Views: 88 Author: Site Editor Publish Waati: 2022-10-14 A bɔyɔrɔ: Yɔrɔ
Changzhou Meditech Technologie Co., Ltd., A sigilen Changzhou Science & Education Town, Jiangsu mara la,a ye a yɛrɛ sɔrɔ fɛn dilanni na kolosinsinnanw ni minɛnw dilanni na.
San 10 ni kɔ ɲininiw ni yiriwali kɔfɛ, an bɛ ni fɛn dilannenw ye minnu bɛ kɛ ka ɲɛ ani olu ye kɔkolo-sɛrɛw ye, kɔnɔboli-minɛnw kɔnɔ, joginda-plati ni sɛrɛw, da tugu-tugu-plati ni sɛrɛw, CMF-sistema, kɛnɛma-filɛli-sistɛm, furakɛli-minɛn-minɛnw sigicogo, sterilisation container system ani veterinary orthopedic system.
I n’a fɔ furakɛli minɛnw feereli jamana kɔkan minnu ka baara ka ca ni san tan ye, ani ni CE ni ISO seereyaw ye, an ka fɛn dilannenw bɛ taa jamana caman na i n’a fɔ USA, Alimanjamana, Arzantine, Chili, Mɛkisiki, Ɛndi,Tiland, Malasi, Turki, Misira, Afiriki tilebinyanfan, A ɲɔgɔnnaw.
Sariyasen 'Quality First, service First, R&D First, Innovation First', an ka tɔn bɛ tɔgɔ ɲuman sɔrɔ jamana kɔnɔ ani jamana kɔkan. Sosiyete bɛ banabagatɔw minɛ minnu bɛ nafa sɔrɔ a ka laɲini banbali la, wa a bɛ cɛsiriw kɛ minnu tɛ ban hadamadenw ka kɛnɛyako la.
Kɔnɔbara opereli suguya caman bɛ yen, kɛrɛnkɛrɛnnenya la, a bɛ kɛ fɛn ye min tɛ mɔgɔ minɛ kosɛbɛ ani a dabɔlen don. Kɔnɔbara dɔw karilen, disiki sɔgɔli, kɔkolo sumaya, sɔgɔsɔgɔninjɛ bɛ se ka furakɛ opereli fɛ. Opereli min bɛ kɛ ni fɛn fitinin ye, o ye : kolotugudaw, radiyofrekinɛsi ablation, endoscopic nucléus pulposus bɔli, percutané pedicle screw rod kɔnɔna fixation, etc. Opereli da wulilen bɛ da wulilen dɔgɔyali ni kɔnɔna fixation, laminectomy, open decompression ani interne fixation, etc. ani an bɛna ninnu don mɔgɔ kelen na: one: one: one: one: one: one: one :
Walasa ka kɔnɔbara basigilen, kɔnɔbara basigilen miyɛlopopati, ani kɔnɔbara basigilen kɔfɛla janya, dɔgɔtɔrɔso walima dɔgɔtɔrɔ dɔw bɛ opereli walima kɔfɛ opereli dɔrɔn de kɛ. Tiɲɛ na, opereli suguya caman bɛ yen i bɛ se ka minnu sugandi. Mɔgɔw bɛ se ka ɲɛtaa sɔrɔ kosɛbɛ nin opereli suguya ninnu na, minnu bɛ se ka kɛ ka kɛɲɛ ni cogoya wɛrɛw ye, ni fɛɛrɛ si tɛ u la, ni cogoya si tɛ, ani ni hakilina fitininw ye, ani ka tulon dafalen di opereli suguya wɛrɛw nafa ma. Walasa ka kɔnɔbara basigilen gɛlɛya, decompression ni fixation ka tɛmɛ ɲɛfɛla ni kɔfɛla fɛɛrɛ fila bɛɛ fɛ, o bɛ se ka dɔgɔtɔrɔso ladonni waati surunya kosɛbɛ, wa decompression dafalen nɔ ka fisa.
A bɛ se ka kɛ kɔnɔbara basigilen na ni kɔkolo ni ɲɛgɛnɛsiralabanaw (1-3 yɔrɔ) bɔli ye jirisunw na. Nafa min b’a la, o ye ka joginda tigɛcogo tilennen sɔrɔ, o min ka nɔgɔn kosɛbɛ, wa a ka nɔgɔn. O ye opereli ye min bɛ kɛ ka caya ani fɛɛrɛ jɔnjɔn min bɛ kɛ ka kɔnɔbara basigilen furakɛ.
