Perforator na Vertebral (tushen ruwan wukake 3)

An yi nasarar amfani da hanyoyi daban-daban na huda-baki don maganin ƙwanƙwasa ƙwanƙwasa (PVP) da kyphoplasty na percutaneous (PKP).

Percutaneous vertebroplasty (PVP)

Percutaneous vertebroplasty (PVP) magani ne ga marasa lafiya da guda ɗaya ko fiye da alamun kasusuwa na kashin baya da ke haifar da ciwace-ciwacen ƙashi, osteoporosis ko rauni. A cikin PVP, an saka allurar biopsy na kashi a cikin kashin baya da aka karye a karkashin maganin sa barci a cikin mai haƙuri; an yi allurar kashi simintin da aka yi da polymethylmethacrylate (PMMA) ta allura, sannan kuma nan da nan taimako na bayyanar cututtuka kamar wahalar tafiya ko ƙananan ciwon baya. Hanya guda ɗaya ta PVP tana buƙatar kawai sa'o'i 2 na lokacin magani da 2 hours na hutun gado bayan tiyata; ana iya yin shi ta hanyar incision na fata na 5-mm don shigar da kowane allurar biopsy na kashi, yana da ƙananan abubuwan da suka faru na mummunan haɗari, ana iya yin su ba tare da shirye-shiryen preoperative na musamman ko kulawar gaggawa ba, kuma kawai cikakken contraindications shine kamuwa da cuta da ba za a iya sarrafa su ba. Shekaru 90 tare da tabbataccen sakamako.

Percutaneous kyphoplasty (PKP)

Percutaneous kyphoplasty (PKP) a halin yanzu magani ne mai inganci kuma ana amfani dashi sosai don karyewar kasusuwa na kashin baya (OVCF), wanda galibi ana yin shi a ƙarƙashin maganin sa barcin gida kuma marasa lafiya suna jurewa da kyau. Nazarin farko ya nuna sakamako mai ban sha'awa na asibiti game da jin zafi na gaggawa da kuma ingantaccen aiki, musamman a cikin tsofaffi. Duk da haka, har yanzu akwai adadi mai yawa na marasa lafiya waɗanda ba su gamsu da sakamakon bayan tiyata ba. Dangane da waɗannan marasa lafiya, suna kokawa game da rashin gamsuwa ko canji a cikin jin daɗin jin daɗin su ko ma zafi mafi muni, wanda zai iya nuna matsi na ci gaba ko raguwa a cikin kashin baya da aka bi da su. Nazarin da ya gabata ya nuna cewa intravertebral vacuum clefting (IVC) a cikin m OVCF ba wani sabon abu ba ne kuma ana la'akari da shi wani muhimmin abu mai mahimmanci don ciwon baya mai tsanani da rushewar vertebral mai tsanani, wanda zai iya zama babban dalilin rashin jin dadi bayan PKP.

Menene kyphoplasty na balloon?

Balloon kyphoplasty hanya ce mai ƙaranci da aka tsara don gyara ɓarnawar ƙwanƙwasa vertebral (VCF) ta hanyar ragewa da daidaita karaya. Yana maganin karayar kashin baya da ke haifar da osteoporosis, ciwon daji ko raunuka mara kyau.

Yadda Balon Osteoplasty ke Aiki

Ƙirƙirar sarari don balloon

Likitan fiɗa zai yi hanyar shiga cikin karyewar kashin baya ta amfani da kayan aiki mara ƙarfi. Ana jagorantar ƙaramin balloon ta cikin kayan aiki zuwa cikin kashi.

Buga balloon

Da zarar an samu matsayi, ana hura balloon a hankali don ɗaga ƙashin da ya ruɗe a hankali zuwa matsayinsa na yau da kullun.

Cire balloon

Lokacin da kashi ya kasance a daidai matsayi, likitan fiɗa ya cire balloon. Wannan yana barin bayan wani fanko-ko rami-a cikin jikin kashin baya.

Cike ɓarna na kashin baya

Don hana kashi daga sake rushewa, ɓoyayyen yana cike da siminti na orthopedic.

Samar da simintin gyare-gyare na ciki

Da zarar an saita, simintin yana samar da simintin simintin gyare-gyare a cikin jikin kashin baya wanda ke daidaita kashi. Don tabbatar da cikakken kashin, ana yin aikin a wasu lokuta a bangarorin biyu na jikin kashin baya.

