Laser yePLDD

Nheyo yePLDD

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 ideredzwe.

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 kunwisa mvura iri mukati me nucleuspulposus ye herniated zvichiita kuti ibvise kumanikidzwa.

Kurapwa kwePLDD kunoitwa kunze kwechipatara uchishandisa anesthesia yemunzvimbo chete. Munguva yekuvhiyiwa, tsono tete inopinzwa mudhisiki re herniated pasi pe x-ray kana CT guide. Optical fiber inopinzwa netsono uye laser energy inotumirwa nefiber, ichipisa chikamu chidiki che nucleus yedhisiki. Izvi zvinogadzira chikamu che vacuum chinobvisa herniation kubva pamudzi wetsinga, nokudaro zvichideredza marwadzo. Mhedzisiro yacho inowanzova pakarepo.

Maitiro aya anoita seave nzira yakachengeteka uye inoshanda yekurapa microsurgery, nekubudirira kwe80%, kunyanya pasi peCT-Scan guide, kuitira kuona mudzi wetsinga uye kushandisa simba panzvimbo dzakasiyana dze disc herniation. Izvi zvinoita kuti kudonha kwacho kuve kwakanyanya munzvimbo yakakura, zvichiita kuti musana usanyanya kupindira zvakanaka, uye kudzivirira matambudziko angangoitika ane chekuita ne microdiscectomy (kudzokororwa kwechirwere kunopfuura 8-15%, vanga re peridural muanopfuura 6-10%, kubvaruka kwe dural sac, kubuda ropa, kusagadzikana kwe iatrogenic), uye hazvidzivisi kuvhiyiwa kwechivanhu, kana zvichidikanwa.

Mabhenefiti ELaser yePLDDKurapa

Hazvinyanyi kupindira mumuviri, kugara muchipatara hakuna basa, varwere vanongobuda patafura nebhandeji diki rinonamira vodzokera kumba kwemaawa makumi maviri nemana ekuzorora pamubhedha. Zvadaro varwere vanotanga kufamba zvishoma nezvishoma, vachifamba kusvika kiromita imwe chete. Vazhinji vanodzokera kubasa mumazuva mana kusvika mashanu.

Inoshanda zvikuru kana ikanyorerwa nemazvo

Inogadziriswa pasi peanesthesia yemunharaunda, kwete yeruzhinji

Nzira yekuvhiya yakachengeteka uye inokurumidza, Hapana kucheka, Hapana mavanga, Sezvo diski diki chete inopiswa, hapana kusagadzikana kwemusana kunotevera. Kusiyana nekuvhiya diski yakavhurika yelumbar, hapana kukuvara kwetsandanyama yemusana, hapana kubviswa kwemapfupa kana kucheka ganda hombe.

Inoshanda kuvarwere vari panjodzi huru yekuvhiyiwa discectomy vakadai sevanhu vane chirwere cheshuga, chirwere chemwoyo, kusashanda zvakanaka kwechiropa neitsvo nezvimwewo.