Anw ko la
Changzhou Meditech Teknoloji Co., Ltd., min bɛ Changzhou Science & Education Town, Jiangsu mara la,a kɛrɛnkɛrɛnnen don kolotugudaw ni minɛnw dilanni na.
San 10 ni kɔ ɲinini ni yiriwali kɔfɛ, An bɛ ni fɛnba 10 ye minnu bɛ tugu ɲɔgɔn na ani olu ye kɔkolo sigida, wuluwulu kɔnɔna na, joginda plati ni kuru sitɛmu, dasiri plati ni kuru sitɛmu, CMF sitɛmu, kɛnɛma fixator sitɛmu, furakɛli fanga baarakɛminɛnw sigicogo, opereli minɛnw bɛɛ lajɛlen sitɛmu, sterilize minɛnw sigicogo ani baganw ka koloci sira.
An kɛlen furakɛli minɛnw feerela ye min ka dɔnniya ka ca ni san tan ye, ani ni CE ni ISO seereyaw ye, an ka fɛn dilannenw bilala jamana caman na i n’a fɔ Ameriki, Alimanjamana, Arzantine, Sili, Mɛkisiki, Ɛndujamana,Tayilandi, Malasi, Turki, Misira, Afiriki tilebinyanfan, Côte d’Ivoire, a ɲɔgɔnnaw.
'jogo fɔlɔ, baara fɔlɔ, R&D fɔlɔ, kokuradon fɔlɔ' sariyakolo kɔnɔ, an ka tɔn bɛ tɔgɔ ɲuman sɔrɔ jamana kɔnɔ ani jamana kɔkan. Sosiyete bɛ banabagatɔw nafa k’a kɛ a ka laɲini banbali ye, wa a bɛ cɛsiriw kɛ minnu tɛ ban hadamadenw ka kɛnɛyako la.
Kɔnɔbara opereli
Kɔkolo opereli suguya caman bɛ yen, kɛrɛnkɛrɛnnenya la, u tɛ don mɔgɔ caman na ani u bɛ da wuli. Kɔkolo karilen dɔw, disiki kirinni, kɔkolo sɔgɔsɔgɔninjɛ, sɔgɔsɔgɔninjɛ bɛ se ka furakɛ opereli fɛ. Opereli min bɛ kɛ ni fɛn fitinin ye, o bɛ kɛ kɛrɛnkɛrɛnnenya la: kɔkolo tigɛcogo, a bɔli ni radiofrequence ye, nucléus pulposus bɔli endoscopique, pedicle screw rod kɔnɔna sirili farikolo la, a ɲɔgɔnnaw Opereli dafalen bɛ kɛ kɛrɛnkɛrɛnnenya la ka da wulilen dɔgɔya ani ka kɔnɔna siri, laminectomy, da wulilen decompression ani kɔnɔna sirili, a ɲɔgɔnnaw Wa an bɛna ninnu jira kelen kelen:
A. Kɔnɔbara basigilen
Walasa ka kɔnɔbara basigilen opereli, kɔnɔbara basigilen miyɛlopati, ani kɔnɔbara kɔkolo kɔfɛla janya koloci, dɔgɔtɔrɔso dɔw walima dɔgɔtɔrɔ dɔw bɛ ɲɛfɛla opereli walima kɔfɛla opereli dɔrɔn de kɛ. Tiɲɛ na, opereli suguya caman bɛ yen i bɛ se ka minnu sugandi. Mɔgɔw bɛ se kosɛbɛ nin opereli suguya ninnu na, minnu bɛ se ka kɛ cogo bɛnnen na ka kɛɲɛ ni cogoya wɛrɛw ye, k’a sɔrɔ fɛɛrɛko, cogoyaw, ani hakilina fitininw tɛ, wa u bɛ tulon dafalen kɛ opereli suguya wɛrɛw nafa kelen-kelen bɛɛ la. Ni kɔnɔbara basigilen gɛlɛn don, degun ni a sirili ɲɛfɛla ni kɔfɛla fila bɛɛ fɛ, o bɛ se ka dɔgɔtɔrɔso ladonni waati surunya kosɛbɛ, wa degun dafalen nɔ ka fisa.
Kɔnɔbara ɲɛfɛla decompression ni fusion ni kolotuguda ani kɔnɔna fixation :
A bɛ se ka kɛ kɔnɔbara basigilen na ni kɔkolo cɛ disiki bɔli ye spur jiriw degun yɔrɔ surunw (yɔrɔ 1-3) la. Nafa b’a la ka joginda tigɛcogo tilennen sɔrɔ, o min ka nɔgɔn kosɛbɛ, wa a ka nɔgɔn. O ye opereli kɛcogo kɔrɔ ye min ka teli ka kɛ ani fɛɛrɛ jɔnjɔn ye min bɛ kɛ ka kɔnɔbara basigilen furakɛ.
