Hiki i nā maʻi iwi kuamoʻo ke hoʻopilikia nui i ka maikaʻi o ke ola o ke kanaka, e hoʻoulu ai i ka ʻeha, ka liʻiliʻi o ka neʻe ʻana, a me nā hōʻailona hoʻonāwaliwali ʻē aʻe. ʻOiai hiki ke hoʻoponopono i kēia mau pilikia, hiki ke hōʻeha ʻia, e hōʻeha nui i ka ʻiʻo, ke kahe koko, a me ka manawa hoʻihoʻi lōʻihi. Me ka hiki ʻana mai o ka liʻiliʻi invasive surgery (MIS), hiki i nā poʻe maʻi ke pōmaikaʻi mai ka noho pōkole ʻana o ka haukapila, hoʻemi ʻia ka ʻeha ma hope o ka hana ʻana, a me ka wikiwiki o ka manawa hoʻōla.
ʻO kekahi o nā mea hoʻomohala maikaʻi loa ma MIS ʻo ia ka percutaneous transforaminal endoscopic discectomy (PTED), e hoʻohana ana i kahi ʻoki liʻiliʻi a me kahi endoscope e kiʻi a wehe i nā disc i poino. ʻO ka PTED access instrument set he hopena hou e hiki ai i nā kauka lapaʻau ke hana i kēia kaʻina hana me ka pololei a me ka pono.
Ma kēia ʻatikala, e kūkākūkā mākou i ka PTED access instrument i hoʻonohonoho pono ʻia, me kāna mau ʻāpana, nā pono, a me nā noi.
I. Introduction to PTED Access Instrument Set
ʻO ka PTED access instrument set he hōʻiliʻili o nā mea hana ʻoki i hoʻolālā ʻia e hoʻomaʻamaʻa i ka ʻenehana PTED. Aia i loko o nā ʻāpana he nui, me ka endoscope, ka lima hana, nā dilators, cannulas, obturators, a me nā mea hana kūikawā ʻē aʻe. Hana pū kēia mau mea hana e hāʻawi i ke kauka i kahi ʻike maopopo o ke kahua o ke kaʻina hana a me ka hiki ke hoʻoneʻe ma o ke kahawai spinal me ka liʻiliʻi o ka pōʻino kino.
II. Nā ʻāpana o ka PTED Access Instrument Set
Aia ka PTED access instrument set i kēia mau ʻāpana:
A. Endoscope
ʻO ka endoscope kahi kiʻi kiʻi liʻiliʻi e hāʻawi i ke kauā me ka ʻike maopopo o ke kahua ʻoki. Hoʻopiliʻia i kahi kumu kukui a hoʻokomoʻia ma o ka lima hana.
B. Lima Hana
ʻO ka lima hana he paipu puka e hāʻawi ana i ke ala no nā mea hana ʻoki. Hoʻokomo ʻia ma o kahi ʻoki liʻiliʻi a alakaʻi ʻia i ke kahua ʻoki.
C. Dilators
ʻO nā dilators nā mea hana cone i hoʻohana ʻia e hoʻonui i ke ala ʻoki. Hoʻokomo ʻia lākou ma o ka lima hana a hoʻonui mālie i ka nui e hiki ai i ke kauka lapaʻau ke hoʻololi i nā mea kani nui.
D. Cannulas
ʻO nā cannulas nā paipu hāmama i hoʻokomo ʻia ma o ka lima hana a me ke ala ākea. Hāʻawi lākou i kahi ala no nā mea hana ʻokiʻoki a hiki ke hoʻoponopono ʻia e kāohi i ke kiʻekiʻe o ka hoʻopau ʻana o ka ʻiʻo.
E. Obturators
ʻO Obturators nā mea hana kūikawā i hoʻohana ʻia no ka mālama ʻana i ke ala ʻoki i ka wā e hoʻololi ai ka mea kani. Hoʻokomo ʻia lākou i loko o nā cannulas a laila wehe ʻia i hiki ke hoʻokomo ʻia ka mea hana hou.
F. Nā mea kani kūikawā ʻē aʻe
Ma waho aʻe o nā ʻāpana i helu ʻia ma luna, ʻo ka PTED access instrument set e loaʻa i nā ʻano mea hana kūikawā, me nā graspers, punches, a me nā ʻokiʻoki, e hiki ai i ke kauka lapaʻau ke hana i nā kaʻina hana pono me ka pololei a me ka pono.
III. Pono o ka PTED Access Instrument Set
Hāʻawi ka PTED access instrument set i nā pono he nui ma mua o ke kaʻina wehe kuʻuna a me nā ʻenehana MIS ʻē aʻe. Aia kēia mau mea:
A. Hoʻopilikia iki
ʻO ka ʻenehana PTED a me ka hoʻonohonoho ʻana o ka mea hana PTED e ʻae i kahi ala hoʻopiʻi liʻiliʻi i ka ʻoki ʻoki ʻana. Hoʻemi kēia ala i ka pōʻino o ka ʻiʻo a loaʻa i ka manawa hoʻōla wikiwiki, ka liʻiliʻi o ka ʻeha ma hope o ka hana ʻana, a me ka noho pōkole o ka haukapila.
