Te Whakakore Kōpae Reiti Taiaho Ā-Kiri 980nm 1470nm Diode (PLDD)
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 hua ake he whakahekenga o te herniation 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 pulpous kua hernia, ka puta he tangohanga.
Ko te tūāpapa TR-C® DUAL e hangai ana ki ngā āhuatanga mimiti o ngā roangaru 980 nm me te 1470 nm, nā te taunekeneke tino pai ki te wai me te hemoglobin me te hohonu o te urunga ki roto i te kiko kōpae, ka taea te whakahaere haumaru me te tika i ngā tikanga, inā koa i te taha o ngā hanganga tinana ngoikore. Ko ngā āhuatanga hangarau o te PLDD motuhake ka whakamanahia te tika o te pokanga moroiti.
He aha te PLDD?
Ko te whakakorenga kōpae laser percutaneous (PLDD) he tikanga e rongoatia ai ngā kōpae intervertebral herniated mā te whakaiti i te pēhanga o roto i te kōpae mā te kaha laser. Ka whakauruhia tēnei mā te ngira e werohia ana ki roto i te nucleus pulposus i raro i te rongoā whakamoe ā-rohe me te aroturuki fluoroscopic. Ko te iti o te rahinga o te nucleus i mimitihia ka hua ake he hekenga tere o te pēhanga o roto i te kōpae, ā, ka heke te herniation mai i te pakiaka io. I whakawhanakehia tuatahitia e Tākuta Daniel SJ Choy i te tau 1986. Kua whakamātauhia te haumaru me te whai hua o te PLDD. He iti noa te whakaekenga, ka mahia i roto i te wāhi tūroro, kāore e hiahiatia he rongoā whakamoe whānui, kāore e puta he koha, he koretake rānei te tuaiwi, ka whakaiti i te wā whakaora, ka taea te whakahoki, ā, kāore e aukati i te pokanga tuwhera mēnā ka hiahiatia. He whiringa pai mō ngā tūroro he hua kino i roto i te maimoatanga kore-pokanga. Ka werohia he ngira ki te wāhi e pāngia ana o te kōpae intervertebral, ā, ka werohia te muka laser mā roto hei tahu i te nucleus pulposus ki te laser. Te taunekeneke kiko me ngā muka laser TR-C® DUAL, e āhei ai te whai huatanga o te pokanga, te ngāwari o te whakahaere, me te haumaru rawa. Mā te whakamahi i ngā muka taiaho pā ngāwari me ngā diameter matua o te 360 micron me te PLDD pokanga iti ka taea te uru atu me te wawaotanga tino tika me te tika ki ngā wāhi tairongo pērā i ngā rohe kōpae kaki me te hope i runga i ngā hiahia rongoā haumanu. Ko te nuinga o ngā maimoatanga taiaho PLDD ka whakamahia i muri i ngā kōwhiringa rongoā tikanga kāore i angitu i raro i te mana whakahaere MRT/CT tino kaha.
— Te tono ā-roto-kōpae ki te tuaiwi kaki, te tuaiwi uma, me te tuaiwi hope
— Te tango i te neurotomy o te peka waenga mō ngā hononga āwhata
— Te tango i te neurotomy o te peka taha mō ngā hononga sacroiliac
— Ngā hernia o te kōpae kei roto me te stenosis foraminal e whai ake nei
— Te stenosis tuaiwi discogenic
— Ngā mate mamae discogenic
— Te mate pūmau o te hononga taha me te hononga sacroiliac
— Ētahi atu whakamahinga pokanga, hei tauira, te tuke tēnehi, te pūhā o te puku
— Mā te whakamoe ā-rohe ka taea te rongoā i ngā tūroro e mōrearea ana.
— He poto rawa te wā whakahaere ki te whakataurite ki ngā tikanga tuwhera
— He iti te auau o ngā raruraru me te mumura i muri i te mahi (Kāore he whara kiko ngohengohe, Kāore he mōrearea o
(te fibrosis epidural, te whara rānei)
— He ngira angiangi, he iti noa te wāhi werohanga, nō reira kāore e hiahiatia he tuitui
— Te whakamamae tonu i te mamae me te nekeneke haere
— Te whakapoto i te noho hōhipera me te whakaora
— Ngā utu iti iho
Ka whakahaerehia te tikanga PLDD mā te whakamahi i te rongoā whakamoe ā-rohe. Ka whakauruhia te muka whatu ki roto i te cannula motuhake i raro i te fluoroscopicaratohu. Whai muri i te paninga o te rerekētanga ki te taha, ka taea te tirotiro i te tūranga o te cannula me te āhua o te kōpaepupuhi. Mā te tīmatanga o te taiaho ka tīmata te whakaiti i te pēhanga me te whakaheke i te pēhanga o roto o te kōpae.
Ka mahia te tikanga mai i te huarahi posterior-lateral me te kore e pokanoa ki te awa tuaiwi, nō reira, kei reirakāore he tūponotanga ki te kino i te maimoatanga whakaora, engari kāore he tūponotanga ki te whakakaha i te annulus fibrosus.I te wā e iti ana te whakaiti i te rōrahi o te kōpae PLDD, heoi, ka taea te whakaiti i te pēhanga o te kōpae. Mēnā heMā te whakamahi i te laser hei wetewete i te kōpae, ka mimiti he iti noa te nucleus pulposus.
Kei roto i te kete parakore he muka muka tahanga 400/600 maikoroni me te tiaki i te koti, he ngira 18G/20G (roa 15.2cm), me te Hononga Y e taea ai te uru me te momi o te muka muka. Kua tākaihia takitahitia te hononga me ngā ngira kia taea ai te ngāwari o te maimoatanga.
| Momo taiaho | Taiaho Diode Gallium-Aluminium-Arsenide GaAlAs |
| Roanga ngaru | 980nm+1470nm |
| Mana | 30W+17W |
| Ngā Aratau Mahi | CW, Pulse me te Takitahi |
| Te Hikoi Arotahi | Rama tohu whero whakarerekē 650nm |
| Momo muka | muka tahanga |
| Diameter muka | muka 300/400/600/800/1000um |
| Hononga muka | Paerewa ā-ao SMA905 |
| Pūoro | 0.00s-1.00s |
| Whakaroa | 0.00s-1.00s |
| Ngaohiko | 100-240V, 50/60HZ |
| Rahi | 41*33*49cm |
| Taumaha | 18KG |
