I ka ʻike ʻana i ka spine a me nā kaʻina hana like ʻole e hiki ke hana ʻia ma kēia ʻāpana o ke kino, pono mākou e kamaʻilio e pili ana i ka hope lumbar arthrodesis. Ma kēia ʻano, pono mākou e hoʻomaka me ka ʻōlelo ʻana i ka artrodesis lumbar he hana okiúʻo ia hoʻi hoohehee iaón o elua vévertebrae mau loa, i kaí pale i ka neʻe ʻana o ka ʻāpana vertebral, ʻo ia ka mea e hōʻeha ai i ke kua. ʻO kēia ʻeha, o ka maʻamau, Hāʻawiʻia e ka paʻaʻole o nā kino a me nā hui vertebral pono'ī.
Ma kēlā me kēia pae o ka iwi kuamoʻo, ʻike mākou aia kahi kikowaena intervertebral ma ka ʻaoʻao mua a me nā ʻāpana facet ma ka ʻaoʻao hope.. Hana pū kēia mau hale, ka hoʻokō ʻana i wehewehe ʻia kahi ʻāpana o ka neʻe ʻana a ʻae i nā pae like ʻole o ka like.
ʻO ka māhele intervertebral L5-S1, spaghettiéʻike ʻia ʻo articulationón lumbosacra, He wahi ia e maʻa mau ai ka ʻeha lumbar a me ka cysts.átics, he aha ka hopena o ke ola o nā maʻi. No keia kumu, i kekahi manawa pono e hoʻomau i hanaóʻAʻole herniated disc e ka arthrodesis. alailaón e wehewehe mākou i nā mea a pau e pono ai ʻoe e ʻike e pili ana i ka cirugía o hope lumbar arthrodesis.
Papa kuhikuhi
ʻO ke ʻano o ka arthrodesis
ma waena o témakemake nā cnicsúrgic i hoʻohana ʻia me ka máPono mākou e kuhikuhi pinepine i kēia mau mea:
- arthrodesis posterolateral instrumented: ke kaʻina hana ʻokiúrgico ua hookoia ma oés mai ke kua.
- intersomal arthrodesisáhope lumbar tica: lawe ʻia ke kaʻina hana mai ke kua a me ka wehe ʻana i ka disc ma waena o ʻelua vévertebrae a hoʻokomo i ka grafft óiwi/implants i loko o ke ākea i hana ʻia ma waena o nā kino vertebral ʻelua.
- intersomal arthrodesisática lumbar transforaminal: e like me ka PLIF, keia ano okiíkekahién ua laweia mai ke kua o ke kuamoo.
- intersomal arthrodesisálumbar thica mua: ka oki anaón ua hana ʻia mai ke alo a me ka hoʻomaka ʻana e wehe i ka disc ma waena o ʻelua vévertebrae a hoʻokomo i ka grafft óiwi/implants i loko o ke ākea e hoʻomaka ana ma waena o nā kino vertebral ʻelua.
- ʻO ka hui ʻana o ka vertebral mua / hope: ma keia hihia, hana ʻia ke kaʻina hana mai mua a ma hope.
- intersomal arthrodesisáʻaoʻao ʻaoʻao koʻikoʻi: I kēia hihia, he intersom arthrodesis.áethics kahi e hele mai ai ka hoʻokokoke mai ka ʻaoʻao.
¿CuáI ka manawa hea e hoʻohana ʻia ai ka arthrodesis lumbar hope??
ʻO ka arthrodesis he wawaoón moeuhaneátic e hōʻike ʻia e kahi hui traumaóloea logos ma ke kua lalo. ʻO kēia hanaón makemakeúPono ke kaʻina hana no kēlā poʻe e hōʻike ana i kekahi o kēia mau ʻeha a i ʻole pathologiesíe like me:
- nā haʻihaʻi, nā maʻi a me / a i ʻole nā maʻi maʻi ma vévertebrae lumbar
- Lumbar degenerative disc maʻi
- Espondilolistesis lumbar
- ʻO ke kuʻi ʻana o ka canal lumbar
He kanaka maʻi ʻo iaíno ka mea, hoʻoulu lākou i ka ʻeha ma nā iwi o ka iwi kuamoʻo, hooikaika anaón i loko o nā aʻalolo a hiki ke hoʻomālamalama ma nā wāwae. La interventionón makemakeúe lawe ʻo rgicaá hanaia maluna o na ma'i i loaa a año cróhoʻokahi kuamoʻo, a mahope iho o ka hoao ana i kekahi téʻenehana non-invasive, ʻaʻole maikaʻi lākou.
