Minimally invasive musana kuvhiyiwa. Waizviziva here zvese izvi?

Minimally invasive spine kuvhiyiwa inomiririra yazvino yekuvandudza nzira yekuvhiya musana uye inotsvakwa nevarwere. Sezvo maitiro mashoma emuzongoza ari kukura nekukurumidza, hazvisi nyore kunyatso ongorora maitiro akasiyana, uye chete kuburikidza nekuenderera mberi nekudzidza nekuita tinogona kuita ongororo yechinangwa. Kusarudza nzira yakarurama shoma shoma yemuzongoza mumurwere akakodzera zvechokwadi inogona kuunza zvakanakira zvekuvhiyiwa zvishoma, uye kuwana kukurumidza kupora nekushungurudzika kuduku, asi panguva imwe chete kushanda hakusi kuduku kudarika kwekuvhiyiwa kwepachena.

Ndedzipi nzira dzakajairika dzekuvhiya musana?

Kune zvikamu zvitatu zvikuru zvekuvhiyiwa kwemusana zvishoma, chimwe nechimwe chine zviratidzo zvayo uye chinoda kusarudzwa maererano nemamiriro emurwere. Iko kune zvimwe mamwe mapoka ekuvhiya anoitwa zvishoma kazhinji nekuda kwekukanganisa kwavo kwakanyanya. Chikamu chekutanga ndiyo percutaneous puncture technique, iyo inosanganisira kushandiswa kwetsono kuti ipinde nepakati peganda kuita mamwe maitiro. Iwo maviri makuru marudzi epercutaneous maitiro anosanganisira vertebroplasty uye percutaneous pedicle screws. Kana pane osteoporotic fracture, tinogona kuita vertebroplasty, iyo nzira iyo tsono inopinzwa mubhonzo rakatsemuka kuti iite imwe simende yebhonzo. Iyi inzira isinganyanyi kupindira, uye unogona kuburitswa muchipatara mumazuva maviri, uye unogona kudzika pasi mushure mekuita. Percutaneous pedicle screws is screws. Munguva yakapfuura, varwere vakatyoka vaifanira kuita kuchekwa kwenguva refu, asi iye zvino vanongoda kuita chidimbu chiduku chemasendimita maviri, uye screw inodzingirwa mukati kuburikidza nemukaha wetsandanyama, kuitira kuti murwere agone kusimuka kare, uye. ronda harirwadzi zvakadaro. Kune dzimwe percutaneous puncture, inova nzira yekurasa, kusanganisira nerve root blocks izvo zvinowanzoitwa izvozvi. Kune mamwe madhisiki eherniated anogona kupihwa kadiki kemushonga padivi petsinga midzi, uye pane imwe cervical spondylosis inogona kuitwa nenzira iyoyo zvakare. Kune zvakare vamwe varwere vangangoda puncture biopsy, iyo inogona kuitwa nemazvo neCT localization. Aya ese ari mashoma anopinda maitiro ane percutaneous puncture.

Chechipiri kuvhiyiwa kwekuwana. Vamwe varwere vanogona kunge vakatsvedza lumbar discs, kana yakanyanya spinal stenosis, uye mazhinji emapfupa anotorwa kunze achange asina kugadzikana, saka vamwe varwere vangangoda kuenda kune screws, uye rudzi urwu rwekuvhiya haruitike zvishoma kana ukarova screws, chaizvoizvo, hazvisi. Minimally invasive kuvhiyiwa mukuvhiya musana kunogona kuitwa pasi pechiteshi. Iyo inonzi pasi pemugero, pakutanga kuita inodarika masendimita gumi ekucheka, tsandanyama kumativi ese kuti dial yakasimba kwazvo. Iye zvino, kana iwe ukaita chidimbu chiduku uye uchiita kuvhiyiwa mukati memhasuru kune musuru suture, unogonawo kubvisa disc, decompress tsinga, uye wobva watyaira screws mukati. Saka usafunga kuti ndiko kuvhiya kukuru kuisa mukati. screws, hazvina kudaro. Kupora kubva pakuvhiyiwa uku kunokurumidzawo, murwere ari pasi pasi zuva rinotevera uye anoburitswa muchipatara mushure memazuva matatu kusvika mana. Chechitatu ndiko kushandiswa kwe endoscopy, intervertebral foramenoscopy ine girazi remamilimita manomwe, zvakare kuvhiyiwa kuduku zvikuru kwekuvhura, asi ine girazi kuti isvike mukati, kuburikidza nemimwe michina, inogona kubvisa disc inobuda kunze. Kuvhiya kwakawanda kwava kuitwa pasi pemaikorosikopu, nekuti kune midziyo yakanaka kwazvo yemaikorosikopu, inogona kukwidziridzwa kanokwana kana kana kashanu, saka zvinonyatsojeka kuti tsinga dziripi, pane madhisiki, uye hazvisi nyore kuti kukanganisa kuitike. saka kune mashoma matambudziko.

