I-Vertebral Perforator

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 Vertebral Perforator: UNyango oluQhelekileyo loNyango lwe-Vertebral Compression Fractures

Intshayelelo

I-Vertebral compression fractures (VCFs) yimeko eqhelekileyo, ngakumbi kubantu abadala, kwaye bahlala bedibene ne-osteoporosis. Unyango lwesintu lwe-VCFs lubandakanya ulawulo olululo, olufana namayeza eentlungu kunye nokuqhawuka, okanye ungenelelo lotyando olufana nokudityaniswa komqolo. Nangona kunjalo, olu nyango lunokuba nokusebenza okulinganiselweyo okanye lukhokelela kwezinye iingxaki. Ibhaluni ye-Kyphoplasty ye-vertebral perforator (KBP) yinto encinci, unyango oluyimpumelelo lwe-VCFs oluye lwaguqula ulawulo lwale meko. Kweli nqaku, siza kuphonononga indlela, imiqondiso, izibonelelo, kunye nobungozi obunxulumene ne-KBP.

I-Anatomy kunye ne-Mechanism ye-VCFs

Ii-VCF zenzeke xa umzimba we-vertebral udilika ngenxa yesakhiwo samathambo esibuthathaka, esihlala sibangelwa yi-osteoporosis okanye i-trauma. Umzimba we-vertebral uyinxalenye ephambili ye-vertebra, kwaye yenziwe ngethambo elikhansela elijikelezwe ngumaleko omncinci wethambo le-cortical. Xa umzimba we-vertebral uwela, unokubangela intlungu enkulu kunye nokukhubazeka.

Iimpawu zeKyphoplasty Balloon Vertebral Perforator

I-KBP iboniswa kunyango lwee-VCF ezibuhlungu eziye zasilela ukuphendula kwi-conservative management, okanye kwiimeko apho utyando alukho ukhetho olufanelekileyo. Inkqubo ngokubanzi inyamezeleke kakuhle kwaye inomngcipheko ophantsi weengxaki.

Inkqubo yeBhaluni yeKyphoplasty Vertebral Perforator

I-KBP ibandakanya ukusetyenziswa kwecatheter encinci yebhaluni efakwe kumzimba we-vertebral odilikayo phantsi kwesikhokelo se-fluoroscopic. Ibhaluni ke ifakwe umoya ukubuyisela ukuphakama komzimba we-vertebral kunye nokudala umgodi. Emva kokuba i-cavity idalwe, i-samente yethambo ijojowe ukuzinzisa umzimba we-vertebral kunye nokukhusela ukuwa okuqhubekayo.

Izinto eziluncedo ze-Kyphoplasty Balloon Vertebral Perforator

I-KBP ineenzuzo ezininzi kunyango lwesintu lwee-VCFs. Okokuqala, yinkqubo encinci enokuthi yenziwe phantsi kwe-anesthesia yendawo, ukunciphisa iingozi ezinxulumene ne-anesthesia jikelele. Okwesibini, inxulunyaniswa nokuhlala esibhedlele okufutshane kunye nexesha lokubuyisela ngokukhawuleza xa kuthelekiswa notyando lwendabuko. Ekugqibeleni, i-KBP inezinga eliphezulu lempumelelo, kunye nezigulane ezininzi zifumana ukukhululeka kweentlungu kunye nokuphucula umsebenzi olandela inkqubo.

Imingcipheko kunye neengxaki ze-Kyphoplasty Balloon Vertebral Perforator

Njengayo nayiphi na inkqubo yonyango, i-KBP inomngcipheko kunye neengxaki ezinokubakho. Oku kunokubandakanya usulelo, ukopha, ukonakala kwemithambo-luvo, ukuvuza kwesamente, okanye ukophuka kokwaphuka. Nangona kunjalo, umngcipheko wezi ngxaki uphantsi kakhulu, kwaye izigulane ezininzi ziyinyamezela kakuhle inkqubo.

