Vertebral Perforator

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.

Kyphoplasty Ballon Vertebral Perforator: Umuti wintambwe yo kuvunika kwa vertebral.

Intangiriro

Ivunika rya vertebral (VCFs) ni ibintu bisanzwe, cyane cyane mubantu bageze mu zabukuru, kandi akenshi bifitanye isano na osteoporose. Ubuvuzi gakondo kuri VCF burimo gucunga neza, nko gufata imiti no kubabara, cyangwa kubaga nko kubaga umugongo. Nyamara, ubwo buvuzi bushobora kuba bufite ubushobozi buke cyangwa buganisha ku zindi ngorane. Kyphoplasty balloon vertebral perforator (KBP) nubuvuzi bworoheje, butera intambwe kuri VCFs bwahinduye imiyoborere yiki kibazo. Muri iyi ngingo, tuzasesengura uburyo, ibimenyetso, inyungu, ningaruka zijyanye na KBP.

Anatomy na Mechanism ya VCFs

VCF ibaho mugihe umubiri wurugingo rusenyutse kubera imiterere yamagufwa yagabanutse, akenshi biterwa na osteoporose cyangwa ihahamuka. Umubiri wurugingo nigice cyo hagati cyurugingo, kandi ugizwe namagufwa ya kanseri azengurutswe nigice gito cyamagufwa ya cortique. Iyo umubiri wa vertebral usenyutse, birashobora kuvamo ububabare nubumuga bukomeye.

Ibimenyetso bya Kyphoplasty Ballon Vertebral Perforator

KBP yerekanwa kuvura VCF zibabaza zananiwe kwitabira ubuyobozi bwibidukikije, cyangwa mugihe kubaga atari amahitamo akwiye. Inzira muri rusange irihanganirwa kandi ifite ibyago bike byo guhura nibibazo.

Kyphoplasty Ballon Vertebral Perforator Gahunda

KBP ikubiyemo gukoresha catheter ntoya ya ballon yinjizwa mumubiri wa vertebral yaguye iyobowe na fluoroscopique. Umupira wa ballon noneho urashiramo kugirango ugarure uburebure bwumubiri wurugingo no gukora akavuyo. Umuyoboro umaze kuremwa, sima yamagufa yatewe kugirango ituze umubiri wurugingo kandi wirinde gusenyuka.

Ibyiza bya Kyphoplasty Ballon Vertebral Perforator

KBP ifite ibyiza byinshi kuruta kuvura gakondo kuri VCFs. Ubwa mbere, ni inzira yibasirwa cyane ishobora gukorwa munsi ya anesthesi yaho, bikagabanya ingaruka ziterwa na anesthesia rusange. Icya kabiri, bifitanye isano no kumara igihe gito ibitaro hamwe nigihe cyo gukira vuba ugereranije no kubaga gakondo. Hanyuma, KBP ifite amahirwe menshi yo gutsinda, hamwe nabarwayi benshi bafite ububabare bukomeye kandi bakanonosora imikorere ikurikira inzira.

Ingaruka nibibazo bya Kyphoplasty Ballon Vertebral Perforator

Kimwe n'ubuvuzi ubwo aribwo bwose, KBP itwara ingaruka zimwe na zimwe zishobora kuba ingorane. Ibi bishobora kuba birimo kwandura, kuva amaraso, kwangiza imitsi, kumeneka kwa sima, cyangwa gukomera kuvunika. Nyamara, ibyago byizo ngaruka ni bike, kandi abarwayi benshi bihanganira inzira neza.

Kwitaho nyuma yubuvuzi no gusubiza mu buzima busanzwe

Nyuma ya KBP, abarwayi bakurikiranwa mugihe gito kandi barashobora gusubira murugo umunsi umwe. Barasabwa kwirinda guterura ibiremereye hamwe nibikorwa bikomeye mugihe cibyumweru byinshi, ariko mubisanzwe barashobora gukomeza ibikorwa bisanzwe bya buri munsi muminsi mike. Ubuvuzi bwumubiri burashobora kandi gusabwa gufasha mugusubiza mu buzima busanzwe.

Icyerekezo kizaza kuri Kyphoplasty Ballon Vertebral Perforator

KBP nuburyo bushya busa, kandi ubushakashatsi burimo gukorwa burimo gushakisha uburyo bushobora gukoreshwa no kunonosorwa. Kurugero, haracyakorwa ubushakashatsi mukoresha ikoreshwa rya sima ya biodegradable sima, ishobora kugabanya ibyago byingaruka zigihe kirekire zijyanye na sima gakondo.

Umwanzuro

Kyphoplasty ballon vertebral perforator nubuvuzi bworoheje, buvurwa kubuvuzi bwa VCF bubabaza bwahinduye imiyoborere yiki kibazo. Ubusanzwe ubwo buryo bwihanganirwa kandi bufite intsinzi nini, abarwayi benshi bafite ububabare bukomeye kandi bakanonosora imikorere ikurikira inzira. Mugihe hari ingaruka zimwe zijyanye nuburyo, muri rusange ni nkeya, kandi abarwayi benshi bihanganira inzira neza. Mugihe ubushakashatsi burimo gukora ubushakashatsi bushoboka bushobora gukoreshwa no kunonosorwa kwa KBP, ubu buryo burashobora gukomeza kuba igikoresho cyingenzi mugucunga VCFs.

Ibibazo

1. Ese KBP nuburyo bwiza bwo kuvura abarwayi bose bafite VCFs?

KBP yerekanwa kuvura VCF zibabaza zananiwe kwitabira ubuyobozi bwibidukikije cyangwa mugihe kubaga atari amahitamo akwiye. Icyakora, ntabwo abarwayi bose bafite VCFs ari abakandida ba KBP, kandi icyemezo cyo gukurikiza inzira kigomba gufatwa hifashishijwe inama n’ubuvuzi.

1. Bifata igihe kingana iki inzira ya KBP?

Uburyo bwa KBP mubisanzwe bifata isaha imwe kugirango ukore.

1. Ni kangahe nyuma yuburyo bushobora abarwayi gusubukura ibikorwa bisanzwe?

Ubusanzwe abarwayi barashobora gusubukura ibikorwa bisanzwe bya buri munsi muminsi mike nyuma yuburyo buboneye, nubwo guterura ibiremereye hamwe nibikorwa bikomeye bigomba kwirindwa ibyumweru byinshi.

1. Ni izihe ngaruka zishobora kuba zijyanye na KBP?

Ibibazo bishobora kuba bifitanye isano na KBP bishobora kuba birimo kwandura, kuva amaraso, kwangirika kw'imitsi, kumeneka kwa sima, cyangwa gukomera kuvunika. Nyamara, ibyago byibi bibazo muri rusange ni bike.

1. KBP yishyurwa n'ubwishingizi?

Ubusanzwe KBP itangirwa ubwishingizi, nubwo ubwishingizi bushobora gutandukana bitewe na gahunda yubwishingizi bwumurwayi ku giti cye nibindi bintu.