He aha ka Vertebroplasty? Ke Kumu, ke Kaʻina Hana & nā Hopena

ʻO ka Vertebroplasty kahi hana liʻiliʻi kahi e hoʻokomo ai nā kauka i ka sima lāʻau i loko o kahi vertebra i haki a i nāwaliwali paha i kou iwi kuamoʻo. Kōkua kēia lapaʻau outpatient i ka hoʻopaʻa ʻana i ka iwi a hiki ke hōʻemi nui i ka ʻeha hope i hana ʻia e nā haʻihaʻi compression. Lawe maʻamau ka hana ma kahi o hoʻokahi hola a hāʻawi i ke kōkua ke hana ʻole nā lapaʻau conservative.

He aha ka vertebroplasty?

ʻO ka Vertebroplasty kahi hana spine kūikawā e hoʻoikaika ai i nā vertebrae i pōʻino me ka hoʻohana ʻana i ka sima iwi. Hoʻohana kāu kauka i ke alakaʻi ʻana i ke kiʻi e hoʻokomo pono i kahi hui sima kūikawā i loko o ka iwi i haki ma o kahi nila liʻiliʻi.

Hoʻopaʻakikī koke ka sima i loko o kou vertebra, e hana ana i ke kākoʻo kūloko e hoʻopaʻa i ke ʻano o ka iwi. Ua like kēia kaʻina hana me ka hoʻopiha ʻana i ka māwae i ka pōhaku e hoʻopaʻa hou ai. Ua hoʻomohala mua ʻia ka hana i ka makahiki 1980 a ua kōkua i nā tausani o nā kānaka e loaʻa hou ka neʻe a hōʻemi i ka ʻeha.

ʻO ka hapa nui o nā maʻi e ʻike i ka hoʻomaha ʻeha koke, ʻoiai kekahi e ʻike i ka hoʻomaikaʻi ʻana i nā lā. Lilo ka sima i ʻāpana mau o kou iwi kuamoʻo, e hāʻawi ana i ke kākoʻo structural lōʻihi e pale ai i ka hāʻule hou ʻana o ka vertebra i mālama ʻia.

No ke aha e hana ʻia ai ka vertebroplasty?

Hoʻohana nui ʻia ka Vertebroplasty e mālama i nā haʻihaʻi compression ʻeha i kou iwi kuamoʻo i hoʻōla ʻole ʻia me ka lapaʻau conservative. Loaʻa pinepine kēia mau haʻihaʻi i ka poʻe me ka osteoporosis, kahi e nāwaliwali ai nā iwi a maʻalahi i ka haki.

Hiki i kāu kauka ke ʻōlelo aku i kēia hana ke ʻike ʻoe i ka ʻeha hope loa no kekahi mau pule a i ʻole mau mahina me ka ʻole o ka hoʻomaikaʻi. ʻO ka ʻeha e ʻoi aku ka maikaʻi ke kū ʻoe, hele, a i ʻole ka neʻe ʻana, a hiki ke kaupalena nui i kāu mau hana i kēlā me kēia lā.

Ma waho aʻe o nā haʻi ʻana o ka osteoporosis, hiki nō i ka vertebroplasty ke kōkua i nā haʻi i hana ʻia e ka maʻi kanesa i laha i ke kuamoʻo a i ʻole nā ʻōpū maikaʻi ʻole e nāwaliwali ai ke ʻano o ka iwi. I kekahi mau hihia, hoʻohana nā kauka i kēia hana no ka hoʻoikaika ʻana i nā vertebrae ma mua o ka haʻi ʻana i nā maʻi me nā iwi nāwaliwali loa.

Lilo ka hana i koho ke hāʻawi ʻole ka hoʻomaha ʻana i kahi moe, nā lāʻau ʻeha, a me ka hoʻopaʻa ʻana i ka hoʻomaha kūpono ma hope o 6-8 mau pule. E loiloi pono kāu hui mālama ola inā kūpono ka vertebroplasty no kāu kūlana.

He aha ke kaʻina hana no ka vertebroplasty?

Hoʻokō ʻia ka Vertebroplasty ma ke ʻano he hana outpatient ma kahi haukapila a i ʻole kahi keʻena loea. E loaʻa iā ʻoe ka sedation ʻike a me ka anesthesia kūloko e hōʻoluʻolu iā ʻoe, akā e noho ala ʻoe i ka wā o ka mālama ʻana.

E hoʻonoho kāu kauka iā ʻoe i lalo i ka papa hana a hoʻohana i ke kiʻi X-ray mau e alakaʻi i ke kaʻina holoʻokoʻa. E hoʻomaʻemaʻe lākou a hoʻomaʻemaʻe i ka ʻili ma luna o kou kua, a laila e hoʻokomo i ka lāʻau lapaʻau ma ka wahi lapaʻau.

