Tsvaga kuti tekinoroji ye laser iri kushandura sei kurapwa kwemadisc e herniated uye kurwadziwa kwemusana kusingaperi.
Chii chinonzi PLDD uye chinoshanda sei?
Kubvisa Kumanikidzwa kweDisiki reLaser rePercutaneous (PLDD)inzira itsva yekurapa madhisiki eherniated uye kurwadziwa kwemusana kusingaperi. Yakatanga kugadzirwa muma1980, nzira iyi yakashandiswa zvinobudirira kurapa zviuru zvevarwere pasi rese uye ichiri kuzivikanwa senzira yakachengeteka uye inoshanda pane yekuvhiyiwa kwemusana kwakavhurika kwechinyakare.
Pfungwa iri shure kwePLDD iri nyore asi inoshanda zvikuru. Pasi peanesthesia yemuno uye ichitungamirirwa neX-ray imaging chaiyo, tsono yakatetepa ye1.0mm inopinzwa zvakananga pakati (nucleus) yediski yakakanganiswa. Kuburikidza netsono iyi, fiber yelaser yakasarudzika inounzwa kuti ipe simba relaser rinodzorwa zvakananga munucleus yediski. Simba relaser rinopisa tissue yediski, zvichikonzera kunhuhwirira kwemvura yakawandisa mukati menucleus pulposus. Izvi zvinogadzira kaburi kadiki uye zvinoderedza huwandu hwese hwediski. Sezvo diski ichiderera, kumanikidzwa patsinga dzakatenderedza kunobviswa pakarepo, zvichigadzirisa chikonzero chikuru chekurwadziwa. Maitiro acho akarurama—laser inokanganisa nzvimbo shoma chete uye haipisi kuburikidza nediski.
Zvakanakira Zvikuru zvePLDD
Kusiyana nekuvhiyiwa kwechinyakare kunoda mavanga makuru, anesthesia, uye kugara kwenguva refu muchipatara, PLDD inopa imwe nzira isinganyanyi kukuvadza. Maitiro aya haasiyi vanga—kungoboorwa netsono diki inopora nekukurumidza—uye inoitwa pasi peanesthesia yemunzvimbo, kudzivirira njodzi dzinobatanidzwa neanesthesia. Izvi zvinoita kuti maitiro aya akwane kunyange kuvarwere vakwegura vangave vasiri ivo vanoda kuvhiyiwa kwechinyakare.
Varwere vanogona kudzokera kumba zuva rimwe chete, kurapwa nelaser pachako kunotora maminetsi gumi kusvika gumi nemashanu chete padiski imwe neimwe, zvichiteverwa neawa imwe chete yekutarisa vasati vabuda. Varwere vazhinji vanotangazve mabasa echiedza zuva rinotevera. Nekuti nzira iyi inosvika padiski nenzira yechisikigo, hapana kukuvara kwenyama yakapfava, hapana mavanga epidural, uye hapana kukanganiswa kwetsandanyama dzakakomberedza. Varwere vanodzivisa mari uye kusagadzikana kwekuiswa muchipatara.
Mamiriro Ezvinhu Akarapwa Uye Akakodzera Vanyoreri
PLDD inorapwa pazvirwere zvakasiyana-siyana zvemusana, kunyanya madhisiki eherniated ane madhisiki ane zvinhu zvinokonzera kumanikidzwa kwetsinga, kurwadziwa kwenguva refu kwemusana kunokonzerwa nekumanikidzwa kwedhisiki, sciatica inokonzerwa nekubviswa kwedhisiki, kubvaruka kwemusana kwedhisiki, uye zviitiko apo kurapwa kwakachengetedzwa kwakadai se physiotherapy kana kugadzirisa marwadzo kwakakundikana.
Maitiro aya anonyanya kushanda pakubvisa mavanga emudumbu kusvika pakati nepakati apo kumanikidzwa kwemadiski kwakakwira asi zvinhu zviri mudiski hazvina kubva zvachose padiski. PLDD inonyanya kukodzera varwere vakaonekwa vaine mavanga emudumbu, vane kurwadziwa kwemusana kwenguva refu nekuda kwematambudziko emadiski, vasingade kuvhiyiwa pachena, vanoda kudzivirira kugara muchipatara, vanoda kurapwa pasina mutoro wakawanda, kana kuti vakambovhiyiwa musana kare vasina kuvandudzika.
Ruzivo rweMurwere
Vasati varapwa, varwere vanoitwa MRI imaging kuti vaone kana chirwere ichi chakakodzera uye kuti vaone kana chirwere ichi chakakodzera PLDD. Maitiro acho anotsanangurwa zvakadzama, uye mibvunzo yese inopindurwa. Panguva yekurapwa, murwere anorara zvakanaka apo chiremba, achishandisa X-ray guide, anoisa tsono diki uye achipa simba re laser. Varwere vazhinji havanzwi kurwadziwa zvakanyanya panguva yese.
Mushure mekuzorora kwenguva pfupi kweinenge awa imwe kusvika imwe nehafu munzvimbo yekupora yega, varwere vanoongororwa vobuda. Vanokurudzirwa kuti vasaite mabasa akaomarara uye vasasimudza zvinhu zvinorema kwemwedzi mumwe chete mushure mekuvhiyiwa. Vamwe varwere vanogona kusangana nezviratidzo zvitsva zvenguva pfupi zvakaita sekurwadziwa kwemusana kana kushushikana kwetsandanyama kweinosvika mwedzi mushure mekurapwa, izvo zvakajairika uye zvinopera zvega.
Mamiriro Emusika uye Maonero Eindasitiri
Kurwadziwa kwemusana kuchiri chimwe chezvinhu zvinonyanya kukonzera kuremara pasi rose, nema disc e herniated zvichikonzera kurwadziwa kusingaperi uye kudzikira kwehupenyu. Sezvo varwere vachitsvaga dzimwe nzira dzekurapa pane kuvhiyiwa kwechinyakare, kudiwa kwenzira dzisinganyanyi kupindira dzakadai sePLDD kuri kuramba kuchikura. Kuchinja kwepasi rose kuenda kune nzira dzekurapa dzisingarapike, nguva dzekupora nekukurumidza, uye kudzikiswa kwemari yehutano kunoisa PLDD senzira inokwezva varwere nevanovapa hutano.
Nemakore anopfuura makumi mana enhoroondo yekiriniki uye mhedzisiro yakasimbiswa, PLDD inomiririra tekinoroji yakakura inoramba ichichinja nekufambira mberi muhurongwa hwe laser sePLDD ine hunhu hwakanaka hwekuchengetedza kana ichiitwa navanachiremba vane ruzivo, nehuwandu hwezvinetso hwakaderera pane hwekuvhiya kwechinyakare.
Nguva yekutumira: Kurume-11-2026