He aha kāu e ʻike ai e pili ana i ka ʻoki ʻana i ka ʻāʻī

Anter

• He aha nā kūlana e koi ai i ka ʻoki ʻana o ka ʻāʻī?
• He aha nā ʻano maʻamau o nā ʻoki ʻana o ka ʻāʻī?
• Hoʻohui iwi kuamoʻo
• ʻO ka diskectomy cervical mua a me ka fusion (ACDF)
• ʻO ka cerectomy cervical mua a me ka hoʻohui (ACCF)
• Laminectomy
• Laminoplasty
• Hoʻololi disk diskima (ADR)
• Laminoforaminotomy servior cerviera
• He aha ka hana maʻamau o ka wā hoʻōla?
• He aha nā makaʻi o ke ʻoki ʻana o ka ʻāʻī?
• Ke laina lalo

ʻO ka ʻāʻī neck kahi kūlana maʻamau i hiki ke loaʻa i nā kumu like ʻole he nui. ʻOiai ke kahakaha ʻana i kahi maʻi hiki ke loaʻa no ka ʻāʻī o ka wā lōʻihi, he mea iki ʻole ia ke koho mua. ʻO ka ʻoiaʻiʻo, he nui nā hihia o ka ʻāʻī ʻāʻī e hele aku me ka ʻano kūpono o nā mālama conservative.

ʻO nā mālama conservative kahi hana nonsurgical e kuhikuhi ana i ka hōʻemi ʻana i ka ʻāʻī a me ka hoʻomaikaʻi ʻana i ka hana. ʻO kekahi mau laʻana o kēia mau ʻano mālama ʻana:

• nā lāʻau lapaʻau over-the-counter a i ʻole kuhikuhi ʻia e hōʻoluʻolu ai i ka ʻeha a me ka mumū
• nā hana home a me ka hoʻōla kino e kōkua i ka hoʻoikaika ʻana i kou ʻāʻī, hoʻonui i kou neʻe ʻana, a hoʻomaha i ka ʻeha
• hau a me ka hoʻōla pumehana
• nā injection steroid e hoʻoliʻiliʻi i ka ʻāʻī a me ka pehu
• immobilization wā pōkole, e like me ka pūliki ʻāʻī o ka ʻāʻī, e kōkua i ke kākoʻo a hōʻoluʻolu i ke kaomi

ʻO ke kīʻaha ʻāʻī kahi koho hope loa inā ʻaʻole maikaʻi nā mālama conservative i ka hōʻemi ʻana i ka ʻāʻī o ka ʻāʻī mau.

E hoʻomau i ka heluhelu ʻana ke nānā pono aku i nā kūlana e koi ai i ke ʻāʻī o ka ʻāʻī, kekahi ʻano maʻamau o ka ʻoki ʻana o ka ʻāʻī, a me nā mea e pili ana i ka hoʻōla.

He aha nā kūlana e koi ai i ka ʻoki ʻana o ka ʻāʻī?

ʻAʻole pono nā kumu āpau o ka ʻāʻī i ke ʻoki. Eia nō naʻe, aia kekahi mau kūlana ma kahi o ke kaha loa ke koho maikaʻi loa, keu hoʻi inā ʻaʻole maikaʻi nā hoʻomaʻamaʻa hoʻōla.

ʻO nā kūlana i koi ʻia i ke ʻoki pinepine ka hopena o kahi ʻeha a i ʻole nā ​​hoʻololi degenerative pili i ka makahiki, e like me ka osteoarthritis.

Hiki i nā hōʻeha a me nā hoʻololi hoʻohaʻahaʻa ke kumu i nā diski herniated a me nā iwi kuʻi i loko o kou ʻāʻī. Hiki i kēia ke hoʻokau i kou aʻa a i ʻole ke kuamoʻo, alakaʻi i nā ʻōuli e like me ka ʻeha, numbness, a nāwaliwali paha.