Babban fa'idodin kyphoplasty na balloon sun haɗa da:

• Wani ɗan gajeren lokacin tiyata; Hanyar yawanci tana ɗaukar kusan rabin sa'a kowace matakin kashin baya.

  
  

• Ana iya yin aikin kyphoplasty sau da yawa tare da maganin sa barci na gida. Koyaya, wasu marasa lafiya, dangane da lafiyarsu gabaɗaya da tsananin karaya (s) na kashin baya na iya buƙatar maganin sa barci gabaɗaya.

  
  

• Marasa lafiya suna iya tafiya da komawa ayyukansu na yau da kullun bayan tiyata.

  
  

• Ana iya yin kyphoplasty a cikin cibiyar tiyata na gaggawa (ASC), asibiti, ko cibiyar tiyatar kashin baya.

  
  

• Yawancin marasa lafiya ana sallame su gida a rana ɗaya da tsarin aikin kyphoplasty. Ana iya ba da shawarar zaman asibiti na dare ga wasu marasa lafiya dangane da abubuwa da yawa, kamar matsalolin kiwon lafiya tare (misali, haɗarin cututtukan zuciya).

Tsawon Tsayawa da Farfaɗowa

Likitan ku zai ba ku takamaiman umarnin bayan tiyata, amma gabaɗaya, za ku yi kusan awa ɗaya a cikin dakin farfadowa bayan aikin. A can, ma'aikacin jinya yana lura da mahimmancin alamun ku, wanda ya haɗa da ciwon baya.

Yawancin marasa lafiya ana sallama daga ASC ko asibiti a cikin sa'o'i 24 na aikin kyphoplasty na balloon. A alƙawarin bin aikin tiyata, likitanku zai tantance ci gaban warkewar ku don sanin ko yakamata ku iyakance wasu ayyuka (misali, dagawa). Yawancin marasa lafiya suna ba da rahoton ci gaba mai mahimmanci a cikin ciwo, motsi da kuma ikon yin ayyukan yau da kullum-don haka ƙila ba za ku buƙaci yin wani gyare-gyare ga matakin aikin ku na jiki ba.

Kyphoplasty Balloon Vertebral Perforator: Nasarar Jiyya don Karyewar Matsi na Vertebral

Gabatarwa

Kamuwa da cuta ta vertebral (VCFs) yanayi ne na kowa, musamman a cikin tsofaffi, kuma galibi ana danganta su da osteoporosis. Jiyya na al'ada don VCF sun haɗa da kulawar ra'ayin mazan jiya, kamar maganin jin zafi da takalmin gyaran kafa, ko aikin tiyata kamar haɗakar kashin baya. Koyaya, waɗannan jiyya na iya samun ƙayyadaddun inganci ko haifar da wasu matsaloli. Kyphoplasty balloon vertebral perforator (KBP) wani ɗan cin zali ne, jiyya na nasara ga VCFs wanda ya kawo sauyi ga sarrafa wannan yanayin. A cikin wannan labarin, za mu bincika tsarin, alamomi, fa'idodi, da haɗarin da ke tattare da KBP.

Anatomy da Mechanism na VCFs

VCFs suna faruwa lokacin da jikin kashin baya ya rushe saboda raunin tsarin kashi, sau da yawa yakan haifar da osteoporosis ko rauni. Jikin kashin baya shine tsakiyar sashin kashin baya, kuma yana kunshe da kasusuwan da aka soke wanda ke kewaye da siraran kashin cortical. Lokacin da jikin kashin baya ya rushe, zai iya haifar da ciwo mai tsanani da nakasa.

Alamun Kyphoplasty Balloon Vertebral Perforator

Ana nuna KBP don kula da VCFs masu raɗaɗi waɗanda suka kasa amsawa ga kulawar ra'ayin mazan jiya, ko kuma a lokuta da tiyata ba zaɓin da ya dace ba. Tsarin gabaɗaya yana da jurewa da kyau kuma yana da ƙarancin haɗarin rikitarwa.

Tsarin kyphoplasty Balloon Vertebral Perforator

KBP ya ƙunshi yin amfani da ƙaramin catheter na balloon wanda aka saka a cikin jikin kashin baya da ya ruguje ƙarƙashin jagorancin fluoroscopic. Sannan ana hura balloon don dawo da tsayin jikin kashin baya da haifar da rami. Da zarar an halicci rami, ana allurar simintin kashi don daidaita jikin kashin baya da kuma hana kara rugujewa.

