Chilichonse Chimene Mukufuna Kudziwa Zokhudza Opaleshoni Ya Laser Back

Zamkati

• Kodi opaleshoni yam'mbuyo ya laser imasiyana bwanji?
• Zachikhalidwe
• ABWENZI
• Laser
• Zomwe muyenera kuyembekezera
• Ubwino
• Zovuta
• Zotsatira zoyipa
• Nthawi yobwezeretsa
• Mtengo
• Njira zina zochiritsira
• Mankhwala
• Majekeseni a Steroid
• Thandizo lakuthupi
• Kusamalira kunyumba
• Mankhwala osagwiritsidwa ntchito masiku onse
• Mfundo yofunika

Kuchita opaleshoni ya laser kumbuyo ndi mtundu wa opaleshoni yam'mbuyo. Ndizosiyana ndi mitundu ina ya opareshoni yakumbuyo, monga maopareshoni am'mbuyomu komanso opareshoni ya msana (MISS).

Pitirizani kuwerenga kuti mudziwe zambiri zamankhwala opangira ma laser, zopindulitsa ndi zovuta zake, komanso njira zina zochiritsira zomwe zingachitike.

Kodi opaleshoni yam'mbuyo ya laser imasiyana bwanji?

Pali mitundu ingapo ya opareshoni yam'mbuyo, kuphatikiza njira zachikhalidwe, kapena zotseguka, MISS, ndi opareshoni ya laser kumbuyo. Pansipa, tiwona zomwe zimapangitsa njira iliyonse kukhala yosiyana.

Zachikhalidwe

Pochita opaleshoni yakumbuyo, dokotalayo amadula pang'ono kumbuyo. Kenako, amasuntha minofu ndi minofu ina kuti akafike pamunsi pa msana. Izi zimabweretsa nthawi yochulukirapo, ndipo zimatha kuwononga minofu.

ABWENZI

MISS imagwiritsa ntchito tinthu tating'onoting'ono tating'onoting'ono kuposa opaleshoni yachikhalidwe. Chida chapadera chotchedwa tubular retractor chimagwiritsidwa ntchito popanga kanjira kakang'ono kuti athe kufikira malo opangira opaleshoni. Zida zosiyanasiyana zapadera zitha kuyikidwa mu ngalandeyi panthawi yochita opaleshoniyi.

Chifukwa ndizowopsa pang'ono, MISS imatha kubweretsa kupweteka pang'ono ndikuchira mwachangu.

Laser

Pa opaleshoni yam'mbuyo ya laser, laser imagwiritsidwa ntchito kuchotsa zigawo za minofu yomwe ili mozungulira msana ndi mitsempha yakumbuyo. Mosiyana ndi mitundu ina ya opareshoni yakumbuyo, itha kukhala yoyenera pazikhalidwe zenizeni, monga kupsinjika kwa mitsempha kumayambitsa kupweteka.

Opaleshoni yam'mbuyo ya Laser ndi MISS nthawi zambiri amalakwitsa wina ndi mnzake, kapena amaganiza kuti ndi ofanana. Kuphatikiza apo, zovuta ndizakuti MISS itha kugwiritsa ntchito lasers, koma osati nthawi zonse.

Opaleshoni yam'mbuyo ya Laser ndiyosowa, ndipo pali maphunziro ochepa azachipatala omwe awonetsa zabwino poyerekeza ndi njira zina.

Zomwe muyenera kuyembekezera

Mukapanikizika ndi mitsempha, imatha kubweretsa ululu komanso kusapeza bwino.

Mu msana, zinthu monga disc ya herniated kapena bone spur nthawi zambiri zimatha kuponderezana. Chitsanzo cha chimodzi mwazomwezi ndi sciatica, pomwe mitsempha ya sciatic imatsinidwa, zomwe zimabweretsa zowawa kumbuyo ndi mwendo.

Lasers itha kugwiritsidwa ntchito kuthandizira kusokoneza mitsempha, ndi cholinga chothandizira kupweteka. Izi zimachitika pansi pa anesthesia yakomweko, zomwe zikutanthauza kuti khungu ndi minofu yoyandikira kumbuyo kwanu idzachita ululu. Muthanso kukhala pansi pamachitidwe.