ʻO kekahi o nā kūlana ʻāʻī maʻamau e koi ai i ke kahakaha me kēia:

• ʻO ke aʻalolo i pinched (cervical ʻōkalakala): Me kēia kūlana, kau ʻia ke kaomi nui ma luna o kekahi o nā aʻa aʻa i kou ʻāʻī.
• Pākuʻi kaula iwi (myelopathy cervix): Me kēia kūlana, lilo ke kaula o ka iwi i mea hoʻopili a hoʻonāukiuki paha. ʻO kekahi mau kumu maʻamau e pili ana i ka osteoarthritis, scoliosis, a i ʻole ka ʻeha o ka ʻāʻī.
• Uha haʻi (haʻi haʻi): Hana ʻia kēia ke haki kekahi o nā iwi o kou ʻāʻī.

He aha nā ʻano maʻamau o nā ʻoki ʻana o ka ʻāʻī?

Nui a hewahewa nā ʻano ʻoki o ka ʻāʻī. ʻO ke ʻano o ke kaha ʻana āu e pono ai e pili ana i nā kumu he nui, e like me ka mea e hopena ai i kou ʻano, ka ʻōlelo aʻoaʻo a kāu kauka, a me kāu makemake pilikino.

Eia kekahi o nā ʻano maʻamau o nā ʻoki ʻana o ka ʻāʻī.

Hoʻohui iwi kuamoʻo

Hoʻohui pū ka iwi kuamoʻo i ʻelua o kāu vertebrae i hoʻokahi ʻāpana paʻa o ka iwi. Hoʻohana ʻia ia i nā hanana i paʻa ʻole kahi ʻāʻī o ka ʻāʻī, ai ʻole ke neʻe ʻana ma kahi i hoʻopili ʻia e ʻeha ai ka ʻeha.

Hiki ke hana ʻia i kahi kuʻikuʻi o ka iwi maha no ka haʻi haʻi nui loa. Koi ʻia paha ia ma ke ʻano he ʻāpana o kahi lāʻau ʻoki lāʻau no kahi aʻa pinched a i ʻole ke kaola o ka iwi kuamoʻo.

Kaukaʻi ʻia i kāu kūlana kikoʻī, hiki i kāu kauka lāʻau ke hoʻopaʻa i ka ʻokiʻoki i mua a i hope paha o kou ʻāʻī. Hoʻokomo ʻia kahi iwi iwi i ka wahi i hoʻopilikia ʻia. Hiki ke kiʻi ʻia nā iwi iwi mai a i ʻole mai kahi mea hāʻawi. Inā hele mai kahi hui iwi mai ou aku, lawe mau ʻia ia mai kou iwi iwi.

Pākuʻi ʻia nā ʻāpana metala a i ʻole nā ​​pā i mea e hoʻopaʻa pū ai i nā vertebrae ʻelua. I ka hopena, e ulu pū kēia mau vertebrae, e hāʻawi ana i ka stabilization. Hiki paha iā ʻoe ke ʻike i kahi hōʻemi o ka maʻalahi a i ʻole ka pae o ka neʻe ma muli o ka hoʻohui.

ʻO ka diskectomy cervical mua a me ka fusion (ACDF)

ʻO ka diskectomy cervical anterior a me ka fusion, a i ʻole ACDF no ka pōkole, kahi ʻano o ke kaha ʻana i hana ʻia e mālama ai i kahi ʻalalā pinched a i ʻole ke kaohi ʻana o ka iwi kuamoʻo.

E hana ka mea lapaʻau i ka ʻokiʻoki incision i mua o kou ʻāʻī. Ma hope o ka hana ʻana i ka ʻokiʻoki, e hoʻoneʻe ʻia ka pāpaʻi e hoʻoulu nei i ke kaomi a me nā iwi ku puni. Hiki i ka hana ʻana i kēia ke kōkua i ka hoʻoluhi i ke kaomi ma ke aʻalolo a i ʻole ka iwi kuamoʻo.

