Mīkini PLDD 1470nm Diode Laser No ka Percutaneous Disc Decompression

WEHEWEHE huahana

ʻO ke kūlana kūpono ʻole ma ka hana a me ka nele o ka hana kino ʻelua wale nō o nā kumu he nui e hakakā nei ka poʻe he nui me ka ʻeha kua.

I kēia lā, ua kuhi ʻia he 70% a 85% o ka honua Komohana e ʻeha i ka ʻeha hope degenerative i ko lākou ola ʻana. I ka 10% o nā hihia, lilo kēia ʻeha i mea maʻi.
ʻO keʻano kūikawā, hiki i nā disc herniated ke hoʻoulu i ka ʻeha nui a hiki ke pālahalaha aku i nā wēlau o ka mea maʻi.

A ma UK ua ʻāpono ʻia kēia ʻoki diski laser e ka National Institute for Clinical Excellence (NICE).

ʻO ka Percutaneous laser disc decompression (PLDD) kahi hana e mālama ʻia ai nā disc intervertebral herniated ma o ka hoʻemi ʻana i ke kaomi intradiscal ma o ka ikehu laser. Hoʻokomo ʻia kēia e kahi nila i hoʻokomo ʻia i loko o ka nucleus pulposus ma lalo o ka anesthesia kūloko a me ka nānā ʻana o ka fluoroscopic. ʻO ka liʻiliʻi o ka nucleus vaporized e hopena i ka hāʻule nui ʻana o ke kaomi intradiscal, me ka neʻe ʻana o ka herniation mai ke aʻa nerve. Ua hoʻomohala mua ʻia e Kauka Daniel SJ Choy i ka makahiki 1986.

Ua hōʻoia ʻia ka palekana a me ka pono o ka PLDD. He mea hoʻopilikia iki ia, hana ʻia ma kahi hoʻonohonoho outpatient, ʻaʻole pono ka anesthesia laulā, ʻaʻohe hopena i ka ʻeha a i ʻole ka paʻa ʻole o ke kuamoʻo, hoʻemi i ka manawa hoʻōla, hiki ke hana hou ʻia, a ʻaʻole ia e pale i ke ʻoki kino hāmama inā pono. He koho kūpono ia no nā poʻe maʻi me nā hopena maikaʻi ʻole i ka mālama ʻole ʻana.

nā olonā laser, e ʻae ana i ka pono o ke ʻoki ʻana, ka maʻalahi o ka lawelawe ʻana, a me ka palekana loa.

ʻO ka hoʻohana ʻana i nā olonā laser tactile palupalu me nā anawaena kumu o 360 micron i hui pū ʻia me ka microsurgical PLDD e hiki ai i kahi komo pololei a me ke komo ʻana i nā wahi koʻikoʻi e like me nā ʻāpana disc cervical a me lumbar ma ke kumu o nā pono therapeutic lapaʻau.

Nā Pōmaikaʻi Laser

Nā pōmaikaʻi o ke kaʻina hana PLDD minimally invasive
— ʻO ka anesthesia kūloko e ʻae ai i ka mālama ʻana i nā maʻi i ka pilikia.
— He manawa hana pōkole loa i hoʻohālikelike ʻia me nā kaʻina hana hāmama
— Haʻahaʻa ka nui o nā pilikia a me ka mumū postoperative (ʻAʻohe ʻeha palupalu, ʻAʻohe pilikia o ka fibrosis epidural a i ʻole ka scarring)
— Kuila maikaʻi me kahi puka liʻiliʻi loa a no laila ʻaʻohe pono no nā humuhumu
— Hoʻomaha koke i ka ʻeha nui a me ka hoʻoneʻe ʻana
— Hoʻopōkole ʻia ka noho ʻana ma ka haukapila a me ka hoʻōla hou ʻana
— Nā kumukūʻai haʻahaʻa
-Nā hopena palekana, ʻike ʻia a koke koke
ʻO ka hoʻohana ʻana i nā diode lasers ʻAukake 1470 e hoʻolalelale i ka manawa lapaʻau a hāʻawi i nā hopena maikaʻi a lōʻihi hoʻi me ka hoʻēmi ʻana i nā hopena ʻaoʻao.

Hana ʻia ke kaʻina hana PLDD me ka hoʻohana ʻana i ka anesthesia kūloko. Hoʻokomo ʻia ke kaula optical i loko o ka cannula kūikawā ma lalo o ke alakaʻi fluoroscopic. Ma hope o ka hoʻopili ʻana i ka ʻokoʻa i ka facet hiki ke nānā i ke kūlana o ka cannula a me ke kūlana o ka puʻupuʻu disc. Hoʻomaka ka laser hoʻomaka i ka decompression a hoʻohaʻahaʻa i ke kaomi intradiscal.

Hana ʻia ke kaʻina hana mai ke ala posterior-lateral me ka ʻole o ke keakea ʻana i ke kahawai vertebral, no laila, ʻaʻohe hiki ke hōʻino i kahi lāʻau lapaʻau, akā ʻaʻohe hiki ke hoʻoikaika i ka annulus fibrosus. I ka wā o ka PLDD disc volume e emi iki ana, akā naʻe, hiki ke hoʻohaʻahaʻa nui ʻia ke kaomi o ka disc. I ka hihia o ka hoʻohana ʻana i ka laser i ka disc decomperssion, e mahuka ana kahi liʻiliʻi o ka nucleus pulposus.

Nā kikoʻī loea

MANAʻO LAAU LAPAʻAU

Nā Mea Hana Maʻamau