Yini i-Laminectomy? Inhloso, Inqubo & Ukululama

I-laminectomy iyinqubo yokuhlinzwa lapho udokotela ohlinzayo esusa khona ingxenye encane yethambo elibizwa nge-lamina emgogodleni wakho. Cabanga ngayo njengokudala isikhala esiningi ephasishini eligcwele abantu - ukuhlinzwa kukhulula ingcindezi emgogodleni wakho noma emithanjeni engase ikubangele ubuhlungu, ukuba ndikindiki, noma ubuthakathaka.

Yini i-laminectomy?

I-Laminectomy wuhlobo lokuhlinzwa komgogodla olususa ingxenye yethambo le-vertebral ukuze kukhululwe umgudu wakho womgogodla. I-lamina yingxenye engemuva ye-vertebra ngayinye eyakha uphahla ngaphezu komgudu wakho womgogodla, futhi uma isusiwe, inika imizwa yakho ecindezelwe indawo yokuphefumula futhi.

Le nqubo ngezinye izikhathi ibizwa ngokuthi i-decompressive laminectomy ngoba umgomo wayo oyinhloko ukususa ingcindezi emgogodleni wakho noma ezimpandeni zemizwa. Udokotela wakho ohlinzayo uvame ukwenza lokhu kuhlinzwa uma ezinye izindlela zokwelapha zingazange zinikeze ukukhululeka okwanele ezimpawini zakho.

Ukuhlinzwa kungenziwa kunoma iyiphi ingxenye yomgogodla wakho, kodwa kuvame kakhulu ukwenziwa emuva elingezansi (i-lumbar spine) noma endaweni yentamo (i-cervical spine). Indawo yakho ethile incike lapho izimpawu zakho zivela khona nokuthi yini okubonisa ukuhlolwa kwakho kokucabanga.

Kungani kwenziwa i-laminectomy?

I-Laminectomy incomendwa uma une-spinal stenosis - isimo lapho umgudu wakho womgogodla uba mncane kakhulu futhi ucindezela imizwa yakho. Lokhu kuncipha kungenzeka ngenxa yezinguquko ezihlobene nobudala, i-arthritis, noma ezinye izimo zomgogodla ezibangela ama-bone spurs noma imisipha eqinisiwe.

Udokotela wakho angase asikisela lokhu kuhlinzwa uma uhlangabezana nobuhlungu emlenzeni, ukuba ndikindiki, noma ubuthakathaka obenza ukuhamba kube nzima. Abantu abaningi bachaza ukuzwa sengathi imilenze yabo inesisindo noma ukuthi badinga ukuhlala phansi njalo ngenkathi behamba - lokhu kubizwa ngokuthi i-neurogenic claudication.

Le nqubo yenziwa futhi ngama-disc e-herniated angasabeli ekwelashweni okuvamile, izinhlobo ezithile zamathumba acindezela umgogodla wakho, noma ukulimala okubangele izingcezu zamathambo ukuthi zicindezele imizwa yakho.

Ngokuvamile, i-laminectomy ingase idingeke ngezifo emgogodleni wakho, i-arthritis enzima ebangela ukukhula kwamathambo ngokweqile, noma izimo zokuzalwa lapho umsele wakho womgogodla wazalwa ubanzi kakhulu.

Yini inqubo ye-laminectomy?

I-laminectomy yakho izokwenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho-ke uzobe ulele ngokuphelele ngesikhathi sokuhlinzwa. Le nqubo ngokuvamile ithatha phakathi kwehora elilodwa namahora amathathu, kuye ngokuthi zingaki izigaba zomgogodla wakho okudingeka zikhulunywe.

Udkt. ohlinzayo uzokwenza ukusikeka endaweni ethintekile yomgogodla wakho futhi asuse ngokucophelela imisipha eceleni ukuze afinyelele kuma-vertebrae. Ngokusebenzisa amathuluzi akhethekile, bazosusa i-lamina kanye nanoma yiziphi izikhukhula zamathambo noma imisipha eqinile ecindezela imizwa yakho.