Imodzi mwa njira zophunziridwa bwino kwambiri za opaleshoni ya laser yotchedwa percutaneous laser disc decompression (PLDD). Njirayi imagwiritsa ntchito laser kuchotsa minofu ya disc yomwe ingayambitse kupanikizika kwa mitsempha ndi ululu.

Pakati pa PLDD, kafukufuku wocheperako wokhala ndi laser amapitilira pakatikati pa disc yomwe yakhudzidwa. Izi zimakwaniritsidwa mothandizidwa ndiukadaulo wazithunzi. Kenako, mphamvu yochokera ku laser imagwiritsidwa ntchito kuchotsa mosamala minofu yomwe ikhoza kukanikiza mitsempha.

Ubwino

Ubwino wa opareshoni ya laser ndikuti ndizowononga pang'ono kuposa njira yachizolowezi yochitira opaleshoni yam'mbuyo. Kuphatikiza apo, imatha kuchitidwa m'malo opumira odwala pansi pa anesthesia yakomweko. Mwanjira zambiri, ndizofanana kwambiri ndi MISS.

Pali chidziwitso chochepa chokhudzana ndi magwiridwe antchito a opaleshoni ya laser poyerekeza ndi njira zina.

Mmodzi anayerekezera PLDD ndi njira ina yochitira opaleshoni yotchedwa microdiscectomy. Ofufuzawo adapeza kuti njira zonsezi zidakhala ndi zotsatira zofananira pazaka ziwiri zochira.

Komabe, ziyenera kudziwika kuti pokambirana za PLDD, ofufuzawa adaphatikizanso kuchitanso opaleshoni yotsatira pambuyo pa PLDD ngati gawo lazotsatira zake.

Zovuta

Kuchita opaleshoni ya laser kumbuyo sikuvomerezeka pazinthu zina, monga matenda opweteka a msana. Kuphatikiza apo, zovuta kapena zovuta nthawi zambiri zimafunikira njira yodziwika bwino yochitira opaleshoni.

Chimodzi mwazovuta zomwe zingachitike pakuchitidwa opareshoni ya laser ndikuti mungafunike kuchitidwa opareshoni yowonjezerapo matenda anu. Zapezeka kuti microdiscectomy inali ndi zocheperako zochulukirapo zomwe zimafunikira poyerekeza ndi PLDD.

Kuphatikiza apo, kuwunika kwa meta kwa 2017 kwa maopaleshoni asanu ndi awiri osiyana siyana a ma disc a herniated mdera lumbar adapeza kuti PLDD idakhala pakati pazabwino kwambiri, ndipo inali pakatikati pamlingo woyambiranso.

Zotsatira zoyipa

Njira iliyonse itha kukhala ndi zovuta zina kapena zovuta zina. Izi ndizowona pakuchita opaleshoni ya laser.

Chimodzi mwazovuta zomwe zitha kuchitidwa ndi opareshoni ya laser ndikuwonongeka kwa minofu yoyandikana nayo. Chifukwa laser imagwiritsidwa ntchito pochita izi, kuwonongeka kwa kutentha kumatha kuchitika ku mitsempha, fupa, ndi khungu.

Vuto lina lomwe lingachitike ndi matenda. Izi zitha kuchitika poika kafukufuku ngati njira zoyendetsera ukhondo sizikutsatiridwa. Nthawi zina, mungapatsidwe mankhwala opha tizilombo kuti muteteze matenda.

Nthawi yobwezeretsa

Nthawi yobwezeretsa imatha kusiyanasiyana malinga ndi momwe munthu akuchitira komanso momwe angachitire. Anthu ena atha kubwerera kuntchito zawo mwachangu, pomwe ena angafunike nthawi yochulukirapo. Kodi opaleshoni yam'mbuyo yam'mbuyo imafanizira bwanji mitundu ina yamankhwala am'mbuyo?

Kuchita opaleshoni yam'mbuyo yam'mbuyo kumafuna kuchipatala pambuyo potsatira, ndipo kuchira kumatha kutenga milungu ingapo. Malinga ndi a Johns Hopkins Spine Service, anthu omwe akuchita opaleshoni ya msana ayenera kuyembekezera kuphonya masabata 8 mpaka 12 akugwira ntchito.

Mosiyana ndi izi, MISS nthawi zambiri imachitidwa ngati njira yothandizira odwala, kutanthauza kuti mutha kupita kwanu tsiku lomwelo. Nthawi zambiri, anthu omwe agwidwa ndi MISS amatha kubwerera kuntchito pafupifupi milungu isanu ndi umodzi.

