Vertebroplasty

1. Usati wavhiyiwa, zvakakosha kuvandudza DR film, yemunharaunda CT, magnetic resonance imaging, uye kuunza firimu yekufungidzira muimba yekushanda.

2. Usati wavhiyiwa, zvakakosha kuti uongorore zvizere nzvimbo yemuviri we vertebral unotarisirwa uye kuitsvaga uchishandisa iyo iri pedyo yakasvibiswa vertebral body, iyo yepamusoro-soro yeiriac crest, uye mbabvu yechigumi nembiri.

3. Kana iyo C-arm muchina muimba yekushanda isingagoni kuratidza zvakajeka muviri we vertebral, zvakakosha kuti uende kwakasimba kuDR room yekuvhiyiwa pasina kuzeza.

4. Ongorora kona, kudzika, uye chinhambwe chepakati peiyo puncture kuburikidza neCT musati mavhiyiwa.

5. Paunenge uchisundira simiti yepfupa, zvakakosha kunyatsocherechedza chidimbu. Kana paine chero kuvuza, kunofanirwa kumiswa nenguva. Chengetedzo ndiyo inonyanya kukosha. Huwandu hwesamende yepfupa inosundirwa inofanira kutsanangurwa, uye hapana chikonzero chekumanikidza chidimbu kuti chitaridzike. Chikamu chiduku chesimende yepfupa chinogonawo kuva nemigumisiro yakanaka.

6. Kamwe puncture yakaipa mhedzisiro inowanikwa panguva yekuvhiyiwa, usaite nhanho mbiri. Zvakanakawo kuita kune rumwe rutivi, kuchengeteka kutanga.

7. Kudonha mukati me pedicle (tsono passage) inobatana nemaitiro eatrogenic, anoitika apo simiti yepfupa isati yanyatsopinda mukati memuviri we vertebral kuburikidza netsvimbo yekusundira. Izvo zvine chekuita nekutadza kutenderedza kana kutsiva chinhu chisina chinhu chinosundidzira simende yebhonzo isati yasimba.

8. Kupinza kona kunogona kusvika ku15 degrees. Kana murwere achigunun'una pamusoro pekunzwa kwemakumbo ezasi panguva yekuputika, tsono inopinza inogona kupinda mumugero wepelinha kana kukurudzira midzi yetsinga nechepasi pemucheto we pedicle, saka kona inofanira kugadziriswa.

9. Paunenge uchipinza pedicle ye vertebral arch, kune manzwiro ekusava nechinhu, izvo zvinogona kupinda mumugero wepelinha. Izvo zvinodikanwa kugadzirisa iyo puncture angle kuburikidza neC-ruoko muchina.

10. Usazvidya mwoyo kana kushatirwa panguva yokuvhiyiwa, uye ita danho rimwe nerimwe wakadzikama.

11. Paunenge uchibvisa tsono, kumirira kuti simiti yepfupa isimbise zvishoma, sezvo zviri nyore kubvisa simiti yepfupa kare kare uye kuisiya panzira yetsono; Zvakaoma kubvisa tsono nguva yapera, kazhinji inenge maminitsi matatu mushure mekunge jekiseni rapera. Paunenge uchibvisa tsono, musimboti wetsono unofanirwa kuiswa zvakanaka kuti usasiya yasara bone simende mugero retsono. Tsono inofanira kubviswa zvishoma nezvishoma uchishandisa nzira inotenderera.

12. Kana murwere achitora anticoagulants yakadai sewarfarin, aspirin, uye hydrocclopidogrel ine platelet count yakaderera, kunyatsotarisirwa kunofanira kubhadharwa panguva yekuvhiyiwa, sezvo puncture isina kukodzera inogona kukonzera intraspinal hematoma.