I-Percutaneous Laser Disc Discectomy PLDD Laser TR-C

umkhiqizo DESCRIPTION

Ukuma okungalungile emsebenzini kanye nokuntuleka kokunyakazisa umzimba yizizathu ezimbili nje eziningi zokuthi kungani abaningi bethu bezwana nobuhlungu beqolo.

Namuhla, kucatshangelwa ukuthi amaphesenti angama-70 kuye kwangama-85 omhlaba waseNtshonalanga azobhekana nezinhlungu eziwohlokayo zomgogodla ngesikhathi sazo. Ezimweni ezingu-10% lobu buhlungu buba obungapheli.
Ikakhulukazi, ama-disc e-herniated angabangela ubuhlungu obunzima obungase bukhiphe ngisho nasemikhawulweni yesiguli.

Futhi e-UK lokhu kuhlinzwa kwe-laser disc kuvunywe yiNational Institute for Clinical Excellence (NICE).

I-Percutaneous laser disc decompression (PLDD) yinkqubo lapho i-herniated intervertebral discs iphathwa ngokunciphisa ingcindezi ye-intradiscal ngokusebenzisa amandla e-laser. Lokhu kwethulwa inaliti efakwe ku-nucleus pulposus ngaphansi kwe-anesthesia yendawo kanye nokuqapha kwe-fluoroscopic. Umthamo omncane we-nucleus vaporized uphumela ekwehleni okukhulu kwengcindezi ye-intradiscal, nomphumela wokufuduka kwe-herniation kude nempande yezinzwa. Yasungulwa okokuqala nguDkt. Daniel SJ Choy ngo-1986.

I-PLDD ifakazele ukuthi iphephile futhi isebenza ngempumelelo. Ihlasela kancane, yenziwa endaweni yokulaliswa ngaphandle, ayidingi ukulaliswa okuvamile, iphumela ekubeni kungabikho sibazi noma ukuntengantenga komgogodla, inciphisa isikhathi sokuvuselela, iyaphindaphindeka, futhi ayikuvimbeli ukuhlinzwa obala uma kudingekile. Kuyisinqumo esihle ezigulini ezinemiphumela engemihle ekwelashweni okungahlinzwa.

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

Ukusetshenziswa kwemicu ye-laser ethintekayo eguquguqukayo enobubanzi obuyingqikithi ye-360 micron ngokuhambisana ne-PLDD ye-microsurgical kwenza ukufinyelela okunembe kakhulu nokunembile kanye nokungenelela ezindaweni ezibucayi njengezindawo zomlomo wesibeletho kanye ne-lumbar disc ngesisekelo sezidingo zokwelapha zomtholampilo.

LASER UBUHLE

Izinzuzo zenqubo ye-PLDD engangeneleli kancane
- I-anesthesia yendawo ivumela ukwelashwa kweziguli ezisengozini.
- Isikhathi sokusebenza esifushane kakhulu uma siqhathaniswa nezinqubo ezivulekile
- Izinga eliphansi lezinkinga nokuvuvukala kwangemva kokuhlinzwa (Akukho kulimala kwezicubu ezithambile, Ayikho ingozi ye-epidural fibrosis noma izibazi)
- Inalithi enhle enendawo yokubhoboza encane ngakho-ke asikho isidingo sokuthunga
- Ukunciphisa ubuhlungu obukhulu kanye nokugqugquzela ngokushesha
- Ukuhlala esibhedlela kufushane kanye nokuvuselelwa
- Izindleko eziphansi
- Imiphumela ephephile, ebonakalayo futhi esheshayo
Ukusetshenziswa kwe-diode TR-C 980nm 1470nm lasers kusheshisa isikhathi sokwelashwa kanye nemiphumela engcono futhi ende ngenkathi kunciphisa imiphumela emibi.

Inqubo ye-PLDD yenziwa kusetshenziswa i-anesthesia yendawo. I-Optical fibre ifakwa ku-cannula ekhethekile ngaphansi kokuqondisa kwe-fluoroscopic.Ngemva kokusebenzisa ukungafani ku-facet kungenzeka ukuhlola indawo ye-cannula kanye nesimo se-disc bulge. Ukuqala kwe-laser kuqala ukuwohloka futhi kwehlisa ingcindezi ye-intradiscal.

Inqubo yenziwa kusukela ku-posterior-lateral approach ngaphandle kokuphazamiseka emseleni we-vertebral, ngakho-ke, akukho okwenzekayo okulimaza ukwelashwa okubuyisela, kodwa akwenzeki ukuqinisa i-annulus fibrosus. NGESIKHATHI ivolumu yediski ye-PLDD yehla kancane, nokho, ingcindezi yediski ingehliswa kakhulu. Esimeni sokusebenzisa i-laser ukuze i-disc decomperssion, inani elincane le-nucleus pulposus liyahwamuka.

IMICIMBI YOBUCHWEPHESHE

IMPENDULO YOMTHOLAMPILO

IZISEKELELE EZIJWAYELEKILE