Kɔnɔbara kɔfɛla decompression ani laminoplastie : .
A bɛ se ka kɛ kɔnɔbara basigilen na ni kɔkolo ni kɔkolo cɛ disiki degun hakɛ ni a yɔrɔ ye ani kɔkolo kanal sɔgɔsɔgɔli, ka fara ɲɛfɛla degun jugumanba kan (kɔkolo janya koloci, kɔkolo ni kɔkolo cɛ disiki). A bɛ decompression indirecte (decompression indirect) la, nafa min bɛ a la ka kɔnɔbara lamagacogo lakana, wa a farati ka bon kosɛbɛ.
Disiki min bɛ kɛ ka kɔnɔbara basigilen caman cili kɛ: .
A bɛ kɛ banabagatɔw la minnu si tɛ san 60 bɔ, ni disiki ɲɛfɛla kunkurunninw degun bɛ u la. Hali ni a bɛ kɔkolo degunni bɔ a la ani ka a lajɔ, a bɛ kɔnɔbara basigilen baara mara, ka dɔ bɔ a kɛrɛfɛ yɔrɔw tiɲɛni teliya la, walasa banabagatɔw ka se ka taa joona opereli kɔfɛ ani ka baara kɛ ka surunya farikolo cogoya la.
Taabolo fɔlɔ kɔnɔbara ɲɛfɛla ni kɔfɛla decompression ni fixation
Decompression dafalen don ani farati tɛ a la, a bɛnnen don kɔnɔbara basigilen jugumanba ni kɛrɛnkɛrɛnnen ma. Ni kɔnɔbara basigilen miyɛlopathie bɛ ni clamp type walima long segment spinal stenosis ani ɲɛfɛla degunba ye, dan dɔw bɛ ɲɛfɛ walima kɔfɛ opereli dɔrɔn na. An bɛ jiginni jɔyɔrɔ ta kɔfɛ opereli kama, o kɔfɛ, an bɛ sigiyɔrɔ ta ka ɲɛfɛla opereli kɛ, ani ɲɛfɛla ni kɔfɛ decompression (decompression) fɔlɔ.
Nafa minnu bɛ a la : Kɔfɛla degun kɔfɛ, kɔkolo kɔkolo bɛ se ka wuli ka taa kɔfɛ, yɔrɔ min bɛ kɔkolo ɲɛfɛla la, o bɛ bonya dɔɔni dɔɔni, ani degun min bɛ kɔkolo kan, o bɛ dɔgɔya, o bɛ dɔ bɔ ɲɛfɛla opereli farati la. O waati kelen na, fan fila degun bɛ lafiya, degun bɛ ban, a nɔ bɛ ye, wa a bɛ dɛmɛ don kɔkolo baara seginni na; a bɛ dɔ bɔ banabagatɔw ka dimi na, wa a ka nɔgɔn banabagatɔw bolo ka sɔn a ma. A bɛ a yɛrɛ tanga dɔgɔtɔrɔso ladonni nafaw ma siɲɛ fila, opereli filanan, bana kuntaalajan, ani ka dɔgɔtɔrɔso musakaw bɔ.
Kɔnɔnatumu kɔfɛla decompression ani discectomie
Ni aw ye a suma ni ɲɛfɛla fɛɛrɛ ye, kɔfɛla kɔkolo foroko decompression tɛ kolotugudaw farali wajibiya, wa a tɛ bɔnɛ kɔnɔbara kɔkolo lamagacogo la. Disiki kɔfɛla sɔgɔsɔgɔninjɛ nucleus pulposus bɔli kɔfɛla fɛɛrɛ fɛ, o bɛ kɛ yeli siratigɛ la, wa a ka nɔgɔn kosɛbɛ, o la a farati tɛ ani a bɛ se ka da a kan. A taamasiɲɛw : kɔkolo kɔkanna disiki kirinni, kɔkolo ni kɔkolo ni kɔkolo cɛ sɔgɔsɔgɔninjɛ hakɛ kelen, kɔkolo ni kɔkolo cɛ sɔgɔsɔgɔninjɛ hakɛ caman na ni kɔkolo cɛmancɛ kanal sɔgɔsɔgɔninjɛ tɛ, ani jirisun taamasiɲɛ minnu bɛ to sen na disquectomie anterior ni fusion kɔfɛ.
