{"id":9713,"date":"2024-12-23T13:21:18","date_gmt":"2024-12-23T10:21:18","guid":{"rendered":"https:\/\/ozgurkilickesmez.com\/?p=9713"},"modified":"2025-09-04T21:41:53","modified_gmt":"2025-09-04T18:41:53","slug":"tratamentul-cu-laser-al-herniei-de-disc-lombare","status":"publish","type":"post","link":"https:\/\/ozgurkilickesmez.com\/ro\/tratamentul-cu-laser-al-herniei-de-disc-lombare\/","title":{"rendered":"Tratamentul cu laser al herniei de disc lombare"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">\u00a0Tratamentul cu laser al herniei de disc lombare este o procedur\u0103 minim invaziv\u0103 destinat\u0103 reducerii durerii \u0219i \u00eembun\u0103t\u0103\u021birii mobilit\u0103\u021bii. Laserul permite vaporizarea par\u021bial\u0103 a materialului discal, reduc\u00e2nd presiunea asupra nervilor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Procedura se efectueaz\u0103 percutanat, sub control imagistic, f\u0103r\u0103 incizii mari sau perioade lungi de recuperare. Pacien\u021bii pot reveni rapid la activit\u0103\u021bile cotidiene.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Indica\u021biile includ hernii de disc mici sau moderate, care nu r\u0103spund la tratamente conservatoare. Eficien\u021ba este sporit\u0103 la pacien\u021bii selecta\u021bi corect pe baza investiga\u021biilor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beneficiile includ risc sc\u0103zut de complica\u021bii, spitalizare scurt\u0103 \u0219i reducerea necesit\u0103\u021bii unei interven\u021bii chirurgicale majore. Aceasta face din laser o op\u021biune modern\u0103 \u0219i sigur\u0103.<\/span><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td>Defini\u021bie<\/td>\n<td>&#8211; Metod\u0103 de tratament minim invaziv prin care presiunea intradiscal\u0103 este redus\u0103 cu ajutorul energiei laser. Aceast\u0103 procedur\u0103 diminueaz\u0103 compresia asupra r\u0103d\u0103cinii nervoase prin vaporizarea unei p\u0103r\u021bi din \u021besutul discului \u0219i, implicit, sc\u0103derea volumului discal.<\/td>\n<\/tr>\n<tr>\n<td>Indica\u021bii<\/td>\n<td>&#8211; Durere radicular\u0103 (durerea care iradiaz\u0103 \u00een picior sau \u00een bra\u021b) cauzat\u0103 de hernie lombar\u0103 sau cervical\u0103<\/p>\n<p>&#8211; Hernii discale u\u0219oare \u0219i moderate care nu r\u0103spund la tratament conservator (medica\u021bie, fizioterapie)<\/p>\n<p>&#8211; Dureri cauzate de compresia r\u0103d\u0103cinii nervoase<\/td>\n<\/tr>\n<tr>\n<td>Procedur\u0103<\/td>\n<td>&#8211; Se efectueaz\u0103 cu anestezie local\u0103<\/p>\n<p>&#8211; Sub ghidaj fluoroscopic sau CT, se introduce un ac \u00een discul afectat<\/p>\n<p>&#8211; Prin ac se introduce sonda cu laser<\/p>\n<p>&#8211; Energia laser aplicat\u0103 \u00eenc\u0103lze\u0219te \u0219i vaporizeaz\u0103 o por\u021biune a discului<\/p>\n<p>&#8211; Diminuarea volumului discului reduce presiunea asupra r\u0103d\u0103cinii nervoase<\/td>\n<\/tr>\n<tr>\n<td>Avantaje<\/td>\n<td>&#8211; Este minim invaziv\u0103<\/p>\n<p>&#8211; Nu necesit\u0103 anestezie general\u0103<\/p>\n<p>&#8211; Permite o recuperare rapid\u0103<\/p>\n<p>&#8211; Are un risc redus de complica\u021bii<\/p>\n<p>&#8211; Nu necesit\u0103 incizie chirurgical\u0103<\/td>\n<\/tr>\n<tr>\n<td>Riscuri \u0219i complica\u021bii<\/td>\n<td>&#8211; Disconfort sau durere u\u0219oar\u0103<\/p>\n<p>&#8211; Infec\u021bie (rar)<\/p>\n<p>&#8211; Leziuni nervoase (foarte rar)<\/p>\n<p>&#8211; E\u0219ecul reducerii suficiente a volumului discului \u0219i persisten\u021ba durerii<\/td>\n<\/tr>\n<tr>\n<td>Rat\u0103 de succes<\/td>\n<td>&#8211; Cu o selec\u021bie corect\u0103 a pacientului, se ob\u021bine o reducere a durerii la 70-85% din cazuri<\/td>\n<\/tr>\n<tr>\n<td>Preg\u0103tire<\/td>\n<td>&#8211; Pacientul trebuie s\u0103 informeze medicul cu privire la medica\u021bia anticoagulant\u0103 sau alte tratamente urmate<\/p>\n<p>&#8211; De obicei se recomand\u0103 repaus alimentar \u00eenaintea procedurii<\/p>\n<p>&#8211; Imagistica prin RMN sau CT ajut\u0103 la evaluarea precis\u0103 a herniei discale<\/td>\n<\/tr>\n<tr>\n<td>Durata procedurii<\/td>\n<td>&#8211; Aproximativ 30 de minute<\/td>\n<\/tr>\n<tr>\n<td>Perioada de recuperare<\/td>\n<td>&#8211; Pacientul poate fi externat la circa 2 ore dup\u0103 procedur\u0103<\/p>\n<p>&#8211; Reluarea activit\u0103\u021bilor u\u0219oare este posibil\u0103 \u00een 1-2 zile<\/p>\n<p>&#8211; Ridicarea de greut\u0103\u021bi \u0219i efortul fizic intens trebuie evitate c\u00e2teva s\u0103pt\u0103m\u00e2ni<\/td>\n<\/tr>\n<tr>\n<td>Metode alternative<\/td>\n<td>&#8211; Nucleoplastie<\/p>\n<p>&#8211; Discectomie microchirurgical\u0103<\/p>\n<p>&#8211; Injec\u021bii epidurale cu steroizi<\/p>\n<p>&#8211; Tratamente conservative (fizioterapie, medica\u021bie)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\t<section class=\"section\" id=\"section_620086196\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-990202219\">\n\n\n\t<div id=\"col-1328411911\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\" style=\"background-color:#1c58ef;\" >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-1546223869\">\n\n\n\t<div id=\"col-270976173\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1532803420\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"1020\" height=\"1020\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2025\/08\/Medic-specialist-in-Radiologie-Interventionala-si-Neuroradiologie-1024x1024.webp\" 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20px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-997756601\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2309559096\" class=\"text\">\n\t\t\n\n<p><strong>Prof. Dr. \u00d6zg\u00fcr KILI\u00c7KESMEZ<br \/><\/strong><span style=\"font-size: 65%;\"><em>Radiologie Interven\u021bional\u0103 \/ Neuroradiologie Interven\u021bional\u0103<\/em><\/span><\/p>\n\t\t\n<style>\n#text-2309559096 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-2309559096 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n<p>Prof. Dr. K\u0131l\u0131\u00e7kesmez de\u021bine Certificatul de Competen\u021b\u0103 \u00een Radiologie din Turcia, Certificatul de Competen\u021b\u0103 \u00een Radiologie Interven\u021bional\u0103 din Turcia, Certificarea pentru tratamentul accidentului vascular cerebral \u0219i Certificatul European de Radiologie Interven\u021bional\u0103 (EBIR). \u00cen cariera sa academic\u0103, a c\u00e2\u0219tigat Premiul I Siemens pentru Radiologie \u00een 2008.