Wɔde akwan horow a wɔfa so tow akyi a ɛwɔ akyi no adi dwuma yiye de ayɛ percutaneous vertebroplasty (PVP) ne percutaneous kyphoplasty (PKP).
Akyi berɛmo a wɔde fa honam ani (PVP) .
Percutaneous vertebroplasty (PVP) yɛ ayaresa a wɔde sa ayarefo a wɔn akyi berɛmo mu akisikuru biako anaa nea ɛboro saa a ɛkyerɛ sɛ nnompe mu akisikuru, nnompe mu yare anaa ahodwiriw de ba. Wɔ PVP mu no, wɔde ade a wɔde hwehwɛ nnompe mu ntini bi hyɛ akyi berɛmo a abubu no mu wɔ ɔyarefo no aduru a wɔde kum nipadua no mu; wɔde nnompe mu semɛnte a wɔde polymethylmethacrylate (PMMA) ayɛ fa ade no mu, na ɛno akyi no, wɔma sɛnkyerɛnne ahorow te sɛ nantew a ɛyɛ den anaa akyi yaw fi hɔ ntɛm ara . PVP adeyɛ biako pɛ hwehwɛ sɛ wɔde nnɔnhwerew 2 pɛ sa yare ne nnɔnhwerew 2 pɛ a wɔde bɛda mpa so wɔ oprehyɛn akyi; wobetumi ayɛ no denam 5-mm honam ani ntwitwiridii so de ahyɛ nnompe mu biopsy needle biara mu, ɛwɔ nsɛmmɔnedi a emu yɛ den a ɛba fam, wobetumi ayɛ a wonsiesiee no titiriw ansa na wɔayɛ oprehyɛn anaasɛ oprehyɛn akyi ɔhwɛ a emu yɛ den, na nea ɛne no bɔ abira koraa nkutoo ne ɔyare mmoawa a wontumi nni so ne mogya a ɛba su.PVP, sɛ́ adeyɛ a ɛnyɛ den koraa no, ɛwɔ nsɛnnennen dodow a ɛba fam It is also characterized by the fact that ayarefo betumi akɔ fie bere a wɔasa wɔn yare awie a wɔmfa wɔn nkɔ ayaresabea na wotumi sa wɔn a wɔn mfe akɔ anim yare ayarefo a wɔadi boro mfe 90 a wɔahyɛ bɔ sɛ nea ebefi mu aba.
Kyphoplasty a wɔde fa honam ani (PKP) .
Mprempren percutaneous kyphoplasty (PKP) yɛ aduru a etu mpɔn na wɔde di dwuma kɛse ma osteoporotic vertebral compression fractures (OVCF), a wɔtaa yɛ wɔ mpɔtam hɔ aduru a wɔde kum nipadua no mu na ayarefo tumi gyina ano yiye. Nhwehwɛmu ahorow a edi kan ada no adi sɛ nea ebefi mu aba wɔ ayaresabea a ɛhyɛ bɔ wɔ ɛyaw a ɛbɛtew ntɛm ara ne dwumadi a ɛkɔ anim, titiriw wɔ wɔn a wɔn mfe akɔ anim mu. Nanso, ayarefo dodow bi da so ara dɔɔso yiye a wɔn ani nnye nea efii oprehyɛn akyi bae no ho. Ɛdefa ayarefo yi ho no, wonwiinwii sɛ nsakrae a ɛnyɛ nea abotɔyam wom anaasɛ enni hɔ wɔ wɔn ɛyaw a wɔde ano brɛ ase anaasɛ ɛyaw a enye koraa mpo, a ebetumi akyerɛ sɛ wɔhyɛ wɔn akyi berɛmo a wɔasa wɔn yare no mu bere nyinaa anaasɛ ɛsan pae bio. Nhwehwɛmu ahorow a atwam ada no adi sɛ intravertebral vacuum clefting (IVC) wɔ OVCF a emu yɛ den mu no nyɛ ade a ɛntaa nsi na wobu no nso sɛ asiane a ɛho hia ma akyi yaw a ɛkɔ so yɛ yaw ne akyi berɛmo a ɛhwe ase kɛse, a ebia ɛno ne ade titiriw a ɛma nneɛma a ɛnyɛ abotɔyam ba wɔ PKP akyi.
Dɛn ne balloon kyphoplasty?
Balloon kyphoplasty yɛ adeyɛ a ɛnyɛ den pii a wɔayɛ sɛ wɔde besiesie vertebral compression fractures (VCF) denam akisikuru a wɔbɛtew so na wɔama ayɛ den no so. Ɛsa akyi berɛmo mu akisikuru a ɛyɛ ɔyare a nnompe mu yare, kokoram anaa akuru a ɛnyɛ hu de ba.