Opereli kɛli kɔkolo sanfɛla bana na
Joginniw ni banaw bɛ se ka kɛ kɔkolo sanfɛla la. K’a sababu kɛ farikolo yɔrɔw jɔcogo gɛlɛn ye, dɔgɔtɔrɔso fanba tɛ se k’u furakɛ. Misali la, atlantoaxial fracture and dislocation, atlanto occipital malformation, ani rheumatoid upper cervical spondylopathy, ɲɛfɛla bɔli ni kɔfɛla sirili bɛ se ka kɛ ka jiginni dɔgɔya, ka kɔkolo degun lajɔ, ani ka mɔgɔ kisi.
B.Kɔnɔbara basigilen, kɔkolo sɔgɔsɔgɔninjɛ, kɔkolo sɔgɔsɔgɔninjɛ, kɔdimi min bɛ sɔrɔ discogenic fɛ
Kɔnɔnatumuw ni ɲɔgɔn cɛ fusili tɛ kɛ sababu ye ka basibɔn kolo bɔli kɛ kɔkolo sɔgɔsɔgɔninjɛ walima kɔkolo sɔgɔsɔgɔninjɛ la min bɛ sɔrɔ kun caman fɛ. Opereli kun fɔlɔ ye ka farikolo yɔrɔw degun. Ni kɔkolo ma sabati, kɔkolo fusili bɛ dɔn ka kɛɲɛ ni basigibaliya ni kɔkolo sɔgɔsɔgɔli hakɛ ye. Kɔnɔbara kɔfɛla kolotuguda (PLF) walima farikolo cɛmancɛ kolotuguda (PLIF) bɛ sugandi ka kɛɲɛ ni a bɛnnen don pedicle screw kɔnɔna sirili ma. PLIF la, kolotuguda bɛɛ bɔlen kɔfɛ ani inferior articular process complex (median incision) bɛ kɛ farikolo ni ɲɔgɔn cɛ koloci teliya la, o min tɛ kolo sɔgɔlifɛn ɲuman sɔrɔ dɔrɔn, nka a bɛ kolo fana ta ka bɔ basibɔn na walima ka farikolo ni ɲɔgɔn cɛ fusion cage san, o bɛ kolo bɔli gɛlɛyaw ban ani ka opereli musakaw dɔgɔya kosɛbɛ.
Disiki kɔkolo sɔgɔsɔgɔninjɛ
Ka kɛɲɛ ni bana suguya wɛrɛw ye, nucleus pulposus fenestration, laminectomy ani discectomy (tuma dɔw la ni kolotuguda fusili ni kɔnɔna fixation ye) ani disiki artificiel cili bɛ sugandi.
Kɔnɔbara basigilen sɔgɔsɔgɔninjɛ
Kɔkolo kanal ni nɛrɛmuguma kanal decompression bɛ se ka kɛ. Banabagatɔ minnu kɔkolo basigibaliya bɛ u la, fixation dynamique walima fixation fusion ka kan ka kɛ ka kɛɲɛ ni sugandili ye, walasa banabagatɔw ka se ka furakɛli kuntilenna sɔrɔ ni musaka dɔgɔman ye ani ka jateminɛw sɔrɔ minnu bɛ u wasa.
1) Kɔnɔbara basigilen jɔli fangama - a tɛ kɔkolo sabati dɔrɔn, nka a bɛ kɔkolo lamagacogo baara fana mara. A nafaw ye ninnu ye: (1)a bɛ se ka dɔ bɔ kosɛbɛ kɔkolo ni kɔkolo cɛ disiki degun na ani ka kɔkolo ni kɔkolo cɛ disiki tiɲɛni bali; (2)Jɛɲɔgɔnya elastiki bɛ lamaga-lamagali yɔrɔ ka balansi sabatilen mara ani k’a lasegin a cogo kɔrɔ la.
2) Kɔkolo kanal decompression opereli min tɛ fɛn caman kɛ ni farikolo dafalen maralen ye - opereli fɛɛrɛ kɔrɔlen don min donna ka bɔ jamana kɔkan. Ni a ɲɛnabɔra ka taa a fɛ, opereli bɛ tigɛ fitini dɔ kɛ, a tɛ farikolo yɔrɔw bɔ, a bɛ ligaments ni vertebrae cogoya mara, ani decompression (decompression) min bɛ kɛ ni lupu ni mikroskɔpu ye, o bɛ se ka da a kan kosɛbɛ, a tɛ kɔkolo sabatili tiɲɛ, wa opereli kɔfɛ jaabi nɔgɔman bɛ sɔrɔ a la. Banabagatɔw bɛ se ka taama tile filanan na, ka bɔ dɔgɔtɔrɔso la tile 5-7 o kɔfɛ.
