Nawo Nangano

Njira zosiyanasiyana zowonjezera zowonjezera zakhala zikugwiritsidwa ntchito bwino pa percutaneous vertebroplasty (PVP) ndi percutaneous kyphoplasty (PKP).

Percutaneous vertebroplasty (PVP)

Percutaneous vertebroplasty (PVP) ndi chithandizo kwa odwala omwe ali ndi chizindikiro chimodzi kapena zingapo za fractures za msana zomwe zimayambitsidwa ndi zotupa za mafupa, osteoporosis kapena kuvulala. Mu PVP, singano ya fupa ya fupa imalowetsedwa mu vertebrae yosweka pansi pa anesthesia wamba mwa wodwalayo; simenti ya fupa yopangidwa ndi polymethylmethacrylate (PMMA) imabayidwa kudzera mu singano, kutsatiridwa ndi mpumulo wachangu wa zizindikiro monga kuvutika kuyenda kapena kupweteka kwa msana. Njira imodzi ya PVP imafuna maola a 2 okha a chithandizo ndi maola a 2 opuma pabedi; zikhoza kuchitidwa kudzera 5-mamilimita khungu incision kwa kuyika aliyense fupa biopsy singano, ali ndi zochitika otsika zochitika kwambiri chokhwima, angathe kuchitidwa popanda wapadera preoperative kukonzekera kapena kwambiri postoperative chisamaliro, ndi contraindications mtheradi yekha ndi matenda osalamulirika ndi magazi tendencies.PVP, monga njira yochepa invasive, ali ndi otsika khalidwe lachidziwitso chachipatala ndi chipatala akhoza kuchiza odwala ndi otsika mlingo wa mankhwala ndi kupita kunyumba. odwala okalamba opitilira zaka 90 ali ndi zotsatira zotsimikizika.

Percutaneous kyphoplasty (PKP)

Percutaneous kyphoplasty (PKP) panopa ndi mankhwala othandiza komanso ogwiritsidwa ntchito kwambiri kwa osteoporotic vertebral compression fractures (OCCF), omwe nthawi zambiri amachitidwa pansi pa anesthesia wamba ndipo amalekerera bwino odwala. Maphunziro oyambirira awonetsa zotsatira zodalirika zachipatala ponena za mpumulo wachangu wa ululu ndi ntchito yabwino, makamaka kwa okalamba. Komabe, pali odwala ambiri omwe sakhutira ndi zotsatira za pambuyo pa opaleshoni. Ponena za odwalawa, amadandaula za kusakhutira kapena kusasintha kwa ululu wawo kapena kupweteka kwambiri, zomwe zingasonyeze kupanikizika kosalekeza kapena kusweka kobwerezabwereza kwa vertebrae yochiritsidwa. Kafukufuku wam'mbuyo adawonetsa kuti intravertebral vacuum clefting (IVC) mu OVCF yoopsa sizochitika zachilendo ndipo imaonedwa kuti ndi chinthu chofunika kwambiri choopsa cha kupweteka kwa msana kosalekeza ndi kugwa kwakukulu kwa msana, zomwe zingakhale chifukwa chachikulu cha zotsatira zosasangalatsa pambuyo pa PKP.

Kodi balloon kyphoplasty ndi chiyani?

Balloon kyphoplasty ndi njira yochepetsera pang'ono yomwe imapangidwira kukonza vertebral compression fractures (VCF) mwa kuchepetsa ndi kukhazikika kwa fractures. Amachiza matenda a vertebral fractures omwe amayamba chifukwa cha osteoporosis, khansa kapena zotupa zabwino.

Momwe Balloon Osteoplasty Imagwirira Ntchito

Kupanga malo a baluni

Dokotala wochita opaleshoni adzapanga njira yopita ku vertebra yosweka pogwiritsa ntchito chida chopanda kanthu. Buluni yaing'ono imatsogoleredwa kupyolera mu chipangizocho kupita ku fupa.

