I-Laser ye-PLDD

Umgaqo weI-PLDD

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

Injongo ye-PLDD kukufunxa inxalenye encinci yombindi wangaphakathi. Ukususwa komthamo omncinci wombindi wangaphakathi kubangela ukuncipha okukhulu koxinzelelo lwangaphakathi kwe-discal, ngaloo ndlela kubangele ukwehla kokwaphuka kwe-disc.

I-PLDD yindlela yonyango engangenisi mandla eyaphuhliswa nguGqr. Daniel SJ Choy ngo-1986 esebenzisa umqadi welaser ukunyanga iintlungu zomqolo nentamo ezibangelwa yidiski ehluthwe yiherniated disc.

Ukucocwa kwediski yelaser ye-Percutaneous (PLDD) yeyona ndlela ingcono kakhulu yokunciphisa ukuvaleka kwediski kwi-percutaneous laser kunyango lwe-disc hernias, i-cervical hernias, i-dorsal hernias (ngaphandle kwe-segment T1-T5), kunye ne-lumbar hernias. Le nkqubo isebenzisa amandla elaser ukufunxa amanzi angaphakathi kwi-nucleuspulposus ye-herniated, idala ukucocwa.

Unyango lwe-PLDD lwenziwa kwisibhedlele sangaphandle kusetyenziswa i-local anesthesia kuphela. Ngexesha lenkqubo, kufakwa inaliti encinci kwi-herniated disc phantsi kwesikhokelo se-x-ray okanye se-CT. I-optical fiber ifakwa ngenaliti kwaye amandla e-laser athunyelwa nge-fiber, nto leyo ekhupha umphunga kwinxalenye encinci ye-disc nucleus. Oku kudala i-vacuum engaphelelanga esusa i-herniation kwiingcambu zemithambo-luvo, ngaloo ndlela ithomalalisa iintlungu. Isiphumo sidla ngokuba seso nangoko.

Le nkqubo ibonakala ngathi yindlela ekhuselekileyo nefanelekileyo ngoku endaweni yotyando lwe-microsurgery, ngesantya sempumelelo se-80%, ngakumbi phantsi kwesikhokelo se-CT-Scan, ukuze kubonwe ingcambu yemithambo-luvo kwaye kusetyenziswe amandla kwiindawo ezininzi ze-disc herniation. Oku kuvumela ukuba kubekho ukuncipha okugxile kwindawo enkulu, kufumaneke ukungenelela okuncinci kumqolo oza kunyangwa, kwaye kuthintelwe iingxaki ezinokubakho ezinxulumene ne-microdiscectomy (isantya sokuphindeka kwakhona esingaphezulu kwe-8-15%, isilonda esingaphakathi kwe-peridural esingaphezulu kwe-6-10%, ukukrazuka kwe-dural sac, ukopha, ukungazinzi kwe-iatrogenic), kwaye akuthinteli utyando lwendabuko, ukuba kuyimfuneko.

Iingenelo zeI-Laser ye-PLDDUnyango

Ayingeni kakhulu, ukulaliswa esibhedlele akufuneki, izigulane ziphuma etafileni zinebhandishi encinci enamathelayo zize zibuyele emakhaya ziphumle ebhedini iiyure ezingama-24. Emva koko izigulane ziqala ukuhambahamba kancinci, zihamba ukuya kuthi ga kwikhilomitha enye. Uninzi lubuyela emsebenzini kwiintsuku ezine ukuya kwezintlanu.

Isebenza kakuhle kakhulu ukuba ichazwe ngokuchanekileyo

Icutshungulwa phantsi kwe-anesthesia yendawo, kungekhona jikelele

Indlela yotyando ekhuselekileyo nekhawulezayo, Akukho kusikwa, Akukho zinxeba, Ekubeni kuphela idiski encinci ephumayo, akukho kungazinzi komqolo okulandelayo. Ngokungafaniyo notyando lwediski evulekileyo ye-lumbar, akukho monakalo kwimisipha yangasemva, akukho kususwa kwamathambo okanye ukunqunyulwa okukhulu kolusu.

Isebenza kwizigulana ezisengozini enkulu yokuvula i-discectomy ezifana nezo zinesifo seswekile, isifo sentliziyo, ukungasebenzi kakuhle kwesibindi kunye nezintso njl.