A bɛ se ka kɛ kɔnɔbara basigilen na ni disque compression ni kɔkolo ni kɔkolo sɔgɔli hakɛ ni a yɔrɔ ye, ka fara ɲɛfɛla degun jugumanba kan (ossifition de la ligament longinitudinal longitudinal, disque intervertebral). A bɛ decompression indirect (decompression indirec) ta la, min nafa ye ka kɔnɔbara lamagacogo mara ani a farati tɛ kosɛbɛ.
A bɛ se ka kɛ banabagatɔw la minnu si tɛ san 60 bɔ, ni u yɔrɔ ka surun, ni u bɛ sɔrɔ ɲɛgɛnɛsiraw ni ɲɔgɔn cɛ. Ni a bɛ kɔkolo degunni ni a lafiyali nɔgɔya, a bɛ kɔkolo kɔkolo baara mara, a bɛ dɔ bɔ a kɛrɛfɛyɔrɔw ka tiɲɛni teliya la, walasa banabagatɔw ka se ka taa joona opereli kɔfɛ ani baara bɛ surunya farikolo cogoya la.
Decompression dafalen don ani a farati tɛ, a bɛnnen don kɔnɔbara basigilen jugumanba ni kɛrɛnkɛrɛnnen ma. Ni kɔnɔbara basigilen bɛ sɔrɔ kɔnɔbara basigilen na walima ni a yɔrɔ janya ye kɔkolo sɔgɔli ye ani ɲɛfɛla degunba, dan dɔw bɛ opereli ɲɛfɛ walima kɔfɛla opereli dɔrɔn na. An bɛ jɔyɔrɔ ta kɔfɛ opereli la, o kɔfɛ an bɛ jiginni jɔyɔrɔ ta ɲɛfɛla opereli kama, ani a taamasiɲɛ fɔlɔ ɲɛfɛla ni kɔfɛla decompression.
Nafaw : kɔfɛla sɔgɔli kɔfɛ, kɔkolo kɔkolo bɛ se ka wuli ka taa kɔfɛ, yɔrɔ min bɛ kɔnɔbara basigilen ɲɛfɛ, o bɛ caya ka taa a fɛ, ani kɔkolo kɔnɔ degun bɛ dɔgɔya, o bɛ dɔ bɔ opereli ɲɛfɛla la. O waati kelen na, fila-fila degun bɛ lafiya, decompression bɛ dafa, a nɔ bɛ ye ka jɛya, wa a bɛ dɛmɛ don kɔkolo baara sɔrɔli la; A bɛ banabagatɔw ka dimi dɔgɔya, wa a ka nɔgɔn banabagatɔw ma ka sɔn o ma. A bɛ a yɛrɛ tanga dɔgɔtɔrɔso ladonni nafa ma siɲɛ fila, opereli filanan, bana kuntaalajan, wa a bɛ dɔgɔtɔrɔso musakaw bɔ.
Ni aw ye a suma ni ɲɛfɛla fɛɛrɛ ye, kɔfɛla ɲɛgɛnɛsira decompression tɛ kolosinsinnanw fara ɲɔgɔn kan wa a tɛ bɔnɛ kɔnɔbara basigilen lamagacogo la. Disiki min bɛ sɔrɔ kɔfɛla la, n’o ye pulposus bɔli ye kɔfɛla fɛɛrɛ fɛ, o bɛ kɛ ɲɛnayeli siratigɛ la, wa a ka nɔgɔn kosɛbɛ, o la a farati ka bon ani a bɛ se ka da a kan. Taamaʃyɛnw: Disiki kɔtigɛlen kɔfɛla la, kɔkolo ni kɔkiliw cɛ janya kelen na, kɔkolo ni kɔkolo cɛmancɛ caman sɔgɔli ni kɔkolo cɛmancɛla sɔgɔli tɛ, ani jirisunw taamasiɲɛw basigilen kɔfɛ ɲɛda ɲɛfɛla ni u fusili kɔfɛ.
Kɔnɔbara sanfɛla joginw ni banaw bɛ se ka kɔkolo baarakɛbaliya jugumanba lase mɔgɔ ma. K’a sababu kɛ farikolo-ɲɛnajɛ-cogo gɛlɛn ye, dɔgɔtɔrɔso fanba tɛ se k’u furakɛ. Misali la, atlantoaxial fracture and dislocation, atlanto occipital malformation, ani spondylopathie sanfɛla sɔgɔsɔgɔninjɛ, ɲɛfɛla bɔli ni a kɔfɛla bɛ se ka kɛ ka dislocation dɔgɔya, ka kɔkolo degun nɔgɔya, ani ka ɲɛnamaya kisi.
