Vertebral perforator .

Wozã mɔnu vovovo siwo wotsɔ ƒoa nu tso nusiwo wotsɔ ƒoa nui ŋu dzidzedzetɔe na percutaneous vertebroplasty (PVP) kple percutaneous kyphoplasty (PKP).

Akɔta ƒe akpa si le lãkusi me (PVP) .

Percutaneous vertebroplasty (PVP) nye atike na dɔnɔ siwo ƒe akɔta ƒe gbagbã ɖeka alo esi wu nenema si ƒe dzesiwo nye ƒumeŋuɖui, ƒumeŋuɖui alo nuveviwɔame hena vɛ. Le PVP me la, wotsɔa ƒumeŋusẽ ƒe aŋe dea akɔtaƒu siwo vuvu la me le atike si naa alɔ̃dɔdɔ le teƒea te le dɔnɔa me; Wodoa ƒu siminti si wotsɔ polymethylmethacrylate (PMMA) wɔe la ɖe eme to aŋea dzi, eye woɖea dzesiwo abe azɔlizɔzɔ sesẽ alo akɔta ƒe vevesese dzi kpɔtɔna enumake . PVP ɖeka ƒe dɔwɔwɔ bia gaƒoƒo 2 ƒe atikewɔwɔ ɣeyiɣi kple gaƒoƒo 2 ƒe abadzivɔ si wowɔ le dɔwɔwɔ vɔ megbe; 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 Dɔnɔ tsitsi siwo xɔ wu ƒe 90 eye kakaɖedzi le wo ŋu.

Kyphoplasty (PKP) si wotsɔna ƒoa ƒu ɖekae .

Fifia la, percutaneous kyphoplasty (PKP) nye atikewɔwɔ nyui aɖe si wozãna le afisiafi na ƒumeŋuɖui ƒe lãkusi ƒe gbagbã (OVCF), si wowɔna zi geɖe le atike si naa alɔ̃dɔdɔ le teƒe ɖeka me eye dɔnɔwo ɖea mɔ ɖe eŋu nyuie. Numekuku gbãtɔwo ɖee fia be dɔdamɔnu me tsonu siwo ŋugbe wodo le vevesese dzi ɖeɖe kpɔtɔ enumake kple dɔwɔwɔ nyuie wu gome, vevietɔ le ame tsitsiwo gome. Gake dɔnɔ siwo ƒe dzi medzɔna ɖe amekoko megbe nusiwo wokpɔ tso eme ŋu o la gakpɔtɔ li. Le dɔnɔ siawo gome la, wotoa nyatoƒoe le woƒe vevesesenutsitike alo vevesese si vɔ̃ɖi wu gɔ̃ hã ƒe tɔtrɔ si medze o alo tɔtrɔ aɖeke mele wo ŋu o ŋu, si ate ŋu afia be woƒe akɔta ƒe akpa aɖewo tete ɖa atraɖii alo woƒe akɔta ƒe akpa aɖewo vuvu enuenu. Numekuku siwo wowɔ va yi ɖee fia be intravertebral vacuum clefting (IVC) le OVCF si nu sẽ me menye nudzɔdzɔ si mebɔ o eye wobunɛ hã be enye afɔku vevi aɖe na akɔta ƒe vevesese si nɔa anyi ɖaa kple akɔta ƒe gbagbã vevie, si ate ŋu anye susu vevitɔ si gbɔ wòtsona be metsi dzimaɖi o le PKP megbe.

Nukae nye balloon kyphoplasty?

Balloon Kyphoplasty nye mɔnu si me wowɔa nu boo aɖeke le o si wowɔ be woatsɔ aɖɔ akɔta ƒe nutete ƒe gbagbã (VCF) ɖo to gbagbãƒewo dzi ɖeɖe kpɔtɔ kple wo ɖoɖo ɖe teƒe bubuwo me. Edaa dɔléle ƒe akɔta ƒe gbagbã siwo tso ƒumeŋuɖui, kansa alo abi siwo me dɔléle aɖeke mele o gbɔ.

Alesi balloon osteoplasty wɔa dɔe .

Teƒe aɖe wɔwɔ na balloon la .

Amekolaa awɔ mɔ aɖe si dzi woato age ɖe akɔtaƒu si vuvu la me to dɔwɔnu si me do le zazã me. Emegbe wofiaa mɔ balloon sue aɖe toa haƒonua me yia ƒu me.

Balɔ̃a ƒe yagbɔgbɔ .