Hana ʻia kahi fusion spinal e hāʻawi i ka paʻa i ia wahi.

ʻO ka cerectomy cervical mua a me ka hoʻohui (ACCF)

Ua like kēia hana me ka ACDF a hana ʻia e mālama i ka compression o ka iwi kuamoʻo. ʻO ia paha ke koho ʻoki maikaʻi loa inā loaʻa iā ʻoe nā pūpū iwi i hiki ʻole ke hemo e kahi ʻoki e like me ACDF.

E like me ACDF, hana ka mea lapaʻau i ka lū i mua o kou ʻāʻī. Eia naʻe, ma kahi o ka hemo ʻana i kahi pāpaʻi, e hoʻoneʻe ʻia i nā mea āpau a ʻāpana paha o ka ʻaoʻao mua o ka vertebra (ke kino vertebral) a me nā iwi iwi puni.

Hoʻopiha ʻia ka hakahaka e hoʻohana ana i kahi ʻāpana liʻiliʻi o ka iwi a me ka iwi kuʻi. Ma muli o ka hoʻopili ʻana o kēia kaʻina hana, ʻoi aku paha ka lōʻihi o ka manawa hoʻōla ma mua o ACDF.

Laminectomy

ʻO ke kumu o kahi laminectomy ka mea e hoʻomaha ai i ke kaomi ma kāu iwi kuamoʻo a i ʻole nā ​​ʻalolo. I kēia kaʻina hana, hana ka mea lapaʻau i ka ʻokiʻoki ma ka hope o kou ʻāʻī.

Ke hana ʻia ka ʻokiʻoki, hoʻoneʻe ʻia ka iwi, nā ʻāpana kua i ka hope o ka vertebra (i kapa ʻia ʻo ka lamina). ʻO nā pāpaʻi, nā iwi iwi paha, a i ʻole nā ​​ligament e hoʻopuka nei i ka compression.

Ma ka hoʻoneʻe ʻana i ka ʻaoʻao hope o ka vertebra i hoʻopili ʻia, ʻae kahi laminectomy i kahi manawa hou aʻe no ka iwi kuamoʻo. Eia nō naʻe, hiki i ke kaʻina hana ke hōʻemi i ke kuamoʻo. ʻO ka poʻe he laminectomy kekahi e loaʻa i ka fusion spinal.

Laminoplasty

ʻO kahi laminoplasty kahi ʻokoʻa i ka laminectomy e hōʻoluʻolu i ke kaomi ma ka iwi kuamoʻo a me nā ʻalolo pili. Hoʻopili pū ia i kahi ʻokiʻoki ma ka hope o kou ʻāʻī.

Ma kahi o ka hemo ʻana o ka lamina, hana ka mea lapaʻau i kahi hinge e like me ka puka. Hiki iā lākou ke hoʻohana i kēia hinge e wehe i ka lamina, e hoʻoliʻiliʻi ana i ka compression ma ka iwi kuamoo. Hoʻokomo ʻia nā implants metala e kōkua i ka hoʻopaʻa ʻana i kēia hinge i kahi.

ʻO ka maikaʻi o kahi laminoplasty ka mea e mālama ai i kahi neʻe o ka neʻe a e ʻae pū i ke kaukipō e kamaʻilio i nā wahi he nui o ka kaomi.

Eia nō naʻe, inā pili kou ʻāʻī ʻāʻī i ka neʻe, ʻaʻole pono e paipai ʻia kahi laminoplasty.

Hoʻololi disk diskima (ADR)

Hiki i kēia ʻano ʻoki ʻana ke mālama i kahi aʻalolo kui i kou ʻāʻī. E hana ka mea ʻokiʻoki i ka ʻokiʻoki i mua o kou ʻāʻī.

