Ukuncishiswa Kwediski Ye-Laser Engacutshungulwanga engu-980nm 1470nm (PLDD)

INCAZELO YOMKHIQIZO

Ukuma okungafanele emsebenzini kanye nokuntuleka kokuzilolonga ngokomzimba kumane kuyizizathu ezimbili nje eziningi ezenza abaningi balwe nobuhlungu bomhlane.

Namuhla, kuthiwa u-70% kuya ku-85% wamazwe aseNtshonalanga azothola ubuhlungu bomhlane obuwohlokayo ngesikhathi sokudla. Ezimweni ezingu-10% lobu buhlungu buba obungapheli.
Ikakhulukazi, ama-disc e-herniated angabangela ubuhlungu obukhulu obungase budlulele ngisho nasemilenzeni yesiguli.

Futhi e-UK lokhu kuhlinzwa kwe-laser disc kuvunyiwe yi-National Institute for Clinical Excellence (NICE).

Ukususwa kwe-percutaneous laser disc decompression (PLDD) inqubo lapho ama-disc e-intervertebral herniated elashwa khona ngokunciphisa ingcindezi yangaphakathi kwe-discal ngamandla e-laser. Lokhu kungeniswa ngenaliti efakwe ku-nucleus pulposus ngaphansi kwe-anesthesia yendawo kanye nokuqapha kwe-fluoroscopic. Umthamo omncane we-nucleus vaporized uholela ekwehleni okukhulu kwengcindezi yangaphakathi kwe-discal, okuholela ekufudukeni kwe-herniation kude nezimpande zemizwa. Yasungulwa okokuqala nguDkt. Daniel SJ Choy ngo-1986.

I-PLDD ibonakale iphephile futhi isebenza kahle. Ayihlaseli kakhulu, yenziwa endaweni yokwelapha ngaphandle, ayidingi i-anesthesia ejwayelekile, ayibangeli izibazi noma ukungazinzi komgogodla, inciphisa isikhathi sokuvuselelwa, iyaphindwa, futhi ayivimbeli ukuhlinzwa okuvulekile uma kudingeka. Kuyisinqumo esifanele iziguli ezinemiphumela emibi ekwelashweni okungeyona ukuhlinzwa.

imicu ye-laser, evumela ukusebenza kahle kokuhlinzwa, ukuphathwa kalula, kanye nokuphepha okuphezulu.

Ukusetshenziswa kwemicu ye-laser ethintekayo eguquguqukayo enobubanzi obungu-360 micron kanye ne-PLDD yokuhlinzwa kwe-microsurgical kwenza kube nokufinyelela okunembile nokunembile kanye nokungenelela ezindaweni ezibucayi njengezindawo ze-disc zomlomo wesibeletho kanye ne-lumbar ngokusekelwe ezidingweni zokwelapha zezokwelapha.

IZINZUZO ZE-LASER

Izinzuzo zenqubo ye-PLDD engangenisi kakhulu
— Ukubulala izinzwa kwendawo kuvumela ukwelashwa kweziguli ezisengozini.
— Isikhathi sokusebenza esifushane kakhulu uma siqhathaniswa nezinqubo ezivulekile
— Izinga eliphansi lezinkinga kanye nokuvuvukala ngemva kokuhlinzwa (Akukho ukulimala kwezicubu ezithambile, Akukho bungozi be-epidural fibrosis noma izibazi)
— Inalithi encane kakhulu enendawo encane kakhulu yokubhoboza ngakho-ke asikho isidingo sokuthunga
- Ukuqeda ubuhlungu obukhulu ngokushesha kanye nokunyakaza
— Ukuhlala esibhedlela okufushane kanye nokuvuselelwa
— Izindleko eziphansi
—Imiphumela ephephile, ebonakalayo nesheshayo
Ukusetshenziswa kwama-laser e-diode kusheshisa isikhathi sokwelashwa futhi kunikeze imiphumela emihle nemide ngenkathi kunciphisa imiphumela emibi.

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

Ukwelashwa nge-laser kwe-lumbar disc herniation bekulokhu kusebenza kusukela ngawo-1980, ngakho-ke umlando walolu hlelo uthembisa kakhulu. I-PLDD isebenza ngokuhwamukisa amanzi ku-nucleus pulposus, okuyingxenye engaphakathi ye-vertebral disc. Lolu ketshezi oluningi lucindezela i-sciatic nerve, okubangela ubuhlungu. Ngokususa lolu ketshezi, ingcindezi iyancishiswa ku-sciatic nerve, okuletha impumuzo.

Kule nqubo, i-fluoroscopy isetshenziswa ukuhlonza i-herniated disc. Inaliti ibe isifakwa ku-intervertebral disc kusetshenziswa i-local anesthesia. I-laser fiber idluliselwa ngenaliti iye ku-disc ethintekile, okwenza uketshezi oluningi luphume. Isiguli sithunyelwa ekhaya ukuze silulame futhi ngokuvamile siphinde sime ngezinyawo ezinsukwini ezimbalwa nje.

Le nqubo iboniswe iphephile futhi isebenza kahle, yenziwa endaweni yokwelapha ngaphandle kwesibhedlela, futhi ibangela ukungabi namanxeba noma ukuqina komgogodla. Uma kuvela izinkinga esikhathini esizayo, inqubo ye-PLDD ayinciphisi ikhono lesiguli lokuthola ezinye izindlela zokwelapha. Ingasetshenziswa futhi lapho ezinye izinqubo zokuhlinzwa zehlulekile.

IZINHLOBO ZOBUCHWEPHESHE

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