Nudzɔdzɔwo ƒe wɔwɔfia .
Le Dhaka Central International Medical College & Hospital le Bangladesh la,akɔtadɔme ƒe ƒuƒoƒo la wu complex aɖe nu dzidzedzetɔe Scoliosis ɖɔɖɔɖo ƒe amekoko na nyɔnu dɔnɔ aɖe si xɔ ƒe 16, si nye RAISA (wotrɔ ŋkɔ nɛ be wòaɣla eɖokui). Wozãa a 6.0mm spinal pedicle screw dɔwɔnu ɖoɖo . tsɔ kpe ɖe akɔta ƒe akpa siwo sɔ kple wo nɔewo ŋu be wòana akɔta nasɔ ɖe enu eye wòali ke.
Nya sia te gbe ɖe alesi egbegbe . Spinal pedicle screw system ate ŋu akpe ɖe kɔdzi siwo le Bangladesh ŋu be woaɖo nɔnɔme madeamedziwo ɖɔɖɔɖo si ŋu kakaɖedzi le kple akɔta ƒe dadasɔ ɣeyiɣi didi na ƒewuiviwo gbɔ.
Case ƒe nɔnɔmetata .
Dɔnɔa ƒe Ŋkɔ: Raisa (Akpakpa)
Ƒe: Ƒe 16
Ŋutsu alo nyɔnu nyenye: Nyɔnu .
Dɔléle: Ƒewuivi ƒe scoliosis si ƒe akɔta ƒe ʋuʋu ɖe dzesi ŋutɔ .
RAISA tsɔ aklã ƒe nɔnɔme madeamedzi kple atsyɔ̃ɖoɖo ƒe dzimaɖitsitsi siwo woate ŋu akpɔ la ɖo ŋkume, tsɔ kpe ɖe akɔta ƒe vevesese kple ɖeɖiteameŋu ɣeaɖewoɣi le gbesiagbedɔwo megbe ŋu. Dɔdaƒe ƒe dodokpɔ kple nɔnɔmetatawo ɖeɖefia ɖo kpe structural scoliosis si bia be woaɖɔ amekoko ɖo dzi.
Do ŋgɔ na dɔwɔwɔ kple ɖoɖowɔwɔ ɖe dɔwɔwɔ ŋu .
Hafi woawɔ dɔ na ame la, akɔta ƒe ƒuƒoƒo si le Dhaka wɔ numekuku blibo aɖe, siwo dometɔ aɖewoe nye:
Tsitrenu full-spine x-ray be woadzidze cobb dzogoewo .
Dzodzro le curve flexibility kple rotation ŋu .
Ahɔhɔ̃mekawo me dzodzro .
Dzidziɖedzi ƒe ŋutete kple lãmesẽ bliboa ƒe nɔnɔme me dzodzro .
Le numekuku si me wowɔa dɔ vovovowo le megbe la, amekolawo ƒo nya ta be aklã ƒe nɔnɔme madeamedziwo ɖɔɖɔɖo si zãa 6.0mm spinal pedicle screw instrument set to atikewɔwɔ ƒe ɖoɖo si sɔ wu me. Wotia mɔnu sia be wòana:
Ame ƒe akpa etɔ̃ ƒe ɖɔɖɔɖo le akɔta ƒe ʋuʋu ŋu .
Segmental fixation sesẽ si zãa pedicle screws kple rods .
si nyo ɖe edzi . Coronal kple sagittal ƒe dadasɔ
xɔtuɖoɖo si li ke be woatsɔ ado alɔ ɣeyiɣi didi ƒe fuɖeɖe kple hayahaya .
Nɔnɔmetatawo ɖeɖe do ŋgɔ na dɔwɔwɔ .
Nɔnɔmetatawo ɖeɖe do ŋgɔ na dɔwɔwɔ ɖee fia be:
Akɔta ƒe akɔta ƒe akpa si le axadzi si wode dzesii .
Akɔta ƒe tɔtrɔ kple akɔta ƒe ŋkɔxɔxɔ .
Abɔta siwo meda sɔ o kple akɔta ƒe ɖoɖo .
Nusiwo ŋu woke ɖo siawo ɖo kpe edzi be ehiã be woawɔ ɖɔɖɔɖo kple fusion le megbe ƒe akɔta ƒe nɔnɔme madeamedziwo ŋu to zazã me . pedicle screw–rod construct .