<\/p>\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/\" class=\"button white lowercase hide-for-small\" style=\"border-radius:15px;\">\n\t\t<span>CV<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/oduller\/\" class=\"button white lowercase hide-for-small\" style=\"border-radius:15px;\">\n\t\t<span>Premii<\/span>\n\t<\/a>\n\n\n<a href=\"https:\/\/www.google.com\/search?sa=X&#038;sca_esv=02ef9b5328b381af&#038;tbm=lcl&#038;q=Prof+%C3%96zg%C3%BCr+K%C4%B1l%C4%B1%C3%A7kesmez+Recenzii&#038;rflfq=1&#038;num=20\" class=\"button white lowercase hide-for-small\" style=\"border-radius:15px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Recenzii<\/span>\n\t<\/a>\n\n\n<div class=\"row show-for-small\"  id=\"row-2069561570\">\n\n\n\t<div id=\"col-1011561898\" class=\"col medium-6 small-6 large-6\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<a 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ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratamentul-cu-laser-al-herniei-de-disc-lombare\/#Ce_inseamna_si_cum_functioneaza_terapia_cu_laser_pentru_hernia_de_disc\" >Ce \u00eenseamn\u0103 \u0219i cum func\u021bioneaz\u0103 terapia cu laser pentru hernia de disc?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratamentul-cu-laser-al-herniei-de-disc-lombare\/#Cat_de_eficienta_este_terapia_cu_laser_in_tratamentul_herniei_lombare\" >C\u00e2t de eficient\u0103 este terapia cu laser \u00een tratamentul herniei lombare?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratamentul-cu-laser-al-herniei-de-disc-lombare\/#Poate_terapia_cu_laser_sa_amelioreze_simptomele_herniei_cervicale\" >Poate terapia cu laser s\u0103 amelioreze simptomele herniei cervicale?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratamentul-cu-laser-al-herniei-de-disc-lombare\/#Care_sunt_avantajele_terapiei_cu_laser_in_comparatie_cu_tratamentele_traditionale_pentru_hernia_de_disc\" >Care sunt avantajele terapiei cu laser \u00een compara\u021bie cu tratamentele tradi\u021bionale pentru hernia de disc?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratamentul-cu-laser-al-herniei-de-disc-lombare\/#Exista_riscuri_sau_efecte_secundare_asociate_terapiei_cu_laser_pentru_hernia_de_disc\" >Exist\u0103 riscuri sau efecte secundare asociate terapiei cu laser pentru hernia de disc?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratamentul-cu-laser-al-herniei-de-disc-lombare\/#Cine_este_candidatul_ideal_pentru_terapia_cu_laser_in_hernia_de_disc\" >Cine este candidatul ideal pentru terapia cu laser \u00een hernia de disc?<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Ce_inseamna_si_cum_functioneaza_terapia_cu_laser_pentru_hernia_de_disc\"><\/span>Ce \u00eenseamn\u0103 \u0219i cum func\u021bioneaz\u0103 terapia cu laser pentru hernia de disc?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><iframe title=\"Bel, Boyun F\u0131t\u0131klar\u0131 ve Ameliyats\u0131z Tedavileri Hakk\u0131nda Merak Edilenler| Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez\" width=\"1020\" height=\"574\" src=\"https:\/\/www.youtube.com\/embed\/khWLPSUpC4o?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>Hernia de disc (lombar\u0103 sau cervical\u0103) apare c\u00e2nd discurile intervertebrale \u00ee\u0219i pierd integritatea structural\u0103 \u0219i exercit\u0103 presiune asupra r\u0103d\u0103cinilor nervoase, cauz\u00e2nd durere, amor\u021beal\u0103 \u0219i deficit func\u021bional. Tratamentul cu laser este o metod\u0103 minim invaziv\u0103 modern\u0103, aplicat\u0103 prin dou\u0103 modalit\u0103\u021bi principale: decompresia percutan\u0103 cu laser a discului (PLDD) \u0219i laserul cu nivel redus (LLLT). Totodat\u0103, laserul de \u00eenalt\u0103 intensitate (High-Intensity Laser Therapy \u2013 HILT) se remarc\u0103 drept o alt\u0103 op\u021biune eficient\u0103.