Kwezinye izimo, udkt. ohlinzayo angase adinge ukususa ezinye izicubu noma enze i-discectomy (ukususwa kwempahla ye-disc) uma i-disc ye-herniated nayo inegalelo ekucindezelweni kwemizwa yakho. Umgomo uwukudala isikhala esanele ngenkathi kugcinwa ukuzinza komgogodla wakho.

Uma umgogodla wakho udinga ukwesekwa okwengeziwe ngemva kokususwa kwamathambo, udkt. ohlinzayo angase ancome ukuhlanganiswa komgogodla ngesikhathi esifanayo. Lokhu kuhilela ukubeka impahla yokufakelwa amathambo phakathi kwama-vertebrae ukuze zikhuthazwe ukuthi zikhule ndawonye unomphela.

Ungalungiselela kanjani i-laminectomy yakho?

Ukulungiselela kwakho kuqala emasontweni amaningana ngaphambi kokuhlinzwa ngokuhlolwa okujulile kwezokwelapha. Udkt. wakho uzobuyekeza imithi yakho futhi angase akucele ukuthi uyeke ukuthatha ama-blood thinners noma imithi elwa nokuvuvukala engandisa ingozi yokopha ngesikhathi sokuhlinzwa.

Kungenzeka udinga ukuqeda izivivinyo zangaphambi kokuhlinzwa ezihlanganisa ukuhlolwa kwegazi, i-EKG, futhi mhlawumbe i-X-ray yesifuba. Uma ubhema, udokotela wakho uzokukhuthaza ngokuqinile ukuthi uyeke okungenani amasonto amabili ngaphambi kokuhlinzwa, njengoba ukubhema kunganciphisa kakhulu inqubo yakho yokuphola.

Ngobusuku obandulela ukuhlinzwa, kuzodingeka uyeke ukudla nokuphuza ngemuva kwamabili ngaphandle uma ithimba lakho lokuhlinzwa likunikeza imiyalelo ehlukile. Lungiselela othile ukuthi akuqhubele esibhedlela futhi akuqhubele ekhaya, njengoba ngeke ukwazi ukuzishayela ngemuva kwenqubo.

Lungiselela ikhaya lakho ukuze ululame ngokumisa indawo yokulala enethezekile phansi uma igumbi lakho lokulala lingaphezulu. Gcina ukudla okulula ukukulungisa futhi uqinisekise ukuthi unayo yonke imithi ebekiwe elungele uma ubuyela ekhaya.

Ungawafunda kanjani imiphumela yakho ye-laminectomy?

Impumelelo ngemuva kwe-laminectomy ngokuvamile ilinganiswa ngokuthuthuka kwezimpawu zakho kunamanani athile okuhlolwa. Abantu abaningi bathola ukukhululeka okukhulu ebuhlungwini bemlenze, ukuba ndikindiki, nobuthakathaka emasontweni ambalwa okuqala ngemuva kokuhlinzwa.

Ukwelashwa kwakho ukuhamba kufanele kuthuthuke kancane kancane, futhi ungase uqaphele ukuthi ungahamba amabanga amade ngaphandle kokudinga ukuhlala phansi. Ukuzwa ukuluma noma ukuba ndikindiki emilenzeni yakho kuvame ukuthuthuka kancane kunobuhlungu, ngezinye izikhathi kuthatha izinyanga eziningana ukuthi kulungiswe ngokugcwele.

Udkt. wakho ohlinzayo uzoqapha inqubekela phambili yakho ngokuqokwa okulandelayo futhi angase ayalele izifundo zokucabanga njenge-X-rays noma i-MRI scans ukuze aqinisekise ukuthi umgogodla wakho uyaphola kahle. Lezi zithombe zisiza ukuqinisekisa ukuthi ukucindezelwa okwanele kutholakele nokuthi umgogodla wakho uhlala uzinzile.