B. ʻOi aku ka pololei
ʻO ka hoʻohanaʻana i kahi endoscope a me nā mea hana kūikawā e hiki ai i ke kauka lapaʻau ke hana i nā kaʻina hana kūpono me ka pololei a me ka pololei. He hopena maikaʻi kēia no ka mea maʻi.
C. Manawa Hana Pokole
ʻO ka ʻenehana PTED a me ka hoʻonohonoho ʻana i ka mea hana PTED e hiki ai i ke kauka lapaʻau ke hana i nā kaʻina hana pono me ka ʻoi aku ka maikaʻi, e hopena i nā manawa hana pōkole a hoʻemi ʻia ka pilikia o nā pilikia.
IV. Nā noi o PTED Access Instrument Set
Hoʻohana mua ʻia ka PTED access instrument set i ka mālama ʻana i nā disc herniated, spinal stenosis, a me nā kūlana ʻē aʻe e pono ai ka wehe ʻana i nā ʻiʻo i hōʻino ʻia a i ʻole nā maʻi mai ke kuamoʻo. Hoʻohana ʻia ia i ka mālama ʻana i ka ʻeha ʻeha haʻahaʻa i pane ʻole i nā lāʻau lapaʻau ʻole.
Hiki ke hoʻohana ʻia ka PTED access instrument set i loko o ke kaʻina o ke kuamoʻo a me ka lumbar spine, me ka hāʻawi ʻana i nā kauka lapaʻau me kahi mea hana maʻalahi a maikaʻi no ka nui o nā kaʻina spinal.
V. Manao
ʻO ka PTED access instrument set he hopena hoʻopololei e hiki ai i nā kauka lapaʻau ke hana i nā kaʻina hana spinal invasive liʻiliʻi me ka pololei a me ka pono. Ma ka hoʻohana ʻana i nā mea hana kūikawā a me kahi endoscope, hiki i ke kauka lapaʻau ke hoʻokele i ke kahawai spinal me ka liʻiliʻi o ka hoʻopau ʻana i ka ʻiʻo, ka hopena o ka wikiwiki o ka hoʻihoʻi ʻana, ka liʻiliʻi o ka ʻeha post-operative, a me nā hopena maikaʻi no ka mea maʻi. Ke hoʻomau nei ka ulu ʻana o ke kahua o ka hōʻoki liʻiliʻi invasive, ua mākaukau ka PTED access instrument set e lilo i mea pono no nā kauka spine a puni ka honua.
VI. FAQs
Ua uhi ʻia ka ʻenehana PTED e ka ʻinikua?
Pehea ka lōʻihi o ke ola ʻana ma hope o ke kaʻina hana PTED?
Hoʻololi nā manawa hoʻōla ma muli o ka makahiki o ka mea maʻi, ke olakino, a me ka nui o ke kaʻina hana. Ma keʻano laulā, hiki i nā maʻi ke manaʻo e hoʻi i nā hana maʻamau i loko o kekahi mau pule o ke kaʻina hana.
Aia kekahi mau pilikia e pili ana i ka ʻenehana PTED?
E like me kekahi kaʻina hana, aia nā pilikia e pili ana i ka ʻenehana PTED. Hiki i kēia mau mea ke komo i ke koko, ka maʻi, ka pōʻino o ke aʻalolo, a me nā pilikia ʻē aʻe. Eia nō naʻe, ʻoi aku ka haʻahaʻa o nā pilikia ma mua o ke kaʻina wehe kuʻuna.
Hiki ke hoʻohana ʻia ka ʻenehana PTED no ka mālama ʻana i nā maʻi āpau āpau?
Hoʻohana mua ʻia ka ʻenehana PTED no ka mālama ʻana i nā disc herniated, spinal stenosis, a me nā kūlana ʻē aʻe e koi ai i ka wehe ʻana i nā ʻiʻo i hōʻino ʻia mai ke kahawai spinal. Eia naʻe, ʻaʻole kūpono ia no nā maʻi āpau a i ʻole nā kūlana spinal āpau.
Pehea ka hoʻohālikelike ʻana o ka mea hana PTED me nā ʻano hana ʻokiʻoki liʻiliʻi liʻiliʻi?
Hāʻawi ka PTED access instrument set i nā mea maikaʻi ma mua o nā ʻano hana ʻokiʻoki liʻiliʻi liʻiliʻi, e komo pū ana me ka pololei ʻoi aku ka pololei, nā manawa hana pōkole, a me nā hopena i hoʻomaikaʻi ʻia no ka mea maʻi. Ke lilo koke nei ia i mea hana i makemake ʻia no nā kauka spine a puni ka honua.
