Kuchotsa Disc ya Laser Yopangidwa ndi Percutaneous Laser TR-C

Mafotokozedwe Akatundu

Kusakhazikika bwino pantchito komanso kusachita masewera olimbitsa thupi ndi zifukwa ziwiri zokha zomwe zimapangitsa kuti anthu ambiri azivutika ndi kupweteka kwa msana.

Masiku ano, akuti 70% mpaka 85% ya mayiko akumadzulo amavutika ndi ululu wa msana wosachiritsika panthawi yawo yopuma. Mu 10% ya milandu ululu uwu umakhala wosatha.
Makamaka, ma disc a herniated angayambitse ululu wowonjezereka womwe ungafike mpaka kumapazi a wodwalayo.

Ndipo ku UK opaleshoni ya laser disc iyi yavomerezedwa ndi National Institute for Clinical Excellence (NICE).

Kuchotsa ma disc a percutaneous laser (PLDD) ndi njira yomwe ma disc a intervertebral herniated amachiritsidwa mwa kuchepetsa kuthamanga kwa intradiscal kudzera mu laser energy. Izi zimayambitsidwa ndi singano yomwe imayikidwa mu nucleus pulposus pansi pa anesthesia yapafupi ndi kuyang'aniridwa ndi fluoroscopic. Kuchuluka kochepa kwa nucleus komwe kumatuluka kumapangitsa kuti kuthamanga kwa intradiscal kuchepe kwambiri, zomwe zimapangitsa kuti herniation isunthike kuchoka ku muzu wa mitsempha. Choyamba idapangidwa ndi Dr. Daniel SJ Choy mu 1986.

PLDD yatsimikizika kuti ndi yotetezeka komanso yothandiza. Siivulaza kwambiri, imachitidwa kuchipatala chakunja, siifuna mankhwala oletsa ululu, siimabweretsa zipsera kapena kusakhazikika kwa msana, imachepetsa nthawi yochira, imatha kubwerezedwanso, ndipo siiletsa opaleshoni yotseguka ngati pakufunika kutero. Ndi chisankho chabwino kwa odwala omwe alibe zotsatira zoyipa pa chithandizo chopanda opaleshoni.

ulusi wa laser, womwe umalola kuti opaleshoni igwire bwino ntchito, kuigwira mosavuta, komanso chitetezo chokwanira.

Kugwiritsa ntchito ulusi wofewa wa laser wokhala ndi mainchesi apakati a 360 micron pamodzi ndi microsurgical PLDD kumathandiza kuti munthu athe kupeza ndi kulowererapo m'malo ovuta monga khosi ndi lumbar disc zones malinga ndi zosowa zachipatala.

UBWINO WA LASER

Ubwino wa njira ya PLDD yosavulaza kwambiri
— Mankhwala oletsa ululu am'deralo amalola kuchiza odwala omwe ali pachiwopsezo.
— Nthawi yochepa kwambiri yogwirira ntchito poyerekeza ndi njira zotseguka
— Mavuto ochepa komanso kutupa pambuyo pa opaleshoni (Palibe kuvulala kwa minofu yofewa, Palibe chiopsezo cha epidural fibrosis kapena zipsera)
— Singano yopyapyala yokhala ndi malo obowoledwa pang'ono kwambiri motero palibe chifukwa chosokera
- Kuchepetsa ululu mwachangu komanso kusuntha mwachangu
— Kufupikitsidwa kwa nthawi yogona kuchipatala komanso kuchira
— Mitengo yotsika
-Zotsatira zotetezeka, zooneka bwino komanso zachangu
Kugwiritsa ntchito ma laser a diode TR-C 980nm 1470nm kumafulumizitsa nthawi yochizira ndipo kumapereka zotsatira zabwino komanso zazitali pamene kumachepetsa zotsatirapo zake.

Njira ya PLDD imachitika pogwiritsa ntchito mankhwala oletsa ululu am'deralo. Ulusi wa kuwala umayikidwa mu cannula yapadera motsogozedwa ndi fluoroscopic. Mukagwiritsa ntchito contrast ku facet, n'zotheka kuwona malo a cannula ndi momwe disc bulge ilili. Laser yoyambira imayambitsa kumasula ndikuchepetsa kuthamanga kwa intradiscal.

Njirayi imachitika kuchokera ku posterior-lateral approach popanda kusokoneza vertebral canal, chifukwa chake, palibe kuthekera kowononga reparative therapy, koma palibe kuthekera kolimbitsa annulus fibrosus. PAMENE PLDD disc voliyumu imachepa pang'ono, komabe, kuthamanga kwa disc kumatha kuchepetsedwa kwambiri. Ngati mugwiritsa ntchito laser kuti muchepetse disc, nucleus pulposus yochepa imaphwa.

ZOFUNIKA ZAUKULU

MFUNDO ZA chipatala

Zipangizo Zachikhalidwe