imatha kuwonongeka. Kenako imatha kuphulika ndikuyamba kukanikiza mitsempha ya msana yomwe ili pafupi. Pamenepo ndi pomwe ululu wosapiririka wa msana ndi ululu womwe umayenda m'miyendo yanu umayamba.
Mu opaleshoni ya PLIF, madokotala opaleshoni amachotsa diski yowonongeka ndikuyika chipangizo chapadera chotchedwa `spacer` m'malo mwake. `spacer` iyi ikhoza kupangidwa ndi chitsulo, pulasitiki, kapena fupa. Ndi kutalika komweko komwe kuli diski yochotsedwa. Kenako malowo amadzazidwa ndi chogwirira cha fupa. Izi zili ngati kuyika matope pakati pa njerwa pomanga khoma la njerwa. Pakapita nthawi, mafupa awiri omwe ali pamwamba ndi pansi amalumikizana, ndikupanga fupa limodzi lolimba.
Nchifukwa chiyani opaleshoni ya PLIF iyi imachitika?
Madokotala nthawi zambiri amaganizira za opaleshoniyi pamene njira zina zothandizira, monga mankhwala ochepetsa ululu ndi physiotherapy, zalephera. Gome ili pansipa likutchula zina mwa milandu yayikulu yomwe opaleshoni ya PLIF imagwiritsidwa ntchito.
| Mkhalidwe | Kufotokozera kosavuta |
|---|---|
| Matenda a Degenerative Disk | Pamene tikukalamba, ma disc pakati pa mafupa a msana amawonongeka ndipo amafooka. |
| Spondylolisthesis | Msana umodzi ukukwera patsogolo pa wina. |
| Zofooka za msana monga scoliosis | Ululu wobwera chifukwa cha kupindika kwa msana mbali ina. |
| Ma Discs Obwerezabwereza a Herniated | Kupsinjika kwa mitsempha chifukwa cha kutuluka kwa ma disc mobwerezabwereza. |
| Stenosis ya Msana | Kupsinjika kwa mitsempha chifukwa cha kuchepa kwa njira yodutsa msana. |
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Musanachite opaleshoni, mudzayang'aniridwa mosamala kuti muwone ngati opaleshoniyi ikuyenererani.
Kukambirana ndi dokotala
Dokotala wanu adzakufunsani za mbiri yanu yachipatala, maopaleshoni am'mbuyomu, ndi mankhwala omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba). Adzachitanso zinthu monga kuyezetsa magazi kuti aone thanzi lanu lonse.
Izi ndizofunikira kwambiri: Ngati ndinu wosuta fodya, mudzalangizidwa kuti musiye kusuta konse . Mudzauzidwa kuti musagwiritse ntchito chilichonse chomwe chili ndi nikotini, monga ndudu, bidis, nikotini patches, chewing chingamu, kapena vape. Kafukufuku wasonyeza kuti nikotini ingayambitse mafupa atsopano kulephera kupanga bwino, kuchedwetsa kuchira kwa bala, komanso kuwonjezera chiopsezo cha matenda.
Kukonzekera opaleshoni
Dokotala adzakufotokozerani zomwe muyenera kuchita musanachite opaleshoni.
| Nthawi | Zinthu zoti muchite |
|---|---|
| Pafupifupi sabata imodzi opaleshoni isanachitike |
|
| Pa tsiku la opaleshoni |
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoniyi imachitika pansi pa mankhwala oletsa ululu, zomwe zikutanthauza kuti simudzamva chilichonse. Opaleshoniyi nthawi zambiri imatenga maola awiri kapena atatu.
1. Dokotala wa opaleshoni adzakudula msana wako wapansi .
2. Tambasulani minofu ya kumbuyo mosamala mpaka m'mbali, kufikira msana.
3. Disiki yowonongeka imachotsedwa pochotsa gawo la msana wotchedwa `lamina`, ndikusuntha mosamala nembanemba (dura) yozungulira chingwe cha msana.
4. Chomera cha mafupa chimakonzedwa kuti chidzaze malo opanda kanthu.
5. `Spacer` (nthawi zina imatchedwa `khola`) imadzazidwa ndi `bone graft`.
6. Kenako, ikani `spacer` iyi m'malo otseguka ndipo ikanikeni ndi zomangira kuti isasunthe.
7. Pomaliza, minofu imabwezeretsedwa m'malo mwake ndipo chodulidwacho chimasokedwa chotsekedwa.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, mudzatengedwera kumalo ochiritsira. Kumeneko, kugunda kwa mtima wanu ndi kupuma kwanu kudzayang'aniridwa. Mudzapatsidwa mankhwala opweteka. Kenako mudzasamutsidwira ku chipinda chogona. Muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri kuti muwone ngati pali zovuta monga matenda.
Nthawi yochira ndi njira zodzitetezera
Mudzamva mpumulo waukulu ululu wanu wamsana ukatha. Koma musafulumire kubwerera ku zochita zanu zakale. Muyenera kupatsa thupi lanu nthawi kuti lichiritsidwe. Zingatenge miyezi kapena chaka kuti fupa lolumikizidwa lipangidwe bwino ndipo mafupa awiri a msana agwirizane.
| Nthawi | Zinthu Zosafunika Kuchita (PEWANI) |
|---|---|
| Masabata awiri kapena anayi oyamba |
|
| Pakati pa masabata 4-6 |
Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo.
Ngati mukukumana ndi zizindikiro izi mukafika kunyumba mutachita opaleshoni, imbani dokotala nthawi yomweyo.
- Ngati muli ndi malungo opitirira madigiri 39.4 Celsius (103 Fahrenheit).
- Ngati mukumva kuzizira komanso kunjenjemera.
- Ngati malo ochitira opaleshoni ndi ofiira, otupa, kapena opweteka kuwakhudza.
- Ngati pali ululu waukulu kuposa momwe amayembekezera.
Ndizachilendo kumva mantha pang'ono komanso mantha mukaganizira za opaleshoni ya PLIF. Koma kumbukirani, iyi ndi njira yothandiza kwambiri yochizira ululu waukulu wamsana ndi mwendo. Musazengereze kufunsa dokotala wanu mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Iye adzakufotokozerani zonse.
Uthenga Wopita Nawo Kunyumba
- PLIF ndi opaleshoni yopambana ya ululu waukulu wamsana ndi mwendo womwe sunathetsedwe ndi mankhwala ena.
- Kuti opaleshoniyi ipambane, ndikofunikira kusiya kusuta fodya ndi zinthu zonse zomwe zili ndi nikotini.
- Ndikofunikira kuleza mtima, chifukwa zingatenge miyezi ingapo kapena chaka chimodzi kuti munthu achire bwino.
- Tsatirani malangizo a dokotala wanu mosamala okhudza kupindika, kunyamula, ndi kuyendetsa galimoto kwa miyezi ingapo yoyambirira mutachita opaleshoni.
- Kambiranani momasuka ndi gulu lanu lazachipatala. Musaope kuwafunsa mafunso ndi kukayikira kwanu.
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