Khumbula ukuthi ngenkathi abantu abaningi bebona ukuthuthuka okukhulu, inqubo yokululama iyancipha. Ezinye izimpawu ezisele zingase ziqhubeke, ikakhulukazi uma ubenokucindezelwa okukhulu kwemizwa isikhathi eside ngaphambi kokuhlinzwa.

Ungayithuthukisa kanjani ukululama kwakho kwe-laminectomy?

Impumelelo yakho yokululama incike kakhulu ekulandeleni imiyalelo yodokotela ohlinzayo nokubekezela ngenqubo yokuphola. Abantu abaningi bangakwazi ukubuyela emisebenzini elula phakathi namasonto ambalwa, kodwa ukululama okuphelele kuvame ukuthatha izinyanga eziningana.

Ukwelashwa ngokomzimba kuvame ukuqala phakathi namasonto ambalwa okuqala ngemva kokuhlinzwa ukukusiza ukuthi ubuyisele amandla nokuhamba ngokuphepha. Umelaphi wakho uzokufundisa indlela efanele yokusebenzisa umzimba nezivivinyo zokusekela umgogodla wakho njengoba uphola.

Ukuphathwa kobuhlungu kubalulekile ngesikhathi sokululama, futhi udokotela wakho uzoqoka imithi efanele ukuze ikugcine ukhululekile. Kodwa-ke, kubalulekile ukunciphisa kancane ukusetshenziswa kwemithi yokunciphisa ubuhlungu njengoba ukuphola kwakho kuqhubeka ukuze ugweme ukuncika.

Gwema ukuphakamisa izinto ezisindayo (ngokuvamile noma yini engaphezu kwamaphawundi ayi-10 ekuqaleni), ukugoba, noma ukusonta iminyakazo emasontweni ambalwa okuqala. Lezi zithiyo zisiza ekuqinisekiseni ukuthi umgogodla wakho uyaphola kahle futhi kunciphisa ingozi yezinkinga.

Ziyini izici eziyingozi zokudinga i-laminectomy?

Ubudala buyisici esiyingozi esibaluleke kakhulu, njengoba i-spinal stenosis ivame ukuthuthuka kancane kancane ngokuhamba kwesikhathi ngenxa yokuguga nokudabuka emgogodleni wakho. Abantu abaneminyaka engaphezu kwengama-50 maningi amathuba okuthi bathuthukise izimo eziholela ekudingeni lokhu kuhlinzwa.

Izici eziningana zingakhuphula amathuba akho okuthuthukisa i-spinal stenosis engase idinge i-laminectomy. Ukukhuluphala ngokweqile kubeka ingcindezi eyengeziwe emgogodleni wakho, kuyilapho imisebenzi ebandakanya ukuphakamisa izinto ezisindayo noma ukugoba okuphindaphindiwe kungasheshisa ukuguga komgogodla.

Izakhi zofuzo nazo zidlala indima - uma amalungu omndeni wakho abenezinkinga zomgogodla, ungase ube sengozini enkulu yokuthuthukisa izinkinga ezifanayo. Ezinye izimo ezinjengokuhlaselwa ngumgogodla noma isifo sikaPaget nazo zingaba nomthelela ku-spinal stenosis.

Ukulimala komgogodla kwangaphambilini, ngisho nokuncane, ngezinye izikhathi kungaholela ezingxenyeni zesikhathi eside ezigcina zidinga ukungenelela kokuhlinzwa. Ukubhema kungenye ingozi njengoba kunciphisa ukugeleza kwegazi emgogodleni wakho futhi kungasheshisa ukuguga kwama-disc.

Kungcono yini ukuba ne-laminectomy ngokushesha noma kamuva?

Isikhathi se-laminectomy sincike ekuqineni kwezimpawu zakho nokuthi usabela kahle kangakanani ekwelashweni okungahlinzeki. Odokotela abaningi batusa ukuzama ukwelashwa okuqondayo kuqala, okuhlanganisa ukwelashwa ngokomzimba, imithi, kanye nemijovo.