Kɔnɔnatumuw ka sɔgɔsɔgɔninjɛ
O ye taamasiɲɛ ɲuman ye decompression ni reduction, kolotuguda fusili, ani pedicle kɔnɔna sirili la. O fana ye opereli suguya ye min ka teli ka kɛ ni titaniyɔmu plati fixation ye. Opereli ka gɛlɛn ani a bonya ka bon. Kɔnɔbara basigilen sababu walima a daminɛ na, n’o ye kɔkolo sɔgɔsɔgɔninjɛ ye, o ɲɛnabɔli ka nɔgɔn kosɛbɛ waati kɔnɔ.
1) Kɔnɔbara basigilen bɛ se ka sɔrɔ kɔkolo yɔrɔ dɔ karilen sɛgɛn fɛ (isthmus, joli misɛnniw) ka a sababu kɛ farikoloɲɛnajɛ segin-segin ye. Ni a ma kɛnɛya, walasa ka kɔkolo sɔgɔsɔgɔninjɛ bali, kɛrɛnkɛrɛnnenya la ni a taamasiɲɛw jɛlen don, kolotuguda bɛ se ka kɛ ka sɔgɔsɔgɔninjɛ dilan, ka kuru fila ani titaniyɔmu kabɔri, o ka nɔgɔn ani farati tɛ a la.
2) Kɔkolo sɔgɔsɔgɔninjɛ furakɛra ni opereli da wulilen dɔgɔyali ye, kolotugudaw ni kolotugudaw cɛ sɔgɔsɔgɔninjɛ (PLIF), ani pedicle kɔnɔna sirili ye. Opereli kun fɔlɔ ye ka farikolo yɔrɔw degun. Ni PLIF peek lumbar fusion cage kɛra, vertebral cage arch bɛɛ ni inferior articular process complex (median incision) bɛ kɛ i n’a fɔ koloci teliyalen farikolo ni ɲɔgɔn cɛ, o tɛ se ka kolocifɛn ɲuman sɔrɔ dɔrɔn, nka a bɛ se ka kolo ta fana ka bɔ cɛya la walima ka farikolo ni ɲɔgɔn cɛ fusion minɛn san (interbody fusion cage), o bɛ kolo bɔli gɛlɛyaw ban, ani ka dɔ bɔ kosɛbɛ opereli musakaw la.
Kɔdimi min bɛ kɛ ni diskojeni ye
Kɔnɔbara basigilen fangama, disiki dilannen caman cili ani farikolo ni ɲɔgɔn cɛ fusili (ɲɛfɛ walima kɔfɛ) de sugandira.
C. Kɔkolo karilen
K’a ta kɔnɔbara sanfɛla karilen na ka taa a bila kɔkolo sanfɛla karilen na, kɔkolo ɲɛfɛla walima kɔfɛla decompression ni fixation bɛ kɛ.
1. Opereli kɔnɔ miyɛlografi ani decompression transpediculaire
Barajuru karilen dɔgɔyali da wulilen na, a degunbaliya ani a kɔnɔna sirili la, degun nɔ bɛ se ka kɔlɔsi ka ɲɛ walasa ka joginda iatrojeni dɔgɔya.
2. Kifoplasti min bɛ kɛ farikolo la min tɛ fɛn caman kɛ, o bɛ kɛ ka kɔkolo degun karilenw furakɛ mɔgɔkɔrɔbaw la
Kolo siman pikirijikɛlan kelen dɔrɔn de bɛ se ka pikiri kɛ. O ye fɛɛrɛ lakika ye min tɛ fɛn caman kɛ walasa ka dimi mada ani ka bɔ dilan kan tile 1-3 opereli kɔfɛ.
D. Kɔkolo opereli min tɛ fɛn caman kɛ
A. Kɔkolo opereli min tɛ fɛn caman kɛ (MISS) laɲini ye ka opereli kɛcogo kɔrɔw nɔ sɔrɔ ani ka opereli joginda dɔgɔya ni a bɛ se ka kɛ, walasa ka dɔ bɔ gɛlɛyaw la, joli bɔli opereli senfɛ, dɔgɔtɔrɔso la, a ɲɔgɔnnaw, walasa banabagatɔw ka se ka kɛnɛya ani ka segin u ka ɲɛnamaya kɛcogo kɔrɔ la ani ka baara kɛ joona.
