Vertebral Perforator

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 spine surgery centre.

  
  

• 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 kudzikamisa 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.

Kyphoplasty Balloon Vertebral Perforator: A Breakthrough Treatment for Vertebral Compression Fractures

Nhanganyaya

Vertebral compression fractures (VCFs) inowanzoitika, kunyanya muhuwandu hwevanhu vakwegura, uye inowanzobatanidzwa neosteoporosis. Kurapa kwechinyakare kweVCFs kunosanganisira kuchengetedzwa kwekuchengetedza, senge mushonga wemarwadzo uye bracing, kana kuvhiya senge spinal fusion. Zvisinei, marapirwo aya anogona kunge asina kushanda nesimba kana kutungamirira kune mamwe matambudziko. Kyphoplasty balloon vertebral perforator (KBP) inguva shoma, kurapwa kweVCFs kwakashandura hutungamiri hwechirwere ichi. Muchikamu chino, tichaongorora michina, zviratidzo, mabhenefiti, uye njodzi dzine chekuita neKBP.

Anatomy uye Mechanism yeVCFs

VCFs inoitika apo vertebral body inodonha nekuda kwekushayiwa simba kwemapfupa, kazhinji kunokonzerwa neosteoporosis kana kukuvadzwa. Iro vertebral body ndiyo yepakati chikamu che vertebra, uye inoumbwa nekanzura pfupa rakakomberedzwa netete rakatsetseka re cortical bone. Kana iyo vertebral body inodonha, inogona kuguma nekurwadziwa kukuru nekuremara.

Zviratidzo zveKyphoplasty Balloon Vertebral Perforator

KBP inoratidzirwa kurapwa kweVCF inorwadza iyo yakundikana kupindura kune inochengetedza manejimendi, kana mumamiriro ezvinhu apo kuvhiyiwa kusiri kwakakodzera sarudzo. Nzira yacho inowanzobvumirwa zvakanaka uye ine ngozi shoma yematambudziko.

Iyo Kyphoplasty Balloon Vertebral Perforator Procedure

KBP inosanganisira kushandiswa kwekatheta diki yebharumu inopinzwa mumutumbi wevertebral wakadonha pasi pekutungamirirwa kwefluoroscopic. Bharumu rinobva rakwiridzirwa kudzorera kureba kwemuviri wevertebral uye kugadzira mhango. Kana gomba ragadzirwa, simende yebhonzo inobayiwa kuti igadzikane muviri wevertebral uye kudzivirira kuwedzera kudonha.

Zvakanakira zveKyphoplasty Balloon Vertebral Perforator

KBP ine mabhenefiti akati wandei pane echinyakare marapirwo eVCFs. Chekutanga, inzira idiki-inopinza inogona kuitwa pasi peanesthesia yemunharaunda, kuderedza njodzi dzine chekuita neaneshesia. Chechipiri, inosanganiswa nekugara muchipatara kwenguva pfupi uye nekukurumidza kupora nguva kana zvichienzaniswa nekuvhiya kwechinyakare. Pakupedzisira, KBP ine chiyero chekubudirira kwepamusoro, nevarwere vazhinji vachiona zororo rakakura uye basa rakagadziridzwa rinotevera maitiro.

Njodzi uye Matambudziko eKyphoplasty Balloon Vertebral Perforator

Sezvinoita chero nzira yekurapa, KBP inotakura njodzi uye zvinogona kunetsa. Izvi zvinogona kusanganisira kutapukirwa, kubuda ropa, kukuvara kwetsinga, kubuda simende, kana kuwedzera kwekutyoka. Zvisinei, njodzi yezvinetso izvi yakaderera, uye varwere vakawanda vanoshivirira nzira yacho zvakanaka.

Mushure meKuchengeta uye Kudzoreredza

Mushure meKBP, varwere vanowanzotariswa kwenguva pfupi uye vanogona kudzokera kumba zuva rimwe chetero. Vanorayirwa kuti vadzivise kusimudza zvinorema uye basa rakaoma kwemavhiki akati wandei, asi vanogona kutangazve mabasa ezuva nezuva mukati memazuva mashoma. Physical therapy inogonawo kukurudzirwa kubatsira nekugadzirisa.

Mafambiro Amangwana eKyphoplasty Balloon Vertebral Perforator

KBP inzira itsva, uye tsvakiridzo inoenderera mberi iri kuongorora zvingangoitika mashandisirwo ayo uye gadziridzo. Semuenzaniso, pane tsvakurudzo inoenderera mberi yekushandiswa kwebiodegradable bone simenti, iyo inogona kuderedza dambudziko renguva refu yematambudziko ane chokuita nesimende yechinyakare.

Mhedziso

Kyphoplasty balloon vertebral perforator inguva shoma, kurapa kwekubudirira kwemaVCF anorwadza ayo akachinja manejimendi echirwere ichi. Nzira yacho inowanzobvumirwa zvakanaka uye ine chiyero chekubudirira kwepamusoro, nevarwere vakawanda vane ruzivo rwakanyanya rwekurwadziwa uye kuvandudzwa kwebasa rinotevera maitiro. Kunyange paine dzimwe njodzi dzine chekuita nemaitiro aya, idzi dzinowanzove dzakaderera, uye varwere vazhinji vanoshivirira maitiro nemazvo. Sezvo tsvakurudzo inoenderera mberi ichiongorora zvingangoitwa uye kunatsiridza kweKBP, maitiro aya angangoramba ari chishandiso chakakosha mukutonga kweVCFs.

FAQs

1. KBP inzira yakakodzera yekurapa varwere vese vane VCFs?

KBP inoratidzirwa kurapwa kweVCF inorwadza iyo yakundikana kupindura kune inochengetedza manejimendi kana mumamiriro ezvinhu apo kuvhiyiwa kusiri kwakakodzera sarudzo. Nekudaro, havasi vese varwere vane VCFs vari kukwikwidza kuKBP, uye danho rekuita maitiro rinofanira kuitwa mukubvunzana nemupi wehutano.

1. Maitiro eKBP anotora nguva yakareba sei?

Maitiro eKBP anowanzo tora nguva inenge awa imwe chete kuita.

1. Inguvai mushure mekuita maitiro varwere vanogona kutangazve mabasa akajairwa?

Varwere vanogona kazhinji kutangazve mabasa ezuva nezuva mukati memazuva mashoma mushure mekuita, kunyangwe kusimudza zvinorema uye basa rinorema rinofanirwa kudzivirirwa kwemavhiki akati wandei.

1. Ndeapi matambudziko anogona kusangana neKBP?

Zvinetso zvinogona kusangana neKBP zvinogona kusanganisira kutapukirwa, kubuda ropa, kukuvara kwetsinga, kudonha simende, kana kuwedzera kwekuputsika. Zvisinei, njodzi yezvinetso izvi kazhinji yakaderera.

1. KBP inovharwa neinishuwarenzi?

KBP inowanzovharwa neinishuwarenzi, kunyangwe kuvharwa kungasiyana zvichienderana nehurongwa hweinishuwarenzi hwemurwere uye zvimwe zvinhu.