Laminectomy

Laminectomy kapena decompressive laminectomy ndi njira yopangira opaleshoni yomwe imafuna kuchotsa fupa la fupa la vertebra lomwe limaphimba mitsempha., amadziwika kuti lamina. Njira imeneyi imathetsa kupanikizika kwa mitsempha ya msana ndi msana.. Nthawi zambiri amagwiritsidwa ntchito pochiza stenosis ya msana ndi vertebral arthrosis.

Pamene mankhwala osawononga akulephera, Laminectomy ndiyofunikira kuti muchepetse zizindikiro zomwe zimasokoneza moyo watsiku ndi tsiku. Otsatira a laminectomy ali ndi:

• Kupweteka kwa msana kosalekeza kokulirapo.
• Kuvuta kuyenda.
• Kufooka kapena dzanzi m'miyendo.
• Kusadziletsa.

Zizindikirozi ndizofanana ndi kuchepetsedwa kwa ngalande ya msana yomwe imapangitsa kuti msana ukhale wolimba. Ngati kupanikizana uku kuli kumtunda kwa msana (yopapatiza khomo lachiberekero ngalande), Laminectomy ya khomo lachiberekero iyenera kuchitidwa. Ngati ili m'munsi kumbuyo (yopapatiza lumbar ngalande) lumbar laminectomy analimbikitsa.

Kuchepetsa kwa msana wa msana kumayambitsa zovuta kuphatikiza matenda osokonekera a disc, stenosis ya msana, herniated disc, osteophytosis kapena espondylosis. Nthawi zambiri, ziwiri kapena zingapo za izi zimatha kuchitika palimodzi..

Laminectomía Cervical

Ndi chithandizo cha opaleshoni chomwe chimachitidwa pamlingo wa khosi, pamsana pake. Kuchotsedwa kwadongosolo kwa msana wa msana wa laminae kapena minofu ina iliyonse yofewa yomwe ingayambitse kuponderezedwa kwa msana.

Zifukwa zopangira laminectomy ya khomo lachiberekero ndizosiyanasiyana, pero principalmente para tratar presiones sobre nervios espinales en el cuello y también como un método para estabilizar la columna vertebral cervical.

Zomwe zimachitika pakhosi lakumbuyo?

Mtsinje wa msana ndi ngalande ya mafupa mumsana, momwe pali chingwe ndi mitsempha ya msana. Ngalandeyi ikachepetsedwa kukula, minyewa ya msana ndi / kapena msana imapanikizidwa, ndikuyika mphamvu pa iwo..

Panthawiyi zizindikiro za ululu zimawonekera, dzanzi, Kutekeseka kumverera, kuuma kwakukulu ndi kufooka. Pamene ili pamtunda wa khomo lachiberekero, nthawi zambiri imadziwonetsera m'mapewa, manja ndi manja.

Lumbar Laminectomy

Lumbar laminectomy imadziwikanso ngati kutsegula kwa lumbar kotseguka ndipo imagwiritsidwa ntchito pazovuta zowonongeka. Ambiri anachita kuchiza lumbar msana stenosis.

Ndi njira yopangira kuchotsa gawo la fupa pamwamba kapena pansi pa muzu wa mitsempha kuti muthe kumasula malo. Ndondomekoyi imaphatikizapo kudula 5 a 12 masentimita pakati pa msana ndikuyandikira msana, laminectomy imagwiritsidwa ntchito kuti ifike ku mizu ya mitsempha.

Ndilo njira yomaliza yomwe imagwiritsidwa ntchito ngati njira zosasokoneza zalephera kale: jakisoni, mankhwala, physiotherapy, ndi zina.

Zomwe zimachitika kumunsi kumbuyo?

Ma intervertebral discs amagwira ntchito ngati zosokoneza ndipo amalola kusuntha kwa mafupa a msana kumunsi kumbuyo.. Pamene ma disks awo amachepa, yambitsa ululu, dzanzi ndi kufooka kwa miyendo. Izi zingayambitse herniated disc amene nthawi zambiri amathandizidwa ndi laminectomy.

Laminectomy preoperative

Dokotala amalangiza x-ray, resonancia magnética o mielografía de TC de la columna vertebral, kutsimikizira stenosis ya msana. Ngati matenda ali positive, kukonzekera opaleshoni.

• Ngati ndinu wosuta, ndi nthawi yabwino yoti musiye.
• Siyani mankhwala aliwonse omwe amapangitsa kuti magazi atseke, monga acetylsalicylic acid, ibuprofen, naproxen, mwa ena. Funsani dokotala wanu mankhwala omwe mungamwe musanayambe opaleshoni.
• Uzani dokotala ngati mukudwala matenda aliwonse kapena matenda.
• Tsiku la opaleshoni akulimbikitsidwa kupita osamwa kapena kudya chakudya, osachepera 8 maola asanalowererepo.

Postoperative laminectomy

Pambuyo pa opaleshoni, ogwira ntchito zachipatala adzakuitanani kuti mudzuke ndikuyenda., kuonetsetsa kuti ntchito zamagalimoto sizinawonongeke. Anthu ambiri omwe ali ndi laminectomy amachoka kuchipatala 1 a 3 masiku, ngati palibe zovuta.

Tsatirani malangizo a dokotala kuti musamalire kumbuyo kwanu kunyumba ndipo mudzabwerera kuntchito yanu nthawi yomweyo..

5 Ubwino wa laminectomy

Cholinga cha laminectomy ndikuchotsa zizindikiro za kuchepa kwa msana wa msana., monga ululu, dzanzi, kuyabwa ndi kufooka. M'mawu ena, kubwezeretsa zonse mitsempha ntchito.

Pambuyo pa laminectomy zotsatirazi ziyenera kukwaniritsidwa:

1. Kuthetsa ululu wonse kapena pang'ono.
2. Decompression pa msana ndi mitsempha. Mphamvu sizibwerera kwathunthu ku zabwinobwino, koma kufooka kumakula modabwitsa.
3. Kupewa kuwonongeka ndi kuyenda kwachilendo kwa msana.
4. Kuchepetsa kwambiri kagwiritsidwe ntchito ka mankhwala.
5. General kukhazikika kwa msana ndi kupewa kuwonongeka kwina.

Zowopsa za Laminectomy

Njira ya laminectomy ndi yotetezeka ndipo mavuto sachitika kawirikawiri. Kuposa 90% odwala amasiya opaleshoni popanda zovuta. Komabe, pochita opaleshoni iliyonse padzakhala zoopsa nthawi zonse, izi zikhoza kukhala:

• Matenda. Mu bala ndi / kapena mafupa a msana.
• Kupweteka kosalekeza komwe sikutha.
• Kutaya kumva chifukwa cha kuwonongeka kwa mitsempha ya msana (zokhala ndi mwayi wocheperako kuposa 1%).
• Kulephera kugonana.
• Kusadziletsa.

Ngakhale zili choncho, ngati laminectomy sikuchitika pa nthawi, zikhoza kupangitsa kuti matendawa ayambe kuwonjezereka ndikuyamba kuyenda movutikira, kusunga bwino ndi kuwonongeka kwapang'onopang'ono kwa ntchito zamagalimoto zomwe zingayambitse ziwalo.