Kodi Kudya Kwambiri Kudzakhala ndi Zotsatira Zabwino Zotsatira Zamtenda?
Ngati mukukonzekera kubwezeretsa msana, mwina mukuganiza, ndipo mwinamwake mukudandaula, pa zinthu zonse zomwe zingasokoneze. Izi zimatchedwa "mavuto." Ngakhale mavuto angabwere kuchokera pa opaleshoni yokha, pokonzekera pang'ono, ndi khalidwe labwino labwino la thanzi, mukhoza kuthetsa mavuto ambiri osafunika.
Zovuta zokhudzana ndi opaleshoni yammbuyo zimachitika nthawi zambiri kwa odwala omwe ali olemera kwambiri.
Wopweteka kwambiri ndikuti olemera kwambiri komanso olemera kwambiri ndi amene amafunikira opaleshoni kwambiri.
Mitundu ya Zovuta za Opaleshoni Yowonongeka Kwambiri Odwala
Kodi ndi mavuto otani omwe muyenera kuda nkhawa nawo ngati muli olemera kwambiri kapena ochepa kwambiri, ndipo mukukonzekera kubwezeretsa posachedwa?
Yaikulu ndikuonetsetsa kuti adokotala akupeza kuti muli bwino. Izi ndi chifukwa kupeza MRI yolondola kapena filimu ina yowunikira imatha kukhala ovuta kwambiri kwa odwala kwambiri kuposa omwe ali ndi kulemera kwabwino. Mafilimu olakwika angayambitse matenda olakwika komanso opaleshoni yolakwika yochitidwa. Zingayambitse opaleshoni molakwika pamtsempha, komanso.
Ndipo ndi minofu yowonjezereka kuti muziyendamo, zingakhale zovuta kwa dokotala wanu kuti apeze malo oyenera a pamphepete mwa msana wanu. N'chimodzimodzinso ndi kuyika chida chogwiritsira ntchito chomwe chiyenera kupita.
Matenda angapo a zachipatala n'zotheka, komanso.
Izi zimaphatikizapo mitsempha yambiri ya thrombosis, embolism ya pulmonary, matenda, chibayo, mavuto a mtima, kuvulala kwa mitsempha ndi kupuma kwapambuyo. Zovuta zokhudzana ndi matenda a anesthesia, mwachitsanzo chitsanzo cha kugona tulo, n'zotheka.
Mankhwala a anesthesia, komanso mankhwala opweteka omwe amagwira ntchito m'katikati mwa mitsempha akhoza kukhumudwitsa minofu yomwe imatsegula phokoso, lomwe ndilo momwe mpweya umapitilira kupuma.
Mkhalidwe wovuta kwambiriwu ukhoza kuwonjezera ku mavuto opuma okhudzana ndi kunenepa kwambiri. Zingakhale zowonongeka.
Hypoxia-hypoventilation ingakulepheretseni kupuma kwanu; ilipo pa 10% mwa anthu ochepa kwambiri ochepa kwambiri, ndipo angapangitse kufunikira kwa chithandizo chowonjezereka cha mpweya mkati kapena pambuyo pa opaleshoniyo.
Kuika malo pamtunduwu ndi ngozi ina. Pamene munthu wochuluka kwambiri wodwalayo ali pa tebulo la opaleshoni, ikhoza kufika pa kusankha pakati pa malo opaleshoni kapena kupangitsa matenda ena kukhala ovuta kwambiri. Mwachitsanzo, kuyang'ana kupanikizika kwa magazi panthawi ya opaleshoni kungapangitse zovuta zina kwa amishonale omwe akupezekapo.
Zovuta zokhudzana ndi msana zimakhudza kwambiri, madandaulo a msana ndi ofunika kwambiri kwa madokotala opaleshoni; Kulephera opaleshoni kumbuyo ndi mwayi woterewu. The American Academy of Neurosurgeons imanena kuti mu opaleshoni yochitidwa kuti athetse ululu wa m'mbuyo, kulephera kwa odwala opatsirana kwambiri ndi oposa kuposa odwala ena.
