Uruti rw'umugongo hamwe na herniation ya disikuru nizo zikunze gutera intandaro yo mu mitsi yo mu mitsi no kwikuramo radiculopathie.Ibimenyetso nk'ububabare bw'umugongo n'amaguru bitewe n'iri tsinda ry'imivurungano birashobora gutandukana cyane, cyangwa kubura ibimenyetso, cyangwa bikabije.
Ubushakashatsi bwinshi bwerekanye ko kubaga decompression yo kubaga iyo imiti itari iy'ubuvuzi itagize ingaruka nziza mu kuvura neza.Gukoresha tekinike yibasiwe cyane birashobora kugabanya ingorane zimwe na zimwe za perioperative kandi birashobora kugabanya igihe cyo gukira k'umurwayi ugereranije no kubagwa kwa gakondo.
Mu nomero iheruka ya Tech Orthop, Gandhi n'abandi.wo muri kaminuza yubuvuzi ya Drexel itanga ibisobanuro birambuye byerekeranye no gukoresha sisitemu ya Tubular Retraction Sisitemu yo kubaga lumbar decompression kubaga.Ingingo irasomeka cyane kandi ifite agaciro mukwiga.Ingingo z'ingenzi z'ubuhanga bwabo bwo kubaga zasobanuwe muri make ku buryo bukurikira.
Igicapo 1. Amashanyarazi afite sisitemu yo gukuramo Tubular ashyirwa ku buriri bwo kubaga ku ruhande rumwe n’umuganga ubaga, mu gihe C-ukuboko na microscope bishyirwa ku ruhande rworoshye ukurikije imiterere y'icyumba.
Igicapo 2. Ishusho ya Fluoroscopique: ibipapuro byerekana umwanya wumugongo bikoreshwa mbere yo kubagwa kugirango babone uko bahagaze neza.
Igicapo 3. Gucamo Parasagittal hamwe nubudomo bwubururu buranga umwanya wo hagati.
Igicapo 4. Kwagura buhoro buhoro incike yo gukora umuyoboro ukora.
Igicapo 5. Umwanya wa Tubular Retraction Sisitemu na X-ray fluoroscopy.
Igicapo 6. Isuku yinyama zoroheje nyuma ya cautery kugirango urebe neza neza ibimenyetso byerekana ibimenyetso byamagufwa.
Igicapo 7. Kurandura ingirangingo ya disikuru ikoresheje imbaraga zo kuruma pitoito
Igishushanyo.8
Igicapo 9. Gutera anesthetic yigihe kirekire ikora mugace kugirango ugabanye ububabare bwa nyuma yibikorwa.
Abanditsi banzuye bavuga ko ikoreshwa rya sisitemu yo gukuramo Tubular yo kwangirika kwa lombar hakoreshejwe uburyo bworoshye bwo gutera, bifite inyungu zishobora kubagwa kubagwa gakondo.Kwiga umurongo birashobora gucungwa, kandi abaganga benshi barashobora kurangiza buhoro buhoro kurangiza ibibazo bitoroshye binyuze mumahugurwa ya cadaveric, igicucu, hamwe nibikorwa byamaboko.
Mugihe ikoranabuhanga rikomeje gukura, biteganijwe ko abaganga bashoboye kugabanya kuva amaraso yo kubaga, kubabara, umubare w’ubwandu, kandi ibitaro bikaguma hakoreshejwe uburyo bwa decompression bworoshye.
Igihe cyo kohereza: Ukuboza-15-2023
