I-Laminectomy

I-Laminectomy ukuhlinzwa ukususa i-lamina. Le yingxenye yethambo elenza i-vertebra emgogodleni. I-Laminectomy nayo ingenziwa ukususa i-bone spurs noma i-herniated (slipped) disk emgogodleni wakho. Inqubo ingathatha ingcindezi emithanjeni yakho yomgogodla noma emgogodleni.

I-Laminectomy ivula umsele wakho womgogodla ukuze izinzwa zakho zomgogodla zibe negumbi eliningi. Kungenziwa kanye ne-diskectomy, i-foraminotomy, ne-fusion yomgogodla. Uzobe ulele futhi ungezwa buhlungu (i-anesthesia ejwayelekile).

Ngesikhathi sokuhlinzwa:

• Uvame ukulala ngesisu etafuleni lokusebenza. Udokotela ohlinzayo usika (usike) maphakathi nomhlane noma entanyeni.
• Isikhumba, imisipha kanye nemisipha kuhanjiswa ohlangothini. Udokotela wakho ohlinzayo angasebenzisa imicroscope yokuhlinzwa ukuze abone ngaphakathi komhlane wakho.
• Ingxenye noma wonke amathambo e-lamina angasuswa ezinhlangothini zombili zomgogodla wakho, kanye nenqubo ye-spinous, ingxenye ebukhali yomgogodla wakho.
• Udokotela wakho ohlinzayo ususa noma yiziphi izingcezu zediski ezincane, amathambo, noma ezinye izicubu ezithambile.
• Udokotela ohlinzayo angenza futhi i-foraminotomy ngalesi sikhathi ukukhulisa ukuvuleka lapho izimpande zezinzwa ziphuma khona emgogodleni.
• Udokotela wakho ohlinzayo angenza ukuhlangana komgogodla ukuze aqiniseke ukuthi ikholomu yakho yomgogodla izinzile ngemuva kokuhlinzwa.
• Imisipha nezinye izicubu zibuyiselwa endaweni yazo. Isikhumba sithungiwe ndawonye.
• Ukuhlinzwa kuthatha ihora elingu-1 kuya kwele-3.

I-Laminectomy ivame ukwenziwa ukwelapha i-spinal stenosis (ukuncipha kwekholomu yomgogodla). Le nqubo isusa amathambo namadiski alimele, futhi yenza indawo ethe xaxa yomgogodla nomgogodla wakho.

Izimpawu zakho zingaba:

• Ubuhlungu noma ukuphazamiseka emlenzeni owodwa noma womabili.
• Ubuhlungu obuzungeze indawo yakho yehlombe.
• Ungazizwa ubuthakathaka noma usinda ezinqeni noma emilenzeni.
• Ungaba nezinkinga zokukhipha noma ukulawula isinye sakho namathumbu.
• Kungenzeka ukuthi ube nezimpawu, noma izimpawu ezimbi kakhulu, lapho umile noma uhamba ngezinyawo.

Wena nodokotela wakho ninganquma ukuthi kunini lapho kudingeka nihlinzelwe lezi zimpawu. Izimpawu zomgogodla wesibindi zivame ukuba zimbi ngokuhamba kwesikhathi, kepha lokhu kungenzeka kancane kakhulu.

Lapho izimpawu zakho ziba nzima kakhulu futhi ziphazamisa impilo yakho yansuku zonke noma umsebenzi wakho, ukuhlinzwa kungasiza.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela kumuthi noma izinkinga zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi zokuhlinzwa komgogodla yilezi:

• Ukutheleleka emathanjeni enxeba noma e-vertebral
• Ukulimala kwethambo lomgogodla, kubangele ubuthakathaka, ubuhlungu, noma ukulahlekelwa umuzwa
• Ukuphumula okuncane noma okungekho kobuhlungu ngemuva kokuhlinzwa
• Ukubuya kobuhlungu beqolo ngokuzayo
• Ukuvuza koketshezi lomgogodla okungaholela ekhanda

Uma une-fusion yomgogodla, ikholomu yakho yomgogodla ngenhla nangaphansi kwe-fusion kungenzeka ikunikeze izinkinga ngokuzayo.

