PLDD Laser

Umgaqo wePLDD

Kwinkqubo ye-percutaneous laser disc decompression, amandla e-laser ahanjiswa nge-fiber optical encinci kwi-disc.

Injongo ye-PLDD kukutshisa inxenye encinci yombindi wangaphakathi. Ukukhutshwa komthamo omncinci we-core yangaphakathi kubangela ukunciphisa okubalulekileyo koxinzelelo lwe-intra-discal, ngaloo ndlela kunciphisa ukunciphisa i-disc herniation.

I-PLDD yinkqubo yonyango encinci eyenziwa nguDkt Daniel SJ Choy kwi-1986 esebenzisa i-laser beam ukunyanga iintlungu zentlungu kunye nentamo ebangelwa yi-disc ye-herniated.

I-Percutaneous laser disc decompression (PLDD) yeyona ndlela incinci ye-laser ye-laser ye-laser kunyango lwe-disc hernias, i-cervical hernias, i-dorsal hernias (ngaphandle kwecandelo le-T1-T5), kunye ne-lumbar hernias. Iinkqubo zisebenzisa amandla e-laser ukufunxa amanzi ngaphakathi kwe-nucleuspulposus ye-herniated idala ukudodobala.

Unyango lwe-PLDD lwenziwa kwisigulane esingaphandle kusetyenziswa i-anesthesia yendawo kuphela. Ngethuba lenkqubo, inaliti encinci ifakwe kwi-disc ye-herniated phantsi kwe-x-ray okanye i-CT isikhokelo. I-fiber optical ifakwe ngenaliti kwaye amandla e-laser athunyelwa ngefiber, ekhupha inxalenye encinci ye-disc nucleus. Oku kudala i-vacuum encinci ethi itsalele i-herniation kude nengcambu yemithambo-luvo, ngaloo ndlela ithomalalisa iintlungu. Isiphumo ngokuqhelekileyo sikhawuleza.

Inkqubo ibonakala ngathi ngoku yimihla ekhuselekileyo kwaye ivumelekileyo kwi-microsurgery, kunye nezinga lokuphumelela kwe-80%, ngokukodwa phantsi kwesikhokelo se-CT-Scan, ukuze kubonakale ingcambu ye-nerve kwaye iphinde isebenzise amandla kumanqaku amaninzi e-disc herniation. Oku kuvumela ukuba ube nokuncipha okugxininiswe kwindawo enkulu, ukuqonda ukuhlaselwa okuncinci kumqolo ukuba uphathwe, kwaye ugweme iingxaki ezinokuthi zenzeke ezinxulumene ne-microdiscectomy (izinga lokuphindaphinda ngaphezu kwe-8-15%, i-peridural scar ngaphezu kwe-6- I-10%, i-dural sac tear, ukopha, i-iatrogenic microinstability), kwaye ayikuthinteli utyando lwendabuko, ukuba luyimfuneko.

Izinto ezilungileyo zePLDD LaserUnyango

Ayinabungozi kancinane, ukulaliswa esibhedlele akuyomfuneko, izigulana ziyehla etafileni zinebhandeji elincamathelayo elincinane kwaye zibuyele ekhaya iiyure ezingama-24 zokuphumla ebhedini. Emva koko izigulane ziqala ukuqhubela phambili i-ambulation, ukuhamba ukuya kumamayile. Uninzi lubuyela emsebenzini ngeentsuku ezine ukuya kwezintlanu.

Isebenza kakhulu xa ichaziwe ngokuchanekileyo

Icutshungulwe phantsi kwendawo, hayi i-anesthesia jikelele

Indlela yotyando ekhuselekileyo nekhawulezayo, Akukho kusika, akukho scarring, Kuba nje isixa esincinci sediski sifakwe umphunga, akukho kuzinza komqolo okulandelayo. Ukwahluke kwi-disc ye-lumbar evulekileyo yokuhlinzwa, akukho monakalo kwi-back muscle, akukho kususwa kwamathambo okanye ukukhutshwa kwesikhumba esikhulu.

Isebenza kwizigulana ezisengozini enkulu yokuvula i-discectomy efana nesifo sikashukela, isifo senhliziyo, ukuncipha kwesibindi kunye nemisebenzi yezintso njl.