I-Percutaneous Laser Disc Discectomy PLDD Laser TR-C

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 TR-C 980nm 1470nm kusheshisa isikhathi sokwelashwa futhi kunikeza imiphumela engcono nemide ngenkathi kunciphisa imiphumela emibi.

Inqubo ye-PLDD yenziwa kusetshenziswa i-anesthesia yendawo. I-optical fiber ifakwa ku-cannula ekhethekile ngaphansi kwesiqondiso se-fluoroscopic. Ngemva kokusebenzisa i-contrast ku-facet, kungenzeka ukuhlola indawo ye-cannula kanye nesimo se-disc bulge. I-laser yokuqala iqala ukudambisa ukucindezeleka futhi yehlise ingcindezi yangaphakathi kwe-discal.

Le nqubo yenziwa ngendlela ye-posterior-lateral ngaphandle kokuphazamiseka komsele womgogodla, ngakho-ke, akukho ithuba lokulimaza ukwelashwa okubuyiselayo, kodwa akukho ithuba lokuqinisa i-annulus fibrosus. Ngesikhathi ivolumu yediski ye-PLDD yehliswa kancane, noma kunjalo, ingcindezi yediski ingancishiswa kakhulu. Uma kusetshenziswa i-laser ukuze kuhlukaniswe idiski, inani elincane le-nucleus pulposus liyahwamuka.

IZINHLOBO ZOBUCHWEPHESHE

IMPENDULO YOMTHOLAMPILO

Izesekeli Ezijwayelekile