Ingabe ubuhlungu bakho emhlane abupheli kungakhathaliseki ukuthi uthatha imithi engakanani? Ngezinye izikhathi lobu buhlungu buyehla emilenzeni yakho, futhi imilenze yakho izwa sengathi iyaphela? Uma lobu buhlungu bukukhathaza kuze kube yilapho ungakwazi ngisho nokwenza imisebenzi yakho yansuku zonke kahle, udokotela wakho kungenzeka ukuthi ukhulume nawe ngokuhlinzwa okubizwa ngokuthi i-laminectomy. Igama lingase lizwakale liyesabeka kancane, kodwa ukuhlinzwa okuvamile kakhulu. Ngakho-ke namuhla, ake sithole izimpendulo zayo yonke imibuzo yakho ngalokhu, njengokukhuluma nomngane.
Kuyini ukuhlinzwa kwe-laminectomy? Kalula nje...
Cabanga ukuthi umgogodla kanye nemizwa ephuma kuwo kufana nezimoto emgwaqweni omatasa. Izakhiwo ezinhlangothini zombili zomgwaqo (okungukuthi, umgogodla) zivimba umgwaqo, zidala ukuminyana kwezimoto. Ukuhlinzwa kwe-laminectomy kufana nokwandisa umgwaqo.
Ukuze kube sobala, phakathi nalokhu kuhlinzwa, udokotela ususa ingxenye encane yethambo ebizwa ngokuthi 'i-lamina' ngemuva komunye wethambo lakho lomgogodla. Lokhu kwandisa isikhala (umsele womgogodla) lapho kukhona khona umgogodla kanye nemizwa. Lokhu kukhulula imizwa ebicindezelwe futhi icindezelwe. Yilokhu okunciphisa ubuhlungu kanye nokungazweli emhlane nasemilenzeni yakho.
Kungani udinga i-Laminectomy?
Odokotela ngokuvamile abasebenzisi ukuhlinzwa ngokushesha. Baqala ngokuzama izinto ezifana nokwelashwa ngokomzimba kanye nezinhlungu zobuhlungu. Kodwa uma lezo zinto zingalawuli izimpawu zakho, bazocabangela ukuhlinzwa kuphela uma lezo zinto zingalawuli.
Ezimweni eziningi, imbangela eyinhloko yalokhu yisimo esibizwa ngokuthi i-spinal stenosis . Njengoba siguga, i-cartilage ephakathi kwamathambo ethu iyaphela, futhi ngezinye izikhathi kwakheka ama-spurs ethambo engeziwe. Lokhu kubangela ukuthi indlela yomgogodla inciphe kancane kancane. Lokhu kuncipha kubangela ukuthi imizwa icindezelwe.
I-stenosis yomgogodla ingabangela izimpawu ezifana nalezi:
- Ubuhlungu bentamo
- Ubuhlungu behlombe
- Ubuhlungu obukhulu emhlane
- Ubuthakathaka emilenzeni
- Ukuqaqamba emilenzeni
- Abanye abantu banenkinga yokulawula amathumbu abo nomchamo.
| Ezinye izizathu ezingase ziholele ekuhlinzweni kwe -laminectomy | |
|---|---|
| Isifo samathambo | Ukuvuvukala kwamalunga kubangela izinguquko emgogodleni futhi kucindezele imizwa. |
| Idiski Ene-Herniated | Umcamelo ofana nojeli phakathi kwamathambo omgogodla uyaqhuma bese ucindezela imizwa. Lokhu sikubiza nangokuthi 'ukuvuvukala kwediski yomgogodla'. |
| Ukuphuka Kwamathambo | Ukuphuka komgogodla kanye nokulimala kwemizwa engozini. |
| Isimila Somgogodla | Ukucindezelwa kwemizwa ngenxa yesimila esikhula eduze komgogodla. |
Kufanele uzilungiselele kanjani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho uzokunikeza imiyalelo ecacile yokuthi yini okufanele uyenze. Kubaluleke kakhulu ukulandela le miyalelo ngqo.
