Fumanisa indlela itekhnoloji yelaser etshintsha ngayo unyango olungenabungozi kangako kwiidiski ze-herniated kunye neentlungu ezingapheliyo zomqolo.
Yintoni i-PLDD kwaye isebenza njani?
Ukuncitshiswa kweDiski yeLaser yePercutaneous (PLDD)yinkqubo eguqukayo nengenamdla kangako yokunyanga iidiski ze-herniated kunye neentlungu ezingapheliyo zomqolo. Yaqalwa ukuphuhliswa ngeminyaka yoo-1980, le ndlela isetyenzisiwe ngempumelelo ukunyanga amawaka ezigulane kwihlabathi liphela kwaye iyaqhubeka nokuqatshelwa njengendlela ekhuselekileyo nesebenzayo yonyango lomqolo oluvulekileyo lwendabuko.
Umgaqo ongasemva kwe-PLDD ulula kakhulu kodwa usebenza kakhulu. Phantsi kwe-anesthesia yendawo kwaye ikhokelwa yi-X-ray imaging yexesha langempela, inaliti encinci ye-1.0mm ifakwe ngokuchanekileyo embindini (i-nucleus) yediski echaphazelekayo. Ngale naliti, kungeniswa ifayibha yelaser ekhethekileyo ukuhambisa amandla elaser alawulwayo ngqo kwi-nucleus yediski. Amandla elaser ashushu izicubu zediski, okubangela ukufuma kwamanzi angaphezulu kwi-nucleus pulposus. Oku kudala umngxuma omncinci kwaye kunciphisa umthamo uwonke wediski. Njengoko idiski incipha, uxinzelelo kwimithambo-luvo ejikelezileyo luyakhululeka ngoko nangoko, kujongana nonobangela wentlungu. Inkqubo ichanekile—ilaser ichaphazela kuphela indawo encinci kwaye ayitshisi kwidiski.
Iingenelo eziphambili zeI-PLDD
Ngokungafaniyo notyando oluvulekileyo lwendabuko olufuna ukusikwa okukhulu, i-anesthesia jikelele, kunye nokuhlala ixesha elide esibhedlele, i-PLDD inikezela ngenye indlela engeyiyo yonke into engenelelayo. Le nkqubo ayishiyi nxeba—kukuba nje inaliti encinci ephola ngokukhawuleza—kwaye yenziwa phantsi kwe-anesthesia yendawo, kuthintelwa iingozi ezinxulumene ne-anesthesia jikelele. Oku kwenza le nkqubo ifaneleke nakubaguli abadala abasenokungabi ngabaviwa botyando lwendabuko.
Izigulana zinokubuyela ekhaya ngaloo mini inye, unyango lwelaser ngokwalo luthatha imizuzu eli-10-15 kuphela kwidiski nganye, kulandele malunga neyure enye yokujonga ngaphambi kokuba ziphume. Uninzi lwezigulana luqala imisebenzi yokukhanya ngosuku olulandelayo. Ngenxa yokuba inkqubo ifikelela kwidiski ngendlela yendalo, akukho kwenzakala kwezicubu ezithambileyo, akukho mingxunya ye-epidural, kwaye akukho kuphazamiseka kwimisipha ejikelezileyo. Izigulana ziyaphepha iindleko kunye nokuphazamiseka kokulaliswa esibhedlele.
Iimeko Ezinyangiweyo Nezifanelekileyo Kubaviwa
I-PLDD iboniswa kwiingxaki ezahlukeneyo zomqolo, ingakumbi iidiski ze-herniated ezineediski eziqulathekileyo ezibangela uxinzelelo lwemithambo-luvo, iintlungu ezingapheliyo zomqolo osezantsi ezibangelwa luxinzelelo lwediski, i-sciatica ebangelwa kukwaphuka kwediski, ukukrazuka kwediski yomgogodla, kunye neemeko apho unyango olugcinwe ngendlela echanekileyo olufana ne-physiotherapy okanye ulawulo lweentlungu luye lwasilela.
Le nkqubo isebenza kakhulu kwi-herniations ezithambileyo ukuya kweziphakathi apho uxinzelelo lwediski luphezulu kodwa izinto zediski azikasuki ngokupheleleyo kwidiski. I-PLDD ifanelekile kakhulu kwizigulana ezifunyaniswe zine-herniations zediski, ezineentlungu ezingapheliyo zomqolo ngenxa yeengxaki zediski, ezingafuniyo ukwenza utyando oluvulekileyo, ezinqwenela ukuphepha ukulaliswa esibhedlele, ezifuna unyango olungenamthwalo mkhulu womzimba, okanye ezikhe zatyandwa umqolo ngaphambili ngaphandle kokuphucula.
Amava eSigulana
Ngaphambi konyango, izigulana zenza i-MRI imaging ukuqinisekisa ukuxilongwa nokufumanisa ukuba zifanelekile na i-PLDD. Inkqubo ichazwa ngokweenkcukacha, kwaye yonke imibuzo iyaphendulwa. Ngexesha lonyango, isigulana silala kamnandi ngelixa ugqirha, esebenzisa isikhokelo se-X-ray, efaka inaliti encinci kwaye ekhupha amandla e-laser. Uninzi lwezigulana alufumani ntlungu ingako kulo lonke ixesha.
Emva kwexesha elifutshane lokuphumla malunga neyure enye ukuya kwiyure enesiqingatha kwindawo yokuchacha yabucala, izigulana ziyahlolwa kwaye zikhutshwe. Ziyacetyiswa ukuba ziphephe ukwenza imisebenzi enzima kunye nokuphakamisa izinto ezinzima kangangenyanga enye emva kwenkqubo. Ezinye izigulana zinokufumana iimpawu ezintsha zexeshana ezifana neentlungu zomqolo okanye uxinzelelo lwemisipha ukuya kuthi ga kwinyanga emva konyango, into eqhelekileyo kwaye iyaziphelela.
Umxholo weMarike kunye neMbono yoShishino
Iintlungu zomqolo ziseyenye yezona zinto ziphambili ezibangela ukukhubazeka kwihlabathi liphela, apho iidiski ze-herniated zinegalelo elikhulu kwiintlungu ezingapheliyo kunye nomgangatho wobomi ophantsi. Njengoko izigulana ziqhubeka zifuna ezinye iindlela endaweni yotyando lwendabuko, imfuno yeendlela ezincinci ezifana ne-PLDD iyaqhubeka nokukhula. Utshintsho lwehlabathi oluya kwiinkqubo zokulaliswa ngaphandle, amaxesha okuchacha ngokukhawuleza, kunye neendleko ezincitshisiweyo zonyango zibeka i-PLDD njengokhetho olunomtsalane kwizigulana nakubaboneleli beenkonzo zempilo.
Ngaphezulu kweminyaka engamashumi amane yembali yezonyango kunye neziphumo eziqinisekisiweyo, i-PLDD imele iteknoloji evuthiweyo eqhubeka nokukhula ngenkqubela phambili kwiinkqubo ze-laser ezifana ne-PLDD, ineprofayili yokhuseleko egqwesileyo xa isenziwa ngoogqirha abanamava, kunye nesantya seengxaki esiphantsi kunotyando lwendabuko.
Ixesha leposi: Matshi-11-2026