Te Whakaiti i te Kōpae Reiti Kiri (PLDD): He Otinga Whakaiti i te Whakaurunga mō ngā Kōpae Herniated

Ko te Percutaneous Laser Disc Decompression (PLDD) he tikanga iti rawa te whakaekenga, he arataki-ahua e whakamahia ana hei rongoā i ngā hernia o te kōpae lumbar, o te kaki rānei kua mau ngā tohumate—ina koa mō ngā tūroro kāore anō kia aro ki te rongoā tiaki engari e hiahia ana ki te karo i te pokanga tuwhera.

I te wā o te PLDD, ka whakaurua he muka whatu angiangi (he whānui te whānui i te nuinga o te wā) mā te ngira ki roto i te nucleus pulposus o te kōpae intervertebral e pāngia ana i raro i te arataki fluoroscopic, CT rānei. Kia tū te wāhi, ka puta te pūngao laser—he maha ngā wā mai i te taiaho taiaho i te roangaru 980nm, 1470nm rānei—ka tukuna tika ki te pūtake o te kōpae. Ka mimiti te taiaho i tētahi rahinga iti o te kiko kōpae kua pirau me te wai, ka whakaiti i te pēhanga o roto i te kōpae. Mā tēnei whakamāmā pēhanga ka taea e te wāhanga kua hernia te hoki whakamuri paku, ka whakamama i te pēhanga ki ngā pakiaka io tata, ā, ka whakaiti i te mamae, te ngoikore, ngā tohu radicular rānei.

Ngā Painga Matua o te PLDD:

✅He iti noa te whakaekenga:Kāore he tapahi—he wero ngira anake

✅ He rongoā whakamoe ā-rohe anake: Ka karo i ngā mōrearea o te mate whakamoe whānui

✅ Te tukanga tūroro o waho: I te nuinga o te wā ka oti i roto i te 20–30 meneti

✅ Te whakaoranga tere:Ka tīmata anō te nuinga o ngā tūroro i ngā mahi māmā i roto i ngā haora 24–48

✅ Ka tiaki i te hanganga tuaiwi:Kāore e tangohia te wheua, ngā hononga rānei

✅ Te iti o te auau raruraru:He tino onge te mate urutā, te toto, te whara rānei o te io

Ngā Kaitono Pai Rawa:

*Ngā tūroro he hernia kōpae kua mau (kāore he mea e mau ana, kāore hoki he kongakonga kore utu)

*Te mamae tonu o te hope (sciatica, brachialgia rānei) mō ngā wiki neke atu i te 6

*Kāore i angitu te whakahaere ā-pūmau (te whakaora tinana, ngā rongoā)

*Kāore he tino koretake o te tuaiwi, he koretake rānei o te awaawa

Ngā Whakaaro mō te Roanga Ngaru Taiaho:

*Taiao taiaho 980nm: He kaha te mimiti o te hemoglobin; he whai hua te tango toto me te pai o te toto toto

*1470nm diode laser: He nui ake te mimiti wai → he pai ake te mimiti me te iti ake o te horapa wera, ka whakaiti pea i te mumura i muri i te tikanga

Ngā Hua Hauora:

E ai ki ngā rangahau maha, e 70–90% te angitu o ngā tūroro i whiriwhiria pai, ā, he nui te whakaiti i te mamae me te whakapai ake i te mahi ka mau tonu mō te 1–2 tau, neke atu rānei. PLDDhe mea tino nui tēnei mō tōna tūranga ki te whakaroa, ki te karo rānei i te whakakotahitanga o te tuaiwi, te tango rānei i te wehenga.