Iimboniselo: 0 uMbhali: Ixesha lokupapasha loMhleli weSiza: 2025-09-20 Imvelaphi: Isiza
I-Vertebroplasty yinkqubo encinci ye-invasive eyenzelwe ukunyanga i-osteoporotic vertebral compression fractures. Ngokukodwa isetyenziswe kwi-thoracic kunye ne-lumbar fractures, apho i-samente yamathambo ijojowe kwi-vertebra edibeneyo ukuze kuzinziswe ithambo, ukukhulula intlungu, nokubuyisela ukuphakama kwe-vertebral. Ubuchwephesha bubandakanya iindlela ezimbini eziphambili: I-Percutaneous Vertebroplasty (PVP) kunye ne-Percutaneous Kyphoplasty (PKP).
Kwi-PVP, ukusika okuncinci malunga ne-2 mm kwenziwa kumqolo wesigulane. Ngaphantsi kwesikhokelo se-fluoroscopic, inaliti iqhubela phambili nge-percutaneously ngokusebenzisa i-pedicle kumzimba we-vertebral. I-samente yethambo ifakwe nge-channel esebenzayo, ngokukhawuleza iqina ukuzinzisa i-vertebra ephukile, ukukhusela ukudilika okuqhubekayo, kunye nokubonelela ngokukhululeka kweentlungu.
Kwi-PKP, emva kokufikelela kwi-vertebra ephukile, ibhaluni ifakwe kwaye ifakwe umoya ukuze ubuyisele inxalenye yokuphakama kwe-vertebral kunye nokudala i-cavity ngaphakathi kwethambo. Isamente yethambo ke itofwa ngokwamanqanaba: ibhaluni igalela ithambo elirhoxisayo elirhangqileyo, yenze umqobo ngokuchasene nokuvuza kwesamente, ngelixa inaliti ehleliweyo inciphisa uxinzelelo lwenaliti, ithoba kakhulu umngcipheko wokongezwa kwesamente.
Zombini ibhaluni i-kyphoplasty (PKP) kunye ne-vertebroplasty yendabuko ye-percutaneous (PVP) ibonelela ngokukhawuleza, okuthembekileyo, kunye nokunciphisa intlungu esebenzayo, ngelixa ikhusela ukunyanzeliswa okanye ukuwa kwe-vertebrae ephukile. Amava eklinikhi aye aqinisekisa ngokungaguquguqukiyo umphumo wabo wokuqala we-analgesic, kunye namazinga okwaneliseka kwezigulane ezidlula i-80%. Xa kuziwa ekubuyiseleni ukuphakama kwe-vertebral kunye nokulungisa ukukhubazeka kwe-spinal kyphotic, i-PKP ibonisa iziphumo eziphezulu xa kuthelekiswa ne-PVP.
Inkqubo ye-PVP ngokuqhelekileyo ithatha malunga nemizuzu engama-30, kwaye izigulane ezininzi ziyakwazi ukuphuma ebhedini kwaye ziphinde ziqalise imisebenzi eqhelekileyo kwiiyure ezingama-24 phantsi kokhuseleko lwe-lumbar brace. Oku kuhlanganiswa kwangethuba kunciphisa kakhulu umngcipheko weengxaki ezinxulumene nokuphumla ebhedini, njengenyumoniya ye-hypostatic, izilonda zoxinzelelo, kunye ne-vein thrombosis enzulu, ngelixa ikwanciphisa umthwalo wokhathalelo lwexesha elide. Ngaphezu koko, i-ambulation kwangethuba ikhusela ukulahleka kwethambo okubangelwa kukungashukumi ixesha elide, ukwaphula umjikelo okhohlakeleyo wokungasebenzisi i-osteoporosis.
I-Osteoporotic vertebral compression fractures ibonisa eyona nto ixhaphakileyo kwi-vertebroplasty. Kwizigulane ezinokuncipha kwamathambo kunye nobuthathaka ngenxa ye-osteoporosis, kwanemisebenzi emincinci yemihla ngemihla njengokugoba, ukukhohlela, ukuthimla, okanye ukuphakamisa kunokubangela ukuphuka kwe-vertebral fractures, ekhokelela kwiintlungu eziqhubekayo okanye ezinzima eziphazamisa kakhulu umgangatho wobomi. I-Vertebroplasty ikhulula ngokufanelekileyo intlungu, iphakamisa ukuzinza komgogodla, kwaye inceda izigulane ziphinde zihambe.
I-Vertebroplasty ikwaboniswa kwi-benign vertebral tumors, efana ne-hemangiomas, kunye ne-metastases ebuhlungu yomgogodla evela kwi-cancer efana ne-myeloma emininzi, umhlaza wemiphunga, umhlaza webele, okanye umhlaza we-prostate. Ezi meko zihlala zibangela ukutshatyalaliswa kwe-osteolytic, i-pathological fractures, kunye nokungazinzi komgogodla, okukhokelela kwiintlungu ezibuhlungu okanye ukunyanzeliswa kwe-neurological. I-Vertebroplasty yomeleza i-vertebrae, inciphisa intlungu, kwaye inciphisa umngcipheko weengxaki ezingaphezulu.
Kwiimeko ezikhethwe ngokucokisekileyo, i-vertebroplasty inokuqwalaselwa kwakhona kwiifractures ezithile eziqhekezayo okanye i-hematomas ye-vertebral, ngaphandle kokuba iimeko zekliniki zihlangabezana neendlela ezithile zokhuseleko.
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