980nm 1470nm Diode Laser Percutaneous Laser Dispressure (PLDD)
Mu gikorwa cyo gukuraho imashini ya laser ikoresheje percutaneous, ingufu za laser zoherezwa muri disiki binyuze mu mugozi muto w’urumuri.
Intego ya PLDD ni uguhindura umwuka igice gito cy’imbere. Gukuraho igice gito cy’imbere bituma umuvuduko w’imbere ugabanuka cyane, bityo bigatuma habaho kugabanuka k’umuvuduko w’amagufwa mu gice cy’imbere cy’imbere.
PLDD ni uburyo bwo kuvura budakoresha uburyo bwinshi bwakozwe na Dr. Daniel SJ Choy mu 1986 bukoresha imirasire ya laser mu kuvura ububabare bw'umugongo n'ijosi buterwa na disiki ya herniated.
Uburyo bwo gukuraho imashini ya laser ya percutaneous (PLDD) ni bwo buryo bwo kuvura imashini ya laser ya percutaneous mu buryo buciriritse mu kuvura imashini ya disc hernias, imashini ya cervical hernias, imashini ya dorsal hernias (usibye igice cya T1-T5), na imashini ya lumbar hernias. Ubu buryo bukoresha ingufu za laser kugira ngo bunyure amazi ari mu gice cy'inyuma cy'umugongo w'uruti rw'umugongo, bigatuma imashini ya discernised igabanuka.
Urubuga rwa TR-C® DUAL rushingiye ku miterere y’ubuso bw’umurambararo wa 980 nm na 1470 nm, bitewe n’uko rukorana neza n’amazi na hemoglobine ndetse n’ubujyakuzimu buciriritse mu bice by’umubiri, bituma ibikorwa bikorwa mu mutekano no mu buryo bwizewe, cyane cyane hafi y’imiterere y’umubiri. Ubuhanga bwo kubaga hakoreshejwe mikorosikopi bwemezwa n’imiterere ya tekiniki ya PLDD yihariye.
PLDD ni iki?
Gukuraho disiki ya laser ya percutaneous (PLDD) ni uburyo bwo kuvurwa hakoreshejwe uburyo bwo kugabanya umuvuduko w'inyuma y'inyuma hakoreshejwe ingufu za laser. Ibi bikorwa hakoreshejwe urushinge rwinjijwe muri nucleus pulposus hifashishijwe anesthesia yo mu gace runaka no kugenzura fluoroscopic. Ingano nto y'umwuka wa nucleus ivamo umwuka ituma umuvuduko w'inyuma ugabanuka cyane, bigatuma internisma iva mu mutsi w'imitsi. Bwa mbere bwakozwe na Dr. Daniel SJ Choy mu 1986. PLDD yagaragaye ko ifite umutekano kandi ikora neza. Itera ikibazo gito cyane, ikorerwa mu bitaro byo hanze, nta anesthesia isanzwe isaba, nta nkovu cyangwa kudakomera k'umugongo, igabanya igihe cyo gusubira mu buzima, ishobora kongera gukoreshwa, kandi ntibuza kubagwa mu buryo bwihuse mu gihe bibaye ngombwa. Ni amahitamo meza ku barwayi bafite umusaruro mubi mu kuvura batabaye abaganga. Urushinge rwinjizwa mu gace kagize ikibazo ka disiki ya intervertebral hanyuma fibre ya laser irashyirwamo kugira ngo itwike nucleus pulposus hifashishijwe laser. Ikorana n'imitsi ya laser ya TR-C® DUAL, ituma habaho imikorere myiza mu kubaga, koroshya kuyifata, kandi umutekano wayo ukaba ntarengwa. Gukoresha imiyoboro ya laser yoroshye ifite umurambararo w’imbere wa mikoroni 360 hamwe na microsurgical PLDD bituma umuntu agera ahantu hakomeye kandi hakwiye kandi hagakoreshwa uburyo bwo kuvura buzwi cyane nk’aho ari mu gace k’inkondo y’umura n’aho ari mu kibuno hashingiwe ku buvuzi bukenewe. Ubuvuzi bwa laser bwa PLDD bukoreshwa cyane nyuma y’uburyo busanzwe bwo kuvura budatanga umusaruro bugenzurwa na MRT/CT.