Kuwonjeza buluni

Ikangokhazikika, baluniyo imafufuzidwa pang'onopang'ono kuti ikweze fupa lomwe lagwalo pang'onopang'ono kuti likhale momwemo.

Kuchotsa chibaluni

Pamene fupa liri pamalo oyenera, dokotala wa opaleshoni amatsitsa ndikuchotsa buluni. Izi zimasiya malo opanda kanthu - kapena phokoso - mkati mwa thupi la vertebral.

Kudzaza vertebral void

Pofuna kupewa fupa kuti lisagwerenso, malowa amadzazidwa ndi simenti ya mafupa.

Kupanga mawonekedwe amkati

Akakhazikitsidwa, simentiyo imapanga kuponyedwa mkati mwa thupi la vertebral lomwe limakhazikika fupa. Kuti muteteze mokwanira fupa, ndondomekoyi nthawi zina imachitidwa mbali zonse za thupi la vertebral.

Ubwino waukulu wa balloon kyphoplasty ndi awa:

• Nthawi yocheperako ya opaleshoni; ndondomeko zambiri amatenga pafupifupi theka la ola pa msinkhu wa msana.

  
  

• Njira ya kyphoplasty nthawi zambiri imatha kuchitidwa ndi anesthesia wamba. Komabe, odwala ena, malingana ndi thanzi lawo lonse ndi kuuma kwa fracture ya msana angafunike opaleshoni.

  
  

• Odwala amatha kuyenda ndikubwerera kuntchito zawo zachizolowezi atangomaliza opaleshoni.

  
  

• Kyphoplasty ikhoza kuchitidwa mu ambulatory surgery center (ASC), chipatala, kapena kunja kwa opaleshoni ya msana.

  
  

• Odwala ambiri amatulutsidwa kunyumba tsiku lomwelo monga momwe amachitira kyphoplasty. Odwala ena angafunike kugona m'chipatala usiku wonse malinga ndi zinthu zambiri, monga mavuto azachipatala omwe amakhalapo (mwachitsanzo, kuopsa kwa mtima).

Kutalika kwa Kukhala ndi Kuchira

Dokotala wanu adzakupatsani malangizo enieni a pambuyo pa opaleshoni, koma kawirikawiri, mudzakhala pafupi ola limodzi mu chipinda chothandizira mutatha ndondomekoyi. Kumeneko, namwino amayang'anitsitsa zizindikiro zanu zofunika, zomwe zimaphatikizapo ululu wammbuyo.

Odwala ambiri amatulutsidwa ku ASC kapena chipatala mkati mwa maola 24 kuchokera ku baluni yawo ya kyphoplasty. Pa nthawi ya opaleshoni, dokotala wanu adzakuyesani momwe mukuchira kuti aone ngati muyenera kuchepetsa zochitika zina (mwachitsanzo, kukweza). Odwala ambiri amafotokoza kusintha kwakukulu kwa ululu, kuyenda ndi kuthekera kochita ntchito za tsiku ndi tsiku-kotero kuti simungafunike kusintha kusintha kwa thupi lanu.

Nangano Yotsogola ya Kyphoplasty Balloon: Buku Lokwanira

Kyphoplasty ndi njira yopangira opaleshoni yochepa yomwe imagwiritsidwa ntchito pochiza vertebral compression fractures (VCFs). Njirayi imaphatikizapo kugwiritsa ntchito singano ya kyphoplasty balloon, yomwe imathandizira kwambiri kuti opaleshoniyo achite bwino. Munkhaniyi, tipereka chiwongolero chokwanira cha singano zowongolera za kyphoplasty, kuphatikiza mawonekedwe awo, mawonekedwe, njira, ndi zotsatira zake.

Kodi Singano Yowongolera Balloon ya Kyphoplasty ndi chiyani?

