Vertebral perforator .

Wɔde akwan horow a wɔfa so tow nneɛma a ɛwɔ arch no akyi no adi dwuma yiye ama vertebroplasty (PVP) a ɛwɔ nipadua no mu ne kyphoplasty a ɛwɔ nipadua no mu (PKP).

Vertebroplasty a ɛwɔ nipadua no mu (PVP) .

Percutaneous vertebroplasty (PVP) yɛ ayaresa ma ayarefo a wɔn akyi berɛmo mu abubu biako anaa nea ɛboro saa a ɛyɛ sɛnkyerɛnne a efi nnompe mu akisikuru, nnompe mu yare anaa ahodwiriw mu ba. Wɔ PVP mu no, wɔde nnompe mu nhwehwɛmu ade hyɛ vertebrae a abubu no mu wɔ aduru a wɔde kum nipadua no mu wɔ ɔyarefo no mu; Wɔde dompe semɛnte a wɔde polymethylmethacrylate (PMMA) ayɛ no gu ade no mu, na ɛno akyi no, ɛma wonya yare no ho sɛnkyerɛnne te sɛ nea ɛyɛ den sɛ wobɛnantew anaasɛ akyi berɛmo mu yaw ntɛm ara . PVP kwan biako pɛ no hwehwɛ sɛ wɔde nnɔnhwerew 2 pɛ na ɛyɛ ayaresa bere ne nnɔnhwerew 2 a wɔde gye wɔn ho wɔ oprehyɛn akyi; it can be performed through a 5-mm skin incision for insertion of each bone biopsy needle, it has a low incidence of serious adverse events, can be performed without special preoperative preparation or intensive postoperative care, and the only absolute contraindications are uncontrollable infection and bleeding tendencies.PVP, as a minimally invasive procedure, has a low complication rate It is also characterized by the fact that patients can go home after treatment without hospitalization and can treat elderly Ayarefo a wɔadi boro mfe 90 a nea ebefi mu aba no yɛ nea wɔahyɛ ho bɔ.

Kyphoplasty a ɛwɔ nipadua no mu (PKP) .

Mprempren kyphoplasty (PKP) a wɔde fa nipadua no mu yɛ aduru a etu mpɔn na wɔde di dwuma kɛse ma nnompe mu ntini a ɛma obi ho yɛ no yaw (OVCF), a wɔtaa yɛ wɔ aduru a wɔde kum nipadua no mu wɔ baabi a ɛwɔ hɔ no ase na ayarefo tumi gyina ano yiye. Nhwehwɛmu ahorow a edi kan no ada no adi sɛ ɛyɛ nea ɛyɛ anigye wɔ ayaresabea wɔ ɛyaw ano aduru a ɛba ntɛm ara ne dwumadi a ɛkɔ anim ho, titiriw wɔ wɔn a wɔn mfe akɔ anim mu. Nanso, ayarefo dodow bi da so ara wɔ hɔ a wɔn ani nnye nea efii oprehyɛn akyi bae no ho. Ɛdefa ayarefo yi ho no, wonwiinwii sɛ wɔn ɛyaw ano brɛ ase anaasɛ wɔn ɛyaw a enye koraa mpo, a ebetumi akyerɛ sɛ wɔn akyi berɛmo a wɔayɛ wɔn aduru no mu abubu anaasɛ wɔn ho abubu bio. Nhwehwɛmu ahorow a atwam no ada no adi sɛ intravertebral vacuum clefting (IVC) a ɛwɔ OVCF a emu yɛ den mu no nyɛ ade a ɛntaa nsi na wobu no nso sɛ ɛyɛ asiane a ɛho hia ma akyi berɛmo mu yaw a ɛkɔ so ne akyi berɛmo mu a ɛhwe ase kɛse, a ebetumi ayɛ ade titiriw a ɛma nea efi mu ba a ɛnyɛ nea abotɔyam wom wɔ PKP akyi no.

Nea ɛyɛ balloon kyphoplasty, .

Balloon Kyphoplasty yɛ adeyɛ a ɛnyɛ den pii a wɔayɛ sɛ wɔde besiesie vertebral compression fractures (VCF) denam mpaapaemu a ɛbɛtew ne nea ɛma ɛyɛ den so. Ɛsa akisikuru a ɛyɛ ɔyare a nnompe mu yare, kokoram anaa akuru a ɛnyɛ hu de ba no.

Sɛnea Balloon Osteoplasty Yɛ Adwuma .

Ahunmu a ɛbɛma balloon no ayɛ .

Oduruyɛfo a ɔyɛ oprehyɛn no de adwinnade a ɛyɛ tokuru bɛyɛ ɔkwan bi akɔ akyi berɛmo a abubu no mu. Afei wɔkyerɛ afiri ketewaa bi kwan fa sanku no mu kɔ dompe no mu.

a ɛma balloon no yɛ kɛse .

