Laser ya PLDD

Mfundo YaPLDD

Mu njira yochotsera ma disc a laser opangidwa ndi percutaneous, mphamvu ya laser imatumizidwa kudzera mu ulusi woonda wa kuwala kupita ku disk.

Cholinga cha PLDD ndikutulutsa nthunzi pang'ono pakati pa mtima. Kuchotsa voliyumu yochepa pakati pa mtima kumapangitsa kuti kuthamanga kwa magazi mkati mwa dis-discal kuchepe kwambiri, zomwe zimapangitsa kuti disc herniation ichepe.

PLDD ndi njira yochiritsira yosavulaza kwambiri yomwe idapangidwa ndi Dr. Daniel SJ Choy mu 1986 yomwe imagwiritsa ntchito kuwala kwa laser pochiza ululu wammbuyo ndi khosi womwe umachitika chifukwa cha herniated disc.

Kuchotsa ma disc a percutaneous laser (PLDD) ndi njira yochepetsera kwambiri ya percutaneous laser pochiza ma disc hernias, cervical hernias, dorsal hernias (kupatula gawo la T1-T5), ndi lumbar hernias. Njirayi imagwiritsa ntchito mphamvu ya laser kuyamwa madzi omwe ali mu herniated nucleuspulposus ndikupanga decompression.

Chithandizo cha PLDD chimachitidwa kwa wodwala wosadwala pogwiritsa ntchito mankhwala oletsa ululu am'deralo okha. Panthawi ya opaleshoniyi, singano yopyapyala imayikidwa mu diski ya herniated motsogozedwa ndi x-ray kapena CT. Ulusi wowala umayikidwa kudzera mu singano ndipo mphamvu ya laser imatumizidwa kudzera mu ulusi, ndikutulutsa nthunzi pang'ono mu nucleus ya diski. Izi zimapangitsa kuti pakhale vacuum yochepa yomwe imakoka herniation kutali ndi muzu wa mitsempha, potero kuchepetsa ululu. Nthawi zambiri zotsatira zake zimakhala nthawi yomweyo.

Njirayi ikuoneka kuti ndi njira yotetezeka komanso yovomerezeka m'malo mwa opaleshoni ya microsurgery, yokhala ndi chiwongola dzanja cha 80%, makamaka motsogozedwa ndi CT-Scan, kuti tiwone muzu wa mitsempha ndikugwiritsanso ntchito mphamvu pa mfundo zingapo za disc herniation. Izi zimathandiza kuti kuchepa kwa msana kukhale kochepa kwambiri, zomwe zimapangitsa kuti msana usavutike kwambiri, komanso kupewa mavuto omwe angakhalepo okhudzana ndi opaleshoni ya microdiscectomy (chiwongola dzanja chobwerezabwereza cha oposa 8-15%, chilonda cha peridural choposa 6-10%, kudula kwa dural sac, kutuluka magazi, kusakhazikika kwa iatrogenic), ndipo siziletsa opaleshoni yachikhalidwe, ngati pakufunika kutero.

Ubwino waLaser ya PLDDChithandizo

Sizimayambitsa mavuto ambiri, kugonekedwa m'chipatala sikofunikira, odwala amachoka patebulo ndi bandeji yaying'ono yomatira ndikubwerera kunyumba kuti akapumule maola 24 pabedi. Kenako odwala amayamba kuyenda pang'onopang'ono, kuyenda mpaka kilomita imodzi. Ambiri amabwerera kuntchito pakatha masiku anayi kapena asanu.

Zimagwira ntchito bwino kwambiri ngati zalembedwa molondola

Kukonzedwa pansi pa mankhwala oletsa ululu am'deralo, osati onse

Njira yotetezeka komanso yachangu yochitira opaleshoni, Palibe kudula, Palibe zipsera, Popeza diski yochepa yokha ndiyo imachotsedwa, palibe kusakhazikika kwa msana komwe kumachitika pambuyo pake. Mosiyana ndi opaleshoni yotseguka ya lumbar disc, palibe kuwonongeka kwa minofu yakumbuyo, palibe kuchotsa fupa kapena kudula khungu lalikulu.

Imagwira ntchito kwa odwala omwe ali pachiwopsezo chachikulu chotsegula discectomy monga omwe ali ndi matenda a shuga, matenda a mtima, kuchepa kwa ntchito ya chiwindi ndi impso ndi zina zotero.