Hoʻololi pā - ka iwi kuamoʻo

ʻO ka lumbar spine disk replacement kahi ʻoki o ka ʻaoʻao haʻahaʻa (lumbar). Hana ʻia e mālama i ka stenosis spinal a i ʻole nā ​​pilikia disk a ʻae i ka neʻe maʻamau o ka iwi kuamoo.

Aia ke kuamoʻo stenosis ke:

• Hoʻopili ʻia ka hakahaka o ke kolamu iwi kuamoʻo.
• ʻO nā puka o nā aʻa aʻa e waiho ana i ka kolamu o ka iwi e liʻiliʻi, e hoʻokau ana i ke aʻalolo.

Ma ka huina disk disk (TDR), ua hoʻololi ʻia ka ʻaoʻao i loko o kahi disk iwi i hōʻino ʻia me kahi disk i hana ʻia e hoʻihoʻi i ka neʻe maʻamau o ka iwi ʻaoʻao.

ʻO ka hapanui pinepine, hana ʻia ke kaha ʻana no hoʻokahi disk wale nō, akā i kekahi manawa, hiki ke hoʻololi ʻia i ʻelua pae ma hope o kekahi.

Hana ʻia ke ʻoki ma lalo o ka anesthesia ākea. E hiamoe ʻoe a ʻaʻole ʻeha.

Ma ke ʻoki kino:

• E moe ʻoe ma kou kua i ka papa hana.
• Pā ʻia kou mau lima ma ka kuʻe lima a pelu i mua o kou umauma.
• Hana kāu kauka lāʻau i kahi ʻokiʻoki (ʻoki) ma kou ʻōpū. Ke hana nei i ka hana ma o ka ʻōpū e ʻae i ke kaukipō e komo i ka iwi kuamoʻo me ka ʻole o ka hoʻopilikia ʻana i nā aʻalolo.
• Hoʻoneʻe ʻia nā ʻōpū a me nā kīʻaha koko i ka ʻaoʻao e kiʻi ai i ka iwi ʻaoʻao.
• Lawe aku kāu kauka lapaʻau i ka ʻāpana ʻino o ka disk a kau i ka pā hōkeo hou i kona wahi.
• Hoʻoiho ʻia nā mea āpau i kahi.
• Hoʻopili ʻia ka ʻokiʻoki me nā humuhumu.

Ma kahi o 2 mau hola e hoʻopau ai.

Kōkua ʻia nā diski cushion e like me ke kuamoʻo e noho paʻa paʻa mau ana. Hoʻopili ʻia nā koina ma ka ʻaoʻao o ka iwi lalo ma muli o:

• Pihikiha loa o ka diski ma muli o nā ʻeha kahiko
• Bulging of the disk (protrusion)
• Hoʻopili ka artritis i kou kuamoʻo

Hiki ke noʻonoʻo ʻia kahi hana no ka stenosis ʻōiwi inā loaʻa iā ʻoe nā ʻōuli koʻikoʻi e hoʻopilikia i kou ola i kēlā me kēia lā a hoʻomaikaʻi ʻole me nā lāʻau ʻē aʻe. Hoʻokomo pinepine ʻia nā ʻōuli:

• ʻO ka ʻeha e ʻike ʻia ma kou ʻūhā, bipi keiki, hope ʻaoʻao, poʻohiwi, lima, a i ʻole nā ​​lima. ʻO ka ʻeha ka hohonu a paʻa mau.
• ʻEha ke hana i kekahi mau hana a neʻe paha i kou kino i kekahi ʻano.
• Numbness, tingling, a me ka nāwaliwali o nā mākala.
• Ka paʻakikī me ke kaulike a me ka hele wāwae.
• Ka pohō o ka ʻōpū a i ʻole ka mana ʻōpū.

E kamaʻilio i kāu mea mālama ola e pili ana inā kūpono ke kahakaha iā ʻoe. ʻAʻole pono nā kānaka āpau me ka ʻehaʻeha o ke kua i ke ʻoki. ʻO ka hapa nui o ka poʻe e mālama mua ʻia me nā lāʻau, ke ʻano hoʻoikaika kino, a me ka hoʻoikaika kino no ke kōkua ʻana i ka ʻeha o ke kua.

