Vertebral cementoplasty, inonziwo vertebroplasty, kuvhiyiwa kunosanganisira kubaya simende muvertebra kugadzirisa pakatyoka kana kubvisa marwadzo. Iyo inyanzvi yekupindira radiology.

Vertebral cementoplasty, kana kuti vertebroplasty, kuvhiya kunosanganisira kuisa simende yemapfupa, yakagadzirwa neresin, muvertebrae, kuitira kunyaradza marwadzo emurwere, kana munyaya yemamota. Naizvozvo zviri pamusoro pezvose a kutarisira kwakanaka, chinangwa chekuvandudza upenyu hwomurwere.

Pfungwa ndeyokuti nekuisa resin iyi, vertebrae yakakuvadzwa inosimbiswa, apo ichibvisa marwadzo omurwere. Muchokwadi, simende yaunzwa ichaparadza mamwe etsinga anokonzera kurwadziwa.

Iyi simenti igadziriro iri nyore yemamililita mashoma, yakagadzirirwa nechipatara.

Cementoplasty saka ine mhedzisiro miviri:

• Deredza marwadzo
• Gadzirisa uye simbisa vertebrae isina kusimba, simbisa mafractures.

Kuvhiyiwa uku hakuna kunaka uye hakudi kuchipatara kwenguva refu (mazuva maviri kana matatu).

Kugadzirira vertebral cementoplasty

Vertebral cementoplasty, kusiyana nekuvhiyiwa kwakawanda, inoda huwandu hwakakosha hwekubatana kubva kumurwere. Chokwadi anofanira kuramba asingapfakanyiki kwenhambo yakati yenguva. Aya mazano achatsanangurwa kwauri zvakadzama nachiremba wako.

Inguva ipi yekuiswa muchipatara?

A vertebral cementoplasty inoda kurapwa kwenguva pfupi, zuva risati raitwa oparesheni. Zvinoda kuonana neradiologist pamwe neanesthesiologist.

Iyo anesthesia ndeyemunharaunda, kunze kwechiitiko chekushanda kwakawanda. Kuvhiya kunogara paavhareji one o'clock.

The oparesheni zvakadzama

Kuvhiya kunoitika pasi pefluoroscopic control (inovandudza kurongeka kwejekiseni), uye inoitika mumatanho akati wandei:

• Murwere anofanirwa kuramba asingapfakanyiki, ari munzvimbo inozonyanya kunakidza: kazhinji akatarisa pasi.
• Ganda rinoshandiswa disinfected pachiyero chakatarwa, anesthesia yemunharaunda inoshandiswa kwairi.
• Chiremba anovhiya anotanga nekuisa tsono ine buri mukati me vertebrae. Iri mutsono iyi iyo simenti inogadzirwa ne acrylic resin inotenderera.
• Simende inobva yapararira nepakati pe vertebrae, isati yaoma mushure memaminitsi mashomanana. Iyi nhanho inoteverwa nefluoroscopy kuyera kurongeka kwayo uye kuderedza njodzi yekudonha (ona "zvinogoneka matambudziko").
• Murwere anodzoserwa mukamuri rekupora, asati aburitswa muchipatara zuva rinotevera.

Kurwadza kwemusana

Fragile vertebrae inokonzera kurwadziwa kune varwere vakabatwa. Spinal cementoplasty inovasunungura.

Mamota kana gomarara

Mamota kana gomarara anogona kunge akakura mumuviri, cementoplasty inobatsira kudzikisa zvinokuvadza, sekurwadziwa kwemusana.

Muchokwadi, pfupa metastases inoonekwa mune inenge 20% yekenza kesi. Vanowedzera njodzi yekuputsika, pamwe nekurwadziwa kwepfupa. Cementoplasty inoita kuti zvikwanise kudzideredza.

osteoporosis

Osteoporosis chirwere chebhonzo chinokanganisawo vertebrae uye inovakuvadza. Vertebral cementoplasty inobata vertebrae, kunyanya nekuibatanidza kudzivirira kuputsika mune ramangwana, uye inobvisa marwadzo.

Mibairo yekuvhiya

Varwere vanokurumidza kuona a kuderera kwemarwadzo.

Kune varwere vane kurwadziwa kwepfupa, uku kuderedzwa kwekunzwa kwemarwadzo kunoita kuti zvibvirire kuderedza kutora kweanalgesic (painkillers) zvinodhaka, zvakadai se morphine, iyo inovandudza mararamiro ehupenyu hwezuva nezuva.

Un scanner pamwe nebvunzo IRM (Magnetic Resonance Imaging) ichaitwa mumavhiki anotevera kutarisa mamiriro ehutano hwemurwere.

Zvinogona kuitika

Kufanana nekushanda chero kupi zvako, kukanganisa kana zviitiko zvisingatarisirwi zvinogoneka. Panyaya ye vertebral cementoplasty, matambudziko aya anogoneka:

• Cement yadeuka

  Munguva yekushanda, simenti inojowa inogona "kudonha", uye inobva pane chinangwa che vertebra. Iyi njodzi yave kushomeka, kunyanya nekuda kweyakakomba radiographic control. Kusiiwa isina kutariswa, inogona kutungamirira kumapapu embolism, asi kazhinji yenguva haikonzeri chero zviratidzo. Naizvozvo, usazeza kukurukura izvi nachiremba wako panguva yekurapwa.

• Kurwadza kwema-post

  Mushure mekuvhiyiwa, migumisiro yezvipembenene zvinopera, uye kurwadziwa kwakanyanya kunogona kuonekwa munzvimbo inoshandiswa. Ichi ndicho chikonzero murwere anoramba ari muchipatara kuti adzore uye asunungurwe.

• zvirwere

  Ngozi inowanikwa mune chero kuvhiya, kunyangwe yave yakaderera.