Kunzwisisa Laser Spine Surgery: A Minimally Invasive Nzira

Kune vanhu vakaneta dzimwe nzira dzese dzekurapa dzekurwadziwa kwemusana uye nerve root compression, kuvhiyiwa kwelaser spine kunogona kubatsira kuderedza kudzvanywa kwetsinga uye kupa zororo rinogara kwenguva refu?

Laser Spine Surgery

Laser spine kuvhiyiwa ishoma invasive kuvhiya maitiro ayo anoshandisa laser kucheka nekubvisa masipinha zvimiro zviri kumanikidza tsinga uye kukonzera kurwadziwa kwakanyanya. Maitiro ekuita zvishoma anowanzo konzera kurwadziwa kushoma, kukuvara kwetishu, uye kupora nekukurumidza kupfuura kuvhiya kwakawanda.

Ainoita

Minimally invasive maitiro anokonzera kushoma mavanga uye kukuvadza kune zvivako zvakapoteredza, kazhinji kuderedza zviratidzo zvinorwadza uye nguva shoma yekudzorera. (Stern, J. 2009) Zvidiki zvidiki zvinogadzirwa kuti zviwane spinal column zvimiro. Nekuvhiyiwa kwakavhurika-musana, kuchekwa kukuru kunoitwa pasi kumashure kuti uwane musana. Kuvhiya kwacho kunosiyana nekumwe kuvhiya pakuti danda relaser, pane zvimwe zviridzwa zvekuvhiya, rinoshandiswa kucheka zvimiro mumusana. Zvisinei, kuchekwa kwekutanga kuburikidza neganda kunogadzirwa nekuvhiya scalpel. Laser ipfupiso yeChiedza Amplification Inokurudzirwa neEmission of Radiation. Laser inogona kuburitsa kupisa kwakanyanya kucheka nepakati zvinyoro zvinyoro, kunyanya izvo zvine mvura yakakwira, senge spinal column discs. (Stern, J. 2009) Kune akawanda ekuvhiyiwa kwemuzongoza, iyo laser haigone kushandiswa kucheka nepakati pebhonzo sezvo ichigadzira ipapo sparks zvinogona kukuvadza zvimiro zvakatenderedza. Asi, kuvhiyiwa kwelaser spine kunonyanya kushandiswa kuita discectomy, inova nzira yekuvhiya inobvisa chikamu chebulging kana herniated disc iyo iri kusundira kune yakatenderedza tsinga midzi, zvichikonzera kudzvinyirira kwetsinga uye sciatic kurwadziwa. (Stern, J. 2009)

Kuvhiya Ngozi

Kuvhiyiwa kweLaser spine kunogona kubatsira kugadzirisa chikonzero chekumanikidzwa kwetsinga midzi, asi kune njodzi yakawedzera yekukuvadza kune zvivakwa zviri pedyo. Njodzi dzinobatanidzwa dzinosanganisira: (Brouwer, PA et al., 2015)

• Kurwara
• Bleeding
• Ropa rinovhara
• Zviratidzo zvakasara
• Kudzorera zviratidzo
• Kuwedzera kukuvara kwetsinga
• Kukuvadza kune membrane yakatenderedza musana.
• Kuda kumwe kuvhiyiwa

Laser beam haina kurongeka semamwe maturusi ekuvhiya uye inoda kudzidzira kugona uye kudzora kudzivirira kukuvara kumusana uye nerve midzi. (Stern, J. 2009) Nemhaka yokuti lasers haigoni kugura nepakati pemapfupa, zvimwe midziyo yekuvhiya inowanzoshandiswa kumativi emakona uye pamakona akasiyana-siyana nokuti inoshanda zvakanyanya uye inobvumira kunyatsojeka. (Atlantic Brain uye Spine, 2022)

chinangwa

Kuvhiyiwa kweLaser spine kunoitwa kubvisa zvimiro zviri kukonzera kutsinga kwetsinga. Nerve root compression inosanganiswa nemamiriro anotevera (Cleveland Clinic. 2018)

• Bulging discs
• Herniated discs
• Sciatica
• Spinal stenosis
• Musana tambo mamota

