Ebitukwatako
Changzhou Meditech Tekinologiya Kkampuni, Ltd., esangibwa mu Changzhou Science & Education Town, Jiangsu province,isspecialized mu kukola amagumba implants n'ebikozesebwa.
Oluvannyuma lw’emyaka egisukka mu 10 okunoonyereza n’okukulaakulanya, Tulina 10 main product series era ze nkola y’omugongo, intramedullary nail system, trauma plate ne screw system, locking plate ne screw system, CMF system, external fixator system, medical power tool system, general surgical instruments system, sterilization container system and veterinary orthopedic system.
Nga omusuubuzi w’ebyuma eby’obujjanjabi ng’alina obumanyirivu obusoba mu myaka kkumi, era nga tulina satifikeeti za CE ne ISO, ebintu byaffe bibadde bifulumizibwa mu mawanga mangi nga USA, Germany, Argentina, Chile, Mexico, India,Thailand, Malaysia, Turkey, Egypt, South Africa, Ivory Coast, n’ebirala.
Mu musingi gwa 'omutindo ogusooka, empeereza esooka, R&D esooka, obuyiiya esooka', kkampuni yaffe ewangula erinnya eddungi ennyo mu ggwanga n'ebweru w'eggwanga. Kkampuni eno etwala okuganyula abalwadde ng’ekigendererwa kyayo eky’enkalakkalira era ekola kaweefube atasalako ku bulamu bw’abantu.
Okulongoosa Omugongo
Waliwo ebika bingi eby’okulongoosa omugongo, okusinga nga tekuyingirira nnyo era nga kuggule. Ebimu ku bimenyeka mu kifuba, disc herniation, akafuba k’omugongo, scoliosis osobola okubijjanjaba nga balongoosebwa. Okulongoosa okutali kwa maanyi okusinga kuzingiramu: okulongoosa omugongo, okuggyamu omugongo mu ngeri ya radiofrequency, okuggyawo endoscopic nucleus pulposus, okunyweza munda mu muggo gwa pedicle screw rod mu lususu, n’ebirala Okulongoosa mu lujjudde okusinga kuzingiramu okukendeeza mu lujjudde n’okunyweza munda, okusalako laminectomy, okuggyamu omugongo mu ngeri ey’olubeerera n’okunyweza munda, n’ebirala Era bino tujja kubiyingizaamu kimu ku kimu:
A. Obulwadde bw’omumwa gwa nnabaana (cervical spondylosis).
Ku kulongoosa cervical disc herniation, cervical spondylotic myelopathy, n’okufuuka amagumba mu posterior longitudinal ligament of the cervical spine, amalwaliro oba abasawo abamu bakola kulongoosa mu maaso oba kulongoosa mu maaso kwokka. Mu butuufu, waliwo ebika by’okulongoosa bingi by’osobola okulondamu. Abantu balina obumanyirivu bungi obw’obuwanguzi mu bika by’okulongoosa bino, ebiyinza okukozesebwa mu ngeri entuufu okusinziira ku mbeera ez’enjawulo, awatali tekinologiya yenna, mbeera, n’ebirowoozo ebifunda, era bawa omuzannyo omujjuvu ku birungi ebikwatagana eby’ebika by’okulongoosa eby’enjawulo. Ku bulwadde bwa cervical spondylosis obuzibu, okukendeeza ku kunyigirizibwa n’okunyweza okuyita mu nkola zombi ez’omu maaso n’ez’emabega kiyinza okukendeeza ennyo ku budde bw’okuweebwa ekitanda mu ddwaaliro, era ekikolwa ky’okukendeeza ku kunyigirizibwa mu bujjuvu kiba kirungi.
Okukendeeza ku kunyigirizibwa kw’omumwa gwa nnabaana ogw’omu maaso n’okugatta n’okusimbibwa amagumba n’okunyweza munda:
Kikozesebwa ku cervical spondylosis nga protrusion ya intervertebral discand short compression segments (1-3 spaces) of spur ebimera. Kirina enkizo y’okusala obutereevu ekiwundu, nga kino kyangu nnyo era nga kyangu. Ye nkola esinga okulongoosebwa bulijjo era y’enkola enkulu ey’okujjanjaba obulwadde bwa cervical spondylosis.
