Kuyobora urushinge

Uburyo butandukanye bwinyongera-bwakoreshejwe bwakoreshejwe neza muburyo bwa vertebroplasti (PVP) hamwe na kyphoplasti (PKP).

Vertebroplasty (PVP)

Percutaneous vertebroplasty (PVP) ni ubuvuzi ku barwayi bafite imvune imwe cyangwa nyinshi zerekana ibimenyetso byatewe no kubyimba amagufwa, osteoporose cyangwa ihahamuka. Muri PVP, inshinge ya biopsy yamagufa yinjizwa muri vertebrae yamenetse munsi ya anesthesi yumurwayi; sima yamagufa ikozwe muri polymethylmethacrylate (PMMA) yatewe inshinge, igakurikirwa no guhita ukuraho ibimenyetso nkikibazo cyo kugenda cyangwa kubabara umugongo. Uburyo bumwe bwa PVP busaba amasaha 2 gusa yo kuvura namasaha 2 yo kuruhuka nyuma yigitanda; irashobora gukorwa hifashishijwe uruhu rwa mm 5 kugirango yinjizwemo buri inshinge ya biopsy yamagufa, ifite umubare muke wibintu bikomeye bibi, irashobora gukorwa hatabayeho kwitegura bidasanzwe mbere yo gutangira cyangwa kuvurwa cyane nyuma yo kubagwa, kandi kwanduza burundu ni indwara zidashobora kugenzurwa no kuva amaraso. y'imyaka hamwe n'ibisubizo byemewe.

Kyphoplasty (PKP)

Percutaneous kyphoplasty (PKP) nubu ni uburyo bwiza kandi bukoreshwa cyane mu kuvura osteoporotic vertebral compression yamenetse (OVCF), ubusanzwe ikorerwa munsi ya anesthesi yaho kandi yihanganira abarwayi. Ubushakashatsi bwambere bwerekanye umusaruro ushimishije mubuvuzi mubijyanye no kugabanya ububabare bwihuse no kunoza imikorere, cyane cyane mubasaza. Nyamara, haracyari umubare munini cyane w'abarwayi batanyuzwe n'ibisubizo nyuma yo kubagwa. Naho aba barwayi, binubira ko bidashimishije cyangwa nta gihindutse kububabare bwabo cyangwa ndetse nububabare bukabije, bushobora kwerekana kwikomeza cyangwa kuvunika kenshi muri vertebrae yavuwe. Ubushakashatsi bwakozwe mbere bwerekanye ko kwanduza vacuum intravertebral (IVC) muri OVCF ikaze atari ibintu bisanzwe kandi bifatwa nkimpamvu ikomeye ishobora gutera ububabare bwumugongo no gusenyuka bikabije, bishobora kuba impamvu nyamukuru itera ingaruka zidashimishije nyuma ya PKP.

Niki ballon kyphoplasty？

Ballon kyphoplasty nuburyo bworoshye butera bwagenewe gusana imvune zo mu nda (VCF) kugabanya no guhagarika imvune. Ivura ivunika rya vertebral yatewe na osteoporose, kanseri cyangwa ibikomere byiza.

Ukuntu Ballon Osteoplasty ikora

Gukora umwanya wa ballon

Umuganga ubaga azakora inzira yinjira muri vertebra yamenetse akoresheje igikoresho kitagaragara. Umupira muto noneho uyoborwa nigikoresho mu magufa.

Kuzamura umupira

Iyo umaze guhagarara, ballon ihindurwamo buhoro buhoro kugirango izamure buhoro igufwa ryaguye mumwanya usanzwe.

Kuraho umupira

Iyo igufwa riri mumwanya ukwiye, umuganga abaga akuraho ballon. Ibi bisiga inyuma icyuho-cyangwa umwobo-mumubiri wurugingo.

Kuzuza icyuho

Kugirango wirinde igufwa kongera gusenyuka, icyuho cyuzuyemo sima ya orthopedic.

Gukora imbere

Bimaze gushyirwaho, sima ikora umupira imbere yumubiri wurugingo rukomeza igufwa. Kugirango urinde neza igufwa, inzira rimwe na rimwe ikorwa kumpande zombi zumubiri.

Inyungu zibanze za ballon kyphoplasty zirimo:

• Igihe gito cyo kubaga; inzira mubisanzwe ifata hafi igice cyigice kurwego rwumugongo.

  
  

• Uburyo bwa kyphoplasti burashobora gukorwa kenshi na anesthesi yaho. Nyamara, abarwayi bamwe, bitewe nubuzima bwabo muri rusange nuburemere bwimvune yumugongo barashobora gusaba anesthesia rusange.

  
  

• Abarwayi barashobora kugenda no gusubira mubikorwa byabo bisanzwe nyuma yo kubagwa.

  
  

• Kyphoplasty irashobora gukorerwa mu kigo cyo kubaga ambulatori (ASC), mu bitaro, cyangwa mu kigo cy’ubuvuzi bw’umugongo.

  
  

• Abarwayi benshi basohorwa murugo umunsi umwe nuburyo bwabo bwa kyphoplasti. Kurara mu bitaro ijoro ryose birashobora gusabwa abarwayi bamwe bitewe nimpamvu nyinshi, nkibibazo byubuvuzi bibana (urugero, ingaruka z'umutima-damura).

