Thola ukuthi ubuchwepheshe be-laser buguqula kanjani ukwelashwa okungangenisi kakhulu ama-disc e-herniated kanye nobuhlungu obungapheli bomhlane.
Kuyini i-PLDD futhi isebenza kanjani?
Ukususwa Kwe-Percutaneous Laser Disc (PLDD)kuyindlela entsha yokwelapha ama-disc e-herniated kanye nobuhlungu obungapheli bomhlane. Yasungulwa okokuqala ngawo-1980, le ndlela isetshenziswe ngempumelelo ukwelapha izinkulungwane zeziguli emhlabeni jikelele futhi iyaqhubeka nokuqashelwa njengendlela ephephile nephumelelayo yokwelapha ukuhlinzwa komgogodla ovulekile kwendabuko.
Isimiso esingemuva kwe-PLDD silula kakhulu kodwa sisebenza kahle kakhulu. Ngaphansi kwe-anesthesia yendawo futhi siqondiswa yi-X-ray imaging yesikhathi sangempela, inaliti encane engu-1.0mm ifakwa ngokunembile enkabeni (i-nucleus) yediski ethintekile. Ngale naliti, i-laser fiber ekhethekile ifakwa ukuze ilethe amandla e-laser alawulwayo ngqo kwi-nucleus yediski. Amandla e-laser ashisa izicubu zediski, okubangela ukuhwamuka kwamanzi amaningi ngaphakathi kwe-nucleus pulposus. Lokhu kudala umgodi omncane futhi kunciphisa ivolumu iyonke yediski. Njengoba idiski incipha, ingcindezi ezinzwa ezizungezile ikhululeka ngokushesha, ibhekana nomsuka wobuhlungu. Inqubo inembile—i-laser ithinta indawo elinganiselwe kuphela futhi ayishisi ngediski.
Izinzuzo Eziyinhloko ze-I-PLDD
Ngokungafani nokuhlinzwa okuvulekile kwendabuko okudinga ukusikwa okukhulu, ukuhlinzwa okuvamile, nokuhlala isikhathi eside esibhedlela, i-PLDD inikeza enye indlela engangenisi kakhulu. Le nqubo ayishiyi nxeba—kukhona ukubhoboza kwenaliti okuncane okuphola ngokushesha—futhi kwenziwa ngaphansi kokuhlinzwa kwendawo, kugwema izingozi ezihlobene nokuhlinzwa okuvamile. Lokhu kwenza inqubo ifaneleke ngisho nasezigulini ezindala ezingase zingabi ngabantu abazongenela ukuhlinzwa kwendabuko.
Iziguli zingabuyela ekhaya ngalolo suku, kanti ukwelashwa nge-laser ngokwakho kuthatha imizuzu eyi-10-15 kuphela ngediski ngayinye, kulandelwe cishe ihora elilodwa lokubuka ngaphambi kokukhishwa. Iningi leziguli liqala kabusha imisebenzi yokukhanya ngosuku olulandelayo. Ngenxa yokuthi inqubo ifinyelela idiski ngendlela yemvelo, akukho ukulimala kwezicubu ezithambile, akukho zibazi ze-epidural, futhi akukho ukuphazamiseka kwemisipha ezungezile. Iziguli zigwema kokubili izindleko kanye nokuphazamiseka kokulaliswa esibhedlela.
Izimo Eziphathwayo Nezilungele Abantu Abazongenela Ukhetho
I-PLDD iboniswa ezimweni ezahlukene zomgogodla, ikakhulukazi ama-disc e-herniated ane-disc equkethwe ebangela ukucindezelwa kwemizwa, ubuhlungu obungapheli bomhlane ophansi obubangelwa ukucindezeleka kwe-disc, i-sciatica ebangelwa ukuvuvukala kwe-disc, ukukhala kwe-annular kwe-spinal disc, kanye nezimo lapho ukwelashwa okulondolozayo okufana nokwelashwa nge-physiotherapy noma ukuphathwa kobuhlungu kuye kwehluleka.
Le nqubo isebenza kahle kakhulu kuma-hernia athambile kuya kwaphakathi lapho ingcindezi yediski iphezulu khona kodwa izinto zediski zingakasuki ngokuphelele kwidiski. I-PLDD ifaneleka kakhulu ezigulini ezitholakale zine-hernia yediski, ezihlushwa ubuhlungu obungapheli bomhlane ngenxa yezinkinga zediski, ezingathandi ukuhlinzwa okuvulekile, ezifisa ukugwema ukulaliswa esibhedlela, ezifuna ukwelashwa okunomthwalo omncane womzimba, noma ezike zahlinzwa umgogodla ngaphambilini ngaphandle kokuthuthukiswa.
Okuhlangenwe Nakho Kwesiguli
Ngaphambi kokwelashwa, iziguli zithola i-MRI imaging ukuqinisekisa ukuxilongwa nokuthola ukuthi zifanelekile yini i-PLDD. Inqubo ichazwa ngokuningiliziwe, futhi yonke imibuzo iyaphendulwa. Ngesikhathi sokwelashwa, isiguli silala ngokukhululeka ngenkathi udokotela, esebenzisa isiqondiso se-X-ray, efaka inaliti encane futhi enikeza amandla e-laser. Iningi leziguli alizizwa kahle kulo lonke.
Ngemva kwesikhathi sokuphumula esifushane esingaba ihora elilodwa kuya kwelilodwa nesigamu endaweni yokululama yangasese, iziguli ziyahlolwa bese zikhishwa. Ziyalulekwa ukuba zigweme umsebenzi onzima kanye nokuphakamisa okunzima cishe inyanga eyodwa ngemva kwenqubo. Ezinye iziguli zingase zibe nezimpawu ezintsha zesikhashana ezifana nobuhlungu bomhlane noma ukucindezeleka kwemisipha kuze kube inyanga eyodwa ngemva kokwelashwa, okuyinto evamile futhi exazululeka ngokwayo.
Umongo Wemakethe kanye Nombono Wemboni
Ubuhlungu bomhlane busengenye yezimbangela eziphambili zokukhubazeka emhlabeni jikelele, njengoba ama-disc e-herniated enegalelo elikhulu ebuhlungwini obungapheli kanye nokwehla kwekhwalithi yokuphila. Njengoba iziguli ziqhubeka zifuna ezinye izindlela zokuhlinzwa kwendabuko, isidingo sezinketho ezingangenisi kakhulu njenge-PLDD siyaqhubeka nokukhula. Ushintsho lomhlaba wonke oluya ezinqubweni zokulaliswa esibhedlela, izikhathi zokululama ezisheshayo, kanye nezindleko zokunakekelwa kwempilo ezincishisiwe kubeka i-PLDD njengenketho ekhangayo kokubili iziguli kanye nabahlinzeki bezempilo.
Njengoba kunomlando wezokwelapha weminyaka engaphezu kwamashumi amane kanye nemiphumela efakazelwe, i-PLDD imelela ubuchwepheshe obuvuthiwe obuqhubeka nokukhula ngentuthuko ezinhlelweni ze-laser njenge-PLDD, inephrofayili yokuphepha enhle kakhulu uma yenziwa odokotela abanolwazi, ngesilinganiso sezinkinga esiphansi kunokuhlinzwa kwendabuko.
Isikhathi sokuthunyelwe: Mashi-11-2026