I-Percutaneous Laser Disc Discectomy PLDD Laser TR-C

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-laser ze-diode TR-C 980nm 1470nm kwandisa ixesha lonyango kwaye kunika iziphumo ezingcono nezide ngelixa kunciphisa iziphumo ebezingalindelekanga.

Inkqubo ye-PLDD yenziwa kusetyenziswa i-local anesthesia. I-optical fiber ifakwa kwi-cannula ekhethekileyo phantsi kwesikhokelo se-fluoroscopic. Emva kokusebenzisa i-contrast kwi-facet, kunokwenzeka ukujonga indawo ye-cannula kunye nemeko ye-disc bulge. I-starting laser iqala ukuthomalalisa uxinzelelo kwaye yehlise uxinzelelo lwe-intradiscal.

Le nkqubo yenziwa ngendlela engasemva-ecaleni ngaphandle kokuphazamiseka komjelo wethambo lomqolo, ngoko ke, akukho ndlela yokonakalisa unyango oluphindayo, kodwa akukho ndlela yokuqinisa i-annulus fibrosus. Ngexesha lomthamo wediski ye-PLDD uncitshiswa kancinci, nangona kunjalo, uxinzelelo lwediski lunokwehla kakhulu. Kwimeko yokusebenzisa i-laser ukukhulula idiski, inani elincinci le-nucleus pulposus liyaphela.

IINKCUKACHA ZOBUGCISA

INGXELO YEZONYANGO

IZIXHOBO EZIQHELEKILEYO