Okukendeeza ku kunyigirizibwa kw’omumwa gwa nnabaana ogw’emabega n’okulongoosa laminoplasty:
Kikozesebwa ku bulwadde bwa cervical spondylosis n’omuwendo n’ekitundu ky’okunyigirizibwa kw’omugongo wakati n’okusannyalala kw’omukutu gw’omugongo, awamu n’okunyigirizibwa okw’amaanyi okw’omu maaso (okufuuka amagumba g’omusuwa ogw’emabega ogw’obuwanvu, disiki wakati w’omugongo). Kiba kya indirect decompression, ekirina enkizo y’okukuuma omulimu gw’okutambula kw’omumwa gwa nnabaana era nga tekirina bulabe bwonna.
Okukyusa disiki y’omumwa gwa nnabaana mu ngeri ey’ekikugu:
Kikozesebwa ku balwadde abali wansi w’emyaka 60 nga balina short segment anterior intervertebral disc compression. Wadde nga kikendeeza ku kunyigirizibwa n’okuwummuza okunyigirizibwa kw’omugongo, kikuuma omulimu gw’omugongo gw’omumwa gwa nnabaana, kikendeeza ku busobozi bw’okwanguyiza okuvunda kw’ebitundu ebiriraanyewo, abalwadde basobole okutambula amangu oluvannyuma lw’okulongoosebwa era omulimu ne gubeera kumpi n’embeera y’omubiri.
Omutendera ogusooka okukendeeza n’okunyweza omumwa gwa nnabaana mu maaso n’emabega
Okukendeeza ku puleesa kujjuvu era tekulina bulabe, kirungi ku bulwadde bwa cervical spondylosis obw’amaanyi era obw’enjawulo. Ku mbeera z’obulwadde bwa cervical spondylotic myelopathy nga zirina ekika kya clamp oba long segment spinal stenosis n’okunyigirizibwa okw’omu maaso okunene, waliwo obuzibu obumu mu kulongoosa oba mu maaso oba emabega kwokka. Tukwata ekifo eky’okusitama okulongoosa emabega, n’oluvannyuma ne tukwata ekifo eky’okusitama okulongoosa mu maaso, n’omutendera ogusooka okukendeeza ku bunkenke mu maaso n’emabega.
Ebirungi : Oluvannyuma lw’okukendeeza ku kunyigirizibwa okw’emabega, omugongo gw’omumwa gwa nnabaana gusobola okuwuguka okudda emabega, ekifo mu maaso g’omugongo gw’omumwa gwa nnabaana kyeyongera nnyo, ate puleesa mu mwala gw’omugongo ekendeera, ekikendeeza ku bulabe bw’okulongoosebwa mu maaso. Mu kiseera kye kimu, okunyigirizibwa okw’enjuyi zombi kuwummuzibwa, okunyigirizibwa kuwedde, ekikolwa kyeyoleka, era kiyamba okuddamu okukola kw’omugongo; kikendeeza ku bulumi bw’abalwadde era kyangu abalwadde okukkiriza. Kyewala ebizibu by’okuweebwa ekitanda emirundi ebiri, okulongoosebwa omulundi ogw’okubiri, okulwala obulwadde okumala ebbanga eddene, era kikekkereza ssente z’okujjanjabibwa mu ddwaaliro.
Okukendeeza ku kunyigirizibwa kw’omumwa gwa nnabaana ogw’emabega n’okusalako ekitundu ky’omumwa gwa nnabaana
Bw’ogeraageranya n’enkola ey’omu maaso, okukendeeza ku buzito bw’omumwa gwa nnabaana ogw’emabega tekyetaagisa kuyungibwa kwa magumba era tefiirwa bbanga lya ntambula ya mugongo gwa nnabaana. Okuggyawo posterolateral cervical disc herniation nucleus pulposus nga tuyita mu nkola ey’emabega kukolebwa wansi w’okulaba obutereevu era kyangu nnyo, kale tekirina bulabe era kyesigika. Ebiraga: posterolateral cervical disc herniation, single level intervertebral foramen stenosis, multi level intervertebral foramen stenosis awatali kuzimba omukutu gw’omugongo ogw’omu makkati, n’obubonero bw’ebikoola obutasalako oluvannyuma lw’okusalako discectomy mu maaso n’okuyungibwa.