I ka wā o ADR, e hoʻoneʻe ka mea lapaʻau i ka pāpaʻi e hoʻopili ana i ke aʻalolo. A laila e hoʻokomo lākou i kahi implant hana i loko o ka hakahaka kahi i noho ai ka disk mua. ʻO ka implant paha he mea hao a pau a i ʻole he hui o nā mea hao a me nā ea.

ʻAʻole like me ACDF, loaʻa kahi ʻoki ADR iā ʻoe e mālama i kekahi o ka maʻalahi a me ke ʻano o ka neʻe o kou ʻāʻī. Eia naʻe, ADR inā loaʻa iā ʻoe:

• ke kūpaʻa ʻole o ka iwi kuamoʻo
• nā mea pākuʻi i nā mea kanu
• ʻāʻī ʻoiwi ʻāʻī
• ʻosteoporosis
• spondylosis ankylosing
• rumatika
• maʻi ʻaʻai

Laminoforaminotomy servior cerviera

ʻO kēia ʻano ʻoki kino kahi koho ʻē aʻe no ka mālama ʻana i ke aʻalolo i kui ʻia. Hana ʻia ka ʻokiʻoki i ka hope o ka ʻāʻī.

Ma hope o ka hana ʻia o ka ʻokiʻoki, hoʻohana ka mea lapaʻau i kahi pono hana kūikawā e hana i kahi ʻāpana o kāu lamina. Ke pau kēia, hemo lākou i nā iwi a i ʻole nā ​​mea hou e kaomi ana i ke aʻalolo i hoʻopilikia ʻia.

ʻAʻole like me nā hana ʻāʻī ʻē aʻe e like me ACDF a me ACCF, ʻaʻole pono ka laminoforaminotomy āpau hope i ka fusion spinal. ʻAe kēia iā ʻoe e mālama i ka maʻalahi i kou ʻāʻī.

Hiki ke hana ʻia kēia ʻoki me ka hoʻohana ʻana i nā ʻano hana hoʻouka minimally invasive.

He aha ka hana maʻamau o ka wā hoʻōla?

Ma ka ʻōlelo maʻamau, hiki iā ʻoe ke hoʻolilo i hoʻokahi lā a i ʻole ʻelua i ka haukapila ma hope o kāu ʻoki ʻana. ʻO ka lōʻihi o ka lōʻihi e pono ai ʻoe e noho i ka haukapila e pili i ke ʻano o ke ʻoki āu i loaʻa.

ʻO ka manawa pinepine, ʻo nā ʻoki ʻana i ka ʻāʻī e koi ai i ka pō wale nō, akā ʻo nā ʻoki ʻana o ka kua i lalo e koi mau i nā noho lōʻihi.

ʻO ka maʻamau ke ʻeha a hōʻoluʻolu ʻole paha i ka wā e ola hou ana. E kauoha paha kāu kauka i ka lāʻau e kōkua i ka hōʻoluʻolu i kou ʻeha.

Hiki i ka hapa nui o ka poʻe ke hele wāwae a ʻai i ka lā ma hope o kā lākou ʻoki ʻana.

Koi ʻia paha kekahi mau hana māmā a hoʻomaʻamaʻa paha ma hope o kāu ʻoki ʻana. Eia naʻe, ʻaʻole ʻae ʻia ʻoe e hana, hoʻokele, a hāpai i nā mea ke hoʻi ʻoe i ka home mai kāu ʻoki kino. E haʻi aku kāu kauka iā ʻoe ke hiki iā ʻoe ke hoʻomaka hou i kāu hana maʻamau o kēlā me kēia lā

Pono ʻoe e ʻaʻa i kahi kola cerviuma e kōkua i ka pale a pale i kou ʻāʻī. E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi kikoʻī e pili ana i ka pehea a i ka wā hea ʻoe e ʻaʻahu ai.

I kekahi mau pule ma hope o kou ʻoki ʻana, hoʻomaka paha ʻoe e hana i ka hoʻoikaika kino. He mea nui loa kēia e kōkua ai e hoʻihoʻi i ka ikaika a me ke ʻano o ka neʻe i kou ʻāʻī.

