A cewar Jaridar American Journal of Roentgenology , yin amfani da kwayar cutar a matsayin magani ga cututtukan ƙwayar maganin ƙwaƙwalwar ƙwayar cuta. Amma menene kyatar?
Kyphoplasty wani tsari ne wanda ba shi da kullun wanda aka ba marasa lafiya wadanda suka rasa tsawo a cikin daya ko fiye da jikin jikin mutum saboda cututtukan cututtuka. Kyphoplasty kuma ya hada da vertebroplasty, wanda aka yi domin sarrafa cututtukan da suka shafi fracture.
Dukansu hanyoyi sun haɗa da allurar cimin zuma a cikin kashi, amma a cikin kyamara , an saka maballin wanda aka busa a cikin ƙoƙarin sake mayar da wasu ko dukkanin kasusuwan. Dukkanin tiyata ne da aka yi tare da taimakon gwargwado, inda an saka karamin kamara a cikin yankin; Hoton da aka tsara akan allon yana jagorantar likita yayin da tana aiki.
Kyphoplasties kullum sun ƙunshi kwana ɗaya a asibiti yayin da ake ba da sanyidroplasty a wuraren da ake fitar da su.
Darajar wadannan farfadowa shine cewa (a mafi yawan lokuta) saurin jin zafi zai faru da zarar sun gama. Ba wai kawai ba, amma raunin matsalolin da aka haɗu yana da ƙasa.
Rarraban Kyphoplasty da Vertebroplasty
Kodayake kyakyaran kwayoyi da vertebroplasty sune hanyoyin da aka sani tsakanin likitoci, kuma mai sauƙi a kan mai haƙuri a kan wannan al'amari, har yanzu ana daukar su "masu jayayya." A watan Agustan shekarar 2009, New England Journal of Medicine ta wallafa sakamakon sakamakon ƙananan gwaje-gwajen da aka samu, wanda ya gano cewa marasa lafiya da ke dauke da allurar ciminti da masu karbar maganin inuwa sun ji dadi game da yadda za a taimaka musu.
Wani binciken da aka buga a cikin watan Mayu na 2012 na Tsibirin Orthopedic ya gano cewa farashin da ake yi na gwagwarmaya ba shi da ƙasa. Hakazalika, kashi 40 cikin 100 na marasa lafiya a binciken su (wanda ya dubi mutane 297 waɗanda ke da tsalle-tsalle) sunyi amfani da ciminti a waje da kashi. A cikin wannan binciken, wani mai haƙuri kuma ya yi daidai da karuwar fuka na balloons (tare da hypotension da tachycardia) kuma wani mutum ya shiga kamacciyar zuciya.
Binciken ya ruwaito wasu matsalolin, misali, kamuwa da cuta, da kuma bayanan bayanan, sabon ɓacin zuciya wanda ke buƙatar kyamara.
Sauran furanni a wasu lokuta yana haifar da sabon ciwo na ciwo kuma zai iya ƙara haɗari ga wani ƙananan ƙwayar cuta - a cikin ƙananan kashi. Nazarin karamin, daga Jami'ar Rochester, idan aka kwatanta da vertebroplasties (vertebroplasty hanya ce da ke kama da kyphoplasty), a cikin marasa lafiya 38.
Ɗaya daga cikin rukunin sun sami simintin ciminti yayin da ƙungiyar kwatanta ba ta. Binciken ya gano cewa daga wadanda suka karbi simintin, kashi 58 cikin 100 sun sami raunin wata kalma mai kusa; daga waɗanda ba a warkar da su ba, kawai kashi 12 ne kawai ke fama da raguwa.
A cikin ƙoƙari na warware wasu matsalolin da ke kewaye da ciminti a cikin kyakokiyan kwayoyi da kuma vertebroplasties, wani bita na 2014 wanda aka buga a cikin Biomedical Research International idan aka kwatanta da wadannan hanyoyin zuwa tsarin rashin daidaituwa game da ciwo, nakasa, ingancin rayuwa, sabon fractures, tasiri, kyphosis gyaran gyare-gyare, gyare-gyare na tsinkayyiya, da ciminti da wasu matsalolin.
Masu bincike sun gano cewa ilimin likita biyu ya samar da mafita mafi kyau fiye da kulawar mazan jiya (watau ma'ana). A cikin wannan binciken, matsalolin sun kasance da wuya, amma ba a taɓa ji ba, kuma an gano kyandarin da ya fi kyau fiye da vertebroplasty dangane da yaduwar cimin.
> Sources:
> Bergmann M., Oberkircher L., Bliemel C., Frangen T., Ruchholtz S., Krüger A. Tsarin asibiti da matsalolin da suka danganci balloon kyphoplasty. Orthop Rev (Pavia). Mayu 2012.
> Lin EP, Ekholm S, Hiwatashi A, Westesson PL.Vertebroplasty: sintar da simintin gyare-gyare a cikin kwakwalwar yana ƙara hadarin sabon ɓarkewa na jikin jikin mutum. AJNR Am J Neuroradiol. 2004 Feb; 25 (2): 175-80.
> Long, Suzanne, S. et. al. Vertebroplasty da Kyphoplasty a Amurka: Mai bayarwa Gyara da Jagora, 2001-2010. AJR Disamba 2012 vol. 199 babu. 6 1358-1364 Disa: 10.2214 / AJR.12.8733.
> Papanastassiou, I., Philosophy A., Gerochristou M., Vrionis F. Mahimman al'amurran da suka shafi rikici da kuma vertebroplasty a cikin ƙananan ƙananan ƙananan hanyoyi. Cibiyar Intanit na Halitta. 2014.