Ukhathalelo lwasemva kweNkqubo kunye noBuyiselo kwiSimo sesiqhelo

Emva kwe-KBP, izigulana zihlala zijongwa ixesha elifutshane kwaye zihlala zibuyela ekhaya kwangolo suku. Bayacetyiswa ukuba baphephe ukuphakamisa ubunzima kunye nomsebenzi onzima kangangeeveki ezininzi, kodwa banokuphinda baqalise imisebenzi yesiqhelo yemihla ngemihla ngeentsuku ezimbalwa. Unyango lomzimba lunokucetyiswa ukuba luncede ekubuyiseleni kwimeko yesiqhelo.

Imikhombandlela yexesha elizayo ye-Kyphoplasty Balloon Vertebral Perforator

I-KBP yinkqubo entsha noko, kwaye uphando oluqhubekayo luphonononga izicelo ezinokubakhona kunye nolungiso. Ngokomzekelo, kukho uphando oluqhubekayo malunga nokusetyenziswa kwe-samente yamathambo e-biodegradable, enokunciphisa umngcipheko weengxaki zexesha elide ezinxulumene ne-samente yendabuko.

Ukuqukumbela

Ibhaluni ye-Kyphoplasty ye-vertebral perforator yinto encinci, unyango oluphumelelayo kwii-VCF ezibuhlungu eziye zaguqula ulawulo lwale meko. Inkqubo ngokuqhelekileyo inyamezeleke kwaye inezinga eliphezulu lokuphumelela, kunye nezigulane ezininzi zifumana intlungu ebuhlungu kunye nomsebenzi ophuculweyo olandela inkqubo. Ngelixa kukho imingcipheko eyayanyaniswa nenkqubo, ezi zihlala ziphantsi, kwaye uninzi lwezigulana ziyinyamezela kakuhle inkqubo. Njengoko uphando oluqhubekayo luphonononga izicelo ezinokubakho kunye nokulungiswa kwe-KBP, le nkqubo inokuthi iqhubeke isisixhobo esibalulekileyo kulawulo lwee-VCFs.

Ii-FAQs

1. Ngaba i-KBP lukhetho olufanelekileyo lonyango kuzo zonke izigulana ezine-VCFs?

I-KBP iboniswa kunyango lwee-VCF ezibuhlungu eziye zasilela ukuphendula kwi-conservative management okanye kwiimeko apho utyando alukho ukhetho olufanelekileyo. Nangona kunjalo, ayizizo zonke izigulane ezine-VCF ezingabaviwa be-KBP, kwaye isigqibo sokwenza inkqubo kufuneka senziwe ngokubonisana nomboneleli wezempilo.

1. Ithatha ixesha elingakanani inkqubo ye-KBP?

Inkqubo ye-KBP idla ngokuthatha iyure enye ukuyenza.

1. Kungekudala emva kwenkqubo izigulane zinokuphinda ziqalise imisebenzi eqhelekileyo?

Izigulane zinokuphinda ziqalise imisebenzi yesiqhelo yemihla ngemihla phakathi kweentsuku ezimbalwa emva kwenkqubo, nangona ukuphakamisa okunzima kunye nomsebenzi onzima kufuneka kuthintelwe iiveki ezininzi.

1. Zeziphi iingxaki ezinokubakho ezinxulumene ne-KBP?

Iingxaki ezinokubakho ezinxulumene ne-KBP zinokubandakanya ukusuleleka, ukopha, ukonakala kwemithambo-luvo, ukuvuza kwesamente, okanye ukuwohloka kokwaphuka. Nangona kunjalo, umngcipheko wezi ngxaki uphantsi ngokubanzi.

1. Ngaba i-KBP ihlawulwa yi-inshurensi?

I-KBP idla ngokuhlawulwa yi-inshorensi, nangona i-inshorensi inokwahluka ngokuxhomekeke kwisicwangciso se-inshorensi yesigulana kunye nezinye izinto.