Mashandiro anoita Percutaneous Laser Disc Decompression (PLDD)

Kurapa kwe lumbar disc herniation ne laser kwave kuripo kubvira kuma1980, saka nhoroondo yehunyanzvi uhwu ine tariro huru.

Kubvisa compression yedhisiki reLaser rePercutaneous (PLDD)imhando yekuvhiya uko laser probe inoiswa munzvimbo ye intervertebral disc uye laser energy inoshandiswa kuderedza kumanikidzwa kwemuviri uye neuromodulation nokudaro kuderedza marwadzo. PLDD inzira isinganyanyi kukuvadza muviri inowira muchikamu chekuvhiya kwe percutaneous intervertebral nechinangwa chekuderedza zvakanyanya marwadzo emurwere uye kudzoreredza tsinga dzetsinga. Inoitwa pasi peanesthesia yemunzvimbo. Ne laser yakagadzirwa zvakananga, ine coefficient yesimba rinonyudza rakagadziriswa kune soft discus tissue, huwandu hwakati hwekupisa hunotumirwa kuti mvura ibude mu disc pasina kuwedzera kukuvara kwekupisa nokudaro zvichiita kuti ibvise kumanikidzwa kwemuviri uye kugadzira vanga rakasimba re intradiscal rinodzivirira herniation kuti isadzokorore.

Mukuita uku, fluoroscopy inoshandiswa kuona diski ine herniated. Tsono inozoiswa mu intervertebral disc uchishandisa local anesthesia. Laser fiber inopihwa netsono kuenda kudiski yakakanganiswa, ichibvisa mvura yakawandisa. Murwere anodzoserwa kumba kuti apore uye anowanzo simuka mukati memazuva mashoma.

Maitiro aya akaratidzwa kuti akachengeteka uye anoshanda, anoitirwa muchipatara chekunze, uye haagumiri pakusagadzikana kwemusana kana mavanga. Kana matambudziko emusana akazomuka mune ramangwana,PLDDKuvhiyiwa uku hakukanganisi kugona kwemurwere kugamuchira mamwe marapirwo. Kunogona kushandiswawo kana mamwe maitiro ekuvhiya akundikana.