I-Vertebral cementoplasty, ebizwa nangokuthi i-vertebroplasty, ukuhlinzwa okubandakanya ukujova usimende ku-vertebra ukuze kulungiswe ukuphuka noma ukukhulula ubuhlungu. Kuyindlela yokungenelela ye-radiology.

I-Vertebral cementoplasty, noma i-vertebroplasty, ukuhlinzwa kokuhlinzwa okubandakanya ukufaka usimende wamathambo, owenziwe nge-resin, ku-vertebrae, ukuze kukhishwe ubuhlungu besiguli, noma esimweni sezimila. Ngakho-ke ngaphezu kwakho konke a ukunakekelwa kokubeletha, okuhloswe ngayo ukuthuthukisa ukunethezeka kwempilo yesiguli.

Umqondo uwukuthi ngokufaka le resin, i-vertebrae eyonakalisiwe iqiniswa, kuyilapho ikhulula ubuhlungu besiguli. Eqinisweni, usimende owethulwe uzobhubhisa ezinye zeziphetho zemizwa ezibangela ubuhlungu.

Lesi samende ukulungiswa okulula kwamamililitha ambalwa, alungiswe esibhedlela.

Ngakho-ke i-cementoplasty inemiphumela emibili:

• Nciphisa ubuhlungu
• Lungisa futhi uhlanganise ama-vertebrae abuthakathaka, hlanganisa ukuphuka.

Lokhu kuhlinzwa akulungile futhi akudingi ukulaliswa esibhedlela isikhathi eside (izinsuku ezimbili noma ezintathu).

Ukulungiselela i-cementoplasty ye-vertebral

I-Vertebral cementoplasty, ngokungafani nokuhlinzwa okuningi, idinga inani elikhulu lokubambisana kwesiguli. Impela kumele ahlale isikhathi esithile enganyakazi. Lezi zincomo uzochazwa kabanzi ngudokotela wakho.

Singakanani isikhathi sokulaliswa esibhedlela?

I-cementoplasty ye-vertebral idinga ukulaliswa esibhedlela isikhashana, ngosuku olungaphambi kokuhlinzwa. Kudinga ukuxhumana nodokotela we-radiologist kanye nodokotela obulala izinzwa.

I-anesthesia yendawo, ngaphandle uma kwenzeka ukuhlinzwa okuningi. Umsebenzi uhlala ngokwesilinganiso ihora lokuqala.

Umsebenzi ngokuningiliziwe

Ukuhlinzwa kwenzeka ngaphansi kokulawulwa kwe-fluoroscopic (okuthuthukisa ukunemba komjovo), futhi kwenzeka ngezigaba ezimbalwa:

• Isiguli kufanele sihlale singanyakazi, sisesimweni esizoba mnandi kakhulu: ngokuvamile sibheke phansi.
• Isikhumba sihlanjululwa nge-disinfected ezingeni elihlosiwe, i-anesthesia yendawo isetshenziswa kuso.
• Udokotela ohlinzayo uqala ngokufaka inaliti engenalutho emgogodleni. Kukule naliti lapho usimende owenziwe nge-acrylic resin uzozungeza.
• Usimende ube ususakazeka phakathi kwama-vertebrae, ngaphambi kokuba uqine ngemva kwemizuzu embalwa. Lesi sinyathelo silandelwa yi-fluoroscopy ukuze kulinganiswe ukunemba kwayo nokunciphisa ingozi yokuvuza (bona "izinkinga ezingenzeka").
• Isiguli siphindiselwa egunjini lokululama, ngaphambi kokuba sikhishwe esibhedlela ngakusasa.

Ubuhlungu bomgogodla

Ama-vertebrae abuthakathaka angumthombo wobuhlungu ezigulini ezithintekile. I-cementoplasty yomgogodla iyabakhulula.

Amathumba noma umdlavuza

Amathumba noma umdlavuza kungenzeka ukuthi uthuthukile emzimbeni, i-cementoplasty isiza ekudambiseni imiphumela eyingozi, njengobuhlungu bomgogodla.

Eqinisweni, ama-metastases amathambo avela cishe kuma-20% ezimo zomdlavuza. Bandisa ingozi yokuphuka, kanye nobuhlungu bamathambo. I-Cementoplasty yenza kube nokwenzeka ukubanciphisa.

kwamathambo

I-Osteoporosis yisifo samathambo esithinta namathambo omgogodla futhi siwalimaze. I-Vertebral cementoplasty iphatha ama-vertebrae, ikakhulukazi ngokuwahlanganisa ukuze avimbele ukuphuka esikhathini esizayo, futhi aqede ubuhlungu.

Imiphumela yokuhlinzwa

Iziguli zisheshe zibone a ukuncipha kobuhlungu.

Ezigulini ezinezinhlungu zamathambo, lokhu kuncipha kokuzwa ubuhlungu kwenza kube lula ukunciphisa ukuthathwa kwezidakamizwa ze-analgesic (ama-painkillers), njenge-morphine, okuthuthukisa izinga lokuphila kwansuku zonke.

Un isithwebuli kanye nokuhlolwa I-IRM (I-Magnetic Resonance Imaging) izokwenziwa emasontweni alandelayo ukuze kuqashwe isimo sempilo yesiguli.

Izinkinga ezingenzeka

Njenganoma yikuphi ukusebenza, amaphutha noma izenzakalo ezingalindelekile zingenzeka. Endabeni ye-vertebral cementoplasty, lezi zinkinga zingenzeka:

• Ukuvuza kukasimende

  Ngesikhathi sokusebenza, usimende ojojowe "ungavuza", futhi uphume ku-vertebra ehlosiwe. Le ngozi isiyivelakancane, ikakhulukazi ngenxa yokulawula okujulile kwe-radiographic. Uma zingahloliwe, zingaholela embolism yamaphaphu, kodwa isikhathi esiningi azibangeli zimpawu. Ngakho-ke, ungangabazi ukuxoxa ngalokhu nodokotela wakho ngesikhathi sokulaliswa esibhedlela.

• Ubuhlungu bangemva kokuhlinzwa

  Ngemva kokuhlinzwa, imiphumela yezinhlungu iyaphela, futhi ubuhlungu obukhulu bungase buvele endaweni ehlinzekiwe. Yingakho isiguli sihlala esibhedlela ukuze silawule futhi sikhulule.

• Izifo

  Ingozi ekhona kunoma yikuphi ukuhlinzwa, noma ngabe sekuphansi kakhulu.