— Gushyira mu gice cyo hasi cy'uruti rw'umura, mu gituza, no mu gice cyo hasi cy'uruti rw'umugongo.
— Uburyo bwo gupima amashami y'ubwonko (neurotomy) ku ngingo z'ibice by'umubiri
— Uburyo bwo gupima imitsi y'amaraso mu mfuruka ku ngingo za sacroiliac
— Harimo gucibwamo disiki hamwe na stenosis ya foraminal ikurikirana
— Stenosis y'umugongo ya Discogenic
— Indwara z'ububabare bwa discogenic
— Indwara y'urusobe rw'ingingo n'indwara ya sacroiliac joint syndrome idakira
— Ibindi bikorwa byo kubaga, urugero nk'inkokora ya tenisi, calcaneal spur
— Gutera ikinya mu gace runaka byemerera kuvura abarwayi bari mu kaga.
— Igihe gito cyane cyo gukora ugereranije n'igihe cyo gufungura
— Ingorane nke n'ububyimbirwe nyuma yo kubagwa (Nta gukomereka kw'ingingo zoroshye, nta ngaruka zo
fibrosis yo mu miyoboro ya epidural cyangwa inkovu)
— Urushinge ruto rufite aho ruto cyane ho gutobora bityo nta mpamvu yo gushongesha
— Kugabanya ububabare no kwihuta cyane ako kanya
— Kuruhuka mu bitaro no kugororwa
— Ibiciro biri hasi
Uburyo bwo gukora PLDD bukorwa hakoreshejwe ikinya cyo mu gace runaka. Fibre y'urumuri ishyirwa muri cannula yihariye hakoreshejwe fluoroscopicubuyobozi. Nyuma yo gukoresha itandukanyirizo ku gice, birashoboka kugenzura aho cannula iherereye n'uko disiki imeze.Kubyimba. Gutangiza laser bitangira gukuraho igitutu no kugabanya umuvuduko w'imbere mu gituza.
Uburyo bukorwa uhereye inyuma n'inyuma nta kintu na kimwe kibangamiye umuyoboro w'umugongo, bityo rero, hariNta buryo bwo kwangiza ubuvuzi bwo kuvura, ariko nta buryo bwo kongera imbaraga za annulus fibrosus.MU GIHE cy'uko ingano ya disiki ya PLDD igabanuka gato, icyakora, umuvuduko wa disiki ushobora kugabanuka cyane.hakoreshejwe laser mu gukuraho disiki, ingano nto ya nucleus pulposus irashira.
Ibikoresho bidafite umwanda birimo fifiber ya 400/600 mikrone ifite uburinzi bw'ikoti, inshinge za 18G/20G (uburebure bwa 15.2cm), na Y Connector yemerera fifiber kwinjira no gukurura. Inkingi n'inshinge bipakirwa ukwabyo kugira ngo bishobore koroha cyane mu kuvura.
| Ubwoko bwa laser | Diode Laser Gallium-Aluminum-Arsenide GaAlAs |
| Uburebure bw'umuraba | 980nm+1470nm |
| Ingufu | 30W+17W |
| Uburyo bwo Gukora | CW, Pulse na Single |
| Umurabyo wo Kureba | Itara ry'ikimenyetso gitukura rishobora guhindurwa rya 650nm |
| Ubwoko bwa fibre | Fibre yambaye ubusa |
| Umurambararo wa fibre | Fibre 300/400/600/800/1000um |
| Igihuza fibre | Ibipimo ngenderwaho mpuzamahanga bya SMA905 |
| Impagarara | 0.00s-1.00s |
| Gutinda | 0.00s-1.00s |
| Umuvuduko w'amashanyarazi | 100-240V, 50/60HZ |
| Ingano | 41*33*49cm |
| Uburemere | 18KG |