![Dɔnɔ aɖe si xɔ ƒe 16 si le dɔ wɔm le Dhaka, Bangladesh-CzmediTech, ƒe x-ray si wowɔ do ŋgɔ na dɔwɔwɔ]( "Preoperative full-spine X-ray of a 16-year-old scoliosis patient in Dhaka, Bangladesh-czmeditech")
Do ŋgɔ na dɔwɔwɔ na full-spine x-ray si ɖe thoracolumbar scoliosis fia le dɔnɔ aɖe si xɔ ƒe 16 tso Dhaka, Bangladesh.
Amekoko ƒe Nyatakaka Kpuie .
Le amekoko si wowɔ be woawɔ dɔ na ame ƒe lãmetutudɔ me la, amekoko ƒe ƒuƒoƒoa zã . 6.0mm spinal pedicle screw instrument si woɖo be woatsɔ pedicle screws aɖo dzidzenu geɖe dzi le deformity la dzi. Nuɖoanyia na:
Dedie dede eme ƒe . Polyaxial pedicle screws ɖe vertebral pedicles me .
Akɔta ƒe atiwo ƒe ƒoƒo ɖe wo nɔewo ŋu be woatsɔ aƒo kaawo nu ƒu .
Afɔɖeɖe siwo woatsɔ aɖɔ nuwo ɖo (dowo, gbegɔmeɖeɖe, kple atikplɔ ƒe nɔnɔmewɔwɔ) zazã .
scoliotic curve ƒe ɖɔɖɔɖo si dzi woɖu, si nye ŋgɔyiyi, ƒe dzidzedzekpɔkpɔ .
Lead spine surgeon ɖe dzidzeme gã aɖe fia le 6.0mm spinal pedicle screw instrument set kple compatible implants si míaƒe dɔwɔƒea na la ŋu. Mɔnua ɖe mɔ be woaɖɔ akpa etɔ̃ ɖo le nɔnɔme madeamedzia kple akpa siwo wotsɔ dɔwɔnu wɔe ƒe liƒolili sesẽ la ŋu.
Wozãa pedicle screw–rod construct sia zi geɖe le scoliosis kple complex spinal deformity ourgeries me elabena enaa:
Segmental fixation sesẽ .
Ŋusẽkpɔɖeamedzi ɖe akɔta ƒe ɖoɖo dzi pɛpɛpɛ .
Ðɔɖɔɖoŋusẽwo dzi kpɔkpɔ si ŋu kakaɖedzi le le akɔta bliboa me .
Nɔnɔmetatawo ɖeɖe le dɔwɔwɔ vɔ megbe .
Woɖe nɔnɔmetatawo ɖeɖefia le dɔwɔwɔ vɔ megbe fia be:
ŋgɔyiyi ɖedzesi aɖe le akɔta ƒe ɖoɖowɔwɔ me .
Ðeɖiteameŋu si dzi ɖe kpɔtɔ kple akɔta ƒe ŋkɔxɔxɔ .
Abɔta kple akɔta ƒe akpa si da sɔ .
Le atikewɔwɔ me la, Raisa ɖee fia be:
ahɔhɔ̃mekawo ƒe nɔnɔme si li ke .
Vevesesenutsitike si naa ame ƒe dzi dzea eme .
Trɔ yi tsitrenu vivivi eye nàzɔ kple kpekpeɖeŋu .
Nɔnɔme si nyo ɖe edzi kple atsyɔ̃ɖoɖo ƒe dzedzeme .
Le dɔnɔa ƒe kplɔkplɔ ɖo kpuie me la, eyi edzi nɔ hayahayam nyuie, eye nusiwo do tso eme kaba ɖee fia be wogblɔ ɣeyiɣi didi aɖe ƒe nyagblɔɖi nyui aɖe na aklã ƒe dadasɔ kple agbenɔnɔ ƒe nyonyome.
![X-ray si wowɔ le dɔwɔwɔ vɔ megbe si fia alesi woɖɔ akɔta ƒe dɔwɔwɔ ɖo le amekoko vɔ megbe le scoliosis ƒe dɔwɔwɔ vɔ megbe le Bangladesh-CzmediTech .]( "Postoperative X-ray showing corrected spinal alignment after scoliosis surgery in Bangladesh-czmeditech")
Implant ƒe nɔnɔme siwo wozã le nya sia me .