Okulongoosa obulwadde bw’ensingo eya waggulu
Obuvune n’endwadde z’omugongo ogwa waggulu ogw’omumwa gwa nnabaana bisobola okuvaako omugongo obutakola bulungi nnyo. Olw’ensengeka y’omubiri enzibu, amalwaliro agasinga tegasobola kuzijjanjaba. Okugeza, okumenya n’okusereba kw’omugongo, atlanto occipital malformation, ne rheumatoid upper cervical spondylopathy, okusumululwa mu maaso n’okunyweza emabega bisobola okukozesebwa okukendeeza ku kuseeseetula, okumalawo okunyigirizibwa kw’omugongo, n’okutaasa obulamu.
B.Okuzimba kw’omugongo, okusannyalala kw’omugongo, okusannyalala kw’omugongo, okulumwa omugongo ogwa discogenic
Okuyungibwa kw’omugongo (intervertebral fusion) tekyetaagisa kuggyawo magumba ga kifuba olw’okusannyalala kw’omugongo oba okusannyalala kw’omugongo oguva ku nsonga ez’enjawulo. Ekigendererwa ekisooka eky’okulongoosa kwe kukendeeza ku busimu. Omugongo bwe guba tegutebenkedde, okuyungibwa kw’omugongo kusalibwawo okusinziira ku ddaala ly’obutabeera mu ntebenkevu n’okuzimba ebinywa. Ekisenge ky’amagumba g’omugongo ogw’emabega (PLF) oba ekitundu ky’amagumba wakati w’omubiri (PLIF) kirondebwa okusinziira ku oba kisaanira okunyweza munda mu sikulaapu ya pedicle. Mu PLIF, ekitundu kyonna ekiggiddwamu vertebral arch ne inferior articular process complex (median incision) bikozesebwa nga interbody bone graft fast, ekitakoma ku kufuna kintu ekisinga obulungi eky’okusimba amagumba, naye era kyewala okuggya amagumba okuva mu kisambi oba okugula interbody fusion cage, ekimalawo ebizibu by’okuggyawo amagumba era kikendeeza nnyo ku ssente z’okulongoosa.
Okusannyalala kw’omugongo (lumbar disc herniation).
Okusinziira ku bika by’obulwadde eby’enjawulo, fenestration of nucleus pulposus, laminectomy ne discectomy (oluusi nga waliwo okuyungibwa kw’amagumba n’okunyweza munda) n’okukyusa disiki ey’ekikugu bye birondebwa.
Okusannyalala kw’omugongo mu kifuba
Okukendeeza okunyigirizibwa kw’omukutu gw’omugongo n’omukutu gw’emirandira gy’obusimu kisoboka. Ku balwadde abalina obutabeera mu ntebenkevu mu mugongo, okunyweza dynamic oba fusion fixation kulina okukolebwa nga balonda, abalwadde basobole okutuukiriza ekiruubirirwa ky’obujjanjabi ku ssente entono n’okufuna ebivaamu ebimatiza.
1) Dynamic fixation of lumbar spine - tekoma ku kutebenkeza mugongo, naye era ekuuma omulimu gw’okutambula kw’omugongo. Ebirungi byayo mulimu: (1)esobola okukendeeza ennyo puleesa ya disiki wakati w’omugongo n’okuziyiza okuvunda kwa disiki wakati w’omugongo; (2)Ekiyungo kya laasitiki kikuuma era ne kizzaawo bbalansi ey’ebitundu bisatu ey’ekitundu ky’entambula.
2) Okulongoosa okukendeeza ku buzito bw’omugongo mu ngeri etali ya maanyi nnyo nga ebinywa bikuumiddwa - enkola ey’okulongoosa ey’omulembe eyaleetebwa okuva ebweru w’eggwanga. Oluvannyuma lw’okwongera okulongoosa, okulongoosebwa kulina akasala akatono, tekusekula binywa, kukuuma enkula y’emisuwa n’omugongo, era okukendeeza ku kunyigirizibwa wansi w’endabirwamu enkulu ne microscope kwesigika mu bujjuvu, tekwonoona nnywevu ya mugongo, era kuba n’okuddamu okutono oluvannyuma lw’okulongoosebwa. Abalwadde basobola okutambula ku lunaku olwokubiri, ne bava mu ddwaaliro oluvannyuma lw’ennaku 5-7.
Obulwadde bwa lumbar spondylolisthesis
Kye kisinga okulaga okukendeeza ku kunyigirizibwa n’okukendeeza, okuyunga amagumba, n’okunyweza munda mu pedicle. Era kye kika ky’okulongoosa ekisinga okukozesebwa nga bakozesa enkola ya titanium plate fixation. Okulongoosa kuno kuzibu era kunene mu bunene. Ekivaako oba ekitundu ekisooka eky’okusannyalala kw’omugongo, obulwadde bw’okusannyalala kw’omugongo, kyangu nnyo okukola ku nsonga eno mu budde.