Midzi yetsinga yakakuvara kana kukuvadzwa uye inogara ichitumira zviratidzo zvinorwadza zvisingaperi zvinogona kubviswa nekuvhiyiwa kwelaser, kunozivikanwa se nerve ablation. Iyo laser inopisa uye inoparadza nerve fibers. (Stern, J. 2009) Nekuti kuvhiyiwa kwelaser spine kunogumira mukurapa kumwe kusagadzikana kwemusana, maitiro mazhinji emuzongoza asingashandisi laser. (Atlantic Brain uye Spine. 2022)

Kugadzirira

Chikwata chekuvhiya chinopa mirairo yakadzama pamusoro pezvaunofanira kuita mumazuva nemaawa vasati vavhiyiwa. Kukurudzira kuporeswa kwakanaka uye kupora kwakanaka, zvinokurudzirwa kuti murwere arambe achishanda, adye chikafu chine hutano, uye arege kusvuta asati avhiyiwa. Vanhu vangada kurega kutora mimwe mishonga kudzivirira kubuda ropa kwakanyanya kana kusangana neanesthesia panguva yekuvhiya. Zivisai mutano wehutano nezvese zvinonyorerwa, over-the-counter zvinodhaka, uye zvekuwedzera zviri kutorwa.

Kuvhiyiwa kweLaser spine inzira yekunze kuchipatara kana nzvimbo yekuvhiya yekunze. Murwere angangoenda kumba pazuva rimwe chete rekuvhiyiwa. (Cleveland Clinic. 2018) Varwere havagoni kutyaira vachienda kana kuti kubva kuchipatara vasati vavhiyiwa kana kuti vapedza, saka rongai kuti mhuri kana shamwari dzivape chokufambisa. Kuderedza kushushikana uye kukoshesa hutano hwepfungwa uye hwepfungwa kwakakosha kudzikisa kuzvimba uye kubatsira kupora. Utano hwemurwere hunoenda mukuvhiyiwa, zviri nyore kupora uye kugadzirisa.

Zvatinotarisira

Kuvhiyiwa kuchasarudzwa nemurwere uye mupi wehutano uye kunorongwa kuchipatara kana kunze kwekuvhiya nzvimbo. Ronga kuti shamwari kana nhengo yemhuri ityaire kuenda kunovhiyiwa uye kumba.

Before Surgery

• Murwere achaendeswa kukamuri yepamberi uye anokumbirwa kuti achinje gauni.
• Murwere achaongororwa kwenguva pfupi mumuviri uye apindure mibvunzo nezve nhoroondo yekurapa.
• Murwere anorara pamubhedha wemuchipatara, uye mukoti anoisa IV kuti aendese mishonga nemvura.
• Boka rekuvhiya richashandisa mubhedha wechipatara kutakura murwere mukati nekubuda mukamuri yekuvhiya.
• Chikwata chekuvhiya chichabatsira murwere kupinda patafura yekuvhiya, uye murwere achapihwa anesthesia.
• Murwere anogona kugamuchira general anesthesia, izvo zvichaita kuti murwere arare kuvhiyiwa, kana regional anesthesia, kubaiwa muzongoza kuti riveveve nzvimbo yakabatwa. (Cleveland Clinic. 2018)
• Chikwata chekuvhiya chinozouraya ganda uko kuchaitwa.
• Mushonga unouraya utachiona uchashandiswa kuuraya utachiona uye kudzivirira njodzi yeutachiona.
• Kana wacheneswa, mutumbi unozofukidzwa nemachira ekudzivirira kuti nzvimbo yekuvhiyiwa igare yakachena.

Panguva Yokuvhiya

• Kune discectomy, chiremba anovhiya achaita diki incision isingasviki masendimita imwe pakureba ine scalpel pamwe nemuzongoza kuti uwane nerve midzi.
• Chishandiso chekuvhiya chinonzi endoscope ikhamera inopinzwa mukati meiyo yekuona musana. (Brouwer, PA et al., 2015)
• Kamwe dambudziko redhisiki chikamu chinokonzera compression iripo, iyo laser inoiswa kuti icheke nayo.
• Iyo yakachekwa disc chikamu inobviswa, uye iyo incision saiti yakashongedzwa.

