980nm 1470nm (PLDD) Gukuraho Disiki ya Laser Igenda Iguruka

IBISOBANURO BY'IGICURUZWA

Guhagarara nabi ku kazi no kutagira imyitozo ngororamubiri ni zimwe mu mpamvu nyinshi zituma benshi bahangana n'ububabare bw'umugongo.

Muri iki gihe, bivugwa ko 70% kugeza 85% by'ibihugu by'Iburengerazuba bw'Isi bizababara umugongo mu gihe cyo kurya. Mu 10% by'abarwaye ubu bubabare buba budakira.
By’umwihariko, disiki zo mu kibuno zishobora gutera ububabare bukabije bushobora no kugera ku ngingo z’umurwayi.

Kandi mu Bwongereza ubu buvuzi bwa laser disc bwemejwe n'Ikigo cy'Igihugu cy'Ubuhanga mu by'Ubuvuzi (NICE).

Gukuraho disiki ya laser ya percutaneous (PLDD) ni uburyo bwo kuvurwa n'udusimba two mu nda ya intervertebral hisning diss binyuze mu kugabanya umuvuduko w'inyuma y'inyuma binyuze mu ngufu za laser. Ibi bikorwa hakoreshejwe urushinge rwinjijwe mu gice cy'inyuma cy'inyuma cy'inyuma hakoreshejwe anesthesia yo mu gace k'inyuma no kugenzura fluoroscopic. Ingano nto y'inyuma y'inyuma y'inyuma ituma umuvuduko w'inyuma w'inyuma ugabanuka cyane, bigatuma ihererekanywa ry'inyuma riva ku muzi w'imitsi. Bwabanje gukorwa na Dr. Daniel SJ Choy mu 1986.

PLDD byagaragaye ko ari nziza kandi ifite akamaro. Itera indwara nke cyane, ikorerwa mu bitaro byo hanze, ntisaba ikinya rusange, nta nkovu cyangwa kudakomera k'umugongo, igabanya igihe cyo gusubira mu buzima, ishobora kongera gukoreshwa, kandi ntibuza kubagwa mu buryo bwihuse mu gihe bibaye ngombwa. Ni amahitamo meza ku barwayi bafite umusaruro mubi mu kuvura batabanje kubagwa.

imigozi ya laser, ituma ubuvuzi bugira akamaro, koroshya uburyo bwo kuyikora, ndetse n'umutekano ntarengwa.

Gukoresha imigozi ya laser yoroshye ifite umurambararo w’imbere wa mikoroni 360 hamwe na PLDD yo kubaga bitanga uburyo bwo kugera no kuvura ahantu hashobora kwibasirwa n’indwara nko mu gace k’inkondo y’umura n’ahagana mu kibuno hashingiwe ku buvuzi bukenewe.

IBYIZA BYA LASER

Ibyiza byo gukoresha uburyo bwo kuvura PLDD butari busanzwe
— Gutera ikinya mu gace runaka byemerera kuvura abarwayi bari mu kaga.
— Igihe gito cyane cyo gukora ugereranije n'igihe cyo gufungura
— Ingorane nke n'ububyimbirwe nyuma yo kubagwa (Nta gukomereka kw'ingingo zoroshye, Nta ngaruka zo kurwara epidural fibrosis cyangwa inkovu)
— Urushinge ruto rufite aho ruto cyane ho gutobora bityo nta mpamvu yo gushongesha
— Kugabanya ububabare no kwihuta cyane ako kanya
— Kuruhuka mu bitaro no kugororwa
— Ibiciro biri hasi
—Ibisubizo bihamye, bigaragara kandi byihuse
Gukoresha laser za diode byihutisha igihe cyo kuvurwa kandi bigatuma habaho umusaruro mwiza kandi mu gihe kirekire ariko bigabanye ingaruka mbi.

Uburyo Percutaneous Laser Diski Decompression (PLDD) Ikora

Uburyo bwo kuvura imitsi yo mu kibuno hakoreshejwe laser bwatangiye gukoreshwa kuva mu myaka ya 1980, bityo ubu buryo butanga icyizere cyane. PLDD ikora mu kuvanga amazi mu gice cy'imbere cy'inyuma ...

Muri ubu buryo, fluoroscopy ikoreshwa mu kumenya disiki ya herniated. Hanyuma urushinge rushyirwa muri disiki yo hagati hakoreshejwe anesthesia yo mu gace runaka. Fibre ya laser inyuzwa mu rushinge ijya kuri disiki yafashwe, amazi arenze urugero agahinduka umwuka. Umurwayi yoherezwa mu rugo kugira ngo akire kandi akenshi asubira ku birenge bye mu minsi mike gusa.

Ubu buryo bwagaragaye ko bufite umutekano kandi bufite akamaro, bukorerwa mu bitaro byo hanze, kandi nta nkovu cyangwa ubumuga bw'umugongo butera. Mu gihe hazabaho ibibazo mu gihe kizaza, uburyo bwa PLDD ntibubuza umurwayi kubona ubundi buryo bwo kuvurwa. Bushobora kandi gukoreshwa mu gihe ubundi buryo bwo kubaga bwananiranye.

IBIKORESHO BY'UBUHANGA

CLINICAL FlACK

IBIKORESHO BISANZWE