Eia ka mea e hana ʻia i ka wā o ke kaʻina hana nui:

1. Hoʻokomo ʻia kahi nila lahilahi ma o kou ʻili a me ka ʻiʻo i loko o ka vertebra i haʻi ʻia
2. Hoʻohana kāu kauka i ke kiʻi X-ray i ka manawa maoli e hōʻoia i ka waiho ʻana o ka nila
3. Hoʻokomo mālie ʻia ka sima lāʻau lapaʻau ma o ka nila i loko o ka iwi
4. Hoʻopiha ka sima i nā wahi i loko o ka vertebra i haʻi ʻia
5. Wehe ʻia ka nila ke hoʻomaka ka sima e paʻakikī

ʻO ka hana holoʻokoʻa e lawe maʻamau i 45 mau minuke a i hoʻokahi hola no ka vertebra. Inā he nui nā haʻi ʻana, hiki i kāu kauka ke mālama i kekahi mau vertebrae i ka wā o ka hālāwai like, e hoʻolōʻihi kēia i ka manawa hana.

Pehea e hoʻomākaukau ai no kāu vertebroplasty?

Hoʻomākaukau no ka vertebroplasty e hoʻomaka ana i kekahi mau lā ma mua o kāu kaʻina hana me nā hoʻoponopono lāʻau a me nā hoʻololi ola. E hāʻawi kāu kauka i nā ʻōlelo kikoʻī i kūpono i kou olakino a me nā lāʻau lapaʻau.

Pono ʻoe e hooki i ka lawe ʻana i nā lāʻau e lahilahi ai ke koko e like me ka warfarin, aspirin, a i ʻole clopidogrel i kekahi mau lā ma mua o ke kaʻina hana. E haʻi aku kāu hui mālama ola iā ʻoe i ka manawa e hooki ai i kēlā me kēia lāʻau a inā pono ʻoe i nā koho ʻē aʻe.

Eia nā ʻanuʻu hoʻomākaukau nui e pono ai ʻoe e hahai:

• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana
• Mai ʻai a inu i kekahi mea no 8 mau hola ma mua o kāu manawa
• E lawe i kāu mau lāʻau maʻamau me nā wai liʻiliʻi ke ʻole i kuhikuhi ʻia
• E ʻaʻahu i nā lole ʻoluʻolu, ʻaʻole paʻa i ka mea e maʻalahi ke hoʻololi
• Wehe i nā mea nani, nā aniani pili, a me nā niho ma mua o ke kaʻina hana
• E hōʻike i kāu hui e pili ana i nā maʻi āpau, ʻoiai i ka wai ʻokoʻa a i ʻole nā lāʻau lapaʻau

E nānā pū kāu hui lapaʻau i kāu mau haʻawina kiʻi hou a e kauoha paha i nā X-ray a i ʻole MRI scans. Kōkua kēia iā lākou e hoʻolālā i ke ala pololei a hōʻoia i ka vertebroplasty ke koho lapaʻau maikaʻi loa no kou maʻi.

Pehea e heluhelu ai i kāu mau hopena vertebroplasty?

Hoʻoholo ʻia ka holomua ma hope o ka vertebroplasty e kāu hōʻoluʻolu ʻeha a me ka hiki ke hana i nā hana i kēlā me kēia lā. ʻIke ka hapa nui o nā maʻi i ka hōʻemi ʻeha nui i loko o 24-48 mau hola, ʻoiai kekahi e ʻike i ka hōʻoluʻolu koke ma hope o ke kaʻina hana.

E hoʻohana kāu kauka i nā haʻawina kiʻi e hōʻoia i ka hoʻopiha pono ʻana o ka sima i ka vertebra i haki a hoʻopaʻa i ka iwi. Hōʻike maʻamau nā X-ray ma hope i ka sima ma ke ʻano he wahi keʻokeʻo ʻālohilohi i loko o ka vertebra i mālama ʻia, e hōʻike ana i ka hoʻokomo kūleʻa.

Hoʻoholo pinepine ʻia nā pae ʻeha me ka hoʻohana ʻana i kahi unahi mai 0 a 10, kahi e manaʻo ai ka 0 ʻaʻohe ʻeha a ʻo ka 10 e hōʻike ana i ka ʻeha nui. Nui nā mea maʻi e hōʻike ana i ko lākou ʻeha e hāʻule ana mai 7-8 ma mua o ke kaʻina hana i 2-3 ma hope. ʻAʻole maoli ka hoʻopau ʻana i ka ʻeha, akā he mea maʻamau ka hoʻomaikaʻi nui.

