Diskectomy

ʻO Diskectomy kahi ʻoki e wehe i nā mea āpau a i ʻole ʻāpana o ka pale e kōkua i ke kākoʻo ʻana i kahi ʻāpana o kāu kolamu iwi. Kapa ʻia kēia mau ʻāpana nā pā, a hoʻokaʻawale lākou i kou iwi iwi ʻāʻī (vertebrae).

Hiki paha i kahi kauka ke hana i ka hemo disk (diskectomy) i kēia mau ʻano like ʻole.

• ʻO Microdiskectomy: Ke loaʻa iā ʻoe kahi microdiskectomy, ʻaʻole pono i ke kauka ke hana i nā ʻokiʻoki nui ma nā iwi, nā hono, nā ligament, a me nā mākala o kou kuamoʻo.
• ʻO Diskectomy i ka ʻaoʻao haʻahaʻa o kou kua (lumbar spine) he ʻāpana o kahi ʻoki nui nui e pili pū ana me kahi laminectomy, foraminotomy, a i ʻole fusion spinal.
• Hana pinepine ʻia ʻo Diskectomy i kou ʻāʻī (iwi kuamoʻo) me ka laminectomy, foraminotomy, a fusion paha.

Hana ʻia ʻo Microdiskectomy i kahi haukapila a i ʻole kahi kikowaena o waho. Hāʻawi ʻia ʻoe i ka anesthesia spinal (e helu i kou ʻāʻiwi) a i ʻole anesthesia ākea (hiamoe a ʻaʻohe ʻeha).

• Hana ke kaukoki i kahi liʻiliʻi (1 a 1.5-ʻīniha, a i ʻole 2.5 a 3.8-centimeter) ʻoki (ʻoki) ma kou kua a neʻe i nā mākala hope mai kou kuamoʻo. Hoʻohana ka mea hoʻopuka i kahi microscope kūikawā e ʻike i ka disk pilikia a i ʻole nā ​​pā a me nā aʻa i ka wā o ke ʻoki.
• Aia ke aʻa aʻa a neʻe mālie.
• Lawe ke kaukōkō i nā kino disk i ʻeha a me nā ʻāpana o ka pā.
• Hoʻihoʻi ʻia nā mākala i hope i kahi.
• Hoʻopili ʻia ka ʻokiʻoki me nā kuʻi a i ʻole staples.
• Hana ke ʻoki ma kahi o 1 a 2 mau hola.

Hana pinepine ʻia ʻo Diskectomy a me laminotomy i ka haukapila, e hoʻohana ana i ka anesthesia laulā (hiamoe a ʻaʻohe ʻeha).

• Hoʻokiʻoki ka mea lapaʻau i kou kua ma luna o ka iwi kuamoo.
• Hoʻoneʻe iki ʻia nā mākala a me nāʻiʻo e hōʻike i kou kuamoʻo.
• ʻO kahi ʻāpana o ka iwi lamina (ʻāpana o ka vertebrae e hoʻopuni ana i ka iwi kuamoʻo a me nā ʻāʻī) ʻokiʻoki ʻia. ʻO ka wehe paha ka nui e like me ka ligament e holo ana ma kou kuamoʻo.
• Ua ʻoki ʻia kahi puka liʻiliʻi i loko o ka disk e kū nei i kāu mau ʻōuli. Lawe ʻia nā mea mai loko o ka pā. Hiki ke hoʻoneʻe ʻia nā ʻāpana ʻē aʻe o ka disk.

Ke neʻe kekahi o kāu mau pāpaʻi ma waho o kahi (herniates), pahu ka gel mālie i loko o ka paia o ka pā. E hoʻokau paha ka pāpaʻi i ke kaola o ka iwi kuamoʻo a me nā aʻalolo e puka mai ana mai kāu kolamu iwi kuamoʻo.

ʻOi aku ka maikaʻi o nā ʻōuli i hana ʻia e kahi diski herniated a i ʻole hele aku ma kahi o ka manawa me ke kahakaha ʻole. ʻO ka hapa nui o ka poʻe me ka ʻeha haʻahaʻa a ʻāʻī hoʻi, numbness, a i ʻole nāwaliwali māmā e mālama pinepine ʻia me nā lāʻau anti-inflammation, hoʻoikaika kino, a me ka hoʻoikaika kino.

ʻO kahi poʻe wale nō me kahi disk herniated e pono ai ke kahakaha.

E ʻōlelo paha kāu kauka i kahi diskectomy inā loaʻa ʻoe kahi diski herniated a:

• ʻO ka ʻeha a lima paha a i ʻole ka helu paha i maikaʻi ʻole a hele ʻole paha, e paʻakikī ana e hana i nā hana o kēlā me kēia lā
• ʻO ka nāwaliwali loa i nā mākala o kou lima, ka wāwae o lalo a i ʻole nā ​​ʻūlū
• ʻO ka ʻeha e palahalaha aʻe i kou mau puʻupuʻu a i ʻole mau wāwae

Inā loaʻa ʻoe i nā pilikia me kou ʻōpū a i ʻole ka huehue, a i ʻole ʻeha loa ka ʻeha a ʻaʻole kōkua nā lāʻau ʻeha ikaika, pono ʻoe e ʻoki koke.

