Kugulitsa Kutentha kwa 1470 pldd laser 1470nm laser kwa pldd- 980+1470 PLDD

Kufotokozera Kwachidule:

PLDD - Percutaneous Laser Disc Decompression

NDANI WOYENERA KUGANIZIRA PLDD?

Njira ya PLDD idapangidwa mwachindunji ndikupangidwira zisonyezo za khomo lachiberekero ndi lumbar, kuphatikiza:

♦ Kupweteka kwakukulu kwa mwendo, mkono, khosi kapena m'munsi mwa msana.

♦ Ululu umene sunayankhe kwa masabata asanu ndi limodzi a chithandizo chokhazikika- kupuma, mankhwala kapena masewero olimbitsa thupi.

♦ Ma disc a Herniated lumbar omwe amatsimikiziridwa ndi maphunziro a x-ray omwe angaphatikizepo chimodzi kapena zingapo mwa zotsatirazi:

Kujambula kwa Magnetic Resonance (MRI), CAT Scanning, Myelography, Discography


Tsatanetsatane wa Zamalonda

Zolemba Zamalonda

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 ndiyotetezeka 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 laser fifiber imabayidwa kudzera pamenepo kuti iwotche nucleus pulposus ndi laser.

PDD-1470 (1)

Kuyanjana kwa minofu ndi LASEEV® DUAL

Pulatifomu ya LASEEV® DUAL imachokera ku mawonekedwe a mayamwidwe a 980 nm ndi 1470 nm wavelengths, omwe, chifukwa cha kuyanjana kwake kwapadera m'madzi ndi hemoglobini komanso kulowa mkati mwakuya mu minofu ya disc, kumathandizira kuti njira zizichitika mosamala komanso moyenera, makamaka pafupi ndi mawonekedwe osakhwima a anatomical. Kulondola kwapang'onopang'ono kumatsimikiziridwa ndi luso lapadera la PLDD Kodi 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. Kugwirizana kwa minofu ndi LASEEV® DUAL laser fibers, yomwe imalola kuti opaleshoni ikhale yogwira mtima, yogwira ntchito mosavuta, 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.

mankhwala

Mapulogalamu

-Intra-discal ntchito pa khomo lachiberekero, thoracic msana, lumbar msana
- Medial nthambi neurotomy kwa mbali mfundo
- Lateral nthambi neurotomy kwa olowa sacroiliac

Zizindikiro

- 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

Ubwino wa njira ya PLDD yosautsa pang'ono

- 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

mankhwala
PLDD: Zonse za singano ndi fiber zimalowetsedwa mu diski ya matenda pansi pa fluoroscopy.

Ndondomeko

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.

mankhwala

Zida Zaukadaulo zamachitidwe a PLDD

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.

PLDD

parameter

Mtundu wa laser Diode Laser Gallium-Aluminium-Arsenide GaAlAs
Wavelength 650nm+980nm+1470nm
Mphamvu 30W+17W/60W+17W
Njira Zogwirira Ntchito CW, Pulse ndi Single
Cholinga cha Beam Chosinthika Red chizindikiro kuwala 650nm
Mtundu wa CHIKWANGWANI Fiber yopanda kanthu
Fiber diameter 400/600 um fiber
Cholumikizira CHIKWANGWANI SMA905 muyezo wapadziko lonse lapansi
Kugunda 0.00s-1.00s
Kuchedwa 0.00s-1.00s
Voteji 100-240V, 50/60HZ
Kukula 34.5 * 39 * 34cm
Kulemera 8.45KG

Tsatanetsatane

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PLDD (2)

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