Adzɔnuwo Ŋuti Numeɖeɖe
Wozã extra-arch puncture mɔnu vovovowo dzidzedzetɔe hena percutaneous vertebroplasty (PVP) kple percutaneous kyphoplasty (PKP).
Percutaneous vertebroplasty (PVP) nye atike na dɔnɔ siwo ƒe akɔta ƒe gbagbã ƒe dzesi ɖeka alo esi wu nenema si tso ƒumeŋuɖui, ƒumeŋuɖui alo nuveviwɔame gbɔ. Le PVP me la, wotsɔa ƒumeŋuɖui ƒe aŋe dea akɔtaƒu siwo gbã la me le atike si wua alɔ̃dɔdɔ le teƒea me le dɔnɔa me; wodoa ƒumesi si wotsɔ polymethylmethacrylate (PMMA) wɔ to aŋea me, eye emegbe woɖea dzesiwo abe azɔlizɔzɔ sesẽ alo akɔtave ene dzi kpɔtɔna enumake . PVP-dɔdamɔnu ɖeka bia gaƒoƒo 2 ƒe atikewɔwɔ kple gaƒoƒo 2 ƒe ɖiɖiɖeme le aba dzi le dɔwɔwɔ vɔ megbe ko; woate ŋu awɔe to ŋutigbalẽ ƒe lãɖeɖe si ƒe didime nye milimeta 5 me hena ƒu ƒe lãmenugbagbeviwo ɖeɖe ƒe aŋe ɖesiaɖe dede eme, nu gbegblẽ sesẽwo mebɔ o, woate ŋu awɔe dzadzraɖo tɔxɛ do ŋgɔ na dɔwɔwɔ alo dɔwɔwɔ vɔ megbe beléle vevie manɔmee, eye nusiwo tsi tre ɖe eŋu bliboe koe nye dɔlékui kple ʋu ƒe dodo ƒe nɔnɔme siwo dzi womate ŋu aɖu o.PVP, abe dɔwɔwɔ si me wowɔa nu boo aɖeke le o ene la, eƒe kuxiwo ƒe agbɔsɔsɔme le sue It is also characterized by the fact that dɔnɔwo ate ŋu ayi aƒeme le atikewɔwɔ vɔ megbe kɔdziyiyi manɔmee eye woate ŋu adae dɔnɔ tsitsi siwo xɔ wu ƒe 90 siwo ŋu kakaɖedzi le be woakpɔ emetsonuwo.
Fifia la, percutaneous kyphoplasty (PKP) nye atike nyui aɖe si wozãna le afisiafi na ƒumeŋuɖui ƒe akɔta ƒe gbagbã (OVCF), si wowɔna zi geɖe le atike si wua alɔ̃dɔdɔ le teƒea me eye dɔnɔwo te ŋu ɖea mɔ ɖe eŋu nyuie. Numekuku gbãtɔwo ɖee fia be dɔdamɔnu me tsonu nyuiwo le vevesese dzi ɖeɖe kpɔtɔ enumake kple dɔwɔwɔ nyuie wu gome, vevietɔ le ame tsitsiwo gome. Gake dɔnɔ siwo ƒe dzi medzɔ ɖe amekokoa megbe ƒe emetsonuwo ŋu o la gakpɔtɔ sɔ gbɔ ŋutɔ. Le dɔnɔ siawo gome la, wotoa nyatoƒoe le tɔtrɔ si medzɔa dzi na wo o alo tɔtrɔ aɖeke meva le woƒe vevesese dzi ɖeɖe kpɔtɔ me alo vevesese si vɔ̃ɖi wu gɔ̃ hã ŋu, si ate ŋu afia be akɔtaƒu siwo ŋu wowɔ atike ɖo la ƒe tete atraɖii alo woƒe gbagbã enuenu. Numekuku siwo wowɔ va yi ɖee fia be intravertebral vacuum clefting (IVC) le OVCF sesẽ me menye nusi mebɔ o eye wobunɛ hã be enye afɔku vevi aɖe na akɔtave atraɖii kple akɔta ƒe gbagbã sesẽ, si ate ŋu anye susu vevitɔ si ta emetsonu siwo medzea ame ŋu o le PKP megbe.