<\/p>\n<p>PLDD vizeaz\u0103 reducerea presiunii \u00een discul herniat. Sub ghidaj imagistic, o sond\u0103 laser se introduce prin intermediul unui ac \u00een interiorul discului, iar energia laser vaporizeaz\u0103 par\u021bial nucleul pulpos, mic\u0219or\u00e2nd volumul acestuia \u0219i diminu\u00e2nd compresia. Astfel, presiunea asupra r\u0103d\u0103cinilor nervoase scade \u0219i, implicit, se atenueaz\u0103 durerea. PLDD are un procent de succes de 75-87% \u0219i prezint\u0103 un risc sc\u0103zut de complica\u021bii.<\/p>\n<p>LLLT folose\u0219te efectele biochimice ale laserului pentru a ameliora inflama\u021bia \u0219i a calma durerea, acceler\u00e2nd procesele de vindecare \u0219i regenerare tisular\u0103.<\/p>\n<p>HILT este o metod\u0103 care p\u0103trunde mai profund \u00een \u021besuturi, combin\u00e2nd efectele termice \u0219i fotochimice. Cre\u0219te oxigenarea local\u0103 \u0219i favorizeaz\u0103 repararea \u021besuturilor. Aceast\u0103 terapie este util\u0103 \u00een special \u00een cazurile de durere cronic\u0103 \u0219i pierdere a func\u021biei motorii.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cat_de_eficienta_este_terapia_cu_laser_in_tratamentul_herniei_lombare\"><\/span>C\u00e2t de eficient\u0103 este terapia cu laser \u00een tratamentul herniei lombare?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00cen ultimii ani, terapia cu laser s-a afirmat ca o abordare inovatoare \u00een hernia lombar\u0103. Metode precum LLLT, PLDD \u0219i HILT sunt orientate spre reducerea durerii \u0219i \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii, av\u00e2nd un impact minim invaziv asupra pacientului.<\/p>\n<p>Studiile privind LLLT arat\u0103 eficien\u021ba sa \u00een reducerea durerilor de spate \u0219i de picior. O meta-analiz\u0103 din 2023 indic\u0103 un efect semnificativ \u00een sc\u0103derea durerii \u0219i a gradului de dizabilitate comparativ cu grupurile de control inactiv. Totu\u0219i, calitatea probelor \u0219tiin\u021bifice variaz\u0103 de la sc\u0103zut la moderat, fiind nevoie de studii mai ample. Asocierea LLLT cu alte metode tradi\u021bionale (fizioterapie, exerci\u021bii) cre\u0219te eficacitatea \u00een gestionarea durerii.<\/p>\n<p>PLDD a fost efectuat\u0103 de peste 35.000 de ori la nivel mondial p\u00e2n\u0103 \u00een 2006, constituind o alternativ\u0103 la interven\u021bia chirurgical\u0103, cu o recuperare mai rapid\u0103. Totu\u0219i, lipsa studiilor randomizate controle cre\u0219te incertitudinea privind eficien\u021ba \u0219i siguran\u021ba sa pe termen lung. Conform unui review din 2009, PLDD ofer\u0103 amelior\u0103ri moderate ale durerii at\u00e2t pe termen scurt, c\u00e2t \u0219i lung.<\/p>\n<p>HILT, \u00een schimb, accentueaz\u0103 \u00eembun\u0103t\u0103\u021birea for\u021bei musculare \u0219i a func\u021bionalit\u0103\u021bii. Un studiu din 2024 a demonstrat c\u0103 HILT spore\u0219te for\u021ba muscular\u0103 \u0219i reduce riscul de c\u0103dere, fa\u021b\u0103 de programele de reabilitare clasice, oferind beneficii suplimentare mai ales \u00een recuperarea func\u021bional\u0103.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Poate_terapia_cu_laser_sa_amelioreze_simptomele_herniei_cervicale\"><\/span>Poate terapia cu laser s\u0103 amelioreze simptomele herniei cervicale?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hernia cervical\u0103 afecteaz\u0103 calitatea vie\u021bii prin durere, limitarea mobilit\u0103\u021bii \u0219i deficite func\u021bionale. Printre terapiile moderne, laserul de \u00eenalt\u0103 intensitate (HILT) se eviden\u021biaz\u0103 prin cre\u0219terea fluxului sanguin local \u0219i reducerea proceselor inflamatorii. Unele studii demonstreaz\u0103 c\u0103 HILT este eficient \u00een managementul durerii \u0219i, combinat cu exerci\u021bii terapeutice, asigur\u0103 o ameliorare important\u0103.