Ku langutiwa: 0 Mutsari: Muhleri wa Sayiti Nkarhi wo kandziyisa: 2025-09-20 Masungulo: Ndhawu
Vertebroplasty i endlelo leri nga ngheneriki ngopfu leri endleriweke ku tshungula ku tshoveka ka marhambu ya ku tshikileriwa ka marhambu. Ngopfu ngopfu yi tirhisiwa eka ku tshoveka ka thoracic na lumbar, laha semende ya marhambu yi cheriwa eka vertebra leyi tshovekeke ku tiyisisa marhambu, ku hunguta switlhavi na ku vuyisela ku leha ka vertebral. Thekiniki leyi yi katsa maendlelo mambirhi lamakulu: Percutaneous Vertebroplasty (PVP) na Percutaneous Kyphoplasty (PKP).
Eka PVP, ku tsemiwa lokuntsongo ka kwalomu ka 2 mm ku endliwa enhlaneni wa muvabyi. Ehansi ka nkongomiso wa fluoroscopic, naliti yi yisiwa emahlweni hi percutaneously hi pedicle kuya eka miri wa vertebral. Kutani semendhe ya marhambu yi cheriwa hi ku tirhisa xiteji lexi tirhaka, yi hatlisa yi nonoka leswaku yi tshamiseka vertebra leyi tshovekeke, yi sivela ku wa loku engetelekeke ni ku hunguta ku vava lokukulu.
Eka PKP, endzhaku ko fikelela vertebra leyi tshovekeke, ku nghenisiwa baluni kutani yi pfurha ku vuyisela xiphemu xa ku tlakuka ka vertebral na ku endla xivandla endzeni ka marhambu. Kutani semende ya marhambu yi cheriwa hi switeji: baluni yi hlanganisa marhambu ya cancellous lawa ya rhendzeleke, yi endla xisirhelelo eka ku khuluka ka semende, kasi ku cheriwa hi switeji swi hunguta ntshikelelo wa ku cheriwa, leswi hungutaka swinene khombo ra ku humesiwa ka semende.
Havumbirhi bya balloon kyphoplasty (PKP) na traditional percutaneous vertebroplasty (PVP) swi nyika ku hunguta switlhavi hi xihatla, loku tshembekaka, na ku tirha swinene, loko swi tlhela swi sivela ku tshikileriwa kun’wana kumbe ku wa ka marhambu ya nhloko lama tshovekeke. Ntokoto wa tliliniki wu tshama wu ri karhi wu tiyisisa mbuyelo wa vona wo hlamarisa wa ku hunguta switlhavi swa le ku sunguleni, hi mimpimo ya ku eneriseka ka muvabyi hi ku angarhela leyi tlulaka 80%. Loko swita eka ku vuyisela ku leha ka vertebral naku lulamisa spinal kyphotic deformities, PKP yikombisa mbuyelo wale henhla loko ku pimanyisiwa na PVP.
Endlelo ra PVP hi ntolovelo ri teka kwalomu ka 30 wa timinete, naswona vavabyi vo tala va kota ku pfuka emubedweni no tlhela va sungula migingiriko ya ntolovelo ku nga si hela tiawara ta 24 ehansi ka nsirhelelo wa lumbar brace. Ku hlengeletiwa loku ka ha ri emahlweni ku hunguta swinene khombo ra swiphiqo leswi fambelanaka na ku wisa emubedweni, swo tanihi nyumoniya ya hypostatic, swilondza swa ntshikelelo, na thrombosis ya misiha leyi dzikeke, loko swi tlhela swi hunguta ndzhwalo wa vukorhokeri bya vuongori bya nkarhi wo leha. Ku tlula kwalaho, ku famba-famba ka ha ri ni nkarhi swi sivela ku lahlekeriwa hi marhambu loku vangiwaka hi ku nga fambi nkarhi wo leha, leswi herisaka xirhendzevutana xo biha xa ku tsana ka marhambu loku nga tirhisiwiki.
Osteoporotic vertebral compression fractures yi yimela xikombiso lexi tolovelekeke swinene xa vertebroplasty. Eka vavabyi lava nga na ku hunguteka ka ku tsindziyela ka marhambu na ku tsana hikwalaho ka ku tsana ka marhambu, hambi ku ri mintirho leyintsongo ya siku na siku yo fana na ku gombonyoka, ku khohlola, ku khohlola, kumbe ku tlakusa swi nga vanga ku tshoveka ka marhambu ya nhloko, leswi yisaka eka ku vava loku phikelelaka kumbe lokukulu loku onhaka swinene khwalithi ya vutomi. Vertebroplasty yi hunguta switlhavi hi ndlela leyinene, yi antswisa ku tshamiseka ka nkolo naswona yi pfuna vavabyi leswaku va tlhela va kota ku famba-famba.
Vertebroplasty yitlhela yi kombisiwa eka swirhumbana swa vertebral leswinga riki na khombo, swofana na hemangiomas, xikan’we na malignant spinal metastases kusuka eka ti cancers tofana na multiple myeloma, cancer ya mahahu, cancer ya mavele, kumbe prostate cancer. Swiyimo leswi hakanyingi swi vanga ku onhaka ka marhambu, ku tshoveka ka marhambu ni ku nga tshamiseki ka nkolo, leswi endlaka leswaku ku va ni switlhavi leswikulu kumbe hambi ku ri ku tshikileriwa ka misiha. Vertebroplasty yi tiyisa vertebrae, yi hunguta ku vava naswona yi hunguta khombo ra swiphiqo swin’wana.
Eka swiyimo leswi hlawuriweke hi vukheta, vertebroplasty yi nga ha tlhela yi tekeriwa enhlokweni eka ku tshoveka ko karhi ka acute burst kumbe vertebral hematomas, ntsena loko swiyimo swa tliliniki swi fikelela swipimelo swo karhi swa vuhlayiseki.
ACDF Nongonoko Lowuntshwa wa Thekinoloji——Uni-C Standalone Cervical Cage
Ku tsemiwa ka discectomy ya khwiri ra le mahlweni hi decompression na implant fusion (ACDF) .
Thoracic Spinal Implants: Ku Antswisa Vutshunguri bya ku Vaviseka ka Nkolo
Dizayini leyintshwa ya R&D Sisiteme ya Nkolo leyi nga Nghenisiki Switsongo (MIS) .
5.5 Vaendli va Swikwirikiri swa Monoplane leswi nga ngheneriki ngopfu na Switirhisiwa swa Marhambu
Swikumiwa