I ka wā o ke kuʻuna kuamoʻo kuʻuna no ka stenosis ʻōiwi, pono ka mea lōlō e fuse i kekahi o nā iwi i kou iwi kuamoʻo e hoʻokūpaʻa ai i kou iwi kuamoʻo. A ʻo kahi hopena, ʻo nā ʻāpana ʻē aʻe o kou kuamoʻo ma lalo a ma luna o ka fusion e loaʻa paha nā pilikia disk i ka wā e hiki mai ana.

Me ke kāpili pani disk, ʻaʻole pono ka fusion. A ʻo kahi hopena, mālama ka iwi kuamoʻo ma luna a ma lalo o ka pūnaewele o ka ʻoki kino i ka neʻe. Hiki i kēia neʻe ke pale aku i nā pilikia disk hou.

He moho paha ʻoe no ka ʻoki pani pani inā pono kēia mau mea:

• ʻAʻole kaumaha nui ʻoe.
• Hoʻokahi a ʻelua paha mau pae o kou kuamoʻo i loaʻa kēia pilikia a ʻaʻole i loaʻa i nā wahi ʻē aʻe.
• ʻAʻohe ou nui o ka maʻi kōpaʻa i nā hono o kou kuamoʻo.
• ʻAʻole ʻoe i loaʻa i ke kaʻi ʻōiwi i ka wā i hala.
• ʻAʻohe ou kaomi koʻikoʻi ma nā aʻalolo o kou kuamoʻo.
  

Nā pilikia o ka anesthesia a me ke kahakaha ʻana ma:

• ʻO ka hopena āpau i nā lāʻau
• Nā pilikia hanu
• Kahe, ka maʻi koko, a me ka maʻi

Nā pilikia no ka TDR:

• Hoʻonui i kaʻeha hope
• Ka paʻakikī me ka neʻe
• Ka hōʻeha i ka ʻōpū
• Hoʻopili ke koko i nā wāwae
• ʻO ka iwi iwi maʻamau i nā mākala a me nā olonā e puni ana i ka iwi kuamoʻo
• ʻO ka moe kolohe (ʻoi aku ka maʻamau o nā kāne)
• ʻO ka hōʻino i ka ureter a me ka bladder
• ʻO ka maʻi maʻi ma ke kahua ʻoki lāʻau
• Wāwahi o ka disical art
• E neʻe paha ka disk Artical ma waho o kahi
• Loosening of the implant
• Pālolo

E kauoha kāu mea hāʻawi i kahi hoʻokolohua kiʻi e like me kahi MRI, CT scan, a i ʻole x-ray e nānā ai inā pono ʻoe i kahi ʻoki.

Makemake kāu mea e ʻike inā ʻoe:

• Hāpai lākou
• Ke lawe nei i nā lāʻau, nā mea hoʻohui, a me nā mea kanu
• He diabetic, hypertensive, a i ʻole loaʻa i kekahi ʻano olakino ʻē aʻe
• He puhipaka

E haʻi i kāu mea hāʻawi i nā lāʻau āu e lawe nei. Hoʻopili kēia i 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 wā e haʻalele ai i ka haukapila.
• Inā he puhipaka ʻoe, pono ʻoe e hoʻokū. ʻO ka poʻe i loaʻa ka TDR a hoʻomau i ka puhipaka ʻaʻole paha e hōʻola pū kekahi. E noi i kāu kauka no ke kōkua ʻana e haʻalele.
• I hoʻokahi pule ma mua o ke kaukō ʻana, e noi paha kāu mea lawelawe iā 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).
• 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 kāu kauka maʻamau.
• E kamaʻilio me kāu kauka inā inu nui ʻoe i ka waiʻona.
• E noi i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o ke ʻoki.
• E hoʻomaopopo koke i kāu kauka inā loaʻa ʻoe i ke anu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe i loaʻa iā ʻoe.
• Makemake paha ʻoe e kipa i kahi mea hoʻoponopono kino e aʻo i nā hana e hana ai ma mua o ke ʻoki ʻana.