E loiloi pū kāu hui mālama ola i kou hiki ke neʻe a me nā hoʻomaikaʻi hana i ka wā o nā kipa e pili ana. ʻO ka hiki ke hele i nā mamao lōʻihi, hiamoe maikaʻi, a hana maʻalahi i nā hana o ka hale, he mau hōʻailona maikaʻi ia o ka mālama ʻana i ka holomua.

Pehea e hoʻomaikaʻi ai i kou ola hou ʻana mai ka vertebroplasty?

ʻO ka hoʻomaikaʻi ʻana i ka ola hou ʻana ma hope o ka vertebroplasty e kālele ana i ka ʻae ʻana i ka sima e paʻakikī loa i ka wā e hoʻi mālie ana i nā hana maʻamau. He mea nui nā hola 24 mua no ka hoʻōla kūpono a me ka hoʻopaʻa ʻana i ka sima.

Pono ʻoe e moe palahalaha ma kou kua no 1-2 mau hola ma hope koke o ke kaʻina hana e pale ai i ka leaka ʻana o ka sima. I kēia manawa, hoʻomau ka sima lapaʻau i ka paʻakikī a me ka hoʻopaʻa ʻana me kou ʻiʻo iwi.

Eia kāu manawa ola hou a me nā alakaʻi nui:

• Nā hola 24 mua: E pale i ka hāpai ʻana i nā mea kaumaha a e kaupalena i ka kulou a i ʻole nā ​​hana wili
• Nā lā 2-7: E hoʻonui mālie i ka hele ʻana a me nā hana o kēlā me kēia lā
• Pule 2-4: E hoʻomau i ka hapa nui o nā hana maʻamau akā e pale i nā hoʻoikaika kino kiʻekiʻe
• Mahina 1-3: E hoʻi mālie i nā hana kino koi hou aʻe e like me ka mea i ʻae ʻia
• Ke hoʻomau nei: E hahai i nā ʻōlelo a kāu kauka no ka mālama ʻana i ka osteoporosis

ʻO ka mālama ʻana i ka ʻeha i ka wā e ola hou ai, e pili ana i nā lāʻau lapaʻau ma luna o ka pāʻani e like me ka acetaminophen a i ʻole ibuprofen. E hāʻawi kāu kauka i nā alakaʻi kikoʻī e pili ana i ka manawa e hoʻomaka hou ai i nā lāʻau lapaʻau e lahilahi ai ke koko āu e lawe nei ma mua o ke kaʻina hana.

He aha nā mea pilikia no ka pono o ka vertebroplasty?

Nui nā mea e hoʻonui ai i kou hiki ke loaʻa i nā ʻeha ʻana e koi ana i ka vertebroplasty. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia hiki ke kōkua iā ʻoe e hana i nā hana pale a kūkākūkā i nā hopohopo me kāu mea mālama ola.

ʻO ka osteoporosis ka mea nui loa o ka pilikia, e pili ana i nā wahine ma hope o ka menopause a me nā mākua kahiko. Hoʻokumu kēia maʻi i nā iwi e lilo i porous a nāwaliwali, e hana ana i nā hāʻule liʻiliʻi a i ʻole nā ​​neʻe e hiki ke hana i ka ʻeha.

Eia nā mea pilikia nui e hoʻonui ai i ka hiki ke loaʻa i ka ʻeha:

• ʻO ka makahiki kiʻekiʻe, ʻoi aku ma mua o 65 mau makahiki
• ʻO ke kāne wahine ma muli o nā loli hormonal ma hope o ka menopause
• Ka hoʻohana lōʻihi ʻana i nā lāʻau corticosteroid
• ʻO ka mōʻaukala ʻohana o ka osteoporosis a i ʻole nā ​​ʻeha
• Ka puhi ʻana a me ka inu ʻana i ka waiʻona nui
• Ke ola sedentary me ka liʻiliʻi o ka hoʻoikaika kino e lawe ana i ke kaumaha
• ʻAi maikaʻi ʻole, ʻoi aku ka nele o ka calcium a me ka huaora D

Hoʻonui kekahi mau maʻi olakino i ka pilikia o ka ʻeha, me ka rheumatoid arthritis, hyperparathyroidism, a me nā maʻi gastrointestinal e pili ana i ka lawe ʻana i nā meaʻai. ʻO ka maʻi maʻi e laha ana i nā iwi e hōʻike ana i kekahi mea pilikia nui no nā ʻeha vertebral.

He aha nā pilikia hiki ke loaʻa o ka vertebroplasty?