Balloon kyphoplasty nye dɔdamɔnu si me womewɔa nu boo aɖeke le o si wowɔ be woatsɔ adzra akɔta ƒe gbagbãƒewo (VCF) ɖo to akɔta ƒe gbagbãwo dzi ɖeɖe kpɔtɔ kple wo léle ɖe te me. Edaa akɔta ƒe gbagbã si nye dɔléle si tso ƒumeŋuɖui, kansa alo abi siwo me dɔlékui aɖeke mele o gbɔ.
Amekolaa azã dɔwɔnu si me do le atsɔ awɔ mɔ aɖe ayi akɔta si gbã la me. Emegbe wofiaa mɔ ʋuƒo sue aɖe toa dɔwɔnua me yia ƒua me.
Ne wonya ɖo afisi wòle ko la, wodoa ya blewuu be wòakɔ ƒu si mu la ɖe dzi blewuu va ɖo eƒe nɔnɔme si sɔ.
Ne ƒua le teƒe nyuitɔ la, amekolaa ɖea ya le eme eye wòɖea ʋuƒoa ɖa. Esia gblẽa teƒe aɖe—alo do—ɖe akɔta ƒe ŋutilã me.
Be ƒua nagamu ake o la, wotsɔa ƒumeŋuɖui ƒe siminti yɔa doa me fũ.
Ne wonya ɖo siminti la ko la, ewɔa nusi wotsɔ ƒoa ƒu ɖe akɔta ƒe ŋutilã me si nana ƒua li ke. Be ƒua nali ke bliboe la, wowɔa dɔa le akɔta ƒe ŋutilã ƒe akpa eveawo ɣeaɖewoɣi.
Amekoko ƒe ɣeyiɣi kpui aɖe; zi geɖe la, dɔa wɔwɔ xɔa abe gaƒoƒo afã ene le aklã ƒe agbɔsɔsɔ ɖesiaɖe me.
Zi geɖe la, woate ŋu atsɔ atike si wua alɔ̃dɔdɔ le teƒea awɔ kyphoplasty dɔa. Gake dɔnɔ aɖewo, le woƒe lãmesẽ bliboa kple aklã ƒe gbagbã(wo) ƒe sesẽ nu la, ate ŋu ahiã be woazã atike si naa alɔ̃dɔdɔ wo katã.
Dɔnɔwo te ŋu zɔna hetrɔna yia woƒe dɔwɔna siwo wowɔna ɖaa me le amekoko vɔ megbe kpuie.
Woate ŋu awɔ Kyphoplasty le ambulatory surgery center (ASC), kɔdzi, alo akɔtadɔdaƒe si wowɔa dɔ le kɔdzi.
Woɖea asi le dɔnɔ akpa gãtɔ ŋu le aƒeme gbemagbe ke wowɔa woƒe kyphoplasty la. Woate ŋu akafui be woanɔ kɔdzi zã bliboa na dɔnɔ aɖewo le nu geɖe nu, abe atikewɔwɔ me kuxi siwo nɔa anyi ɖekae (le kpɔɖeŋu me, dzitodzito ƒe afɔkuwo ene).
Wò ɖɔkta ana mɔfiame tɔxɛwo wò le dɔwɔwɔ vɔ megbe, gake zi geɖe la, ànɔ xɔ si me woahaya le me abe gaƒoƒo ɖeka ene le dɔwɔwɔ nɛ vɔ megbe. Le afima la, dɔnɔdzikpɔla aɖe léa ŋku ɖe wò dzesi veviwo ŋu veviedodotɔe, siwo dome akɔtave hã le.
Woɖea asi le dɔnɔ akpa gãtɔ ŋu le ASC alo kɔdzi le gaƒoƒo 24 me le woƒe balloon kyphoplasty dɔwɔwɔ na wo megbe. Le wò amekoko ƒe kplɔkplɔ ɖo ƒe ɣeyiɣia me la, wò ɖɔkta ada wò hayahaya ƒe ŋgɔyiyi kpɔ be yeakpɔe ɖa be ele be nàɖo seɖoƒe na dɔwɔna aɖewo (le kpɔɖeŋu me, ʋu kɔkɔ). Dɔnɔ geɖe gblɔna be yewokpɔ ŋgɔyiyi ɖedzesi aɖe le vevesese, ʋuʋu kple gbesiagbedɔwo wɔwɔ ƒe ŋutete me—eyata ɖewohĩ mahiã be nàwɔ tɔtrɔ aɖeke le wò kamedede ƒe agbɔsɔsɔme ŋu o.
