Maererano neAmerican Journal of Roentgenology , kushandiswa kwekyphoplasty sechirwere chekudzivirira kupera kwemafuro kunowedzera. Asi chii chinonzi kyphoplasty?
Kyphoplasty inowanzosavhiringidza mutsva wemaperembudzi yakapiwa kune varwere vakarasika kukwirira mune imwe kana kupfuura miviri yakasvibiswa nekuda kwekuputsika kwekuputsika. Kyphoplasty inosanganisirawo vertebroplasty, iyo inoitwa kuti ipe marwadzo anokonzera kuputsika.
Nzira mbiri idzi dzinosanganisira jekisi yekrystal samende mufupa, asi mu kyphoplasty , ibhota inowanirwawo iyo inoputirwa muedza yekudzorera zvimwe kana kuti yese yakakwirira yefupa. Kuvhiya kwose kunoitwa nekubetsera fluoroscopy, uko kamera kadiki inowanikwa munzvimbo; chifananidzo icho chinoratidzwa pachigadziko chinotungamirira chiremba sezvaanoshanda.
Kyphoplasties kazhinji inosanganisira kurara usiku hwose kuchipatara asi vertebroplasties inowanzopiwa kunze kwezvivako.
Runako rwekuvhiya uku nderokuti (munguva zhinji) ruzivo rwekununurwa runoitika pakarepo pavanopedza. Kwete izvozvo chete, asi mukana wezvinetso zvakabatana zvakaderera.
Matambudziko eKyphoplasty uye Vertebroplasty
Kunyange zvazvo kyphoplasty uye vertebroplasty zvinowanzozivikanwa pakati pevanachiremba, uye zviri nyore kwazvo kumurwere nokuda kwechinhu ichocho, ivo vachiri kuonekwa se "kukakavara." MunaAugust ya2009, New England Journal yeMedicine yakabudisa mhinduro kubva kune miviri miviri yakasarudzwa yakaongororwa, iyo yakawana kuti vertebroplasty varwere vanowana jekisi yemasenti uye avo vanogamuchira injwe ye placebo vanoziva nezvehutano hwakakwana hwekurwadziwa.
Chidzidzo chakabudiswa munyaya yaMay 2012 yeOrpedpedic Review yakagamuchira kuti kuwedzera kwepurogiramu yebhaloon kyphoplasty yakaderera. Zvakangofanana, 40 muzana yevarwere mukudzidza kwavo (iyo yakatarisa vanhu 297 vakanga vane bhaloni kyphoplasty) vakaziva simiti ichidonha kunze kwefupa. Muchidzidzo ichocho, mumwe murwere akaitawo nekuderera kwevoloni (ne hypotension uye tachycardia) uye mumwe munhu akapinda mumoyo wekusungwa.
Chidzidzo chacho chakarondedzera zvimwe zvinetso, zvakare, somuenzaniso, utachiona uye, mushure mekuitwa, mutsva yemapapu inokwana bhoon kyphoplasty.
Cement kuvuza kunowanzokonzera matambudziko matsva ekurwadziwa uye kunogona kuwedzera mungozi yeimwe gumbo rekuvhuvhuta - mune rimwe rekona pfupa. Kudzidza kuduku, kubva kuYunivhesiti yeRochester, kwakaenzanisa vertebroplasties (vertebroplasty inoratidzika seyakadaro kyphoplasty), mune 38 varwere.
Rimwe boka rakagamuchira jekisi yemasenti apo boka rekuenzanisa risina. Chidzidzo chacho chakawana kuti kune avo vakagamuchira samende, 58 muzana vakaona kuputsika kwe vertebra iri pedyo; kubva kune avo vasina kujowa, 12 chete muzana vakaona kuparara kwepedyo.
Mukuedza kugadzirisa zvimwe zvepikisano dzakapoteredza simenti yakakosha mumakyphoplasties uye vertebroplasties, kuongorora kwegore ra2014 kwakabudiswa muByomedical Research International kwakafananidza nzira idzi kuhutungamiri hwehutano maererano nekurwadziwa, kuremara, hutano hwehupenyu, kuputsika kwetsva, kushaya mari, kyphosis kugadziriswa, kubwinya kwepamusoro, uye samende nezvimwe zvinetso.
Vatsvakurudzi vakaona kuti mavhiria maviri aya anoita sarudzo iri nani kudarika kuchengetedza (kureva kusagadziriswa). Muchidzidzo ichi, zvinetso zvakanga zvisingawanzoitiki, asi zvisingawanzwi, uye kyphoplasty yakawanikwa iine nani pane vertebroplasty maererano nesamende inokwira.
> Sources:
> Bergmann M., Oberkircher L., Bliemel C., Frangen T., Ruchholtz S., Krüger A. Kutanga kwechipatara uye zvinetso zvine chokuita nebhaluni kyphoplasty. Orthop Rev (Pavia). May 2012.
> Lin EP, Ekholm S, Hiwatashi A, Westesson PL.Vertebroplasty: simbi inopinza mu disc inowedzera mukana wekuputsika kweropa pedyo nechemberi muviri. AJNR Am J Neuroradiol. 2004 Feb; 25 (2): 175-80.
> Long, Suzanne, S. et. al. Vertebroplasty neKyphoplasty muUnited States: Mupi wekuparadzira uye Nhungamiro yeMitemo, 2001-2010. AJR December 2012 vol. 199 kwete. 6 1358-1364 do: 10.2214 / AJR.12.8733.
> Papanastassiou, I., Filis A., Gerochristou M., Vrionis F. Zvinokonzera zvinokonzerwa nekyphoplasty uye vertebroplasty mumaperembudzi anonzi osteoporotic vertebral fractures. Biomed Res Int. 2014.