Opereli kunbaba minnu bɛ kɛ ni fɛn fitininw ye, olu dɔw ye:
Endoskopi fɛɛrɛ ye
Kɔnɔbara basigilen bɛ a jira ko operelikɛla, ni X-ray walima navigatiɔn ɲɛminɛni ye opereli senfɛ, a bɛ baara kɛ ni sɔgɔsɔgɔninjɛ bonya baarakɛminɛnw ye walasa ka sɔgɔsɔgɔninjɛ kɛ ka bɔ fari la ka taa kɔkolo joginda la, ka endoskopi ni opereli opereli siraw sigi sen kan, ka ji kɛ fɛn ye, ka kɔnɔna jaabiw ni joginda bonya ani k’u jira jiralan kan min bɛ ɲɛfɔli kɛ kosɛbɛ, ani dɔgɔtɔrɔ bɛ opereli kɛ ɛkran fɛ ja. Opereli fɛɛrɛ minnu bɛ kɛ ka caya, olu ye: kɔkolo kɔkanna endoskopi, kɔkolo kɔfɛla lamina approach endoskopi, ani kɔkolo kɔfɛla endoskopi opereli. Ni aw ye a suma ni laadala opereli walima opereli fitinin ye, nafa ninnu bɛ a la: (1) A taamasiɲɛw ka bon, joli misɛnniw ni joginda, tiɲɛni tɛ kɔkolo cogoya la min bɛ kɛ cogo la, wa a ka ca a la, tigɛyɔrɔ tɛ santimɛtɛrɛ 1 bɔ (2) Opereli bɛ se ka sugandi sigida la anestezi fɛ, wa kumaɲɔgɔnya bɛ kɛ waati yɛrɛ la dɔgɔtɔrɔw ni banabagatɔw cɛ walasa ka opereli nɔgɔya ani ka farikolojidɛsɛ bali opereli kɔnɔ; (3) Gɛlɛya minnu ka dɔgɔn, a bɛ kɛnɛya joona, a bɛ se ka bɔ dilan kan opereli kɔfɛ, ka bɔ kɛnɛyaso la tile 1-2 kɔnɔ, walima ka opereli kɛ kɛnɛma; (4) Banakisɛw sɔrɔli hakɛ dɔgɔyara; (5) Gɛlɛya min bɛ mɛn senna, n’o ye ka yɔrɔ kɛrɛfɛtaw tiɲɛni teliya la fusili daminɛ na, o bɛ kɔlɔsi. Nafa minnu bɛ a la, olu dɔw ye ninnu ye: (1) A bɛ segin-ka-bɔnye hakɛ dɔ la. Ni a seginna ka kɛ, opereli seginni bɛna gɛlɛya ani farati bɛ a la ka a sababu kɛ opereli fɔlɔ nɔw nɔrɔli ye. (2) Gɛlɛya dɔw bɛ yen, i n’a fɔ nucleus pulposus tolenw degun, dural ni nerve root joginw, kɔkolo ni kɔkolo ni ɲɔgɔn cɛ yɔrɔ banakisɛ, joli bɔli, opereli kɔfɛ dusukunnataw la (3) Opereli taamasiɲɛw ye kelen ye, kɛrɛnkɛrɛnnenya la, kɔkolo ni kɔkolo ni kɔkolo cɛ disiki nɔgɔman furakɛli kama. Ni kɔkolo ni kɔkolo cɛ disiki kirinni gɛlɛn don walima ni kɔkolo sɔgɔsɔgɔninjɛ faralen don ɲɔgɔn kan, o fana bɛ se ka furakɛ. Ni a nɔ man ɲi, opereli dafalen ka kan ka kɛ tuguni.
2. Fusion ni kɔnɔna fixation fɛɛrɛ min tɛ fɛn caman kɛ
Kɔnɔbara basigilen ni kɔnɔnafili ye opereli fɛɛrɛ jɔnjɔn ye kɔkolo banaw furakɛli la. Kɔnɔbara ɲɛfɛla, ɲɛfɛla, kɔfɛla, kɔfɛla ani kɔfɛla siraw fɛ, kolotuguda walima fusili cage, facet joint ni intertransverse process bɛ don kɔkolo ni ɲɔgɔn cɛ yɔrɔ la, walasa kolo sirili ka se ka kɛ kɔkolo kolotugudaw ni ɲɔgɔn cɛ, o la kɔkolo sabatili bɛ sigi sen kan ani k’a mara. Hakilila la, opereli yɔrɔ tɛna segin ka kɛ. Fusiyɔn min tɛ fɛn caman kɛ ani min bɛ kɛ ka kɔnɔnafili, olu ye fɛnɲɛnamafagalanw ye minnu tɛ fɛn caman kɛ transforaminal lumbar interbody fusion (MIS-TLIF) ani fusion lateral lumbar interbody (LLIF) min tɛ fɛn