Vertebral Perforator (nsonga za masamba 3)

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.

Kyphoplasty Balloon Vertebral Perforator: Chithandizo Chachikulu Chakuphwanyidwa Kwa Vertebral Compression Fractures

Mawu Oyamba

Vertebral compression fractures (VCFs) ndizochitika zofala, makamaka kwa okalamba, ndipo nthawi zambiri zimagwirizanitsidwa ndi osteoporosis. Thandizo lachikhalidwe la ma VCFs limaphatikizapo kasamalidwe kokhazikika, monga mankhwala opweteka ndi kulimbitsa, kapena kuchitapo opaleshoni monga kuphatikizika kwa msana. Komabe, mankhwalawa amatha kukhala ndi mphamvu zochepa kapena angayambitse zovuta zina. Kyphoplasty balloon vertebral perforator (KBP) ndi njira yochepetsera pang'ono, yopambana kwa VCFs yomwe yasintha kasamalidwe ka matendawa. M'nkhaniyi, tiwona makina, zisonyezo, zopindulitsa, ndi zoopsa zomwe zimakhudzana ndi KBP.

Anatomy ndi Mechanism ya VCFs

VCFs zimachitika pamene vertebral thupi kugwa chifukwa chofooka fupa dongosolo, nthawi zambiri chifukwa cha kufooka kwa mafupa kapena zoopsa. Thupi la vertebral ndilo gawo lapakati la vertebra, ndipo limapangidwa ndi fupa losungunuka lozunguliridwa ndi fupa laling'ono la cortical. Pamene thupi la vertebral likugwa, lingayambitse kupweteka kwakukulu ndi kulemala.

Zizindikiro za Kyphoplasty Balloon Vertebral Perforator

KBP imasonyezedwa pochiza ma VCF opweteka omwe alephera kuyankha ku kasamalidwe kokhazikika, kapena ngati opaleshoni si njira yabwino. Njirayi nthawi zambiri imaloledwa bwino ndipo imakhala ndi chiopsezo chochepa cha zovuta.

Njira ya Kyphoplasty Balloon Vertebral Perforator Procedure

KBP imaphatikizapo kugwiritsa ntchito katheta kakang'ono ka baluni kamene kamalowetsedwa m'thupi la vertebral lomwe lagwa pansi pa chitsogozo cha fluoroscopic. Buluniyo imawonjezedwa kuti ibwezeretse kutalika kwa fupa la msana ndikupanga chibowo. Mphunoyo ikapangidwa, simenti ya mafupa imayikidwa kuti ikhazikitse thupi la vertebral ndikuletsa kugwa kwina.

Ubwino wa Kyphoplasty Balloon Vertebral Perforator

KBP ili ndi maubwino angapo kuposa machiritso achikhalidwe a ma VCF. Choyamba, ndi njira yochepetsera pang'ono yomwe ingathe kuchitidwa pansi pa anesthesia wamba, kuchepetsa kuopsa kwa anesthesia wamba. Kachiwiri, zimagwirizanitsidwa ndi kukhala m'chipatala kwakanthawi kochepa komanso nthawi yochira msanga poyerekeza ndi opaleshoni yachikhalidwe. Potsirizira pake, KBP ili ndi chiwopsezo chachikulu, ndipo odwala ambiri amamva kupweteka kwakukulu ndi ntchito yabwino potsatira ndondomekoyi.

Zowopsa ndi Zovuta za Kyphoplasty Balloon Vertebral Perforator

Monga njira iliyonse yachipatala, KBP ili ndi zoopsa zina komanso zovuta zomwe zingachitike. Izi zingaphatikizepo matenda, kutuluka magazi, kuwonongeka kwa mitsempha, kutuluka kwa simenti, kapena kuwonjezereka kwa fracture. Komabe, chiopsezo cha zovutazi ndi chochepa, ndipo odwala ambiri amalekerera njirayi bwino.

Kusamalira Pambuyo pa Ndondomeko ndi Kukonzanso

Pambuyo pa KBP, odwala nthawi zambiri amawayang'anira kwakanthawi kochepa ndipo amatha kubwerera kwawo tsiku lomwelo. Amalangizidwa kuti apewe kunyamula katundu wolemetsa ndi ntchito zolemetsa kwa milungu ingapo, koma amatha kuyambiranso zochitika zatsiku ndi tsiku m'masiku ochepa. Thandizo lakuthupi lingalimbikitsidwenso kuti lithandizire kukonzanso.

Malangizo Amtsogolo a Kyphoplasty Balloon Vertebral Perforator

KBP ndi njira yatsopano, ndipo kafukufuku wopitilira akuwunika momwe angagwiritsire ntchito ndi kukonzanso. Mwachitsanzo, pali kafukufuku wopitilira pakugwiritsa ntchito simenti ya mafupa yomwe imatha kuwonongeka, zomwe zingachepetse kuopsa kwa zovuta zanthawi yayitali zomwe zimagwirizanitsidwa ndi simenti yachikhalidwe.

Mapeto

Kyphoplasty balloon vertebral perforator ndi njira yochepetsera pang'ono, yothandizira ma VCF opweteka omwe asintha kasamalidwe ka matendawa. Njirayi nthawi zambiri imaloledwa bwino ndipo imakhala yopambana kwambiri, ndipo odwala ambiri amamva kupweteka kwakukulu komanso ntchito yabwino potsatira ndondomekoyi. Ngakhale pali zoopsa zina zomwe zimachitika ndi ndondomekoyi, izi nthawi zambiri zimakhala zochepa, ndipo odwala ambiri amalekerera njirayi bwino. Pamene kafukufuku wopitilira akuwunika momwe angagwiritsire ntchito komanso kukonzanso kwa KBP, njirayi ikuyenera kupitiliza kukhala chida chofunikira pakuwongolera ma VCF.

FAQs

1. Kodi KBP ndi njira yoyenera yothandizira odwala onse omwe ali ndi VCF?

KBP imasonyezedwa pochiza ma VCF opweteka omwe alephera kuyankha ku kasamalidwe kokhazikika kapena ngati opaleshoni si njira yabwino. Komabe, si odwala onse omwe ali ndi VCFs omwe akufuna kukhala ndi KBP, ndipo chisankho chotsatira ndondomekoyi chiyenera kupangidwa pokambirana ndi wothandizira zaumoyo.

1. Kodi ndondomeko ya KBP imatenga nthawi yayitali bwanji?

Njira ya KBP nthawi zambiri imatenga pafupifupi ola limodzi kuti ichitike.

1. Kodi patangopita nthawi yayitali bwanji, odwala angayambenso kuchita zachizolowezi?

Odwala amatha kuyambiranso zochitika zatsiku ndi tsiku mkati mwa masiku ochepa atachitidwa, ngakhale kuti kunyamula katundu ndi ntchito zolemetsa ziyenera kupewedwa kwa milungu ingapo.

1. Ndi zovuta zotani zomwe zingagwirizane ndi KBP?

Mavuto omwe angakhalepo okhudzana ndi KBP angaphatikizepo matenda, kutuluka magazi, kuwonongeka kwa mitsempha, kutuluka kwa simenti, kapena kuwonjezereka kwa fracture. Komabe, chiopsezo cha zovuta izi nthawi zambiri chimakhala chochepa.

1. Kodi KBP ili ndi inshuwaransi?

KBP nthawi zambiri imakhala ndi inshuwaransi, ngakhale kuperekedwa kumatha kusiyanasiyana malinga ndi dongosolo la inshuwaransi ya wodwala ndi zina.