Gukomeza Kuzamura Ubuhanga bwa Surgiki mu buvuzi gakondo bw'Abashinwa: Umuyoboro umwe Dual Media Spinal Endoscopy (DMSE) yo Kwagura Umuyoboro wa Lumbar Umuyoboro wo Kwagura no Gukuraho Nucleus Medullae

Vuba aha, itsinda ry’abaganga bayobowe na Shang Hongming wo mu bitaro by’ubuvuzi gakondo by’Abashinwa bo mu Ntara ya Qingyun, bavura neza abarwayi babiri barwaye uruti rw’umugongo bakoresheje udukoko duto duto two mu rugo (1cm) hifashishijwe ikoranabuhanga rya spinal endoscopi (tekinoroji ya DMSE).

Urubanza rwa mbere

Bwana Zhou, imyaka 48,
Ububabare bwo mu mugongo buherekejwe n'ububabare mu gihimba cyo hepfo,
Gucumbagira rimwe na rimwe metero 10,
Ikigeragezo cyo hepfo cyiburyo kigororotse cyazamutse neza kuri dogere 45,
Iyo uryamye neza, niba igihagararo kitari cyo, birashobora gutera ububabare bukabije mu gihimba cyo hepfo

Mbere yo gutangira

Amashusho yerekana amashusho ya Bwana Zhou yerekanaga stenosis mu gice cyiburyo cya L4 / 5, hamwe nigicucu cya nucleus pulposus igaragara. Iyo avuga ibijyanye no kubaga, mu maso he harahindutse. Igihe bamubwiraga ko dushobora gukoresha tekinoroji ya spinal endoscopy yateye imbere cyane kugirango tworohereze ububabare, umurwayi yaje gufata icyemezo. Itsinda ryo kubaga ryakuyeho disiki ya intervertebral yaguye mu mwobo muto wa santimetero 1 ukoresheje ikoranabuhanga ryiza. Ububabare mu buriri bwagabanutse bukeye bwaho nyuma yo kubagwa, kandi mu maso ya Bwana Zhou na ho hagaragaye kumwenyura igihe kirekire;

Bwana Zhou nyuma yo gukira ni byiza

Urubanza rwa kabiri

Mbere yo gutangira

Bwana Li, kubera ububabare bw'umugongo buherekejwe no kwiyongera k'ububabare bw'ibumoso bwo hepfo y'umwaka umwe n'iminsi itatu, yaje mu bitaro. Umurwayi yagize ububabare bukabije mu gihimba cyo hepfo y’ibumoso n’ibumoso, kandi atinya kuva mu buriri. Ikigeragezo cyo hepfo cyibumoso kigororotse cyo kuguru cyari dogere 15, kandi ububabare bwari bukabije kandi ntibwihanganirwa. Igice cyo hepfo cyibumoso cyari kijimye, kandi hariho amateka yububabare bwiburyo bwo hepfo no kunanirwa. Amashusho yerekana amashusho yerekanaga disiki muri L4 / 5 na L5 / S1, kubara inyuma yimitsi yinyuma ya L5 / S1, hamwe na stenosis. Umurwayi ameze nabi, akiri muto, kandi bisaba imirimo myinshi. Nyuma yo gusuzuma neza firime no gutoranya gahunda yo kubaga byakozwe na Diregiteri Hongming w’Ubucuruzi, amaherezo hafashwe umwanzuro wo kubaga byibasiye byoroheje hakoreshejwe endoskopi yinyuma ya kabiri. Mugihe cyo kubagwa, disikuru eshatu zimuwe zivanyweho zavanyweho, hanyuma ligamenti ya calcified posterior longitudinal ligament ikurwaho burundu, bigera ku ntego yo kwikuramo rumwe kandi byombi. Ububabare bwo mu gihimba cy'umurwayi bwahise bworoherwa nyuma yo kubagwa, kandi umunezero wo gukuraho ububabare wagaragaye mu maso ya Bwana Li.

Muganga Shang Hongming abaga byibuze byibasiye hamwe nibitangazamakuru bibiri byumugongo endoskopi kubarwayi

Kuraho ibice binini bya disiki ya intervertebral mugihe cyo kubagwa

Ugereranije n'abandi
Munsi ya endoskopi (DMSE) irashobora kwirinda ibitagenda neza kubagwa kumugaragaro
Hindura igikomere cya santimetero 10 gakondo
Yahinduwe mu mwobo utera byibura santimetero 1
Kugera ku ihahamuka rito n'ibisubizo byihuse byo kubaga
Ibyiza byigihe gito cyo gukira nigiciro gito cyo kuvura
Kubaga byagenze neza cyane
Amaraso adakorana ya mililitiro 10 gusa
Ibimenyetso by'ububabare byazimye mu barwayi bombi nyuma yo kubagwa
Igikorwa cyo kugarura inkari na fecal
Sohoka mu buriri hanyuma uzenguruke wenyine nyuma yiminsi 2 nyuma yo kubagwa

Ni ubuhe buryo bubiri bw'umugongo endoskopi?

Umuyobozi Shang Hongming yerekanye ko ikoranabuhanga rya spinal endoscopi ikoreshwa mu buhanga ari tekinike nshya ya endoskopique mu nganda, ikanozwa no guhuza disiki gakondo ya interostebral disiki ya endoscopi na intervertebral foramen indorerwamo y'amazi. Nkuko bikenewe, itangazamakuru ryamazi nikirere rishobora guhindurwa igihe icyo aricyo cyose kugirango gikemure ibikenewe byo kubaga ibikorwa byubuvuzi.

Hamwe n’abaturage bageze mu za bukuru, umubare w’abantu bageze mu za bukuru n’abageze mu za bukuru muri serivisi zita ku barwayi babaga bashaka inama z’ubuvuzi kubera indwara z’umugongo uragenda wiyongera. Abantu benshi bageze mu zabukuru ntabwo bafite uburwayi bwibanze bwubuvuzi: hypertension, diyabete, indwara z'umutima (harimo na nyuma yo kwimikwa kwa coronary stent, transplantation pacemaker, nibindi), ariko bafite n'indwara zangirika nka scoliose no kuzunguruka umugongo. Ku ruhande rumwe, abarwayi birabagora kwihanganira kubagwa kumugaragaro (decompression nini, gutera amagufa, gukosora imbere), kurundi ruhande, abarwayi bafite stenosis nini yumugongo (harimo umuyoboro wumugongo wo hagati, ikiruhuko cy’uruhande, hamwe n’umuzi w’imitsi). Ibi byatumye abantu benshi bageze mu za bukuru bareka kwivuza no guhitamo kwihanganira ububabare no kugenda buke, bizana umutwaro ukomeye mumiryango yabo no muri societe. Kubaga umugongo wa endoskopique ya kabiri ifite umwanya munini wo gukoreramo, gukora neza cyane, no kwangirika kworoheje kworoheje, kandi bigabanya cyane kugaragara kwingaruka nko gukomeretsa imitsi.

Dragon Crown Medical Co., Ltd ni uruganda rukora tekinoroji ihuza R&D, gukora no kugurisha ibicuruzwa byubuvuzi. Turi abapayiniya kandi bateza imbere ibikoresho byubuvuzi bya orthopedic byibasiye cyane mubushinwa mumyaka 20.