Kei te kitea te nekehanga nui o te tiaki tuaiwi ki ngā tikanga tino iti te whakaekenga, me teTe Whakaiti Kōpae Reiti Kiri (PLDD) e puta mai ana hei whanaketanga hangarau matua. Ko tēnei tikanga auaha, e whakaiti ana i te pēhanga mamae o ngā io mā te tapahi i te rahi o te ngira, kei te tuku tumanako hou ki ngā tūroro kua tohua he hernia o te kōpae kaki, o te hope rānei.
Kua ngaro ngā rā i hiahiatia ai he tapahi nui, he roa te noho hōhipera, me te roa o te ora i te pokanga tuaiwi. Ka werohia tēnei whakaaro e te PLDD mā te whakamahi i te pūngao laser hei arotahi tika me te mimiti i tētahi wāhanga iti o te nucleus pulposus—te pokapū rite ki te tiēre o te kōpae intervertebral. Mā tēnei whakaiti i te rōrahi ka whakaitihia te pēhanga o roto o te kōpae, ka taea ai e te rauemi pupuhi te hoki whakamuri me te whakamamae i te pēhanga ki ngā io tuaiwi tata.
"Ko te painga matua oPLDD Taiaho"kei roto i te iti o te pakaru o te kiko," te whakamārama a tētahi tohunga matua mō ngā wawaotanga tuaiwi iti rawa te whakaekenga. "Ka mahia te tikanga i raro i te mate whakamoe ā-rohe mā roto i tētahi cannula neke atu i te mirimita te whānui. Ka mōhio ngā tūroro, ā, ka taea e rātou te tuku urupare, ka whakarei ake i te haumaru. Mā te tiaki i ngā hanganga uaua me te uaua nui, ka tino tere te whakaoranga, ā, ka taea e te nuinga o ngā tūroro te haereere i taua rā anō, ā, ka tere ake te hoki ki ngā mahi o ia rā ki te whakataurite ki te pokanga tuku iho."
Ko te PLDD e tohua ana mō ngā tūroro e pāngia ana e te mamae radicular (sciatica, mamae ringa rānei) nā te kokiritanga o te kōpae kua mau, kāore nei i aro pai ki te maimoatanga āta mō tētahi wā. Ko te angitu e whakawhirinaki ana ki te whiriwhiri tūroro pakari, me te mahi a te whakaahua matatau pēnei i te MRI hei whakaū i te mate kōpae e tika ana.
Ki te whakatauritea ki te tango i te pokanga tuwhera, ki ētahi atu tikanga iti rawa te whakaekenga, he maha ngā painga o te PLDD e pā ana ki te roa o te pokanga, te ngaronga toto, te mamae i muri i te pokanga, me te whai huatanga o te utu whānui. He taputapu nui tēnei i roto i ngā taputapu a te tohunga tuaiwi o ēnei rā, e uru ana ki te huarahi maimoatanga i mua i te whakaarohia o ngā kōwhiringa pokanga whakaekenga.
Papamuri Hangarau:
I te tekau tau atu i 1980 i tīmata te ariā o te Percutaneous Laser Disc Decompression (PLDD). Ko tōna whanaketanga me tōna whakatikatika kua rite ki ngā whanaketanga o te hangarau laser me te aratohu whakaahua wā-tūturu, pērā i te fluoroscopy. He tohu tēnei mō te ia o te rongoā mai i te tino whakaekenga ki ngā wawaotanga iti-whakaaro.
Wā tuku: Hui-tanguru-04-2026