Percutaneous Laser Disc Decompression (PLDD): He hopena Minimally Invasive no nā Discs Herniated

ʻO ka Percutaneous Laser Disc Decompression (PLDD) kahi hana minimally invasive, i alakaʻi ʻia e ke kiʻi i hoʻohana ʻia e mālama i nā herniations lumbar a i ʻole cervical disc i loaʻa nā hōʻailona—ʻoi aku hoʻi i nā poʻe maʻi i pane ʻole i ka lāʻau lapaʻau conservative akā makemake e hōʻalo i ke ʻoki kino hāmama.

I ka wā o ka PLDD, ua hoʻokomo ʻia kahi fiber optical lahilahi (ma ke ʻano he 200-600 µm ke anawaena) ma o kahi nila i loko o ka nucleus pulposus o ka disc intervertebral i hoʻopilikia ʻia ma lalo o ke alakaʻi fluoroscopic a i ʻole CT. Ke kau ʻia, ka ikehu laser—maʻamau mai kahi diode laser ma 980nm a i ʻole 1470nm ka nalu—hoʻouna pololei ʻia i loko o ke kumu o ka disc. Hoʻomake ka laser i kahi liʻiliʻi o nā ʻiʻo disc i hoʻopau ʻia a me ka wai, e hōʻemi ana i ke kaomi intradiscal. ʻAe kēia hoʻomaha kaomi i ka ʻāpana herniated e huki iki, e hōʻoluʻolu ana i ke kaomi ʻana ma nā aʻa nerve kokoke a pēlā e hōʻemi ai i ka ʻeha, ka numbness, a i ʻole nā ​​​​hōʻailona radicular.

Nā Pōmaikaʻi Koʻikoʻi o PLDD:

✅Hoʻokomo iki ʻia:ʻAʻohe ʻoki ʻia—he ʻōkuʻi nila wale nō

✅ ʻO ka anesthesia kūloko wale nō: Hōʻalo i nā pilikia anesthesia laulā

✅ Kaʻina hana ma waho o ka haukapila: Hoʻopau pinepine ʻia i loko o 20-30 mau minuke

✅ Ho'ōla wikiwiki:Hoʻomaka hou ka hapa nui o nā maʻi i nā hana māmā i loko o 24-48 mau hola

✅ Mālama i ke anatomia o ka iwi kuamoʻo:ʻAʻohe wehe ʻana o ka iwi a i ʻole nā ​​ligaments

✅ Ka helu pilikia haʻahaʻa:He mea kākaʻikahi loa ka maʻi ʻana, ke kahe ʻana o ke koko, a i ʻole ka hōʻeha ʻana o ke aʻalolo

Nā Moho Kūpono:

*Nā maʻi me ka herniation disc i hoʻopaʻa ʻia (ʻaʻohe sequestration a ʻāpana manuahi paha)

ʻEha radicular mau (sciatica a i ʻole brachialgia) no nā pule he 6

* Ka hoʻokele mālama pono ʻole (hoʻōla kino, nā lāʻau lapaʻau)

*ʻAʻohe paʻa ʻole o ka iwi kuamoʻo a i ʻole ka stenosis canal

Nā Manaʻo no ka Lōʻihi o ka Nalu Laser:

*980nm diode laser: Hoʻopili hemoglobin ikaika; ablation maikaʻi me ka coagulation maikaʻi

*1470nm diode laser: ʻOi aku ka nui o ka omo wai → ʻoi aku ka maikaʻi o ka vaporization me ka liʻiliʻi o ka hoʻolaha wela, hiki ke hōʻemi i ka mumū ma hope o ke kaʻina hana

Nā Hopena Lapaʻau:

Ua hōʻike ʻia nā haʻawina he nui i ka 70-90% o nā helu holomua i nā poʻe maʻi i koho maikaʻi ʻia, me ka hōʻemi nui ʻana o ka ʻeha a me ka hoʻomaikaʻi ʻana i ka hana i hoʻomau ʻia no 1-2 mau makahiki a ʻoi paha. PLDDhe mea waiwai nui ia no kāna kuleana i ka hoʻopaneʻe ʻana a i ʻole ka pale ʻana i ka spinal fusion a i ʻole ka discectomy.