Wozã nusiwo gbɔna siwo wotsɔ dea ame me le dɔa wɔwɔ me:
6.0 polyaxial pedicle screw .
6.0 Crosslink-I (SW3.5) .
![6.0mm spinal pedicle screw instrument set kple implants si wozãna na scoliosis ɖɔɖɔɖo-czmeditech1.]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech1")
Akpa siawo wɔ dɔ ɖekae kple akɔta ƒe atiwo be woana megbeƒu ƒe fusion construct si li ke si sɔ na ƒewuiviwo ƒe scoliosis ɖɔɖɔɖo.
Dɔwɔnu ƒe Ðoɖo ƒe Kpɔɖeŋu .
The Spinal pedicle screw instrument set si wozã le Dhaka Central International Medical College & Hospital ƒe akpa aɖewoe nye:
Pedicle Screw ƒe Dɔwɔnu Siwo Wotsɔ Dea Nu Me .
Dɔwɔnu siwo wotsɔ dzidzea atikplɔwo, wobɔbɔna, kple wo dede wo me .
CrossLink kple Connector Dɔwɔnuwo .
Dzadzraɖo ɖe ƒuwo ŋu kple wo dzi ɖeɖe kpɔtɔ ƒe dɔwɔnuwo .
![6.0mm spinal pedicle screw instrument set kple implants si wozãna na scoliosis ɖɔɖɔɖo-czmeditech2.]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech2")
Eƒe ergonomic aɖaŋu kpena ɖe amekolawo ŋu le Bangladesh kple nuto bubuwo me wɔa scoliosis ɖɔɖɔɖo sesẽwo nyuie wu eye wole dedie, si ɖea dɔwɔwɔ ƒe ɣeyiɣi dzi kpɔtɔna eye wòdoa alɔ screw placement si sɔ pɛpɛpɛ.
Vevienyenye le dɔdaƒe ƒe dɔwɔwɔ le akɔta le Bangladesh .
Nya sia ɖee fia be to egbegbe 6.0mm spinal pedicle screw system ƒe kpekpeɖeŋu me la, kɔdzi siwo le Bangladesh ate ŋu:
Na scoliosis ɖɔɖɔɖo ƒe amekoko deŋgɔ na ƒewuivi dɔnɔwo .
Ðo nɔnɔme madeamedziwo ɖɔɖɔɖo kple fusion si ŋu kakaɖedzi le gbɔ .
Na atsyɔ̃ɖoɖo kple dɔwɔwɔ me tsonu nanyo ɖe edzi na sɔhɛ dɔnɔwo kple woƒe ƒomewo .
na kɔdziwo, mamalawo kple akɔtadɔdala siwo le didim . Spinal pedicle screw systems siwo sɔ na scoliosis kple spinal deformity ƒe amekoko bubuwo, nya sia na xexeame ŋutɔŋutɔ ƒe kpeɖodzi be dɔwɔwɔ nyuie.
Nyataƒoƒo & Kadodo .
Amekoko si wowɔ na nyɔnuvi si xɔ ƒe 16 le Dhaka dzidzedzetɔe la ɖe alesi wòle vevie be:
Ne èdi be yeanya nu geɖe tso nya sia alo . 6.0mm spinal pedicle screw instrument set , taflatse te ɖe mía ŋu hena atikewo ŋuti nyatakaka tsitotsito, ɖoɖo ƒe ɖoɖowɔwɔ kple dɔdaƒe ƒe kpekpeɖeŋu.
Ka ɖe mía dzi hena nya bliboa ŋuti nyatakakawo kple spinal pedicle screw solutions .
Nyabiasewo ƒe 1999 me.
1. Nukae Nye Scoliosis Ðɔɖɔɖo ƒe Amekoko?
Scoliosis Correction Surgery nye dɔdamɔnu si zãa nusiwo wotsɔ dea lãme na ame abe pedicle screws kple rods ene tsɔ ɖɔa akɔta ɖo heɖoa eƒe akɔta si mesɔ o. Le go sia me tso Bangladesh la, wozã 6.0mm spinal pedicle screw system tsɔ ɖɔ nɔnɔme madeamedzia ɖo eye wòdo alɔ aklã me fusion.
