Maikutlo: 0 Mongoli: Nako ea Phatlalatso ea Mohlophisi oa Sebaka: 2025-09-20 Tšimoloho: Sebaka
Vertebroplasty ke mokhoa o fokolang haholo o etselitsoeng ho alafa fractures ea mokokotlo oa mokokotlo oa masapo. E sebelisoa haholo-holo ho fractures ea thoracic le lumbar, moo samente ea lesapo e kenngoa ka har'a vertebra e oeleng ho tsitsisa lesapo, ho kokobetsa bohloko le ho tsosolosa bophahamo ba mokokotlo. Mokhoa ona o kenyelletsa mekhoa e 'meli e meholo: Percutaneous Vertebroplasty (PVP) le Percutaneous Kyphoplasty (PKP).
Ho PVP, ho seha hanyenyane ho ka bang 2 mm mokokotlong oa mokuli. Tlas'a tataiso ea fluoroscopic, nale e tsoela pele ka mokhoa o pota-potileng ka pedicle ho ea 'meleng oa vertebral. Samente ea masapo ebe e kenngoa ka mocha o sebetsang, ka potlako e thatafala ho tsitsisa vertebra e robehileng, ho thibela ho putlama ho eketsehileng, le ho fana ka phomolo e kholo ea bohloko.
Ho PKP, ka mor'a ho fumana vertebra e robehileng, balune e kenngoa 'me e tšeloa moea ho tsosolosa karolo ea bophahamo ba mokokotlo le ho etsa sekoti ka har'a lesapo. Samente ea masapo ebe e kenngoa ka mekhahlelo: balune e kopanya lesapo le pota-potileng, ho theha mokoallo khahlanong le ho lutla ha samente, ha ente e etsoang sethaleng e fokotsa khatello ea ente, e fokotsa haholo kotsi ea samente extravasation.
Ka bobeli balloon kyphoplasty (PKP) le setso sa percutaneous vertebroplasty (PVP) li fana ka liphallelo tse potlakileng, tse ka tšeptjoang le tse sebetsang haholo, ha li ntse li thibela ho hatella kapa ho putlama ha lesapo la mokokotlo le robehileng. Boiphihlelo ba tleliniki bo netefalitse khafetsa phello ea bona ea pele ea analgesic, ka kakaretso ea khotsofalo ea mokuli e fetang 80%. Ha ho tluoa tabeng ea ho tsosolosa bophahamo ba mokokotlo le ho lokisa bokooa ba mokokotlo oa kyphotic, PKP e bontša liphello tse phahameng ha li bapisoa le PVP.
Ts'ebetso ea PVP hangata e nka metsotso e ka bang 30, 'me bakuli ba bangata ba khona ho tsoha betheng le ho qalella mesebetsi e tloaelehileng nakong ea lihora tse 24 tlas'a ts'ireletso ea marapo a lumbar. Ts'ebetso ena ea pele e fokotsa haholo kotsi ea mathata a amanang le ho phomola betheng, joalo ka pneumonia ea hypostatic, liso tsa khatello ea maikutlo le thrombosis e tebileng ea methapo, ha e ntse e nolofatsa moroalo oa tlhokomelo ea nako e telele ea booki. Ho feta moo, ho potlakisa masapo pele ho nako ho thibela ho lahleheloa ke masapo ho bakoang ke ho se sisinyehe ha nako e telele, ho senya mokhoa o sehlōhō oa ho se sebelise osteoporosis.
Ho robeha ha mokokotlo oa mokokotlo oa mokokotlo oa masapo ke pontšo e tloaelehileng haholo bakeng sa vertebroplasty. Ho bakuli ba fokotsehileng lesapo le ho fokola ka lebaka la lefu la ho fokola ha masapo, esita le mesebetsi e fokolang ea letsatsi le letsatsi e kang ho khumama, ho khohlela, ho thimola kapa ho phahamisa ho ka baka ho robeha ha lesapo la mokokotlo, e leng se lebisang ho bohloko bo sa khaotseng kapa bo matla bo senyang haholo boleng ba bophelo. Vertebroplasty e kokobetsa bohloko ka katleho, e matlafatsa botsitso ba lesapo la mokokotlo, 'me e thusa bakuli hore ba boele ba tsamaee.
Vertebroplasty e boetse e bontšoa bakeng sa lihlahala tse kotsi tsa mokokotlo, tse kang hemangiomas, hammoho le metastase e kotsi ea mokokotlo e tsoang ho kankere e kang multiple myeloma, kankere ea matšoafo, kankere ea matsoele, kapa kankere ea senya. Hangata maemo ana a baka tšenyo ea osteolytic, pathological fractures, le ho se tsitse ha lesapo la mokokotlo, ho baka bohloko bo boholo kapa khatello ea methapo. Vertebroplasty e matlafatsa lesapo la mokokotlo, e kokobetsa bohloko, 'me e fokotsa kotsi ea mathata a mang.
Maemong a khethiloeng ka hloko, vertebroplasty le eona e ka nahanoa bakeng sa ho robeha ho hoholo ha fractures kapa vertebral hematomas, ha feela maemo a kliniki a fihlela litekanyetso tse khethehileng tsa polokeho.
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