Manaʻo ʻia ka Vertebroplasty he hana palekana, akā e like me nā hana lapaʻau ʻē aʻe, loaʻa iā ia kekahi mau pilikia a me nā pilikia. ʻO ka hapa nui o nā pilikia he mea maʻamau a hiki ke mālama ʻia ke hana lākou.

ʻO nā pilikia liʻiliʻi maʻamau e pili ana i ka hoʻonui ʻia ʻana o ka ʻeha hope, ka ʻeha ʻiʻo, a me nā mea liʻiliʻi o ka leaka sima ʻaʻole e hana i nā hōʻailona. Hoʻoponopono maʻamau kēia mau pilikia i loko o kekahi mau lā a i ʻole mau pule me ka ʻole o ka lāʻau lapaʻau hou.

Eia nā pilikia hiki ke loaʻa, i hoʻonohonoho ʻia mai ka mea maʻamau a i ka mea maʻamau:

• He piʻi pōkole o ka ʻeha e mau ana no 24-48 hola
• He kahe koko liʻiliʻi a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai ka nila
• He mau leaka sima liʻiliʻi ʻaʻole e hoʻoulu i nā hōʻailona
• He maʻi ma kahi o ke kaʻina hana (maʻa loa)
• He pōʻino o nā aʻalolo mai ka leaka sima (maʻa ʻole loa)
• He mau haʻihaʻi hou i nā vertebrae pili (ʻaʻole maʻa)
• Nā hopena maʻi maʻi i ka wai kala a i ʻole nā lāʻau lapaʻau (maʻa)

He maʻi nui e like me ke kaomi ʻana o ke kuamoʻo a i ʻole ka lōlō he mea maʻa ʻole loa ke hana ʻia ke kaʻina hana e nā poʻe loea i ʻike ʻia. Mālama pono kāu hui lapaʻau iā ʻoe i ka wā a ma hope o ke kaʻina hana e pane koke i nā hopohopo e kū mai ana.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka vertebroplasty?

ʻO ka hapa nui o nā maʻi e ʻike i ka hoʻōla maʻalahi ma hope o ka vertebroplasty, akā he mea nui e ʻike i ka manawa e hoʻokaʻaʻike aku ai i kāu mea mālama ola. Pono kekahi mau hōʻailona i ka lāʻau lapaʻau koke, aʻo nā mea ʻē aʻe e pono ai ke kelepona maʻamau.

E hoʻokaʻaʻike koke i kāu kauka inā ʻoe e ʻike i ka ʻeha hope nui koke, ka nāwaliwali wāwae hou, ka ʻeha, a i ʻole ka pilikia i ka mālama ʻana i kāu hana ʻana i ka ʻōpū a i ʻole ka ʻōpū. Hiki i kēia mau hōʻailona ke hōʻike i nā pilikia maʻa ʻole akā koʻikoʻi e pono ai ka loiloi wikiwiki.

Eia nā kūlana e pono ai ke kelepona lapaʻau wikiwiki:

• He kuni ma luna o 101°F (38.3°C) e hōʻike ana i ka maʻi
• He ʻeha nui i ʻoi aku ka ʻino ma mua o ka hana
• He ʻeha hou a i ʻole ke kani ʻana i kou mau wāwae a i ʻole nā wāwae
• He pehu nui a i ʻole ka ʻulaʻula ma kahi i hoʻokomo ʻia ai
• He pilikia i ka hele ʻana a i ʻole nā pilikia kaulike hou
• ʻO ka nausea a i ʻole ka luaʻi mau

No nā hopohopo liʻiliʻi e like me ka piʻi ʻana o ka ʻeha, ka ʻeha liʻiliʻi, a i ʻole nā nīnau maʻamau e pili ana i kou ola hou ʻana, hiki iā ʻoe ke hoʻokaʻaʻike i ke keʻena o kāu kauka i nā hola hana maʻamau. Makemake ka hapa nui o nā mea mālama ola e kelepona ʻoe ma mua o ka hopohopo e pili ana i nā hōʻailona ola maʻamau.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka vertebroplasty

Nīnau 1. He maikaʻi anei ka vertebroplasty no nā haʻi ʻana o ka ʻōpū osteoporotic?

ʻAe, hiki i ka vertebroplasty ke maikaʻi loa no ka mālama ʻana i nā haʻi ʻana o ka ʻōpū osteoporotic e hōʻeha nei i ka ʻeha i hoʻōla ʻole ʻia me ka mālama ʻana i ka conservative. Hōʻike nā haʻawina i ka 70-90% o nā maʻi e ʻike i ka hōʻoluʻolu nui o ka ʻeha i loko o nā lā o ke kaʻina hana.