1) Obulwadde bw’omugongo mu kifuba buyinza okuva ku kumenya ekitundu ky’omugongo gw’omugongo (isthmus, obunyondo obutono) olw’okukola dduyiro enfunda eziwera. Singa tewona, okusobola okuziyiza obulwadde bw’omugongo naddala ng’obubonero bweyolekera, osobola okukozesa bone graft okuddaabiriza isthmus, sikulaapu bbiri n’akaguwa ka titanium, nga kino kyangu ate nga tekirina bulabe.
2) Lumbar spondylolisthesis yajjanjabwa n’okulongoosa okuggulawo, okuyungibwa kw’amagumba wakati w’omugongo (PLIF), n’okunyweza munda mu pedicle. Ekigendererwa ekisooka eky’okulongoosa kwe kukendeeza ku busimu. Bwe PLIF peek lumbar fusion cage ekolebwa, vertebral cage arch yonna ne inferior articular process complex (median incision) zikozesebwa nga quick interbody bone graft, ekitasobola kukoma ku kufuna kintu ekisinga obulungi eky’okusimba amagumba, naye era okwewala okuggya amagumba okuva mu kisambi oba okugula ekyuma ekigatta amagumba (interbody fusion cage), okumalawo ebizibu by’okuggyawo amagumba, era n’okukendeeza ennyo ku ssente ezisaasaanyizibwa mu kulongoosa.
Obulumi bw’omugongo ogwa discogenic
Dynamic lumbar fixation, artificial disc replacement ne interbody fusion (mu maaso oba emabega) byalondebwa.
C. Okumenya omugongo
Okuva ku kumenya omugongo gw’omumwa gwa nnabaana ogwa waggulu okutuuka ku kumenya omugongo ogw’omumwa gwa nnabaana, okukendeeza ku kunyigirizibwa okw’omu maaso oba okw’emabega n’okunyweza omugongo bye bitwalibwa.
1. Okulongoosa myelography mu kulongoosa n’okukendeeza ku buzito bw’omubiri (transpedicular decompression).
Mu kukendeeza okuggule, okukendeeza ku kunyigirizibwa n’okunyweza munda okw’okumenya kw’ekifuba (thoracolumbar burst fracture), ekikolwa ky’okukendeeza okunyigirizibwa kiyinza okulondoolebwa obulungi okukendeeza ku buvune obw’ekika kya iatrogenic.
2. Minimally invasive percutaneous kyphoplasty okujjanjaba okumenya kw’okunyigirizibwa kw’omugongo mu bakadde
Empiso emu yokka eya seminti w’amagumba y’esobola okugikuba empiso. Tekinologiya ddala atali muyingirira nnyo okumalawo obulumi n’okutambula okuva ku kitanda oluvannyuma lw’ennaku 1-3 ng’olongooseddwa.
D. Okulongoosa omugongo mu ngeri etali ya maanyi nnyo
A. Ekigendererwa ky’okulongoosa omugongo mu ngeri etali ya maanyi nnyo (MISS) kwe kutuuka ku bikolwa by’obujjanjabi obw’okulongoosa obwa bulijjo n’okukendeeza ku buvune obuva mu kulongoosa nga bwe kisoboka, okusobola okukendeeza ku bizibu, okuvaamu omusaayi mu kulongoosebwa, okubeera mu ddwaaliro n’ebirala, abalwadde basobole okuwona n’okudda mu bulamu obwa bulijjo n’okukola amangu ddala nga bwe kisoboka.