Nokho, uma uhlangabezana nezimpawu ezinzima ezinomthelela omkhulu empilweni yakho yansuku zonke, noma uma unezimpawu zomonakalo wemizwa oqhubekayo, ukuhlinzwa ngaphambi kwesikhathi kungase kube usizo. Ukulinda isikhathi eside uma unokucindezelwa okukhulu kwemizwa ngezinye izikhathi kungaholela ekulimaleni unomphela.

Udokotela wakho uzokusiza ukuthi ulinganise izinzuzo nezingozi ngokusekelwe esimweni sakho esithile. Izinto ezinjengobudala bakho, impilo yonke, izinga lomsebenzi, kanye nobukhulu be-spinal stenosis yakho konke kunendima ekunqumeni isikhathi esingcono kakhulu.

Kufanelekile ukuqaphela ukuthi i-laminectomy ngokuvamile ithathwa njengoba izimpawu zakho zithinta kakhulu izinga lempilo yakho futhi ukwelashwa okuqondayo akuzange kunikeze ukukhululeka okwanele ngemva kwezinyanga eziningana zomzamo oqhubekayo.

Ziyini izinkinga ezingaba khona ze-laminectomy?

Njenganoma yikuphi ukuhlinzwa, i-laminectomy inezinye izingozi, nakuba izinkinga ezinzima zingavamile. Izinkinga ezivame kakhulu zihlanganisa ukutheleleka endaweni yokuhlinzwa, ukopha, kanye nokusabela ku-anesthesia.

Izinkinga ezihlobene nemizwa zingenzeka, nakuba zingavamile. Lokhu kungase kuhlanganise ukuba ndikindiki kwesikhashana noma unomphela, ubuthakathaka, noma ezimweni ezingavamile kakhulu, ukukhubazeka. Udokotela ohlinzayo unakekela kakhulu ukugwema lezi zinkinga ngokusebenzisa izindlela zokuhlinza ezinembile.

Abanye abantu bahlangabezana nobuhlungu obuqhubekayo emhlane ngemva kokuhlinzwa, obungase buhluke ezimpawini zabo zokuqala. Lokhu kungase kube ngenxa yokwakheka kwezicubu ezinamanxeba, ukuqhubeka kokonakala komgogodla kwamanye amazinga, noma ezimweni ezingavamile, ukungazinzi komgogodla.

Ezinye izinkinga ezingase zibe khona zihlanganisa ukuvuza kwamanzi e-cerebrospinal, amahlule egazi, kanye nesidingo sokuhlinzwa okwengeziwe. Ithimba lakho lokuhlinza lizoxoxa ngalezi zingozi nawe ngemininingwane futhi lichaze ukuthi basebenza kanjani ukuzinciphisa ngesikhathi senqubo yakho.

Kufanele ngibone nini udokotela ngezinkinga zomgogodla?

Kufanele uthinte udokotela wakho uma uhlangabezana nobuhlungu obuqhubekayo emhlane noma emlenzeni obungathuthuki ngokuphumula kanye nemithi etholakala ngaphandle kwemvume kadokotela. Naka ikakhulukazi uma ubuhlungu buhambisana nokuba ndikindiki, ukuluma, noma ubuthakathaka emilenzeni yakho.

Funeka ukwelashwa ngokushesha uma uba nobuhlungu obukhulu obukhulu emhlane ngemva kokulimala, noma uma uhlangabezana nokulahlekelwa ukulawula isinye noma amathumbu. Lokhu kungaba yizimpawu zesimo esibi esibizwa ngokuthi i-cauda equina syndrome esidinga ukwelashwa okuphuthumayo.

Uma uqaphela ukuthi ukubekezelela kwakho ukuhamba kuyancipha, noma uma udinga ukuhlala phansi njalo ngenkathi uhamba ngenxa yobuhlungu bomlenze noma ubuthakathaka, lezi kungaba yizimpawu ze-spinal stenosis ezingase zizuze ekuhlolweni.

