Nlele: 0 Odee: Saịtị Editọ Oge mbipụta: 2025-09-20 Mmalite: Saịtị
Vertebroplasty bụ usoro mkpasu iwe dị ntakịrị emebere iji gwọọ mgbaji mgbaji vertebral osteoporotic. A na-etinyekarị ya na mgbaji thoracic na lumbar, ebe a na-agbanye ciment ọkpụkpụ n'ime vertebra nke dara ada iji mee ka ọkpụkpụ sie ike, wepụ ihe mgbu, ma weghachite elu vertebral. Usoro a gụnyere ụzọ abụọ bụ isi: Percutaneous Vertebroplasty (PVP) na Percutaneous Kyphoplasty (PKP).
Na PVP, a na-eme obere mbepụ ihe dịka 2 mm n'azụ onye ọrịa. N'okpuru nduzi fluoroscopic, agịga na-aga n'ihu site na pedicle n'ime ahụ vertebral. A na-agbazi ciment ọkpụkpụ site na ọwa na-arụ ọrụ, na-agbasi ike ngwa ngwa iji mee ka vertebra gbajiri agbaji, gbochie ịdaba ọzọ, ma nyekwa enyemaka mgbu dị ukwuu.
Na PKP, mgbe ị nwetasịrị vertebra gbajiri agbaji, a na-etinye balloon wee kpoo ya iji weghachi akụkụ nke elu vertebral wee mepụta oghere n'ime ọkpụkpụ. A na-agbazi simenti ọkpụkpụ n'ọkwa nkebi: balloon na-ejikọta ọkpụkpụ ịkagbu nke gbara ya gburugburu, na-emepụta ihe mgbochi megide ntapu simenti, ebe ntụtụ a na-edozi ahụ na-ebelata nrụgide injection, na-ebelata ihe ize ndụ nke mmepụta ciment.
Ma balloon kyphoplasty (PKP) na omenala percutaneous vertebroplasty (PVP) na-enye enyemaka mgbu ngwa ngwa, ntụkwasị obi na nke ukwuu, ebe ọ na-egbochikwa mkpakọ ọzọ ma ọ bụ ọdịda nke vertebrae gbajiri agbaji. Ahụmahụ ụlọ ọgwụ ekwenyela mgbe niile mmetụta analgesic mbụ ha dị ịrịba ama, yana ọnụ ọgụgụ afọ ojuju ndị ọrịa n'ozuzu ya karịrị 80%. Mgbe a bịara n'iweghachi elu vertebral na mezie nrụrụ kyphotic spinal, PKP na-egosipụta nsonaazụ dị elu ma e jiri ya tụnyere PVP.
Usoro PVP na-ewekarị ihe dị ka nkeji iri atọ, ọtụtụ ndị ọrịa na-enwekwa ike ibili n'àkwà ma maliteghachi ihe omume nkịtị n'ime awa 24 n'okpuru nchebe nkwado lumbar. Nchịkọta mbụ a na-ebelata nke ọma ihe ize ndụ nke nsogbu izu ike akwa akwa, dị ka oyi baa hypostatic, ọnya nrụgide, na thrombosis miri emi, ma na-ebelata ibu nke nlekọta nọọsụ ogologo oge. Ọzọkwa, mgbakasị ahụ n'oge na-egbochi ọkpụkpụ ọkpụkpụ nke ọ na-akpata ogologo oge na-enweghị ike imegharị ahụ, na-emebi usoro ọjọọ nke osteoporosis.
Mgbaji mgbaji vertebral osteoporotic na-anọchite anya ihe na-egosikarị maka vertebroplasty. N'ime ndị ọrịa nwere njupụta nke ọkpụkpụ na adịghị ike n'ihi osteoporosis, ọbụna obere ihe omume kwa ụbọchị dị ka ịgbagọ, ụkwara, uzere, ma ọ bụ ibuli elu nwere ike ime ka ọkpụkpụ vertebral, na-eduga na mgbu na-adịgide adịgide ma ọ bụ nke siri ike nke na-emebi ndụ ndụ. Vertebroplasty na-ebelata ihe mgbu nke ọma, na-eme ka ọ kwụsie ike n'ọkpụkpụ azụ, ma na-enyere ndị ọrịa aka ịmaliteghachi mmegharị ahụ.
A na-egosikwa vertebroplasty maka etuto vertebral na-adịghị mma, dị ka hemangiomas, yana metastases spinal na-adịghị mma sitere na ọrịa cancer dị ka multiple myeloma, cancer akpa ume, ọrịa ara ara, ma ọ bụ prostate cancer. Ọnọdụ ndị a na-ebutekarị mbibi osteolytic, mgbaji ọkpụkpụ, na nkwụghachi azụ azụ, na-ebute oke mgbu ma ọ bụ ọbụna mkpakọ akwara. Vertebroplasty na-ewusi vertebrae ike, na-ebelata ihe mgbu, ma na-ebelata ihe ize ndụ nke nsogbu ndị ọzọ.
N'ọnọdụ ndị ahọpụtara nke ọma, a pụkwara ịtụle vertebroplasty maka ụfọdụ nnukwu mgbawa mgbawa ma ọ bụ hematomas vertebral, ma ọ bụrụhaala na ọnọdụ ụlọ ọgwụ na-ezute kpọmkwem ihe nchekwa.
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