Okulongoosa okusookerwako okutali kwa mubiri kuliko:
Tekinologiya wa endoscopic
Spinal endoscopy kitegeeza nti omusawo alongoosa, wansi w’obulagirizi bwa X-ray oba navigation nga alongoosebwa, akozesa ebikozesebwa ebigaziya okuboola okufumita okuva ku lususu okutuuka ku biwundu by’omugongo, assaawo emikutu gy’okulongoosa endoscopic n’okulongoosa, akozesa amazzi nga medium, okukuza n’okulaga ebivudde munda n’ebiwundu ku high-definition display screen ng’ayita mu endoscopic system, era omusawo n’alongoosa okuyita mu screen ekifaananyi. Enkola z’okulongoosa ezisinga okukozesebwa mulimu: lateral lumbar foraminal endoscopy, posterior lumbar lamina approach endoscopy, n’okulongoosa omumwa gwa nnabaana emabega. Bw’ogeraageranya n’okulongoosa okw’ekinnansi oba okulongoosa okutonotono, kulina ebirungi bino wammanga: (1) Ebiraga ebigazi, okuvaamu omusaayi omutono n’okulumwa, tewali kwonooneka ku nsengeka y’omugongo eya bulijjo, era okutwalira awamu ekifo we batema kiba wansi wa sentimita emu; (2) Okulongoosa wansi w’obujjanjabi obw’okubudamya mu kitundu kuyinza okulondebwa, era empuliziganya mu kiseera ekituufu wakati w’abasawo n’abalwadde eriwo okusobola okwanguyiza okulongoosa n’okwewala obuvune bw’obusimu mu kulongoosebwa; (3) Ebizibu ebitono, okuwona amangu, asobola okuva ku kitanda oluvannyuma lw’okulongoosebwa, okusiibulwa mu nnaku 1-2, oba okulongoosebwa ebweru; (4) Omuwendo omutono ogw’okukwatibwa endwadde; (5) Ekizibu eky’ekiseera ekiwanvu eky’okuvunda amangu kw’ebitundu ebiriraanye mu kuyungibwa okusooka kyewalibwa. Ebizibu mulimu: (1) Waliwo omuwendo ogugere ogw’okuddamu okulwala. Oluvannyuma lw’okuddamu okulongoosebwa, okuddamu okulongoosa kujja kuba kuzibu era kwa bulabe olw’okunywerera kw’enkovu y’okulongoosebwa okwasooka. (2) Waliwo ebizibu ebimu, gamba ng’okunyigirizibwa kw’obusimu obusigaddewo (residual nucleus pulposus compression), okulumwa ebikoola by’omugongo n’obusimu, okukwatibwa yinfekisoni y’ekifo ekiri wakati w’omugongo, okuvaamu omusaayi, obutabeera bulungi mu bitundu by’obusimu oluvannyuma lw’okulongoosebwa; (3) Ebiraga okulongoosa biba bimu, okusinga ku kujjanjaba simple intervertebral disc herniation. Ku complex intervertebral disc herniation oba combined spinal stenosis, era esobola okujjanjabibwa. Singa ekikolwa kiba kibi, kyetaagisa okuddamu okulongoosebwa mu lwatu.
2. Tekinologiya wa fusion n’okunyweza munda atayingirira nnyo
Lumbar fusion and internal fixation nkola ya kulongoosa enkulu mu kujjanjaba obuzibu bw’omugongo. Okuyita mu nkola ey’omu maaso, ey’omu maaso, ey’ebbali, ey’emabega n’ey’emabega ey’omugongo gw’omugongo, okusimba amagumba oba okuyungibwa, enkola ya facet joint ne intertransverse process zisimbibwa mu kifo ekiri wakati w’omugongo, olwo okukwatagana kw’amagumba wakati w’ennyondo z’omugongo ne kusobola okubaawo, bwe kityo ne kiteekawo n’okukuuma obutebenkevu bw’omugongo gw’omugongo. Mu ndowooza, ekitundu ky’okulongoosa tekijja kuddamu. Enkola z’okuyunga n’okunyweza munda ezitayingirira nnyo mulimu okuyungibwa mu bitundu by’omubiri ebiyitibwa transforaminal lumbar interbody fusion (MIS-TLIF) n’okuyungibwa wakati w’omugongo mu ngeri etali ya maanyi nnyo (LLIF). LLIF era erimu ekiyumba ekiyitibwa vertical lateral fusion cage (DLIF) n’ekiyungo ekisinga okwettanirwa ekya oblique lateral fusion (OLIF). Tekinologiya wa minimally invasive fusion internal fixation technology okusinga aleeta special expanders ne tubular retractors okukendeeza ku kwonooneka kw’ebitundu ebigonvu n’okusobozesa okulaba obulungi ekifo we balongoosebwa. Kiyinza okukolagana ne microscope ekola oba magnifying glass ey’amaanyi amangi okugaziya ekifo ky’okulongoosa eky’okulaba, okusobola okukendeeza ku kutemebwa kw’olususu n’okwonooneka kw’ebitundu by’omunda, n’okusobozesa okulongoosa omugongo okussa mu nkola obujjanjabi obusinga okukola obulungi nga tewali kwonooneka kwa iatrogenic. Bw’ogeraageranya n’okulongoosa okuggule, tekinologiya wa minimally invasive fusion internal fixation alina ebirungi ebirungi mu nsonga z’okusula mu ddwaaliro, okufiirwa omusaayi, obudde bw’okuwona n’obudde okudda mu bulamu obwa bulijjo. Mu kiseera kye kimu, mu budde obutuufu esobola okukuuma ensengekera y’empagi ey’emabega ey’omugongo, okukendeeza ku kwonooneka kw’ebinywa, era bwe kityo ne kikendeeza ku bulumi oluvannyuma lw’okulongoosebwa. Tekinologiya wa minimally invasive fusion and internal fixation technology alina ebiraga bingi, omuli endwadde ez’enjawulo ezivunda omugongo, okusannyalala kw’omugongo, complex disc herniation, obutabeera mu ntebenkevu, scoliosis, n’ebirala Ku balwadde abalina embeera ez’amaanyi ennyo ezitasaanira ku endoscopy, okulongoosa ng’okwo kulina okukolebwa emirundi mingi.