Uzoba ne-x-ray yomgogodla wakho.Ungase futhi ube ne-MRI noma i-CT myelogram ngaphambi kwenqubo yokuqinisekisa ukuthi une-spinal stenosis.

Tshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Lungisa ikhaya lakho uma uzophuma esibhedlela.
• Uma ubhema, udinga ukuyeka. Abantu abane-fusion yomgogodla futhi abaqhubeka nokubhema kungenzeka bangapholi futhi. Cela usizo kudokotela wakho.
• Esontweni elilodwa ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukuthatha izinciphisi zegazi. Eminye yale mithi i-aspirin, ibuprofen (Advil, Motrin), ne-naproxen (Aleve, Naprosyn). Uma uthatha i-warfarin (i-Coumadin), i-dabigatran (i-Pradaxa), i-apixaban (i-Eliquis), i-rivaroxaban powder (i-Xarelto), noma i-clopidogrel (i-Plavix), khuluma nodokotela wakho ohlinzayo ngaphambi kokuma noma ukushintsha indlela oyithatha ngayo le mithi.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izinkinga zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubonane nodokotela wakho ojwayelekile.
• Khuluma nodokotela wakho ohlinzayo uma uphuze kakhulu utshwala.
• Buza udokotela wakho ohlinzayo ukuthi imiphi imithi okufanele usayiphuza ngosuku lokuhlinzwa.
• Yazisa udokotela wakho ohlinzayo ngokushesha uma uthola umkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma ezinye izifo onazo.
• Ungahle ufune ukuvakashela owelapha ngokomzimba ukuze ufunde okunye okufanele ukwenze ngaphambi kokuhlinzwa nokuzijwayeza ukusebenzisa izinduku.

Ngosuku lokuhlinzwa:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha imithi udokotela wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Umhlinzeki wakho uzokutshela ukuthi ufika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Umhlinzeki wakho uzokukhuthaza ukuthi uvuke uhambe uzungeze ngokushesha lapho i-anesthesia iphela, uma ungazange ube nokuhlangana komgogodla.

Iningi labantu liya ekhaya 1 kuya ezinsukwini ezi-3 ngemuva kokuhlinzwa kwabo. Ekhaya, landela imiyalo yokuthi ungasinakekela kanjani isilonda sakho nasemhlane.

Kufanele ukwazi ukushayela kungapheli isonto noma amabili bese uqala kabusha umsebenzi olula ngemuva kwamasonto amane.

I-Laminectomy ye-spinal stenosis ivame ukunikeza ukukhululeka okugcwele noma okuthile ezimpawu.

Izinkinga zomgogodla zesikhathi esizayo zingenzeka kubo bonke abantu ngemuva kokuhlinzwa komgogodla. Ukube ubune-laminectomy nokuhlangana komgogodla, ikholomu yomgogodla ngenhla nangaphansi kwe-fusion kungenzeka ibe nezinkinga ngokuzayo.

Ungaba nezinye izinkinga zesikhathi esizayo uma udinga inqubo engaphezu kweyodwa yenqubo ngaphezu kwe-laminectomy (diskectomy, foraminotomy, noma i-spinal fusion).

Ukuncipha kweLumbar; I-laminectomy ehlukumezayo; Ukuhlinzwa komgogodla - i-laminectomy; Ubuhlungu emuva - i-laminectomy; I-stenosis - i-laminectomy

• Ukuhlinzwa komgogodla - ukukhishwa

Insimbi GR. I-Laminotomy, i-laminectomy, i-laminoplasty, ne-foraminotomy. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 78.

UDerman PB, uRihn J, u-Albert TJ. Ukuphathwa kokuhlinzwa kwe-lumbar spinal stenosis. Ku: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, abahleli. URothman-Simeone noHerkowitz ethi The Spine. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 63.