Isimiso Se-Laser Ekwelapheni I-PLDD

Ukususwa Kwe-Laser Disc Ehamba Ngokhuni (i-PLDD) inqubo engangenisi kakhulu esetshenziselwa ukwelapha ama-hernia e-lumbar noma e-cervical disc aqukethwe. Umgomo wokusebenzisa amandla e-laser ku-PLDD ugxile ukususwa kokushisa okulawulwayo kanye nokuhwamuka kwe-nucleus pulposus—isikhungo esithambile, esinongwengwezi sediski ye-intervertebral.

Izimiso Eziyinhloko Zokusetshenziswa Kwe-Laser ku I-PLDD:

● Ukulethwa Kwamandla Okuqondiwe:

I-fiber encane ye-optical ifakwa nge-percutaneously (ngesikhumba) ku-herniated disc ngaphansi kwesiqondiso se-imaging (ngokuvamile i-fluoroscopy noma i-CT). Uma isibekwe ngaphakathi kwe-nucleus pulposus, amandla e-laser athunyelwa ngqo endaweni ethintekile.

● Umphumela we-Photothermal:

I-laser (ngokuvamile isebenzisa amaza okukhanya afana I-diode engu-980nm noma ama-laser e-Nd:YAG) akhiqiza ukushisa lapho amuncwa amanzi namaprotheni ku-nucleus pulposus. Lokhu kubangela:

● Ukuhwamuka okuqukethwe kwamanzi ku-disc tissue.
● Ukuqina kwe-thermal kanye nokuguquguquka kwesimo sezulu i-collagen namanye amaprotheni.
● Ukuncipha kwengcindezi yangaphakathi kwe-discal ngenxa yokususwa kwezicubu kanye nokuncipha.

● Ukunciphisa Ivolumu Yediski:

Ngokususa umthamo omncane (ngokuvamile u-1-2 mL) we-nucleus pulposus, ingcindezi iyonke ngaphakathi kwediski iyancipha. Lokhu kusiza ekubuyiseleni ingxenye ye-herniated, ngaleyo ndlela kuncishiswe ukucindezelwa kwezimpande zemizwa eziseduze futhi kuncishiswe ubuhlungu.

● I-Anatomy Engangeni Kakhulu Futhi Evikelayo:

Ngokungafani ne-discectomy evulekile, i-PLDD ayidingi ukususwa kwethambo noma ukuphazamiseka okukhulu kwezicubu ezizungezile. I-annulus fibrosus (ungqimba lwediski yangaphandle) ihlala iphelele, igcina ukuqina komgogodla.

● Ukuvuselelwa Kokwelapha Ngokwebhayoloji:

Ubufakazi obuthile busikisela ukuthi ukulimala okulawulwayo kokushisa kungavuselela izimpendulo zokuphulukisa zendawo futhi kunciphise abaxhumanisi bokuvuvukala (isb., ama-cytokine afana ne-TNF-α kanye ne-IL-6) afaka isandla ebuhlungwini obukhulu.

Izinzuzo Eziyinhloko:

● Inqubo yokulaliswa esibhedlela ngaphandle
● Isikhathi esifushane sokululama
● Ingozi encane yokutheleleka noma izibazi
● Kungaphindaphindwa uma kudingeka

Ngamafuphi, i-laser ku-PLDD isebenza nge ukuqeda nokunciphisa izicubu zediski ngokusebenza kwamandla okushisa kwelanga, ngaleyo ndlela kunciphisa ukucindezeleka kwangaphakathi kwe-discal kanye nokucasuka kwezimpande zemizwa ngokunciphisa ukulimala kwezakhiwo ezizungezile.