Hoʻoikaika ka iwi kuamoʻo

ʻO ka stiminal cord stimulate kahi lapaʻau no ka ʻeha e hoʻohana ai i ka uila uila e pale ai i nā impulses nerve i ka iwi kuamoʻo.

E hoʻokomo ʻia kahi electrode hoʻokolohua i mua e ʻike inā kōkua ia i kou ʻeha.

• E hoʻopili ʻia kou ʻili me kahi anesthetic kūloko.
• E hoʻonoho ʻia nā kaula (kēpau) ma lalo o kou ʻili a kikoo ʻia i loko o ka hakahaka ma luna o kou kaula iwi.
• E hoʻopili ʻia kēia mau kaula i kahi mīkini uila liʻiliʻi i waho o kou kino āu e halihali ai e like me ke kelepona paʻalima.
• ʻO ke kaʻina hana he 1 mau hola paha. Hiki iā ʻoe ke hoʻi i ka home ma hope o ke kau ʻia ʻana o ke alakaʻi.

Inā hōʻemi nui ka lāʻau i kou ʻeha, e hāʻawi ʻia iā ʻoe i kahi generator paʻa. E hoʻokomo ʻia ka mīkini hana i kekahi mau pule ma hope.

• E hiamoe ʻoe a ʻaʻohe ʻeha me ka anesthesia āpau.
• E hoʻokomo ʻia ka mea hana ma lalo o ka ʻili o kou ʻōpū a i ʻole kau mauʻu ma o kahi ʻoki liʻiliʻi.
• Hana ke kaʻina hana ma kahi o 30 a 45 mau minuke.

Holo ka mea hana i nā pila. Hoʻohui hou ʻia kekahi o nā pila ʻO nā mea ʻē aʻe he 2 a 5 mau makahiki paha. Pono ʻoe i kahi ʻokiʻoki hou e pani i ka pakuhi.

Koi paha kāu kauka i kēia kaʻina hana inā loaʻa iā ʻoe:

• ʻO ka ʻeha hope e hoʻomau a ʻoi aku paha ka maikaʻi, ʻoiai ma hope o ke kaha ʻana e hoʻoponopono iā ia
• ʻO ka maʻi ʻeha ʻāpana kūpanaha paʻakikī (CRPS)
• Lōʻihi hope (mau) ʻeha kua, me ka ʻole o ka ʻeha a me ka wāwae
• ʻEha ʻeha a numbness paha i nā lima a me nā wāwae
• ʻO ka pehu (pehu) o ka uhi o ka lolo a me ka iwi kuamoo

Hoʻohana ʻia ʻo SCS ma hope o kou hoʻāʻo ʻana i nā lāʻau ʻē aʻe e like me nā lāʻau a me ka hoʻoikaika kino a ʻaʻole lākou i hana.

ʻO nā pilikia o kēia ʻoki pū kekahi o kēia:

• ʻO ka liu o Cerebrospinal fluid (CSF) a me nā poʻo hina o ke kuamoʻo
• ʻO ka hōʻino i nā aʻalolo i puka i waho o ka iwi kuamoʻo, ke kumu o ka palu, nāwaliwali, a i ʻole ʻeha e hele ʻole
• ʻO ka maʻi o ka paukū a i ʻole pūnaewele electrode (inā kū kēia, pono e hemo mau nā lakohana)
• ʻO ka neʻe ʻana a i ʻole hōʻino i ka mea hana a alakaʻi paha e koi ana i kahi ʻoki hou
• ʻEha ma hope o ke kaha
• Nā pilikia me ka hana o ka stimulator, e like me ka hoʻouna ʻana i kahi hōʻailona ikaika loa, ke kū a me ka hoʻomaka ʻana, a i ʻole ke hoʻouna ʻana i kahi hōʻailona nāwaliwali
• ʻAʻole holo paha ka stimulator
• ʻO ka hōʻiliʻili ʻana o ke koko a i ʻole ka wai i waena o ka uhi o ka lolo (dura) a me ka ʻili o ka lolo

Hiki paha i ka SCS mea keakea i nā hāmeʻa ʻē aʻe, e like me nā pacemaker a me nā defibrillator. Ma hope o ka hoʻokomo ʻia ʻana o ka SCS, ʻaʻole hiki iā ʻoe ke kiʻi iā MRI hou. E ʻoluʻolu e kūkākūkā i kēia me kāu mea mālama ola.

E haʻi i ka mea hoʻolako e hana ana i nā kaʻina hana i nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau a me nā mea hoʻopiha 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 ʻoe he puhipaka, pono ʻoe e haʻalele i ka puhipaka. E lohi kou hoʻi a ʻaʻole paha maikaʻi inā ʻoe e puhi puhi. E noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele.
• I hoʻokahi pule ma mua o ke kaha ʻana, e noi ʻia ʻoe e haʻalele i ka lawe ʻana i nā mea lahilahi. ʻO kēia nā lāʻau e hoʻoikaika i kou koko e kāpili. Hoʻopili lākou i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn).
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole nā ​​pilikia olakino ʻē aʻe, e noi ana kāu mea lawelawe iā ʻoe e ʻike i nā kauka nāna e mālama iā ʻoe no kēia mau pilikia.
• 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.

I ka lā o ke kaha:

• E hāhai i nā ʻōkuhi e pili ana i ka ʻai ʻole a me ka inu ʻole i kekahi mea ma mua o ke kaʻina hana. E lawe i nā lāʻau a kāu kauka lāʻau i kauoha 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.

Ma hope o ka hoʻokau ʻia ʻana o ka mīkini hana wā paʻa, e pani ʻia ka ʻoki lāʻau a uhi ʻia me ka lole. Lawe ʻia ʻoe i ka lumi hoʻāla e ala aʻe mai ka anesthesia.

Hiki i ka hapanui o ka poʻe ke hoʻi i ka home i ka lā like, akā makemake paha kāu kaukōkō iā ʻoe e noho pō i ka haukapila. E aʻo ʻia ʻoe pehea e mālama ai i kāu pūnaewele ʻoki kino.

Pono ʻoe e hōʻalo i ka hāpai kaumaha, ke kūlou ʻana, a me ka wili ʻana ke hoʻōla ʻoe. Hiki ke kōkua i ka hoʻoikaika kino e like me ka hele wāwae i ka wā o ke ola hou ʻana.

Ma hope o ke kaʻina hana he ʻoi aku kou ʻeha hope a ʻaʻole pono ʻoe e lawe i nā lāʻau ʻeha. Akā, ʻaʻole mālama ka lapaʻau i ka ʻeha hope a mālama ʻole i ke kumu o ka ʻeha. Hiki ke hoʻoponopono ʻia ka stimulator ma muli o kāu pane i ka lāʻau.

Neurostimulator; SCS; Neuromodulation; Hoʻoikaika ka kolamu Dorsal; Paʻi hoʻi hope loa - stimulate spinal; Paʻi ʻāpana kūpilikiʻi - stimulate spinal; CRPS - hoʻonāukiuki i ka iwi kuamoʻo; ʻO ke kīʻaha hope ʻole - hoʻōla i ka iwi kuamoʻo

ʻO Bahuleyan B, Fernandes de Oliveira TH, Machado AG. ʻO kaʻeha mau, hōʻeha hope o ke kīpoki hope, a me ka hoʻokele. I: Steinmetz MP, Benzel EC, eds. ʻO Benzel's Spine Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 177.

Dinakar P. Nā kumu o ka mālama ʻeha. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 54.

Sagher O, Levin EL. Hoʻoikaika ka iwi kuamoʻo. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 178.