Kodi mumamvanso kupweteka m'miyendo yanu mukamayenda pang'ono? Kodi mumamva kupweteka komwe kumayambira kumbuyo kwanu ndikutsika m'miyendo yanu, ndipo mumamva ngati mukutaya mphamvu pa miyendo yanu? Dokotala wanu mwina adakuuzani za vuto lotchedwa ' spinal stenosis '. Musachite mantha mukamva mawu awa. Ili ndi vuto lomwe lingakhudze anthu ambiri, makamaka azaka zapakati ndi akulu. Tiyeni tiwone mosavuta chomwe chili komanso ngati nthawi zonse limafuna opaleshoni.
Kodi Spinal Stenosis ndi chiyani?
Mwachidule, msana wathu ndi mzere wopitirira wa mafupa. Mkati mwa mafupa awa, msana, womwe ndi gawo lalikulu la dongosolo la mitsempha la thupi lathu, ndi mitsempha yomwe imatulukamo imatetezedwa. Njira yomwe msana uwu umadutsamo, ndiko kuti, gawo longa ngalande mkati mwa msana, timatcha msana.
Monga momwe chitoliro cha madzi chimachepa pakapita nthawi chifukwa cha dothi ndi dzimbiri, ngalande yathu ya msana imathanso kuchepa tikamakalamba, chifukwa cha matenda monga nyamakazi, kapena chifukwa cha kupangika kwa mafupa. Kenako chingwe cha msana ndi mitsempha yomwe imadutsa mu ngalandeyo imayamba kupsinjika. Timatcha kusonkhanitsa kwa zizindikiro zomwe zimayambitsidwa ndi kupsinjika kwa mitsempha ya Spinal Stenosis.
Zizindikiro zazikulu zomwe zimayambitsidwa ndi izi ndi izi:
- Kupweteka pakhosi, kumbuyo, kapena miyendo.
- Kusanza, kumva kuwawa, kapena kugwedezeka kwa minofu m'manja kapena m'miyendo.
- Mavuto a mapazi (monga phazi likagunda pansi poyenda).
- Nthawi zina ululu wa miyendo yanga umakhala waukulu kwambiri moti sindingathe kuyenda mtunda waufupi.
Kodi opaleshoni ndiyo njira yokhayo yothetsera vutoli?
Ayi. Izi ndi zomwe zimawopseza anthu ambiri. Koma zoona zake n'zakuti, si aliyense amene ali ndi vuto la spinal stenosis amene amafunika opaleshoni. Dokotala wanu adzayesa njira zina asanakutumizireni ku opaleshoni.
Kumbukirani, opaleshoni nthawi zambiri imakhala njira yomaliza. Dokotala amangoganizira za opaleshoni pokhapokha ngati njira zina zothandizira sizinaphule kanthu.
Tiyeni tiwone njira zochiritsira zosagwiritsa ntchito opaleshoni zomwe zilipo patebulo ili m'munsimu.
| Njira yochizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Mankhwala ochepetsa ululu | Ululu ukhoza kuchepetsedwa ndi mankhwala ochepetsa ululu wamba monga Paracetamol ndi Ibuprofen. Pa ululu wa mitsempha, dokotala wanu angakupatseni mankhwala enaake monga Duloxetine, Gabapentin, Pregabalin (Lyrica). |
| Jakisoni (Jakisoni wa Epidural Steroid) | Izi zimaphatikizapo kubaya jekeseni wa steroid wotchedwa cortisone mwachindunji pamalo pomwe msana wapindidwa. Izi zitha kuchepetsa ululu ndi kutupa kwakanthawi, ndipo nthawi zina kosatha. |
| Kuchiza ndi Kuchita Maseŵera Olimbitsa Thupi | Izi ndizofunikira kwambiri. Mwa kuchita masewera olimbitsa thupi omwe amalimbitsa minofu ya msana ndi m'mimba motsogozedwa ndi katswiri wa zamaganizo, mutha kuchepetsa ululu ndikukulitsa luso lanu loyenda. |
Ngati mankhwala awa sakuletsa zizindikiro zanu, ndipo ngati ululuwo ukusokoneza zochita zanu za tsiku ndi tsiku mpaka kufika poti simungathe kugwira ntchito, ndiye kuti dokotala wanu adzakulankhulani za opaleshoni.
Kodi mumakonzekera bwanji opaleshoni?
Ngati dokotala wanu akulangizani opaleshoni, pali zinthu zingapo zomwe muyenera kuchita musanachite opaleshoniyo.
- Kuchita Maseŵero Olimbitsa Thupi: Musadabwe. Kuchita maseŵero olimbitsa thupi oyenera ndi chilolezo cha dokotala musanachite opaleshoni kudzakuthandizani kwambiri kuti muchire msanga mutatha opaleshoni.
- Siyani kusuta: Ngati ndinu wosuta fodya, muyenera kusiya. Kusuta fodya kumachedwetsa kuchira.
