Ukubuka: 0 Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2025-09-20 Umsuka: Isayithi
I-Vertebroplasty iyinqubo ehlasela kancane eklanyelwe ukwelapha ukuphuka kwe-osteoporotic vertebral compression fractures. Ngokuyinhloko isetshenziselwa ukuphuka kwe-thoracic kanye ne-lumbar, lapho usimende wamathambo ujojowe ku-vertebra ewile ukuze kuqiniswe ithambo, ukukhulula ubuhlungu, nokubuyisela ukuphakama kwe-vertebral. Le nqubo ihlanganisa izindlela ezimbili eziyinhloko: I-Percutaneous Vertebroplasty (PVP) ne-Percutaneous Kyphoplasty (PKP).
Ku-PVP, ukusika okuncane okungaba ngu-2 mm kwenziwa emhlane wesiguli. Ngaphansi kokuqondiswa kwe-fluoroscopic, inaliti ithuthukisiwe nge-percutaneously ngokusebenzisa i-pedicle emzimbeni we-vertebral. Usimende wethambo ube usujovwa ngesiteshi esisebenzayo, uqina ngokushesha ukuze uzinzise i-vertebra ephukile, ukuvimbela ukugoqa okuqhubekayo, futhi unikeze ukukhululeka kobuhlungu obukhulu.
Ku-PKP, ngemva kokufinyelela i-vertebra ephukile, ibhaluni ifakwa futhi ifakwe umoya ukuze kubuyiselwe ingxenye yokuphakama kwe-vertebral futhi idale i-cavity ngaphakathi kwethambo. Usimende wethambo ube usujovwa ngezigaba: ibhaluni lihlanganisa ithambo elikhansela elizungezile, lenze umgoqo ngokumelene nokuvuza kukasimende, kuyilapho umjovo owenziwe ngesiteji unciphisa ukucindezela komjovo, wehlisa kakhulu ingozi yokukhishwa kukasimende.
Kokubili i-balloon kyphoplasty (PKP) kanye ne-vertebroplasty yendabuko ye-percutaneous (PVP) inikeza ukukhululeka kobuhlungu okusheshayo, okuthembekile, futhi okuphumelelayo kakhulu, kuyilapho futhi kuvimbela ukucindezelwa okuqhubekayo noma ukuwa kwama-vertebrae aphukile. Okuhlangenwe nakho komtholampilo kuye kwaqinisekisa ngokungaguquki umphumela wabo wokuqala omangalisayo we-analgesic, namazinga okwaneliseka kwesiguli esengaphezu kwama-80%. Uma kuziwa ekubuyiseleni ukuphakama kwe-vertebral nokulungisa ukukhubazeka kwe-spinal kyphotic, i-PKP ibonisa imiphumela ephakeme uma kuqhathaniswa ne-PVP.
Inqubo ye-PVP ngokuvamile ithatha cishe amaminithi angu-30, futhi iziguli eziningi ziyakwazi ukuphuma embhedeni ziphinde ziqale imisebenzi evamile phakathi kwamahora angu-24 ngaphansi kokuvikelwa kwe-lumbar brace. Lokhu kuhlanganisa kusenesikhathi kunciphisa kakhulu ubungozi bezinkinga ezihlobene nokuphumula kombhede, njengenyumoniya ye-hypostatic, izilonda zokucindezela, kanye ne-deep vein thrombosis, kuyilapho kunciphisa umthwalo wokunakekelwa isikhathi eside kwabahlengikazi. Ngaphezu kwalokho, ukuphuthuma ngokushesha kuvimbela ukulahleka kwamathambo okubangelwa ukunganyakazi isikhathi eside, kwephula umjikelezo ononya wokungasebenzisi i-osteoporosis.
I-Osteoporotic vertebral compression fractures imelela inkomba evamile kakhulu ye-vertebroplasty. Ezigulini ezinokuncipha kwamathambo kanye nobuthaka ngenxa ye-osteoporosis, ngisho nemisebenzi emincane yansuku zonke njengokugoba, ukukhwehlela, ukuthimula, noma ukuphakamisa kungabangela ukuphuka kwama-vertebral, okuholela ebuhlungu obuqhubekayo noma obunzima obulimaza kakhulu izinga lokuphila. I-Vertebroplasty ikhulula ngempumelelo ubuhlungu, ithuthukisa ukuzinza komgogodla, futhi isiza iziguli ukuba ziphinde zikwazi ukuhamba.
I-Vertebroplasty iphinde ikhonjiswe ngezimila ezinomgogodla we-benign, njenge-hemangiomas, kanye nama-metastases omgogodla oyingozi avela kumdlavuza njenge-myeloma eminingi, umdlavuza wamaphaphu, umdlavuza webele, noma umdlavuza we-prostate. Lezi zimo zivame ukubangela ukubhujiswa kwe-osteolytic, ukuphuka kwe-pathological, nokungaqini komgogodla, okuholela ebuhlungu obukhulu noma ngisho nokucindezelwa kwezinzwa. I-Vertebroplasty iqinisa ama-vertebrae, inciphisa ubuhlungu, futhi inciphisa ingozi yezinye izinkinga.
Ezimweni ezikhethwe ngokucophelela, i-vertebroplasty ingase iphinde icatshangelwe ngokuphuka okunamandla noma i-hematomas ye-vertebral, inqobo nje uma izimo zomtholampilo zihlangabezana nenqubo ethile yokuphepha.
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