Spinal stenosis ndi disc herniation ndizomwe zimayambitsa kupsinjika kwa mizu ya lumbar ndi radiculopathy.Zizindikiro monga kupweteka kwa msana ndi mwendo chifukwa cha gulu ili la zovuta zimatha kusiyana kwambiri, kapena kusowa zizindikiro, kapena kukhala kovuta kwambiri.
Kafukufuku wambiri wasonyeza kuti kuwonongeka kwa opaleshoni pamene mankhwala osagwiritsa ntchito opaleshoni sakhala othandiza kumabweretsa zotsatira zabwino zochiritsira.Kugwiritsa ntchito njira zochepetsera pang'ono kungachepetse zovuta zina zomwe zingachitike ndikuchepetsa nthawi yakuchira kwa wodwalayo poyerekeza ndi opaleshoni yachikhalidwe yotsegula m'chiuno.
M'nkhani yaposachedwa ya Tech Orthop, Gandhi et al.kuchokera ku Drexel University College of Medicine imapereka kufotokozera mwatsatanetsatane kwa kugwiritsidwa ntchito kwa Tubular Retraction System mu opaleshoni yochepa kwambiri ya lumbar decompression.Nkhaniyi ndi yowerengedwa kwambiri komanso yothandiza pophunzira.Mfundo zazikuluzikulu za njira zawo zopangira opaleshoni zimafotokozedwa mwachidule motere.
Chithunzi 1. Zingwe zogwiritsira ntchito Tubular retraction system zimayikidwa pa bedi la opaleshoni kumbali imodzi ndi dokotala wochita opaleshoni, pamene C-arm ndi microscope zimayikidwa pambali yabwino kwambiri malinga ndi momwe chipindacho chimakhalira.
Chithunzi 2. Chithunzi cha Fluoroscopic: zikhomo zopangira msana zimagwiritsidwa ntchito musanapange opaleshoni kuti zitsimikizidwe kuti zimakhala bwino kwambiri.
Chithunzi 3. Parasagittal incision yokhala ndi dontho labuluu lolemba malo apakati.
Chithunzi 4. Kukula kwapang'onopang'ono kwa incision kuti apange njira yogwiritsira ntchito.
Chithunzi 5. Kuyika kwa Tubular Retraction System ndi X-ray fluoroscopy.
Chithunzi 6. Kuyeretsa minyewa yofewa pambuyo pa cautery kuti muwonetsetse bwino madera a mafupa.
Chithunzi 7. Kuchotsa minyewa ya disc yotuluka pogwiritsira ntchito pituitary biting forceps
Chithunzi.8. Kuwonongeka ndi chopukusira: malowa amagwiritsidwa ntchito ndipo madzi amabayidwa kuti atsuke mafupa a mafupa ndi kuchepetsa kuwonongeka kwa kutentha chifukwa cha kutentha komwe kumapangidwa ndi chopukusira.
Chithunzi 9. Jekeseni wa mankhwala ochititsa dzanzi kwa nthawi yaitali mu incision kuti muchepetse ululu wopweteka pambuyo pa opaleshoni.
Olembawo adatsimikiza kuti kugwiritsa ntchito Tubular retraction system kwa lumbar decompression kudzera munjira zocheperako kuli ndi zabwino zomwe zingakhalepo kuposa opaleshoni yachikhalidwe yotseguka ya lumbar.Njira yophunzirira ndiyotheka, ndipo madokotala ambiri amatha kumaliza pang'onopang'ono milandu yovuta kudzera munjira yophunzitsira cadaveric, mthunzi, komanso kuchita masewera olimbitsa thupi.
Pamene teknoloji ikupitiriza kukula, madokotala ochita opaleshoni amayembekezeredwa kuti athe kuchepetsa kutuluka kwa magazi, kupweteka, kuchuluka kwa matenda, komanso kukhala m'chipatala pogwiritsa ntchito njira zochepetsera zochepa.
Nthawi yotumiza: Dec-15-2023