Ne wonya ɖo afisi wòle ko la, wodoa ya ɖe ya me vivivi be wòakɔ ƒu si mu la ɖe dzi blewuu wòayi eƒe nɔnɔme si sɔ me.

Balloon la ɖeɖeɖa .

Ne ƒu la le nɔnɔme nyuitɔ me la, amekolaa ɖea ya le eme eye wòɖea balloon la ɖa. Esia gblẽa teƒe aɖe ɖi—alo do—si le akɔta ƒe ŋutilã me.

Akɔtaƒu ƒe Void la yɔyɔ .

Be ƒu nagagbã ake o la, ƒumeŋuɖui siminti yɔ teƒe si le ƒuƒlu la fũ.

wɔwɔ le ememe ƒe ƒuƒoƒo me .

Ne wonya ɖo siminti la ko la, ewɔa aŋenu ɖe ​​akɔta ƒe ŋutilã me si nana ƒu nɔa te. Be ƒu la nalé ɖe eŋu bliboe la, wowɔa dɔa le akɔta ƒe akpa eveawo ɣeaɖewoɣi.

Viɖe vevi siwo le balloon kyphoplasty ŋu dometɔ aɖewoe nye:

• amekoko ƒe ɣeyiɣi kpui aɖe wu; Zi geɖe la, dɔa wɔwɔ xɔa abe gaƒoƒo afã ene le aklã ƒe ɖoɖo nu.

  
  

• Zi geɖe la, woate ŋu awɔ kyphoplasty ƒe dɔwɔwɔa kple atike si naa alɔ̃dɔdɔ le teƒea. Gake dɔnɔ aɖewo, le woƒe lãmesẽ bliboa kple woƒe sesẽ le aklã ƒe gbagbã(wo) ŋu ate ŋu abia be woawɔ atike na wo le mɔ gbadza nu.

  
  

• Dɔnɔwo te ŋu zɔna hetrɔna ɖe woƒe dɔwɔna siwo wowɔna ɖaa ŋu le amekokoa megbe kpuie.

  
  

• Woate ŋu awɔ kyphoplasty le amekokoƒe si wowɔa dɔ le (ASC), kɔdzi, alo amekoko ƒe dɔwɔƒe si wowɔa dɔ na ame le le kɔdzi.

  
  

• Woɖea asi le dɔnɔ akpa gãtɔ ŋu yia aƒeme gbemagbe ke kple woƒe kyphoplasty dɔdamɔnua. Woate ŋu akafu kɔdzi nɔnɔ le zã ɖeka me na dɔnɔ aɖewo le nu geɖe, abe atikewɔwɔ me kuxi siwo nɔa anyi ɖekae ene (le kpɔɖeŋu me, dzitodzito me dɔlélewo) nu.

Ɣeyiɣi didi si nànɔ anyi kple eƒe hayahaya .

Wò ɖɔkta ana mɔfiame tɔxɛ aɖewo wò le dɔwɔwɔ nɛ vɔ megbe, gake zi geɖe la, àzã abe gaƒoƒo ɖeka ene le xɔ si me wohayana le le dɔa wɔwɔ vɔ megbe. Dɔnɔdzikpɔla aɖe léa ŋku ɖe wò dzesi veviawo ŋu vevie, si me akɔtave hã le.

Woɖea asi le dɔnɔ akpa gãtɔ ŋu le ASC alo kɔdzi le gaƒoƒo 24 me tso esime wowɔ dɔ na dɔnɔ akpa gãtɔ. Le wò amekoko ƒe kplɔkplɔ ɖo me la, wò ɖɔkta akpɔ wò hayahaya ƒe ŋgɔyiyi akpɔ be ele be nàɖo seɖoƒe na dɔ aɖewo wɔwɔ (le kpɔɖeŋu me, kɔklɔ). Dɔnɔ geɖe gblɔ be vevesese, ʋuʋu kple ŋutete si le ye si be yeawɔ gbesiagbedɔwo ƒe ŋgɔyiyi gã aɖe—eyata ɖewohĩ mahiã be nàwɔ asitɔtrɔ aɖeke le wò kamedede ƒe ɖoƒe ŋu o.

