Inalithi yomhlahlandlela

Izindlela ezihlukahlukene zokubhoboza i-extra-arch zisetshenziswe ngempumelelo i-percutaneous vertebroplasty (PVP) kanye ne-percutaneous kyphoplasty (PKP).

I-Percutaneous vertebroplasty (PVP)

I-Percutaneous vertebroplasty (PVP) iyindlela yokwelapha iziguli ezine-vertebral fracture eyodwa noma ngaphezulu yezimpawu ezibangelwa amathambo, i-osteoporosis noma ukuhlukumezeka. Ku-PVP, inaliti ye-bone biopsy ifakwe ku-vertebrae ephukile ngaphansi kwe-anesthesia yendawo esigulini; usimende wethambo owenziwe nge-polymethylmethacrylate (PMMA) ujova ngenaliti, kulandele ukukhululeka ngokushesha kwezimpawu ezinjengobunzima bokuhamba noma ubuhlungu obuphansi emhlane. Inqubo eyodwa ye-PVP idinga amahora angu-2 kuphela wesikhathi sokwelashwa kanye namahora angu-2 okuphumula kombhede ngemuva kokuhlinzwa; ingenziwa ngokusikwa kwesikhumba esingu-5 mm ukuze kufakwe inaliti ngayinye ye-biopsy yethambo, inezinga eliphansi lezehlakalo ezimbi kakhulu, ingenziwa ngaphandle kokulungiswa okukhethekile kwangaphambi kokuhlinzwa noma ukunakekelwa okujulile kwangemva kokuhlinzwa, futhi okuwukuphela kokuphikisana okuphelele ukutheleleka okungalawuleki nokuthambekela ukopha. iziguli esezikhulile ezingaphezu kweminyaka engama-90 ubudala ezinemiphumela eqinisekisiwe.

I-Percutaneous kyphoplasty (PKP)

I-Percutaneous kyphoplasty (PKP) okwamanje iyindlela yokwelapha ephumelelayo futhi esetshenziswa kabanzi ye-osteoporotic vertebral compression fractures (OVCF), ngokuvamile eyenziwa ngaphansi kwe-anesthesia yendawo futhi ibekezelelwa kahle iziguli. Ucwaningo lwakuqala lubonise imiphumela ethembisayo yomtholampilo mayelana nokukhululeka kobuhlungu ngokushesha kanye nomsebenzi othuthukisiwe, ikakhulukazi kubantu asebekhulile. Nokho, kusenenani eliphezulu kakhulu leziguli ezinganelisekile ngemiphumela yangemva kokuhlinzwa. Ngokuqondene nalezi ziguli, zikhononda ngokungagculisi noma akukho ushintsho ekunciphiseni ubuhlungu babo noma ubuhlungu obukhulu nakakhulu, obungase bubonise ukucindezela okuqhubekayo noma ukuhlukana okuphindaphindiwe ku-vertebrae ephathwayo. Ucwaningo lwangaphambili luye lwabonisa ukuthi i-intravertebral vacuum clefting (IVC) ku-OCCF eyingozi akuyona into engavamile futhi ibhekwa njengento ebalulekile engozini yobuhlungu obuqhubekayo bokubuyela emuva kanye nokuwa okukhulu kwe-vertebral, okungase kube isizathu esiyinhloko semiphumela engagculisi ngemva kwe-PKP.

Iyini i-balloon kyphoplasty?

I-Balloon kyphoplasty iyinqubo ehlasela kancane eklanyelwe ukulungisa ukuphuka kwe-vertebral compression fractures (VCF) ngokunciphisa nokusimamisa ukuphuka. Iphatha i-pathological vertebral fractures ebangelwa i-osteoporosis, umdlavuza noma izilonda ezimbi.

Isebenza kanjani i-Balloon Osteoplasty

Ukudala isikhala sebhaluni

Udokotela ohlinzayo uzokwenza indlela eya ku-vertebra ephukile esebenzisa ithuluzi elingenalutho. Ibhaluni elincane libe seliqondiswa ngethuluzi liye ethanjeni.

Ukufutha ibhaluni

Uma selisendaweni, ibhaluni livuthelwa umoya kancane ukuze liphakamise kancane ithambo eligoqekile libe endaweni yalo evamile.