Ko kuvhiyiwa kwemuzongoza zvishoma kunoreva here kuti hapana kuchekwa?

Muchokwadi, kubva pakuona kwechiremba, kurapwa kwechirwere chero chipi zvacho kunogona kukamurwa kuva kusiri-kuvhiya (kuchengetedza) uye kurapa kwekuvhiya. Naizvozvo, hapana kuchekwa kunoreva kurapwa kwekuchengetedza, nepo kuvhiyiwa kwemuzongoza zvishoma imhando yekuvhiya. Minimally invasive spine kuvhiyiwa kwakapesana nekuvhiyiwa kwakavhurika, saka ndizvo here kufunga nezve kuvhiyiwa kwemuzongoza kushoma se "kuvhiyiwa kudiki" uye kuvhiyiwa kwakavhurika se "kuvhiyiwa kukuru"? Zviri nyore kunzwisisa, asi kune chirwere chimwe chete. Parizvino, maitiro ekuvhiya mashoma anowanikwa kune akawanda emusana kusagadzikana. Kuti utore muenzaniso wakanyanyisa, kuvhiyiwa kuduku kune degenerative scoliosis kunonyanya kushungurudza kudarika discectomy yakazaruka, saka chirevo chiri pamusoro apa chinofanira kuva nechikonzero, ndiko kuti, kuva chakananga kune chimwe chirwere. Nekukanganisa zvishoma handireve kuti kuchekwa kudiki kunokanganisa zvishoma. Pane dzimwe nguva apo kuchekwa kuduku kunogona kunge kwakanyanyisa, uye pane dzimwe nguva apo kuchekwa kukuru hakurevi kushungurudza zvakanyanya, saka kuderera zvishoma kunobva pakukuvadzwa kwemurwere kuti aongorore huwandu hwekutambudzika.

Kuvhiyiwa kwemuzongoza zvishoma kupindira here?

Icho chaicho chaicho chekuvhiyiwa kwemuzongoza kudiki kuzadzisa chinangwa chimwe chete chekurapa, asi nekukuvara kushoma kunoenderana nekuvhiyiwa kuwana. Semuenzaniso, nepo kuvhiyiwa kwemuzongoza kwakavhurika kunoda kubviswa tsandanyama uye kukuvadzwa kwemarunda, kuvhiyiwa kwemuzongoza zvishoma kunoderedza kukuvadzwa kwemhasuru, ligaments, uye mamwe matishu akapfava nekushandisa percutaneous puncture nzira uye transmuscular interspace kupinda.

Muchokwadi, kuvhiyiwa kwemuzongoza zvishoma kunosanganisira marudzi ese ekuvhiyiwa kwepercutaneous, microsurgery, kuvhiyiwa kwechiteshi, uye musanganiswa wakasiyana. Mishonga inopindira yakadai seozone therapy uye radiofrequency ablation inongova chikamu che teknolojia yepercutaneous, uye rudzi urwu rwekombiki runowanzova nezviratidzo zvishoma, saka chete nekusarudza nyaya dzakakodzera tinogona kuwana mamwe maitiro ekurapa.Zvirwere zvipi zvinogona kuderedza kuvhiyiwa kwemusana? Ikozvino zvishoma zvisingabatsiri maitiro emusana ane maitiro akawanda mu lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, spinal fracture, spinal tuberculosis, etc. Mumakore achangopfuura, kufambira mberi kwakawanda kwakaitwa mukurapa kuduku kwechirwere chepervical spine uye kuora mwoyo. scoliosis.Izvi zvinogona kungova kuongororwa kwakananga kwezvirwere zvakananga. Kunyange zvazvo kukurudzirwa kwehunyanzvi hushoma husina kukwana hwe lumbar disc herniation inenge yakakura, havasi varwere vose vane lumbar disc herniation vanogona kuvhiyiwa zvishoma; uye kune zvimwe zvirwere zvakaoma zvakadai se degenerative scoliosis, vamwe vanachiremba vanoedza kuvhiyiwa kwechinyakare zvishoma, izvo kune rumwe rutivi, zvinofanira kusarudza nyaya dzakakodzera, uye kune rumwe rutivi, kana mhedzisiro yenguva refu iri nani pane kuvhiyiwa kwechinyakare. Zvimwe zvidzidzo zvichiri kudiwa.Chiremba akakwanisa kuvhiyiwa musana uye kuvhiyiwa kwemuzongoza zvishoma kunogona kunyatsonzwisisa zviratidzo zvekuvhiyiwa kwemuzongoza zvishoma. Kuita sarudzo kunonyanya kukosha pane kucheneswa, saka kusarudza nyaya yakakodzera ndiyo kiyi yekubudirira kwekuvhiyiwa kwemuzongoza zvishoma.

