Nzira dzakasiyana-siyana dzekuwedzera-arch puncture dzakabudirira kushandiswa kune percutaneous vertebroplasty (PVP) uye percutaneous kyphoplasty (PKP).
Percutaneous vertebroplasty (PVP)
Percutaneous vertebroplasty (PVP) kurapa kwevarwere vane imwe kana kupfuura yechiratidzo vertebral fractures inokonzerwa nemapfupa emapfupa, osteoporosis kana kushungurudzika. MuPVP, pfupa biopsy tsono inopinzwa mu vertebrae yakaputsika pasi peanesthesia yemunharaunda mumurwere; simiti yebhonzo yakagadzirwa nepolymethylmethacrylate (PMMA) inobayiwa netsono, inoteverwa nekusunungurwa kwekukurumidza kwezviratidzo zvakadai sekunetseka kufamba kana kurwadziwa kwepamusoro. Nzira imwe chete yePVP inoda maawa maviri chete ekurapa nguva uye maawa maviri ekuzorora kwemubhedha mushure mekushanda; inogona kuitwa kuburikidza ne5-mm yeganda incision yekuisa pfupa rimwe nerimwe biopsy tsono, ine yakaderera chiitiko chezviitiko zvakakomba zvakashata, inogona kuitwa pasina yakakosha preoperative kugadzirira kana kwakadzika postoperative kutarisirwa, uye chete zvachose contraindications utachiona husingadzoreki uye kubuda ropa tendencies.PVP, sezvo zvishoma invasive nzira, ane yakaderera hunhu anogona kurapa chipatara uye chipatara anogonawo kurapa kusingadzoreki. varwere vakwegura vanopfuura makore 90 nemigumisiro yakavimbiswa.
Percutaneous kyphoplasty (PKP)
Percutaneous kyphoplasty (PKP) ikozvino inoshanda uye inoshandiswa zvakanyanya kurapwa kwe osteoporotic vertebral compression fractures (OVCF), iyo inowanzoitwa pasi peanesthesia yemunharaunda uye inobvumirwa zvakanaka nevarwere. Zvidzidzo zvepakutanga zvakaratidza mhedzisiro yekiriniki inovimbisa maererano nekunyaradza marwadzo nekukurumidza uye nekuvandudza basa, kunyanya kune vakwegura. Zvisinei, kuchine nhamba yakakwirira kwazvo yevarwere vasingagutsikani nemigumisiro yemashure ekuvhiya. Kana vari varwere ava, vanonyunyuta pamusoro pekusagutsikana kana kusashanduka mukurwadziwa kwavo kana kurwadziwa kwakanyanya, izvo zvinogona kuratidza kudzvinyirira kunoramba kuripo kana kuputsika kunodzokororwa mune vertebrae inorapwa. Ongororo dzakapfuura dzakaratidza kuti intravertebral vacuum clefting (IVC) mune acute OVCF haisi chinhu chisingawanzoitiki uye inoonekwawo sechinhu chakakosha chengozi yekuramba kunorwadza shure uye kuparara kwakanyanya kwevertebral, iyo inogona kuva chikonzero chikuru chemigumisiro isingafadzi mushure mePKP.
Chii chinonzi balloon kyphoplasty?
Balloon kyphoplasty inzira iduku-duku inoparadza yakagadzirirwa kugadzirisa vertebral compression fractures (VCF) nekuderedza uye kudzikamisa kuputsika. Inobata pathological vertebral fractures inokonzerwa ne osteoporosis, kenza kana maronda asina kunaka.
Iyo Balloon Osteoplasty Inoshanda sei
Kugadzira nzvimbo yebharumu
Chiremba anovhiya achaita nzira yekupinda muvertebra yakatsemuka achishandisa chiridzwa chine mhango. Bharumu duku rinobva ratungamirirwa nemudziyo kupinda mubhonzo.
Kufuridzira bharumu
Kana rave panzvimbo, bharumu rinofuridzirwa zvishoma nezvishoma kuti risimudze bhonzo rakadonha panzvimbo yaro zvinyoro nyoro.
Kubvisa bharumu
Apo pfupa riri panzvimbo yakarurama, chiremba anovhiya anobvisa uye anobvisa bharumu. Izvi zvinosiya pasina chinhu-kana mhango-mukati memuviri wevertebral.
Kuzadza vertebral void
Kuti pfupa risadonha zvakare, buri racho rinozadzwa nesamende yemapfupa.
Kugadzira chimiro chemukati
Kana yangogadzikwa, simende inoumba chikanda mukati memuviri we vertebral inodzikamisa pfupa. Kuti uchengetedze zvakakwana pfupa, nzira yacho dzimwe nguva inoitwa kumativi ose emuviri we vertebral.
Mabhenefiti ekutanga ebhaluni kyphoplasty anosanganisira:
Nguva pfupi yekuvhiya; nzira yacho inowanzotora inenge hafu yeawa pamusana pemusana.
Iyo kyphoplasty nzira inogona kazhinji kuitwa neaneshesia yemunharaunda. Zvisinei, vamwe varwere, zvichienderana nehutano hwavo hwose uye kuoma kwemusana wekuputsika (s) zvingada general anesthesia.
Varwere vanokwanisa kufamba uye kudzokera kumabasa avo enguva pfupi mushure mekuvhiyiwa.
Kyphoplasty inogona kuitwa mu ambulatory surgery centre (ASC), chipatara, kana outpatient musana wokuvhiya nzvimbo.
Vazhinji varwere vanoburitswa kumba zuva rimwechete senzira yavo yekyphoplasty. Kugara muchipatara kwehusiku humwe chete kunogona kukurudzirwa kune vamwe varwere zvichienderana nezvinhu zvakawanda, senge matambudziko ekurapa aripo (semuenzaniso, njodzi dzemoyo).
Kureba Kwekugara uye Kupora
Chiremba wako achakupa chaiyo post-operative mirairo, asi kazhinji, iwe uchapedza inenge awa mukamuri yekudzoreredza mushure mekuita. Ikoko, mukoti anonyatsocherechedza zviratidzo zvako zvinokosha, zvinosanganisira kurwadziwa shure.
Varwere vazhinji vanoburitswa kubva kuASC kana kuchipatara mukati memaawa makumi maviri nemana ebhaluni yavo kyphoplasty maitiro. Pakuvhiya kwako kwekutevera kugadzwa, chiremba wako achaongorora kufambira mberi kwako kupora kuti aone kana uchifanira kudzikisira zvimwe zviitiko (semuenzaniso, kusimudza). Varwere vakawanda vanorondedzera kuvandudzwa kwakakosha mukurwadziwa, kufamba uye kukwanisa kuita mabasa ezuva nezuva-saka iwe unogona kunge usingadi kuita chero zvigadziridzo kuhutano hwako hwekuita.
