980nm 1470nm (PLDD) Kubvisa Kumanikidzwa kweDisiki reLaser Rinobuda Paganda

TSANANGURO YECHIGADZIRWA

Kusamira zvakanaka pabasa uye kushaya maekisesaizi emuviri ndizvo zvikonzero zviviri zvinoita kuti vazhinji vatambure nekurwadziwa kwemusana.

Nhasi, zvinofungidzirwa kuti 70% kusvika 85% yenyika dzekumadokero dzichatambura nekurwadziwa kwemusana panguva yekurara. Muzviitiko gumi, kurwadziwa uku kunogara kwenguva refu.
Zvikuru sei, madhisiki eherniated anogona kukonzera marwadzo anowedzera anogona kutosvika kumigumo yemurwere.

Uye muUK kuvhiyiwa uku kwe laser disc kwakatenderwa neNational Institute for Clinical Excellence (NICE).

Kubvisa kumanikidzwa kwe disc ye laser inonzi Percutaneous laser disc (PLDD) inzira iyo herniated intervertebral discs inorapwa nekuderedza kumanikidzwa kwe intradiscal kuburikidza nesimba re laser. Izvi zvinounzwa netsono inopinzwa mu nucleus pulposus pasi peanesthesia yemuno uye fluoroscopic monitoring. Vhoriyamu diki ye nucleus vaporized inoguma nekuderera kwakanyanya kwe intradiscal pressure, zvichikonzera kufamba kwe herniation kubva pamudzi wetsinga. Yakatanga kugadzirwa naDr. Daniel SJ Choy muna 1986.

PLDD yaratidza kuti yakachengeteka uye inoshanda. Haipindi zvakanyanya mumuviri, inoitirwa muchipatara chekunze, haidi anesthesia, haigumiri pakusagadzikana kwemusana kana mavanga, inoderedza nguva yekuzorora, inogona kudzokororwa, uye haidzivisi kuvhiyiwa pachena kana zvikadikanwa. Iyi sarudzo yakakodzera varwere vane mhedzisiro yakaipa mukurapwa kusingavhiyiwi.

fiber dze laser, dzinobvumira kushanda zvakanaka kwekuvhiya, kubatika kuri nyore, uye kuchengetedzeka kwakanyanya.

Kushandiswa kwemafiber e-laser anochinjika ane dhayamita yepakati ye360 micron pamwe chete ne-microsurgical PLDD kunoita kuti pave nekusvika kwakarurama uye kwakarurama uye kupindira kunzvimbo dzine ganda rakapfava senge nzvimbo dzemumuromo wechibereko nedzemuchiuno zvichienderana nezvinodiwa nekurapa kwekiriniki.

ZVAKANAKA ZVE LASER

Mabhenefiti ekurapa kwePLDD kusinganyanyi kukuvadza muviri
— Kurapwa kwemudumbu kunobvumira kurapwa kwevarwere vari panjodzi.
— Nguva pfupi kwazvo yekushanda kana tichienzanisa nemaitiro akavhurika
— Kuwanda kwematambudziko uye kuzvimba mushure mekuvhiyiwa (Hapana kukuvara kwenyama yakapfava, Hapana njodzi ye epidural fibrosis kana mavanga)
— Tsono diki ine nzvimbo diki yekuboorwa saka hapana chikonzero chekusunga
— Kurerutsira marwadzo nekukurumidza uye kufamba-famba
— Kupfupikiswa kwenguva yekugara muchipatara uye kugadziriswa kwemuviri
— Mitengo yakaderera
—Mhedzisiro yakachengeteka, inoonekwa uye iri pakarepo
Kushandisa diode lasers kunokurumidzisa nguva yekurapwa uye kunoita kuti pave nemigumisiro iri nani uye yakareba ukuwo kuchideredza migumisiro yakaipa.

Mashandiro anoita Percutaneous Laser Disc Decompression (PLDD)

Kurapa ne laser kwe lumbar disc herniation kwave kuripo kubvira kuma1980, saka nhoroondo yehunyanzvi uhwu ine tariro huru. PLDD inoshanda nekuburitsa mvura mu nucleus pulposus, iyo iri mukati me vertebral disc. Mvura iyi yakawandisa inodzvanya sciatic nerve, zvichikonzera marwadzo. Nekubvisa mvura iyi, kudzvanywa kunoderedzwa pa sciatic nerve, zvichiunza zororo.

Mukuita uku, fluoroscopy inoshandiswa kuona diski ine herniated. Tsono inozoiswa mu intervertebral disc uchishandisa local anesthesia. Laser fiber inopihwa netsono kuenda kudiski yakakanganiswa, ichibvisa mvura yakawandisa. Murwere anodzoserwa kumba kuti apore uye anowanzo simuka mukati memazuva mashoma.

Maitiro aya akaratidzwa kuti akachengeteka uye anoshanda, anoitirwa munzvimbo yekuvhiyiwa, uye haagumiri pakukuvadzwa kana kusagadzikana kwemusana. Kana matambudziko emusana akazomuka mune ramangwana, maitiro ePLDD haadzivisi murwere kuwana mamwe marapirwo. Anogonawo kushandiswa kana mamwe maitiro ekuvhiya akundikana.

ZVINHU ZVETEKINONI

CLINICAL FlACK

ZVIMWE ZVINOSHANDISWA