Ennyonnyola y'ebintu .
tlif peek cage kye kika ky’ekyuma ekiyunga omugongo ekikozesebwa mu nkola y’okulongoosa eyitibwa transforaminal lumbar interbody fusion (TLIF). Tlif Peek Cage ekoleddwa okukyusa disiki y’omugongo eyonoonese oba eggyiddwamu mu mugongo gw’omugongo n’okutumbula okuyungibwa wakati w’omugongo oguli okumpi. Ekiyumba kino kikolebwa mu kika kya pulasitiika ekiyitibwa polyetheretherketone (PEEK), ekirabiddwa okuba nga kikwatagana n’ebiramu era nga kirina eby’obutonde eby’ebyuma ebirungi.
Mu nkola ya TLIF, omusawo alongoosa omugongo ng’ayita mu katundu akatono akasaliddwa emabega n’aggyawo disiki eyonoonese. Olwo ekiyumba kya tlif peek kiyingizibwa mu kifo kya disiki ekyererezi ne kijjula n’ekintu ekisimbibwamu amagumba. Ekiyumba kiwa obuwagizi n’okutebenkera eri omugongo, ate ekintu ekisimbibwamu amagumba kitumbula okuyungibwa wakati w’omugongo oguriraanye.
tlif peek cage eyinza okukozesebwa okujjanjaba embeera ez’enjawulo, omuli okuvunda disc disease, herniated disc, spinal stenosis, ne spondylolisthesis. Enkozesa entongole eya tlif peek cage eyinza okwawukana okusinziira ku mbeera y’omulwadde ssekinnoomu n’enkola y’okulongoosa gy’akozesa omusawo alongoosa. Abalwadde balina okwebuuza ku musawo waabwe alongoosa okufuna ebikwata ku nkola ey’enjawulo ey’okulongoosa n’enteekateeka y’okulabirira oluvannyuma lw’okulongoosebwa.
Tlif peek cage etera okukolebwa mu kika kya pulasitiika ekiyitibwa polyetheretherketone (PEEK). PEEK ye thermoplastic polymer erimu omuwendo gw’ebintu ebyegombebwa, omuli okukwatagana n’ebiramu, omugerageranyo gw’amaanyi n’obuzito ogw’amaanyi, n’obusannyalazo. PEEK eragiddwa nti omubiri gugumiikiriza bulungi era gutera okukozesebwa mu bintu eby’enjawulo ebiteekebwamu eby’obujjanjabi, omuli n’ebyuma ebiyungibwa omugongo nga Tlif Peek Cage.
Waliwo ebika bya tlif peek cage ebiwerako ebiriwo, ebiyinza okwawukana mu bunene, mu ngeri, ne dizayini. Ekika ekigere ekya tlif peek cage ekikozesebwa kiyinza okusinziira ku mbeera y’omulwadde ssekinnoomu, awamu n’omusawo w’omusawo gw’ayagala n’obumanyirivu.
Ebimu ku bika bya tlif peek cage ebitera okubeerawo mulimu:
standalone cage: ekika kya tlif peek cage kino tekyetaagisa hardware endala, gamba nga screws oba plates, okuginyweza mu kifo. Wabula, ekiyumba kino kikoleddwa okukwatagana obulungi wakati w’omugongo oguriraanyewo n’okutumbula okuyungibwa.
Ebikulukusi ebikuumibwa: Ekika kino eky’ekiyumba kya tlif peek kirimu sikulaapu eziteekebwa mu mugongo ne ziteekebwa ku kiyumba. Sikulufu ziwa omugongo okunywevu n’okuwagira okw’enjawulo mu nkola y’okuyungibwa.
Expandable Cage: Ekika kino eky’ekiyumba kya tlif peek kikoleddwa okuyingizibwa mu kifo kya disiki mu mbeera egudde n’oluvannyuma ne kigaziwa okutuukagana n’ekifo ekiriwo. Kino kisobozesa omusawo okulongoosa obunene bw’ekisenge ky’omulwadde ku mubiri gw’omulwadde ssekinnoomu.
Lordotic Cage: Ekika kino eky’ekiyumba kya tlif peek kikoleddwa okuba n’ekifaananyi ekikooneddwa, ekiyamba okuzzaawo okukoona okw’obutonde okw’omugongo gw’omugongo. Kino kiyinza okuyamba okukendeeza ku puleesa ku busimu n’okulongoosa omugongo.
Ekika ekigere eky’ekiyumba kya tlif peek ekikozesebwa kiyinza okusinziira ku bintu eby’enjawulo, omuli embeera y’omulwadde ssekinnoomu, omusawo omulongoosa ky’ayagala n’obumanyirivu, n’ebiruubirirwa by’okulongoosa.
Ebirimu & Emigaso .
Ebikwata ku bikozesebwa .
Erinnya ly'ekintu .
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Okunnyonnyola .
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tlif peek cage .
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Obuwanvu bwa mm 7 .
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Obuwanvu bwa mm 11 .
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Obuwanvu bwa mm 13 .
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Obuwanvu bwa mm 15 .
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Ekifaananyi ekituufu .
