Inaliti yesiKhokelo

Iindlela ezahlukeneyo ze-extra-arch puncture zisetyenziswe ngempumelelo kwi-percutaneous vertebroplasty (PVP) kunye ne-percutaneous kyphoplasty (PKP).

I-Percutaneous vertebroplasty (PVP)

I-Percutaneous vertebroplasty (PVP) yonyango lwezigulane ezine-vertebral fractures enye okanye ngaphezulu kweempawu ezibangelwa ngamathambo, i-osteoporosis okanye i-trauma. Kwi-PVP, inaliti ye-biopsy yethambo ifakwe kwi-vertebrae ephukile phantsi kwe-anesthesia yendawo kwisigulane; i-samente yethambo eyenziwe nge-polymethylmethacrylate (PMMA) ifakwe ngenaliti, ilandelwa kukukhululeka ngokukhawuleza kweempawu ezifana nobunzima bokuhamba okanye intlungu ephantsi. Inkqubo enye ye-PVP idinga kuphela iiyure ze-2 zexesha lokunyanga kunye neeyure ze-2 zokuphumla kwebhedi emva kokusebenza; inokwenziwa nge-5-mm yokusikwa kwesikhumba ukwenzela ukufakwa kwenaliti ye-biopsy yethambo ngalinye, ineziganeko eziphantsi zeziganeko ezibi kakhulu, zinokwenziwa ngaphandle kokulungiswa okukhethekileyo kwangaphambili okanye ukhathalelo olunzulu lwasemva kokuhlinzwa, kwaye ukuchasana okukuphela kosulelo olungalawulekiyo kunye notyekelo lokopha. izigulane ezikhulileyo ezingaphezu kweminyaka engama-90 ubudala ezineziphumo eziqinisekisiweyo.

I-Percutaneous kyphoplasty (PKP)

I-Percutaneous kyphoplasty (PKP) okwangoku yonyango olusebenzayo kunye nolusetyenziswa ngokubanzi kwi-osteoporotic vertebral compression fractures (OVCF), edla ngokuqhutyelwa phantsi kwe-anesthesia yendawo kwaye ixhomekeke kakuhle kwizigulane. Uphononongo lwangaphambili lubonise iziphumo ezithembisayo zeklinikhi ngokubhekiselele kwiintlungu ezikhawulezayo kunye nomsebenzi ophuculweyo, ngakumbi kubantu abadala. Nangona kunjalo, kusekho inani eliphezulu kakhulu lezigulane ezinganelisekanga ngeziphumo emva kokuhlinzwa. Ngokubhekiselele kwezi zi gulane, zikhalaza ngokunganeliseki okanye akukho tshintsho kwiintlungu zabo okanye iintlungu ezibuhlungu, ezinokubonisa ukunyanzeliswa okuqhubekayo okanye ukuphuka okuphindaphindiweyo kwi-vertebrae ephathwayo. Izifundo zangaphambili zibonise ukuba i-intravertebral vacuum clefting (IVC) kwi-OCCF enzima ayikho into engavamile kwaye iphinda ithathelwe ingqalelo njengeyona nto ibalulekileyo yomngcipheko wentlungu eqhubekayo kunye nokuwa kwe-vertebral enzima, enokuba sesona sizathu seziphumo ezingonelisiyo emva kwe-PKP.

Yintoni ibhaluni kyphoplasty?

I-Balloon kyphoplasty yinkqubo encinci ye-invasive eyenzelwe ukulungisa i-vertebral compression fractures (VCF) ngokunciphisa kunye nokuzinzisa iifractures. Iphatha i-pathological vertebral fractures ebangelwa yi-osteoporosis, umhlaza okanye izilonda ezinobungozi.

Isebenza njani iBalloon Osteoplasty

Ukudala indawo yebhaluni

Ugqirha uya kwenza indlela kwi-vertebra ephukile usebenzisa isixhobo esingenanto. Ibhaluni encinci ikhokelwa ngesixhobo ukuya ethanjeni.

Ukufutha ibhaluni

Xa sele ikwindawo, ibhaluni ivuthelwa ngokucothayo ukuze inyuse ngobunono ithambo eliwileyo kwindawo yalo yesiqhelo.