Ndi mndandanda woterewu, palibe madokotala ochita opaleshoni amawauza odwala awo olemera kwambiri kuti asatayike asanalowemo! Phunziro la 2017 lofalitsidwa mu nyuzipepala ya Surgical Neurology International limalimbikitsa kulingalira za njira zazikulu zowonongeka zowonongeka - kuphatikizapo opaleshoni ya opaleshoni - odwala operewera kwambiri.
Ndipotu, madokotala ena opaleshoni sangagwirizane kugwira ntchito pa odwala ochepa kwambiri.
N'chifukwa chiyani opaleshoni yowonjezera kwambiri ndi yowopsa kwambiri Odwala Amakhala Pangozi Chifukwa cha Mavuto Ogwira Ntchito?
Kuperekera chithunzi cha kujambula komanso kugwiritsira ntchito zipangizo zamakono ku malo enieni kumbuyo kwanu sizowonjezereka zokhazokha za opaleshoni yam'mbuyo. Zochitika zina zaumoyo wanu zingakuike pangozi yaikulu, komanso.
Kupenda kwa chaka cha 2016 cha zofalitsa zachipatala zofalitsidwa mu Global Spine Journal zapeza kuti mikhalidwe "yowonongeka", mwachitsanzo, matenda ena omwe amapezeka pang'onopang'ono ndi kunenepa kwambiri, mwachiwonekere amachititsa kuti chiwerengero chochuluka cha mavuto a post postative chikhalepo.
Zimadziwika bwino kuti kunenepa kumagwirizanitsa ndi kagayidwe kachakudya, mtima ndi mavuto ena monga shuga ndi matenda a mtima. Kupezeka kwa zinthu zoterezi kungachititse kuti opaleshoni yanu ikhale yovuta kwambiri kuti dokotala amalize popanda chochitika.
Osati izi zokha, koma phunzirolo linapezanso kuti kukhala wochuluka modetsa nkhaŵa kungathe-palimodzi nokha-kubweretsa chiopsezo chanu pamasewera opatsirana opaleshoni.
Ofufuza ochokera ku Thomas Jefferson University akugwirizana. Malingana ndi zipangizo zofalitsira, anapeza kuti vuto la mavutidwe opaleshoni limawonjezeka poyerekezera ndi kukula kwa kunenepa kwambiri. Mwa kuyankhula kwina, kukwera kwa thupi lanu mchere (BMI), ndi mwayi waukulu kuti mudzakhala ndi vuto logwirizana ndi kuvomereza kwanu kumbuyo.
BMI, kapena chiwerengero cha misala ya thupi, ndi muyeso wa thupi lofanana ndi kutalika kwake. BMI ya zaka 30 kapena kupitirira imasonyeza kunenepa kwambiri, ndipo munthu yemwe BMI ali ndi zaka 40 kapena kupitirira amaonedwa kuti ndi olemetsa kwambiri.
Akatswiri ofufuza a Thomas Jefferson anapeza kuti odwala opaleshoni omwe anali ndi thanzi labwino anali ndi chiwerengero cha mavuto oposa 14 peresenti. Koma m'magulu odwala kwambiri odwala, mlingowu unalumphira mpaka 36 peresenti.
Ubwino Wochepa Kwambiri Wopanga Opaleshoni
Ngati BMI yanu ili ndi zaka 30 kapena kupitirira, kuchita opaleshoni yam'mbuyomu kwa inu kungapangitse dokotala wanu ngozi zina. Komabe, akatswiri ambiri amavomereza kuti odwala ovuta kwambiri sayenera kutsutsidwa opaleshoni chifukwa cha matenda awo.
Kuchita opaleshoni yapang'onopang'ono (MIS) imakhala ndi mavuto ochepa chabe kusiyana ndi mwambo wamtundu, ndipo ukhoza kukhala mwayi kwa inu.