Kɔnɔnatumuw ni ɲɔgɔn cɛ fusili tɛ mako ɲɛ basibɔn kolo bɔli la kɔkolo sɔgɔsɔgɔninjɛ walima kɔkolo sɔgɔsɔgɔninjɛ la min bɛ sɔrɔ kun suguya caman fɛ. Opereli kun fɔlɔ ye ka nɛrɛmuguw degun. Ni kɔkolo ma sabati, kɔkolo-fusion bɛ dɔn ka kɛɲɛ ni basigibaliya ni spondylolisthesis hakɛ ye. Kɔnɔbara kɔkanna kolo gɛlɛyalen (PLF) walima farikolo ni kolotugudaw (plif) bɛ sugandi ka kɛɲɛ ni a bɛnnen don pedicle screw kɔnɔna fixation ma. Plif kɔnɔ, kolotugudaw bɛɛ bɔlen ni u duguma joli-sira-funu (medien incision) bɛ kɛ farikolo-ɲɛnajɛ-kolo-yɔrɔ teliya ye, min tɛ kolo-yɔrɔ-minɛn ɲuman sɔrɔ dɔrɔn, nka a bɛ kolo-kolo ta fana ka bɔ kɔnɔbara la walima ka farikolo-ɲɛnajɛ-minɛn san, o bɛ kolo bɔli gɛlɛyaw ban kosɛbɛ ani ka opereli musaka dɔgɔya kosɛbɛ.
Ka kɛɲɛ ni bana suguya wɛrɛw ye, nucleus pulposus fenestration, laminectomy ani dictomtomie (tuma dɔw la ni kolo gɛlɛya fusion ani kɔnɔna fixation) ani disc artificiel replacement bɛ sugandi.
Decompression de la canal de la canale et nerveux nerveux bɛ se ka kɛ. Banabagatɔ minnu kɔkolo basigibaliya bɛ u la, fixation dynamique walima fusion fixation ka kan ka kɛ ni ɲɛnatɔmɔli ye, walasa banabagatɔw ka se ka furakɛli kuntilenna sɔrɔ musaka fitinin na ani ka jaabiw sɔrɔ minnu bɛ u wasa.
1) Kɔnɔbara basigilen fanga - a tɛ kɔkolo sabati dɔrɔn, nka a bɛ kɔkolo lamagacogo fana mara. A nafa ye : (1)A bɛ se ka disiki ni kɔkolo cɛ disiki degun dɔgɔya kosɛbɛ ani ka disc intervertebral (intervertebral disque) tiɲɛni bali; (2)Jɛɲɔgɔnya min bɛ lamaga, o bɛ lamaga-yɔrɔ saba balansi mara ani k’a lasegin.
2) Spinal Canal decompression operation min bɛ kɛ ni farikolo dafalen ye, o min tɛ fɛn caman kɛ - opereli fɛɛrɛ kɔrɔlen min donna ka bɔ jamana kɔkan. Fɛɛrɛ wɛrɛw kɔfɛ, opereli bɛ kɛ ni tigɛ fitini ye, a tɛ farikolo yɔrɔw bɔ, a bɛ ligaments ni vertebrae cogoya mara, ani decompression under magnifying gilasi ni microscope bɛ se ka da a kan kosɛbɛ, a tɛ kɔkolo sabatili tiɲɛ, wa a bɛ jaabi yeelenma sɔrɔ opereli kɔfɛ. Banabagatɔw bɛ se ka taama tile filanan na, ka bɔ dɔgɔtɔrɔso la tile 5-7 o kɔfɛ.
O ye taamasiɲɛ ɲuman ye decompression ni reduction, kolo graft fusion, ani pedicle kɔnɔna fixation. O fana ye opereli suguya ye min ka teli ka kɛ ni titanium plate fixation ye. Opereli ka gɛlɛn ani a ka bon a hakɛ la. Spondylolisthésis sababu walima a daminɛ na, kɔkolo sɔgɔsɔgɔninjɛ, o ka nɔgɔn kosɛbɛ ka ɲɛsin a ma waati kɔnɔ.