Uburebure bwo kuguma no gukira

Muganga wawe azaguha amabwiriza yihariye nyuma yubuvuzi, ariko muri rusange, uzamara hafi isaha mucyumba cyo gukira nyuma yuburyo bukurikira. Ngaho, umuforomo akurikirana ashishikaye ibimenyetso byawe byingenzi, birimo kubabara umugongo.

Abenshi mu barwayi basezererwa muri ASC cyangwa mu bitaro mu masaha 24 uhereye kuri ballon kyphoplasty. Mugihe cyo kubagwa kwa gahunda yo kubaga, umuganga wawe azagenzura aho ukira kugirango umenye niba ugomba kugabanya ibikorwa bimwe na bimwe (urugero, guterura). Abarwayi benshi bavuga ko hari byinshi byahinduye mububabare, kugenda, hamwe nubushobozi bwo gukora imirimo ya buri munsi - bityo ntushobora gukenera kugira icyo uhindura kurwego rwibikorwa byawe.

Urushinge rwa Kyphoplasty Urushinge: Ubuyobozi bwuzuye

Kyphoplasty ni uburyo bwo kubaga bworoshye bwo kubaga bukoreshwa mu kuvura imvune zo mu nda (VCFs). Ubu buryo bukubiyemo gukoresha urushinge rwa kyphoplasti ruyobora urushinge, rufite uruhare runini mugutsinda kubagwa. Muri iki kiganiro, tuzatanga ubuyobozi bwuzuye kuri kyphoplasty ballon iyobora inshinge, harimo anatomiya, ibimenyetso, tekinike, nibisubizo.

Niki Urushinge rwa Kyphoplasty Ballon?

Urushinge rwa kyphoplasti ruyobora ni igikoresho cyubuvuzi gikoreshwa kugirango umuntu agere ku mubiri mugihe cyo kubaga kyphoplasti. Igizwe ninama ityaye, uruzitiro rufunitse, hamwe nigitoki. Impanuro ityaye yagenewe kwinjira mu mubiri w’urugingo, kandi uruzitiro rwuzuye rukoreshwa mu kuyobora ballon ya kyphoplasti ahantu hifuzwa. Igikoresho cyemerera kubaga kugenzura urujya n'uruza rw'urushinge mugihe cyo kubikora.

Anatomy ya Kyphoplasty Ballon Yayobora Urushinge

Urushinge rwa kyphoplasti ruyobora urusobekerane rugizwe nibice bine byingenzi: inama ityaye, urufunguzo rufunitse, ikiganza, hamwe na hub. Inama ityaye ikozwe mubyuma bidafite ingese kandi yagenewe kwinjira mumubiri. Igiti cyambaye ubusa gikozwe muri plastiki cyangwa icyuma kandi gikoreshwa mu kuyobora ballon ya kyphoplasti ahantu hifuzwa. Igikoresho gikozwe muri plastiki cyangwa reberi kandi gikoreshwa mugucunga urujya n'uruza rw'urushinge mugihe gikwiye. Hub ni ihuriro hagati yinshinge na syringe ikoreshwa mukuzamura umupira wa kyphoplasti.

Ibyerekana kuri Kyphoplasty Ballon Yayobora Urushinge

Inshinge za Kyphoplasty ballon zikoreshwa mukuvura kuvunika kwa vertebral (VCFs). VCFs ni ibintu bisanzwe bisanzwe biterwa na osteoporose cyangwa ihahamuka. Birashobora gukurura ububabare bukabije, ubumuga, no gutakaza imikorere. Kyphoplasty yerekanwa kubarwayi bananiwe kuvura konservateur cyangwa bafite ububabare bukabije, ubumuga, cyangwa gutakaza imikorere.

Ubuhanga bwo gukoresha urushinge rwa Kyphoplasti

Inshinge za Kyphoplasty ziyobora inshinge zisanzwe zikoreshwa zifatanije na ballon ya kyphoplasti na sima yamagufa. Inzira itangirana no kwinjiza urushinge mumubiri wurugingo ruyobowe na fluoroscopique. Urushinge rumaze kuba, ballon ya kyphoplasty irashiramo, bigatera icyuho mumubiri wurugingo. Isima yamagufa noneho yinjizwa mu cyuho, igakomeza kuvunika no kugarura uburebure bwumubiri.

Ingorane nibisubizo bya Kyphoplasty Ballon Umuyobozi Urushinge

Urushinge rwa Kyphoplasty ruyobora urushinge rujyanye nibibazo byinshi bishobora gutera, harimo kuva amaraso, kwandura, gukomeretsa imitsi, no kumeneka kwa sima. Nyamara, igipimo rusange cyikibazo ni gito, kandi inzira yerekanwe ko ifite umutekano kandi ikora neza mukuvura VCF. Ubusanzwe abarwayi bafite ububabare bukomeye kandi bakanonosora imikorere ikurikira kyphoplasti.

Umwanzuro

Urushinge rwa Kyphoplasty ruyobora urushinge rufite uruhare runini mugutsinda kwa kyphoplasti. Bakoreshwa kugirango bagere kumubiri wurugingo no kuyobora ballon ya kyphoplasty ahantu hifuzwa. Kyphoplasty nubuvuzi bwizewe kandi bwiza kuri VCFs, hamwe nibiciro bitoroshye kandi nibisubizo byiza. Niba urwaye VCF, vugana na muganga wawe niba kyphoplasti ishobora kukubera byiza.