Iziqukathi ezigcwele amathambo: Izindaba ezimnandi ezigulini ze-OVCF

Imikhumbi egcwele amathambo: Izindaba ezimnandi ezigulini ze-OVCF

Isitsha esigcwalisa amathambo siyinsiza yezokwelapha eguquguqukayo enikeza inhlansi yethemba ezigulini ezine-osteoporotic vertebral compression fractures (OVCF). Idizayinelwe njenge-mesh eyindilinga eyenziwe ngezinto ezintsha, lo mkhiqizo osunguliwe ufakazele ukuthi ushintsha umdlalo emkhakheni we-vertebroplasty ne-kyphoplasty.

Iziqukathi zokugcwalisa amathambo ziyizikhwama ezinezikhala ezime mpo nezivundlile ezinokumelana nokucindezelwa okuhle kakhulu kanye ne-ductility. Idizayini yayo eyingqayizivele kanye nokwakheka kwayo kudlala indima ebalulekile ekwelapheni i-OVCF, ihlinzeka ngezinzuzo eziningi ezigulini ezithola i-vertebroplasty ne-kyphoplasty.

I-Vertebroplasty ne-kyphoplasty yizinqubo zokuhlinza ezingavamisile kancane eziklanyelwe ukuzinzisa ukuqhekeka kwe-vertebral compression kanye nokukhulula ubuhlungu obuhambisanayo. Lokhu kuhlinzwa kuhilela ukujova usimende wethambo kumathambo omgogodla aphukile ukuze kuhlinzekwe ukwesekwa kwesakhiwo kanye nokukhulula ukungakhululeki. Kodwa-ke, enye yezinselelo ezinkulu okuhlangatshezwane nazo phakathi nalokhu kuhlinzwa ingozi yokuvuza kukasimende, okungaholela ezinkingeni ezifana nokucindezelwa kwezimpande zezinzwa, i-pulmonary embolism, kanye nokuphuka kwe-vertebral eseduze.

Iziqukathi zokugcwalisa amathambo zisebenza ngokunciphisa izinkinga zokuvuza kukasimende wamathambo ngokusebenzisa izindlela ezimbili ezibalulekile - "umphumela wezinyo lempisi" kanye "nomphumela ka-anyanisi." Isakhiwo se-mesh yesiqukathi sidala "umphumela wezinyo lempisi", futhi indawo engavamile yesikhwama se-mesh ithuthukisa ukuxhuma kwe-samente yamathambo futhi inciphise amathuba okuvuza. Ngaphezu kwalokho, "umphumela ka-anyanisi" ubhekisela ekuhlakazweni kancane kancane kukasimende wamathambo ngaphakathi kwesikhwama esinezikhala, ukunciphisa ingcindezi etholakala esicutshini esizungezile futhi kunciphise ingozi yokuvuza.

Ukusetshenziswa kwemikhumbi egcwele amathambo ku-vertebroplasty kanye ne-kyphoplasty kuye kwathuthukisa kakhulu ukuphepha nokusebenza kwalokhu kungenelela ezigulini ezine-OCCF. Ngokuxazulula inselele yokuvuza kukasimende wamathambo, lo mshini omusha uthuthukisa izinga lokuphumelela lalezi zinqubo kuyilapho unciphisa izingozi ezihlobene.

Ukwengeza, ukusetshenziswa kwemikhumbi egcwele amathambo kuye kwabonisa imiphumela ebalulekile mayelana nokuvuselelwa kwesiguli kanye nenduduzo yangemva kokuhlinzwa. Isigameko esincishisiwe sokuvuza kukasimende sithuthukisa ukuphathwa kobuhlungu kanye nokusheshisa ukutholakala kweziguli ze-OVCF, ekugcineni kuthuthukisa izinga lokuphila.

Ukubaluleka kwemikhumbi yokugcwalisa amathambo emkhakheni we-OVCF therapy akukwazi ukweqiwa. Ikhono layo lokunciphisa izingozi ezihambisana nezinqubo ze-vertebroplasty kanye ne-kyphoplasty kwenza kube ithuluzi elibalulekile labachwepheshe bezempilo abasebenza ngokukhethekile ekungeneleleni komgogodla. Ukwethulwa kwalolu hlelo olusha kwaletha inkathi entsha yokuphepha nokunemba ekwelashweni kwe-OCCF, okuletha ithemba elisha ezigulini ezilwela ukubhekana nokuphuka komgogodla womgogodla.

Kafushane, imikhumbi egcwele amathambo isibe isibani sethemba ezigulini ezine-OCCF, iguqula isimo se-vertebroplasty ne-kyphoplasty. Idizayini yayo eyingqayizivele, ehambisana "nomphumela wezinyo lempisi" kanye "nomphumela ka-anyanisi", iyixazulula ngempumelelo inselele yokuvuza kukasimende wamathambo, ivula indlela yemiphumela yokwelashwa ethuthukisiwe kanye nenhlalakahle yesiguli ethuthukisiwe. Njengoba umphakathi wezokwelapha uqhubeka nokwamukela lobu buchwepheshe bempumelelo, ikusasa linesithembiso sokushintsha kwepharadigm ekwelashweni kwe-OVCF, ngeziqukathi zokugcwalisa amathambo ezihamba phambili ekusungulweni nasekuthuthukisweni.