Vertebral cementoplasty, yomwe imatchedwanso vertebroplasty, ndi opaleshoni yomwe imaphatikizapo kubaya simenti mu vertebra kuti akonze chothyoka kapena kuchepetsa ululu. Ndi njira ya interventional radiology.

Vertebral cementoplasty, kapena vertebroplasty, ndi opaleshoni yomwe imaphatikizapo kuyika simenti ya mafupa, yopangidwa ndi utomoni, mu vertebrae, kuti athetse ululu wa wodwalayo, kapena ngati zotupa. Choncho koposa zonse a chisamaliro chapamwamba, cholinga chake ndikupangitsa kuti moyo wa wodwalayo ukhale wabwino.

Lingaliro ndiloti poika utomoni uwu, vertebrae yowonongeka imakhazikika, ndikuchotsa ululu wa wodwalayo. M'malo mwake, simenti yoyambitsidwayo idzawononga minyewa ina yomwe imayambitsa ululu.

Simenti iyi ndikukonzekera kosavuta kwa milliliters ochepa, okonzedwa ndi chipatala.

Cementoplasty ili ndi zotsatira ziwiri:

• Chepetsani ululu
• Konzani ndi kugwirizanitsa ma vertebrae osalimba, phatikiza zosweka.

Opaleshoniyi ndi yabwino kwambiri ndipo sikutanthauza kugonekedwa kwanthawi yayitali (masiku awiri kapena atatu).

Kukonzekera kwa vertebral cementoplasty

Vertebral cementoplasty, mosiyana ndi maopaleshoni ambiri, imafunikira mgwirizano waukulu kuchokera kwa wodwalayo. Ayeneradi kukhala wosasunthika kwa nyengo inayake. Malangizowa adzakufotokozerani mwatsatanetsatane ndi dokotala wanu.

Nthawi yogonekedwa m'chipatala?

A vertebral cementoplasty amafuna kuchipatala chachidule, tsiku lisanayambe opaleshoni. Pamafunika kukaonana ndi a radiologist komanso a anesthesiologist.

The anesthesia ndi wamba, kupatula ngati pali opareshoni angapo. Opaleshoniyo imakhala pafupifupi wani koloko.

Ntchitoyi mwatsatanetsatane

Opaleshoniyo imachitika motsogozedwa ndi fluoroscopic (yomwe imawongolera kulondola kwa jakisoni), ndipo imachitika m'njira zingapo:

• Wodwalayo ayenera kukhala wosasunthika, pamalo omwe angakhale osangalatsa kwambiri: nthawi zambiri akuyang'ana pansi.
• Khungu limatetezedwa ndi disinfected pamlingo womwe ukufunidwa, mankhwala oletsa ululu am'deralo amagwiritsidwa ntchito.
• Dokotala wochita opaleshoni amayamba ndi kulowetsa singano ya dzenje mu vertebrae. Ndi mu singano iyi yomwe simenti yopangidwa ndi acrylic resin idzazungulira.
• Simentiyo imafalikira kudzera mu vertebrae, isanakhale yolimba pakapita mphindi zingapo. Njirayi imatsatiridwa ndi fluoroscopy kuyesa kulondola kwake ndikuchepetsa chiopsezo cha kutayikira (onani "zovuta zomwe zingatheke").
• Wodwala amamuperekeza kubwerera ku chipinda chochira, asanatulutsidwe m'chipatala tsiku lotsatira.

Kupweteka kwa msana

Mitsempha ya msana yofooka ndi magwero a ululu kwa odwala omwe akhudzidwa. Cementoplasty ya msana imawathandiza.

Zotupa kapena khansa

Ziphuphu kapena khansa zikhoza kukhala m'thupi, cementoplasty imathandiza kuchepetsa zotsatira zovulaza, monga kupweteka kwa msana.

M'malo mwake, metastases ya mafupa imapezeka pafupifupi 20% ya khansa. Amawonjezera chiopsezo cha fractures, komanso kupweteka kwa mafupa. Cementoplasty imapangitsa kuti athe kuchepetsa.

kufooka kwa mafupa

Osteoporosis ndi matenda a mafupa omwe amakhudzanso vertebrae ndikuiwononga. Vertebral cementoplasty imathandizira vertebrae, makamaka poiphatikiza kuti iteteze kusweka kwamtsogolo, ndikuchotsa ululu.

Zotsatira za opareshoni

Odwala amazindikira msanga a kuchepa kwa ululu.

Kwa odwala omwe ali ndi ululu wamfupa, kuchepetsa kupweteka kwa ululu kumapangitsa kuti achepetse kudya kwa analgesic (painkillers) mankhwala, monga morphine, omwe amachititsa kuti moyo ukhale wabwino tsiku ndi tsiku.

Un chojambulira komanso mayeso IRM (Kujambula kwa Magnetic Resonance Imaging) kudzachitidwa masabata otsatirawa kuti awone momwe wodwalayo alili.

Zovuta zotheka

Monga ntchito iliyonse, zolakwika kapena zochitika zosayembekezereka zimatheka. Pankhani ya vertebral cementoplasty, zovuta izi ndizotheka:

• Kutaya kwa simenti

  Panthawi ya opaleshoni, simenti yojambulidwa imatha "kudumphira", ndikutuluka mu vertebra yomwe mukufuna. Chiwopsezochi chakhala chosowa, makamaka chifukwa cha kuwongolera kwakukulu kwa radiographic. Akasiyidwa, amatha kuyambitsa kuphulika kwa pulmonary embolism, koma nthawi zambiri samayambitsa zizindikiro zilizonse. Choncho, musazengereze kukambirana izi ndi dokotala wanu panthawi yachipatala.

• Ululu pambuyo pa opaleshoni

  Pambuyo pa opaleshoniyo, zotsatira za mankhwala opweteka amatha, ndipo ululu woopsa ukhoza kuwonekera m'deralo. Ichi ndichifukwa chake wodwalayo amakhalabe m'chipatala kuti awawongolere ndikuwathandiza.

• matenda

  Chiwopsezo chomwe chimapezeka mu opaleshoni iliyonse, ngakhale chitakhala chochepa kwambiri.