Nɔnɔmetata Ŋutɔŋutɔ

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Vertebral compression fractures (VCFs) nye nɔnɔme si bɔ, vevietɔ le ame tsitsiwo gome, eye zi geɖe la, edo ƒome kple ƒumeŋuɖui. VCF-dɔdamɔnu siwo wozãna tsã dometɔ aɖewoe nye atikewɔwɔ si me womezãa atike o le, abe vevesesenutsitike kple akɔtaɖonu ene, alo amekoko abe aklã ƒe fuɖeɖe ene. Gake atikewɔmɔnu siawo mate ŋu awɔ dɔ boo o alo ahe kuxi bubuwo vɛ. Kyphoplasty balloon vertebral perforator (KBP) nye atike si mewɔa nu boo aɖeke o, si to vovo na VCF-wo, si trɔ asi le nɔnɔme sia dzi kpɔkpɔ ŋu. Le nyati sia me la, míadzro mɔnu, dzesiwo, viɖewo, kple afɔku siwo do ƒome kple KBP me.
VCF-wo dzɔna ne akɔta ƒe ŋutilã mu le ƒu ƒe wɔwɔme si gbɔdzɔ ta, eye zi geɖe la, ƒumeŋuɖui alo nuveviwɔame gbɔe wòtsona. Akɔta ƒe ŋutilã nye akɔta ƒe titina ƒe akpa, eye ƒu si le lãkusi me si ŋu ƒu si le lãkusi me ƒe ƒuƒoƒo tsɛ aɖe ƒo xlãe ye le eme. Ne akɔta ƒe ŋutilã mu la, ate ŋu ana ame nase veve vevie eye wòazu nuwɔametɔ.
Wofia KBP na VCF siwo le veve sem siwo mete ŋu wɔa nu ɖe wo dzi kpɔkpɔ le mɔ si me kɔ o nu, alo le nɔnɔme siwo me amekoko menye tiatia si sɔ o me. Zi geɖe la, woɖea mɔ ɖe dɔdamɔnua ŋu nyuie eye kuxiwo ƒe afɔku boo aɖeke mele eme o.
KBP bia be woazã balloon catheter sue aɖe si wotsɔ dea akɔta ƒe ŋutilã si mu la me le fluoroscopic ƒe mɔfiame te. Emegbe wodoa ya ɖe ʋuƒoa me be wòagbugbɔ akɔta ƒe ŋutilã ƒe kɔkɔme aɖo eye wòana do aɖe nado. Ne wonya wɔ doa ko la, wodoa ƒu ƒe siminti be wòana akɔta ƒe ŋutilã nali ke eye wòaxe mɔ ɖe eƒe mumu bubu nu.
Viɖe geɖe le KBP ŋu wu atike siwo wozãna tsã na VCF-wo. Gbã la, enye dɔdamɔnu si me womewɔa nu boo aɖeke le o si woate ŋu awɔ le atike si wua alɔ̃dɔdɔ le teƒea me, si ɖea afɔku siwo dona tso atike si naa alɔ̃dɔdɔ ame katã me dzi kpɔtɔna. Evelia, edo ƒome kple kɔdzi nɔnɔ kpuie kple ɣeyiɣi si wòhayana kabakaba ne wotsɔe sɔ kple amekoko si wowɔna tsã. Mlɔeba la, KBP kpɔa dzidzedze geɖe, eye dɔnɔ akpa gãtɔ kpɔa vevesese dzi ɖena kpɔtɔna ŋutɔ eye woƒe dɔwɔwɔ nyona ɖe edzi le dɔa wɔwɔ vɔ megbe.
Abe atikewɔwɔ ɖesiaɖe ene la, afɔku aɖewo kple kuxi siwo ate ŋu ado mo ɖa le KBP me. Esiawo ate ŋu anye dɔlékuiwo xɔxɔ, ʋu ƒe dodo, lãmekawo ƒe gbegblẽ, siminti ƒe sisi, alo lãmeka ƒe gbagbã ƒe gbegblẽ. Gake kuxi siawo ƒe afɔkua le sue ŋutɔ, eye dɔnɔ akpa gãtɔ doa dzi le dɔa wɔwɔ me nyuie.