caman kɛ (LLIF). LLIF fana bɛ kɛ ni kafo ye min bɛ wele ko vertical lateral fusion cage (DLIF) ani oblique lateral fusion (OLIF) min ka di kosɛbɛ. Fusion internal fixation technology min tɛ fɛn caman kɛ, o bɛ kɛrɛnkɛrɛnnenya la expanders kɛrɛnkɛrɛnnenw ni tubular retractors don a kɔnɔ walasa ka dɔ bɔ farikolo yɔrɔ nɔgɔlenw tiɲɛni na ani ka opereli yɔrɔ yecogo ɲuman kɛ. A bɛ se ka jɛ ka baara kɛ ni opereli mikroskɔpu ye walima ni lupu fanga ka bon walasa ka opereli yecogo yɔrɔ bonya, walasa ka fari tigɛcogo ni kɔnɔna yɔrɔw tiɲɛni dɔgɔya, ani ka kɔkolo opereli kɛ ka furakɛli nafamaba kɛ ni tiɲɛni ye min ka dɔgɔn ni iatrojeni ye. Ni an y’a suma ni opereli dafalen ye, fusion internal fixation technique min tɛ fɛn caman kɛ, o bɛ nɔ ɲuman bila dɔgɔtɔrɔso la, joli bɔli, kɛnɛya waati ani waati min bɛ se ka segin ɲɛnamaya cogo la. O waati kelen na, a bɛ se ka kɔkolo kɔfɛla jɔcogo mara, ka farikolo tiɲɛni dɔgɔya, o la, opereli kɔfɛ dimi bɛ dɔgɔya. Fusion ni internal fixation fɛɛrɛ min tɛ fɛn caman kɛ, o bɛ taamasiɲɛ caman jira, i n’a fɔ kɔkolo bana suguya caman, kɔkolo sɔgɔsɔgɔninjɛ, disiki gɛlɛnw, basigibaliya, sɔgɔsɔgɔninjɛ, a ɲɔgɔnnaw Banabagatɔ minnu ka bana jugumanba bɛ u la, ni u ma bɛn endoskopi ma, o opereli suguw ka kan ka kɛ ka caya.
3. Kɔkolodimi (vertebroplasty) min bɛ kɛ farikolo la
A bɛ opereli la min tɛ fɛn caman kɛ, i n’a fɔ kolotuguda la (PVP) ani balon kifoplasti (PKP). O ye fɛɛrɛ ye min b’a to furakɛli kolo siman walima kolo biyomateriyali dilannenw bɛ pikiri kɛ kɔkolo bananen na fari sɔgɔli fɛ walasa ka kolotuguda farikolo barika bonya. Bana minnu bɛ se ka kɛ, olu ye: 1. Kolotugudaw kari, o tɛ se ka kɛ ni brace walima fura furakɛli ye; 2. Tumu ɲumanw walima kuru juguman minnu bɛ taa kɔkolo la; 3. Kɔkolo karilen ni koloci walima a tɛ ɲɔgɔn sɔrɔ karilen kɔfɛ; 4. Degun karilen sabatibali walima kɔkolo degun karilen multi segment; 5. Kari min bɛ pɛrɛn ni kɔkolo kɔkanna kogo ma tiɲɛ. Nin opereli in taamasiɲɛw : 1. Furakɛli min bɛ kɛ ni sigida la anestezi ye, o tɛ fɛn caman kɛ, opereli waati ka surun, a tigɛ bɛ kɛ santimɛtɛrɛ 0,5 kɔnɔ, joli bɛ bɔ mililitiri 2-3 kɔnɔ, ani dimimadafura nɔ bɛ jɛya. A ka baara ye ka dimi lajɔ ani ka kolo fanga biyomekaniki lasegin a cogo kɔrɔ la waati kelen na. 2. Banabagatɔ kɔrɔbaw ni banabagatɔ barikamaw fɛ, opereli farati ka dɔgɔn, wa gɛlɛya minnu bɛ se ka sɔrɔ u lamagacogo fɛ, olu bɛ kɔlɔsi. 3. Opereli kɔfɛ kɛnɛya bɛ teliya ani dɔgɔtɔrɔso ladonni waati ka surun. 4. K’a sababu kɛ dimi madali waati bɛnnen na, dimimadafura tali kɔlɔlɔw ni fura tali bɛ bali, wa ɲɛnamaya kɛcogo bɛ ɲɛ. 5. A bɛ dɔ bɔ kosɛbɛ banabagatɔw ka lafiɲɛ waati la u ka dilan kan ani u mago bɛ ladonbagaw la.
