Vertebroplasty

1. Mbere yo kubagwa, birakenewe kunoza firime ya DR, CT yaho, magnetic resonance imaging, no kuzana firime yerekana amashusho mubyumba byo gukoreramo.

2. Mbere yo kubagwa, birakenewe gusesengura byimazeyo aho umubiri wintegamubiri ufite inshingano kandi ukabimenya ukoresheje umubiri wurugingo rwimiterere yegeranye, ingingo ndende yumutwe wa iliac, nimbavu ya cumi na kabiri.

3. Niba imashini ya C-arm mucyumba ikoreramo idashobora kwerekana neza umubiri wurugingo, birakenewe ko ujya mucyumba cya DR kubagwa nta gutindiganya.

4. Gisesengura inguni, ubujyakuzimu, nintera yumurongo wo hagati wacumita ukoresheje CT mbere yo kubagwa.

5. Iyo usunika amagufa ya sima, ni ngombwa kwitegereza neza igice. Niba hari ibimeneka, bigomba guhagarikwa mugihe gikwiye. Umutekano nicyo kintu cyambere. Ingano ya sima ya sima yasunitswe igomba kugenwa, kandi nta mpamvu yo guhatira igice kugaragara neza. Umubare muto wa sima yamagufa nayo irashobora kugira ingaruka nziza.

6. Iyo ibisubizo bidahwitse bibonetse mugihe cyo kubagwa, ntukurikire gucumita byombi. Nibyiza kandi gukora kuruhande rumwe, umutekano ubanza.

7. Kuvamo muri pedicle (inzira y'urushinge) bifitanye isano na iatrogène, bibaho mugihe sima yamagufa itatewe neza mumubiri wurugingo binyuze mumasunika. Bifitanye isano no kunanirwa kuzunguruka cyangwa gusimbuza inkoni yubusa mbere yuko sima yamagufa ikomera.

8. Inguni yo gutobora irashobora kugera kuri dogere 15. Iyo umurwayi yinubiye kunanirwa kwingingo zo hasi mugihe cyo gutobora, urushinge rwacumita rushobora kwinjira mu muyoboro wumugongo cyangwa rugatera imizi yumutima kumpera yo hepfo ya pedicle, bityo inguni igomba guhinduka.

9. Iyo utoboye pedicle ya arch vertebral, habaho kumva ko ari ubusa, bishobora kwinjira mumurongo wumugongo. Birakenewe guhindura inguni ya pcure binyuze mumashini ya C-arm.

10. Ntugahagarike umutima cyangwa kurakara mugihe cyo kubagwa, kandi ukore buri ntambwe utuje.

11. Mugihe ukuyemo urushinge, tegereza sima yamagufa gukomera gato, kuko byoroshye gukuramo sima yamagufa hakiri kare hanyuma ukayirekera kumurongo winshinge; Biragoye gukuramo urushinge bitinze, mubisanzwe nyuma yiminota 3 nyuma yo gutera inshinge. Iyo ukuyemo urushinge, inturusu yurushinge igomba gushyirwaho neza kugirango wirinde gusiga sima yamagufa asigaye mumurongo. Urushinge rugomba gukurwaho buhoro buhoro hakoreshejwe uburyo bwo kuzunguruka.

12. Niba umurwayi afata imiti igabanya ubukana nka warfarin, aspirine, na hydrocclopidogrel hamwe na platine nkeya, hakwiye kwitabwaho cyane mugihe cyo kubagwa, kuko gutobora bidakwiye bishobora gutera hematoma yo mu nda.