Ese nawe ufite ububabare bukabije mu mugongo, mu ijosi, cyangwa mu maguru? Ese hari igihe wumva ufite ibinya kandi nta buzima ufite ubwo bubabare? Ubwo muganga wawe ashobora kuba yarakubwiye iby'ibagwa ryitwa Laminectomy. Izina risa n'aho riteye ubwoba gato. Ariko ntugahangayike. Reka tubiganireho mu buryo bworoshye, mu buryo buri wese ashobora gusobanukirwa.
Uburyo bwo kubaga bwa laminectomy ni iki?
Muri make, gukubaga umugongo ni ubwoko bw'ivuriro ry'umugongo. Uruti rw'umugongo rwacu rugizwe n'amagufwa mato afatanye hejuru y'andi. Ayo magufwa yitwa vertebrae. Buri ruti rw'umugongo rufite igice gito gisa n'umugongo cyitwa lamina. Muri ubu buryo bwo kubaga, umuganga ubaga akuraho igice cyangwa igice cyose cya lamina.
Kuki tubikora? Kubikora byongera umwanya uhari w’umugongo wacu n’imitsi yo mu ruti rw’umugongo. Imitsi ifunze irarekurwa. Hanyuma, tubona ihumure rikomeye ku bubabare bukabije no kutagira icyo tugeraho.
Kuki ukeneye Laminectomy?
Impamvu nyamukuru ibitera ni ukugabanuka k'umuyoboro w'umugongo. Mu buvuzi, ibi tubyita stenosis y'umugongo . Uko tugenda dusaza, cyangwa kubera izindi mpamvu, inzira umuyoboro w'umugongo unyuramo ishobora kuba mito. Hanyuma imitsi iri imbere muri wo itangira gukandamizwa. Ibi bishobora gutera ibimenyetso bitandukanye.
| Ibimenyetso bisanzwe bishobora kubaho bitewe no gukanda imitsi | |
|---|---|
| 🔹 Kubabara ijosi | 🔹 Kubabara ku rutugu |
| 🔹 Kubabara umugongo | 🔹 Intege nke mu maboko no mu maguru |
| 🔹 Kubura ibinya mu maguru | 🔹 Kugorwa no kugenzura amara cyangwa uruhago |
Kubagwa hakoreshejwe uburyo bwa Laminectomy bishobora kuba ngombwa kubera izindi mpamvu nyinshi zitari stenosis y'umugongo.
- Arthritis : Kubyimba no kubabara ingingo.
- Gutera amagufwa: Gutera amagufwa akura hanze y'umugongo bishobora gutera imitsi.
- Disiki ya Herniated: Igice cy'ikintu gisa n'umusemburo kiri hagati y'amagufwa y'umugongo kirabyimba maze kigakanda imitsi.
- Indwara ya Disiki Ihindagurika : Umusego uri hagati y'amagufwa y'umugongo ugenda ushira uko imyaka igenda ishira.
- Ibibyimba byo mu mugongo: Hari igihe ibi bibyimba bishobora kuba hafi y'imitsi bigatera umuvuduko.
- Indwara zo mu mugongo: Indwara zandura zigira ingaruka ku mugongo.
Ariko ibuka ko umuganga adahita ajya kubagwa. Ubwa mbere, bagerageza ibintu nk'ubuvuzi bw'umubiri n'imiti yandikiwe na muganga. Niyo bidakora ni bwo bazatekereza kubagwa laminectomy.
Witegura ute mbere yo kubagwa?
Mbere yo kubagwa, muganga wawe azaguha amabwiriza arambuye y'uko wakwitegura. Muri ayo mabwiriza hashobora kuba harimo:
- Shaka ibizamini bishya byo gufata amashusho: Muganga wawe ashobora gusaba ko ufata X-ray cyangwa MRI scans kugira ngo amenye neza uko umugongo wawe uteye.
- Hagarika gufata imiti imwe n'imwe: Imiti imwe ufata (harimo na vitamine n'inyongeramusaruro ) ishobora kugira ingaruka ku kubagwa no gukira. Rero fata imiti muganga akubwira gusa .
- Irinde kunywa itabi: Iyo unywa itabi, ushobora kugira ibibazo byinshi mbere na nyuma yo kubagwa. Niba ufite ikibazo cyo kureka itabi, ganira na muganga wawe kuri ibyo.
- Teganya kuruhuka: Ntuzashobora gukora akazi gakomeye igihe runaka nyuma yo kubagwa. Rero, pakira ibikoresho byawe byo mu rugo mbere y'igihe. Kora imirimo myinshi yo mu rugo ishoboka.
- Bwira umuryango n'inshuti: Ni imbaraga ikomeye kugira umuntu ugushyigikira mu gihe cyo gukira.
- Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro mbere y'uko ubagwa: Ibi ni ingenzi cyane. Kurikiza amabwiriza ya muganga neza.
Ni iki kibaho mu gihe cyo kubagwa?
Ubu buryo bwo kubaga bukorwa hifashishijwe ikinya rusange..Ibyo bivuze ko nta kintu na kimwe uzumva, uzaba usinziriye burundu. Umuganga w’indwara zo gusinziriza n’ikipe ye bazakurikirana witonze ibintu byose kuva ku gutera k’umutima wawe kugeza ku guhumeka kwawe mu gihe cyose cyo kubagwa.