<\/p>\n<p>Comparativ cu modalit\u0103\u021bi precum ultrasunetele (US) \u0219i stimularea electric\u0103 transcutanat\u0103 a nervilor (TENS), HILT are rezultate similare \u00een ceea ce prive\u0219te controlul durerii \u0219i \u00eembun\u0103t\u0103\u021birea amplitudinii mi\u0219c\u0103rilor. Studiile clinice randomizate arat\u0103 c\u0103 pacien\u021bii trata\u021bi cu laser raporteaz\u0103 at\u00e2t diminuarea durerii, c\u00e2t \u0219i cre\u0219terea mobilit\u0103\u021bii cervicale, cu efecte benefice asupra calit\u0103\u021bii vie\u021bii.<\/p>\n<p>\u00cen plus, HILT ofer\u0103 un bun profil de siguran\u021b\u0103, reac\u021biile adverse fiind rare. Studiile multicentrice confirm\u0103 eficacitatea comparabil\u0103 a laserului cu fizioterapia, ambele metode aduc\u00e2nd \u00eembun\u0103t\u0103\u021biri semnificative \u00een simptomele herniei cervicale.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Care_sunt_avantajele_terapiei_cu_laser_in_comparatie_cu_tratamentele_traditionale_pentru_hernia_de_disc\"><\/span>Care sunt avantajele terapiei cu laser \u00een compara\u021bie cu tratamentele tradi\u021bionale pentru hernia de disc?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Terapia cu laser se distinge \u00een tratamentul herniei de disc prin abord\u0103ri minim invazive. Spre deosebire de metodele chirurgicale clasice, care implic\u0103 incizii mari, procedurile laser (precum PLDD) folosesc doar un ac sub\u021bire pentru a livra energia direct \u00een discul afectat. Acest mod de lucru reduce semnificativ riscurile asociate unei interven\u021bii chirurgicale, inclusiv s\u00e2ngerarea \u0219i infec\u021biile.<\/p>\n<p>De asemenea, timpul de recuperare este considerabil mai scurt, iar pacien\u021bii pot reveni mai repede la activit\u0103\u021bile obi\u0219nuite. Prin protejarea \u021besuturilor \u00eenvecinate \u0219i evitarea traumatismelor extinse, terapia cu laser minimizeaz\u0103 posibilitatea complica\u021biilor \u0219i scade durerea postoperatorie.<\/p>\n<p>Din perspectiv\u0103 economic\u0103, hospitalizarea scurt\u0103 \u0219i reluarea rapid\u0103 a activit\u0103\u021bilor contribuie la reducerea costurilor. Mai mult, nivelul mare de precizie al laserului vizeaz\u0103 doar \u021besutul afectat, p\u0103str\u00e2nd structurile adiacente.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Exista_riscuri_sau_efecte_secundare_asociate_terapiei_cu_laser_pentru_hernia_de_disc\"><\/span>Exist\u0103 riscuri sau efecte secundare asociate terapiei cu laser pentru hernia de disc?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>De\u0219i PLDD (decompresia percutan\u0103 cu laser a discului) reprezint\u0103 o alternativ\u0103 minim invaziv\u0103 la chirurgia clasic\u0103, este important s\u0103 se ia \u00een considerare anumite riscuri \u0219i reac\u021bii adverse poten\u021biale. Infec\u021biile, de exemplu, sunt rare (sub 1%) \u0219i pot fi prevenite printr-o sterilizare corespunz\u0103toare.<\/p>\n<p>S\u00e2ngerarea este un alt efect secundar rar, asociat introducerii acului \u00een zona discului, dar situa\u021biile \u00een care apar hemoragii semnificative sunt extrem de rare (sub 0,5%). Leziunea nervoas\u0103 are o probabilitate sc\u0103zut\u0103 \u0219i implic\u0103 cel mai adesea efecte tranzitorii c\u00e2nd acul vine \u00een contact cu r\u0103d\u0103cinile nervoase.