- Dziwani mankhwala anu: Uzani dokotala wanu za mankhwala onse, mavitamini, ndi zowonjezera zomwe mukumwa. Mankhwala ena omwe angayambitse mavuto ndi mankhwala oletsa ululu angafunike kuyimitsidwa musanachite opaleshoni.
- Munthu woti akuthandizeni: Konzani kuti wina akutengereni kuchipatala ndikubwerera kwanu.
Ndi mitundu yanji ya opaleshoni yomwe imachitidwa?
Pali mitundu itatu ikuluikulu ya opaleshoni ya spinal stenosis. Dokotala wanu adzasankha opaleshoni yoyenera kwa inu kutengera vuto lanu.
| Mtundu wa opaleshoni | Kufotokozera kosavuta |
|---|---|
| Kuchotsa Laminectomy | Iyi ndi opaleshoni yofala kwambiri. Mu opaleshoniyi, zidutswa za mafupa, mafupa, ndi mitsempha yomwe imayambitsa kupsinjika kwa mitsempha zimachotsedwa opaleshoni, zomwe zimathandiza kuti mitsempha iziyenda momasuka. |
| Kusakanikirana kwa Msana | Nthawi zina izi zimachitika pamodzi ndi laminectomy. Iyi ndi njira yomwe imachepetsa kusakhazikika kwa msana mwa kuphatikiza vertebrae imodzi kapena zingapo pamodzi. Zomangira zachitsulo ndi ndodo zingagwiritsidwe ntchito pa izi. |
| Foraminotomy | Ngati forameni yomwe mitsempha imatuluka mumsana yachepa, opaleshoniyi imakulitsa forameni ndikuchepetsa kupanikizika kwa mitsempha. |
Kodi zoopsa zomwe zingachitike chifukwa cha opaleshoni ndi ziti?
Monga momwe zimakhalira ndi opaleshoni ina iliyonse, opaleshoniyi ili ndi zoopsa zina. Makamaka, anthu osuta fodya, okalamba, onenepa kwambiri, kapena omwe ali ndi matenda ena monga matenda a shuga ali pachiwopsezo chachikulu cha mavuto.
- Matenda, kutuluka magazi, kapena kuundana kwa magazi kungachitike.
- Pali mwayi wochepa woti nembanemba yophimba msana iwonongeke.
- Pali chiopsezo cha kuwonongeka kwa mitsempha.
- Nthawi zina ululu ungapitirire.
Musaope zoopsa izi. Dokotala wanu adzakufotokozerani zonse ndipo adzatenga njira iliyonse yochepetsera chiopsezocho.
Zimatenga nthawi yayitali bwanji kuti munthu achire?
Mudzafunika kukhala m'chipatala kwa masiku awiri kapena atatu mutachita opaleshoni. Mukachita opaleshoni yaying'ono, mutha kupita kunyumba tsiku lomwelo kapena tsiku lotsatira. Zimatengera mtundu wa opaleshoni yomwe mudachita komanso thanzi lanu.
Mukabwerera kunyumba, zingatenge miyezi itatu kapena kuposerapo kuti muchire bwino. Zingatenge nthawi, makamaka ngati munali ndi vuto la msana. Panthawiyi, ndikofunikira kwambiri kuyenda monga momwe dokotala wanu wanenera ndikuchita masewera olimbitsa thupi omwe akulangizidwa ndi katswiri wa zamaganizo.
Anthu ambiri amapeza zotsatira zabwino kwambiri atachitidwa opaleshoni. Amakhala ndi ululu wochepa m'miyendo yawo ndipo amatha kuyenda bwino. Koma pali chinthu chimodzi choyenera kukumbukira. Opaleshoni iyi sichiza matenda monga nyamakazi omwe amayambitsa matenda a msana. Chifukwa chake, pali mwayi woti zizindikiro zidzabwereranso mtsogolo.
Uthenga Wopita Nawo Kunyumba
- Kuchepa kwa msana ndi kuchepa kwa ngalande ya msana komwe kumachitika nthawi zambiri ndi ukalamba.
- Izi sizimafuna opaleshoni nthawi zonse. Mankhwala monga mankhwala, jakisoni, ndi physiotherapy amayesedwa kaye.
- Opaleshoni iyenera kuganiziridwa pokhapokha ngati njira zina zothandizira zalephera ndipo ululu ukupangitsa kuti zikhale zovuta kukhala ndi moyo watsiku ndi tsiku. Lankhulani momasuka ndi dokotala wanu za izi.
- Kuchira pambuyo pa opaleshoni kumatenga nthawi komanso kudzipereka. Tsatirani malangizo ndi masewero olimbitsa thupi a dokotala monga momwe adanenera dokotala.
- Kumbukirani kuti ngakhale opaleshoni ingathandize kwambiri kuchiza zizindikiro, sichiza matenda oyamba (monga nyamakazi).
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