ʻO Vertebroplasty

ʻO ka Vertebroplasty kahi hana i waho e hoʻohana ʻia e mālama ai i nā haʻihaʻi ʻehaʻeha i ka iwi kuamoʻo. I ka haʻihaʻi o ka haʻihaʻi, hāʻule nā ​​mea āpau a ʻāpana paha o kahi iwi kuamoʻo.

Hana ʻia ʻo Vertebroplasty i kahi haukapila a i ʻole kahi haukapila maʻi.

• Loaʻa paha iā ʻoe kahi anesthesia kūloko (ala a hiki ʻole ke ʻeha). E loaʻa nō paha iā ʻoe ka lāʻau e kōkua ai iā ʻoe e hoʻomaha a hiamoe ai.
• Loaʻa paha iā ʻoe ka anesthesia laulā. E hiamoe ʻoe a hiki ʻole ke ʻeha.

Moe ʻoe i lalo i ka papa. Hoʻomaʻemaʻe ka mea mālama olakino i ka wahi o kou kua a hoʻopili i ka lāʻau e numb i ka wahi.

Hoʻokomo ʻia kahi nila i loko o ka ʻili a i loko o ka iwi iwi kuamoo. Hoʻohana ʻia nā kiʻi x-ray manawa maoli e alakaʻi i ke kauka i kahi kūpono i kou kua o lalo.

Hoʻokomo ʻia ka sima i loko o ka iwi iwi haʻi i mea e hina hou ʻole ai.

Ua like kēia hana me ka kyphoplasty. Eia nō naʻe, pili ke kyphoplasty i ka hoʻohana ʻana i kahi pāluna i hoʻonui ʻia i ka hopena o ke kui kele e hana i kahi ma waena o ka vertebrae.

ʻO kahi kumu maʻamau o ka haki ʻana o ka iwi kuamoʻo ka lahilahi o kou mau iwi, a i ʻole osteoporosis. Hiki i kāu mea hāʻawi ke paipai i kēia kaʻina hana inā loaʻa iā ʻoe ka ʻehaʻeha a hōʻehaʻeha no 2 mau mahina a ʻoi paha ʻaʻole i ʻoi aku ka maikaʻi me ka hoʻomaha moe, nā lāʻau ʻeha, a me ka hoʻōla kino.

E ʻōlelo paha kāu mea hāʻawi i kēia kaʻina hana inā loaʻa iā ʻoe kahi haʻihaʻi ʻeha o ka iwi kuamoʻo ma muli o:

• Ka maʻi ʻaʻai, me ka myeloma he nui
• ʻO ka ʻeha nāna i hōʻeha nā iwi i ka iwi kuamoʻo

Palekana ʻo Vertebroplasty i kahi palekana. Komo pū nā pilikia:

• Kahena.
• Maʻi kīnā.
• Nā hopena āpau i nā lāʻau.
• Nā pilikia hanu a me ka puʻuwai inā he anesthesia āpau kāu.
• Nā hōʻeha nerve.
• ʻO ka leage o ka sima iwi i nā wahi e pili ana (hiki i kēia ke hōʻeha i ka ʻeha inā pili ia i ka iwi kuamoo a me nā ʻalolo). ʻOi aku ka maʻalahi o kēia pilikia me kēia kaʻina hana ma mua o kyphoplasty. Hiki paha iā ʻoe ke ʻoki o ke kuamoʻo e wehe i ka leakage inā kū ia.

E haʻi mau i kāu mea hāʻawi:

• Inā hiki iā ʻoe ke hāpai
• He aha nā lāʻau āu e lawe nei, me nā mea āu i kūʻai ai me ka ʻole o ka lāʻau
• Inā inu nui ʻoe i ka waiʻona

I nā lā ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen, coumadin (Warfarin), a me nā lāʻau ʻē aʻe e paʻakikī i kou kōkō ʻana ke ʻū aʻe i kekahi mau lā ma mua.
• E nīnau i nā lāʻau āu e lawe ai i ka lā o ke ʻoki.
• Inā puhi ʻoe, hoʻāʻo e kū.

I ka lā o ke kaha:

• E haʻi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea no kekahi mau hola ma mua o ke kaha ʻana.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wai liʻiliʻi.
• E haʻi ʻia ʻoe i ka wā e hiki aku ai.

E hoʻi paha ʻoe i ka home i ka lā like o ke kaha ʻana. ʻAʻole ʻoe e hoʻokele, ke ʻōlelo ʻole kāu mea lawelawe ua maikaʻi.

Ma hope o ke kaʻina hana:

• Hiki iā ʻoe ke hele wāwae. Eia naʻe, ʻoi aku ka maikaʻi o ka noho ʻana i ka moena no nā hola he 24, koe wale no ka hoʻohana ʻana i ka lua.
• Ma hope o 24 mau hola, hoʻi mālie i kāu mau hana maʻamau.
• Hōʻalo i nā hana hāpai kaumaha a me nā hana ikaika ma kahi o 6 mau pule.
• E noi i ka hau i ka wahi ʻeha inā loaʻa iā ʻoe ka ʻeha kahi i hoʻokomo ʻia ai ka nila.

ʻO ka poʻe i loaʻa i kēia kaʻina hana pinepine ka liʻiliʻi o ka ʻeha a me ke ʻano maikaʻi o ke ola ma hope o ke ʻoki.

Pono lākou i nā lāʻau ʻeha ʻeha, a hiki ke neʻe ʻoi aku ka maikaʻi ma mua o ka wā ma mua.

Osteoporosis - vertebroplasty

• Vertebroplasty - moʻo

Savage JW, Anderson PA. Nā haʻi iwi o Osteoporotic. I: Browner BD, Jupiter JB, Krettek C, Anderson PA, hua. Trauma skeletal: ʻepekema kumu, ka hoʻokele, a me ke kūkulu hou ʻana. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 35.

ʻO Weber TJ. Osteoporosis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 230.

ʻO Williams KD. Nā haʻihaʻi, nā dislocations, a me nā haʻihaʻi-dislocations o ka iwi kuamoʻo. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 41.

Yang EZ, Xu JG, Huang GZ, et al. Percutaneous vertebroplasty vs. conservative lapaʻau i nā mea maʻi me ka osteoporotic vertebral compression fractures: kahi prospective random control clinical study. Spine (Phila Pa 1976). 2016; 41 (8): 653-660. PMID: 26630417 www.ncbi.nlm.nih.gov/pubmed/26630417.