E hana pū kahi mea hoʻoponopono kino me ʻoe i kēia manawa. E paipai pū lākou iā ʻoe i nā hana hoʻoikaika kino na ʻoe e hana ma ka home ma waena o kāu mau kuhikuhi hoʻōla kino.

Kaukaʻi ʻia i kāu ʻoki ʻana, hiki i kou manawa hoʻihoʻi ke loli. ʻO kahi laʻana, hiki ke hala ma waena o 6 a me 12 mau mahina no ka hoʻohui paʻa ʻana o ka iwi kuamoo i mea paʻa.

ʻO ka pili paʻa ʻana i kāu hoʻolālā hoʻōla hiki ke kōkua nui i kahi hopena maikaʻi ma hope o kāu ʻāʻī o kou ʻāʻī.

He aha nā makaʻi o ke ʻoki ʻana o ka ʻāʻī?

E like me nā kaʻina hana, aia nā pilikia e pili ana i ka ʻoki ʻana o ka ʻāʻī. E kūkākūkā kāu kauka i nā pilikia kūpono o ke kaʻina hana me ʻoe ma mua o ke ʻoki ʻana. Hiki i kekahi mau pilikia e pili ana i ka ʻoki ʻana o ka ʻāʻī ke komo pū:

• kahe kahe a hematoma paha ma ke kahua ʻoki lāʻau
• maʻi o ka wahi ʻoki lāʻau
• ʻeha i nā aʻalolo a i ʻole ka iwi kuamoʻo
• leakage o ka cerebral spinal fluid (CSF)
• C5 palsy, i kumu o ka lōlō i nā lima
• hoʻohaʻahaʻa o nā wahi e pili ana i ka pūnaewele ʻoki kino
• ʻeha mau loa a ʻoʻoleʻa ma hope o ke kahakaha ʻana
• kahi kuʻi kuʻikuʻi i hoʻopau ʻole
• nā kui kuʻi a i ʻole nā ​​pā i hele a wehe ʻia i ka manawa

Hoʻohui ʻia, ʻaʻole holo paha ke kaʻina hana e hōʻoluʻolu i kou ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe, a i ʻole e pono ʻoe e hana i nā hōʻoki ʻāʻī hou i ka wā e hiki mai ana.

Aia kekahi mau pilikia kikoʻī e pili ana inā hana ʻia ke kīʻaha i mua o kou ʻāʻī (mua) a i ʻole ka hope o kou ʻāʻī (hope). ʻO kekahi mau pilikia e ʻike ʻia:

• ʻOki kino mua: hoarseness, pilikia i ka hanu ʻana a me ka ale ʻana paha, a me ka hōʻino ʻana i ka esophagus a i ʻole nā ​​aʻa
• ʻOki kino hope: poino i nā aʻa a me ke kau ʻana o nā ʻalolo

Ke laina lalo

ʻAʻole ke koho ʻana ʻo ka ʻāʻī ka koho mua loa no ka mālama ʻana i ka ʻāʻī o ka ʻāʻī. Paipai wale ʻia ia inā ʻaʻole maikaʻi nā hoʻomaʻamaʻa hōʻemi.

Aia kekahi mau ʻano o ka ʻāʻī i pili pinepine ʻia me ka ʻoki ʻana o ka ʻāʻī. Hoʻopili kēia i nā pilikia e like me nā ʻalalā pinched, kaomi ʻana o ka iwi kuamoʻo, a me nā haʻi ʻāʻī koʻikoʻi.

Nui a hewahewa nā ʻano ʻoki o ka ʻāʻī, me kahi kumu kikoʻī. Inā paipai ʻia ke ʻoki no ka mālama ʻana i ke ʻano o kou ʻāʻī, e noʻonoʻo e kūkākūkā i kāu mau koho āpau me kāu kauka.