I ka lā o ke kaha:

• E hāhai i nā ʻōkuhi no ka inu ʻole a ʻai ʻole i kekahi mea ma mua o ke kaʻina hana. ʻO 6 a 12 paha mau hola ma mua o ke kahakaha ʻana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila. E hōʻea pono i ka manawa.

E noho ʻoe i ka haukapila 2 a 3 mau lā ma hope o ke kaha ʻana. E paipai kāu mea hāʻawi iā ʻoe e kū a hoʻomaka e hele wāwae ke pau ke anesthesia. Hiki paha iā ʻoe ke komo i ka pale corset no ke kākoʻo a me ka hoʻōla wikiwiki. I ka hoʻomaka, e hāʻawi ʻia ʻoe i nā wai paʻa. Ma hope e holomua ʻoe i kahi papa wai a me ka semi-solid.

E noi ana kāu mea hāʻawi iā ʻoe ʻaʻole:

• Hana i kekahi hana e hoʻonui i kou iwi kuala i ka nui
• E komo i nā hana e pili ana i ka haʻalulu, ke kūlou ʻana, a me ka wili ʻana e like me ka hoʻokele a hāpai ʻana i nā mea kaumaha no 3 mau mahina ma hope o ke kahakaha ʻana.

E hāhai i nā ʻōkuhi pehea e mālama ai i kou kua i ka home.

Hiki paha iā ʻoe ke hoʻi i nā hana maʻamau 3 mau mahina ma hope o ke kahakaha ʻana.

ʻO ka makaʻu o nā pilikia he haʻahaʻa ma hope o ka lumbar disk replacement. ʻOi ke hoʻomaʻemaʻe i ke ʻoki i ka neʻe ʻana o ka iwi hope ma mua o nā mea ʻē aʻe (ʻoki ʻōiwi). He hana palekana a mālama ʻia ka ʻeha ma hope koke o ke kaha ʻana. ʻO ka makaʻu o ka ʻāʻī mākala (paravertebral muscle) ʻeha ma lalo o nā ʻano o nā ʻoki ʻōiwi.

Lumbar disk arthroplasty; ʻO Thropacic disk arthroplasty; Hoʻololi disk diskima; Hoʻololi pā hōkū holoʻokoʻa; TDR; Disc arthroplasty; Hoʻololi iwi kuamoʻo; Pākuʻi hānai

• Lumbar vertebrae
• Pāpaʻi intervertebral
• Spen stenosis

ʻO Duffy MF, Zigler JE. ʻO ka Lumbar total disk arthroplasty. I: Baron EM, Vaccaro AR, eds. Nā Hana Hana: Spine Surgery. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 42.

Gardocki RJ, Pāka AL. Nā maʻi Degenerative o ka iwi kuʻi a me ka lumbar. I: Azar FM, Beaty JH, eds. ʻO Campbell's Operative Orthopedics. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 39.

Johnson R, ʻO Guyer RD. Lumbar disc degeneration: ʻO ka lumbar interbody fusion, degeneration, a me ka disc replacement. I: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, eds. ʻO Rothman-Simeone lāua ʻo Herkowitz's The Spine. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 49.

Vialle E, Santos de Moraes OJ. Lumbar arthroplasty. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 322.

ʻO Zigler J, Gornet MF, Ferko N, Cameron C, Schranck FW, Patel L. Hoʻohālikelike o ka lumbar total disc replacement me ka hoʻopili fusion spinal no ka hoʻomaʻamaʻa ʻana i kahi maʻi disk degenerative pae hoʻokahi: kahi meta-analysis o nā makahiki 5 i loaʻa mai randomized nā hoʻāʻo i kāohi ʻia. ʻO Global Spine J. 2018; 8 (4): 413-423. PMID: 29977727 pubmed.ncbi.nlm.nih.gov/29977727/.