3. Okulongoosa omugongo mu lususu
Kibeera mu kulongoosa okutali kwa maanyi nnyo, omuli okulongoosa omugongo mu lususu (PVP) n’okulongoosa bbaatule kyphoplasty (PKP). Tekinologiya nti seminti w’amagumba ow’obujjanjabi oba ebikozesebwa mu magumba ag’ekikugu bifukibwa mu mubiri gw’omugongo ogulwadde nga bayita mu kufumita olususu okunyweza omubiri gw’omugongo. Endwadde ezikozesebwa mulimu: 1. Osteoporotic vertebral compression fracture, nga tekola bulungi na bujjanjabi bwa brace oba eddagala; 2. Ebizimba ebitali birungi oba ebizimba ebibi ebisaasaana mu mubiri gw’omugongo; 3. Okumenya omugongo nga waliwo obulwadde bw’amagumba oba obutakwatagana oluvannyuma lw’okumenya; 4. Okumenya okunyigirizibwa okutali kunywevu oba okumenya okunyigirizibwa kw’omugongo mu bitundu ebingi; 5. Okumenya okubutuka nga kuliko ekisenge eky’emabega eky’omubiri gw’omugongo ekitaliiko kamogo. Ebifaananyi by’okulongoosebwa kuno: 1. Obujjanjabi obw’okuyingira mu nsonga obutono ennyo wansi w’okubudamya mu kitundu bulina obudde butono obw’okulongoosebwa, okusala kuli mu 0.5cm, omusaayi guba 2-3ml, era ekikolwa ky’okukendeeza obulumi kyeyoleka bulungi. Kirina omulimu gw’okumalawo obulumi n’okuddamu okuzimba amaanyi g’amagumba aga biomechanical mu kiseera kye kimu. 2. Ku balwadde abakadde n’abanafu, akabi k’okulongoosebwa katono, era ebizibu ebiyinza okuva mu butatambula byewalibwa. 3. Okuwona oluvannyuma lw’okulongoosebwa kuba kwa mangu ate ng’obudde bw’okujjanjabibwa mu ddwaaliro buba butono. 4. Olw’okuwona obulumi mu budde, ebizibu ebiva mu kumira eddagala eriweweeza ku bulumi n’okwesigamira ku ddagala byewalibwa, era omutindo gw’obulamu gutereera. 5. Kikendeeza nnyo ku budde abalwadde bwe bamala okuwummulako ku kitanda ne beetaaga abalabirira.