4. Kɔkolo opereli min bɛ kɛ ni robot ye ani ka a ɲɛminɛ
Kɔkolo opereli bɛ dɔgɔtɔrɔw wajibiya ka opereli kɛ ni tiɲɛniba ye, wa fili misɛnninw bɛna kɛ sababu ye ka kɔlɔlɔ juguw lase mɔgɔ ma. Misali la, kɔkolo pedikili kuru doncogo fɛɛrɛ la, kuru doncogo senfɛ, a ka kan ka a lajɛ ko kuru bɛ bila pedikili kɔnɔ. Kɔnɔbara basigilen cɛmancɛ bɛ se milimɛtɛrɛ 8 ma, wa kɔkolo kɔnɔna ni duguma fanw ye nɛrɛmuguma nafamaw ye. An ka kurukuru cɛmancɛ ye milimɛtɛrɛ 6,5 ye, o kɔrɔ ye ko ni kurukuru ye pedikili kɔnɔna ni duguma kogow kari dɔrɔn, a bɛ se ka kɛ sababu ye ka farikolojidɛsɛ jugumanba sɔrɔ. O la, kuru doncogo tiɲɛni ni a lakanani nafa ka bon kosɛbɛ. Opereli robo min bɛ kolotugudaw la ani taamacogo, n’o bɛ ɲɛminɛ ni ja 3D ye, o bɛ se ka juruw bila cogo bɛnnen na ka kɛɲɛ ni sira bolodalen ye, ka juruw don a yɛrɛma walima a tilancɛ la, ka tiɲɛni dɔgɔya lamini farikolo yɔrɔw ni farikolo yɔrɔ nɔgɔlen wɛrɛw la, ani ka opereli kɛcogo ɲuman n’a lakanani sabati. Endoskopi fɛɛrɛ kama, taama faralen ɲɔgɔn kan, o fana bɛ se ka dɔ bɔ kosɛbɛ opereli sɔgɔli waati la, ka farikolo yɔrɔ nɔgɔlenw tiɲɛni ani banabagatɔw ka lafiyabaliya opereli senfɛ. Robo dɛmɛni ni navigatiɔn kɔkolo opereli kɛli bɛna nafa caman lase banabagatɔw ma minnu bɛ kɔkolo banaw la.
Kuma kelen na, kɔkolo fɛɛrɛ min tɛ fɛn caman kɛ, o bɛ se ka furakɛli kun sɔrɔ lafiya la ani ka ɲɛ, ni a ye joginni dɔgɔya ni a bɛ se ka kɛ. Hali ni a bɛ se ka kɛ i n’a fɔ kɔkolo da wulilen opereli, o bɛ se ka banabagatɔw ka opereli joginda dɔgɔya, ka u kɛnɛya joona, ani ka opereli kɔlɔlɔw dɔgɔya. Nka, kɔkolo opereli min tɛ fɛn caman kɛ, o tɛ se ka kɛ kɔkolo opereli laadalama nɔ na pewu. Opereli bolodacogo kɛrɛnkɛrɛnnen ka kan ka latigɛ ka kɛɲɛ ni banabagatɔ ka cogoya ye, furakɛli fɛɛrɛw, dɔgɔtɔrɔw ni banabagatɔw ka kumaɲɔgɔnya ani fɛn wɛrɛw. Opereli dafalen kɔrɔlenw ka ko kɛlenw dalajɛli ye opereli min tɛ fɛn caman kɛ, o basigi ye. Ni opereli min tɛ fɛn caman kɛ, o ye gɛlɛyaw sɔrɔ, a ka kan ka Changer ka kɛ opereli da wulilen ye a waati kɔnɔ walasa ka banabagatɔw lakana ka ɲɛ ani opereli nafa ka bon. A laban na, an ka kan ka opereli banabagatɔw hakili jigin ko ladonni ɲuman ni dɔnniya farikoloɲɛnajɛ opereli ɲɛnabɔlen kɔfɛ, o fana nafa ka bon kosɛbɛ, o tɛ se ka kɛnɛya sabatili cogoya ɲɛ dɔrɔn, nka a bɛ se ka u yɛrɛ tanga fana kɔkolo bana seginni ma walima a kɛrɛfɛ.
E. Kɔnɔbara basigilen ni funu
Tumu, sumaya ani kɔnɔbara basigilen, barajuru ani kɔkolo funu.
F. Kuncɛli
1. Yɔrɔ fiyentɔ tɛ kɔkolo opereli la
Lakanali ni dannaya ye kɔkolo opereli ɲinini fɔlɔ ye. A bɛ kɔkolo banaw sɛgɛsɛgɛ ani k’u furakɛ kosɛbɛ, i n’a fɔ kɔnɔbara basigilen miyɛlopati, barajuru sɔgɔsɔgɔninjɛ koloci, kɔkolo sɔgɔsɔgɔninjɛ, disiki kirinni yɔrɔ kelen-kelen bɛɛ la ka bɔ kɔkolo kɔkolo la ka taa kɔkolo la, ani kɔfɛla janya koloci. Ka fara o kan, a bɛ jogin suguya bɛɛ ni bana suguya bɛɛ fana ɲɛnabɔ minnu bɛ sɔrɔ kɔkolo la, i n’a fɔ kɔkolo karilen ni a bɔli, kɔkolo sɔgɔsɔgɔninjɛ, kɔkolo kuru (primaire et metastatique), kɔkolo sɔgɔsɔgɔninjɛ walima suppurative infection.
