PLDD Laser

Mfundo YaPLDD

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 intra-discal pressure, 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 yabwino kwambiri yochepetsera pang'ono pochiza ma disc hernias, khomo lachiberekero, dorsal hernias (kupatula gawo la T1-T5), ndi lumbar hernias. Njirayi imagwiritsa ntchito mphamvu ya laser kuti itenge madzi mkati mwa herniated nucleuspulposus ndikupanga decompression.

Chithandizo cha PLDD chimachitidwa pachipatala chakunja pogwiritsa ntchito opaleshoni ya m'deralo. Panthawiyi, singano yopyapyala imalowetsedwa mu diski ya herniated pansi pa x-ray kapena CT chitsogozo. Chingwe cha kuwala chimayikidwa kudzera mu singano ndipo mphamvu ya laser imatumizidwa kudzera mu ulusi, ndikutulutsa kachigawo kakang'ono ka disc nucleus. Izi zimapanga vacuum yapang'ono yomwe imakoka herniation kutali ndi muzu wa minyewa, potero kuchepetsa ululu. Zotsatira zake nthawi zambiri zimakhala nthawi yomweyo.

Njirayi ikuwoneka kuti masiku ano ndi njira yotetezeka komanso yovomerezeka ya microsurgery, ndi mlingo wa kupambana kwa 80%, makamaka pansi pa chitsogozo cha CT-Scan, kuti muwone m'maganizo muzu wa mitsempha komanso kugwiritsa ntchito mphamvu pazigawo zingapo za disc herniation. Izi zimalola kuti kuchepa kwapakati pa malo okulirapo, kuzindikira kuwonongeka kochepa pa msana kuti kuchiritsidwe, ndikupewa zovuta zomwe zingatheke zokhudzana ndi microdiscectomy (kubwerezabwereza kwa 8-15%, peridural scar in more than 6- 10%, dural sac misozi, magazi, iatrogenic microinstability), ndipo samaletsa opaleshoni yachikhalidwe, ngati pakufunika.

Ubwino WaPLDD LaserChithandizo

Ndizosautsa pang'ono, kugonekedwa m'chipatala sikofunikira, odwala amatsika patebulo ndi bandeji yaing'ono yomatira ndikubwerera kunyumba kwa maola 24 akupumula pabedi. Kenako odwala amayamba kuyenda pang'onopang'ono, akuyenda mpaka kilomita imodzi. Ambiri amabwerera kuntchito m’masiku anayi kapena asanu.

Zothandiza kwambiri ngati zalembedwa bwino

Kukonzedwa pansi wamba, osati wamba

Njira yotetezeka komanso yachangu yopangira opaleshoni, Palibe kudula, Kupanda zipsera, Popeza kuti diski yaying'ono yokha imatenthedwa, palibe kusakhazikika kwa msana. Mosiyana ndi opaleshoni yotseguka ya lumbar disc, palibe kuwonongeka kwa minofu yam'mbuyo, palibe kuchotsa mafupa kapena kudulidwa kwakukulu kwa khungu.

Zimagwira ntchito kwa odwala omwe ali pachiwopsezo chachikulu chotsegula discectomy monga omwe ali ndi matenda a shuga, matenda amtima, kuchepa kwa chiwindi ndi impso ndi zina.