Ra'ayoyi: 0 Mawallafi: Lokacin Buga Editan Yanar Gizo: 2025-09-20 Asalin: Shafin
Vertebroplasty hanya ce mai ƙanƙantar ɓarna da aka ƙera don magance karyewar kashin baya na osteoporotic. Ana amfani da shi da farko ga ƙwanƙwasa thoracic da lumbar, inda ake allurar simintin kashi a cikin rugujewar vertebra don daidaita kashi, rage zafi, da mayar da tsayin kashin baya. Dabarar ta ƙunshi manyan hanyoyi guda biyu: Percutaneous Vertebroplasty (PVP) da Percutaneous Kyphoplasty (PKP).
A cikin PVP, an yi ɗan ƙaramin yanki kusan 2 mm a bayan mara lafiya. Ƙarƙashin jagorancin fluoroscopic, allura na ci gaba da sauri ta hanyar pedile zuwa cikin jikin kashin baya. Sannan ana allurar simintin kashi ta hanyar tashar aiki, da sauri da ƙarfi don daidaita kashin baya da ya karye, hana kara rugujewa, da ba da taimako mai tsoka.
A cikin PKP, bayan isa ga katsewar kashin baya, ana shigar da balloon a hura shi don dawo da wani yanki na tsayin kashin baya da haifar da rami a cikin kashi. Daga nan sai a yi allurar simintin kashi cikin matakai: balan-balan yana tattara kashin da ke kewaye da shi, yana haifar da shinge ga zubar da siminti, yayin da alluran da aka yi da shi na rage karfin allura, wanda ke rage hadarin fitar da siminti sosai.
Dukansu kyphoplasty na balloon (PKP) da na al'ada percutaneous vertebroplasty (PVP) suna ba da sauri, abin dogara, da kuma tasiri mai tasiri na jin zafi, yayin da kuma hana ƙarin matsawa ko rushewar kashin baya. Kwarewar asibiti a kai a kai ta tabbatar da gagarumin tasirin analgesic na farkon su, tare da ƙimar gamsuwar haƙuri gabaɗaya sama da 80%. Lokacin da yazo don maido da tsayin kashin baya da kuma gyara nakasar kyphotic na kashin baya, PKP yana nuna kyakkyawan sakamako idan aka kwatanta da PVP.
Tsarin PVP yawanci yana ɗaukar kusan mintuna 30, kuma yawancin marasa lafiya suna iya tashi daga gado kuma su ci gaba da ayyukan yau da kullun a cikin sa'o'i 24 a ƙarƙashin kariyar takalmin gyaran kafa na lumbar. Wannan haɗakarwa da wuri yana da matuƙar rage haɗarin rikice-rikice masu alaƙa da hutun gado, kamar su ciwon huhu na huhu, gyambon matsa lamba, da thrombosis mai zurfi, yayin da kuma yana sauƙaƙa nauyin kulawar jinya na dogon lokaci. Bugu da ƙari, hawan jini da wuri yana hana asarar kashi wanda ya haifar da rashin motsi na tsawon lokaci, yana karya mummunan yanayin rashin amfani da osteoporosis.
Ƙunƙarar matsawa na kashin baya na osteoporotic yana wakiltar alamar da aka fi sani da vertebroplasty. A cikin marasa lafiya tare da raguwar ƙasusuwan kashi da rashin ƙarfi saboda osteoporosis, ko da ƙananan ayyukan yau da kullum irin su lankwasawa, tari, atishawa, ko ɗagawa na iya haifar da karayar kashin baya, wanda zai haifar da ciwo mai tsanani ko ciwo mai tsanani wanda ke damun yanayin rayuwa. Vertebroplasty yana kawar da zafi sosai, yana haɓaka kwanciyar hankali na kashin baya, kuma yana taimaka wa marasa lafiya su dawo da motsi.
Vertebroplasty kuma ana nuna shi ga ciwace-ciwacen kashin baya, irin su hemangiomas, da kuma cututtukan cututtuka na kashin baya daga cututtukan daji kamar myeloma da yawa, ciwon huhu, kansar nono, ko kansar prostate. Wadannan yanayi sukan haifar da lalata osteolytic, ɓarkewar ƙwayar cuta, da rashin kwanciyar hankali na kashin baya, wanda ke haifar da ciwo mai tsanani ko ma matsawa na jijiyoyi. Vertebroplasty yana ƙarfafa kashin baya, yana rage zafi, kuma yana rage haɗarin ƙarin rikitarwa.
A cikin lokuta da aka zaɓa a hankali, ana iya la'akari da vertebroplasty don wasu ƙananan fashewar fashe ko hematomas na vertebral, muddin yanayin asibiti ya cika takamaiman ka'idojin aminci.