I-PLDD Laser

Umgomo WeI-PLDD

Enkambweni ye-percutaneous laser disc decompression, amandla e-laser adluliselwa nge-fiber optical encane ku-disc.

Inhloso ye-PLDD ukuhwashisa ingxenye encane yomgogodla ongaphakathi. Ukukhishwa kwevolumu encane yomgogodla wangaphakathi kubangela ukunciphisa okubalulekile kwengcindezi ye-intra-discal, ngaleyo ndlela kunciphisa ukunciphisa i-disc herniation.

I-PLDD iyindlela yezokwelapha engavamile kakhulu eyakhiwe nguDkt Daniel SJ Choy ngo-1986 esebenzisa i-laser beam ukuphatha ubuhlungu beqolo nentamo obubangelwa i-disc herniated.

I-Percutaneous laser decompression (PLDD) iyindlela ye-laser ehlasela kancane kakhulu ekwelapheni i-disc hernias, i-hernia yomlomo wesibeletho, i-dorsal hernias (ngaphandle kwengxenye ye-T1-T5), kanye ne-lumbar hernias. Izinqubo zisebenzisa amandla e-laser ukumunca amanzi ngaphakathi kwe-nucleuspulposus ye-herniated edala ukuwohloka.

Ukwelashwa kwe-PLDD kwenziwa ngaphandle kwesiguli kusetshenziswa i-anesthesia yendawo kuphela. Phakathi nenqubo, inaliti encane ifakwe ku-disc herniated ngaphansi kwe-x-ray noma i-CT isiqondiso. I-fiber optical ifakwa ngenaliti bese amandla e-laser athunyelwa ngefayibha, ahwamulise ingxenye encane ye-disc nucleus. Lokhu kudala i-vacuum eyingxenye edonsa i-herniation kude nempande yemizwa, ngaleyo ndlela ikhulule ubuhlungu. Umphumela uvame ukuba ngokushesha.

Inqubo ibonakala sengathi manje iyizinsuku ezihlukile eziphephile futhi ezivumelekile ku-microsurgery, ngezinga lempumelelo lika-80%, ikakhulukazi ngaphansi kwesiqondiso se-CT-Scan, ukuze ubone ngeso lengqondo impande yezinzwa futhi usebenzise amandla kumaphuzu amaningana we-disc herniation. Lokhu kuvumela ukuthi kube nokuncipha okugxilwe endaweni enkulu, kuqaphela ukuhlasela okuncane emgogodleni okufanele welashwe, nokugwema izinkinga ezingaba khona ezihlobene ne-microdiscectomy (izinga lokuphindaphinda elingaphezu kuka-8-15%, isibazi se-peridural ngaphezu kwe-6- 10%, i-dural sac izinyembezi, ukopha, i-iatrogenic microinstability), futhi akuvimbeli ukuhlinzwa kwendabuko, uma kudingeka.

Izinzuzo ZeI-PLDD LaserUkwelashwa

Kuyahlasela kancane, ukulaliswa esibhedlela akudingekile, iziguli ziyehla etafuleni nebhandeshi elincane lokunamathisela bese zibuyela ekhaya amahora angama-24 zokuphumula kombhede. Khona-ke iziguli ziqala i-ambulation eqhubekayo, zihamba ibanga elingangekhilomitha. Iningi libuyela emsebenzini ezinsukwini ezine kuya kweziyisihlanu.

Isebenza kahle kakhulu uma ibekwe ngendlela efanele

Icutshungulwe ngaphansi kwe-anesthesia yendawo, hhayi i-anesthesia ejwayelekile

Indlela yokuhlinza ephephile futhi esheshayo, Akukho ukusika, Akukho scarring, Njengoba inani elincane kuphela le-disc likhishwa, akukho ukungazinzi komgogodla okwalandela. Ihluke ekuhlinzeni i-lumbar disc evulekile, akukho monakalo emisipha yangemuva, akukho ukukhishwa kwamathambo noma ukusika okukhulu kwesikhumba.

Isebenza ezigulini ezisengozini enkulu yokuvula i-discectomy njengalezo ezinesifo sikashukela, isifo senhliziyo, ukuncipha kokusebenza kwesibindi nezinso njll.