Uburyo bwo gukuraho imashini ya laser ikoresheje ikoranabuhanga rya PLDD Laser TR-C

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 umuvuduko w'inyuma uva mu mizi y'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 neza 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 ya diode TR-C 980nm 1470nm byihutisha igihe cyo kuvurwa no gutanga umusaruro mwiza kandi mu gihe kirekire ariko bigabanye ingaruka mbi.

Uburyo bwo gukora PLDD bukorwa hakoreshejwe ikinyabutabire cyo mu gace runaka. Fibre y'urumuri ishyirwa muri cannula yihariye iyobowe na fluoroscopic. Nyuma yo gukoresha contrast kuri facet, birashoboka kugenzura aho cannula iherereye n'uko ibyimbye muri disiki. Laser yo gutangira itangira gukuramo compression no kugabanya umuvuduko w'amaraso mu matwi.

Ubu buryo bukorwa uhereye inyuma n'inyuma nta kibazo kiri ku muyoboro w'umugongo, bityo, nta bushobozi bwo kwangiza uburyo bwo kuvura, ariko nta bushobozi bwo kongera imbaraga za annulus fibrosus. MU GIHE ingano ya disiki ya PLDD igabanuka gato, icyakora, umuvuduko wa disiki ushobora kugabanuka cyane. Mu gihe hakoreshejwe laser mu gukuraho disiki, nucleus pulposus nke irashira.

IBIKORESHO BY'UBUHANGA

IBITEKEREZO BY'UBUVUZI

IBIKORESHO BISANZWE