Laser PLDD

Ke Kumumanaʻo oPLDD

I ke kaʻina hana o ka percutaneous laser disc decompression, hoʻoili ʻia ka ikehu laser ma o kahi fiber optical lahilahi i loko o ka disc.

ʻO ka pahuhopu o PLDD ka hoʻomake ʻana i kahi ʻāpana liʻiliʻi o ke kikowaena o loko. ʻO ka ablation o kahi liʻiliʻi o ka nui o loko e hopena i ka hōʻemi nui ʻana o ke kaomi intra-discal, a pēlā e hōʻemi ai i ka herniation disc.

ʻO PLDD ke kaʻina hana lapaʻau minimally invasive i hoʻomohala ʻia e Kauka Daniel SJ Choy i ka makahiki 1986 e hoʻohana ana i kahi kukuna laser e mālama i ka ʻeha o ke kua a me ka ʻāʻī i hoʻokumu ʻia e kahi disc herniated.

ʻO ka Percutaneous laser disc decompression (PLDD) ka ʻenehana laser percutaneous minimally invasive loa i ka mālama ʻana i nā hernias disc, nā hernias cervical, nā hernias dorsal (koe wale nō ka ʻāpana T1-T5), a me nā hernias lumbar. Hoʻohana ke kaʻina hana i ka ikehu laser e omo i ka wai i loko o ka herniated nucleus pulposus e hana ana i kahi decompression.

Hana ʻia ka lāʻau PLDD ma ke ʻano outpatient me ka hoʻohana ʻana i ka anesthesia kūloko wale nō. I ka wā o ke kaʻina hana, hoʻokomo ʻia kahi nila lahilahi i loko o ka disc herniated ma lalo o ke alakaʻi x-ray a i ʻole CT. Hoʻokomo ʻia kahi fiber optical ma o ka nila a hoʻouna ʻia ka ikehu laser ma o ka fiber, e hoʻomāhu ana i kahi ʻāpana liʻiliʻi o ka nucleus disc. Hoʻokumu kēia i kahi vacuum hapa e huki ana i ka herniation mai ke aʻa nerve, a laila e hōʻoluʻolu ai i ka ʻeha. ʻO ka hopena maʻamau koke.

ʻIke ʻia ke kaʻina hana i kēia mau lā he koho palekana a kūpono hoʻi i ka microsurgery, me ka helu o ka holomua o 80%, ʻoi aku hoʻi ma lalo o ke alakaʻi ʻana a CT-Scan, i mea e ʻike ai i ke aʻa nerve a hoʻopili pū i ka ikehu ma kekahi mau wahi o ka herniation disc. ʻAe kēia i ka loaʻa ʻana o ka emi ʻana i kau ʻia ma kahi nui, e ʻike ana i ka invasiveness liʻiliʻi ma ka iwi kuamoʻo e mālama ʻia, a me ka pale ʻana i nā pilikia e pili ana i ka microdiscectomy (ka helu recurrence ma mua o 8-15%, ka ʻeha peridural ma mua o 6-10%, ka haehae dural sac, ke kahe ʻana o ke koko, ka microinstability iatrogenic), a ʻaʻole ia e pale i ke ʻoki kuʻuna, inā pono.

Nā Pōmaikaʻi oLaser PLDDLapaʻau

He mea hoʻokomo iki ia, ʻaʻole pono ke komo ʻana i ka haukapila, puka mai nā mea maʻi mai ka papaʻaina me kahi kāʻei liʻiliʻi a hoʻi i ka home no 24 mau hola o ka hoʻomaha moe. A laila hoʻomaka nā mea maʻi e hele wāwae holomua, e hele ana a hiki i hoʻokahi mile. Hoʻi ka hapa nui i ka hana i loko o ʻehā a ʻelima mau lā.

Loaʻa ka pono inā kuhikuhi pololei ʻia

Hana ʻia ma lalo o ka anesthesia kūloko, ʻaʻole ma lalo o ka anesthesia laulā

ʻO ke ʻano hana palekana a wikiwiki hoʻi, ʻAʻohe ʻoki, ʻAʻohe ʻeha, ʻOiai he liʻiliʻi wale nō o ka disc i mahu ʻia, ʻaʻohe paʻa ʻole o ka iwi kuamoʻo ma hope. ʻOkoʻa mai ke ʻoki disc lumbar hāmama, ʻaʻohe hōʻino i ka ʻiʻo hope, ʻaʻohe wehe ʻana o ka iwi a i ʻole ka ʻoki ʻili nui.

Pili ia i nā poʻe maʻi i ʻoi aku ka nui o ka pilikia e wehe i ka discectomy e like me ka poʻe me ka maʻi diabetes, ka maʻi puʻuwai, ka emi ʻana o nā hana ate a me nā puʻupaʻa, a pēlā aku.