Unganqikazi ukufuna ukwelashwa uma izimpawu zakho ziphazamisa imisebenzi yakho yansuku zonke, ukulala, noma izinga lempilo yakho. Ukuhlolwa kwasekuqaleni nokwelashwa kuvame ukuvimbela izimo ukuthi zingabi zimbi futhi kungakusiza ukuthi ugweme ukwelashwa okuningi okuhlaselayo kamuva.

Imibuzo evame ukubuzwa mayelana ne-laminectomy

Q.1 Ingabe i-laminectomy ilungele i-herniated disc?

I-Laminectomy ingasebenza kahle kuma-herniated discs, kodwa ngokuvamile ihlanganiswa ne-discectomy (ukususwa kwempahla ye-herniated disc). Le nqubo yokuhlanganisa, ebizwa ngokuthi i-laminectomy ene-discectomy, ibhekana kokubili nokucindezelwa kwamathambo kanye nempahla ye-disc ecindezela imizwa yakho. Udokotela ohlinzayo uzonquma ukuthi le ndlela ilungile yini ngohlobo lwakho oluthile lwe-disc herniation.

Q.2 Ingabe i-laminectomy ibangela ukungazinzi komgogodla?

I-Laminectomy ingase ibangele ukungazinzi komgogodla, kodwa lokhu kuvamile uma kususwa izingxenye ezinkulu zamathambo noma uma kuhileleke amazinga amaningi. Udokotela ohlinzayo wakho uhlola ngokucophelela ukuzinza komgogodla wakho ngaphambi nangemva kokuhlinzwa. Uma kukhona ukukhathazeka ngokungazinzi, bangase bancomise ukuhlanganisa i-laminectomy nokuhlanganiswa komgogodla ukuze kugcinwe ukuhambisana okufanele komgogodla nokusebenza.

Q.3 Ingabe ukukhululeka kobuhlungu be-laminectomy kuhlala isikhathi esingakanani?

Abantu abaningi bathola ukukhululeka okukhulu nobuhlungu obuhlala njalo ngemva kwe-laminectomy, ngocwaningo olukhombisa ukuthi ama-70-90% eziguli agcina imiphumela emihle iminyaka eminingi. Nokho, kubalulekile ukuqonda ukuthi i-laminectomy ayimisi inqubo yokuguga yemvelo yomgogodla wakho. Abanye abantu bangase bathuthukise izimpawu kwamanye amazinga ngokuhamba kwesikhathi, kodwa lokhu akusho ukuthi ukuhlinzwa kwasekuqaleni kuhlulekile.

Q.4 Ngingakwazi yini ukubuyela emidlalweni ngemva kwe-laminectomy?

Abantu abaningi bangakwazi ukubuyela emidlalweni nasemisebenzini yomzimba ngemva kwe-laminectomy, nakuba isikhathi esithathayo nemisebenzi ethile kuncike ekuqhubekeleni phambili kwakho kokwelashwa nohlobo lwemidlalo oyithandayo. Imisebenzi enomthelela ophansi efana nokubhukuda, ukuhamba, nokuhamba ngebhayisikili ivame ukukhuthazwa. Udokotela ohlinzayo wakho kanye nomelaphi womzimba bazokuqondisa ukuthi nini nokuthi kanjani ukubuyela ngokuphephile emisebenzini efunwa kakhulu.

Q.5 Uyini umehluko phakathi kwe-laminectomy ne-laminotomy?

I-Laminectomy ihlanganisa ukususa yonke i-lamina (ingxenye engemuva ye-vertebra), kuyilapho i-laminotomy isusa ingxenye ye-lamina kuphela. I-Laminotomy iyinqubo engakhulu kakhulu engase yanele ezindaweni ezincane zokucindezela. Udokotela ohlinzayo wakho uzokhetha indlela enikeza ukucindezelwa okwanele ngenkathi kugcinwa isakhiwo semvelo somgogodla wakho ngangokunokwenzeka.