<\/p>\n<p>O posibil\u0103 complica\u021bie mai grav\u0103 este discita (infec\u021bia discului), care apare foarte rar (sub 0,3%). Recidiva durerii survine \u00een 5-10% dintre cazuri, un procent comparabil cu cel al procedurilor chirurgicale tradi\u021bionale. Riscul de instabilitate vertebral\u0103 este mai mic, av\u00e2nd \u00een vedere abordarea minim invaziv\u0103 \u0219i extragerea limitat\u0103 de \u021besut discal.<\/p>\n<p>Global, PLDD prezint\u0103 rate de complica\u021bii mai mici \u0219i perioade de recuperare mai rapide fa\u021b\u0103 de discectomia clasic\u0103.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cine_este_candidatul_ideal_pentru_terapia_cu_laser_in_hernia_de_disc\"><\/span>Cine este candidatul ideal pentru terapia cu laser \u00een hernia de disc?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>\u00cen tratamentul herniei lombare sau cervicale, procedura cu laser, \u00een special PLDD, este deosebit de util\u0103 pentru anumi\u021bi pacien\u021bi. Eficien\u021ba maxim\u0103 se ob\u021bine \u00een cazul herniilor \u201e\u00eenchise\u201d, unde nucleul pulpos nu a traversat integral inelul fibros (annulus fibrosus). \u00cen aceste situa\u021bii, rata de succes variaz\u0103 \u00eentre 70 \u0219i 89%.<\/p>\n<p>Durata simptomelor influen\u021beaz\u0103 eligibilitatea: pacien\u021bii cu sciatic\u0103 cronic\u0103 peste 8 s\u0103pt\u0103m\u00e2ni pot fi candida\u021bi buni. De regul\u0103, PLDD este recomandat\u0103 persoanelor cu v\u00e2rsta cuprins\u0103 \u00eentre 18 \u0219i 70 de ani, iar m\u0103rimea proeminen\u021bei discale nu ar trebui s\u0103 dep\u0103\u0219easc\u0103 o treime din lumenul canalului spinal.<\/p>\n<p>De asemenea, procedura nu este indicat\u0103 \u00een cazul sechestr\u0103rii discale (c\u00e2nd fragmente de disc sunt complet deta\u0219ate \u00een canal) sau \u00een prezen\u021ba altor afec\u021biuni ale coloanei (deform\u0103ri severe, stenoze laterale). Pacien\u021bii care nu au r\u0103spuns la tratamente conservatoare (ex. fizioterapie, medica\u021bie) \u0219i nu au suferit numeroase interven\u021bii chirurgicale la nivelul coloanei pot ob\u021bine rezultate mai bune cu PLDD.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Tratamentul cu laser al herniei de disc lombare este o procedur\u0103 minim invaziv\u0103 destinat\u0103 reducerii durerii \u0219i \u00eembun\u0103t\u0103\u021birii mobilit\u0103\u021bii. Laserul permite vaporizarea par\u021bial\u0103 a materialului discal, reduc\u00e2nd presiunea asupra nervilor. Procedura se efectueaz\u0103 percutanat, sub control imagistic, f\u0103r\u0103 incizii mari sau perioade lungi de recuperare. Pacien\u021bii pot reveni rapid la activit\u0103\u021bile cotidiene. Indica\u021biile includ hernii [&#8230;]\n","protected":false},"author":2,"featured_media":9717,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-9713","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/comments?post=9713"}],"version-history":[{"count":2,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9713\/revisions"}],"predecessor-version":[{"id":12118,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9713\/revisions\/12118"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media\/9717"}],"wp:attachment":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media?parent=9713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/categories?post=9713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/tags?post=9713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}