Kafukufuku wa 2008 wokhudzana ndi odwala 58 sakanatha kudziwa mavuto akuluakulu okhudzidwa ndi odwala MIS omwe anali olemera kapena oposa kwambiri.
Kwa odwala ambiri a MIS, ululu wotsatira njirayi ndi wochepa. Izi zikhoza kukhala chifukwa chimodzi chomwe odwala a MIS ambiri angayambirenso ntchito ndi ntchito zina mofulumira kuposa omwe ali ndi opaleshoni yam'mbuyo.
The American Academy of Neurosurgeons imasonyeza kuti kuchepa kusokonezeka pamatenda apang'ono . MIS amagwiritsira ntchito fluoroscopy yomwe imalola kuti ziwonetsedwe zochepa kwambiri, komanso kuyenda bwino kwa zipangizo zopangira opaleshoni.
Mawu ochokera
Kuchepetsa kutaya thupi kungakhale njira yanu imodzi yokha opaleshoni yopititsa patsogolo. Kutaya thupi musanakwane opaleshoni yanu kungakuthandizeni kuchepetsa mavuto ena omwe atchulidwa pamwambapa monga kupeza njira zoyenera zogwiritsira ntchito opaleshoni, opaleshoni, kugwiritsa ntchito chipangizo chogwiritsira ntchito moyenera, kukupatsani chitetezo pamene muli ndi vuto la kupweteka, zomwe zimaphatikizapo kuchepetsa kufala kwa kugona, ndi zina.
Izi zinanena kuti, monga pafupi ndi opaleshoni iliyonse yam'mbuyo, kuyesa chisamaliro choyipa poyamba kungakhale lingaliro labwino. Izi zikutanthawuza kupita kuchipatala chomwe chikugogomezera masewero olimbitsa thupi ndikulimbikitsana kwakukulu.
Ngakhale kuti kukhala olemera kwambiri kapena owonjezera kumapangitsa kuti pulogalamu yochita masewero olimbitsa thupi ikhale yovuta kwambiri, zingakhale zofuna kwambiri kuyesetsa. Kwa anthu ambiri, purogalamu yochita masewera olimbitsa thupi ndiyo njira yopeŵera opaleshoni ya msana kwathunthu. American Family Physician amafotokoza kuti mapulogalamu opangira opaleshoni a kunyumba omwe amatsogoleredwa ndi ululu wopweteka kwambiri angakuthandizeni kuchepetsa kusowa kwa thandizo lina lachipatala, kuti likhale njira yabwino yothandizira.
Ngati kuchita zovutazo kukuwoneka kovuta kwambiri, mukhoza kufunsa wodwalayo za masewera olimbitsa thupi , zomwe zimakhala zosavuta kumalo.
> Chitsime:
> Casazza, B., MD Kuzindikira ndi Chithandizo Chakumva Kwambiri Kwambiri. American Family Physician. Feb. 2012. http://www.aafp.org/afp/2012/0215/p343.html
> Epstein, N., Kuopsa kwambiri ndi zovuta za opaleshoni yopanga msana mu odwala opatsirana kwambiri. Opaleshoni Neurol Int. April 2017. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868585/
> Jackson, K., ndi. al. Zotsatira za Kunenepa Kwambiri pa Opaleshoni Zamagetsi: Kukonzekera koyenera kwa Mabuku. Global Spine J. June 2016. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868585/
> Zosindikizidwa. University of Thomas Jefferson. "Kunenepa Kwambiri Kumaphatikizapo Kuopsa Kwambiri Kwambiri M'maganizo Opaleshoni." SayansiDaily. October 2006. https://www.sciencedaily.com/releases/2006/10/061010022634.htm
> McCormick, P. Lumbar Matenda Opatsirana: Kuganizira Odwala Omwe AANS Bulletin 2008 Vesi 17 Mutu 2.