Mawonedwe: 0 Wolemba: Site Editor Nthawi Yosindikiza: 2025-09-20 Origin: Tsamba
Vertebroplasty ndi njira yochepetsera pang'ono yopangidwira kuchiza matenda a osteoporotic vertebral compression fractures. Amagwiritsidwa ntchito makamaka ku thoracic ndi lumbar fractures, kumene simenti ya fupa imalowetsedwa mu vertebra yowonongeka kuti akhazikitse fupa, kuthetsa ululu, ndi kubwezeretsa kutalika kwa vertebral. Njirayi imaphatikizapo njira ziwiri zazikulu: Percutaneous Vertebroplasty (PVP) ndi Percutaneous Kyphoplasty (PKP).
Mu PVP, kudula pang'ono pafupifupi 2 mm kumapangidwa pamsana wa wodwalayo. Pansi pa chitsogozo cha fluoroscopic, singano imapititsidwa patsogolo kudzera pa pedicle kupita ku thupi la vertebral. Simenti ya mafupa imalowetsedwa kudzera mu njira yogwirira ntchito, ndikuwumitsa mwamsanga kukhazikika kwa vertebra yosweka, kuteteza kugwa kwina, ndikupereka kupweteka kwakukulu.
Mu PKP, mutatha kupeza vertebra yosweka, buluni imalowetsedwa ndikulowetsedwa kuti ibwezeretse mbali ya kutalika kwa vertebral ndikupanga phokoso mkati mwa fupa. Bone simenti ndiye jekeseni mu magawo: chibaluni compacts ozungulira cancellous fupa, kupanga chotchinga kutayikira simenti, pamene anachita jekeseni amachepetsa jekeseni kuthamanga, kwambiri kuchepetsa chiopsezo simenti extravasation.
Ma balloon kyphoplasty (PKP) ndi chikhalidwe cha percutaneous vertebroplasty (PVP) amapereka mpumulo wachangu, wodalirika, komanso wogwira mtima kwambiri, komanso kuteteza kupsinjika kwina kapena kugwa kwa vertebrae yosweka. Zochitika zachipatala zatsimikizira mosadukiza mphamvu yawo yodabwitsa ya analgesic, ndipo chiwopsezo cha odwala onse chikupitilira 80%. Pankhani yobwezeretsa kutalika kwa vertebral ndi kukonza zolakwika za msana wa kyphotic, PKP imasonyeza zotsatira zapamwamba poyerekeza ndi PVP.
Njira ya PVP nthawi zambiri imatenga pafupifupi mphindi 30, ndipo odwala ambiri amatha kudzuka pabedi ndikuyambiranso zochitika zanthawi zonse mkati mwa maola 24 atatetezedwa ndi chiuno. Kulimbikitsana koyambirira kumeneku kumachepetsa kwambiri chiopsezo cha mavuto okhudzana ndi kugona, monga chibayo cha hypostatic, zilonda zam'mimba, ndi thrombosis ya mitsempha yakuya, komanso kuchepetsa kulemetsa kwa unamwino wanthawi yayitali. Kuphatikiza apo, kuthamangitsidwa koyambirira kumalepheretsa kuti mafupa awonongeke chifukwa cha kusasunthika kwa nthawi yayitali, ndikuthetsa vuto losagwiritsa ntchito mafupa osteoporosis.
Osteoporotic vertebral compression fractures ndi chizindikiro chodziwika bwino cha vertebroplasty. Odwala omwe ali ndi kuchepa kwa mafupa ndi fragility chifukwa cha kufooka kwa mafupa, ngakhale zochitika zazing'ono za tsiku ndi tsiku monga kupindana, kutsokomola, kutsekemera, kapena kukweza kungayambitse kupweteka kwa msana, zomwe zimayambitsa kupweteka kosalekeza kapena koopsa komwe kumasokoneza kwambiri moyo wabwino. Vertebroplasty imachepetsa ululu, imathandizira kukhazikika kwa msana, komanso imathandizira odwala kuyambiranso kuyenda.
Vertebroplasty imasonyezedwanso chifukwa cha zotupa za benign vertebral, monga hemangiomas, komanso metastases yoopsa ya msana kuchokera ku khansa monga multipleeloma, khansa ya m'mapapo, khansa ya m'mawere, kapena kansa ya prostate. Izi nthawi zambiri zimayambitsa chiwonongeko cha osteolytic, kuwonongeka kwa mitsempha, ndi kusakhazikika kwa msana, zomwe zimapangitsa kupweteka kwambiri kapena kupsinjika kwa mitsempha. Vertebroplasty imalimbitsa vertebrae, imachepetsa ululu, komanso imachepetsa chiopsezo cha zovuta zina.
M'milandu yosankhidwa mosamala, vertebroplasty imathanso kuganiziridwa chifukwa cha kuphulika kwapang'onopang'ono kapena vertebral hematomas, malinga ngati zipatala zimakwaniritsa zofunikira zachitetezo.
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