Kyphoplasty balloon vertebral perforator: a breakthrough treatment for vertebral compression fractures

Kpɔkplɔyiɖeme

Akɔta ƒe akpa si nye vertebral compression fractures (VCFs) nye dɔléle si bɔ, vevietɔ le ame tsitsiwo gome, eye zi geɖe la, wodo ƒome kple ƒumeŋuɖui. VCFwo ƒe atikewɔwɔ siwo wozãna tsã dometɔ aɖewoe nye dɔdzikpɔkpɔ si me womezãa atikewo le o, abe vevesesenutsitikewo kple atikewo zazã ene, alo amekoko ƒe nuwɔna abe aklã ƒe fuɖeɖe ene. Gake atikewɔwɔ siawo ate ŋu awɔ dɔ ɖe ame dzi vie alo ahe kuxi bubuwo vɛ. Kyphoplasty balloon vertebral perforator (KBP) nye atikewɔwɔ si me wowɔa nu boo aɖeke le o, si me wotoa mɔ̃ɖaŋununya me le na VCF siwo 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.

VCFwo ƒe wɔwɔme kple woƒe dɔwɔwɔ .

VCFwo dzɔna ne ƒumeŋuɖui ƒe ŋutilã mu le ƒu ƒe wɔwɔme si gbɔdzɔ ta, si zi geɖe tso ƒumeŋuɖui alo nuveviwɔame gbɔ. Akɔta ƒe ŋutilãe nye akɔta ƒe akpa si le titina, eye ƒu si te fli ɖe eme si wotsɔ ƒu ƒe ƒuƒoƒo sue aɖe ƒo xlãe lae le eme. Ne akɔta ƒe akpa si le akɔta la mu la, ate ŋu ana wòase veve ŋutɔ eye wòanye nuwɔametɔ.

Fiafiawo na kyphoplasty balloon vertebral perforator .

Woɖe KBP fia hena VCF siwo me vevesese le dada si mete ŋu wɔ nu ɖe ​​dɔdzikpɔkpɔ si me womezãa atikewo le o ŋu, alo le nɔnɔme siwo me amekoko menye tiatia si sɔ o me. Zi geɖe la, woɖea mɔ ɖe dɔa ŋu nyuie eye afɔku boo aɖeke mele eme be kuxiwo nado mo ɖa o.

Kyphoplasty balloon vertebral perforator ƒe dɔwɔwɔ .

KBP bia be woazã balloon catheter sue aɖe si wotsɔ de akɔta ƒe ŋutilã si mu la me le fluoroscopic mɔfianu me. Emegbe wodoa ya ɖe balloon la me be wòana akɔta ƒe ŋutilã ƒe kɔkɔme nagaɖo eŋu eye wòana do nado. Ne wonya wɔ doa ko la, wodoa ƒu siminti ɖe eme be wòana akɔta ƒe akpa si le akɔta la nali ke eye wòaxe mɔ ɖe eƒe mumu nu.

Viɖe siwo le kyphoplasty balloon vertebral perforator ŋu .

Viɖe geɖe le KBP ŋu wu atikewɔmɔnu siwo wozãna tsã na VCF-wo. Gbã la, enye dɔdamɔnu si me wowɔa nu boo aɖeke le o si woate ŋu awɔ le atike si naa alɔ̃dɔdɔ ame le teƒea te, si ɖea afɔku siwo dona tso alɔ̃dɔdɔ si wowɔna na amewo katã me dzi kpɔtɔna. Evelia, edo ƒome kple kɔdzi nɔnɔ kpuie wu kple ɣeyiɣi si woatsɔ ahaya kaba wu ne wotsɔe sɔ kple amekoko si wowɔna tsã. Mlɔeba la, KBP kpɔa dzidzedze geɖe, eye dɔnɔ akpa gãtɔ toa vevesese dzi ɖeɖe kpɔtɔ ŋutɔ me eye wowɔa dɔ nyuie wu le dɔdamɔnua megbe.

Kyphoplasty balloon vertebral perforator ƒe afɔkuwo kple kuxiwo .

Abe atikewɔwɔ ƒe ɖoɖo 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 gbagbãƒea ƒe gbegblẽ. Gake afɔku si le kuxi siawo me la le sue ŋutɔ, eye dɔnɔ akpa gãtɔ ɖea mɔ ɖe dɔa ŋu nyuie.

beléle na ame le dɔwɔwɔ vɔ megbe kple eƒe nɔnɔme gbugbɔgawɔ .

Le KBP megbe la, zi geɖe la, woléa ŋku ɖe dɔnɔwo ŋu hena ɣeyiɣi kpui aɖe eye zi geɖe la, woate ŋu atrɔ ayi aƒe le ŋkeke ma ke dzi. Woɖo aɖaŋu na wo be woaƒo asa na nu kpekpewo kɔklɔ kple dɔ sesẽ wɔwɔ kwasiɖa geɖe, gake zi geɖe la, woate ŋu agbugbɔ adze gbesiagbedɔ siwo sɔ gɔme le ŋkeke ʋɛ aɖewo megbe. Woate ŋu akafu ŋutilãmedɔdamɔnu hã be wòakpe ɖe ame ŋu le gbugbɔgaɖɔɖo me.

