980nm 1470nm Diode Laser Percutaneous Laser Disc Decompression (PLDD)
Mu ndondomeko ya percutaneous laser chimbale decompression, laser mphamvu imafalitsidwa kudzera woonda kuwala CHIKWANGWANI mu chimbale.
Cholinga cha PLDD ndikusungunula gawo laling'ono lamkati. Kutulutsidwa kwa voliyumu yaying'ono yamkati mwamkati kumapangitsa kuchepetsa kufunikira kwa kuthamanga kwa intra-discal, motero kumachepetsa kuchepa kwa disc herniation.
PLDD ndi njira yachipatala yochepetsetsa yomwe inapangidwa ndi Dr. Daniel SJ Choy mu 1986 yomwe imagwiritsa ntchito laser laser kuti ithetse ululu wammbuyo ndi wa khosi chifukwa cha diski ya herniated.
Percutaneous laser disc decompression (PLDD) ndiyo njira yopambana kwambiri ya laser percutaneous pochiza ma disc hernias, khomo lachiberekero, dorsal hernias (kupatula gawo la T1-T5), ndi lumbar hernias. Njirayi imagwiritsa ntchito mphamvu ya laser kuyamwa madzi mkati mwa nyukiliyasi ya herniated ndikupanga decompression.
Pulatifomu ya TR-C® DUAL imatengera mawonekedwe a mayamwidwe a 980 nm ndi 1470 nm wavelengths, omwe, chifukwa cha kuyanjana kwake kwapadera m'madzi ndi hemoglobini komanso kulowa pang'onopang'ono mu minofu ya disc, kumathandizira kuti njira zizichitika mosamala komanso moyenera, makamaka moyandikana ndi mawonekedwe osakhwima a anatomi. Kulondola kwa Microsurgical kumatsimikiziridwa ndi luso lapadera la PLDD.
PLDD ndi chiyani?
Percutaneous laser disc decompression (PLDD) ndi njira yomwe herniated intervertebral discs amathandizidwa ndi kuchepetsa kuthamanga kwa intradiscal kudzera mu mphamvu ya laser. Izi zimayambitsidwa ndi singano yomwe imalowetsedwa mu nucleus pulposus pansi pa opaleshoni ya m'deralo ndi kufufuza kwa fluoroscopic. Kuchepa kwa nucleus vaporized kumabweretsa kugwa kwakukulu kwa intradiscal pressure, zomwe zimatsatira kusamuka kwa herniation kutali ndi mizu ya mitsempha. Idapangidwa koyamba ndi Dr. Daniel SJ Choy mu 1986. PLDD yatsimikizira kuti ndi yotetezeka komanso yothandiza. Zimakhala zosautsa pang'ono, zimachitidwa m'malo operekera odwala kunja, sizifuna opaleshoni yamtundu uliwonse, zimapangitsa kuti pasakhale zipsera kapena kusakhazikika kwa msana, zimachepetsa nthawi yokonzanso, zimabwerezedwa, ndipo siziletsa opaleshoni yotsegula ngati pakufunika kutero. Ndi chisankho choyenera kwa odwala omwe ali ndi zotsatira zosauka mu chithandizo chosapanga opaleshoni. Singano imalowetsedwa m'dera lomwe lakhudzidwa la tervertebral disc ndipo ulusi wa laser umalowetsedwamo kuti uwotche nucleus pulposus ndi laser. Kulumikizana kwa minofu ndi TR-C® DUAL laser fibers, yomwe imalola kuti maopaleshoni agwire bwino, kumasuka kugwira, komanso chitetezo chokwanira. Kugwiritsiridwa ntchito kwa flexible tactile laser fibers ndi mainchesi apakati a 360 micron pamodzi ndi microsurgical PLDD kumapangitsa kuti anthu azikhala olondola komanso olondola komanso alowemo kumadera ovuta monga khomo lachiberekero ndi lumbar disc zone pamaziko a zosowa zachipatala. Chithandizo cha laser cha PLDD chimagwiritsidwa ntchito kwambiri pambuyo pa njira zochiritsira zomwe sizinapambane motsogozedwa ndi MRT/CT.
-Intra-discal ntchito pa khomo lachiberekero, thoracic msana, lumbar msana
- Medial nthambi neurotomy kwa mbali mfundo
- Lateral nthambi neurotomy kwa olowa sacroiliac
- Muli ma disc herniations okhala ndi zotsatizana foraminal stenosis
- Discogenic spinal stenosis
- Discogenic ululu syndrome
- mawonekedwe osatha komanso olowa sacroiliac syndrom
- Ntchito zina zopangira maopaleshoni, monga chigongono cha tenisi, calcaneal spur
- Local anesthesia amalola chithandizo cha odwala omwe ali pachiwopsezo.
- Nthawi yochepa kwambiri yogwirira ntchito poyerekeza ndi njira zotseguka
- Kuchepa kwa zovuta komanso kutupa kwapambuyo pa opaleshoni (Palibe kuvulala kwa minofu yofewa, Palibe ngozi
epidural fibrosis kapena mabala)
- Singano yokhala ndi malo ang'onoang'ono obowola motero palibe chifukwa chopangira ma sutures
- Kuchepetsa ululu mwachangu komanso kulimbikitsa
- Kufupikitsa kugona m'chipatala ndi kukonzanso
- Mtengo wotsika
Njira ya PLDD ikuchitika pogwiritsa ntchito mankhwala oletsa ululu. Ulusi wa kuwala umayikidwa mu cannula yapadera pansi pa fluoroscopickutsogolera.Mutatha kugwiritsa ntchito kusiyanitsa kwa mbali ndizotheka kuyang'ana malo a cannula ndi momwe disk ilili.kuphulika. Kuyambira laser kumayambitsa decompression ndikuchepetsa kuthamanga kwa intradiscal.
Njirayi imachitika kuchokera ku njira ya posterior-lateral popanda kusokoneza ngalande ya vertebral, chifukwa chake, pamenepo.Palibe kuthekera kowononga chithandizo chobwezeretsa, koma palibe kuthekera kolimbikitsa annulus fibrosus.M'nthawi ya PLDD chimbale voliyumu imachepetsedwa pang'ono, komabe, kuthamanga kwa disc kumatha kuchepetsedwa kwambiri. Ngatipogwiritsa ntchito laser kuti disc decomperssion, kachulukidwe kakang'ono ka nucleus pulposus kumasanduka nthunzi.
Zida zosabala zimaphatikizanso 400/600 micron wopanda ulusi wokhala ndi chitetezo cha jekete, singano za 18G/20G (kutalika 15.2cm), ndi Y Connector yolola ulusi kulowa ndi kuyamwa. Cholumikizira ndi singano zimapakidwa aliyense payekhapayekha kuti athe kusinthasintha kwakukulu pamankhwala.
| Mtundu wa laser | Diode Laser Gallium-Aluminium-Arsenide GaAlAs |
| Wavelength | 980nm+1470nm |
| Mphamvu | 30W + 17W |
| Njira Zogwirira Ntchito | CW, Pulse ndi Single |
| Cholinga cha Beam | Chosinthika Red chizindikiro kuwala 650nm |
| Mtundu wa CHIKWANGWANI | Fiber yopanda kanthu |
| Fiber diameter | 300/400/600/800/1000um CHIKWANGWANI |
| Cholumikizira CHIKWANGWANI | SMA905 muyezo wapadziko lonse lapansi |
| Kugunda | 0.00s-1.00s |
| Kuchedwa | 0.00s-1.00s |
| Voteji | 100-240V, 50/60HZ |
| Kukula | 41 * 33 * 49cm |
| Kulemera | 18kg pa |
