Urushinge

Uburyo butandukanye bwo gucukura-arcture bwakoreshejwe neza kuri vercutaneous verctebroplasty (pvp) na percutaneous kyplaplaSty (pkp).

Percutaneous Vertebroplasty (PVP)

Percitaneous Vertebroplasty (PVP) ni kuvura abarwayi bafite imiterere yumurongo umwe cyangwa nyinshi ziranga imitekerereze iterwa n'amagufwa, osteoporose cyangwa ihahamuka. Muri PVP, urushinge rwa arne biopsy rwinjijwe muri vertebrae yavunitse munsi ya anesthesiya rwaho mumurwayi; Ingwate ikozwe muri polymethyltrylathacrylate (PMMma) yatewe inshingwe, ikurikirwa no gutabarwa byihuse ibimenyetso nkibibazo byo kugenda cyangwa kubabara inyuma. Uburyo bumwe bwa PVP busaba amasaha 2 gusa yo kuvura n'amasaha 2 yo kuruhuka hasi; Irashobora gukorwa binyuze mu ruhu rwa MM 5 rwo kwinjiza buri rushinge rwa aopsy, rufite uburyo buke bwo gutegura ibishoboka byose, kandi uburyo bworoshye bworoshye bwo gutegura no kumvikana kandi buranga kandi ko abarwayi bashobora gutaha nyuma Kuvura utitaye no mu bitaro kandi birashobora kuvura abarwayi bageze mu zabukuru bafite imyaka 90 hamwe n'ibisubizo byemewe.

Percutaneous kyplaplaSty (pkp)

Percutaneous KyphoplaSty (PKP) ningirakamaro kandi ikoreshwa cyane kubiranga osteoporotique ya osteoporotique (OVCF), ubusanzwe ikorwa munsi ya anesthesia kandi ihanganira abarwayi. Ubushakashatsi bwa mbere bwerekanye ingaruka zizerera mu bijyanye n'ububabare bwihuse no gukora neza, cyane cyane mu bageze mu zabukuru. Ariko, haracyari umubare munini cyane w'abarwayi batanyuzwe nibisubizo byinyuma. Naho aba barwayi, binubira impinduka zidashimishije cyangwa nta gihinduka mububabare bwabo cyangwa ububabare bukabije, bushobora kwerekana guhagarika umutima cyangwa kuvunika bikabije muri vertebrae yavuwe. Ubushakashatsi bwambere bwerekanye ko muburyo bwo guhinduranya vacuum (IVC) muri OVCF ya ACUT ntabwo ari ibintu bifatika kandi bifatwa nkimpanuka zidasanzwe zo gusenyuka neza, bishobora kuba impamvu nyamukuru yo gusenyuka bidashimishije nyuma ya PKP.

Ballon kyplasty ni ayahe?

Ballon kyplasty nigikorwa gito giteye gitera cyagenewe gusana ibice bya vertebral (VCF) kugabanya no guhagarika imivurungano. Ivura ivurungano ya pathelogiya iterwa na Osteoporose, kanseri cyangwa ibikomere bya berign.

Ukuntu balloon osteoplasty ikora

Gukora umwanya wa ballon

Umuganga ubaga azakora inzira muri vertebra yavunitse akoresheje igikoresho cyo kuvura. Umupira muto noneho uyobowe binyuze mubikoresho mumagufwa.

Gutsengurura ballon

Rimwe mumwanya, ballon igenda yiyongereye buhoro kugirango wice witonze igufwa ryaguye mumwanya usanzwe.

Gukuraho ballon

Iyo igufwa iri mumwanya ukwiye, umuganga ubaga akwiye kandi akuraho ballon. Aya mababi yihishe inyuma yubwiherero-cyangwa umwobo - mumubiri wa vertebral.

Kuzuza icyuho cya vertebral

Kugira ngo wirinde igufwa ryongeye kugwa, icyuho cyuzuyemo sima.

Gushiraho Ikirere

Bimaze gushyirwaho, sima ikora mu mubiri wa vertebral uhindura igufwa. Kugira ngo ugire igufwa ryuzuye igufwa, inzira rimwe na rimwe ikorwa kumpande zombi zumubiri uhagaritse.

Inyungu z'ibanze za Ballon Kyphoplasty arimo:

• Igihe gito cyo kubaga; Inzira zisanzwe zifata isaha imwe igice cyurugongo.

  
  

• Uburyo bwa Kyphoplasty burashobora gukorwa kenshi na anesthesia yaho. Ariko, abarwayi bamwe, bitewe nubuzima bwabo rusange nuburemere bwivunika uruzigo bishobora gusaba anesthesia rusange.

  
  

• Abarwayi bashoboye kugenda no gusubira mubikorwa byabo bisanzwe nyuma yo kubaga.

  
  

• Kyplasty arashobora gukorwa mu kigo cyigunga (ASC), ibitaro, cyangwa ikigo cyo kubaga kidasanzwe cyo kubaga.

  
  

• Abarwayi benshi barekuwe murugo umunsi umwe nkuko byashize cya kyphoplasy. Ibitaro nijoro byagumye birashobora gusabwa kubarwayi bamwe bitewe nibintu byinshi, nkibibazo byubuvuzi bihuje (urugero, ingaruka zumutima).