Sɛ ɛkɔ ne gyinabea pɛ a, wɔde nkakrankakra ma balloon no kɔ soro ma ɛma dompe a abubu no kɔ ne gyinabea a ɛfata no so brɛoo.

Sɛ woyi balloon no fi hɔ a .

Sɛ dompe no wɔ baabi a ɛfata a, oduruyɛfo a ɔyɛ oprehyɛn no ma balloon no fi hɔ na oyi fi hɔ. Eyi gyaw baabi a ɛda hɔ kwa—anaa abura —wɔ akyi berɛmo no mu.

Sɛ wɔhyɛ vertebral void no ma .

Nea ɛbɛyɛ na dompe no ansɛe bio no, wɔde nnompe mu semɛnte ahyɛ baabi a ɛda hɔ no ma.

Wɔreyɛ emu cast no .

Sɛ wɔde semɛnte no si hɔ wie a, ɛyɛ cast wɔ vertebral nipadua no mu a ɛma dompe no gyina. Nea ɛbɛyɛ na dompe no ayɛ den koraa no, ɛtɔ mmere bi a wɔyɛ ɔkwan a wɔfa so yɛ no wɔ akyi berɛmo no afã abien no nyinaa.

Mfaso titiriw a ɛwɔ balloon kyphoplasty so ne:

• oprehyɛn bere tiaa bi; Mpɛn pii no, ɔkwan a wɔfa so yɛ no gye bɛyɛ dɔnhwerew fã wɔ akyi berɛmo no mu.

  
  

• Mpɛn pii no, wobetumi de aduru a ɛma obi dwensɔ a ɛwɔ mpɔtam hɔ ayɛ kyphoplasty ayaresa no. Nanso, ayarefo binom, a egyina wɔn akwahosan nyinaa ne sɛnea wɔn akyi berɛmo mu akisikuru no mu yɛ den so no betumi ahwehwɛ sɛ wɔde aduru a ɛma obi dwensɔtwaa no nyinaa ma no.

  
  

• Ayarefo tumi nantew na wɔsan kɔ wɔn dwumadi a ɛfata so bere a wɔayɛ wɔn oprehyɛn no akyi bere tiaa bi.

  
  

• Wobetumi ayɛ Kyphoplasty wɔ Ambulatory Surgery Center (ASC), ayaresabea, anaasɛ beae a wɔhwɛ ayarefo a wɔda ayaresabea akyi oprehyɛn.

  
  

• Wɔyi ayarefoɔ dodoɔ no ara kɔ fie da koro no ara sɛ wɔn Kyphoplasty ayaresa no. Wobetumi akamfo ayaresabea a wɔbɛtra anadwo biako akyerɛ ayarefo binom a egyina nneɛma pii so, te sɛ ayaresa mu haw ahorow a ɛwɔ hɔ bere koro mu (sɛ nhwɛso no, asiane ahorow a ɛwɔ koma ne ntini mu).

Bere tenten a wɔde tra hɔ na wɔsan nya ahoɔden .

Wo duruyɛfo bɛma wo oprehyɛn akyi akwankyerɛ pɔtee, nanso mpɛn pii no, wode bɛyɛ dɔnhwerew biako bɛtra dan a wɔde wo ho to so no mu bere a wɔayɛ wo oprehyɛn no awie no. Ɛhɔ no, ɔyarehwɛfo bi de nsiyɛ hwɛ wo nsɛnkyerɛnne a ɛho hia no so, a akyi yaw ka ho.

Wɔyi ayarefoɔ dodoɔ no ara firi ASC anaa ayaresabea wɔ nnɔnhwereɛ 24 akyi wɔ wɔn balloon kyphoplasty ayaresa no mu. Wɔ wo oprehyɛn akyi bere a woadi akyi no, wo duruyɛfo no bɛhwɛ sɛnea wo ho retɔ wo no na ama woahu sɛ ebia ɛsɛ sɛ woto dwumadi ahorow bi ano hye (sɛ nhwɛso no, wobɛma so). Ayarefo pii bɔ amanneɛ sɛ ɛyaw, akwantu ne tumi a wotumi yɛ da biara da no anya nkɔso kɛse—enti ebia ɛho renhia sɛ woyɛ nsakrae biara wɔ wo nipadua mu dwumadi mu.

Kyphoplasty balloon vertebral perforator: aduru a ɛma akyi berɛmo mu ntini mu paapae .