¿Cuánt paakiki ke komoón o ka osteoarthritis lumbar hope?
ʻO ka manawa o ka hanaón o kekahi artrosis lumbar hope pili i kaúka helu o nā ʻāpana i hoʻopili ʻia, He mea maʻamau ka hana ʻana i ka arthrodesis ma hoʻokahi pae a ʻelua paha. Ma keia mau ano hihia, ka lōʻihión makemakeúrgic o kahi pae maʻamau o 3 hola, ʻoiai ma nā pae ʻelua e maʻa mau lākou i ka 4 hola o ka lōʻihión.
ʻO ka anesthesia i hanaʻia he laulā, a pono e kau ʻia ka mea maʻi ma luna o ka papa hanaófano i luna, ʻo ia hoʻi, Dekúlihi iki. Ma hope o ka loaʻa ʻana o ke kiʻekiʻe e lilo i radiol arthrodesedógica, pono e hoomaka me ke okiía, pili i ka téʻenehana e hana inā lawe ʻoeá i waho e ka víhe mua o hope.
La téʻenehana i hoʻohana ʻia a me ka lōʻihión o ka hanaóʻaʻole hiki ke hoʻololi. I kēlā me kēia hihia, pono e hoʻokōón o hookahi implants óiwi ma kahi o ka iwi kuamoʻo i pili.
ʻO ka wā ma hope o ka hana ʻana o kahi arthrodesis lumbar posterior
Tras la operationón o hope lumbar arthrodesis, pono ka mea maʻi e noho ma ka haukapila no ʻekolu a ʻehā lāíe like me, i ka cuáE hoʻihoʻi au iā lākouá holomua kāna hana física. I loko o kēia manawa, además, e hoolakoiaán e hoomanawanui analgémaʻi víwaha a i ʻole i loko.
ʻO kekahi mau ʻōlelo aʻoaʻo e hahai ma hope o ka hana ʻana i kēia hanaón penei:
- E hoʻonui i ka hana fíholomua a me ka hoʻonui ʻole ʻana i ka hoʻōlaón ónui.
- Mai hoʻoikaika i ka ʻāpana o ka spine ma ka hoʻoikaika ʻana i ka flexióʻaʻohe meheuón no kekahi mau pule.
- Pono e hōʻole ʻia ka ʻai ʻana i ka paka i ʻole ka fusión óʻaʻole pili.
E kiʻi iā mākouón ka arthrodesis lumbar hope
I hiki ke ho'ōla ma kekahi ala óʻoi loa ma hope o ka hana ʻanaón, he mea pono ke okiíe hoʻokō ʻia e kahi traumatókoke nā loea eé kūpono a loaʻa ka ʻike nui ma ke ʻano he ʻoihana. Además, He mea nui e hahai mau ka mea maʻi i nā kuhikuhi a me nā hana i kuhikuhi ʻia e ka mé'Ōlelo wau a physiotherapist paha.
ʻO ke kī i ka ho'ōlaón o ka hope lumbar arthrodesis ʻo ka hele wāwae me ka holomua a me ka pinepine. Kahi mea hou aʻe, pono paha kekahi mau physiotherapy a me ka hoʻoponoponoón i ka traumaókamaʻilio kokeá pono i ka mea mai.
Hoohui houóʻaʻole ma ka hana aia ma waena 4 a 8 mau pule ma hopeés o ka hanaón makemakeúrgica. Ma keʻano laulā, ʻaʻohe sequelae ma hope o kēia hana.ón. I nā manawa he nui, pili ka sequelae i ka hánā ʻāpana a me nā makahiki o ka mea maʻi. No kēia kumu, he mea nui ka hoʻoponopono.ón, no ka mea, i kekahi mau hihia, hiki i ka mea maʻi ke loaʻa i ka ʻeha hope haʻahaʻa.
Ma keia ano, ʻike ʻoe he aha ia hope lumbar arthrodesis, he hana okiúʻeha e pono ai e hoʻohana i nā manawa like ʻole e hiki ai ke hana i ka ʻeha haʻahaʻa hope, oi aku ma ia mau manawa a pau, ma hope o ke koho ʻana i nā lāʻau lapaʻau non-invasive ʻē aʻe, ʻaʻole i kūpono ke kaʻina hana a ʻaʻole i hoʻoponopono ʻia ka pilikia i loaʻa i ka mea maʻi.