Iseluleko sikadokotela
- Hlola: Ungadinga imibiko emisha yokuhlolwa, njenge-X-ray kanye ne-MRI, ukuze uhlole kahle isimo somhlane wakho.
- Yeka eminye imithi: Eminye imithi oyithathayo (ngisho nemithi yokubulala izinhlungu namavithamini) ingaphazamisa ukuhlinzwa kanye nokululama kwakho. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo. Yeka ukuyithatha izinsuku ezimbalwa njengoba kuqondiswe.
- Gwema ukubhema: Uma ubhema, kubaluleke kakhulu ukuyeka ngaphambi kokuhlinzwa. Ukubhema kungabangela izinkinga ngemva kokuhlinzwa futhi kulibazise ukuphola kwenxeba.
- Lungisa imisebenzi yasekhaya kusenesikhathi: Kuzodingeka uphumule isikhashana ngemva kokuhlinzwa. Ngakho-ke, thenga izinto zasekhaya ezidingekayo kusenesikhathi. Khuluma nomndeni nabangane bese uhlela ukuthi othile akusize.
Ungadli noma uphuze lutho ngemva kwamabili ebusuku ngaphambi kokuhlinzwa. Lokhu kubaluleke kakhulu ekubulaleni izinzwa.
Ngosuku lokuhlinzwa...
- Gqoka izingubo ezikhululekile nezikhululekile.
- Susa zonke izinto zokuhloba, njengemigexo, imigexo, namasongo, bese uzishiya ekhaya.
- Thatha ikhadi lakho lomshwalense, ikhadi le-ID, njll. uhambe nalo.
- Ngemva kokuhlinzwa, uzophelezelwa othile ozokuthatha akuyise ekhaya akunakekele.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzizwe ubuhlungu futhi uzobe ulele ngokuphelele.
1. I-Anesthesia: Udokotela wezinzwa uzofaka imaski ebusweni bakho futhi akunike igesi yokubulala izinzwa. Angase futhi akunike imithi ngemithambo yegazi. Uzolala ngemva kokuphefumula okumbalwa. Ithimba lochwepheshe lizoqapha ukushaya kwenhliziyo yakho kanye nokuphefumula kwakho phakathi nokuhlinzwa.
2. Ukuhlinzwa:
- Uphendulwa ubuso bubheke phansi futhi wenziwa ukuba ulale phansi umhlane wakho ubheke phezulu.
- Udokotela owenza ukuhlinzwa wenza ukusika okuncane esikhumbeni endaweni ebuhlungu.
- Ngemuva kwalokho, imisipha nezicubu ziyacindezelwa kancane kancane ukuze kuvele umgogodla.
- Manje sekuza ingxenye ebalulekile. Noma yiziphi izingcezu zamathambo ezengeziwe, ama-bone spurs, noma imisipha ecindezela imizwa iyasikwa ngokucophelela futhi isuswe.
- Ngezinye izikhathi, lokhu kuhlinzwa kungahlanganiswa nezinye izinqubo. Isibonelo, uma kukhona ukungazinzile komgogodla, ukuhlinzwa kokuhlanganisa umgogodla kungenziwa, okuhlanganisa amathambo amabili ndawonye. Noma kungenziwa i-diskectomy , okususa i-herniated disc.
Ukuhlinzwa kwe-laminectomy kuvame ukuthatha phakathi kwehora eli-1 neli-3. Kodwa-ke, uma isimo siyinkimbinkimbi, kungathatha isikhathi eside. Ekupheleni kokuhlinzwa, ukusikwa kuvalwa ngezitishi noma ama-staple. Uzobe usubuyiselwa ohlangothini lwakho bese uvuswa ngemuva kokuhlinzwa.
Kwenzekani ngemva kokuhlinzwa?
Esibhedlela...
Ngemva kokuvuka, uzoyiswa ewadini yokwelapha ngemuva kokuhlinzwa, lapho abasebenzi abahlengikazi bezokunakekela kahle khona.
- Ungase uzizwe uvilapha kancane: Ungase uzizwe uthukuthele kancane noma ulele amahora ambalwa ngemva kokuvuka. Lokhu kuvamile.
