Kyphoplasty

Kyphoplasty yog siv los kho qhov mob khov kho hauv qhov txha nraub qaum. Nyob rau hauv ib qho tawg ntawm pob txha, tag nrho lossis ib feem ntawm ib qho pob txha nraub qaum.

Cov txheej txheem tseem hu ua zais pa kyphoplasty.

Kyphoplasty tau ua hauv tsev kho mob lossis tsev kho mob sab nraud.

• Koj yuav muaj tshuaj loog hauv zos (tsaug zog thiab tsis tuaj yeem hnov ​​mob). Koj kuj tseem yuav tau txais tshuaj los pab koj so thiab tsaug zog.
• Koj yuav tau txais kev tso tshuaj kom loog. Koj yuav pw tsaug zog thiab tsis tuaj yeem hnov ​​mob.

Koj pw tig ntsej ntawm ib lub rooj. Tus kws kho mob ntxuav qhov chaw ntawm koj nraub qaum thiab siv tshuaj los loog rau thaj chaw.

Ib rab koob tau tso rau ntawm daim tawv nqaij thiab ua rau pob txha nqaj qaum. Cov duab xoo hluav taws xob hauv av yog siv los coj tus kws kho mob mus rau thaj chaw tseeb hauv koj lub nraub qaum.

Zais pa tso rau hauv rab koob, rau hauv cov pob txha, thiab tom qab ntawd txau. Qhov no ua kom rov zoo li qub ntawm vertebrae. Cement yog tom qab ntawd txhaj rau hauv qhov chaw kom ntseeg tau tias nws tsis vau dua.

Ib qho kev ua rau ntawm txoj kev nrawm nrawm ntawm qhov txha nraub qaum yog qhov me me ntawm koj cov pob txha, los yog osteoporosis. Koj tus kws kho mob yuav pom zoo rau qhov txheej txheem no yog tias koj mob hnyav thiab xiam oob khab rau 2 hlis lossis ntau dua uas tsis zoo dua nrog kev pw saum txaj, tshuaj kho mob, thiab kev kho lub cev.

Koj tus kws kho mob yuav tseem pom zoo ua tus txheej txheem no yog tias koj muaj qhov mob o ntawm qhov txha nraub qaum yog vim:

• Kab mob qog, nrog rau ntau yam mob myeloma
• Raug mob uas ua rau mob pob txha ua rau txha nqaj qaum

Kyphoplasty muaj kev nyab xeeb feem ntau. Teeb meem yuav suav nrog:

• Ntshav.
• Kab mob.
• Kev fab tshuaj rau cov tshuaj.
• Ua pa lossis lub plawv muaj teeb meem yog tias koj muaj tshuaj loog.
• Kev raug mob leeg.
• Kev xau ntawm pob txha pob txha mus rau thaj chaw ib puag ncig (qhov no yuav ua rau mob yog tias nws cuam tshuam rau tus txha caj qaum lossis cov hlab ntsha). Kev nqus dej tuaj yeem ua lwm yam kev kho mob (xws li phais mob) kom tshem tawm cov cement. Nyob rau hauv dav dav, kyphoplasty muaj tsawg dua kev pheej hmoo rau paim av ntawm cov cement dua vertebroplasty.

Ua ntej kev phais mob, ib txwm qhia rau koj tus kws kho mob:

• Yog koj xeeb tub
• Cov tshuaj twg koj tau noj, txawm tias koj tau yuav yam tsis muaj daim ntawv yuav tshuaj
• Yog hais tias koj tau haus cawv ntau heev

Thaum lub hnub ua ntej kev phais mob:

• Yuav kom koj tsum tsis txhob noj cov tshuaj aspirin, ibuprofen, coumadin (Warfarin), thiab lwm yam tshuaj uas ua rau koj cov ntshav txhaws nyuaj.
• Nug cov tshuaj twg koj tseem yuav tsum tau noj nyob rau hnub phais mob.
• Yog koj haus luam yeeb, sim nres.

Hnub ntawm kev phais:

• Feem ntau yuav kom koj tsis txhob haus dej los yog noj dab tsi rau ob peb teev ua ntej kev sim.
• Siv cov tshuaj uas koj tus kws kho mob hais kom koj nqa nrog lub pas dej me me.
• Luag yuav hais rau koj thaum yuav tuaj.

Koj yuav nyob mus tsev thaum tib hnub uas raug phais. Koj yuav tsum tsis txhob tsav tsheb, tshwj tsis yog koj tus kws kho mob hais tias OK.

Tom qab cov txheej txheem:

• Koj yuav tsum taug kev. Txawm li cas los xij, nws yog qhov zoo tshaj plaws hauv txaj hauv thawj 24 teev, tshwj tsis yog siv chav dej.
• Tom qab 24 teev, maj mam rov qab los ua koj cov haujlwm txhua hnub.
• Zam kev thauj khoom hnyav thiab sib zog ua haujlwm tsawg kawg 6 lub lis piam.
• Tso dej khov rau thaj chaw mob yog tias koj muaj qhov mob ntawm qhov koob tau ntxig.

Cov neeg uas muaj kyphoplasty feem ntau muaj tsawg dua qhov mob thiab lub neej zoo dua tom qab kev phais. Lawv feem ntau xav tau cov tshuaj kho mob tsawg dua, thiab tuaj yeem txav mus zoo dua li ua ntej.

Pob Tsuas kyphoplasty; Txha caj qaum - kyphoplasty; Compression pob txha lov - kyphoplasty

Evans AJ, Kip KE, Brinjikji W, li al. Randomized tswj mus sib hais ntawm vertebroplasty tiv tiag kyphoplasty nyob rau hauv kev kho mob ntawm vertebral compression pob txha lov. J Neurointerv SurgCov. 2016; 8 (7): 756-763. PMID: 26109687 www.ncbi.nlm.nih.gov/pubmed/26109687.

Savage JW, Anderson PA. Cov pob txha txha txha txhim kho. Hauv: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Kev Mob Plab Hlaub: Kev Tshawb Fawb, Kev Tswj Xyuas, thiab Rov Rov TshawbCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 35.

Weber TJ. Kab mob hauv. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 230.

Williams KD. Kev ua pob txha lov, nti tawm, thiab pob txha tawg-txav ntawm qhov qaum qaum. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chaaj 41.