1) Kɔnɔbara basigilen bɛ se ka sɔrɔ kɔkolo yɔrɔ dɔ tiɲɛni fɛ (Isthmus, kolotugudaw misɛnniw) ka a sababu kɛ farikoloɲɛnajɛ segin-segin ye. Ni a ma kɛnɛya, walasa ka kɔkolodimi bali, kɛrɛnkɛrɛnnenya la ni a taamasiɲɛw bɛ ye ka jɛya, kolotugudaw bɛ se ka kɛ ka isthmus, juru fila ani titaniyɔmu kabɔri dilan, o min ka nɔgɔn ani a farati tɛ.
2) Kɔnɔbara basigilen furakɛli kɛra ni opereli da wulilen dɔgɔyali ye, kolotugudaw ni kolotugudaw ni ɲɔgɔn cɛ (plif), ani pedicle internal fixation. Opereli kun fɔlɔ ye ka nɛrɛmuguw degun. Ni plif peek lumbar fusion cage bɛ kɛ, kɔkolo ka cage arch ani inferior articular process complex (incision moyenne) bɛ kɛ ka farikolo yɔrɔ teliya, o tɛ se ka kolocifɛn ɲuman sɔrɔ dɔrɔn, nka a bɛ se ka kolo ta fana ka bɔ basibɔn na walima ka a kɛ ka farikolo yɔrɔ dɔ san (interbody fusion cage), ani ka kolo bɔli kɔkili bɔ, ani ka a kɛ ni kolo bɔli ye.
dynamique lumbar fixation, disque artificielle replacement ani interbody fusion (anterior walima posterior) de sugandira.
K’a ta kɔkolo sanfɛla kolotugudaw karilen na ka taa a bila ɲɛgɛnɛsira kolotugudaw karilen na, ɲɛgɛnɛsira ɲɛfɛla walima a kɔfɛla decompression ni a jɔli bɛ ta.
1. Misegrafiya opereli kɔnɔ ani decompression transpediculaire .
Da wulilen dɔgɔyali, decompression ani kɔnɔna jɔli la thoracolumbar burst fracture la, decompression effect bɛ se ka kɔlɔsi kosɛbɛ walasa ka iatrogenic joginni dɔgɔya.
2. Kyphoplastie percutanie min bɛ kɛ ka ɲɛgɛnɛsiralabanaw furakɛ, o min bɛ kɛ ka mɔgɔkɔrɔba ka banaw furakɛ.
Kolosinsinnan kelen dɔrɔn de bɛ se ka pikiri kɛ. O ye fɛɛrɛ ye min tɛ fɛn caman kɛ tiɲɛ na walasa ka dimi nɔgɔya ani ka bɔ dilan kan tile 1-3 opereli kɔfɛ.
A. Kɔnɔbara opereli min bɛ kɛ ni fɛn caman ye (MISS) laɲini ye ka opereli kɛcogo kɔrɔ nɔ sɔrɔ ani ka opereli joginda dɔgɔya ka se a dan na, walasa ka gɛlɛyaw, opereli senfɛ joli bɔli, dɔgɔtɔrɔso ladonni, a ɲɔgɔnnaw dɔgɔya, walasa banabagatɔw ka se ka kɛnɛya ani ka segin u cogo kɔrɔ la ani ka baara kɛ ni u bɛ se ka kɛ.
Opereli min bɛ kɛ ni fɛn ye min tɛ se ka don mɔgɔ la, o ye:
Spinal endoscopie b’a jira ko operelikɛla, min bɛ X-ray walima navigation ɲɛminɛni kɔnɔ opereli senfɛ, o bɛ baara kɛ ni puncture expansion tools ye ka bɔ fari la ka taa kɔkolo joginw na, ka endoscopique ani operating operation siraw sigi sen kan, ka ji kɛ medium ye, ka kɔnɔna jaabiw bonya ani ka a jira ko a bɛ ɲɛfɔli kɛ ni ɲɛfɔli ye min bɛ kɛ ni ɛkran ye, ani ka tɛmɛ o kan. Opereli fɛɛrɛ minnu bɛ kɛ ka caya, olu ye : kɔkanna ɲɛgɛnɛsiralabanaw, kɔfɛla lamini lamini lamini na endoskopi, ani kɔfɛ kɔnɔbara basigilen opereli. Ni aw ye a suma ni laadala opereli walima micro orgery ye, a nafa ka bon nin cogo la: (1) A taamasiɲɛ caman, joli ni joginda, tiɲɛni si tɛ kɛ kɔkolo la min bɛ kɛ ka ɲɛ, wa a ka ca a la, a tigɛcogo ka dɔgɔn ni santimɛtɛrɛ 1 ye (2) opereli bɛ se ka sugandi sigida la anestezi kɔnɔ, ani kumaɲɔgɔnya waati yɛrɛ la dɔgɔtɔrɔw