Nnianimu

Vertebral compression fractures (VCFs) yɛ tebea a ɛtaa ba, titiriw wɔ nnipa a wɔn mfe akɔ anim mu, na mpɛn pii no ɛne nnompe mu yare wɔ abusuabɔ. Atetesɛm a wɔde ma VCF ahorow no bi ne nnuru a wɔde di dwuma wɔ ɔkwan a ɛyɛ mmerɛw so, te sɛ ɛyaw aduru ne bracing, anaasɛ oprehyɛn mu nneyɛe te sɛ akyi berɛmo mu a wɔde wɔn ho hyɛ mu. Nanso, ebia ayaresa ahorow yi ntumi nyɛ adwuma yiye anaasɛ ɛde ɔhaw afoforo ba. Kyphoplasty balloon vertebral perforator (KBP) yɛ VCFs ayaresa a ɛnyɛ den pii, a ɛyɛ nwonwa a ɛsakraa tebea yi sohwɛ. Wɔ saa asɛm yi mu no, yɛbɛhwehwɛ ɔkwan a wɔfa so yɛ adwuma, nsɛnkyerɛnne, mfaso, ne asiane ahorow a ɛbata KBP ho no mu.

Anatomy ne adwinnade a ɛwɔ VCFS mu .

VCF ahorow no ba bere a akyi berɛmo no hwe ase esiane nnompe a ɛyɛ mmerɛw nti, a mpɛn pii no ɛyɛ nnompe mu yare anaa ahodwiriw na ɛde ba no. Nkwammoaa a ɛwɔ akyi no yɛ akyi berɛmo no fã a ɛwɔ mfinimfini, na ɛyɛ cancellous dompe a cortical dompe a ɛyɛ tratraa atwa ho ahyia. Sɛ vertebral nipadua no bubu a, ebetumi ama ɛyaw ne dɛmdi kɛse aba.

Nsɛnkyerɛnne a ɛkyerɛ sɛ kyphoplasty balloon vertebral perforator .

Wɔkyerɛ sɛ KBP sa VCF ahorow a ɛyɛ yaw a entumi nyɛ ho hwee wɔ ayaresa a wɔde di dwuma wɔ ɔkwan a ɛyɛ katee so ho, anaasɛ wɔ tebea horow a oprehyɛn nyɛ ɔkwan a ɛfata mu no. Mpɛn pii no, wotumi gyina ɔkwan a wɔfa so yɛ no ano yiye na asiane a ɛwɔ hɔ sɛ wobenya ɔhaw ahorow no sua.

Kyphoplasty balloon vertebral perforator no .

KBP no hwehwɛ sɛ wɔde balloon afiri ketewa bi a wɔde hyɛ akyi berɛmo no nipadua a abubu no mu di dwuma wɔ fluoroscopic akwankyerɛ ase. Afei wɔma balloon no mu yɛ hyew na ama akyi berɛmo no tenten asan aba na ama abura bi ayɛ kɛse. Sɛ wɔbɔ abura no wie a, wɔde dompe semɛnte gu akyi ma ɛma akyi berɛmo no mu yɛ den na esiw ase bio.

Mfaso a ɛwɔ kyphoplasty balloon vertebral perforator so .

KBP wɔ mfasoɔ ahodoɔ bi sene atetesɛm ayaresa ma VCFs. Nea edi kan no, ɛyɛ adeyɛ a ɛnyɛ den pii a wobetumi ayɛ wɔ aduru a wɔde kum nipadua no mu wɔ baabi a ɛwɔ hɔ no ase, na ɛtew asiane ahorow a ɛbata aduru a wɔde kum nipadua no nyinaa ho no so. Nea ɛto so abien no, ɛne ayaresabea a wɔtra a ɛyɛ tiaa ne bere a wɔde ho tɔ wɔn ntɛmntɛm no wɔ abusuabɔ sɛ wɔde toto oprehyɛn a wɔyɛ no tete no ho a. Awiei koraa no, KBP di yiye kɛse, na ayarefo dodow no ara nya ɛyaw ano aduru kɛse na ɛma wɔn dwumadi tu mpɔn wɔ ayaresa no akyi.

Asiane ne Nsɛnnennen a Ɛwɔ Kyphoplasty Balloon Vertebral Perforator Mu .

Te sɛ aduruyɛ mu adeyɛ biara no, KBP de asiane ahorow bi ne nsɛnnennen a ebetumi aba no kura. Ebia eyinom bi ne ɔyare mmoawa, mogya a ɛba, ntini a ɛsɛe, semɛnte a ɛtwetwe, anaasɛ akisikuru no a ɛyɛ kɛse. Nanso, asiane a ɛwɔ saa nsɛnnennen yi mu no sua koraa, na ayarefo dodow no ara gyina ayaresa no ano yiye.

ayaresa akyi hwɛ ne ahosiesie .