2. Nukatae wotia 6.0mm spinal pedicle screw system na dɔnɔ sia?
6.0mm pedicle screw system naa anchorage sesẽ le vertebral ŋutilãwo me eye wòɖea mɔ ɖe akpa etɔ̃ ƒe ɖɔɖɔɖo si li ke ŋu, si le vevie ŋutɔ na ƒewuiviwo ƒe scoliosis amekoko si hiã be woatsɔ aɖo wo ɖokui me si ŋu kakaɖedzi le kple ɣeyiɣi didi ƒe fuɖeɖe.
3. Ðe amekoko si wowɔna le scoliosis ŋu le dedie na ƒewuiviwoa?
Ne wowɔ dɔ na akɔtadɔlélawo ƒe ƒuƒoƒo si si nuteƒekpɔkpɔ le si sɔ eye wole ŋku lém ɖe wo ŋu la, zi geɖe la, amekoko si wowɔna na ame ƒe dɔwɔwɔ nyuie la nɔa dedie na ƒewuiviwo. Le dhaka ƒe nya sia me la, dɔnɔ si xɔ ƒe 16 la haya nyuie kple akɔta ƒe ɖoɖo si li ke eye ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie yeye aɖeke menɔ anyi o.
4. Ɣeyiɣi didi kae wòhayana le amekoko megbe be woahaya?
Dɔnɔ akpa gãtɔ dzea anyinɔƒe nɔnɔ gɔme eye wozɔna kple kpekpeɖeŋu le ŋkeke ʋɛ aɖewo megbe le amekokoa megbe. Zi geɖe la, gbãtɔ ƒe hayahaya xɔa kwasiɖa geɖe, gake ƒu blibo ƒe ƒoƒo ɖekae kple ɣeyiɣi didi ƒe tɔtrɔ ate ŋu axɔ ɣleti 6–12, le ƒexɔxɔ, nɔnɔme madeamedzi ƒe sesẽme kple gbugbɔgaɖɔɖo nu.
5. Viɖe kawoe le pedicle screw–rod construct zazã le scoliosis surgery me?
Pedicle screw–rod construct naa akpa ƒe fixation sesẽ, dziɖuɖu pɛpɛpɛ le spinal alignment kple kakaɖedzi beléle na ɖɔɖɔɖo ŋusẽwo, si kpena ɖe eŋu be woakpɔ curve ɖɔɖɔɖo nyuie wu, akɔta ƒe dadasɔ kple ɣeyiɣi didi ƒe liƒo.
6. Kuxi kawoe woléa ŋku ɖe wo ŋu le amekoko ƒe dɔwɔwɔ vɔ megbe?
Amekolawo léa ŋku ɖe dɔlékuiwo xɔxɔ, ʋu si dona le ame ŋu, woƒe lãme ʋuʋuna alo woƒe gbagbã, ahɔhɔ̃mekawo ƒe tɔtrɔ kple abi ƒe dɔyɔyɔ nyuie o ŋu. Ne wowɔ dɔ na ame nyuie le amekoko me eye wokplɔe ɖo la, woɖea kuxi sesẽwo ƒe afɔkua dzi kpɔtɔna.
7. Ðe wòate ŋu adzɔ be scoliosis nagadzɔ le amekoko ƒe dɔwɔwɔ vɔ megbea?
Ne wonya kpɔ fusion sesẽ eye akɔta la haya ƒo xlã pedicle screw–rod construct ko la, afɔku si le gbugbɔgadzɔ ɖedzesi me la le sue zi geɖe. Gake wokafui be woaɖe nɔnɔmetatawo afia edziedzi, vevietɔ le dɔnɔ siwo le tsitsim me.
8. Ðe amekoko sia ƒomevi le Bangladesh?
Ɛ̃. Abe alesi woɖee fia le go sia me tso Dhaka ene la, wole 6.0mm spinal pedicle screw system si ƒe lolome nye 6.0mm la wɔm xoxo le Bangladesh to special spine teams dzi le kɔdzi siwo ŋu wodzra ɖo la me xoxo.