2. Denso opereli dan tɛ min na
Ni kɔnɔbara basigilen miyɛlopati ni kɔnɔbara basigilen kɔfɛla kolotuguda opereli kama, dɔgɔtɔrɔso dɔw walima dɔgɔtɔrɔ dɔw bɛ ɲɛfɛla walima kɔfɛla opereli dɔrɔn de kɛ. Tiɲɛ na, opereli suguya caman bɛ yen i bɛ se ka minnu sugandi - kɔnɔbara ɲɛfɛla degunni ni kolotugudaw ni kɔnɔna sirili, kɔfɛla laminoplasti (da kelen, da fila), ani ɲɛfɛla ni kɔfɛla degunni ni kɔnɔna sirili siɲɛ kelen. An ye ɲɛtaa caman sɔrɔ nin baara suguya ninnu na, minnu bɛ se ka baara kɛ ni u ye cogo bɛnnen na ka kɛɲɛ ni cogoya wɛrɛw ye, A tɛ dan fɛɛrɛko si fɛ, cogoyaw ani hakilina surunw, wa a bɛ tulon dafalen di fɛɛrɛ suguya wɛrɛw nafa kelen-kelen bɛɛ ma.
3. Barajuru opereli ka nɔgɔn, wa a bɛ se ka da a kan
Walasa ka barajuru kɔfɛla janya koloci kɛ, o min ka gɛlɛn ani dɔgɔtɔrɔso belebele caman bɛ siran min ɲɛ, an ye seginkanni kɛ kɔfɛ. Banabagatɔ minnu ka ɲɛfɛla degun (kolow bɔli walima kɔkolo ni kɔkolo cɛ disiki bɔli), kɔkolo ɲɛfɛla degun kɛra ni tunnel fɛɛrɛ ye walasa ka degun dafalen sɔrɔ 360 ° kɔkolo lamini na, o min tun bɛ u yɛrɛ tanga ɲɛfɛla degunni ma barajuru tigɛcogo fɛ ani ka dɔ bɔ joginda la kosɛbɛ. Nin 360 ° decompression fɛɛrɛ in bɛ kɛ fana bolokɔniw ka paralizi baarakɛcogo la min bɛ sɔrɔ barajuru ni kɔkolo cɛ disiki bɔli fɛ ani koloci karilen fɛ.
4. Kɔkolo ni kɔkolo ni ɲɔgɔn cɛ fusili tɛ kɛ sababu ye ka basibɔn kolo bɔli kɛ
Ni kɔkolo sɔgɔsɔgɔninjɛ walima kɔkolo sɔgɔsɔgɔninjɛ min bɛ sɔrɔ kun caman fɛ, opereli kun fɔlɔ ye farikolojidɛsɛ ye. Ni kɔkolo ma sabati, kɔkolo fusili bɛ dɔn ka kɛɲɛ ni basigibaliya ni kɔkolo sɔgɔsɔgɔli hakɛ ye. Kɔnɔbara kɔfɛla kolotuguda (PLF) walima farikolo cɛmancɛ kolotuguda (PLIF) bɛ sugandi ka kɛɲɛ ni a bɛnnen don pedicle screw kɔnɔna sirili ma. PLIF la, kolotuguda bɛɛ bɔlen kɔfɛ ani inferior articular process complex (median incision) bɛ kɛ farikolo ni ɲɔgɔn cɛ koloci teliya la, o min tɛ kolo sɔgɔlifɛn ɲuman sɔrɔ dɔrɔn, nka a bɛ kolo fana ta ka bɔ basibɔn na walima ka farikolo ni ɲɔgɔn cɛ fusion cage san, o bɛ kolo bɔli gɛlɛyaw ban ani ka opereli musakaw dɔgɔya kosɛbɛ.
Kosɔn CZMEDITECH , an bɛ ni fɛn dilannenw ye minnu dafalen don kosɛbɛ kɔkolo opereli fɛnw doncogo ani corresponding instruments , o fɛn dilannenw ye 5,5mm ni 6,0mm kɔkolo pedicle screw system ye, kɔnɔbara ɲɛfɛla plati sitɛmu, kɔfɛbara kɔfɛla la, barajuru ɲɛfɛla plati sitɛmu, barajuru ɲɛfɛla plati sitɛmu, titanium mesh cage, peek cage system, titanium cage, kɔfɛ kɔnɔbara laminoplasty system, pedicle screw system min tɛ don kosɛbɛ ani u dɛmɛni minɛnw sigicogo. Ka fara o kan, an cɛsirilen don ka to ka fura kuraw labɛn ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndanba ye diɲɛ kolotugudaw ni minɛnw baara bɛɛ la.
