PLDD Laser

Ke Kumu OPLDD

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

ʻO ka pahuhopu o PLDD ka hoʻoheheʻe ʻana i kahi ʻāpana liʻiliʻi o ke kumu o loko. ʻO ka ablation o kahi liʻiliʻi liʻiliʻi o ke kumu i loko ka hopena i ka hoʻohaʻahaʻa koʻikoʻi o ke kaomi intra-discal, no laila e hoʻemi ai i ka herniation disc.

ʻO PLDD ke kaʻina hana lapaʻau liʻiliʻi-invasive i hoʻomohala ʻia e Dr. Daniel SJ Choy ma 1986 e hoʻohana ana i kahi kukuna laser e mālama i ka ʻeha hope a me ka ʻāʻī i hana ʻia e kahi disc herniated.

ʻO ka percutaneous laser disc decompression (PLDD) ka ʻenehana laser percutaneous invasive liʻiliʻi loa i ka mālama ʻana i nā hernias disc, cervical hernias, dorsal hernias (koe wale no ka māhele T1-T5), a me lumbar hernias. Hoʻohana ke kaʻina hana i ka ikehu laser e komo i ka wai i loko o ka nucleuspulposus herniated e hana ana i kahi decompression.

Hana ʻia ka lāʻau PLDD ma kahi maʻi maʻi me ka hoʻohana ʻana i ka anesthesia kūloko. 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 hoʻoheheʻe ana i kahi ʻāpana liʻiliʻi o ka nucleus disc. Hoʻokumu kēia i kahi ʻūhā ʻāpana e huki i ka herniation mai ke aʻa aʻalolo, a laila hoʻomaha i ka ʻeha. Hiki koke ka hopena.

ʻO ke kaʻina hana i kēia mau lā he mea palekana a kūpono hoʻi i ka microsurgery, me ka helu o ka kūleʻa o 80%, ma lalo o ke alakaʻi CT-Scan, i mea e ʻike ai i ke aʻa aʻa a hoʻohana pū i ka ikehu ma nā wahi o ka herniation disc. Hāʻawi kēia i ka hoʻohaʻahaʻa ʻana i kahi ʻāpana nui, me ka ʻike ʻana i ka liʻiliʻi o ka invasiveness ma ka spine e mālama ʻia, a me ka pale ʻana i nā hoʻopiʻi kūpono e pili ana i ka microdiscectomy (ka piʻi hou ʻana o ka ʻoi aku ma mua o 8-15%, periidural scar ma mua o 6- 10%, dural sac tear, bleeding, iatrogenic microinstability), a ʻaʻole e kaohi i ka hana maʻamau, inā pono.

Pono oPLDD LaserLapaʻau

He liʻiliʻi loa ia, ʻaʻole pono ka hale maʻi, haʻalele nā ​​​​mea maʻi mai ka papaʻaina me kahi kāʻei liʻiliʻi liʻiliʻi a hoʻi i ka home no 24 mau hola hoʻomaha. A laila hoʻomaka nā maʻi i ka holomua holomua, e hele ana i kahi mile. Hoʻi ka hapa nui i ka hana i loko o ʻehā a ʻelima mau lā.

Hana maikaʻi loa inā kuhikuhi pololei ʻia

Hana ʻia ma lalo o ka anesthesia kūloko, ʻaʻole maʻamau

ʻO ke kaʻina hana palekana a wikiwiki hoʻi, ʻAʻohe ʻoki, ʻaʻohe ʻili, No ka mea he liʻiliʻi wale nō ka diski i hoʻohu ʻia, ʻaʻohe ʻano paʻa ʻole o ke kuamoʻo. ʻOkoʻa mai ka wehe ʻana o ka lumbar disc, ʻaʻohe pōʻino i ka ʻiʻo hope, ʻaʻohe wehe iwi a i ʻole 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 maʻi, ka maʻi puʻuwai, ka emi ʻana o ka ate a me ka hana ʻāʻī, etc.