Laminectomy

I-Laminectomy yotyando lokususa i-lamina. Le yinxalenye yethambo elenza i-vertebra emqolo. I-Laminectomy inokwenziwa kwakhona ukususa i-bone spurs okanye idiski ye-herniated (slipped) kumqolo wakho. Inkqubo inokuthatha uxinzelelo kwimithambo yakho yomqolo okanye intambo yomqolo.

I-Laminectomy ivula umjelo wakho womqolo ukuze iintlambo zakho zomqolo zibe negumbi elininzi. Inokwenziwa kunye ne-diskectomy, foraminotomy, kunye ne-spinal fusion. Uya kulala kwaye ungeva zintlungu (i-anesthesia ngokubanzi).

Ngexesha lotyando:

• Uhlala ulala ngesisu kwitafile yokusebenza. Ugqirha wenza ukusikwa (ukusika) embindini womqolo okanye entanyeni.
• Ulusu, izihlunu, kunye nemisipha zihanjiselwa ecaleni. Ugqirha wakho unokusebenzisa imicroscope yotyando ukubona ngaphakathi komqolo wakho.
• Icandelo okanye onke amathambo e-lamina angasuswa kumacala omabini omqolo wakho, kunye nenkqubo yokujikeleza, icandelo elibukhali lomqolo wakho.
• Ugqirha wakho ususa naziphi na iziqwenga ezincinci zediski, ithambo, okanye ezinye izicwili ezithambileyo.
• Ugqirha angenza kwakhona i-foraminotomy ngeli xesha ukwandisa ukuvulwa apho iingcambu zentsholongwane zihamba ngaphandle komqolo.
• Ugqirha wakho ugqirha angenza i-spinal fusion ukuqinisekisa ukuba ikholamu yakho yomqolo izinzile emva kotyando.
• Izihlunu kunye nezinye izicwili zibuyiselwa endaweni yazo. Ulusu luthungiwe kunye.
• Utyando luthatha iiyure ezi-1 ukuya kwezi-3.

I-Laminectomy ihlala isenziwa ukunyanga i-spinal stenosis (ukunciphisa ikholamu yomqolo). Inkqubo isusa amathambo kunye neediski ezonakeleyo, kwaye yenze indawo ethe kratya kumqolo wakho womqolo kunye nekholamu.

Iimpawu zakho zinokuba:

• Intlungu okanye ukuba ndindisholo komnye okanye kwimilenze yomibini.
• Intlungu ejikeleze indawo yakho yegxalaba.
• Unokuziva ubuthathaka okanye ubunzima kwiimpundu zakho okanye emilenzeni.
• Unokuba neengxaki zokukhupha okanye ukulawula isinyi kunye nesisu.
• Kungenzeka ukuba ube neempawu, okanye iimpawu ezimbi, xa umile okanye uhamba.

Wena nogqirha wakho ninokuthatha isigqibo xa kufuneka nenziwe utyando kwezi mpawu. Iimpawu zespinal stenosis zihlala zisiba mandundu ngokuhamba kwexesha, kodwa oku kunokwenzeka kancinci.

Xa iimpawu zakho ziba nzima kwaye ziphazamise ubomi bakho bemihla ngemihla okanye umsebenzi wakho, utyando lunokunceda.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukuphendula kunyango okanye iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi zotyando lomqolo zezi:

• Usulelo kwisilonda okanye kumathambo e-vertebral
• Ukonakala kwimbilini yomqolo, kubangela ubuthathaka, iintlungu, okanye ukulahleka kwemvakalelo
• Inxalenye okanye akukho isiqabu seentlungu emva kotyando
• Ukubuya kweentlungu zangasemva kwikamva
• Umthambo wamanzi ovuza ukuvuza okungakhokelela kwintloko ebuhlungu

Ukuba une-fusion yomgogodla, ikholamu yakho yomqolo apha ngasentla nangaphantsi kwe-fusion kunokwenzeka ukuba ikunike iingxaki kwixesha elizayo.

