I-Laser ye-PLDD

Isimiso SikaI-PLDD

Enkambisweni yokususa i-percutaneous laser disc decompression, amandla e-laser adluliselwa nge-fibre encane ye-optical ku-disc.

Inhloso ye-PLDD ukufutha ingxenye encane yomgogodla wangaphakathi. Ukususwa kwevolumu encane yomgogodla wangaphakathi kuholela ekunciphiseni okubalulekile kwengcindezi yangaphakathi kwe-discal, ngaleyo ndlela kubangele ukwehla kwe-disc herniation.

I-PLDD inqubo yezokwelapha engadingi ukungenelela okuningi eyasungulwa nguDkt. Daniel SJ Choy ngo-1986 esebenzisa umsebe we-laser ukwelapha ubuhlungu bomhlane nentamo obubangelwa yi-disc ehlutshiwe.

Ukususwa kwe-laser disc nge-percutaneous (PLDD) kuyindlela ye-laser ye-percutaneous engavamile kakhulu ekwelapheni ama-disc hernias, ama-cervical hernias, ama-dorsal hernias (ngaphandle kwe-segment T1-T5), kanye nama-lumbar hernias. Le nqubo isebenzisa amandla e-laser ukumunca amanzi ngaphakathi kwe-nucleuspulposus ehlungiwe, okudala ukususwa kwe-compression.

Ukwelashwa kwe-PLDD kwenziwa emtholampilo wangaphandle kusetshenziswa i-anesthesia yendawo kuphela. Ngesikhathi senqubo, kufakwa inalithi encane kudiski ye-herniated ngaphansi kwesiqondiso se-x-ray noma se-CT. I-optical fiber ifakwa ngenalithi bese kuthi amandla e-laser athunyelwe nge-fiber, kushise ingxenye encane ye-nucleus yediski. Lokhu kudala i-vacuum engaphelele edonsa i-herniation kude nezimpande zemizwa, ngaleyo ndlela kuncishiswe ubuhlungu. Umphumela uvame ukuba khona ngokushesha.

Le nqubo ibonakala sengathi namuhla iyindlela ephephile nesebenzayo esikhundleni sokuhlinzwa okuncane, ngesilinganiso sempumelelo esingu-80%, ikakhulukazi ngaphansi kwesiqondiso se-CT-Scan, ukuze kubonwe impande yemizwa futhi kusetshenziswe amandla ezindaweni eziningana ze-disc herniation. Lokhu kuvumela ukuba nokuncipha okugxile endaweni enkulu, kutholakale ukungenelela okuncane emgogodleni okufanele welashwe, futhi kugwenywe izinkinga ezingaba khona ezihlobene nokuhlinzwa okuncane (isilinganiso sokuphindeka okungaphezu kuka-8-15%, isibazi esingaphansi kuka-6-10%, ukudabuka kwe-dural sac, ukopha, ukungazinzi kwe-iatrogenic), futhi akuvimbeli ukuhlinzwa kwendabuko, uma kudingeka.

Izinzuzo ZaloI-Laser ye-PLDDUkwelashwa

Akunangozi kangako, ukulaliswa esibhedlela akudingeki, iziguli ziyaphuma etafuleni zinebhandishi elincane elinamathelayo bese zibuyela ekhaya ukuze ziphumule embhedeni amahora angama-24. Ngemuva kwalokho iziguli ziqala ukuhamba kancane kancane, zihamba ibanga elingamakhilomitha. Iningi libuyela emsebenzini ezinsukwini ezine kuya kwezinhlanu.

Isebenza kahle kakhulu uma inikezwe ngendlela efanele

Kucutshungulwa ngaphansi kwe-anesthesia yendawo, hhayi ejwayelekile

Indlela yokuhlinzwa ephephile futhi esheshayo, Akukho ukusika, Akukho zibazi, Njengoba inani elincane lediski liphefumula, akukho ukungazinzi komgogodla okulandelayo. Ngokungafani nokuhlinzwa kwediski ye-lumbar evulekile, akukho monakalo emisipheni yangemuva, akukho ukususwa kwethambo noma ukusikwa kwesikhumba okukhulu.

Isebenza ezigulini ezisengozini enkulu yokuhlinzwa kwe-discectomy njengalezo ezinesifo sikashukela, isifo senhliziyo, ukungasebenzi kahle kwesibindi nezinso njll.