Uburebure bwo kuguma no gukira

Muganga wawe azaguha amabwiriza yihariye ya nyuma, ariko muri rusange, uzamara isaha imwe mucyumba cyo gukira nyuma yuburyo. Ngaho, umuforomo akurikirana umwete ibimenyetso byingenzi, bikubiyemo ububabare bwinyuma.

Abarwayi benshi barekuwe muri ASC cyangwa ibitaro mugihe cyamasaha 24 cyumupira wamaguru wa ballon kypholaplasy. Mugihe cyawe cyo kubaga, muganga wawe azasuzuma iterambere ryawe kugirango umenye niba ugomba kugabanya ibikorwa bimwe (urugero, guterura). Abarwayi benshi bavuga ko bahuye cyane nububabare, kugenda nubushobozi bwo gukora imirimo yose - kugirango udakeneye kugira ibyo uhindura kurwego rwawe.

Kyplaplasty ballon iyobora urushinge: Igitabo cyuzuye

Kyplasty nigikorwa cyo kubaga giteye ubwoba gikoreshwa mugufata ibiranganga byoroshye (vCFS). Ubu buryo bukubiyemo gukoresha urushinge rwa Bypholasy Ballon ayobora, rufite uruhare rukomeye mugutsindwa. Muri iki kiganiro, tuzatanga icyerekezo cyuzuye kuri Kyphoplasty inshinge bayobora ballon, harimo anatomiya yabo, ibimenyetso, tekinike, nibisubizo.

Urushinge rwa Byphoon ruyobora urushinge?

Urushinge rwa Kypholasty Urushinge ni igikoresho cyubuvuzi gikoreshwa kugirango ugere ku mubiri wa Vortebral mugihe cya Kyplasty. Igizwe n'inama ityaye, igiti cyuzuye, n'intoki. Impanuro ityaye yagenewe kwinjira mu mubiri uhagaze, kandi shaft ya Hollow ikoreshwa mu kuyobora ballowone ya kyphoplasy mumwanya wifuza. Ikiganza cyemerera umuganga ugenzura ingendo nimbaraga z'urushibe mugihe cyiburyo.

Anatomy ya KyphoplaSty Urushinge ruyobora

Urushinge rwa Kypholasty Urushinge rugizwe nibice bine byingenzi: Inama ityaye, igiti cyuzuye, ikiganza, na hub. Inama ityaye isanzwe ikozwe mubyuma bidafite imipaka kandi igenewe kwinjira mu mubiri wa vertebral. Shaft Hollow ikozwe muri plastiki cyangwa ibyuma kandi ikoreshwa muguyobora umupira wa Kyplaplasy mubice wifuza. Ikiganza gikozwe muri plastiki cyangwa reberi kandi ikoreshwa mugugenzura ingendo nubujyakuzimu bwurushinge mugihe cyiburyo. Ihuriro ningingo zihuza hagati y'urushinge na syringe ikoreshwa mugukanda kallon ya kyphoplasy.

Ibimenyetso kuri kyphoplasty ballon igishishwa

Kyphoplasty ballon igenzura inshinge zikoreshwa mugukemura ibicuruzwa bya Vertebral (vCFS). VCFS ni ibintu bisanzwe mubisanzwe biterwa na Osteoporose cyangwa ihahamuka. Barashobora gukurura ububabare bukabije, ubumuga, no gutakaza imikorere. Kyplasty agaragazwa kubarwayi bananiwe kuvura ibihariko cyangwa bafite ububabare bukabije, ubumuga, cyangwa gutakaza imikorere.

Tekinike yo gukoresha urushinge rwa Byplay

KyphoplaSty ballon ifata inshinge mubisanzwe ikoreshwa muguhuza na ballon ya kyphoon na magufwa. Inzira itangirana no kwinjiza urushinge mumubiri wa vertebral munsi yubuyobozi bwa flueroscopic. Urushinge rumaze kuba, ballowone za kyphoplasy irashize, zitera icyuho mumubiri wa vertebral. Ingwate y'amagufwa noneho iterwa mu buryo bwidafite agaciro, ihungabana kuvunika no kugarura uburebure bw'umubiri.

Ingorane n'ibisubizo bya Kyphoplasty Urushinge

Kyphoplasty ballon bayobora inshinge ifitanye isano nibibazo byinshi bishobora kuba byinshi, harimo no kuva amaraso, kwandura, gukomeretsa imitsi, na sima. Ariko, umubare rusange w'ingorabahizi ni muto, kandi inzira yerekanwe ko ifite umutekano kandi ifite akamaro mu kuvura vCFs. Abarwayi mubisanzwe bafite ububabare bukomeye kandi bakora neza bakurikira kyphoplasy.

Umwanzuro

Ubushishozi bwa Kryplayty Ubushishozi bugira uruhare runini mu gutsinda kyplaplasty. Bakoreshwa kugirango babone urwego rwumubiri kandi bagayobora ballowone ya kyphoplasy mubice wifuza. Kyplasty ni umuti utekanye kandi unoze kuri vCFS, hamwe nigipimo gito cyo kugorana hamwe nibisubizo byiza. Niba urwaye vcf, vugana na muganga wawe niba kyphoplasty ashobora kukubera byiza.