Uya kuba ne-x-ray yomqolo wakho.Unokuba ne-MRI okanye i-CT myelogram ngaphambi kwenkqubo yokuqinisekisa ukuba une-spinal stenosis.

Xelela umboneleli wakho wezempilo ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Lungisa ikhaya lakho ukulungiselela ukuphuma kwakho esibhedlele.
• Ukuba uyatshaya, kufuneka uyeke. Abantu abane-fusion yomgogodla kwaye baqhubeke nokutshaya abanakuphola nabo. Buza ugqirha wakho akuncede.
• Kwiveki enye ngaphambi kotyando, unokucelwa ukuba uyeke ukuthatha izinciphisi zegazi. Amanye ala machiza yiasprini, ibuprofen (Advil, Motrin), kunye ne naproxen (Aleve, Naprosyn). Ukuba uthatha i-warfarin (i-Coumadin), i-dabigatran (Pradaxa), i-apixaban (i-Eliquis), i-rivaroxaban powder (i-Xarelto), okanye i-clopidogrel (i-Plavix), thetha nogqirha wakho phambi kokuba uyeke okanye utshintshe indlela owathatha ngayo la machiza.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iingxaki zonyango, ugqirha wakho uya kukucela ukuba ubonane nogqirha wakho oqhelekileyo.
• Thetha nogqirha wakho ukuba ubusele kakhulu utywala.
• Buza ugqirha wakho otyandayo ukuba ngawaphi amayeza ekufuneka uwathathe ngemini yotyando.
• Yazisa ugqirha wakho owaziyo kwangoko ukuba unengqele, umkhuhlane, umkhuhlane, ukuphuma kweherpes, okanye ezinye izigulo onokuba nazo.
• Unokufuna ukutyelela ugqirha womzimba ukuze ufunde ukuzilolonga ngaphambi kokwenziwa kotyando kunye nokuziqhelanisa nokusebenzisa iintonga.

Ngomhla wotyando:

• Uya kucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezingama-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha amayeza ugqirha wakho akuxelele ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Umboneleli wakho uya kukuxelela ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Umboneleli wakho uya kukukhuthaza ukuba uvuke uhambe ngokukhawuleza xa i-anesthesia iphela, ukuba awunayo i-spinal fusion.

Uninzi lwabantu luya ekhaya 1 ukuya kwiintsuku ezi-3 emva kotyando lwabo. Ekhaya, landela imiyalelo yendlela yokukhathalela inxeba lakho kunye nomqolo.

Kuya kufuneka uqhube kwisithuba seveki okanye ezimbini kwaye uphinde uqale ngokukhanya emva kweeveki ezi-4.

I-Laminectomy ye-spinal stenosis ihlala ibonelela ngokuzolileyo okanye ukukhululeka kwiimpawu.

Iingxaki zomqolo wexesha elizayo zinokwenzeka kubo bonke abantu emva kotyando lomqolo. Ukuba une-laminectomy kunye ne-spinal fusion, ikholamu yomqolo apha ngasentla nangaphantsi kwe-fusion kunokwenzeka ukuba babe neengxaki kwixesha elizayo.

Unokuba nezinye iingxaki zexesha elizayo ukuba ufuna ngaphezulu kolunye uhlobo lwenkqubo ukongeza kwi-laminectomy (diskectomy, foraminotomy, okanye spinal fusion).

Uxinzelelo lweLumbar; Ukudideka kwelaminectomy; Uqhaqho lomqolo - laminectomy; Umqolo obuhlungu - laminectomy; Stenosis - laminectomy

• Uqhaqho lomqolo-ukukhutshwa

Intsimbi GR. I-Laminotomy, i-laminectomy, i-laminoplasty, kunye ne-foraminotomy. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 78.

UDerman PB, uRihn J, uAlbert TJ. Ulawulo lotyando lwe-lumbar spinal stenosis. Ku: Garfin SR, Eismont FJ, Bell GR, Fischgrund JS, Bono CM, ii-eds. URothman-Simeone kunye noHerkowitz The Spine. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 63.