4. Okulongoosa omugongo nga bayambibwako roboti era nga batambulira
Okulongoosa omugongo kyetaagisa abasawo okulongoosa mu butuufu obw’amaanyi, era ensobi entonotono zijja kuviirako ebizibu eby’akabi. Okugeza, ku tekinologiya w’okuyingiza sikulaapu y’omugongo, mu nkola y’okuyingiza sikulaapu, kiteekwa okukakasa nti sikulaapu eteekebwa munda mu kikuta. Diameter y’ekikuta ky’omugongo eri nga mm 8, era oludda olw’omunda n’olw’okunsi olw’ekikuta bikulu nsengekera z’obusimu. Dyaamu ya sikulaapu yaffe eri mm 6.5, ekitegeeza nti sikulaapu bw’emala okumenya ebisenge eby’omunda n’ebya wansi ebya pedicle, obusimu buyinza okwonooneka okw’amaanyi. N’olwekyo, obutuufu n’obukuumi bw’okuyingiza sikulaapu kikulu nnyo. Roboti y’okulongoosa amagumba n’enkola y’okulaga ekkubo, ng’elungamizibwa ebifaananyi ebya 3D, esobola okuteeka sikulaapu mu ngeri entuufu okusinziira ku kkubo eritegekeddwa, okusikula mu sikulaapu za pedicle mu ngeri ey’otoma oba semi-otomatiki, okukendeeza ku kwonooneka kw’ebinywa ebikyetoolodde n’ebitundu ebirala ebigonvu, n’okukakasa nti okulongoosa kutuufu era nga tekulina bulabe. Ku tekinologiya wa endoscopic, okutambulira awamu nakyo kisobola okukendeeza ennyo ku budde bw’okuboola okulongoosa, okwonooneka kw’ebitundu ebigonvu n’obutabeera bulungi bw’abalwadde nga balongoosebwa. Okukozesa enkola ya robot assisted ne navigation spinal surgery kijja kuganyula nnyo abalwadde abalina endwadde z’omugongo.
Mu kigambo kimu, tekinologiya w’omugongo atayingirira nnyo asobola okutuukiriza ekigendererwa ky’obujjanjabi mu ngeri ey’obukuumi era ennungi ng’akendeeza ku buvune nga bwe kisoboka. Wadde nga kituuka ku kikolwa kye kimu oba ekisinga obulungi ng’okulongoosa omugongo oguggule, kiyinza okukendeeza ku buvune obuva mu kulongoosa abalwadde, okutumbula okuwona kwabwe amangu, n’okukendeeza ku biva mu kulongoosebwa. Wabula okulongoosa omugongo nga tekuyingirira nnyo mugongo tekusobola kudda mu kifo kya kulongoosa mugongo okw’ekinnansi. Enteekateeka y’okulongoosa entongole erina okusalibwawo okusinziira ku mbeera y’omulwadde, tekinologiya w’obujjanjabi, empuliziganya wakati w’abasawo n’abalwadde n’ensonga endala. Okukung’aanya obumanyirivu mu kulongoosa okwa bulijjo okuggule gwe musingi gw’okulongoosa okutali kwa maanyi nnyo. Okulongoosa okutali kwa maanyi bwe kusanga obuzibu, kwetaaga okukyusibwa okudda ku kulongoosa okuggule mu budde okusobola okukakasa obulungi obukuumi bw’abalwadde n’obulungi bw’okulongoosa. N’ekisembayo, tusaanidde okujjukiza abalwadde abalongoosebwa nti okuddaabiriza n’obwegendereza n’okukola dduyiro wa ssaayansi oluvannyuma lw’okulongoosebwa obulungi nakyo kikulu nnyo, ekitayinza kukoma ku kulongoosa bulungi mutindo gwa kuddaabiriza, naye n’okwewala okuddamu oba obulwadde bw’omugongo oburiraanyewo.
E. Ekizimba ky’omugongo n’okuzimba
Ebizimba, akafuba n’okuzimba okuzimba omumwa gwa nnabaana, mu kifuba n’omugongo oguyitibwa suppurative inflammation.
F. Okumaliriza
1. Tewali kitundu kizibe mu kulongoosa omugongo
Obukuumi n’okwesigamizibwa bye bintu ebisooka okugoberera okulongoosa omugongo. Okusinga ezuula n’okujjanjaba endwadde z’omugongo ezivunda, gamba nga cervical spondylotic myelopathy, okufuuka amagumba mu thoracic ligamentum flavum, lumbar spinal stenosis, disc herniation ku buli kitundu okuva ku mugongo gw’omumwa gwa nnabaana okutuuka ku mugongo gw’omugongo, n’okufuuka amagumba mu ligament empanvu ey’emabega. Okugatta ku ekyo, era ekwata ku buvune obw’engeri zonna n’endwadde ezibeerawo mu mugongo, gamba ng’okumenya omugongo n’okusengulwa, okulema kw’omugongo, ekizimba ky’omugongo (ekisookerwako n’ekisaasaana), akafuba k’omugongo oba yinfekisoni y’omugongo.