Mwinamwake mwawerengapo kuti opaleshoni yam'mbuyo ya laser imachira mwachangu kuposa njira zina. Komabe, pakhala pali kafukufuku wochepa kwambiri momwe nthawi yobwezeretsa ikufananirana.

M'malo mwake, zomwe tafotokozazi zidapeza kuti kuchira kuchokera ku microdiscectomy kunali kothamanga kuposa kwa PLDD.

Mtengo

Palibe zambiri zokhudzana ndi mtengo wake kapena opaleshoni ya laser motsutsana ndi mitundu ina ya opaleshoni yam'mbuyo.

Mtengo wake umasiyana malinga ndi mayiko. Kupeza inshuwaransi kumatha kusiyanasiyana ndi inshuwaransi ndi mapulani a inshuwaransi. Musanachite chilichonse chamtundu uliwonse, nthawi zonse muyenera kufunsa omwe amakupatsani inshuwaransi kuti muwone ngati zakonzedwa ndi pulani yanu.

Njira zina zochiritsira

Sikuti aliyense amene ali ndi ululu wammbuyo amafunika kuchitidwa opaleshoni yam'mbuyo. M'malo mwake, ngati mukumva kupweteka kwa msana, dokotala wanu angakulimbikitseni kuti muyesere mankhwala ena osamalitsa poyamba, pokhapokha mutakhala ndi kutaya kwaminyewa kwam'magazi kapena kutayika kwa matumbo kapena chikhodzodzo.

Pali zinthu zosiyanasiyana zomwe mungayesere kuthandizira kuthetsa ululu chifukwa cha sciatica. Zitsanzo ndi izi:

Mankhwala

Dokotala wanu amatha kukupatsani mankhwala osiyanasiyana kuti akuthandizeni kupweteka. Izi zitha kuphatikizira zinthu monga

• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• zopumulira minofu
• opioid ululu amachepetsa (kwakanthawi kochepa kwambiri)
• mankhwala opatsirana pogonana a tricyclic
• mankhwala oletsa kulanda

Majekeseni a Steroid

Kupeza jakisoni wa corticosteroids pafupi ndi dera lomwe lakhudzidwa kungathandize kuchepetsa kutupa kuzungulira mitsempha. Komabe, zotsatira za jakisoni zimatha patangopita miyezi ingapo, ndipo mutha kungolandira zochulukirapo chifukwa chowopsa pazotsatira zake.

Thandizo lakuthupi

Thandizo lakuthupi lingathandize ndi mphamvu komanso kusinthasintha komanso kupewa mavuto amtsogolo. Zitha kuphatikizira masewera olimbitsa thupi osiyanasiyana, kutambasula, ndi kukonza momwe mungakhalire.

Kusamalira kunyumba

Kugwiritsa ntchito zinthu monga mapaketi otentha kapena ozizira kungathandize kuchepetsa ululu. Kuphatikiza apo, ma NSAID ena owerengera monga ibuprofen amathanso kuthandizira.

Mankhwala osagwiritsidwa ntchito masiku onse

Anthu ena amagwiritsa ntchito njira monga kutema mphini ndi ma chiropractic kuti athandizire kupweteka kwakumbuyo. Ngati mwasankha kuyesa njirazi, onetsetsani kuti mwayendera katswiri woyenerera.

Mfundo yofunika

Opaleshoni yam'mbuyo ya Laser ndi mtundu wa opaleshoni yam'mbuyo yomwe imagwiritsa ntchito laser kuchotsa minofu yomwe ikhoza kukanikiza kapena kutsina mitsempha. Njirayi ndi yovuta kwambiri kuposa njira zina zamankhwala zam'mbuyo, koma zimafunikira maopaleshoni ena owonjezera.

Pakadali pano, zambiri zazing'ono za konkriti zimapezeka ngati opaleshoni yam'mbuyo ya laser ndiyopindulitsa kuposa mitundu ina yamankhwala am'mbuyo. Kuphatikiza apo, kuyerekezera mtengo wokwera poyerekeza ndi njira zina sikunapangidwebe.

Ngati mukufuna kuchitidwa opaleshoni yam'mbuyo, muyenera kukambirana zonse zomwe mungachite ndi dokotala wanu. Mwanjira imeneyi, mudzatha kulandira chithandizo chomwe chili chabwino kwa inu.