He maikaʻi loa ka hana ʻana i ka wā e hou ai nā haʻi ʻana (i loko o 6-12 mau mahina) a e hana ana i ka ʻeha nui e kaupalena ana i nā hana i kēlā me kēia lā. Eia naʻe, e loiloi pono kāu kauka inā ʻoi aku ka maikaʻi ma mua o nā pilikia e pili ana i kāu kūlana kikoʻī a me ke olakino holoʻokoʻa.

Nīnau 2. Pale anei ka vertebroplasty i nā haʻi ʻana i ka wā e hiki mai ana?

Hoʻoikaika ka vertebroplasty i ka vertebra i mālama ʻia a ʻaʻole hiki ke haki hou i ka wahi like. Eia naʻe, ʻaʻole ia e pale i nā haʻi hou mai ka hana ʻana i nā vertebrae ʻē aʻe, ʻoiai inā ʻaʻole i hoʻoponopono ʻia ka osteoporosis ma lalo.

Manaʻo kekahi mau haʻawina i kahi pilikia liʻiliʻi o nā haʻi ʻana i nā vertebrae e pili ana i ka wahi i mālama ʻia, ʻoiai he kumuhana kēia o ka noiʻi e hana nei. ʻO ke kī ka mālama ʻana i kou olakino iwi ma lalo ma o ka lāʻau lapaʻau, ka hoʻoikaika kino, a me nā loli ola me ke kaʻina hana vertebroplasty.

Nīnau 3. Pehea ka lōʻihi o ka hōʻoluʻolu ʻeha vertebroplasty?

ʻO ka hōʻoluʻolu ʻeha mai ka vertebroplasty he lōʻihi ka lōʻihi, me ka hapa nui o nā maʻi e mālama ana i ka hoʻomaikaʻi nui ʻana no nā makahiki ma hope o ke kaʻina hana. Lilo ke sima i ʻāpana mau o kou iwi kuamoʻo, e hāʻawi ana i ke kākoʻo kūkulu mau.

Eia naʻe, hiki ke ʻokoʻa nā hopena lōʻihi e pili ana i kou olakino iwi kuamoʻo holoʻokoʻa a inā e ulu ana nā haʻi hou i nā wahi ʻē aʻe. ʻO ka hahai ʻana i nā ʻōlelo a kāu kauka no ka mālama ʻana i ka osteoporosis a me ka mālama ʻana i ke kuamoʻo e kōkua i ka mālama ʻana i nā pōmaikaʻi o ka vertebroplasty i ka manawa.

Nīnau 4. Hiki iaʻu ke loaʻa ka vertebroplasty ma nā vertebrae he nui?

ʻAe, hiki i nā kauka ke mālama i nā vertebrae he nui i ka wā o ke kaʻina hana hoʻokahi inā he nui nā ʻeha compression e hoʻoulu ana i ka ʻeha. Eia naʻe, ʻo ka mālama ʻana i nā vertebrae he nui i ka manawa hoʻokahi e hoʻonui paha i nā pilikia a me ka manawa hoʻōla.

Na kāu hui lapaʻau e hoʻoholo i ke ala palekana loa e pili ana i ka helu, kahi, a me ke koʻikoʻi o kāu mau ʻeha. I kekahi manawa, paipai lākou i ka hoʻonohonoho ʻana i nā lāʻau lapaʻau, e kamaʻilio ana i nā ʻeha ʻeha loa i ka mua a e mālama ana i nā wahi hou aʻe ma hope inā pono.

Q.5 He aha ka ʻokoʻa ma waena o ka vertebroplasty a me ka kyphoplasty?

ʻO nā kaʻina hana ʻelua e pili ana i ka hoʻokomo ʻana i ka sima i loko o nā vertebrae i haki, akā ʻo ka kyphoplasty e komo pū ana i kahi hana hou o ka hoʻoulu ʻana i kahi baluna liʻiliʻi i loko o ka vertebra ma mua o ka hoʻokomo ʻana i ka sima. Hoʻokumu kēia baluna i kahi ākea no ka manawa a hiki ke kōkua i ka hoʻihoʻi ʻana i kekahi kiʻekiʻe vertebral.

ʻOi aku ka nui o ke kumukūʻai o ka Kyphoplasty a ʻoi aku ka lōʻihi ma mua o ka vertebroplasty, akā hāʻawi nā kaʻina hana ʻelua i nā hopena hoʻomaha ʻeha like. E paipai kāu kauka i ke koho kūpono loa e pili ana i kāu mau ʻano fracture, ke olakino holoʻokoʻa, a me nā pahuhopu lapaʻau.