2. Okulongoosa omumwa gwa nnabaana awatali kkomo
Ku kulongoosa obulwadde bwa cervical spondylotic myelopathy n’okuzimba amagumba g’omusuwa omuwanvu ogw’emabega ogw’omugongo gw’omumwa gwa nnabaana, amalwaliro oba abasawo abamu balongoosa mu maaso oba emabega kwokka. Mu butuufu, waliwo ebika by’okulongoosa ebiwerako by’osobola okulondamu - okukendeeza ku kunyigirizibwa kw’omumwa gwa nnabaana mu maaso n’okusimbuliza amagumba n’okunyweza munda, okulongoosa laminoplasty y’omumwa gwa nnabaana ogw’emabega (oluggi olumu, oluggi olw’emirundi ebiri), n’okukendeeza ku kunyigirizibwa kw’omumwa gwa nnabaana mu maaso n’emabega n’okunyweza munda mu mutendera gumu. Tulina obumanyirivu bungi obuwanguzi mu bika bino eby’emirimu, ebiyinza okukozesebwa mu ngeri entuufu okusinziira ku mbeera ez’enjawulo, Tekugirwa tekinologiya yenna, mbeera n’ebirowoozo ebifunda, era kiwa okuzannya mu bujjuvu ku birungi ebikwatagana eby’enkola ez’enjawulo.
3. Okulongoosa omugongo gw’ekifuba kyangu era kwesigika
Ku lw’okufuula amagumba g’omusuwa gw’omu kifuba ogw’emabega, ekizibu era ekitiisibwa amalwaliro mangi amanene, twakola segmental posterior decompression. Ku balwadde abalina okunyigirizibwa okw’omu maaso (okufuuka amagumba g’emisuwa oba okufuluma kw’obusimu obuyitibwa intervertebral discs), okukendeeza ku kunyigirizibwa okw’omu maaso okw’omugongo kwakolebwa mu nkola ya tunneling okutuuka ku 360 ° okunyigirizibwa okujjuvu okwetooloola omugongo, ekyewala okukendeeza ku kunyigirizibwa okw’omu maaso okuyita mu thoracotomy era ne kikendeeza nnyo ku buvune. Enkola eno eya 360 ° decompression era ekozesebwa mu kukola okusannyalala kw’ebitundu ebya wansi okuva ku thoracic intervertebral disc prolapse ne osteoporotic compression fracture.
4. Okuyungibwa kw’omugongo (intervertebral fusion) tekyetaagisa kuggyamu magumba ga kifuba
Ku bulbar spinal stenosis oba lumbar spondylolisthesis evudde ku nsonga ez’enjawulo, ekigendererwa ekisooka eky’okulongoosa kwe kukendeeza ku busimu. Omugongo bwe guba tegutebenkedde, okuyungibwa kw’omugongo kusalibwawo okusinziira ku ddaala ly’obutabeera mu ntebenkevu n’okuzimba ebinywa. Ekisenge ky’amagumba g’omugongo ogw’emabega (PLF) oba ekitundu ky’amagumba wakati w’omubiri (PLIF) kirondebwa okusinziira ku oba kisaanira okunyweza munda mu sikulaapu ya pedicle. Mu PLIF, ekitundu kyonna ekiggiddwamu vertebral arch ne inferior articular process complex (median incision) bikozesebwa nga interbody bone graft fast, ekitakoma ku kufuna kintu ekisinga obulungi eky’okusimba amagumba, naye era kyewala okuggya amagumba okuva mu kisambi oba okugula interbody fusion cage, ekimalawo ebizibu by’okuggyawo amagumba era kikendeeza nnyo ku ssente z’okulongoosa.
A CZMEDITECH , tulina product line enzijuvu ennyo eya... okulongoosa omugongo ebiteekebwa mu mubiri n’... corresponding instruments , ebintu omuli 5.5mm ne 6.0mm omugongo pedicle screw enkola, anterior cervical plate enkola, posterior cervical screw enkola, anterior thoracic plate enkola, anterior thoracolumbar plate enkola, titanium mesh cage, peek cage enkola, titanium cage, posterior cervical laminoplasty enkola, minimally invasive pedicle screw enkola n’ebikozesebwa byabwe ebiwagira. Okugatta ku ekyo, twewaddeyo okugenda mu maaso n’okukola ebintu ebipya n’okugaziya layini z’ebintu, tusobole okutuukiriza ebyetaago by’okulongoosa eby’abasawo n’abalwadde bangi, era n’okufuula kkampuni yaffe okuvuganya ennyo mu mulimu gwonna ogw’ensi yonna ogw’okussaamu amagumba n’ebikozesebwa.