Sɛnea Balloon Osteoplasty Yɛ Adwuma
Atenae a wɔbɛbɔ ama balloon no
Oduruyɛfo a ɔyɛ oprehyɛn no de adwinnade bi a ɛwɔ tokuru bɛyɛ ɔkwan bi akɔ akyi berɛmo a abubu no mu. Afei wɔde balloon ketewaa bi fa adwinnade no mu kɔ dompe no mu.
Balloon no a wɔde mframa gu mu
Sɛ ɛba baabi a, wɔde nkakrankakra ma balloon no ma dompe a abubu no so brɛoo kɔ ne gyinabea a ɛfata.
Sɛ woyi balloon no fi hɔ
Sɛ dompe no si baabi a ɛfata a, oduruyɛfo a ɔyɛ oprehyɛn no yi mframa fi mu na oyi balloon no. Eyi ma ɛda hɔ kwa—anaasɛ abura—wɔ akyi berɛmo nipadua no mu.
Akyi berɛmo mu baabi a ɛda hɔ no a wɔbɛhyɛ no ma
Nea ɛbɛyɛ na dompe no ansɛe bio no, wɔde semɛnte a wɔde yɛ nnompe hyɛ baabi a ɛda hɔ no ma.
Forming emu cast no
Sɛ semɛnte no si hɔ wie a, ɛyɛ aduru bi wɔ akyi berɛmo nipadua no mu a ɛma dompe no gyina. Sɛnea ɛbɛyɛ na dompe no ayɛ den koraa no, ɛtɔ mmere bi a wɔyɛ oprehyɛn no wɔ akyi berɛmo nipadua no afã abien no nyinaa.
Mfaso titiriw a ɛwɔ balloon kyphoplasty so no bi ne:
Bere tiaa a wɔde yɛ oprehyɛn; mpɛn pii no, adeyɛ no gye bɛyɛ dɔnhwerew fã wɔ akyi berɛmo biara mu.
Mpɛn pii no, wobetumi de nnuru a wɔde kum nipadua no a ɛma obi dwensɔ na ɛyɛ kyphoplasty no. Nanso, ayarefo binom, a egyina wɔn akwahosan nyinaa ne sɛnea akyi berɛmo mu abubu (s) no mu yɛ den so no betumi ahia sɛ wɔde nnuru a wɔde kum nipadua no nyinaa.
Ayarefo tumi nantew na wɔsan kɔ wɔn dwumadi ahorow a wɔtaa yɛ no mu bere a wɔayɛ wɔn oprehyɛn no akyi bere tiaa bi.
Wobetumi ayɛ kyphoplasty wɔ ambulatory surgery center (ASC), ayaresabea, anaa akyi berɛmo oprehyɛn adwumayɛbea.
Woyi ayarefo dodow no ara fi fie da koro no ara a wɔyɛɛ wɔn kyphoplasty no. Ebia wɔbɛkamfo akyerɛ sɛ ayarefo binom bɛtra ayaresabea anadwo a egyina nneɛma pii so, te sɛ aduruyɛ mu haw ahorow a ɛwɔ hɔ bom (sɛ nhwɛso no, koma ne ntini mu asiane ahorow).
Bere Tenten a Wobɛtra Ase ne Nea Wobɛsan Anya
Wo duruyɛfo bɛma wo akwankyerɛ pɔtee bi wɔ oprehyɛn no akyi, nanso mpɛn pii no, wobɛtra bɛyɛ dɔnhwerew biako wɔ dan a wɔma wɔn ho tɔ wo no mu wɔ oprehyɛn no akyi. Ɛhɔ no, ɔyarehwɛfo bi de nsi hwɛ wo sɛnkyerɛnne ahorow a ɛho hia a akyi yaw ka ho.
Woyi ayarefo dodow no ara fi ASC anaa ayaresabea wɔ nnɔnhwerew 24 akyi bere a wɔayɛ wɔn balloon kyphoplasty no. Wɔ wo oprehyɛn akyi bere mu no, wo duruyɛfo no bɛhwɛ sɛnea wo ho atɔ wo no ahwɛ sɛ ɛsɛ sɛ woto dwumadi ahorow bi ano hye (sɛ nhwɛso no, nneɛma a wobɛma so). Ayarefo pii bɔ amanneɛ sɛ wɔanya nkɔso kɛse wɔ ɛyaw, sɛnea wotumi nantew ne sɛnea wotumi yɛ da biara da nnwuma mu —enti ebia ɛho renhia sɛ woyɛ nsakrae biara wɔ w’apɔw-mu-teɛteɛ dodow mu.