Etsɔme Mɔfiamewo na Kyphoplasty Balloon Vertebral Perforator .

KBP nye ɖoɖo yeye aɖe, eye numekuku siwo le edzi yim le eƒe dɔ siwo woate ŋu awɔ kple esiwo ŋu wotrɔ asi le la me dzrom. Le kpɔɖeŋu me, wole numekuku wɔm tso ƒu ƒe siminti si gblẽa nu le nugbagbeviwo ŋu zazã ŋu, si ate ŋu aɖe kuxi siwo nɔa anyi didi siwo do ƒome kple siminti si wozãna tsã la ƒe afɔkua dzi akpɔtɔ.

Nyanuwuwuw

Kyphoplasty balloon vertebral perforator nye atike si me womezãa nu boo aɖeke le o, si me woɖea mɔ ɖe VCF siwo me vevesese le ŋu si trɔ asi le nɔnɔme sia dzi kpɔkpɔ ŋu. Zi geɖe la, woɖea mɔ ɖe dɔa ŋu nyuie eye wòkpɔa dzidzedze geɖe, eye dɔnɔ akpa gãtɔ ƒe vevesese dzi ɖena kpɔtɔna ŋutɔ eye woƒe dɔwɔwɔ nyona ɖe edzi le dɔdamɔnua megbe. Togbɔ be afɔku aɖewo li siwo do ƒome kple dɔdamɔnua hã la, zi geɖe la, esiawo le sue,eye dɔnɔ akpa gãtɔ doa dzi le dɔdamɔnua me nyuie. Abe alesi numekuku siwo le edzi yim le KBP ƒe dɔwɔwɔ kple asitɔtrɔ siwo ate ŋu adzɔ me kum ene la, anɔ eme be ɖoɖo sia ayi edzi anye dɔwɔnu vevi aɖe le VCFwo dzi kpɔkpɔ me.

Nya siwo wobiaa amewo .

1. Ðe KBP nye atikewɔwɔ ƒe mɔnu si sɔ na dɔnɔ siwo katã ŋu VCFwo lea?

Woɖe KBP fia hena VCF siwo le veve sem siwo mete ŋu wɔ nu ɖe ​​dɔdzikpɔkpɔ si me womezãa atikewo le o ŋu alo le nɔnɔme siwo me amekoko menye tiatia si sɔ o me. Ke hã, menye dɔnɔ siwo katã ŋu VCF le lae nye ame siwo di be yewoaxɔ KBP o, eye ele be woatso nya me be woawɔ dɔa le lãmesẽdɔwɔla aɖe ƒe aɖaŋuɖoɖo me.

1. Ɣeyiɣi didi kae KBP ƒe dɔdamɔnua xɔna?

Zi geɖe la, KBP ƒe ɖoɖoa xɔa abe gaƒoƒo ɖeka ene hafi wowɔa dɔ.

1. Ɣeyiɣi didi kae dɔnɔwo ate ŋu agbugbɔ adze dɔ siwo sɔ la gɔme kpuie?

Zi geɖe la, dɔnɔwo ate ŋu agbugbɔ adze gbesiagbedɔ siwo sɔ gɔme le ŋkeke ʋɛ aɖewo megbe le dɔdamɔnua megbe, togbɔ be ele be woaƒo asa na tsi kɔkɔ kple dɔ sesẽ wɔwɔ kwasiɖa geɖe hã.

1. Nukae nye kuxi siwo ate ŋu ado tso KBP me?

Kuxi siwo ate ŋu ado tso KBP me ate ŋu anye dɔlékuiwo xɔxɔ, ʋu ƒe dodo, lãmekawo ƒe gbegblẽ, siminti ƒe sisi, alo gbagbãƒea ƒe gbegblẽ. Gake zi geɖe la, afɔku si le kuxi siawo me la medea ame dzi o.

1. Ðe nugblẽfexeɖoɖoa xea fe ɖe KBP ta?

Zi geɖe la, nugblẽfexeɖoɖoe xea fe na KBP, togbɔ be nugblẽfexeɖoɖo ate ŋu ato vovo le dɔnɔa ƒe nugblẽfexeɖoɖo ɖekaɖeka kple nu bubuwo nu hã.