Te Whakakorenga Kōpae Reitihana Ā-Kiri 980nm 1470nm (PLDD)

WHAKAMĀRAMA hua

Ko te tū tika i te mahi me te kore o te korikori tinana e rua noa iho o ngā take maha e raru ai te nuinga o tātou i te mamae o te tuara.

I ēnei rā, e whakaarohia ana ka pāngia te 70% ki te 85% o te ao o te Uru e te mamae tuara pirau i roto i ō rātou oranga. I roto i te 10% o ngā take ka noho hei mamae mau tonu.
Ina koa, ka taea e ngā kōpae hernia te whakararu i te mamae, ka horapa atu ki ngā pito o te tūroro.

Ā, i te UK kua whakaaetia tēnei pokanga kōpae taiaho e te National Institute for Clinical Excellence (NICE).

Ko te whakakorenga kōpae laser percutaneous (PLDD) he tikanga e rongoatia ai ngā kōpae hernia intervertebral kua pakaru mā te whakaiti i te pēhanga o roto i te kōpae mā te pūngao laser. Ka whakauruhia tēnei mā te ngira e werohia ana ki roto i te nucleus pulposus i raro i te mate whakamoe ā-rohe me te aroturukitanga fluoroscopy. Ko te iti o te rahinga o te nucleus kua mimiti ka hua ake he hekenga ohorere o te pēhanga o roto i te kōpae, ā, ka heke te hernia mai i te pakiaka io. I whakawhanakehia tuatahitia e Tākuta Daniel SJ Choy i te tau 1986.

Kua whakamātauhia te haumaru me te whai hua o te PLDD. He iti noa te whakaekenga, ka mahia i roto i te wāhi tūroro, kāore e hiahiatia he rongoā whakamoe whānui, kāore e puta he koha, he koretake rānei te tuaiwi, ka whakaiti i te wā whakaora, ka taea te mahi anō, ā, kāore e aukati i te pokanga tuwhera mēnā ka hiahiatia. He kōwhiringa pai mō ngā tūroro he kino ngā hua i roto i te maimoatanga kore-pokanga.

ngā muka taiaho, e āhei ai te whai huatanga o te pokanga, te ngāwari o te whakamahi, me te haumaru mōrahi.

Mā te whakamahinga o ngā muka taiaho pā ngāwari me te diameter matua o te 360 ​​micron me te PLDD pokanga iti ka taea te uru atu me te wawaotanga tino tika ki ngā wāhi tairongo pēnei i ngā rohe kōpae kaki me te hope i runga i ngā hiahia rongoā haumanu.

NGĀ PAINGA RĒHITA

Ngā painga o te tikanga PLDD iti rawa te whakaekenga
— Mā te whakamoe ā-rohe ka taea te rongoā i ngā tūroro e mōrearea ana.
— He poto rawa te wā whakahaere ki te whakataurite ki ngā tikanga tuwhera
— He iti te auau o ngā raruraru me te mumura i muri i te pokanga (Kāore he whara kiko ngohengohe, Kāore he mōrearea o te fibrosis epidural, te whara rānei)
— He ngira angiangi, he iti noa te wāhi werohanga, nō reira kāore e hiahiatia he tuitui
— Te whakamamae tonu i te mamae me te nekeneke haere
— Te whakapoto i te noho hōhipera me te whakaora
— Ngā utu iti iho
—He hua haumaru, e kitea ana, ā, e tere tonu ana
Mā te whakamahi i ngā taiaho diode ka tere ake te wā maimoatanga, ka puta he hua pai ake, he hua roa ake hoki, me te whakaiti i ngā pānga taha.

Te Mahi a te Whakaiti Kōpae Reiti Kiri (PLDD)

Kua whakamahia te maimoatanga taiaho mō te herniation o te kōpae lumbar mai i te tekau tau atu i 1980, nō reira he tino whai hua te hītori o tēnei tikanga. Ka mahi te PLDD mā te mimiti i te wai i roto i te nucleus pulposus, te uho o roto o te kōpae vertebral. Ka pēhi tēnei wai nui ki te io sciatic, ka mamae. Mā te tango i tēnei wai, ka whakaitihia te pēhanga ki te io sciatic, ka whakamarie.

I tēnei tikanga, ka whakamahia te fluoroscopy hei tautuhi i te kōpae herniated. Kātahi ka whakanohoia he ngira ki roto i te kōpae intervertebral mā te whakamahi i te rongoā whakamoe ā-rohe. Ka whāngaihia te muka laser mā te ngira ki te kōpae e pāngia ana, ka mimiti te wai nui. Ka tukuna te tūroro ki te kāinga kia ora ai, ā, i roto i ngā rā torutoru noa iho ka hoki anō ki te tū.

Kua whakaatuhia he haumaru, he whai hua hoki tēnei tikanga, ka mahia i roto i te wāhi tūroro, ā, kāore he koha, he koretake rānei o te tuaiwi. Mēnā ka puta ake he raruraru ā muri ake nei, kāore te tikanga PLDD e whakawhāiti i te kaha o te tūroro ki te whiwhi i ētahi atu maimoatanga. Ka taea hoki te whakamahi ina kore e angitu ētahi atu tikanga pokanga.

NGĀ WHAKATAUTANGA HANGARAU

Haumanu Flack

NGĀ TAPUTAPU PAEREWA