Amfanin Kyphoplasty Balloon Vertebral Perforator

KBP yana da fa'idodi da yawa akan jiyya na gargajiya don VCFs. Da fari dai, hanya ce mai ƙaranci da za a iya yi a ƙarƙashin maganin sa barcin gida, rage haɗarin da ke tattare da maganin sa barci. Abu na biyu, yana da alaƙa da ɗan gajeren zaman asibiti da saurin dawowa idan aka kwatanta da tiyata na gargajiya. A ƙarshe, KBP yana da babban nasara mai nasara, tare da mafi yawan marasa lafiya suna fama da ciwo mai tsanani da kuma ingantaccen aiki bayan hanya.

Hatsari da Matsalolin Kyphoplasty Balloon Vertebral Perforator

Kamar kowane tsarin likita, KBP yana ɗaukar wasu haɗari da rikitarwa masu yuwuwa. Waɗannan na iya haɗawa da kamuwa da cuta, zub da jini, lalacewar jijiya, zubar siminti, ko ƙara tabarbarewa. Duk da haka, haɗarin waɗannan matsalolin yana da ƙananan ƙananan, kuma yawancin marasa lafiya suna jure wa hanya da kyau.

Kulawa da Gyaran Bayan Tsari

Bayan KBP, yawanci ana kula da marasa lafiya na ɗan gajeren lokaci kuma yawanci suna iya komawa gida a rana ɗaya. An shawarce su da su guji ɗagawa mai nauyi da aiki mai ƙarfi na makonni da yawa, amma yawanci suna iya ci gaba da ayyukan yau da kullun na yau da kullun cikin ƴan kwanaki. Hakanan ana iya ba da shawarar maganin jiyya don taimakawa tare da gyarawa.

Jagoran gaba na Kyphoplasty Balloon Vertebral Perforator

KBP sabon tsari ne, kuma bincike mai gudana yana bincika yuwuwar aikace-aikacensa da gyare-gyare. Misali, ana ci gaba da gudanar da bincike kan amfani da siminti na kasusuwa, wanda zai iya rage hadarin dadewa da ke tattare da siminti na gargajiya.

Kammalawa

Kyphoplasty balloon vertebral perforator wani ɗan cin zali ne, ingantaccen magani ga VCF masu raɗaɗi wanda ya kawo sauyi game da sarrafa wannan yanayin. Tsarin yana da jurewa da kyau kuma yana da babban nasara mai nasara, tare da yawancin marasa lafiya suna fama da ciwo mai tsanani da kuma ingantaccen aiki bayan hanya. Duk da yake akwai wasu haɗari da ke tattare da hanya, waɗannan suna da ƙananan ƙananan, kuma yawancin marasa lafiya suna jure wa hanya da kyau. Kamar yadda bincike mai gudana yana bincika yiwuwar aikace-aikace da gyare-gyare na KBP, wannan hanya na iya ci gaba da zama kayan aiki mai mahimmanci a cikin kula da VCFs.

FAQs

1. Shin KBP shine zaɓin magani mai dacewa ga duk marasa lafiya tare da VCFs?

Ana nuna KBP don kula da VCFs masu raɗaɗi waɗanda suka kasa amsawa ga kulawar ra'ayin mazan jiya ko kuma a lokuta da tiyata ba zaɓin da ya dace ba. Duk da haka, ba duk marasa lafiya da VCF ba ne 'yan takara na KBP, kuma yanke shawarar yin aikin ya kamata a yi tare da shawarwari tare da mai ba da lafiya.

1. Yaya tsawon lokacin aikin KBP zai ɗauka?

Tsarin KBP yakan ɗauki kusan awa ɗaya don yin aiki.

1. Yaya da sannu bayan hanya za a iya ci gaba da ayyukan al'ada?

Marasa lafiya yawanci suna iya ci gaba da ayyukan yau da kullun na yau da kullun a cikin 'yan kwanaki bayan aikin, kodayake ya kamata a guji ɗagawa mai nauyi da aiki mai wahala na makonni da yawa.

1. Wadanne matsaloli masu yuwuwa ke da alaƙa da KBP?

Matsaloli masu yuwuwa masu alaƙa da KBP na iya haɗawa da kamuwa da cuta, zubar jini, lalacewar jijiya, ɗigon siminti, ko ƙara muni. Koyaya, haɗarin waɗannan rikitarwa gabaɗaya yayi ƙasa.

1. Shin inshora yana rufe KBP?

KBP yawanci ana rufe shi da inshora, kodayake ɗaukar hoto na iya bambanta dangane da tsarin inshora na majiyyaci da sauran dalilai.