Ukususwa kweDiski yeLaser yePercutaneous (PLDD): Isisombululo esingenabungozi kangako kwiiDiski zeHerniated

I-Percutaneous Laser Disc Decompression (PLDD) yinkqubo engaphantsi kakhulu, ekhokelwa ngumfanekiso esetyenziselwa ukunyanga iimpawu ze-lumbar okanye ze-cervical disc herniations—ingakumbi kwizigulana ezingakhange zisabele kunyango oluhlala luhleli kodwa zifuna ukuphepha utyando oluvulekileyo.

Ngexesha le-PLDD, i-fiber encinci ye-optical (edla ngokuba yi-200–600 µm ububanzi) ifakwa ngenaliti kwi-nucleus pulposus ye-intervertebral disc echaphazelekayo phantsi kwesikhokelo se-fluoroscopic okanye se-CT. Nje ukuba ibekwe endaweni yayo, amandla e-laser—adla ngokuvela kwi-a i-diode laser kwi-980nm okanye kwi-1470nm wavelength—ithunyelwa ngqo kwi-disc core. I-laser ikhupha umphunga kumthamo omncinci wezicubu zediski eziwohlokileyo kunye namanzi, inciphisa uxinzelelo lwangaphakathi kwe-discal. Olu xinzelelo luvumela inxalenye ye-herniated ukuba irhoxe kancinci, inciphise uxinzelelo kwiingcambu zemithambo-luvo ezikufutshane kwaye ngaloo ndlela inciphise iintlungu, ukungaziva, okanye iimpawu ezingaqhelekanga.

Iingenelo eziphambili ze-PLDD:

✅Ayingeni kakhulu:Akukho kusikwa—kunokugqojozwa inaliti kuphela

✅ I-anesthesia yendawo kuphela: Iphepha iingozi zokuthomalalisa iintlungu ngokubanzi

✅ Inkqubo yokunyanga ngaphandle kwesibhedlele: Ngokwesiqhelo igqitywa ngemizuzu engama-20–30

✅ Ukuchacha ngokukhawuleza:Uninzi lwezigulane luqala kwakhona imisebenzi yokukhanya kwiiyure ezingama-24-48

✅ Igcina ukwakheka komqolo:Akukho kususwa kwethambo okanye imisipha

✅ Izinga eliphantsi leengxaki:Usulelo, ukopha, okanye ukwenzakala kwemithambo-luvo kunqabile kakhulu

Abaviwa abafanelekileyo:

*Izigulane ezine-disc herniation equlathekileyo (akukho sequestration okanye free fragment)

*Intlungu engapheliyo ye-radicular (sciatica okanye i-brachialgia) kangangeeveki ezingaphezu kwezi-6

*Ulawulo olungasebenziyo (unyango lomzimba, amayeza)

*Akukho kuzinza okukhulu komqolo okanye i-canal stenosis

Izinto ekufuneka uziqwalasele xa usebenzisa i-laser wavelength:

*I-laser ye-diode ye-980nm: Ukufunxwa kwe-hemoglobin enamandla; ukufunxwa okusebenzayo kunye nokujiya okuhle

*I-laser ye-diode ye-1470nm: Ukufunxwa kwamanzi okuphezulu → ukufunxwa kwamanzi okusebenzayo ngakumbi ngaphandle kokusasazeka kobushushu obuncinci, okunokunciphisa ukudumba emva kwenkqubo

Iziphumo zeKlinikhi:

Izifundo ezininzi zixela amazinga empumelelo angama-70-90% kwizigulana ezikhethwe kakuhle, kunye nokunciphisa okukhulu kweentlungu kunye nokuphuculwa kokusebenza okuqhubeke iminyaka eli-1-2 nangaphezulu. I-PLDDIxatyiswa kakhulu ngendima yayo ekulibaziseni okanye ekuphepheni ukuhlanganiswa komqolo okanye ukususwa kwe-discectomy.