ni banabagatɔw cɛ walasa ka baara nɔgɔya ani ka i yɛrɛ tanga opereli kɔnɔ farikolo yɔrɔ joginni ma; (3) Gɛlɛyaw ka dɔgɔn, kɛnɛya teliya, bɛ se ka bɔ dilan kan opereli kɔfɛ, ka bɔ tile 1-2 kɔnɔ, walima ka opereli kɛ kɛnɛyaso la; (4) banakisɛ sɔrɔli hakɛ dɔgɔyali; (5) Gɛlɛya kuntaalajan min bɛ sɔrɔ yɔrɔw kɛrɛfɛ minnu bɛ ɲɔgɔn kɛrɛfɛ, olu tiɲɛni teliya la, o bɛ kɔlɔsi. Nafa minnu bɛ yen, olu dɔw ye: (1) Seginkanni hakɛ dɔ bɛ yen. Ni a seginni kɛra, baara seginni bɛna gɛlɛya ani farati bɛ a la ka da opereli fɔlɔ ka sɔgɔsɔgɔninjɛ nɔrɔli kan. (2) Gɛlɛya dɔw bɛ yen, i n’a fɔ nukilila tolen pulposus compression, dural ani nerve root joginw, kɔkolo ni ɲɔgɔn cɛ yɔrɔ banakisɛ, joli, opereli kɔfɛ sensoriyali fɛnɲɛnamafagalanw (3) Opereli taamasiɲɛw ye fɛn ye min tɛ kɛ ka ɲɛ, kɛrɛnkɛrɛnnenya la, disiki nɔgɔmanw ni ɲɔgɔn cɛ furakɛli la. Ni aw bɛ disiki gɛlɛnba sɔrɔ cɛya ni musoya cɛ walima kɔkolo sɔgɔli faralen ɲɔgɔn kan, a bɛ se ka furakɛ fana. Ni o nɔ tɛ ɲɛ, opereli dafalen ka kan ka kɛ tuguni.
Kɔnɔbara basigilen ni kɔnɔna fiɲɛbɔli ye opereli jɔnjɔn ye ɲɛgɛnɛsiralabanaw furakɛli la. Kɔnɔbara ɲɛfɛla, kɔfɛla, kɔkanna, kɔfɛla ani kɔfɛla fɛ, kɔkolo, kolo sɔgɔli walima fusili kaburu, ɲɛda joli ani ɲɔgɔn cɛ taabolow bɛ don kɔkolo ni kɔkiliw cɛ, walasa kolotugudaw ni kɔkiliw cɛ kolo sirili ka se ka kɛ, o la, kɔkiliw bɛ se ka kɛ kɔkiliw la ani ka u sabati. Teori la, opereli yɔrɔ tɛna segin. Fusion invasive invasive ani kɔnɔna fixation fɛɛrɛw ye transforaminal lumbar intercorbody fusion (mis-Tlif) ye min tɛ fɛn caman kɛ (MIS-TLIF) ani lumbar interbody fusion latérale latérale (LFF) min tɛ fɛn caman kɛ. LLIF fana bɛ sɔrɔ ka kɛ ni fusion latérale vertical ye (DLIF) ani fusion latérale oblique (OFF) min ka di kosɛbɛ. Fusion kɔnɔna fixation technologie min ka dɔgɔn kosɛbɛ, o bɛ expanders kɛrɛnkɛrɛnnenw ni tubular retractors (jirisunw) don kɛrɛnkɛrɛnnenya la walasa ka farikolo yɔrɔ nɔgɔlenw tiɲɛni dɔgɔya ani ka baarakɛyɔrɔ yecogo ɲuman kɛ. A bɛ se ka jɛ ka baara kɛ ni operasiyɔn mikroskɔpu ye walima ni fanga caman ye walasa ka ɲɛnayeli opereli yɔrɔ bonya, walasa ka farikolo tigɛcogo ni a kɔnɔnatumuw tiɲɛni dɔgɔya, ani ka kɔkolo opereli kɛ ka furakɛli kɛcogo ɲuman kɛ ni tiɲɛni fitinin ye min bɛ kɛ ni iatrogène ye. Ni aw ye a suma ni opereli dafalen ye, fusion kɔnɔna fixation technologie min tɛ fɛn caman kɛ, o bɛ na ni nɔ ɲuman ye dɔgɔtɔrɔso ladonni, joli bɔli, kɛnɛya waati ani waati la walasa ka segin ɲɛnamaya la min bɛ kɛ ka ɲɛ. O waati kelen na, a bɛ se ka kɛ a ka ca a la a bɛ se ka kɔkolo kɔfɛla jɔcogo mara, ka farikolo tiɲɛni dɔgɔya, ka sɔrɔ ka opereli kɔfɛ dimi dɔgɔya. Fusiyɔn ni kɔnɔna fiɲɛbɔli fɛɛrɛ min tɛ don mɔgɔ la, o taamasiɲɛ caman bɛ sɔrɔ, i n’a fɔ kɔkolo bana suguya caman, kɔkolo sɔgɔli, disiki gɛlɛn, basigibaliya, sɔgɔsɔgɔninjɛ, a ɲɔgɔnnaw banabagatɔw la minnu ka bana ka jugu kosɛbɛ, minnu ka bana ka jugu kosɛbɛ, o baara suguw ka kan ka kɛ ka caya.
