Te Mātāpono oPLDD
I roto i te tikanga tango i te pēhanga o te kōpae taiaho ā-kiri, ka tukuna te kaha taiaho mā te muka whatu angiangi ki roto i te kōpae.
Ko te whāinga o te PLDD he mimiti i tētahi wāhanga iti o te uho o roto. Mā te tango i tētahi rahinga iti o te uho o roto ka hua ake he whakahekenga nui o te pēhanga i roto i te kōpae, ā, ka whakaitihia te hernia o te kōpae.
Ko te PLDD te tikanga hauora iti rawa te whakaekenga i whakawhanakehia e Tākuta Daniel SJ Choy i te tau 1986 e whakamahi ana i te hihi laser hei rongoā i te mamae o te tuara me te kaki i puta mai i te kōpae hernia.
Ko te tango i te kōpeketanga kōpae reima ā-kiri (PLDD) te tikanga tango i te kōpeketanga kōpae reima ā-kiri tino iti rawa te whakaekenga mō te rongoā i ngā hernia kōpae, ngā hernia kaki, ngā hernia tuara (haunga te wāhanga T1-T5), me ngā hernia hope. Ka whakamahia e te tikanga te pūngao reima hei mimiti i te wai i roto i te nucleus pulposus kua hernia, ka puta he tango i te kōpeketanga.
Ka mahia te maimoatanga PLDD i waho o te hōhipera mā te whakamahi i te rongoā whakamoe ā-rohe anake. I te wā o te tikanga, ka werohia he ngira angiangi ki roto i te kōpae herniated i raro i te arataki a te hihi-X, te CT rānei. Ka werohia he muka whatu mā roto i te ngira, ā, ka tukuna te kaha laser mā roto i te muka, ka mimiti i tētahi wāhanga iti o te pūtake kōpae. Ka hangaia he korehau wāhanga e kukume ana i te herniation mai i te pūtake io, ā, ka whakamama i te mamae. Ko te tikanga ka puta tonu te hua.
I ēnei rā, te āhua nei he huarahi haumaru, he huarahi whai mana hoki tēnei tikanga hei whakakapi i te pokanga iti, me te ōrau angitu o te 80%, inā koa i raro i te arataki a te CT-Scan, kia kitea ai te pūtake io me te whakamahi i te kaha ki ētahi wāhi o te herniation kōpae. Mā tēnei ka taea te whakaiti i te rahi o te wāhi, kia iti ai te kaha o te pokanga ki te tuaiwi e rongoatia ana, me te karo i ngā raruraru pea e pā ana ki te microdiscectomy (te ōrau hokinga mai neke atu i te 8-15%, te koha peridural neke atu i te 6-10%, te haehae o te pēke dural, te toto, te microinstability iatrogenic), ā, kāore e aukati i te pokanga tuku iho, mēnā e tika ana.
Ngā Painga oPLDD LaserTe maimoatanga
He iti noa te whakaekenga, kāore e hiahiatia te noho hōhipera, ka puta ake ngā tūroro i te tēpu me te takai piri iti noa iho ka hoki ki te kāinga mō ngā haora 24 o te okiokinga moenga. Kātahi ka tīmata ngā tūroro ki te hikoi haere, ka hikoi tae atu ki te maero. Ko te nuinga ka hoki ki te mahi i roto i ngā rā e whā ki te rima.
He tino whai hua mēnā ka tika te whakahaunga
I tukatukahia i raro i te mate whakamoe ā-rohe, ehara i te mate whakamoe whānui
He tikanga pokanga haumaru, tere hoki, kāore he tapahi, kāore he mātā, nā te mea he iti noa te kōpae ka mimiti, kāore he tūponotanga o te tuaiwi i muri mai. He rerekē ki te pokanga kōpae hope tuwhera, kāore he kino ki te uaua o te tuara, kāore he tango wheua, he tapahi kiri nui rānei.
E tika ana tēnei mō ngā tūroro he nui ake te mōrearea ki te tango i te wheua i te wā e hapu ana, pērā i te hunga mate huka, te mate manawa, te ngoikore o te mahi a te ate me te tākihi, me ētahi atu.
Wā tuku: Pipiri-21-2022