- Ungase uzwe ubuhlungu: Kuvamile ukuzwa ubuhlungu endaweni yokuhlinzwa. Uzonikezwa imithi yobuhlungu ngalokhu.
- Uzoqala ukuhamba: Kuye ngohlobo lokuhlinzwa, uzocelwa ukuba uvuke uhambe kancane ngosizo lomhlengikazi ngalobo busuku noma ngakusasa. Lokhu kubaluleke kakhulu ngoba ukuhamba kuthuthukisa ukujikeleza kwegazi futhi kungavimbela ukuqhekeka kwegazi emilenzeni yakho.
- Ukwelashwa ngokomzimba: Udokotela wakho uzokudlulisela kudokotela we-physiotherapist. Uzokufundisa izivivinyo okufanele uzenze kancane kancane.
Ngemva kokufika ekhaya...
- Ungashayeli isonto elilodwa noma amabili.
- Gwema ukugoba phambili noma ukuphakamisa izinto ezisindayo amasonto ambalwa.
- Gcina inxeba lihlanzekile futhi lomile . Kunzima ukusebenzisa umuthi ekulimaleni komhlane wedwa, ngakho cela usizo kulungu lomndeni.
- Buza udokotela wakho ukuthi ugeza kanjani.
- Izitishi noma izinti zingasuswa cishe emavikini amabili. Ungazami ukuzisusa wena .
- Gwema izindiza ezinde kanye nokugibela imoto isikhashana. Uma kudingeka, vuka uhambehamba njalo ngehora.
Yiziphi izingozi ezingaba khona zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Kodwa lezi azivamile. Udokotela wakho uzokuchazela lokhu kusenesikhathi.
| Ingozi | Incazelo elula |
|---|---|
| Ukopha | Ukopha okuncane ngesikhathi noma ngemva kokuhlinzwa. |
| Ukutheleleka | Amathuba amancane okutheleleka ngenxeba. |
| Amahlule egazi | Amahlule egazi, ikakhulukazi emilenzeni. Ukuhamba ngokushesha kuyindlela yokuvimbela lokhu. |
| Ukulimala Kwezinzwa | Akuvamile kakhulu ukuthi inzwa yonakale, okungabangela ubuthakathaka noma ukungabi namizwa. |
| Ukuvuza Koketshezi Lomgogodla | Ukuvuza okuncane koketshezi lomgogodla (CSF) oluzungeze intambo yomgogodla. |
Kuthiwani uma kusekhona ubuhlungu ngemva kokuhlinzwa? I-Post-Laminectomy Syndrome
Ngezinye izikhathi, akuvamile kakhulu, ubuhlungu abupheli njengoba bekulindelekile ngemva kokuhlinzwa. Ngezinye izikhathi kungase kuvele izimpawu ezintsha. Lokhu kunjaloIbizwa ngokuthi i-Post-Laminectomy Syndrome.
Uma uhlangabezana nalokhu, kubaluleke kakhulu ukutshela udokotela wakho ngokushesha . Imbangela ingatholakala futhi ukwelashwa okufanele (njengokuzivocavoca okukhethekile, imithi, imijovo, njll.) kungaqalwa. Ungakhathazeki, kunezixazululo zakho konke.
Umlayezo Wokuya Nawe Ekhaya
- I-Laminectomy iwukuhlinzwa okuvamile okwenziwa ukwelapha ubuhlungu bomhlane nomlenze obubangelwa ukucindezelwa kwemizwa. Kudala isikhala esengeziwe semizwa.
- Udokotela uvame ukuncoma lokhu kuhlinzwa uma ezinye izindlela zokwelapha zingaphumelelanga.
- Kubaluleke kakhulu ukuze umuntu alulame ngokushesha ukulandela imiyalelo kadokotela ngokucophelela ngaphambi nangemva kokuhlinzwa.
- Kuthatha isikhathi ukuphulukiswa. Yiba nesineke. Akuwona wonke umuntu ophulukiswa ngendlela efanayo. Ungasheshi.
- Uma ubuhlungu buqhubeka ngemva kokuhlinzwa noma kuvela izimpawu ezintsha, ungangabazi ukukhuluma nodokotela wakho.
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