Ukususa ibhaluni

Xa ithambo likwindawo echanekileyo, ugqirha wotyando uyakhupha kwaye asuse ibhaluni. Oku kushiya isithuba-okanye umngxuma-ngaphakathi komzimba we-vertebral.

Ukuzalisa i-vertebral void

Ukuthintela ukuba ithambo lingawi kwakhona, isithuba sizaliswe ngesamente yamathambo.

Ukwenza isakhelo sangaphakathi

Emva kokuba isetyenzisiwe, i-samente yenza i-cast ngaphakathi komzimba we-vertebral ozinzisa ithambo. Ukukhusela ngokupheleleyo ithambo, inkqubo ngamanye amaxesha yenziwa kumacala omabini omzimba we-vertebral.

Iinzuzo eziphambili zebhaluni kyphoplasty ziquka:

• Ixesha lotyando elifutshane; inkqubo idla ngokuthatha malunga nesiqingatha seyure kwinqanaba lomnqonqo.

  
  

• Inkqubo ye-kyphoplasty inokuthi yenziwe rhoqo nge-anesthesia yendawo. Nangona kunjalo, ezinye izigulane, kuxhomekeke kwimpilo yazo jikelele kunye nobukhulu be-spinal fracture (s) inokufuna i-anesthesia jikelele.

  
  

• Izigulane ziyakwazi ukuhamba kwaye zibuyele kwimisebenzi yazo eqhelekileyo emva kokuhlinzwa.

  
  

• I-Kyphoplasty inokwenziwa kwiziko lotyando lwe-ambulatory (ASC), esibhedlele, okanye kwiziko lotyando lomqolo.

  
  

• Uninzi lwezigulana zikhutshwa ekhaya kwangolo suku lunye njengenkqubo yazo ye-kyphoplasty. Ukuhlala esibhedlele ubusuku bonke kunokucetyiswa kwezinye izigulana ngokuxhomekeke kwizinto ezininzi, njengeengxaki zonyango ezikhoyo (umzekelo, iingozi zentliziyo).

Ubude bokuhlala kunye noBuyiselo

Ugqirha wakho uya kukunika imiyalelo ethile emva kokusebenza, kodwa ngokubanzi, uya kuchitha malunga neyure kwigumbi lokubuyisela emva kwenkqubo. Apho, umongikazi ubeka iliso ngenkuthalo iimpawu zakho ezibalulekileyo, ezibandakanya intlungu emva.

Uninzi lwezigulane zikhutshwa kwi-ASC okanye esibhedlele kwiiyure ezingama-24 zenkqubo yebhaluni ye-kyphoplasty. Kwidinga lakho lokulandela utyando, ugqirha wakho uya kuvavanya inkqubela yakho yokubuyisela kwakhona ukuze abone ukuba kufuneka unciphise imisebenzi ethile (umzekelo, ukuphakamisa). Izigulane ezininzi zichaza ukuphuculwa okuphawulekayo kwintlungu, ukuhamba kunye nokukwazi ukwenza imisebenzi yemihla ngemihla-ngoko akufuneki ukuba wenze naluphi na uhlengahlengiso kwinqanaba lakho lomsebenzi womzimba.

I-Kyphoplasty Balloon Guide Inaliti: IsiKhokelo esiBanzi

I-Kyphoplasty yinkqubo yotyando encinci esetyenziselwa ukunyanga i-vertebral compression fractures (VCFs). Le nkqubo ibandakanya inaliti yesikhokelo sebhaluni yekyphoplasty, edlala indima ebalulekileyo kwimpumelelo yotyando. Kweli nqaku, siza kubonelela ngesikhokelo esibanzi kwiinaliti zesikhokelo sebhaluni ye-kyphoplasty, kubandakanywa ne-anatomy, izibonakaliso, ubuchule kunye neziphumo.

Yintoni Inaliti yeBhaluni yeKyphoplasty?

