Kyphoplasty

Kyphoplasty e sebelisetsoa ho sebetsana le ho robeha ha bohloko ho bohloko mokokotlong. Nakong ea ho robeha ha mokokotlo, lesapo la mokokotlo kaofela kapa karolo ea lona lea putlama.

Tsamaiso e boetse e bitsoa balloon kyphoplasty.

Kyphoplasty e etsoa sepetlele kapa tleliniking ea bakuli.

• U kanna oa ba le anesthesia ea lehae (u tsohile 'me u sa khone ho utloa bohloko). Mohlomong u tla fumana moriana o tla u thusa ho phomola le ho ikutloa u otsela.
• U ka fumana anesthesia e akaretsang. U tla be u robetse u sa khone ho utloa bohloko.

U robala ka sefahleho tafoleng. Mofani oa tlhokomelo ea bophelo o hloekisa sebaka sa mokokotlo oa hau mme o sebelisa moriana ho koala sebaka seo.

Ho kenngoa nale ho pholletsa le letlalo le lesapo la mokokotlo. Litšoantšo tsa x-ray tsa nako ea 'nete li sebelisetsoa ho tataisetsa ngaka sebakeng se nepahetseng mokokotlong oa hau.

Balune e kenngoa ka nale, ka lesapo, ebe e tšeloa moea. Sena se khutlisa bophahamo ba li-vertebrae. Samente e kenoa ka sebaka ho netefatsa hore ha e oa hape.

Lebaka le tloaelehileng la khatello ea mokokotlo oa mokokotlo ke ho fokotsa masapo a hau, kapa lefu la masapo. Mofani oa hau a ka khothaletsa ts'ebetso ena haeba u na le bohloko bo matla le bo holofatsang likhoeli tse 2 kapa ho feta tse sa ntlafoleng ka phomolo ea bethe, meriana ea bohloko le kalafo ea 'mele.

Mofani oa hau a ka boela a khothaletsa ts'ebetso ena haeba u na le mokokotlo o bohloko oa mokokotlo oa mokokotlo ka lebaka la:

• Kankere, ho kenyelletsa le myeloma e mengata
• Kotsi e bakileng masapo a robehileng mokokotlong

Ka kakaretso Kyphoplasty e sireletsehile. Mathata a ka kenyelletsa:

• Ho tsoa mali.
• Tšoaetso.
• Matšoao a alejiki meriana.
• Mathata a ho hema kapa a pelo haeba o na le thethebatso e akaretsang.
• Likotsi tsa methapo.
• Ho dutla ha samente ea masapo sebakeng se haufi (sena se ka baka bohloko haeba se ama mokokotlo kapa methapo). Ho dutla ho ka lebisa liphekolong tse ling (joalo ka ho buuoa) ho tlosa samente. Ka kakaretso, kyphoplasty e na le kotsing e nyane ea ho lutla ha samente ho feta vertebroplasty.

Pele o etsoa opereishene, lula u bolella mofani oa hau:

• Haeba u ka ima
• Ke lithethefatsi life tseo u li nkang, esita le tseo u li rekileng ntle le lengolo la ngaka
• Haeba u kile oa noa joala bo bongata

Nakong ea matsatsi a pele ho ts'ebetso:

• U ka kopuoa ho emisa ho noa aspirin, ibuprofen, coumadin (Warfarin), le lithethefatsi tse ling tse thatafalletsang mali a hau ho koala.
• Botsa hore na ke lithethefatsi life tseo u lokelang ho li noa ka letsatsi la ts'ebetso.
• Haeba u tsuba, leka ho emisa.

Letsatsing la ho buuoa:

• Hangata o tla bolelloa hore o se ke oa noa kapa oa ja letho lihora tse 'maloa pele ho tlhahlobo.
• Nka lithethefatsi tseo mofani oa hau a u joetsitseng tsona hore u li noe ka ho noa metsi hanyane.
• U tla bolelloa hore na u fihle neng.

Mohlomong u tla ea hae ka lona letsatsi leo la ts'ebetso. Ha ua lokela ho khanna, ntle leha mofani oa hau a re e lokile.

Kamora ts'ebetso:

• O lokela ho tseba ho tsamaea. Leha ho le joalo, ho molemo ho robala betheng lihora tse 24 tsa pele, ntle le ho sebelisa ntloana.
• Kamora lihora tse 24, butle butle ho khutlela mesebetsing ea hau e tloaelehileng.
• Qoba mesebetsi e boima ea ho phahamisa le ho sebetsa ka thata bonyane libeke tse 6.
• Tlotsa leqhoa sebakeng sa leqeba haeba u utloa bohloko moo nale e kentsoeng teng.

Batho ba nang le kyphoplasty hangata ha ba utloe bohloko haholo ebile ba na le bophelo bo betere kamora ho buuoa. Hangata ba hloka litlhare tse fokolang tsa bohloko, mme ba ka tsamaea hantle ho feta pele.

Balloon kyphoplasty; Osteoporosis - kyphoplasty; Ho sithabela ha khatello - kyphoplasty

Evans AJ, Kip KE, Brinjikji W, et al. Teko e laoloang ka nako e sa lekanyetsoang ea vertebroplasty khahlanong le kyphoplasty kalafong ea likhahla tsa khatello ea methapo. Phekolo ea J Neurointerv. 2016; 8 (7): 756-763. PMID: 26109687 www.ncbi.nlm.nih.gov/pubmed/26109687.

Savage JW, Anderson PA. Ho robeha ha mokokotlo oa masapo. Ka: Browner BD, Jupiter JB, Krettek C, Anderson PA, bahlophisi. Skeletal Trauma: Saense ea Motheo, Tsamaiso le Kaho ea Bocha. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 35.

Weber TJ. Lefu la ho fokola ha masapo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 230.

Williams KD. Ho robeha, ho senyeha, le ho robeha ha mokokotlo. Ka: Azar FM, Beaty JH, Kanale ST, eds. Masapo a sebetsang a Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: khaolo ea 41.