Vertebral perforator

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 Vertebral Parforator: kuvugisha ibintu byoroshye kubirangagura vertebral

Intangiriro

Kugabanuka kwa vertebral (vcfs) ni ibintu bisanzwe, cyane cyane mubaturage, kandi akenshi bifitanye isano na Osteoporose. Ubuvuzi gakondo kuri VCFS burimo gucunga imiyoborere, nko mumiti nububabare, cyangwa kubaga no kubaga nka spinosion. Ariko, ubwo buvuzi bushobora kugira ingaruka mbi cyangwa biganisha kubindi bibazo. Kyplapy Balloon Vertebral Parforator (KBP) ni igiterambo gito, kuvura bikabije VCFS yahinduye imicungire yubuyobozi bwiki kibazo. Muri iki kiganiro, tuzashakisha uburyo, ibimenyetso, inyungu, n'ingaruka bifitanye isano na KBP.

Anatomy na Mechanism ya VCFS

VCFS ibaho mugihe umubiri wumubiri waguye kubera imiterere yamagufwa, akenshi uterwa na Osteoporose cyangwa ihahamuka. Umubiri uhagaze nigice cyo hagati cya vertebra, kandi igizwe n'amagufwa azengurutswe nigice gito cyamagufwa ya cortical. Iyo umubiri uhagaritse, urashobora kuvamo ububabare nubumuga bukomeye.

Ibimenyetso kuri kyphoplasty balloon vertebral perforator

KBP igaragazwa no kuvura vCFs zibabaza vCF zananiwe gusubiza imiyoborere itemewe, cyangwa mu manza aho kubaga atari amahitamo akwiye. Ubu buryo muri rusange bwihanganirwa kandi bufite ibyago bike byo guhura.

Imiterere ya Kyphoon Verter

KBP ikubiyemo gukoresha catheter ntoya ya ballon yinjijwe mumubiri waguye munsi yubuyobozi bwa flueroscopic. Ballon noneho yazamutse kugirango igarure uburebure bwumubiri uhagaritse no gukora umwobo. Ubuvumo bumaze gushyirwaho, kwihitiramo amagufa byatewe no guhungabanya umubiri uhagaze kandi wirinde gukomeza gusenyuka.

Ibyiza bya Kyphoplasty Ballon Vertebral Perforator

KBP ifite ibyiza byinshi kubitabo gakondo bya vCFs. Ubwa mbere, ni inzira nziza yitonda ishobora gukorwa muri anesthesia yaho, kugabanya ingaruka ziterwa na anesthesia rusange. Icya kabiri, bifitanye isano no kuguma mu bitaro bigufi no kwihutisha igihe cyo kugarura ugereranije no kubagwa gakondo. Hanyuma, KBP ifite igipimo kinini cyo gutsinda, hamwe nabarwayi benshi bahura nububabare bukabije kandi bunoze bukurikiza inzira.

Ingaruka n'ibibazo bya KyphoplaSty Ballon Vertebral Perforator

Nkuburyo ubwo aribwo bwose bwubuvuzi, KBP itwara ingaruka zimwe nibishobora. Ibi birashobora kubamo kwandura, kuva amaraso, kwangirika kwakozwe, sima yamenetse, cyangwa kumera kumeneka. Ariko, ibyago byibi bigoye ni bike, kandi abarwayi benshi bihanganira inzira neza.

Kohereza imyitozo no gusubiza mu buzima busanzwe

Nyuma ya KBP, abarwayi bakurikiranwa mugihe gito kandi mubisanzwe barashobora gusubira murugo umunsi umwe. Basabwe kwirinda guterura ibintu biremereye kandi bikomeye ibyumweru byinshi, ariko mubisanzwe birashobora gusubukura ibikorwa bisanzwe bya buri munsi muminsi mike. Kuvura umubiri birashobora kandi gusabwa gufasha mugusubiza.

Icyerekezo kizaza kuri Kyphoplasty Balloon Vertebral Perforator

KBP nuburyo bushya, kandi ubushakashatsi bukomeje burimo gushakisha ibyifuzo no kunonosorwa. Kurugero, hari ubushakashatsi bukomeza mubushakashatsi bwa quint ya biodegravigh, bushobora kugabanya ibyago byo kugozwa kwigihe kirekire bifitanye isano na sima gakondo.

Umwanzuro

Kyplapy Ballon Vertebral Percerator ni igiterambo gito, gufata neza vCF zababaje vCF zahinduye imicungire yubuyobozi bwiki kibazo. Ubusanzwe inzira irahanganirwa neza kandi ifite igipimo kinini cyo gutsinda, abarwayi benshi bahura nububabare bukabije no gukora neza bakurikiza inzira. Mugihe hari ingaruka zimwe zijyanye nuburyo, muri rusange muri rusange, kandi abarwayi benshi bihanganira inzira neza. Mugihe ubushakashatsi bukomeje bushakisha ibyifuzo no kunonosorwa kwa KBP, ubu buryo bushobora gukomeza kuba igikoresho cyingenzi mubuyobozi bwa vCFs.

Ibibazo

1. Ese KBP Ihitamo rikwiye kubarwayi bose hamwe na vCF?

KBP igaragazwa no kuvura vCFS yananiwe gusubiza imiyoborere ya Conservateur cyangwa mu manza aho kubaga atari amahitamo akwiye. Ariko, ntabwo abarwayi bose bafite abakandida bagenewe KBP, n'icyemezo cyo kunyura mu bikorwa bituma bagisha inama ku batanga ubuzima.

1. Inzira ya KBP ifata igihe kingana iki?

Uburyo bwa KBP mubisanzwe ifata isaha imwe kugirango ukore.

1. Ni kangahe nyuma yuburyo bushobora gusubukura ibikorwa bisanzwe?

Abarwayi barashobora gusubukura ibikorwa bisanzwe bya buri munsi muminsi mike nyuma yuburyo, nubwo guterura ibintu biremereye kandi ibikorwa bikomeye bigomba kwirindwa ibyumweru byinshi.

1. Ni ibihe bibazo bishobora kuba bifitanye isano na KBP?

Ingorane zishobora kuba hamwe na KBP zishobora kubamo kwandura, kuva amaraso, kwangirika kwangiza, cyangwa komera. Ariko, ibyago byo kugorana muri rusange biri hasi.

1. KBP itwikiriwe nubwishingizi?

KBP mubisanzwe itwikiriwe nubwishingizi, nubwo ubwishingizi bushobora gutandukana bitewe na gahunda yumurwayi kugiti cyumurwayi hamwe nibindi bintu.