Ukukhipha ibhaluni

Lapho ithambo lisendaweni efanele, udokotela ohlinzayo uyalikhipha umoya bese elikhipha ibhaluni. Lokhu kushiya igebe—noma umgodi—ngaphakathi komzimba womgogodla.

Ukugcwalisa i-vertebral void

Ukuze ithambo lingaphindeli futhi, isikhala sigcwaliswa ngosimende wamathambo.

Ukwakha abalingisi bangaphakathi

Uma usumisiwe, usimende wenza i-cast ngaphakathi komzimba we-vertebral ezinzisa ithambo. Ukuze uvikele ngokugcwele ithambo, inqubo ngezinye izikhathi yenziwa ezinhlangothini zombili zomzimba we-vertebral.

Izinzuzo eziyinhloko ze-balloon kyphoplasty zihlanganisa:

• Isikhathi esifushane sokuhlinzwa; inqubo ngokuvamile ithatha cishe isigamu sehora ngalinye izinga lomgogodla.

  
  

• Inqubo ye-kyphoplasty ngokuvamile ingenziwa nge-anesthesia yendawo. Kodwa-ke, ezinye iziguli, kuye ngempilo yazo evamile kanye nobukhulu bokuphuka komgogodla zingadinga i-anesthesia ejwayelekile.

  
  

• Iziguli ziyakwazi ukuhamba futhi zibuyele emisebenzini yazo evamile ngemva kokuhlinzwa.

  
  

• I-Kyphoplasty ingenziwa esikhungweni sokuhlinza i-ambulatory (ASC), esibhedlela, noma esikhungweni sokuhlinza umgogodla wesiguli.

  
  

• Iziguli eziningi zikhishwa ekhaya ngosuku olufanayo nenqubo yazo ye-kyphoplasty. Ukulala esibhedlela ubusuku bonke kungase kunconywe kwezinye iziguli kuye ngezinto eziningi, njengezinkinga zezokwelapha ezihlala zikhona (isb., izingozi zenhliziyo nemithambo yegazi).

Ubude Bokuhlala Nokubuyisela

Udokotela wakho uzokunikeza imiyalelo ethile yangemva kokuhlinzwa, kodwa ngokuvamile, uzochitha cishe ihora ekamelweni lokutakula ngemva kwenqubo. Lapho, umhlengikazi uqapha ngenkuthalo izimpawu zakho ezibalulekile, ezihlanganisa ubuhlungu beqolo.

Iziguli eziningi zikhishwa e-ASC noma esibhedlela kungakapheli amahora angama-24 ngemuva kwenqubo ye-balloon kyphoplasty. Ekulandeleni kwakho isikhathi sokuhlinzwa, udokotela wakho uzohlola inqubekelaphambili yakho yokululama ukuze anqume ukuthi kufanele ukhawulele yini imisebenzi ethile (isb, ukuphakamisa). Iziguli eziningi zibika ukuthuthukiswa okuphawulekayo ebuhlungu, ukuhamba kanye nekhono lokwenza imisebenzi yansuku zonke-ngakho ungase ungadingi ukwenza noma yiziphi izinguquko ezingeni lakho lomsebenzi womzimba.

Inaliti yomhlahlandlela we-Kyphoplasty Balloon: Umhlahlandlela Ophelele

I-Kyphoplasty iyinqubo yokuhlinza engavamile esetshenziselwa ukwelapha ama-vertebral compression fractures (VCFs). Le nqubo ihilela ukusetshenziswa kwenaliti yomhlahlandlela webhaluni ye-kyphoplasty, edlala indima ebalulekile empumelelweni yokuhlinzwa. Kulesi sihloko, sizohlinzeka ngomhlahlandlela ophelele wezinaliti zomhlahlandlela webhaluni le-kyphoplasty, kufaka phakathi i-anatomy yazo, izinkomba, amasu, kanye nemiphumela.

Iyini Inalithi Yomhlahlandlela we-Kyphoplasty Balloon?

