PLDD Taiaho

Te Kaupapa OPLDD

I roto i te tukanga o te whakakorenga o te kōpae laser percutaneous, ka tukuna te kaha taiaho ma te muka whatu kikokore ki roto i te kōpae.

Ko te whainga o te PLDD ko te whakangote i tetahi wahi iti o te matua o roto.Ko te whakahekenga o te iti o te riipene o roto ka puta he whakahekenga nui o te pehanga-roto, na reira ka whakahekehia te whakahekenga o te kopae.

Ko te PLDD te mahinga hauora iti rawa i hangaia e Dr. Daniel SJ Choy i te tau 1986 e whakamahi ana i te kurupae laser hei rongoa i te mamae o muri me te kaki na te kopae herniated.

Ko te whakakorenga o te kōpae laser percutaneous (PLDD) ko te tikanga laser percutaneous invasive tino iti rawa mo te maimoatanga o te kopae kopae, ko te kopu o te kopu, ko te tuara (haunga mo te waahanga T1-T5), me te kopa lumbar.Ka whakamahia e te tikanga te kaha taiaho ki te tango i te wai i roto i te nucleuspulposus herniated e hanga ana i te whakahekenga.

Ko te maimoatanga PLDD ka mahia i runga i te tuuroro ki waho ma te whakamahi i te rewharewha rohe anake.I te wa o te mahi, ka whakauruhia he ngira angiangi ki roto i te kopae herniated i raro i te arataki x-ray, CT ranei.Ka kuhuna he muka whatu i roto i te ngira ka tukuna te hiko taiaho ma te muka, ka whakangohu i tetahi wahi iti o te karihi kōpae.Ma tenei ka hanga he wahanga korehau e kumea atu ai te herniation mai i te pakiaka nerve, na reira ka marie te mamae.Ko te nuinga o te waa ka tere tonu.

Ko te ahua o te mahi i enei ra he huarahi haumaru me te whai mana ki te microsurgery, me te tere o te angitu o te 80%, ina koa i raro i te aratohu CT-Scan, kia kitea ai te pakiaka nerve me te whakamahi i te kaha ki runga i te maha o nga waahi o te kopae kopae.Ma tenei ka taea te whakaheke i te waahi nui ake, me te mohio he iti noa te whakaekenga o te tuara ki te rongoa, me te karo i nga raru pea e pa ana ki te microdiscectomy (te auau o te hokinga mai o te neke atu i te 8-15%, te nawe periidural neke atu i te 6- 10%, te pakaru o te pute roa, te toto, te iatrogenic microinstability), me te kore e aukati i te pokanga tuku iho, ki te hiahiatia.

Painga oPLDD TaiahoTe maimoatanga

He iti noa te urutomo, karekau he tikanga kia mau ki te hohipera, ka heke nga turoro i te teepu me te takai piri iti noa ka hoki ki te kainga mo te 24 haora o te okiokinga moenga.Na ka timata nga turoro ki te haere whakamua, ka hikoi ki te maero.Ko te nuinga ka hoki mai ki te mahi i roto i nga ra e wha ki te rima.

Ka tino whai hua mena ka tohua tika

Ka tukatukahia i raro i te rewharewha o te rohe, ehara i te mate whaanui

Tikanga pokanga haumaru me te tere, Karekau he tapahi, Karekau he marumaru, I te mea he iti noa te kopae kua kohu, karekau he koretake o muri mai.He rereke mai i te pokanga o te kopae lumbar tuwhera, karekau he kino ki te uaua o muri, karekau he tango wheua, he wero kiri nui ranei.

E tika ana ki nga turoro he nui ake te tupono ki te whakatuwhera i te discectomy penei i te hunga whai mate huka, mate ngakau, heke te ate me te whatukuhu, aha atu.