Mushure mekuvhiya

• Mushure mekuvhiyiwa, murwere anounzwa kuimba yekudzikinura, uko zviratidzo zvakakosha zvinotariswa sezvo mhedzisiro yeanesthesia inopera.
• Kana yagadzikana, murwere anogona kazhinji kuenda kumba kweawa imwe kana maviri mushure mekuvhiyiwa.
• Chiremba anovhiya achasarudza kana munhu wacho akajeka kuti atangezve kutyaira.

kupora

Kutevera discectomy, munhu wacho anogona kudzokera kubasa mukati memazuva mashomanana kusvika kumavhiki mashomanana, zvichienderana nekuoma, asi zvinogona kutora kusvika kumwedzi mitatu kuti adzokere kumabasa emazuva ose. Kureba kwekupora kunogona kubva pamavhiki maviri kusvika mana kana pasi kuti utangezve basa rekugara kana mavhiki masere kusvika gumi nemaviri kune rimwe basa rinorema rinoda kusimudza zvinorema. (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021) Mumavhiki maviri ekutanga, murwere anopihwa zvirambidzo kuitira kuti musana upore kusvika wanyatsogadzikana. Zvirambidzo zvinogona kusanganisira: (Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu, 2021)

• Hapana kukotama, kumonyorora, kana kusimudza.
• Hapana kurovedza muviri kunonetesa, kusanganisira kurovedza muviri, basa repamba, basa repachivanze, uye bonde.
• Hapana doro padanho rekutanga rekupora kana uchitora narcotic pain pain.
• Hapana kutyaira kana kushandisa mota kusvika yakurukurwa nachiremba anovhiya.

Mutariri wehutano anogona kukurudzira physically therapy kuzorora, kusimbisa, uye kuchengetedza hutano hwemusculoskeletal. Kurapa kwepanyama kunogona kuva kaviri kana katatu pavhiki kwemavhiki mana kusvika matanhatu.

urongwa

Zvakanakira kudzoreredza kurudziro dzinosanganisira:

• Kurara zvakakwana, maawa manomwe kusvika masere.
• Kuchengeta mafungire akanaka uye kudzidza kubata uye kugadzirisa kushushikana.
• Kuchengetedza hydration yemuviri.
• Kutevera chirongwa chekurovedza muviri sekurairwa nemurapi wepanyama.
• Kudzidzira hutano hwakanaka nekugara, kumira, kufamba, uye kurara.
• Kugara uchishanda uye kudzikisira huwandu hwenguva yakashandiswa wakagara. Edza kusimuka uye kufamba maawa maviri kusvika kumaawa maviri masikati kuti ugare wakashanda uye kudzivirira kuvhara ropa. Zvishoma nezvishoma wedzera huwandu hwenguva kana chinhambwe sezvo kupora kunowedzera.
• Usasundidzira kuita zvakawandisa nekukurumidza. Kuwedzera muviri kunogona kuwedzera marwadzo uye kunonoka kupora.
• Kudzidza nzira dzekusimudza dzekushandisa mhasuru uye mhasuru dzemakumbo kudzivirira kuwedzera kumanikidza pamuzongoza.

Kurukurai nzira dzekurapa dzekutarisira zviratidzo nemupi wehutano kana nyanzvi kuti uone kana laser spine kuvhiya kwakakodzera. Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers. Isu tinotarisa kudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwenyama yakapfava tichishandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, uye Rehabilitation Systems kwemazera ose. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Basa Kukuvara, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol.

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Nzira Isiri Yekuvhiya

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References

Stern, J. SpineLine. (2009). Lasers muSpine Surgery: Ongororo. Mafungiro Azvino, 17-23. www.spine.org/Portals/0/assets/downloads/KnowYourBack/LaserSurgery.pdf

Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). Percutaneous laser disc decompression inopesana neyakajairwa microdiscectomy mu sciatica: a randomized controlled trial. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (5), 857-865. doi.org/10.1016/j.spinee.2015.01.020

Atlantic Brain uye Spine. (2022). Chokwadi Nezve Laser Spine Surgery [2022 Update]. Atlantic Brain uye Spine Blog. www.brainspinesurgery.com/blog/the-truth-about-laser-spine-surgery-2022-update?rq=Laser%20Spine%20Surgery

Cleveland Clinic. (2018). Ko Laser Spine Surgery Inogona Kugadzirisa Kurwadza Kwako Kwekumashure? health.clevelandclinic.org/can-laser-spine-surgery-fix-your-back-pain/

Yunivhesiti yeWisconsin Chikoro cheMishonga uye Hutano Hwevanhu. (2021). Mirayiridzo Yekuchengeta Mumba mushure meLumbar Laminectomy, Decompression kana Discectomy Surgery. patient.uwhealth.org/healthfacts/4466