A bɛ sɔrɔ opereli la min tɛ mɔgɔ caman minɛ, o la, kolotugudaw (PVP) ani balabala kisɛkisɛ (PKP) bɛ sɔrɔ. O ye fɛɛrɛ ye min b’a jira ko furakɛli kolo siman walima kolo biomateriyali dilannenw bɛ pikiri kɛ kolotuguda farikolo bananen na fari sɔgɔli fɛ walasa ka kɔkolo farikolo fanga bonya. Bana minnu bɛ sɔrɔ, olu ye: 1. kolotuguda kolotugudaw sɔgɔli karilen, o tɛ se ka kɛ ni brace walima fura furakɛli ye; 2. Tumu ɲumanw walima kolotugudaw farikolo yɔrɔ minnu bɛ taa yɔrɔ wɛrɛw la, olu bɛ taa yɔrɔ wɛrɛw la; 3. kɔkolo kari ni kolotugudaw ye walima ni a ma jɛngɛn kari; 4. degun min tɛ sabati walima ni a yɔrɔ multi segment vertebral compression fracture; 5. ka kari ka bɔ ni kɔkolo kɔkanna kogo ye min ma tiɲɛ. Nin baara in jogo : 1. Furakɛcogo min bɛ kɛ ka a kɛ fɛn ye min tɛ don a la sigida la, o bɛ kɛ ni anestezi ye, o waati ka surun, tigɛ bɛ kɛ santimɛtɛrɛ 0,5 kɔnɔ, joli bɛ 2-3ml, ani dimimadafura nɔ bɛ jɛya. A ka baara ye ka dimi nɔgɔya ani ka kolo fanga biomekanikini jɔ kokura waati kelen na. 2. Banabagatɔ kɔrɔbaw ni banabagatɔ barikamaw fɛ, opereli farati ka dɔgɔn, wa gɛlɛya minnu bɛ se ka sɔrɔ jɔli la, olu bɛ bɔ u la. 3. Opereli kɔfɛ kɛnɛya bɛ teliya ani dɔgɔtɔrɔso ladonni waati ka surun. 4. Dimi madali waati bɛnnen na, dimimadafura tali kɔlɔlɔw ni a tali bɛ ban, wa ɲɛnamaya kɛcogo ɲuman bɛ ɲɛ. 5. A bɛ waati dɔgɔya kosɛbɛ banabagatɔw ka lafiɲɛ dilan na ani u mago bɛ ladonbagaw la.
Spine opereli bɛ dɔgɔtɔrɔw wajibiya u ka opereli kɛ ni tiɲɛniba ye, wa fili misɛnniw bɛna kɛ sababu ye ka kɔlɔlɔ juguw lase u ma. Misali la, ka ɲɛsin lumbar pedicle screw doncogo fɛɛrɛ ma, buruburu doncogo la, a ka kan ka lajɛ ko juru bɛ bila pedicle kɔnɔ. Kɔnɔnatumuw cɛmancɛ bɛ 8mm ɲɔgɔn Bɔ, wa pedicle kɔnɔna ni a duguma fanw ye nɛrɛmugu nafamaw ye. An ka kuruw janya ye milimɛtɛrɛ 6,5 ye, o kɔrɔ ye ko ni jurukisɛ ye pedikili kɔnɔna ni duguma kogow kari, nɛrɛ tiɲɛni jugumanba bɛ se ka sɔrɔ. O la, juruw doncogo tiɲɛni ni a lakanani nafa ka bon kosɛbɛ. Orthopedic Surgical Robot and Navigation System, min bɛ ɲɛminɛ ni 3D jaw ye, o bɛ se ka juruw bila tigitigi ka kɛɲɛ ni sira bolodalen ye, a yɛrɛma walima a semi-otomatiki fɛ, a bɛ se ka a lamini farikolo yɔrɔw ni a farikolo yɔrɔ nɔgɔlen wɛrɛw tiɲɛniw dɔgɔya, ani ka opereli kɛcogo ɲuman ni a lakanani sabati. Ni endoskopi fɛɛrɛw bɛ yen, navigatiɔn faralen ɲɔgɔn kan, o fana bɛ se ka dɔ bɔ kosɛbɛ opereli sɔgɔli waati la, farikolo yɔrɔ nɔgɔlenw tiɲɛni ani banabagatɔw ka lafiyabaliya opereli senfɛ. Roboti dɛmɛni ni navigatɛri kɔkolo opereli bɛna nafa caman lase kɔkolo banaw ma.