Dore intambwe zo kubagwa:
1. Anesthesia: Uzasinzira burundu ukoresheje agapfukamunwa ku maso cyangwa ukoresheje imiti mu mitsi iri mu kuboko kwawe.
2. Gushyira imiterere yawe: Uzahindurirwa amaso kugira ngo byoroshye kubaga umugongo.
3. Gukata uruhu: Gukata gato ku ruhu rw'umugongo hejuru y'aho ubabara.
4. Gukuraho Lamina: Muganga azakura imitsi ku ruhande kugira ngo uruti rw'umugongo rugaragare. Hanyuma, ibice byose by'amagufwa, uduce tw'amagufwa, cyangwa imitsi ikandagira ku mitsi biracibwa bigakurwaho. Ibi byitwa decompression .
5. Ubundi buryo bwo kubaga nibiba ngombwa: Hari igihe ubundi buryo bwo kubaga bushobora gukorwa icyarimwe n'ubu buryo bwo kubaga. Urugero, kubaga uruti rw'umugongo , bihuza vertebrae nyinshi kugira ngo umugongo ukomere, cyangwa kubaga diskectomy , bikuraho herniated discus.
Ubusanzwe ubu burwayi bumara amasaha 1-3, ariko igihe gishobora gutandukana bitewe n'uburyo indwara yawe imeze. Amaherezo, aho gukata hafungwa hakoreshejwe imidozi cyangwa udupira duto. Hanyuma usubizwa inyuma ku ruhande rwawe hanyuma ikinya gihagarara.
Nyuma yo kubagwa no gusubira mu rugo
Nyuma yo kubagwa, uzajyanwa mu cyumba cy’ubuvuzi nyuma yo kubagwa hanyuma ukurikiranwe neza. Nubyuka, uzumva ubabaye gato igihe gito. Ni ibisanzwe kumva ububabare bw’umugongo. Uzahabwa imiti igabanya ububabare kuri ibi. Ubusanzwe ugomba kumara umunsi umwe cyangwa ibiri mu bitaro.
Ni ngombwa kuva mu buriri ugatangira kugenda vuba bishoboka. Ibi bishobora gufasha kwirinda ko amaraso acika. Muganga wawe akunze kukugira inama yo gukoresha physiotherapy.
Wite ku bintu bikurikira nyuma yo kugera mu rugo:
- Ntugatware imodoka: Irinde gutwara imodoka mu gihe cy'icyumweru kimwe cyangwa bibiri. Muganga wawe azakubwira icyo gukora neza.
- Irinde guterura ibintu biremereye: Irinde kunama cyangwa guterura mu gihe cy'ibyumweru bike.
- Komeza isuku kandi yumye: Kubera ko iba iri ku mugongo wawe, shaka umuntu ugufasha gusukura imisatsi. Baza muganga wawe amabwiriza y'uko woga.
- Ntugakore ingendo ndende: Ingendo zo mu kirere no kugenda mu modoka ndende bishobora gutera amaraso ku maguru. Niba ugomba gukora urugendo, haguruka ugende buri saha.
Ubusanzwe ushobora gusubira mu bikorwa bisanzwe mu byumweru 4-6. Ariko, niba warigeze kugira ikibazo cy'umugongo, bishobora gufata amezi 2-4 kugira ngo ukire. Ni ingenzi cyane kwihangana.
Ingaruka n'ingorane zo kubagwa
Nk’uko bigenda ku kubagwa ukundi kose, kubagwa hakoreshejwe Laminectomy bifite ingaruka zimwe na zimwe.
- Kuva amaraso
- Amaraso apfutse
- Kwandura aho bakorewe ubuvuzi
- Kwangirika kw'imitsi
- Gusohoka kw'amazi yo mu ruti rw'umugongo (Celbrospinal Fluid - CSF)
- Uruti rw'umugongo rudakomeye
Umuganga wawe azaganira nawe neza kuri izi ngaruka mbere yo kubagwa, bityo ntutinye kubaza ikibazo icyo ari cyo cyose ushobora kuba ufite.
Indwara ya Post-Laminectomy ni iki?
Hari igihe, gake cyane, ububabare ntibushira burundu nyuma y’uku kubagwa nk’uko byari byitezwe. Hari igihe ububabare bushobora kwiyongera kandi ibimenyetso bishya bikagaragara. Ibi ni byo twita Post-Laminectomy Syndrome (cyangwa Failed Back Surgery Syndrome).
Ibi nibibaho, hari uburyo butandukanye bwo kuvura. Niba rero ububabare bukomeje nyuma yo kubagwa cyangwa niba ubonye ibindi bimenyetso bidasanzwe, ongera usure muganga wawe vuba bishoboka.
Ubutumwa bwo kujyana mu rugo
- Laminectomy ni uburyo busanzwe kandi butanga umusaruro ku bubabare buterwa no gukanda imitsi yo mu ruti rw'umugongo.
- Ni ngombwa cyane gukurikiza amabwiriza ya muganga witonze mbere na nyuma yo kubagwa kugira ngo ugere ku musaruro mwiza.
- Niba ububabare budashira nyuma yo kubagwa cyangwa ibimenyetso bishya bigaragaye, ntugatinye kandi ushake muganga wawe vuba bishoboka.
- Kubagwa kose gufite ingaruka zimwe na zimwe. Ni uburenganzira bwawe kubibwirwa mbere y'igihe no kubaza muganga wawe ibibazo byose ushobora kuba ufite.
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