Ndeupi rudzi rwevarwere vane chirwere chemuzongoza vakakodzera kuvhiyiwa kwemuzongoza zvishoma?

Varwere vakawanda vanouya kukiriniki uye vanokumbira kuvhiyiwa kwemuzongoza zvishoma, "Chiremba, handidi kuchekwa, ndinongoda kuvhiyiwa kwemuzongoza."Ndinongoda kuvhiyiwa zvishoma! maronda emuzongoza uye zvido zvisingaite, mhinduro chete ndeye "Kunyangwe iwe uchigona kuvhiyiwa zvishoma kana kwete hazvisi kwandiri kana kusvika kwauri. Unogona kuve nemukana wekuvhiyiwa zvishoma kana ukauya kuzondiona kare nekuda kwechirwere chako. ."Chirwere chipi nechipi chinosimbisa kuonekwa nekukasika uye kurapwa pachine nguva. Kana iwe uine tarisiro huru yehutano hwako, iwe unofanirwa kutanga kubva pane zvakajairika tsika nekudzivirira.Kubva padanho razvino rekuvandudzwa kweiyo minimally invasive spine tekinoroji, kutaura chaiko, kuvhiya kwemuzongoza zvishoma kunonyanya kukodzera maronda ekutanga.Ndinogona sei nekukurumidza. kubva pasi mushure mekuvhiyiwa kwemuzongoza zvishoma?

Imwe mhando yekuvhiyiwa kwemuzongoza iri kuitwa.Chii chinonzi kuvhiyiwa kwezuva?Zvinoreva kuti uri muchipatara nhasi, wozovhiyiwa masikati, wozoburitswa zuva rinotevera. Uku kufambira mberi kukuru mukuvhiyiwa kuduku, asi haisi pfungwa isina kururama yokuti varwere vanodiwa kuti vabve pamubhedha pakarepo mushure mekuvhiyiwa, kana kuti vanofanira kuita maitiro ekushanda zuva rinotevera.Kunyange zvazvo zvichinzi kuvhiyiwa kuduku kuduku. haina kukuvadza kudarika kuvhiyiwa kwakazaruka, zvose kune mutsara wenyama uye mutsara wepakati, hazvirevi kuti kugadziriswa hakudiwi mushure mekuvhiyiwa kuduku.Mazuva ano, kunyange zvazvo kuvhiyiwa kuduku kunobvumira varwere kufamba-famba pasi mushure mekuvhiyiwa, iyo haikurudzirwi kudzokera kubhizinesi senguva dzose pakarepo, asi kuibata sekuvhiya kunoda kuzorora kwakakodzera. Kuvhiyiwa kwakajairika, kazhinji kunoda kuti varwere vaedze kuzorora pamubhedha pazuva rekuvhiyiwa, zvino zuva rinotevera unogona kubuda pamubhedha, kureva kuti, unogona kuburitswa muchipatara, unogona zvakare kuita zvakajairika masikati. mabasa, kuzvitarisira kwakajairika harisi dambudziko. Zvisinei, hazvikurudzirwi kuita maekisesaizi panguva ino.

Ndingakurumidza sei kurovedza muviri mushure mekuvhiyiwa kwemuzongoza zvishoma? Pakati pekubuda pamubhedha uye 2-3 mwedzi mushure mekuvhiyiwa, kutakura uremu kwakanyanya uye kurovedza muviri kunoshanda hazvikurudzirwe panguva ino. Kazhinji, zvinokurudzirwa kuita mamwe maitiro ekushanda kwemuviri uye simba rekudzidzira zvishoma nezvishoma 2-3 mwedzi mushure mekuvhiyiwa.Yakananga kumurwere mumwe nomumwe, inogona kubva pamamiriro ezvinhu ekugadzirisa, pasi pezano rechiremba kuti aite basa.