Daɲɛ kelen na, kɔkolo fɛɛrɛ min tɛ mɔgɔ caman minɛ, o bɛ se ka furakɛli kuntilenna sɔrɔ lafiya la ani cogo ɲuman na ni a joginni dɔgɔyali ye ka se a dan na. Hali ni a bɛ se ka kɛ ni kɔkolo dafalen opereli ye walima ka a nɔ ɲuman sɔrɔ, a bɛ se ka banabagatɔw ka opereli bɔnɛ dɔgɔya, ka u kɛnɛya joona, ani ka opereli kɔfɛta dɔgɔya. Nka, kɔkolo opereli min tɛ mɔgɔ caman minɛ, o tɛ se ka kɔkolo opereli laadalama falen pewu. Baarakɛcogo kɛrɛnkɛrɛnnen ka kan ka latigɛ ka kɛɲɛ ni banabagatɔ ka bana ye, a ka furakɛli fɛɛrɛw, a ka kumaɲɔgɔnya dɔgɔtɔrɔw ni banabagatɔw ni fɛn wɛrɛw cɛ. Opereli dafalen min bɛ kɛ ka opereli kɛ, o ye opereli basigilen ye min bɛ kɛ ka opereli kɛ min tɛ mɔgɔ caman minɛ. Ni opereli min bɛ kɛ ni fɛn caman tɛ a la, o bɛ gɛlɛyaw sɔrɔ, a ka kan ka Changé ka kɛ opereli dafalen ye waati kɔnɔ walasa ka banabagatɔw lakana ka ɲɛ ani ka opereli nafa sɔrɔ. A laban na, an ka kan ka operelikɛlaw hakili jigin ko ladonni ɲuman ni dɔnniya farikoloɲɛnajɛ opereli ɲɛtaa kɔfɛ, o fana nafa ka bon kosɛbɛ, o tɛ se ka kɛ sababu ye ka kɛnɛya sabatili cogoya ɲɛ ka ɲɛ dɔrɔn, nka a bɛ se ka kɛ fana ko a bɛ segin kɔ walima ko a bɛ kolotugudaw la minnu bɛ a kɛrɛfɛ.
E. kɔkolo kuru ni funu .
Tumu, sumaya ani kɔnɔbara basigilen, barajuru ani kɔkolo kolotugudaw fununi.
F. Kuncɛli .
1. Fiyentɔ yɔrɔ si tɛ kɔkolo opereli la .
Lakanali ni dannaya ye kɔkolo opereli fɔlɔ ye. A bɛ kɔkolo banaw sɛgɛsɛgɛ ani ka u furakɛ, i n’a fɔ kɔnɔbara basigilen miyɛlopopati, barajuru ligamentum flavum, kɔkolo kɔkolo sɔgɔli, disiki sɔgɔli yɔrɔ kelen kelen bɛɛ la ka bɔ kɔkili la ka taa kɔkolo kɔkolo la, ani kɔkili janya la. Ka fara o kan, a bɛ joginni ni bana suguya bɛɛ fana ɲɛnabɔ minnu bɛ sɔrɔ kɔkolo la, i n’a fɔ kɔkolo karilen ni a tigɛli, kɔkolo tiɲɛni, kɔkolo kuru (a fɔlɔ ni a yɔrɔ wɛrɛw), kɔkolo sumaya walima a jugumanba.
