Mabda'a Laser-ka ee Daaweynta PLDD
Cadaadiska laysarka ee loo yaqaan 'Percutaneous Laser Disc Decompression' (PLDD) waa hab yar oo lagu daweeyo herniations-ka ku jira dhabarka ama qoorta ilmo-galeenka. Mabda'a isticmaalka tamarta laysarka ee PLDD wuxuu ku wareegsan yahay xakamaynta kulaylka iyo uumiga ee xudunta xudunta—xarunta jilicsan ee jelatin ee saxanka intervertebral-ka.
Mabaadi'da Muhiimka ah ee Isticmaalka Laser-ka PLDD:
● Bixinta Tamarta ee La Beegsanayo:
Faybar khafiif ah oo indhaha ah ayaa si toos ah loogu gelinayaa (maqaarka) saxanka herniated iyadoo la raacayo hagitaan sawireed (badanaa fluoroscopy ama CT). Marka la dhigo gudaha xudunta xudunta, tamarta laysarka ayaa si sax ah loogu geynayaa aagga ay dhibaatadu saameysey.
● Saamaynta kuleylka sawirka:
Laser-ka (badanaa waxaa loo isticmaalaa hirarka dhererka sida Diode-ka 980nm ama laysarka Nd:YAG) waxay dhaliyaan kulayl marka ay nuugaan biyaha iyo borotiinnada ku jira xudunta xudunta. Tani waxay sababtaa:
● Uumi-baxa biyaha ku jira unugyada saxanka.
● Xididdada kulaylka iyo denaturation kolajka iyo borotiinada kale.
● Hoos u dhaca cadaadiska gudaha ee maskaxda sababtoo ah xoqidda unugyada iyo yaraanta unugyada.
● Yaraynta Mugga Saxanka:
Marka laga saaro mug yar (badanaa 1-2 mL) oo ah xudunta xudunta, cadaadiska guud ee gudaha saxanka ayaa hoos u dhaca. Tani waxay gacan ka geysaneysaa dib u soo celinta qaybta herniated, taasoo yareyneysa cadaadiska xididdada dareemayaasha ee ku xiga iyo yareynta xanuunka.
● Qaab-dhismeedka jirka oo si yar u duullaanka badan & ilaaliya:
Si ka duwan qalliinka furan ee discectomy, PLDD uma baahna in laga saaro lafaha ama khalkhal weyn oo ku yimaada unugyada ku xeeran. Fibrosus-ka annulus (lakabka disc-ga ee dibadda) wuxuu ahaanayaa mid sugan, isagoo ilaalinaya xasilloonida laf-dhabarta.
● Kicinta Bogsiinta Bayoolojiga:
Caddeymo qaar ayaa tilmaamaya in dhaawaca kulaylka ee la xakameeyey uu kicin karo jawaabaha bogsashada maxalliga ah isla markaana uu yareyn karo dhexdhexaadiyeyaasha bararka (tusaale ahaan, cytokines sida TNF-α iyo IL-6) kuwaas oo gacan ka geysta xanuunka radicular.
Faa'iidooyinka Muhiimka ah:
● Nidaamka bukaan-socodka dibadda
● Waqti soo kabasho gaaban
● Khatar yar oo ah caabuq ama nabarro
● Waa la soo celin karaa haddii loo baahdo
Marka la soo koobo, laysarka ku jira PLDD wuxuu u shaqeeyaa si waafaqsan si sax ah u xoqidda iyo yaraynta unugyada saxanka iyada oo loo marayo tamarta sawir-qaadista, taasoo yaraynaysa cadaadiska gudaha iyo cuncunka xididka neerfaha iyadoo dhaawac yar uu soo gaaro dhismayaasha ku xeeran.