Ko te stenosis tuaiwi me te herniation o te kōpae ngā tino take o te pēhanga o te pakiaka io lumbar me te radiculopathy. Ko ngā tohu pēnei i te mamae o te tuara me te waewae nā tēnei rōpū mate ka rerekē rawa, ka kore rānei he tohu, ka tino kino rānei.
He maha ngā rangahau kua whakaatu mai i te korenga o ngā hua rongoā pai mō te tango i te pēhanga i roto i te pokanga ina kore e whai hua ngā maimoatanga kore-pokanga. Mā te whakamahi i ngā tikanga iti rawa te whakaekenga ka whakaiti i ētahi raruraru perioperative, ā, ka whakapoto pea i te wā whakaora o te tūroro ki te whakataurite ki te pokanga tango pēhanga tuwhera o te hope tuku iho.
I roto i tētahi putanga hou o Tech Orthop, ka whakaratohia e Gandhi me ētahi atu o te Drexel University College of Medicine tētahi whakamārama taipitopito mō te whakamahinga o te Tubular Retraction System i roto i te pokanga whakaiti i te pēhanga hope. He tino ngāwari te pānui i te tuhinga, ā, he mea nui hoki hei ako. Ko ngā kaupapa matua o ā rātou tikanga pokanga kua whakamāramahia pototia penei.
Pikitia 1. Ko ngā here e pupuri ana i te pūnaha whakahoki ngongo ka whakatakotoria ki runga i te moenga pokanga i te taha kotahi me te taote pokanga e haere mai ana, ko te ringa-C me te karuārai ka whakatakotoria ki te taha tino watea e ai ki te tahora o te rūma.
Pikitia 2. Whakaahua whakaataata: ka whakamahia ngā pine tūnga tuaiwi i mua i te tapahi i te pokanga hei whakarite i te tūnga tino pai o te tapahi.
Pikitia 3. Tapahi parasagittal me te ira kikorangi e tohu ana i te tūranga waenga.
Pikitia 4. Te whānui haere o te tapahi hei hanga i te awa pokanga.
Pikitia 5. Te tūnga o te Pūnaha Whakahoki Ngongo mā te whakamahi i te whakamātautau hihi-X.
Pikitia 6. Te horoinga o ngā kiko ngohengohe i muri i te pokanga kia pai ai te tirohanga o ngā tohu wheua.
Pikitia 7. Te tango i te kiko kōpae e pupū ake ana mā te whakamahi i te kuku ngau pituitary
Pikitia 8. Te whakaiti i te pēhanga ki te whakamahi i te wiri huri: ka whakahaeretia te wāhi, ka werohia te wai hei horoi i ngā para wheua, hei whakaiti hoki i te nui o te kino wera nā te wera e puta mai ana i te wiri huri.
Pikitia 9. Te werohanga o tētahi rongoā whakamoe ā-rohe roa te mahi ki roto i te tapahi hei whakaiti i te mamae i muri i te tapahi.
I whakatau ngā kaituhi he pai ake pea te whakamahi i te pūnaha tango ngongo mō te whakaiti i te pēhanga hope mā roto i ngā tikanga iti rawa te whakaekenga i ngā pokanga whakatuwheratanga hope tuku iho. He ngāwari te ako, ā, ka taea e te nuinga o ngā taote pokanga te whakaoti haere i ngā take uaua mā roto i te tukanga whakangungu tūpāpaku, te tirotiro, me te mahi ā-ringa.
I te haere tonu o te whanaketanga o te hangarau, e tūmanakohia ana ka taea e ngā taote pokanga te whakaiti i te toto i roto i te pokanga, te mamae, te maha o ngā mate urutā, me te noho hōhipera mā roto i ngā tikanga whakaiti pēhanga iti rawa te whakaekenga.
Wā tuku: Hakihea-15-2023