2. Dan tɛ kɔnɔbara opereli la .
Walasa ka kɔnɔbara basigilen ɲɛgɛnɛsiralabanaw ni kɔnɔbara basigilen ɲɛgɛnɛsira janya, dɔgɔtɔrɔso walima dɔgɔtɔrɔ dɔw bɛ ɲɛfɛla walima kɔfɛla baara dɔrɔn de kɛ. Tiɲɛ na, baara suguya caman bɛ yen ka sugandi - kɔnɔbara ɲɛfɛla decompression ani kolo sɔgɔli ani kɔnɔna jɔli, kɔfɛla lamini lamini (da kelen, da fila), ani ɲɛ kelen ɲɛfɛla ni kɔfɛla sɔgɔli ani kɔnɔna jɔli. An bɛ se ka ɲɛtaa sɔrɔ kosɛbɛ nin baara suguya ninnu na, minnu bɛ se ka baara kɛ ka kɛɲɛ ni cogoya wɛrɛw ye, a tɛ dan fɛɛrɛ si ma, cogoyaw ani hakilina fitininw, wa a bɛ tulon dafalen di fɛɛrɛ suguya caman nafaw ma.
3. barajuru tigɛlenw ka opereli ka nɔgɔn ani a bɛ se ka da a kan .
Walasa ka barajuru kɔfɛla janya, o min ka gɛlɛn ani ka siran dɔgɔtɔrɔsobaw caman ɲɛ, an ye kɔfɛla dekomɛsiyɔn segin-segin kɛ. Banabagatɔ minnu bɛ ɲɛfɛ ni u ɲɛda bɛ wuli walima ni u bɛ ɲɛgɛnɛsiraw ni ɲɔgɔn cɛ, kɔkolo ɲɛfɛla decompression kɛra ni tunɛri fɛɛrɛ ye walasa ka 360 ° degun dafalen sɔrɔ kɔkolo lamini na, o min bɛ a to a bɛ a yɛrɛ tanga joli siraw dɔgɔyali ma ka tɛmɛ senkɔniw fɛ ani ka dɔ bɔ kosɛbɛ. Nin 360 ° decompression fɛɛrɛ in fana bɛ kɛ ka farikolo yɔrɔ duguma paralizi baara min bɛ sɔrɔ thoracic intervertebral disc prolapse ani osteoporotic compression fracture fɛ.
4. Kɔnɔnatumuw ni ɲɔgɔn cɛ fusili tɛ basibɔn kolo bɔli wajibiya .
Kɔnɔbara basigilen walima kɔkolo sɔgɔsɔgɔninjɛ fɛ min bɛ sɔrɔ kun caman fɛ, opereli kun fɔlɔ ye farikolojidɛsɛ ye. Ni kɔkolo ma sabati, kɔkolo-fusion bɛ dɔn ka kɛɲɛ ni basigibaliya ni spondylolisthesis hakɛ ye. Kɔnɔbara kɔkanna kolo gɛlɛyalen (PLF) walima farikolo ni kolotugudaw (plif) bɛ sugandi ka kɛɲɛ ni a bɛnnen don pedicle screw kɔnɔna fixation ma. Plif kɔnɔ, kolotugudaw bɛɛ bɔlen ni u duguma joli-sira-funu (medien incision) bɛ kɛ farikolo-ɲɛnajɛ-kolo-yɔrɔ teliya ye, min tɛ kolo-yɔrɔ-minɛn ɲuman sɔrɔ dɔrɔn, nka a bɛ kolo-kolo ta fana ka bɔ kɔnɔbara la walima ka farikolo-ɲɛnajɛ-minɛn san, o bɛ kolo bɔli gɛlɛyaw ban kosɛbɛ ani ka opereli musaka dɔgɔya kosɛbɛ.
Kosɔn CZMedItech , an ye fɛn dilannen dafalenba sɔrɔ. kɔkolo opereli fɛnw ani . Minɛn minnu bɛ bɛn o ma , fɛn minnu bɛ sɔrɔ 5,5mm ani 6.0mm kɔkolo pedicle screw system, anterior cervical plate system, posterior cervical screw system, thoracic plate system, anterior thoracolumbbar plate system, titanium mesh cage, peek cage system, titanium crew, a kɔfɛla laminelikɛsi, a bɛ se ka kɛ fɛn ye Minɛnw ka setiw. Ka fara o kan, an b’an jija ka fɛn kuraw dilan tuma bɛɛ ani ka fɛn dilannenw caya, walasa ka dɔgɔtɔrɔw ni banabagatɔ caman ka opereli magow ɲɛ, ani fana k’an ka tɔn kɛ ɲɔgɔndan ye diɲɛ kɔnɔ kolotugudaw ni minɛnw dilanni bɛɛ la.