980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
Mukuita kwekubvisa compression yedhisiki relaser kuburikidza ne percutaneous, simba relaser rinotumirwa kuburikidza nefiber tete ye optical kupinda mudhisiki.
Chinangwa chePLDD ndechekupisa chikamu chidiki chemukati medumbu. Kubviswa kwehuwandu hushoma hwemukati medumbu kunoita kuti kumanikidzwa kwemukati medumbu kuderedzwa zvakanyanya, zvichiita kuti disc herniation iderere.
PLDD inzira yekurapa isinganyanyi kukuvadza muviri yakagadzirwa naDr. Daniel SJ Choy muna 1986 inoshandisa laser beam kurapa marwadzo emusana nemutsipa anokonzerwa ne herniated disc.
Kubvisa kumanikidzwa kwe disc ye percutaneous laser (PLDD) inzira inonyanya kushandiswa ne laser ye percutaneous mukurapa hernias ye disc, hernias ye cervical, dorsal hernias (kunze kwechikamu che T1-T5), uye lumbar hernias. Maitiro aya anoshandisa simba re laser kunyudza mvura iri mukati me nucleus pulpous ye herniated zvichiita kuti ibvise kumanikidzwa.
Puratifomu yeTR-C® DUAL yakavakirwa pahunhu hwekunyudzwa kwe980 nm ne1470 nm wavelengths, iyo, nekuda kwekubatana kwayo kwakanaka mumvura nehemoglobin uye kudzika kuri pakati nepakati mu disc tissue, inoita kuti maitiro aitwe zvakachengeteka uye nemazvo, kunyanya padyo nezvikamu zvemuviri zvakapfava. Kunyatsoita microsurgical kunovimbiswa nehunhu hwehunyanzvi hwe special PLDD.
Chii chinonzi PLDD?
Kubvisa ma "percutaneous laser disc decompression" (PLDD) inzira iyo ma "herniated intervertebral discs" anorapwa nekuderedza kumanikidzwa kwe "intradiscal pressure" kuburikidza nesimba re "laser". Izvi zvinounzwa netsono inopinzwa mu "nucleus pulposus" pasi pe "local anesthesia" uye "fluoroscopic monitoring". Hushoma hwe "nucleus vaporized" hunoguma nekudonha kwakanyanya kwe "intradiscal pressure", zvichikonzera kufamba kwe "herniation" kubva pamudzi wetsinga. Pakutanga yakagadzirwa naDr. Daniel SJ Choy muna 1986. PLDD yakaratidza kuti yakachengeteka uye inoshanda. Haipindi zvakanyanya, inoitirwa muchipatara chekunze, haidi anesthesia yakajairika, haigumisi mavanga kana kusagadzikana kwemusana, inoderedza nguva yekuvandudza, inogona kudzokororwa, uye haidzivisi kuvhiyiwa pachena kana izvozvo zvikadikanwa. Iyi sarudzo yakakodzera kune varwere vane mhedzisiro yakaipa mukurapwa kusiri kwekuvhiyiwa. Tsono inopinzwa munzvimbo yakakanganiswa ye "intervertebral disc" uye "laser fiber" inopinzwa nayo kuti ipise nucleus pulposus ne "laser". Kubatana kwetishu ne "TR-C® DUAL laser fibers", izvo zvinoita kuti kuvhiyiwa kushande zvakanaka, kuve nyore kubata, uye kuchengetedzeka kwakanyanya. Kushandiswa kwemafiber elaser anochinjika ane dhayamita yepakati ye360 micron pamwe chete nemicrosurgical PLDD kunoita kuti pave nekusvika kwakarurama uye kwakarurama uye kupindira kunzvimbo dzine ganda rakapfava senge nzvimbo dzemumuromo wechibereko nedzemuchiuno zvichienderana nezvinodiwa nekurapa. Kurapa nelaser yePLDD kunonyanya kushandiswa mushure mekurapa kwetsika kusingabudirire pasi pekudzora kwakasimba kweMRT/CT.
— Kushandiswa kwemukati me discal pamuzongoza wemuromo wechibereko, musana wechipfuva, nemuzongoza we lumbar
— Kuvhiyiwa kweuropi kwechikamu chepakati chenhengo dzenhengo
— Kuvhiyiwa kweuropi kwebazi repadivi remajoini e sacroiliac
— Kuvhiyiwa kwema disc kwakaitwa ne foraminal stenosis yakatevedzana
— Discogenic spinal stenosis
— Zviratidzo zvekurwadziwa kwediscogenic
— Chirwere che Chronic facet uye sacroiliac joint syndrome
— Kumwe kuvhiyiwa, semuenzaniso tennis elbow, calcaneal spur
— Kurapwa kwemudumbu kunobvumira kurapwa kwevarwere vari panjodzi.
— Nguva pfupi kwazvo yekushanda kana tichienzanisa nemaitiro akavhurika
— Kuwanda kwematambudziko uye kuzvimba mushure mekuvhiyiwa (Hapana kukuvara kwenyama yakapfava, Hapana njodzi yekukuvadzwa
mavanga kana kuti mavanga epidural fibrosis)
— Tsono diki ine nzvimbo diki yekuboorwa saka hapana chikonzero chekusunga
— Kurerutsira marwadzo nekukurumidza uye kufamba-famba
— Kupfupikiswa kwenguva yekugara muchipatara uye kugadziriswa kwemuviri
— Mitengo yakaderera
Kuvhiyiwa kwePLDD kunoitwa uchishandisa anesthesia yemuno. Optical fiber inoiswa mu cannula chaiyo pasi pe fluoroscopicnhungamiro. Mushure mekushandisa musiyano padivi, zvinokwanisika kutarisa nzvimbo yecannula uye mamiriro edhisiki.Kuzvimba. Laser yekutanga inotanga kuderedza kumanikidzwa kwemuviri uye kuderedza kumanikidzwa kwemukati mediski.
Maitiro acho anoitwa kubva panzira yekumashure nepadivi pasina kukanganiswa kwemugero wemusana, saka, paneHapana mukana wekukuvadza mushonga wekugadzirisa, asi hapana mukana wekusimbisa annulus fibrosus.Munguva iyo vhoriyamu yedhisiki yePLDD inodzikira zvishoma, zvisinei, kumanikidzwa kwedhisiki kunogona kudzikiswa zvakanyanya.uchishandisa laser kubvisa madhisiki, huwandu hushoma hwenucleus pulposus hunopwanyika.
Kiti iyi isina utachiona inosanganisira fifiber isina chinhu ye400/600 micron ine dziviriro yejaketi, tsono dze18G/20G (kureba 15.2cm), uye Y Connector inobvumira fifiber kupinda nekusveta. Chinobatanidza netsono zvinoiswa chimwe nechimwe kuti zvigone kuchinjika zvakanyanya pakurapa.
| Rudzi rweLaser | Diode Laser Gallium-Aluminum-Arsenide GaAlAs |
| Kureba kwewave | 980nm+1470nm |
| Simba | 30W+17W |
| Maitiro Ekushanda | CW, Pulse uye Imwe Chete |
| Beam Rinonanga | Chiratidzo chechiratidzo chitsvuku chinogadziriswa 650nm |
| Rudzi rwefayibha | Faibha isina chinhu |
| Dhayamita yefaibha | 300/400/600/800/1000um faibha |
| Chinobatanidza fiber | SMA905 mwero wepasi rose |
| Kupomba kweropa | 0.00s-1.00s |
| Kunonoka | 0.00s-1.00s |
| Voltage | 100-240V, 50/60HZ |
| Saizi | 41*33*49cm |
| Huremu | 18KG |