Le KBP megbe la, zi geɖe la, woléa ŋku ɖe dɔnɔwo ŋu hena ɣeyiɣi kpui aɖe eye zi geɖe la, woate ŋu atrɔ ayi aƒeme gbemagbe ke. Woɖo aɖaŋu na wo be woaƒo asa na nu kpekpewo kɔklɔ kple dɔ sesẽ wɔwɔ kwasiɖa geɖe, gake zi geɖe la, woate ŋu adze gbesiagbedɔ siwo sɔ la gɔme le ŋkeke ʋɛ aɖewo megbe. Woate ŋu akafu ŋutilãmedɔdada hã be wòakpe ɖe ame ŋu le ɖɔɖɔɖo me.
KBP nye ɖoɖo yeye aɖe ŋutɔ, eye numekuku siwo le edzi yim le eŋudɔwɔwɔ kple asitɔtrɔ siwo wòate ŋu awɔ la me dzrom. Le kpɔɖeŋu me, numekuku le edzi yim le ƒumesi si gblẽna le nugbagbeviwo ŋu zazã ŋu, si ate ŋu aɖe kuxi siwo nɔa anyi didi siwo dona tso siminti si wozãna tsã me dzi akpɔtɔ.
Kyphoplasty balloon vertebral perforator nye atike si mewɔa nu boo aɖeke o, si to vovo na VCF siwo le veve sem, si trɔ asi le nɔnɔme sia dzi kpɔkpɔ ŋu. Zi geɖe la, woɖea mɔ ɖe dɔdamɔnua ŋu nyuie eye wòkpɔa dzidzedze geɖe, eye dɔnɔ akpa gãtɔ kpɔa vevesese dzi ɖena kpɔtɔna ŋutɔ eye woƒe dɔwɔwɔ nyona ɖe edzi le dɔa wɔwɔ vɔ megbe. Togbɔ be afɔku aɖewo le dɔdamɔnua me hã la, zi geɖe la, esiawo mesɔ gbɔ o, eye dɔnɔ akpa gãtɔ doa dzi le dɔa wɔwɔ me nyuie. Esi numekuku siwo le edzi yim le KBP zazã kple asitɔtrɔ siwo woate ŋu awɔ la me dzrom la, anɔ eme be ɖoɖo sia ayi edzi anye dɔwɔnu vevi aɖe le VCFwo dzikpɔkpɔ me.
Ðe KBP nye atikewɔmɔnu si sɔ na dɔnɔ siwo katã ŋu VCF lea?
Wofia KBP na VCF siwo le veve sem siwo mete ŋu wɔa nu ɖe wo dzi kpɔkpɔ le mɔ si me kɔ o nu alo le nɔnɔme siwo me amekoko menye tiatia si sɔ o me. Gake menye dɔnɔ siwo katã ŋu VCF le ye nye amesiwo di be yewoaxɔ KBP o, eye ele be woatso nya me be woawɔ dɔa le lãmesẽdɔwɔla aɖe ƒe aɖaŋuɖoɖo me.
Ɣeyiɣi didi kae KBP ƒe ɖoɖoa xɔa?
Zi geɖe la, KBP ƒe dɔwɔwɔ xɔa abe gaƒoƒo ɖeka ene hafi woate ŋu awɔe.
Le dɔa wɔwɔ vɔ megbe teti hafi dɔnɔwo ate ŋu adze dɔ siwo wowɔna ɖaa gɔme?
Zi geɖe la, dɔnɔwo ate ŋu adze gbesiagbedɔ siwo wowɔna ɖaa gɔme le ŋkeke ʋɛ aɖewo megbe le dɔwɔwɔ nɛ vɔ megbe, togbɔ be ele be woaƒo asa na nu kpekpewo kɔklɔ kple dɔ sesẽ wɔwɔ kwasiɖa geɖe hã.
Nukawoe nye kuxi siwo ate ŋu ado ƒome kple KBP?
Kuxi siwo ate ŋu ado ƒome kple KBP ate ŋu anye dɔlékuiwo xɔxɔ, ʋudodo, lãmekawo ƒe gbegblẽ, siminti ƒe sisi, alo lãmekawo ƒe gbagbã ƒe gbegblẽ. Gake zi geɖe la, afɔku si le kuxi siawo me la mebɔ o.
Ðe nugblẽfexeɖoɖoe xea fe na KBPa?
Zi geɖe la, nugblẽfexeɖoɖoe xea KBP, togbɔ be nugblẽfexeɖoɖo ate ŋu ato vovo le dɔnɔa ƒe nugblẽfexeɖoɖo ɖekaɖeka kple nu bubuwo nu hã.
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