KBP akyi no, wɔtaa hwɛ ayarefo no bere tiaa bi na mpɛn pii no wobetumi asan akɔ fie da koro. Wɔtu wɔn fo sɛ wɔnkwati sɛ wɔbɛma wɔn so kɛse na wɔayɛ wɔn ho denneennen adapɛn pii, nanso mpɛn pii no wobetumi asan afi da biara da dwumadi a ɛfata ase wɔ nna kakraa bi mu. Ebia wɔbɛkamfo nipadua mu ayaresa nso akyerɛ sɛ ɛbɛboa ma wɔasan asiesie wɔn ho.

Daakye akwankyerɛ a ɛfa Kyphoplasty Balloon Vertebral Perforator ho .

KBP yɛ ɔkwan foforo koraa, na nhwehwɛmu a ɛkɔ so no rehwehwɛ nea ebetumi adi dwuma ne nea wɔayɛ mu nsakrae mu. Sɛ nhwɛso no, nhwehwɛmu a ɛkɔ so wɔ hɔ a ɛfa nnompe semɛnte a ɛtumi sɛe bio a wɔde di dwuma ho, a ebetumi atew asiane a ɛwɔ hɔ bere tenten mu nsɛnnennen a ɛbata atetesɛm mu semɛnte ho no so.

Awie

Kyphoplasty balloon vertebral perforator yɛ ayaresa a ɛnyɛ den pii, a ɛyɛ nwonwa ma VCF ahorow a ɛyɛ yaw a ɛsakraa tebea yi sohwɛ. Mpɛn pii no, wotumi gyina ɔkwan a wɔfa so yɛ no ano yiye na ɛma wodi yiye kɛse, na ayarefo dodow no ara nya ɛyaw ano aduru kɛse na wɔyɛ adwuma yiye wɔ ayaresa no akyi. Bere a asiane ahorow bi wɔ hɔ a ɛbata ayaresa no ho no, mpɛn pii no eyinom sua,na ayarefo dodow no ara gyina ayaresa no ano yiye. Bere a nhwehwɛmu a ɛkɔ so no rehwehwɛ sɛnea wobetumi de KBP adi dwuma ne nea wɔayɛ no yiye no, ɛda adi sɛ saa nhyehyɛe yi bɛkɔ so ayɛ adwinnade a ɛho hia wɔ VCF ahorow no sohwɛ mu.

Nsɛm a wɔka kyerɛ .

1. So KBP yɛ ayaresa a ɛfata ma ayarefo a wɔwɔ VCFs nyinaa?

Wɔkyerɛ sɛ KBP sa VCF ahorow a ɛyɛ yaw a entumi nyɛ ho hwee wɔ ayaresa a wɔde di dwuma wɔ ɔkwan a ɛyɛ katee so ho anaasɛ wɔ tebea horow a oprehyɛn nyɛ ɔkwan a ɛfata mu no. Nanso, ɛnyɛ ayarefo a wɔwɔ VCFs nyinaa na wɔpɛ sɛ wɔyɛ KBP, na ɛsɛ sɛ wosi gyinae sɛ wɔbɛyɛ ɔkwan a wɔfa so yɛ no bere a wɔne akwahosan ho ɔyaresafo bi abɔ nkɔmmɔ no.

1. KBP nhyehyɛe no gye bere tenten ahe?

KBP nhyehyɛe no taa gye bɛyɛ dɔnhwerew biako ansa na wɔayɛ.

1. Ayarefo a wɔyɛ wɔn oprehyɛn no betumi asan afi dwumadi ahorow a ɛfata ase akyi bere tenten ahe?

Mpɛn pii no, ayarefo betumi asan afi da biara da dwumadi a ɛfata ase wɔ nna kakraa bi akyi wɔ ayaresa no akyi, ɛwom sɛ ɛsɛ sɛ wɔkwati nneɛma a emu yɛ duru a wɔma so ne dwumadi a emu yɛ den adapɛn pii de.

1. Dɛn ne nsɛnnennen a ebetumi aba wɔ KBP ho?

Nsɛnnennen a ebetumi aba a ɛfa KBP ho no betumi ayɛ ɔyare mmoawa, mogya a ɛretu, ntini a ɛsɛe, semɛnte a ɛtwetwe, anaasɛ akisikuru no mu a ɛbɛpaapae. Nanso, asiane a ɛwɔ saa nsɛnnennen yi mu no sua koraa.

1. So insurance tua KBP ho ka?

Mpɛn pii no, insurance na ɛbɔ KBP ho ka, ɛwom sɛ ebia ɛka a wɔbɔ wɔ ho no betumi ayɛ soronko a egyina ɔyarefo no ankorankoro insurance nhyehyɛe ne nneɛma afoforo so de.