Aklãdɔ ate ŋu agblẽ nu le ame ƒe agbenɔnɔ ŋu vevie, si ana wòase veve, mate ŋu azɔ mɔ nyuie o, eye wòana dzesi bubu siwo gblẽa nu le ame ŋu la nadze. Togbɔ be amekoko si wowɔna le gaglãgbe si wozãna tsã ate ŋu akpɔ nya siawo gbɔ hã la, ate ŋu adze ame dzi hã, si ana lãmenugbagbeviwo nagblẽ nu le ame ŋu vevie, ʋu nabu, eye wòaxɔ ɣeyiɣi didi hafi wòahaya. Esi amekoko si me womezãa nu boo aɖeke le o (MIS) va ta la, dɔnɔwo ate ŋu akpɔ viɖe tso kɔdzi nɔnɔ kpuie, vevesese si wosena le dɔwɔwɔ vɔ megbe dzi ɖeɖe kpɔtɔ, kple ɣeyiɣi siwo woatsɔ ahaya kabakaba me.
Nusiwo ŋugbe wodo wu le MIS me dometɔ ɖekae nye percutaneous transforaminal endoscopic discectomy (PTED) mɔnu, si zãa lãɖeɖe sue aɖe kple endoscope tsɔ gena ɖe disk siwo gblẽ me heɖea wo ɖa. PTED ƒe dɔwɔnu siwo wotsɔ kpɔa mɔe nye egbɔkpɔnu yeye aɖe si nana amekolawo te ŋu wɔa dɔ sia pɛpɛpɛ wu eye wòwɔa dɔ nyuie wu.
Le nyati sia me la, míadzro PTED access instrument set la me tsitotsito, si me eƒe akpawo, viɖewo, kple dɔwɔwɔwo hã le.
I. PTED Access Instrument Set ƒe ŋgɔdonya
PTED ƒe mɔɖeɖedɔwɔnuwo ƒe hatsotso nye amekokodɔwɔnuwo ƒe ƒuƒoƒo si ŋu wotrɔ asi le be wòana PTED mɔnua nanɔ bɔbɔe. Nu vovovowoe le eme, siwo dometɔ aɖewoe nye dɔlékuiwutike, abɔta si wɔa dɔ, nusiwo kekea nu, kannu, nusiwo xea mɔ na nu, kple dɔwɔnu tɔxɛ bubuwo. Dɔwɔnu siawo wɔa dɔ ɖekae be amekolaa nakpɔ teƒe si wowɔ amekokoa le nyuie eye wòate ŋu ato akɔta ƒe mɔa me evɔ wòagblẽ nu boo aɖeke le lãmenugbagbeviwo ŋu o.
II. PTED Access Instrument Set ƒe akpa aɖewo
PTED ƒe mɔɖeɖedɔwɔnu ƒe ɖoɖoa ƒe akpa siwo gbɔna la le eme:
A. Dɔlékuiwutike (Endoscope).
Endoscope nye fotoɖemɔ̃ sue aɖe si nana amekolaa te ŋu kpɔa teƒe si wowɔ amekokoa le nyuie. Wotsɔe blaa kekelitsoƒe aɖe eye wotsɔnɛ toa abɔta si le dɔ wɔm la me.
B. Dɔwɔwɔ ƒe Abɔta
Abɔta si le dɔ wɔm nye mɔ̃ si me do le si naa mɔ amekokodɔwɔnuwo. Wotoa lãɖeɖe sue aɖe me dea eme eye wofiaa mɔe yia afisi woawɔ dɔa le.
C. Nusiwo kekea nu ɖe enu
Dilators nye dɔwɔnu siwo le abe kɔnu ene siwo wozãna tsɔ kekea amekokomɔa ɖe enu. Wotsɔa wo toa abɔta si le dɔ wɔm me eye wodzina ɖe edzi vivivi be amekolaa nate ŋu atrɔ asi le dɔwɔnu gãwo ŋu.
D. Cannulas ƒe ʋukawo
Kanula nye mɔ̃ siwo me do le siwo wotsɔ dea abɔta si le dɔ wɔm kple mɔ si keke la me. Wonana mɔ aɖe na amekokodɔwɔnuwo eye woate ŋu atrɔ asi le wo ŋu be woakpɔ alesi lãmenugbagbeviwo ƒe tɔtɔ ƒe agbɔsɔsɔme dzi.
E. Nusiwo wotsɔ xea mɔ na ame
Obturators nye dɔwɔnu tɔxɛ siwo wozãna tsɔ léa amekoko ƒe mɔa me ɖe asi le dɔwɔnuwo ƒe tɔtrɔɣi. Wotsɔa wo dea kaƒomɔ̃awo me eye emegbe woɖea wo ɖa be woate ŋu ade dɔwɔnu si kplɔe ɖo la eme.
F. Haƒonu tɔxɛ bubuwo
Tsɔ kpe ɖe akpa siwo míeyɔ ɖe etame ŋu la, dɔwɔnu tɔxɛ vovovowo hã le PTED-mɔ̃ siwo dzi woate ŋu age ɖo la me, siwo dometɔ aɖewoe nye nulénu, atam, kple lãtso, siwo wɔnɛ be amekolaa te ŋu wɔa dɔ siwo hiã la pɛpɛpɛ eye wòwɔa dɔ nyuie.