Inaliti ye-kyphoplasty ibhaluni yesikhokelo sisixhobo sonyango esisetyenziselwa ukufikelela kumzimba we-vertebral ngexesha lotyando lwe-kyphoplasty. Inencam ebukhali, ishafti engenanto, kunye nomqheba. Ingqungquthela ebukhali yenzelwe ukungena kumzimba we-vertebral, kwaye i-shaft egobileyo isetyenziselwa ukukhokela ibhaluni ye-kyphoplasty kwindawo oyifunayo. Isibambo sivumela ugqirha wotyando ukuba alawule ukunyakaza kunye nobunzulu benaliti ngexesha lenkqubo.

I-Anatomy yeNnaliti ye-Balloon ye-Kyphoplasty

Inaliti yebhaluni ye-kyphoplasty iqulathe amacandelo amane aphambili: incam ebukhali, i-shaft egobileyo, isiphatho, kunye ne-hub. Incam ebukhali ngokuqhelekileyo yenziwe ngensimbi engenasici kwaye yenzelwe ukungena kumzimba we-vertebral. I-shaft ye-hollow yenziwe ngeplastiki okanye isinyithi kwaye isetyenziselwa ukukhokela ibhaluni ye-kyphoplasty kwindawo oyifunayo. Isibambo senziwe ngeplastiki okanye irabha kwaye isetyenziselwa ukulawula ukunyakaza kunye nobunzulu benaliti ngexesha lenkqubo. I-hub yindawo yokudibanisa phakathi kwenaliti kunye nesirinji esetyenziselwa ukuvuthela ibhaluni ye-kyphoplasty.

Iimpawu zeKyphoplasty Balloon Guide Inaliti

Iinaliti ze-Kyphoplasty ze-balloon guide zisetyenziselwa unyango lwe-vertebral compression fractures (VCFs). IiVCFs yimeko eqhelekileyo edla ngokubangelwa yi-osteoporosis okanye ukwenzakala. Zinokukhokelela kwiintlungu ezinzima, ukukhubazeka, kunye nokulahlekelwa ngumsebenzi. I-Kyphoplasty iboniswa kwizigulane eziye zahluleka unyango olulondolozayo okanye zineentlungu ezinzima, ukukhubazeka, okanye ukulahlekelwa ngumsebenzi.

Ubuchwephesha bokusebenzisa Inaliti yeBhaluni yeKyphoplasty

Iinaliti ze-Kyphoplasty zebhaluni yesikhokelo ziqhele ukusetyenziswa kunye nebhaluni ye-kyphoplasty kunye nesamente yethambo. Inkqubo iqala ngokufakwa kwenaliti kumzimba we-vertebral phantsi kwesikhokelo se-fluoroscopic. Emva kokuba inaliti isendaweni, ibhaluni ye-kyphoplasty ifakwe, idala i-void ngaphakathi komzimba we-vertebral. I-samente yethambo ifakwe kwi-void, ukuzinzisa ukuphuka kunye nokubuyisela ukuphakama komzimba we-vertebral.

Iingxaki kunye neziphumo ze-Kyphoplasty Balloon Guide Inaliti

Iinaliti zesikhokelo sebhaluni ye-Kyphoplasty zinxulunyaniswa neengxaki ezininzi ezinokubakho, kubandakanya ukopha, usulelo, ukwenzakala kwemithambo-luvo, kunye nokuvuza kwesamente. Nangona kunjalo, umlinganiselo wengxaki uphantsi, kwaye inkqubo ibonakaliswe ikhuselekile kwaye iyasebenza kunyango lwe-VCFs. Izigulane zifumana ukukhululeka okukhulu kwentlungu kunye nomsebenzi ophuculweyo emva kwe-kyphoplasty.

Ukuqukumbela

Iinaliti zesikhokelo sebhaluni ye-Kyphoplasty zidlala indima ebalulekileyo kwimpumelelo yotyando lwe-kyphoplasty. Zisetyenziselwa ukufikelela kumzimba we-vertebral kunye nokukhokela ibhaluni ye-kyphoplasty kwindawo oyifunayo. I-Kyphoplasty lunyango olukhuselekileyo nolusebenzayo lwe-VCFs, kunye namazinga aphantsi obunzima kunye neziphumo ezibalaseleyo. Ukuba uphethwe yi-VCF, thetha nogqirha wakho malunga nokuba i-kyphoplasty ilungile kuwe.