Reba: 0 Umwanditsi: Muhinduzi wurubuga Gutangaza Igihe: 2025-09-20 Inkomoko: Urubuga
Vertebroplasty nuburyo bworoshye butera bwagenewe kuvura osteoporotic vertebral compression yamenetse. Ikoreshwa cyane cyane kumeneka ya thoracic na lumbar, aho sima yamagufa yatewe muri vertebra yaguye kugirango igumane igufwa, igabanye ububabare, kandi igarure uburebure bwurugingo. Tekinike ikubiyemo inzira ebyiri zingenzi: Percutaneous Vertebroplasty (PVP) na Kyphoplasty ya Percutaneous (PKP).
Muri PVP, agace gato ka mm 2 gakozwe kumugongo wumurwayi. Ku buyobozi bwa fluoroscopique, urushinge rutera imbere muburyo butandukanye binyuze muri pedicle mumubiri wurugingo. Isima yamagufa noneho iterwa hakoreshejwe umuyoboro wakazi, igakomera vuba kugirango ihagarike urutirigongo rwacitse, irinde gusenyuka, kandi igabanya ububabare bukabije.
Muri PKP, nyuma yo kugera kuri vertebra yavunitse, hashyizwemo ballon hanyuma igashyirwa hejuru kugirango igarure igice cyuburebure bwurugingo kandi ikore umwobo imbere yamagufwa. Isima yamagufa ihita iterwa mubyiciro: ballon ihuza igufwa ryakuweho, bigatera inzitizi yo kumeneka kwa sima, mugihe gutera inshinge bigabanya umuvuduko watewe, bikagabanya cyane ibyago byo guterwa na sima.
Byombi ballon kyphoplasty (PKP) hamwe na vertebroplastique gakondo (PVP) itanga ububabare bwihuse, bwizewe, kandi bukomeye cyane, mugihe burinda kandi kwikuramo cyangwa gusenyuka kwa vertebrae yamenetse. Ubuvuzi bwa Clinical bwakomeje kwemeza ingaruka zidasanzwe zo kuvura hakiri kare, muri rusange igipimo cyo kunyurwa cy’abarwayi kirenga 80%. Ku bijyanye no kugarura uburebure bwa vertebral no gukosora ubumuga bwumugongo, PKP yerekana ibisubizo byiza ugereranije na PVP.
Uburyo bwa PVP busanzwe bufata iminota igera kuri 30, kandi abarwayi benshi barashobora kuva muburiri bagakomeza imirimo isanzwe mugihe cyamasaha 24 bakingiwe no gukingira. Uku gukangurira hakiri kare kugabanya cyane ibyago byo kuruhuka ku buriri - ingorane ziterwa na pneumoniya hypostatike, ibisebe byumuvuduko, hamwe na trombose ndende, ndetse bikanorohereza umutwaro wo kwita ku baforomo igihe kirekire. Byongeye kandi, kwifata hakiri kare birinda gutakaza amagufwa biterwa no kudahagarara igihe kirekire, bikuraho inzitizi mbi yo gukoresha osteoporose.
Osteoporotic vertebral compression ivunika byerekana ibimenyetso bikunze kugaragara kuri vertebroplasty. Ku barwayi bafite igabanuka ry'amagufwa no gucika intege bitewe na osteoporose, ndetse n'ibikorwa bito bya buri munsi nko kunama, gukorora, kuniha, cyangwa guterura bishobora gutera kuvunika kw'urugingo, biganisha ku bubabare bukabije cyangwa bukabije bubangamira ubuzima bwiza. Vertebroplasty igabanya neza ububabare, ikongera urutirigongo, kandi ifasha abarwayi kugarura umuvuduko.
Vertebroplasty yerekanwa kandi ku bibyimba byiza bya vertebral, nka hemangioma, ndetse na metastase mbi yatewe na kanseri nka myeloma nyinshi, kanseri y'ibihaha, kanseri y'ibere, cyangwa kanseri ya prostate. Izi miterere akenshi zitera kurimbuka kwa osteolitike, kuvunika indwara, no guhungabana kwumugongo, bikaviramo ububabare bukabije cyangwa no kwikuramo imitsi. Vertebroplasty ikomeza vertebrae, igabanya ububabare, kandi igabanya ibyago byizindi ngaruka.
Mu bihe byatoranijwe neza, vertebroplasty irashobora kandi gutekerezwa kubintu bimwe na bimwe byavunitse bikabije cyangwa vertebral hematoma, hashingiwe ko imiterere yubuvuzi yujuje ibyangombwa by’umutekano.
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