III. Viɖe siwo le PTED Access Instrument Set ŋu
PTED ƒe mɔɖeɖedɔwɔnu ƒe ƒuƒoƒoa naa viɖe geɖe wu amekoko si wowɔna le gaglãgbe si wozãna tsã kple MIS mɔnu bubuwo. Esiawo dometɔ aɖewoe nye:
A. Ame Siwo Dzea Ame Nu Sue
PTED mɔnu kple PTED ƒe mɔɖeɖedɔwɔnu ƒe ɖoɖoa ɖe mɔ be woate ŋu awɔ dɔ na ame ƒe akɔta le akɔta ƒe mɔnu si me womewɔa nu boo aɖeke le o. Mɔnu sia megblẽa nu le lãmekawo ŋu boo o eye wònana ame ƒe hayahaya ƒe ɣeyiɣiwo nɔa anyi kabakaba, vevesese si nɔa ame ŋu le dɔwɔwɔ vɔ megbe dzi ɖena kpɔtɔna, eye wònɔa kɔdzi ɣeyiɣi kpui aɖe.
B. Nuwɔwɔ pɛpɛpɛ wu
Dɔlékuiwutike kple dɔwɔnu tɔxɛwo zazã nana amekolaa te ŋu wɔa dɔ siwo hiã la pɛpɛpɛ wu eye wòdea pɛpɛpɛ wu. Esia wɔnɛ be nu nyuiwo dona tso eme na dɔnɔa.
C. Dɔwɔwɔ ƒe Ɣeyiɣi Kpuie wu
PTED mɔnu kple PTED mɔɖeɖedɔwɔnu ƒe ɖoɖoa nana amekolaa te ŋu wɔa dɔ siwo hiã la nyuie wu, si wɔnɛ be dɔwɔwɔ ƒe ɣeyiɣiwo nɔa kpuie eye kuxiwo ƒe afɔku dzi ɖena kpɔtɔna.
IV. PTED Mɔnukpɔkpɔ Dɔwɔnu Set ƒe Dɔwɔwɔwo
Wozãa PTED access instrument set la koŋ le herniated discs, spinal stenosis, kple nɔnɔme bubu siwo hiã be woaɖe lãkusi siwo gblẽ alo esiwo ŋu dɔléle le ɖa le aklã ƒe mɔa me la dada me. Wozãnɛ hã le akɔtave si nɔa anyi didi si mewɔa nu ɖe atikewɔwɔ siwo menye amekoko o ŋu o la dada me.
Woate ŋu azã PTED ƒe mɔɖeɖedɔwɔnu ƒe hatsotso la le vidzidɔ kple akɔta ƒe amekoko siaa me, si ana amekolawo nakpɔ dɔwɔnu si woate ŋu azã le mɔ vovovowo nu eye wòwɔa dɔ nyuie na aklãdɔ vovovowo wɔwɔ.
V. Nyataƒoƒo
PTED ƒe dɔwɔnu siwo wotsɔ kpɔa mɔe nye egbɔkpɔnu yeye aɖe si na amekolawo te ŋu wɔa dɔ siwo me womedea ame dzi boo o le aklã me pɛpɛpɛ eye wowɔa dɔ nyuie wu. To dɔwɔnu tɔxɛwo kple dɔlékuiwutike zazã me la, amekolaa ate ŋu azɔ aklã ƒe mɔa me evɔ lãmekawo magblẽ nu boo aɖeke o, si ana dɔnɔa ƒe hayahaya ƒe ɣeyiɣiwo nasẽ kabakaba, vevesese si le dɔwɔwɔ nɛ vɔ megbe la mebɔ o, eye dɔlélea nanyo ɖe edzi na dɔnɔa. Esi amekoko si me womewɔa nu boo aɖeke le o ƒe akpaa yi edzi le tɔtrɔm la, PTED ƒe dɔwɔnu siwo wotsɔ kpɔa mɔe la le klalo be yeazu dɔwɔnu vevi aɖe na akɔtadɔdalawo le xexeame godoo.
VI. Nya siwo wobiaa nya tso ame ŋu
Ðe nugblẽfexeɖoɖoa xea fe ɖe PTED mɔnua ta?
Ɣeyiɣi didi kae wòxɔna hafi ame nahaya le PTED dɔdamɔnu wɔwɔ vɔ megbe?
Ɣeyiɣi siwo woatsɔ ahaya la toa vovo le dɔnɔa ƒe ƒexɔxɔ, eƒe lãmesẽ, kple alesi gbegbe wowɔ dɔae nu. Le goawo katã me la, dɔnɔwo ate ŋu akpɔ mɔ be yewoatrɔ ayi dɔ siwo wowɔna ɖaa dzi le kwasiɖa ʋɛ aɖewo me tso esime wowɔ dɔa na wo.
Ðe afɔku aɖewo le PTED-mɔnua ŋua?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔkuwo le PTED-mɔnua me. Esiawo ate ŋu anye ʋudodo, dɔlékuiwo xɔxɔ, lãmekawo ƒe gbegblẽ, kple kuxi bubuwo. Gake zi geɖe la, afɔkuawo mebɔna o wu amekoko si wowɔna le gaglãgbe si wozãna tsã.
Ðe woate ŋu azã PTED mɔnu atsɔ ada aklã ƒe nɔnɔmewo katãa?
Aleke PTED mɔɖeɖedɔwɔnu ƒe ɖoɖoa sɔ kple amekokomɔnu bubu siwo me womezãa nu boo aɖeke le o?
PTED ƒe dɔwɔnu siwo wotsɔ kpɔa mɔe ƒe ɖoɖoa naa viɖe geɖe wu amekokomɔnu bubu siwo me womezãa nu boo aɖeke le o, siwo dometɔ aɖewoe nye be wowɔa dɔ pɛpɛpɛ wu, dɔwɔwɔ ƒe ɣeyiɣi kpuiwo, kple emetsonu siwo nyona ɖe edzi na dɔnɔa. Eva le dɔwɔnu si amekolawo lɔ̃na wu na akɔtadɔdalawo le xexeame godoo kabakaba.