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi

ʻO nā pilikia no kēia ʻoki kino penei:

• ʻO ka hōʻino i nā aʻalolo e puka i waho o ka iwi kuamoʻo, e hoʻoulu ana i ka nāwaliwali a i ʻole ʻeha e hele ʻole
• ʻAʻole maikaʻi ka ʻeha o kou kua, a hoʻi ʻole ka ʻeha ma hope
• ʻEha ma hope o ke kaha ʻana, inā ʻaʻole lawe ʻia nā ʻāpana disk
• E kulu paha ka wai o ka iwi a hōʻeha i nā poʻo
• Pahu hou paha ka pāpaʻi
• E hele a paʻa ʻole paha ka lāʻau Spine a koi aku i kahi ʻoki hou
• ʻO ka maʻi e koi aku ai i nā antibiotic, kahi noho ma ka haukapila ʻoi aku ka lōʻihi, a i ʻole nā ​​ʻoki keu

E haʻi i kāu mea mālama ola i nā lāʻau āu e lawe nei, a me nā lāʻau, nā mea hoʻopiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

I nā lā ma mua o ke kaha ʻana:

• E hoʻomākaukau i kou home no ka hoʻi mai ka haukapila.
• Inā he puhipaka ʻoe, pono ʻoe e hoʻokū. E lohi kou hoʻi a ʻaʻole paha maikaʻi inā hoʻomau ʻoe e puhi. E noi i kāu mea hāʻawi mai i kōkua.
• ʻElua mau pule ma mua o ke kahakaha ʻana, e noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī ai i ke kō ʻana o kou koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), a me nā lāʻau e like me kēia.
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole nā ​​pilikia olakino ʻē aʻe, e noi ana kāu kauka iā ʻoe e ʻike i nā kauka nāna e mālama iā ʻoe no kēlā mau ʻano.
• E kamaʻilio me kāu mea hāʻawi inā inu nui ʻoe i ka waiʻona.
• E noi i kāu mea nāna e hāʻawi i nā lāʻau e pono ai e lawe i ka lā o ke ʻoki.
• E hoʻomaopopo mau i kāu mea hoʻolako e pili ana i kekahi anuanu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe āu.
• Hiki paha iā ʻoe ke kipa aku i ka mea hoʻoponopono kino e aʻo i kekahi ʻano hoʻoikaika kino e hana ma mua o ke kaha ʻana a hoʻomaʻamaʻa i ka hoʻohana ʻana i nā koʻokoʻo.

I ka lā o ke kaha:

• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻoki ai i ka ʻai a me ka inu ʻana.
• E lawe i nā lāʻau a kāu mea hāʻawi i kauoha aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• Lawe mai i kou kō, mea hele wāwae, a i ʻole noho huila inā loaʻa iā ʻoe kekahi. Lawe pū mai i nā kāmaʻa me nā pā pālahalaha, nonskid.
• E hāhai i nā ʻōkuhi e pili ana i ka wā e hōʻea ai i ka haukapila. E hōʻea i ka manawa kūpono.

E noi ana kāu mea lawelawe iā ʻoe e ala aʻe a hele a puni ka wā e pau ai kāu anesthesia. Hele ka hapa nui o ka poʻe i ka hale i ka lā o ke ʻoki. Mai hoʻokele iā ʻoe iho i ka home.

E hāhai i nā ʻōkuhi e pili ana i ka mālama ʻana iā ʻoe iho ma ka home.

Loaʻa ka hapa nui o ka poʻe i ka ʻeha a hiki ke neʻe ʻoi aku ka maikaʻi ma hope o ke kaha ʻana. Pono e hele a nalo ka numbness a me ke kani. ʻAʻole e maikaʻi a hele aku paha kou ʻeha, numbness, a nāwaliwali paha inā loaʻa ʻoe kahi ʻino nerve ma mua o ke kahakaha ʻana, a i ʻole he mau hōʻailona kāu e nā kumu o ke kuamoʻo.

Hiki ke hoʻololi hou ʻia i kou iwi kuamoʻo i ka manawa a kū i nā ʻōuli hou.

E kamaʻilio me kāu mea lawelawe e pili ana i ka pale ʻana i nā pilikia hope.

Spinal microdiskectomy; Microdecompression; Laminotomy; Lawe ʻia ka pāpaʻi; ʻOki kua - diskectomy; Discectomy

• ʻOki kua - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe

• ʻO Herniated nucleus pulposus
• Iwi kuamoʻo
• Nā hale kākoʻo Spine
• Cauda equina
• Spen stenosis
• Microdiskectomy - moʻo

Ehni BL. ʻO ka discectomy lumbar. I: Steinmetz MP, Benzel EC, eds. ʻO Benzel's Spine Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 93.

Gardocki RJ. ʻO ka anatomy Spinal a me nā hoʻokokoke ʻana. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 37.

Gardocki RJ, Pāka AL. Nā maʻi Degenerative o ka iwi kuʻi a me ka lumbar. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 39.