Foraminotomy

Foraminotomy kuvhiya kunowedzera kuvhura musana wako uko tsinga midzi inosiya wako musana canal. Iwe unogona kunge uine kudzikira kwekuvhurika kwetsinga (foraminal stenosis).

Foraminotomy inotora kumanikidza kwetsinga ichibuda mukati memutsipa wepelinha. Izvi zvinoderedza chero kurwadziwa kwawaive nako. Foraminotomy inogona kuitwa pane chero nhanho yemuzongoza.

Iwe unenge wakarara uye haunzwe kurwadziwa (general anesthesia).

Panguva yekuvhiyiwa:

• Iwe unowanzo rara padumbu rako kana kugara kumusoro kwetafura yekuvhiya. A cut (incision) inoitwa pakati kuseri kwemusana wako. Iyo kureba kweiyo incision zvinoenderana nekuti yakawanda sei yako yemuzongoza ikholamu ichavhiyiwa.
• Ganda, mhasuru, uye mitsipa inoendeswa kudivi. Chiremba wako anogona kushandisa microscope yekuvhiya kuti aone mukati memusana wako.
• Rimwe pfupa rinotemwa kana kuveurwa kure kuti rivhure tsinga midzi yekuvhura (foramen). Chero zvidimbu zve diski zvinobviswa.
• Imwe pfupa inogona zvakare kubviswa kumashure kweiyo vertebrae kuti iite imwe nzvimbo (laminotomy kana laminectomy).
• Chiremba anovhiya anogona kuita musana musana kuti ave nechokwadi chekuti musana wako wepara wakagadzikana mushure mekuvhiyiwa.
• Tsandanyama nezvimwe zvinyama zvinodzoserwa panzvimbo. Ganda rakasonanidzwa pamwechete.

Tsapo yemitsipa (tsinga midzi) inosiya musana wako wepelinha kuburikidza nekuvhurika mumusana wako wepelinha. Aya mazaruro anonzi neural foramens. Kana kuvhurika kweiyo midzi midzi kwadzikira, kunogona kumanikidza tsinga yako. Aya mamiriro anonzi foraminal spinal stenosis.

Kuvhiya uku kunogona kutariswa kana uine zviratidzo zvakakomba zvinokanganisa hupenyu hwako hwezuva nezuva. Zviratidzo zvinosanganisira:

• Marwadzo anogona kunzwika mudya rako, mhuru, yakaderera musana, fudzi, maoko kana maoko. Iwo marwadzo anowanzo kudzika uye akatsiga.
• Marwadzo kana uchiita zvimwe zviitiko kana kufambisa muviri wako neimwe nzira.
• Unhu, kurira, uye kushaya simba kwemhasuru.
• Zvinetso kufamba kana kubata zvinhu.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Reaction kumishonga kana matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, kana hutachiona

Ngozi dze foraminotomy ndeidzi:

• Utachiona muronda kana vertebral mapfupa
• Kukuvadza kune tsinga yemusana, zvichikonzera kushaya simba, kurwadziwa, kana kurasikirwa kwekunzwa
• Kusarura kana kusapora kubva pakurwadziwa mushure mekuvhiyiwa
• Kudzoka kwekurwadziwa kumashure mune ramangwana

Iwe unenge uine MRI yekuona kuti foraminal stenosis iri kukonzera zviratidzo zvako.

Udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Munguva yemazuva asati avhiyiwa:

• Gadzirira imba yako kuitira paunobuda muchipatara mushure mekuvhiyiwa.
• Kana iwe uchisvuta, unofanirwa kurega. Kudzoreredza kwako kuchanonoka uye pamwe kusatombonaka kana iwe uchiramba uchisvuta. Kumbira chiremba wako kuti akubatsire.
• Kwevhiki rimwe chete usati wavhiyiwa, unogona kukumbirwa kuti urege kunwa ropa. Mimwe yemishonga iyi maaspirin, ibuprofen (Advil, Motrin), uye naproxen (Aleve, Naprosyn). Kana iwe uri kutora warfarin (Coumadin), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban powder (Xarelto), kana clopidogrel (Plavix), taura nachiremba wako usati wamira kana kuchinja maitiro aunotora izvi zvinodhaka.
• Kana iwe uine chirwere cheshuga, chirwere chemwoyo, kana mamwe matambudziko ekurapa, chiremba wako anovhiya anokukumbira kuti uone chiremba wako wenguva dzose.
• Taura nachiremba wako kana wanga uchinwa doro rakawanda.
• Kumbira chiremba wako anovhiya mishonga yaunofanira kutora pazuva rekuvhiyiwa.
• Rega chiremba wako chiremba azive ipapo ipapo kana iwe ukawana dzihwa, dzihwa, fivhiri, herpes breakout, kana zvimwewo zvirwere.
• Unogona kuda kushanyira chiremba wepanyama kuti udzidze kurovedza muviri kuti uite usati wavhiyiwa uye kudzidzira kushandisa madondoro.

Pazuva rekuvhiyiwa:

• Iwe ungangobvunzwa kuti usamwe kana kudya chero chinhu kwemaawa matanhatu kusvika gumi nemaviri maitiro acho asati aitwa.
• Tora mishonga yawakaudzwa nachiremba wako kuti utore nekunwa mvura shoma.
• Uyai netsvimbo yako, chinofamba, kana wiricheya kana iwe unayo. Uyawo neshangu dzine sandara, dzisina tsoka.
• Svika kuchipatara nenguva.

Iwe ungangopfeka rakapfava mutsipa kora mushure kana kuvhiyiwa kwanga kuri pamutsipa wako. Vanhu vazhinji vanokwanisa kubuda pamubhedha uye kugara kumusoro mukati maawa maviri mushure mekuvhiyiwa. Iwe unozofanirwa kufambisa mutsipa wako zvakanaka.

Iwe unofanirwa kukwanisa kubva muchipatara zuva rinotevera rekuvhiyiwa. Kumba, tevedzera rairo yekuti ungachengeta sei ronda rako uye musana.

Iwe unofanirwa kugona kutyaira mukati mevhiki kana maviri uye wotangazve basa rakareruka mushure memasvondo mana.

Foraminotomy yemuzongoza foraminal stenosis inowanzo kupa izere kana zororo kubva kuzviratidzo.

Dzemangwana matambudziko emusana anokwanisika kuvanhu mushure mekuvhiyiwa musana. Dai iwe waive foraminotomy uye musana fusion, iyo yemuzongoza ikholamu pamusoro uye pazasi peiyo fusion inogona kuve nematambudziko mune ramangwana.

Iwe unogona kuve nemukana wakawanda wematambudziko emunguva yemberi kana iwe waida inopfuura imwe chete nzira yekuita mukuwedzera kune foraminotomy (laminotomy, laminectomy, kana musana fusion).

Intervertebral foramina; Kuvhiya musana - foraminotomy; Kurwadziwa shure - foraminotomy; Stenosis - foraminotomy

• Kuvhiya musana - kubuda

Bhero GR. Laminotomy, laminectomy, laminoplasty, uye foraminotomy. Mune: Steinmetz MP, Benzel EC, eds. Benzel's Spine Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2017: chits. 78.

Derman PB, Rihn J, Albert TJ. Kuvhiya manejimendi ye lumbar spinal stenosis. Mune: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, eds. Rothman-Simeone naHerkowitz's The Spine. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 63.