Malinga ndi magazini ya American Journal of Roentgenology , kugwiritsa ntchito kyphoplasty monga chithandizo cha kupweteka kwapakhosi kumatuluka. Koma kodi kyphoplasty ndi chiyani?
Kyphoplasty ndi njira yochepa yoperekera msana yoperekedwa kwa odwala omwe ataya kutalika mu thupi limodzi kapena m'mimba yambiri chifukwa cha kupweteka kwapakati. Kyphoplasty imaphatikizansopo vertebroplasty, yomwe imachitidwa pofuna kuchepetsa ululu wokhudzana ndi kupasuka.
Njira ziwirizi zimaphatikizapo jekeseni wa sulfure mu fupa, koma mu kyphoplasty , buluni imayikidwa kenaka yomwe imawombera pofuna kuyimitsa kapena kutalika kwa fupa. Opaleshoni yonseyi imachitidwa mothandizidwa ndi fluoroscopy, kumene kamera kakang'ono kamaloledwa kudera; chithunzi chomwe chikuwonetsedwa pawindo chimatsogolera dokotala pamene akugwira ntchito.
Kyphoplasties kawirikawiri imaphatikizapo kuchipatala pomwe ma vertebroplasties nthawi zambiri amapatsidwa malo operekera kuchipatala.
Kukongola kwa opaleshoniyi ndikuti (nthawi zambiri) kupumula kupweteka kumachitika akangomaliza. Osati izo zokha, koma mlingo wa zovuta zogwirizana ndizochepa.
Zovuta za Kyphoplasty ndi Vertebroplasty
Ngakhale kuti madokotala amagwiritsidwa ntchito ndi kyphoplasty ndi vertebroplasty, komanso mosavuta wodwalayo chifukwa cha zimenezi, iwo amachitabe kuti "amakangana." Mu August wa 2009, New England Journal of Medicine inafotokoza zotsatira za mayesero awiri ochepa, omwe anapeza kuti odwala a vertebroplasty amalandira jekeseni wa simenti ndi omwe amalandira jekeseni wa placebo amadziwa za kupweteka kofanana.
Kafukufuku wofalitsidwa mu May 2012 a Orthopedic Review anapeza kuti chiwerengero cha vuto la balloon kyphoplasty ndi chochepa. Komabe, 40 peresenti ya odwala mu maphunziro awo (omwe amawoneka pa anthu 297 omwe anali ndi buluni kyphoplasty) anali ndi simenti akudumpha kunja kwa fupa. Phunziro lomwelo, wodwalayo adayanjananso ndi kutsika kwa mabuloni (ndi hypotension ndi tachycardia) ndipo munthu wina adapita kumtima.
Phunzirolo linalongosola zovuta zina, mwachitsanzo, matenda, ndipo, pambuyo pake, zatsopano zapinsitiki zomwe zimafuna buluni kyphoplasty.
Kutseka ziphuphu nthawi zina kumabweretsa mavuto atsopano ndipo kungapangitse chiopsezo china chophwanyidwa - mu fupa lapafupi. Phunziro laling'ono, lochokera ku yunivesite ya Rochester, linayerekezera ma vertebroplasties (vertebroplasty ndi ndondomeko yofanana ndi kyphoplasty), mwa odwala 38.
Gulu limodzi linalandira jekeseni samenti pamene gulu lofananitsa silinali. Kafukufukuyu adapeza kuti mwa iwo omwe analandira simenti, 58 peresenti adawona kupasuka kwa vertebra pafupi; mwa iwo omwe sanadatsidwe, ndi 12 peresenti yokha omwe anawoneratu kupasuka kwapafupi.
Poyesera kuthetsa zifukwa zina zokhudzana ndi simenti mu kyphoplasties ndi vertebroplasties, ndemanga ya 2014 yomwe inalembedwa mu Biomedical Research International inafananitsa njira izi kuti zisamayendetsedwe bwino popanda kuvutika, kulemala, umoyo wa moyo, kuphulika kwatsopano, kutsika mtengo, kyphosis kuwongolera, kubwezeretsa kwazitali zamtambo, ndi simenti ndi mavuto ena.
Ofufuzawa anapeza kuti ma opaleshoni awiriwa amapanga njira yothetsera mavuto kusiyana ndi kusamalira anthu ena. Mu phunziro ili, mavuto anali osowa, koma osamvekanso, ndipo kyphoplasty inapezeka kuti ili bwino kuposa vertebroplasty mwa simenti ikudumpha.
> Zotsatira:
> Bergmann M., Oberkircher L., Bliemel C., Frangen T., Ruchholtz S., Krüger A. Kumayambiriro kwa chipatala komanso mavuto okhudzana ndi kaluni yotchedwa kyphoplasty. Orthop Rev (Pavia). May 2012.
> Lin EP, Ekholm S, Hiwatashi A, Westesson PL.Vertebroplasty: simenti yotsekemera mu diski imapangitsa kuti pakhale ngozi yowonongeka kwa thupi lomwe lili pafupi. AJNR Am J Neuroradiol. 2004 Feb; 25 (2): 175-80.
> Long, Suzanne, S. ndi. al. Vertebroplasty ndi Kyphoplasty ku United States: Njira Yopatsa Mitu ndi Zowonetsera, 2001-2010. AJR December 2012 vol. 199 ayi. 613-1364 do: 10.2214 / AJR.12.8733.
> Papanastassiou, I., Filis A., Gerochristou M., Vrionis F. Zokangana pa kyphoplasty ndi vertebroplasty m'magazi amtundu wambiri. Zomwe Zimapangidwira. 2014.