Ukuncitshiswa kweDiski yeLaser ye-Percutaneous eyi-980nm 1470nm (PLDD)

Ingcaciso yeMveliso

Ukuma ngendlela engafanelekanga emsebenzini kunye nokungazilolongi kakuhle zezinye zezizathu ezininzi zokuba uninzi lwabantu lulwe neentlungu zomqolo.

Namhlanje, kucingelwa ukuba i-70% ukuya kwi-85% yamazwe aseNtshona aya kuba neentlungu zomqolo eziwohlokayo ngexesha lokutya. Kwiimeko ezili-10% ezi ntlungu ziba zingapheliyo.
Ngokukodwa, iidiski ze-herniated zinokubangela iintlungu ezingakumbi ezinokuthi zifikelele nakwimiphetho yesigulana.

Kwaye e-UK olu tyando lwe-laser disc luvunyiwe yiNational Institute for Clinical Excellence (NICE).

Ukucocwa kwe-laser disc nge-percutaneous (PLDD) yinkqubo apho ii-disc ze-intervertebral herniated zinyangwa ngokunciphisa uxinzelelo lwe-intradiscal ngamandla e-laser. Oku kungeniswa ngenaliti efakwe kwi-nucleus pulposus phantsi kwe-anesthesia yendawo kunye nokujonga i-fluoroscopic. Umthamo omncinci we-nucleus vaporized ubangela ukwehla okukhulu koxinzelelo lwe-intradiscal, okubangela ukufuduka kwe-herniation kude neengcambu zemithambo-luvo. Yaqalwa nguGqr. Daniel SJ Choy ngo-1986.

I-PLDD ibonakalise ukuba ikhuselekile kwaye isebenza kakuhle. Ayingeni kakhulu, yenziwa kwindawo yokulaliswa ngaphandle, ayifuni sixhobo sokuthomalalisa iintlungu, ayibangeli zizilonda okanye ukungazinzi komqolo, inciphisa ixesha lokuvuselelwa, inokuphindwa, kwaye ayithinteli utyando oluvulekileyo ukuba oko kuyimfuneko. Lukhetho olufanelekileyo kwizigulana ezineziphumo ezimbi kunyango olungelulo utyando.

iifayibha zelaser, ezivumela ukusebenza kakuhle kotyando, ukuba lula ukuyiphatha, kunye nokhuseleko oluphezulu.

Ukusetyenziswa kweefayibha ze-laser ezithambileyo ezineedayamitha eziphambili ze-360 micron kunye ne-microsurgical PLDD kwenza kube lula ukufikelela ngokuchanekileyo nangokuchanekileyo kunye nokungenelela kwiindawo ezibuthathaka ezifana neendawo zediski yomlomo wesibeleko kunye ne-lumbar ngokusekelwe kwiimfuno zonyango lweklinikhi.

IINGCEBISO ZE-LASER

Iingenelo zenkqubo ye-PLDD engaphantsi kakhulu
— I-local anaesthesia ivumela unyango lwezigulane ezisengozini.
— Ixesha lokusebenza lifutshane kakhulu xa lithelekiswa neenkqubo ezivulekileyo
— Izinga eliphantsi leengxaki kunye nokudumba emva kotyando (Akukho kwenzakala kwezicubu ezithambileyo, Akukho mngcipheko we-epidural fibrosis okanye amanxeba)
— Inaliti encinci enesithuba esincinci kakhulu sokubhoboza kwaye ngenxa yoko akukho mfuneko yokuthunga
— Ukunciphisa iintlungu ngokukhawuleza kunye nokunyakaza
— Ukuhlala esibhedlele okufutshane kunye nokuvuselelwa
— Amaxabiso aphantsi
—Iziphumo ezikhuselekileyo, ezibonakalayo nezikhawulezileyo
Ukusetyenziswa kwee-diode lasers kukhawuleza ixesha lonyango kwaye kunika iziphumo ezingcono nezide ngelixa kunciphisa iziphumo ebezingalindelekanga.

Indlela Esebenza Ngayo I-Percutaneous Laser Disc Decompression (PLDD)

Unyango lwe-laser lwe-lumbar disc herniation belusetyenziswa ukususela ngeminyaka yoo-1980, ngoko ke irekhodi yale ndlela ithembisa kakhulu. I-PLDD isebenza ngokukhupha amanzi kwi-nucleus pulposus, ingaphakathi le-vertebral disc. Olu lwelo lugqithisileyo lucinezela kwi-sciatic nerve, nto leyo ebangela iintlungu. Ngokususa olu lwelo, uxinzelelo luyancitshiswa kwi-sciatic nerve, nto leyo ebangela isiqabu.

Kule nkqubo, i-fluoroscopy isetyenziselwa ukuchonga i-herniated disc. Emva koko inaliti ifakwa kwi-intervertebral disc kusetyenziswa i-local anesthesia. I-laser fiber idluliselwa kwi-disc echaphazelekayo ngenaliti, ikhuphe ulwelo olugqithisileyo. Isigulana sithunyelwa ekhaya ukuze siphile kwaye sihlala simile ngeenyawo kwiintsuku ezimbalwa nje.

Le nkqubo ibonakalisiwe ikhuselekile kwaye isebenza kakuhle, yenziwa kwindawo yokulaliswa ngaphandle kwesibhedlele, kwaye ibangela ukuba kungabikho zizilonda okanye ukungazinzi komqolo. Ukuba kuvela iingxaki kwixesha elizayo, inkqubo ye-PLDD ayithinteli amandla esigulana okufumana olunye unyango. Ingasetyenziswa xa ezinye iinkqubo zotyando zingaphumelelanga.

IINKCUKACHA ZOBUGCISA

I-Flack yeKlinikhi

IZIXHOBO EZIQHELEKILEYO