A laminectomy kana decompressive laminectomy inzira yekuvhiya inoda kubvisa bony arch ye vertebra inovhara tsinga., anozivikanwa sa lamina. Iyi nzira inobvisa kudzvanywa kwetsinga dzemusana uye musana.. Inowanzoshandiswa mukurapa kwe musana stenosis uye vertebral arthrodesis.
Kana kurapa kusiri-invasive kukundikana, a laminectomy inofanirwa kubvisa zviratidzo zvinokanganisa hupenyu hwezuva nezuva. Vanoda kuvhiyiwa laminectomy vane:
- Kugara kunorwadza musana kwehukuru hwakanyanya.
- Kutadza kufamba.
- Kupera simba kana kuti chiveve mumakumbo.
- Incontinence.
Zviratidzo izvi zvinowanzoitika pakutetepa kwemusana wemusana unoisa kumanikidzika pamutsipa wepelinha. Kana kutetepa uku kunowanikwa muchikamu chepamusoro chemuzongoza (nhete yekervical canal), cervical laminectomy inofanira kuitwa. Kana iri kuzasi kumashure (yakamanikana lumbar canal) lumbar laminectomy inokurudzirwa.
Kutetepa kwepelinha kunokonzera kusagadzikana kunosanganisira degenerative disc chirwere, musana stenosis, herniated disc, osteophytosis kana espondylosis. Muzviitiko zvakawanda, maviri kana anopfuura emamiriro aya anogona kuitika pamwechete..
Index
Laminectomía Cervical
Iko kupindira kwekuvhiya kunoitwa pamutsipa wemutsipa, pamusana wayo. Kubviswa kwakarongwa kwepinal canal laminae kana chero imwe matishu akapfava angave ari kukonzera kudzvanywa pamuzongoza kunoitwa..
Zvikonzero zvekuita cervical laminectomy zvakasiyana, pero principalmente para tratar presiones sobre nervios espinales en el cuello y también como un método para estabilizar la columna vertebral cervical.
Chii chinoitika mumutsipa kumashure?
The spinal canal ibony tunnel mumusana, umo tambo uye tsinga dzemusana dziripo. Kana mugero uyu wakaderedzwa muhukuru, tsinga dzemusana uye / kana musana unomanikidzwa, zvichiisa kumanikidza pavari..
Panguva ino zviratidzo zvekurwadziwa zvinoonekwa, chiveve, Kunzwa kunzwa, kuoma kwakawanda uye kushaya simba. Kana iri padanho rekervical, inowanzozviratidza mumapfudzi, maoko nemaoko.
Lumbar Laminectomy
Lumbar laminectomy inozivikanwawo seyakavhurika lumbar decompression uye inoshandiswa kune degenerative disorders. Inowanzoitwa kurapa lumbar spinal stenosis.
Inyanzvi yakagadzirirwa kubvisa chikamu chepfupa pamusoro kana pasi pemudzi wetsinga kuitira kusunungura nzvimbo. Iyo nzira inosanganisira incision ye 5 a 12 masendimita pakati pemusana uye ichiswedera kumusana, laminectomy inoshandiswa kusvika kumidzi yetsinga.
Ndiyo nzira yekupedzisira inoshandiswa apo nhanho dzisiri dzekupindira dzakatokundikana: jekiseni, mishonga, physiotherapy, etc.
Chii chinoitika kuzasi musana?
Iyo intervertebral discs inoshanda seanovhundutsa uye inobvumira kufamba kwemapfupa emusana muzasi kumashure.. Kana iwo madhisiki anoderera, kukonzera marwadzo, chiveve uye kupera simba mumakumbo. Izvi zvinogona kukonzera herniated disc iyo kazhinji inorapwa ne laminectomy.
Laminectomy preoperative
- Kana uri musvuti, inguva yakanaka yokurega.
- Rega chero mushonga unoita kuti zviome kugwamba kweropa, senge acetylsalicylic acid, ibuprofen, naproxen, pakati pevamwe. Bvunza chiremba wako kuti ndeipi mishonga inogona kumwiwa mukati menguva usati wavhiyiwa.
- Udza chiremba wekurapa kana iwe uchitambura nechirwere chero chipi zvacho kana matambudziko ehutano.
- Zuva rekuvhiyiwa rinokurudzirwa kuenda usina kunwa kana kudya zvokudya, zvisingapfuure 8 maawa asati apindira.
Postoperative laminectomy
Mushure mekuvhiyiwa, vashandi vezvokurapa vangangokukoka iwe kuti usimuke uye ufambe., kutarisa kuti motor function haina kukanganisa. Vanhu vazhinji vane laminectomy vanobva muchipatara 1 a 3 mazuva, kana pasina matambudziko anomuka.
Tevedzera mirairo yachiremba wekuvhiya kuti utarisire kumashure kwako kumba uye iwe uchadzokera kumaitiro ako ebasa pasina nguva..
5 Zvakanakira zve laminectomy
Chinangwa che laminectomy ndechekubvisa zviratidzo zvekudzikira kwemusana., sekurwadziwa, chiveve, kurira uye kushaya simba. Mune mamwe mazwi, dzosa kushanda kwetsinga dzose.
Mushure me laminectomy zvinotevera zvinobatsira zvinofanira kuwanikwa:
- Kubvisa marwadzo zvachose.
- Decompression pamutsipa wepelinha uye tsinga. Simba haridzokeri zvachose kune zvakajairika, asi utera hunovandudza zvinoshamisa.
- Kudzivirira kuora uye kufamba kusina kujairika kwemusana.
- Kuderera kukuru mukutonga kwezvinodhaka.
- General kugadzikana kwemusana uye kudzivirira kumwe kukuvadza.
Ngozi dze laminectomy
- Utachiona. Muronda uye / kana mapfupa emusana.
- Kurwadziwa kunogara kusingapere.
- Kurasikirwa kwekunzwa nekuda kwekukuvadzwa kwemusana wetsinga (nemikana yekuitika kushoma pane 1%).
- Kushaya simba pabonde.
- Incontinence.
Kunyange zvakadaro, kana laminectomy isina kuitwa nenguva, zvinogona kuita kuti chirwere chiwedzere uye kutanga kunetseka kufamba, kuchengetedza kuenzanisa uye kuderera zvishoma nezvishoma kwemabasa emotokari izvo zvinogona kutungamirira kukuoma mitezo.