A kyphoplasty balloon guide singano ndi chipangizo chachipatala chomwe chimagwiritsidwa ntchito kupeza thupi la vertebral panthawi ya opaleshoni ya kyphoplasty. Zimapangidwa ndi nsonga yakuthwa, tsinde lopanda kanthu, ndi chogwirira. Nsonga yakuthwa idapangidwa kuti ilowe m'thupi la vertebral, ndipo tsinde lopanda kanthu limagwiritsidwa ntchito kuwongolera baluni ya kyphoplasty pamalo omwe mukufuna. Chogwiririracho chimalola dokotalayo kuti azitha kuyendetsa kayendetsedwe kake ndi kuya kwa singano panthawi ya ndondomekoyi.

Anatomy of a Kyphoplasty Balloon Guide singano

Singano yolozera baluni ya kyphoplasty imakhala ndi zigawo zinayi zazikuluzikulu: nsonga yakuthwa, shaft yotsekeka, chogwirira, ndi likulu. Nsonga yakuthwa nthawi zambiri imapangidwa ndi chitsulo chosapanga dzimbiri ndipo idapangidwa kuti ilowe m'thupi la vertebral. Mtsinje wa dzenjewo umapangidwa ndi pulasitiki kapena chitsulo ndipo umagwiritsidwa ntchito kutsogolera baluni ya kyphoplasty kumalo omwe mukufuna. Chogwiririracho chimapangidwa ndi pulasitiki kapena mphira ndipo chimagwiritsidwa ntchito kuwongolera kuyenda ndi kuya kwa singano panthawiyi. Chipindacho ndi malo olumikizirana pakati pa singano ndi syringe yomwe imagwiritsidwa ntchito kutulutsa baluni ya kyphoplasty.

Zizindikiro za singano ya Kyphoplasty Balloon Guide

Masingano otsogolera a kyphoplasty amagwiritsidwa ntchito pochiza vertebral compression fractures (VCFs). VCFs ndi chikhalidwe chofala chomwe chimayamba chifukwa cha kufooka kwa mafupa kapena kuvulala. Zingayambitse kupweteka kwambiri, kupunduka, ndi kutaya ntchito. Kyphoplasty imasonyezedwa kwa odwala omwe alephera chithandizo chokhazikika kapena amamva kupweteka kwambiri, kupunduka, kapena kutaya ntchito.

Njira zogwiritsira ntchito singano ya Kyphoplasty Balloon Guide

Masingano owongolera ma baluni a kyphoplasty amagwiritsidwa ntchito limodzi ndi baluni ya kyphoplasty ndi simenti ya mafupa. Njirayi imayamba ndikuyika singano mu vertebral thupi motsogozedwa ndi fluoroscopic. Singano ikakhazikika, baluni ya kyphoplasty imatenthedwa, ndikupanga kusowa mkati mwa thupi la vertebral. Simenti ya mafupa imalowetsedwa m'malo opanda kanthu, kukhazikika kwa fracture ndikubwezeretsa kutalika kwa thupi la vertebral.

Zovuta ndi Zotsatira za singano ya Kyphoplasty Balloon Guide

Masingano owongolera ma baluni a kyphoplasty amalumikizidwa ndi zovuta zingapo, kuphatikiza magazi, matenda, kuvulala kwa mitsempha, ndi kutayikira kwa simenti. Komabe, chiwopsezo chonse chazovuta ndi chochepa, ndipo njirayi yasonyezedwa kuti ndi yotetezeka komanso yothandiza pochiza ma VCF. Odwala nthawi zambiri amapeza mpumulo waukulu komanso ntchito yabwino pambuyo pa kyphoplasty.

Mapeto

Masingano owongolera ma baluni a kyphoplasty amagwira ntchito yofunika kwambiri pakuchita bwino kwa opaleshoni ya kyphoplasty. Amagwiritsidwa ntchito kuti afikire thupi la vertebral ndikuwongolera baluni ya kyphoplasty kumalo omwe mukufuna. Kyphoplasty ndi mankhwala otetezeka komanso othandiza kwa ma VCF, okhala ndi zovuta zochepa komanso zotulukapo zabwino kwambiri. Ngati mukudwala VCF, lankhulani ndi dokotala ngati kyphoplasty ingakhale yoyenera kwa inu.