Ngokusho kwe- American Journal of Roentgenology , ukusetshenziswa kwe-kyphoplasty njengokwelashwa kwe-vertebral compression fractures kukhula. Kodwa yini i-kyphoplasty?
I-Kyphoplasty iyinkimbinkimbi encane yomgogodla enikezwa iziguli ezilahlekelwe ukuphakama emzimbeni owodwa noma ngaphezulu we-vertebral ngenxa yokuphulwa komzimba. I-Kyphoplasty ihlanganisa i-vertebroplasty, eyenziwa ukulawula ubuhlungu obuhlobene nokuphuka.
Zombili izinqubo zihilela umjovo we- acry acrylic emathanjeni, kodwa ku- kyphoplasty , ibhaluni lifakwe futhi elishaywa umzamo ngenhloso yokubuyisela ezinye noma ukuphakama kwethambo. Kokubili ukuhlinzwa kwenziwa nge-fluoroscopy usizo, lapho ikhamera encane efakwe endaweni; isithombe esivezwa esikrinini siqondisa udokotela njengoba esebenza.
I-Kyphoplasties ngokuvamile ihlanganisa ukuhlala ubusuku esibhedlela kuyilapho ama-vertebroplasties avame ukunikezwa ngezikhungo ezingaphandle.
Ubuhle balezi zindlela zokuhlinza ukuthi (ezikhathini eziningi) ukukhululeka kobuhlungu kwenzeka uma nje sekuphelile. Akukhona lokho kuphela, kodwa izinga lezinkinga ezihambisanayo liphansi.
Izinkinga ze-Kyphoplasty ne-Vertebroplasty
Nakuba i-kyphoplasty ne-vertebroplasty yizinqubo ezidumile phakathi odokotela, futhi kulula kakhulu isiguli ngalolu daba, basabhekwa "njengengxabano." Ngo-Agasti ka-2009, i- New England Journal of Medicine yashicilele imiphumela emibili yokuhlolwa okulawulwa ngokungahleliwe, eyathola ukuthi iziguli ze-vertebroplasty zithola umjovo we-samente futhi labo abathola umjovo we-placebo bazibonele ngokukhululeka kobuhlungu obulinganayo.
Ucwaningo olwenziwe ngo-May 2012 lwe- Review Orthopedic lwathola ukuthi izinga lokunciphisa ibhaluni kyphoplasty liphansi. Ngokufanayo, amaphesenti angu-40 weziguli esifundweni sabo (esabheka abantu abangu-297 ababhekene ne-balloon kyphoplasty) abanamakhono amakhemikhali aphuma ngaphandle kwethambo. Kulolu cwaningo, esinye isiguli sabuye sabheka ekukhuphukeni kwamabhaloni (nge-hypotension kanye ne-tachycardia) kanti omunye umuntu wangena ekuboshweni kwenhliziyo.
Ucwaningo lubike nezinye izinkinga, njengesibonelo, ukutheleleka, nokulandela, izinqubo ezintsha zokugaya izigulane ezidinga ibhaluni kyphoplasty.
Ukwehla kwamakhemikhali ngezinye izikhathi kubangela izimo ezintsha zobuhlungu futhi kungandisa ingozi yokuphuka kwesinye somzimba - emathanjeni angomakhelwane. Ucwaningo oluncane, oluvela eNyuvesi yaseRochester, luqhathanisa ama-vertebroplasties (i-vertebroplasty iyinkqubo efana ne-kyphoplasty), ezigulini ezingu-38.
Iqembu elilodwa lathola umjovo we-samente ngenkathi iqhathanisa iqembu lingenalo. Ucwaningo lubuthole ukuthi kulabo abathola isamente, amaphesenti angu-58 abhekana nokuhlukana kwe-vertebra esiseduze; kulabo abangazange bajowe, amaphesenti angu-12 kuphela abhekana nokuhlukana okuhambisana.
Emzamweni wokuxazulula ezinye zezingxabano ezungeze amakhemikhali aqoshiwe kuma-kyphoplasties nama-vertebroplasties, ukubuyekezwa kuka-2014 okushicilelwe ku- Biomedical Research International kuqhathaniswa nalezi zinqubo zokuphathwa okungenasidingo ngenxa yobuhlungu, ukukhubazeka, ikhwalithi yokuphila, ukwehlukana okusha, ukubiza imali, ukusebenza kahle ukulungiswa, ukubuyiselwa kwe-vertebral ukuphakama, nesimente nezinye izinkinga.
Abacwaningi bathola ukuthi ukuhlinzwa okubili kwenza isisombululo esingcono kunokunakekelwa okuzimele (okungukuthi okungenasidingo). Kulolu cwaningo, izinkinga zazingavamile, kodwa azizwanga, futhi i-kyphoplasty itholakale ibe ngcono kune-vertebroplasty ngokwemali yokuvuza.
> Imithombo:
> Bergmann M., Oberkircher L., uBliemel C., Frangen T., Ruchholtz S., Krüger A. Imiphumela yokuqala yomtholampilo kanye nezinkinga ezihlobene nebhaluni kyphoplasty. I-Orthop Rev (i-Pavia). Meyi 2012.
> Lin EP, Ekholm S, Hiwatashi A, Westesson PL.Vertebroplasty: uketshelwa kwamakhemikhali ku-diski kwandisa ingozi yokuphulwa okusha komzimba we-vertebral. AJNR Am J Neuroradiol. 2004 Feb; 25 (2): 175-80.
> Long, Suzanne, S. et. al. I-Vertebroplasty ne-Kyphoplasty e-United States: Indlela Yokusabalalisa Umhlinzeki Neziqondiso, 2001-2010. I-AJR December 2012 vol. 199 cha. 6 1358-1364 i-doi: 10.2214 / AJR.12.8733.
> Papanastassiou, I., Filis A., Gerochristou M., Vrionis F. Izinkinga eziphikisanayo nge-kyphoplasty kanye ne-vertebroplasty ema-fractures ama-osteoporotic. I-Res Int Res. 2014.