Kutupa kwa msana ndi kutsekeka kwa ma disc ndizomwe zimayambitsa kupsinjika kwa mizu ya mitsempha ya m'chiuno komanso radiculopathy. Zizindikiro monga kupweteka kwa msana ndi mwendo chifukwa cha gulu ili la matenda zimatha kusiyana kwambiri, kapena kusowa zizindikiro, kapena kukhala zowopsa kwambiri.
Kafukufuku wambiri wasonyeza kuti opaleshoni yochotsa chisokonezo pamene chithandizo chosagwiritsa ntchito opaleshoni sichigwira ntchito bwino. Kugwiritsa ntchito njira zosavulaza kwambiri kungachepetse mavuto ena omwe amabwera pambuyo pa opaleshoni ndipo kungafupikitse nthawi yochira ya wodwalayo poyerekeza ndi opaleshoni yachikhalidwe yotsegula lumbar.
Mu nkhani yaposachedwa ya Tech Orthop, Gandhi ndi anzake ochokera ku Drexel University College of Medicine akufotokoza mwatsatanetsatane za momwe Tubular Retraction System imagwiritsidwira ntchito pochita opaleshoni ya lumbar decompression yomwe siivuta kwambiri. Nkhaniyi ndi yosavuta kuwerenga komanso yothandiza kuphunzira. Mfundo zazikulu za njira zawo zopangira opaleshoni zafotokozedwa mwachidule motere.
Chithunzi 1. Ma clamp omwe ali ndi Tubular retraction system amayikidwa pa bedi la opaleshoni mbali imodzi ndi dokotala wa opaleshoni, pomwe C-arm ndi maikulosikopu zimayikidwa mbali yabwino kwambiri malinga ndi kapangidwe ka chipindacho.
Chithunzi 2. Chithunzi cha Fluoroscopic: ma pini oika msana amagwiritsidwa ntchito musanapange opaleshoni kuti atsimikizire malo abwino kwambiri oikamo.
Chithunzi 3. Kudula kwa parasagittal ndi kadontho kabuluu komwe kakusonyeza malo apakati.
Chithunzi 4. Kukula pang'onopang'ono kwa chodulidwacho kuti apange njira yopangira opaleshoni.
Chithunzi 5. Kuyika kwa Tubular Retraction System pogwiritsa ntchito X-ray fluoroscopy.
Chithunzi 6. Kuyeretsa minofu yofewa pambuyo pochotsa poizoni kuti muwone bwino malo ofunikira a mafupa.
Chithunzi 7. Kuchotsa minofu yotuluka ya disc pogwiritsa ntchito pituitary bite forceps
Chithunzi 8. Kuchepetsa mphamvu pogwiritsa ntchito chopukusira: malowo amasinthidwa ndipo madzi amalowetsedwa kuti atsuke zinyalala za mafupa ndikuchepetsa kuwonongeka kwa kutentha chifukwa cha kutentha komwe kumapangidwa ndi chopukusira.
Chithunzi 9. Kuika mankhwala oletsa ululu omwe amagwira ntchito kwa nthawi yayitali mu incision kuti achepetse ululu wopweteka pambuyo pa opaleshoni.
Olembawo adatsimikiza kuti kugwiritsa ntchito njira yochotsera ma Tubular retraction pochotsa ma lumbar compression kudzera munjira zosavulaza kwambiri kuli ndi ubwino kuposa opaleshoni yachikhalidwe yotsegula ma lumbar decompression. Njira yophunzirira ndi yotheka, ndipo madokotala ambiri opaleshoni amatha kumaliza milandu yovuta pang'onopang'ono kudzera mu njira yophunzitsira mtembo, mthunzi, komanso kuchita masewera olimbitsa thupi.
Pamene ukadaulowu ukupitirira kukula, madokotala opaleshoni akuyembekezeka kuchepetsa kutuluka magazi pa opaleshoni, ululu, kuchuluka kwa matenda opatsirana, komanso kukhala m'chipatala kudzera mu njira zochepetsera kupsinjika kwa thupi.
Nthawi yotumizira: Disembala-15-2023
