I-Foraminotomy

I-Foraminotomy ukuhlinzwa okwandisa ukuvuleka emuva kwakho lapho izimpande zezinzwa zishiya umsele wakho womgogodla. Ungaba nokuncipha kokuvuleka kwemizwa (foraminal stenosis).

I-Foraminotomy isusa ingcindezi emsipheni ophuma kukholamu lakho lomgogodla. Lokhu kunciphisa noma yibuphi ubuhlungu obukade unabo. I-Foraminotomy ingenziwa kunoma yiliphi izinga lomgogodla.

Uzobe ulele futhi ungezwa buhlungu (i-anesthesia ejwayelekile).

Ngesikhathi sokuhlinzwa:

• Uvame ukulala ngesisu noma uhlale etafuleni lokusebenza. Ukusikwa (ukusikwa) kwenziwa maphakathi ngemuva komgogodla wakho. Ubude bokusikwa buxhomeke ekutheni ikholomu yakho yomgogodla izosebenza kangakanani.
• Isikhumba, imisipha, nemisipha kuhanjiswa ohlangothini. Udokotela wakho ohlinzayo angasebenzisa imicroscope yokuhlinzwa ukuze abone ngaphakathi komhlane wakho.
• Elinye ithambo liyasikwa noma ligundwe ukuze kuvulwe ukuvuleka kwempande yezinzwa (foramen). Noma yiziphi izingcezu zediski ziyasuswa.
• Elinye ithambo lingasuswa ngemuva kwe-vertebrae ukwenza indawo eningi (i-laminotomy noma i-laminectomy).
• Udokotela ohlinzayo angenza ukuhlangana komgogodla ukuqinisekisa ukuthi ikholomu yakho yomgogodla izinzile ngemuva kokuhlinzwa.
• Imisipha nezinye izicubu zibuyiselwa endaweni yazo. Isikhumba sithungiwe ndawonye.

Inqwaba yezinzwa (impande yezinzwa) ishiya umgogodla wakho ngokuvuleka kukholamu lakho lomgogodla. Lokhu kuvuleka kubizwa ngokuthi ama-neural foramens. Lapho ukuvuleka kwempande yezinzwa kuye kwaba mncane, kungafaka ingcindezi emsipheni wakho. Lesi simo sibizwa nge-foraminal spinal stenosis.

Lokhu kuhlinzwa kungacatshangelwa uma unezimpawu ezinzima eziphazamisa impilo yakho yansuku zonke. Izimpawu zifaka:

• Ubuhlungu obungazwakala ethangeni lakho, inkonyane, iqolo elingezansi, ihlombe, izingalo noma izandla. Ubuhlungu buvame ukujula futhi buhlale buqinile.
• Ubuhlungu lapho wenza imisebenzi ethile noma uhambisa umzimba wakho ngendlela ethile.
• Ubundikindiki, ukuncinza, nobuthakathaka bemisipha.
• Izinkinga zokuhamba noma zokubamba izinto.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukusabela emithini noma ezinkingeni zokuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi ze-foraminotomy yilezi:

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

Uzoba ne-MRI yokuqinisekisa ukuthi i-foraminal stenosis ibangela izimpawu zakho.

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 lapho uzophuma esibhedlela ngemuva kokuhlinzwa.
• Uma ubhema, udinga ukuyeka. Ukululama kwakho kuzohamba kancane futhi mhlawumbe kungabi kuhle uma uqhubeka nokubhema. 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.
• Ungahle ufune ukuvakashela owelapha ngokomzimba ukuze ufunde izivivinyo okufanele uzenze ngaphambi kokuhlinzwa futhi uzijwayeze ukusebenzisa izinduku.

Ngosuku lokuhlinzwa:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha imithi udokotela wakho ohlinzayo akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Letha umoba wakho, isihambi, noma isihlalo esinamasondo uma usunayo vele. Futhi letha izicathulo ezinezicathulo eziyizicaba, ezingadlile.
• Fika esibhedlela ngesikhathi.

Cishe uzogqoka ikhola entanyeni ethambile ngemuva kwalokho uma ukuhlinzwa bekusemqaleni wakho. Iningi labantu liyakwazi ukuvuka embhedeni futhi lihlale ngaphakathi kwamahora amabili ngemuva kokuhlinzwa. Uzodinga ukuhambisa intamo yakho ngokucophelela.

Kufanele ukwazi ukuphuma esibhedlela ngosuku olulandelayo ngemuva kokuhlinzwa. 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-Foraminotomy ye-spinal foraminal stenosis izonikeza ukukhululeka okugcwele noma okuthile ezimpawu.

Izinkinga zomgogodla zesikhathi esizayo zingenzeka kubantu ngemuva kokuhlinzwa komgogodla. Ukube ubune-foraminotomy nokuhlangana komgogodla, ikholomu yomgogodla ngenhla nangaphansi kwe-fusion ingaba nezinkinga ngokuzayo.

Ungaba namathuba amaningi ezinkinga zesikhathi esizayo uma udinga inqubo engaphezu kweyodwa yenqubo ngaphezu kwe-foraminotomy (laminotomy, laminectomy, noma i-spinal fusion).

I-intervertebral foramina; Ukuhlinzwa umgogodla - foraminotomy; Ubuhlungu emuva - i-foraminotomy; I-stenosis - i-foraminotomy

• 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.