Inaliti yomhlahlandlela we-kyphoplasty iyithuluzi lezokwelapha elisetshenziselwa ukufinyelela umzimba we-vertebral ngesikhathi sokuhlinzwa kwe-kyphoplasty. Iqukethe ithiphu ebukhali, umphini ongenalutho, nesibambo. Iphuzu elibukhali lenzelwe ukungena emzimbeni we-vertebral, futhi i-shaft engenalutho isetshenziselwa ukuqondisa ibhaluni le-kyphoplasty endaweni oyifunayo. Isibambo sivumela udokotela ohlinzayo ukulawula ukunyakaza nokujula kwenaliti phakathi nenqubo.

I-Anatomy Yenaliti Yomhlahlandlela we-Kyphoplasty Balloon

Inalithi yomhlahlandlela webhaluni ye-kyphoplasty iqukethe izingxenye ezine eziyinhloko: ichopho elibukhali, i-shaft engenalutho, isibambo, kanye nehabhu. Ithiphu ebukhali ngokuvamile yenziwe ngensimbi engagqwali futhi yakhelwe ukungena emzimbeni we-vertebral. I-shaft engenalutho yenziwe ngepulasitiki noma insimbi futhi isetshenziselwa ukuqondisa ibhaluni le-kyphoplasty endaweni oyifunayo. Isibambo senziwe ngepulasitiki noma irabha futhi sisetshenziselwa ukulawula ukunyakaza nokujula kwenaliti ngesikhathi senqubo. Ihabhu yindawo yokuxhumana phakathi kwenaliti nesipetu esetshenziselwa ukufutha ibhaluni le-kyphoplasty.

Izinkomba ze-Kyphoplasty Balloon Guide Inalithi

Izinaliti ze-Kyphoplasty ze-balloon guide zisetshenziselwa ukwelashwa kwe-vertebral compression fractures (VCFs). Ama-VCF yisimo esivamile esibangelwa ukukhumuzeka kwamathambo noma ukuhlukumezeka. Zingaholela ebuhlungu obukhulu, ukukhubazeka, nokulahlekelwa umsebenzi. I-Kyphoplasty iboniswa ezigulini ezihlulekile ukwelashwa okulondolozayo noma ezinobuhlungu obukhulu, ukukhubazeka, noma ukulahlekelwa umsebenzi.

Amasu Okusebenzisa Inalithi Yomhlahlandlela we-Kyphoplasty Balloon

Izinaliti zomhlahlandlela webhaluni ye-Kyphoplasty zivame ukusetshenziswa ngokuhambisana nebhaluni le-kyphoplasty kanye nosimende wethambo. Inqubo iqala ngokufakwa kwenaliti emzimbeni we-vertebral ngaphansi kokuqondisa kwe-fluoroscopic. Uma inaliti isisendaweni, ibhaluni le-kyphoplasty liyakhuphuka, lidale isikhala ngaphakathi komzimba we-vertebral. Usimende wethambo ube usujovwa endaweni engenalutho, uzinzise ukuphuka nokubuyisela ukuphakama komzimba we-vertebral.

Izinkinga Nemiphumela Yenaliti Yomhlahlandlela we-Kyphoplasty Balloon

Izinaliti zokuqondisa ibhaluni ye-Kyphoplasty zihlotshaniswa nezinkinga eziningana ezingase zibe khona, okuhlanganisa ukopha, ukutheleleka, ukulimala kwezinzwa, nokuvuza kukasimende. Kodwa-ke, inani eliphelele lezinkinga liphansi, futhi inqubo iye yabonakala iphephile futhi isebenza ngempumelelo ekwelapheni ama-VCF. Iziguli ngokuvamile zithola ukukhululeka okukhulu kobuhlungu kanye nomsebenzi othuthukisiwe olandela i-kyphoplasty.

Isiphetho

Izinaliti zomhlahlandlela webhaluni ye-Kyphoplasty zidlala indima ebalulekile empumelelweni yokuhlinzwa kwe-kyphoplasty. Zisetshenziselwa ukufinyelela umzimba we-vertebral futhi ziqondise ibhaluni ye-kyphoplasty endaweni oyifunayo. I-Kyphoplasty iyindlela yokwelapha ephephile nesebenzayo yama-VCF, enamazinga aphansi ezinkinga kanye nemiphumela emihle kakhulu. Uma uhlushwa i-VCF, khuluma nodokotela wakho mayelana nokuthi i-kyphoplasty ingase ikulungele yini.