Foraminotomy

I-Foraminotomy ngotyando olwandisa ukuvulwa ngasemva kwakho apho iingcambu zentsholongwane zishiya umjelo wakho womqolo. Unokuba nokunciphisa ukuvuleka kwentsholongwane (foraminal stenosis).

I-Foraminotomy ithatha uxinzelelo kwimithambo-luvo ephuma kwikholam yakho yomqolo. Oku kunciphisa nayiphi na intlungu onayo. I-Foraminotomy inokwenziwa kulo naliphi na inqanaba lomqolo.

Uya kulala kwaye ungeva zintlungu (i-anesthesia ngokubanzi).

Ngexesha lotyando:

• Uhlala ulele ngesisu okanye uhlale etafileni yokusebenza. Ukusikwa (ukusikwa) kwenziwa embindini womqolo womqolo wakho. Ubude bokubanjwa buxhomekeke kubungakanani bekholamu yakho yomqolo eya kusebenza kuyo.
• Ulusu, izihlunu, kunye nemisipha zihanjiselwa ecaleni. Ugqirha wakho unokusebenzisa imicroscope yotyando ukubona ngaphakathi komqolo wakho.
• Elinye ithambo liyasikwa okanye lichetyiwe ukuze kuvulwe iingcambu zemithambo-luvo (foramen). Nawaphi na amaqhekeza ediski ayasuswa.
• Elinye ithambo linokususwa ngasemva kwethambo lomqolo ukwenza igumbi elininzi (i-laminotomy okanye i-laminectomy).
• Ugqirha angenza i-spinal fusion ukuqinisekisa ukuba ikholamu yakho yomqolo izinzile emva kotyando.
• Izihlunu kunye nezinye izicwili zibuyiselwa endaweni yazo. Ulusu luthungiwe kunye.

Isixa semithambo-luvo (ingcambu yemithambo-luvo) shiya umnqonqo wakho ngokuvuleka kwikholamu yakho yomqolo. Ezi zivulo zibizwa ngokuba yi-neural foramens. Xa ukuvuleka kwengcambu ye-nerve kuncipha, kunokubeka uxinzelelo kwi-nerve yakho. Le meko ibizwa ngokuba yi-foraminal spinal stenosis.

Olu tyando lunokuqwalaselwa ukuba uneempawu ezinzima eziphazamisa ubomi bakho bemihla ngemihla. Iimpawu zibandakanya:

• Ubuhlungu obunokuviwa ethangeni lakho, ithole, umva osezantsi, igxalaba, iingalo okanye izandla. Intlungu ihlala inzulu kwaye izinzile.
• Intlungu xa usenza imisebenzi ethile okanye uhambisa umzimba wakho ngendlela ethile.
• Ubudenge, ukurhawuzelela, kunye nobuthathaka bemisipha.
• Iingxaki zokuhamba okanye zokubamba izinto.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Impendulo kumayeza okanye kwiingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Iingozi ze-foraminotomy zezi:

• Usulelo kwisilonda okanye kumathambo e-vertebral
• Ukonakala kwimbilini yomqolo, kubangela ubuthathaka, iintlungu, okanye ukulahleka kwemvakalelo
• Inxalenye okanye akukho isiqabu kwiintlungu emva kotyando
• Ukubuya kweentlungu zangasemva kwikamva

Uya kuba ne-MRI ukuqinisekisa ukuba i-foraminal stenosis ibangela iimpawu zakho.

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

Ngexesha leentsuku ngaphambi kotyando:

• Lungisa ikhaya lakho xa uphuma esibhedlele emva kotyando.
• Ukuba uyatshaya, kufuneka uyeke. Ukuchacha kwakho kuya kuhamba kancinci kwaye kungalunganga ukuba uyaqhubeka nokutshaya. 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 ufumana ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye ezinye izifo.
• Unokufuna ukutyelela ugqirha womzimba ukuze ufunde imithambo ekufuneka uyenzile ngaphambi 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 oxelele ukuba uthathe ngamanzi amancinci.
• Yiza nenduku yakho, ukuhambahamba, okanye isitulo esinamavili ukuba unayo. Yiza neembadada ezineeflethi ezithe tyaba, ezingathathi ntweni.
• Fika esibhedlele ngexesha.

Uya kunxiba ikhola entanyeni ethambileyo emva koko ukuba utyando lwalusentanyeni yakho. Uninzi lwabantu luyakwazi ukuphuma ebhedini kwaye luhlale ngaphakathi kwiiyure ezimbini emva kotyando. Uya kudinga ukuhambisa intamo yakho ngononophelo.

Kuya kufuneka ukwazi ukuphuma esibhedlele kusuku olulandelayo emva kotyando. 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-Foraminotomy yomgogodla we-foraminal stenosis iya kuhlala ibonelela ngokuzeleyo okanye ngokuzola kwiimpawu.

Iingxaki zomqolo wexesha elizayo zinokwenzeka ebantwini emva kotyando lomqolo. Ukuba ubune-foraminotomy kunye ne-spinal fusion, ikholamu yomqolo apha ngasentla nangaphantsi kwe-fusion inokuba neengxaki kwixesha elizayo.

Unokuba nethuba elingaphezulu leengxaki zexesha elizayo ukuba ufuna ngaphezulu kolunye uhlobo lwenkqubo ukongeza kwi-foraminotomy (laminotomy, laminectomy, okanye spinal fusion).

I-intervertebral foramina; Uqhaqho lomqolo - foraminotomy; Umqolo obuhlungu - foraminotomy; Stenosis - foraminotomy

• 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.