Ku
tlif peek cage ekozesebwa mu kulongoosa eyitibwa transforaminal lumbar interbody fusion (TLIF), ekolebwa okujjanjaba embeera ez’enjawulo ez’omugongo, gamba ng’obulwadde bwa disc obuvunda, herniated disc, spinal stenosis, ne spondylolisthesis. Ekigendererwa ky’enkola ya TLIF kwe kuggyawo disiki y’omugongo eyonoonese oba envundu n’ogikyusa n’ossaamu tlif peek cage, ekitumbula okugatta wakati w’omugongo oguriraanyewo era kiwa obuwagizi n’okutebenkera ku mugongo.
Ekiyumba kya tlif peek kitera okuyingizibwa mu kifo kya disiki nga kiyita mu katundu akatono akasaliddwa emabega. Omusawo alongoosa akozesa ebikozesebwa eby’enjawulo okuggyawo disiki eyonoonese n’okuteekateeka enkomerero z’omugongo eziriraanye okusobola okuyungibwa. Olwo ekiyumba kya tlif peek kijjula ekintu ekisimbibwamu amagumba, ekitumbula okuyungibwa wakati w’omugongo oguliraanye. Ekintu ekisimbibwa amagumba kiyinza okuggyibwa mu mubiri gw’omulwadde yennyini (autograft) oba okuva mu muntu agaba (allograft).
Waliwo obukodyo obw’enjawulo obuwerako obw’okuyingizaamu tlif peek cage, era enkola entongole ekozesebwa eyinza okusinziira ku mbeera y’omulwadde ssekinnoomu n’omusawo w’omusawo ky’ayagala n’obumanyirivu. Obukodyo obumu obumanyiddwa ennyo mulimu:
Enkola ya anterior-posterior: Enkola eno erimu okusala mu lubuto lw’omulwadde n’okutuuka ku mugongo okuva mu maaso (okuziyiza) n’emabega (emabega) ku mabbali. Ekiyumba kya tlif peek kiyingizibwa mu kifo kya disiki okuva ku ludda olw’emabega olw’omugongo.
Enkola ey’emabega yokka: Enkola eno erimu okusala mu mugongo gw’omulwadde n’okutuuka ku mugongo okuva ku ludda lw’emabega (emabega) lwokka. Ekiyumba kya tlif peek kiyingizibwa mu kifo kya disiki okuva ku ludda olw’emabega olw’omugongo.
Enkola etali ya maanyi nnyo: Enkola eno erimu okusalako obutonotono n’okukozesa ebikozesebwa eby’enjawulo okusobola okutuuka ku mugongo. Ekiyumba kya tlif peek kiyingizibwa mu kifo kya disiki nga kiyita mu ttanka oba ku mwalo omutono.
Oluvannyuma lw’okuyingiza tlif peek cage, omusawo ayinza okukozesa ebikozesebwa ebirala, gamba nga sikulaapu oba pulati, okusobola okwongera okunyweza n’okuwagira omugongo. Omulwadde mu ngeri entuufu ajja kulondoolebwa bulungi oluvannyuma lw’okulongoosebwa era ayinza okwetaaga okwambala ekyuma ekiyamba omugongo oba okujjanjabibwa mu mubiri okuyamba mu nkola y’okuwona.
Tlif Peek Cage kye kyuma eky’obujjanjabi ekikozesebwa mu nkola y’okulongoosa eyitibwa transforaminal lumbar interbody fusion (TLIF). Tlif peek cage ekozesebwa okujjanjaba embeera z’omugongo ez’enjawulo, gamba ng’obulwadde bwa disc obuvunda, herniated disc, spinal stenosis, ne spondylolisthesis, ebitazzeemu ku bujjanjabi obukuuma nga eddagala, obujjanjabi obw’omubiri, oba empiso.
Ekigendererwa ky’enkola ya TLIF kwe kuggyawo disiki y’omugongo eyonoonese oba envundu n’ogikyusa n’ossaamu tlif peek cage, ekitumbula okugatta wakati w’omugongo oguriraanyewo era kiwa obuwagizi n’okutebenkera ku mugongo. Tlif peek cage ekoleddwa okuzzaawo obuwanvu bwa bulijjo n’okukoona kw’omugongo, okukendeeza ku puleesa ku busimu, n’okutebenkeza ekitundu ky’omugongo ekikoseddwa.
Ebimu ku birungi ebiyinza okuva mu tlif peek cage mulimu:
Okukendeeza ku bulumi: Tlif peek cage kiyinza okuyamba okukendeeza ku bulumi n’obubonero obulala obukwatagana n’embeera z’omugongo nga binyweza ekitundu ky’omugongo ekikoseddwa n’okukendeeza puleesa ku busimu.
Enkola erongooseddwa: Tlif peek cage esobola okuyamba okulongoosa entambula n’okukola nga ezzaawo obuwanvu obwa bulijjo n’okukoona kw’omugongo.
Okuwona amangu: Tlif peek cage esobola okuyamba okutumbula okuwona amangu n’okuwona bw’ogeraageranya n’enkola endala ez’okulongoosa, gamba ng’okuyungibwa kw’ekinnansi, ekiyinza okwetaagisa okumala ebbanga eddene mu ddwaaliro n’okuwona ebiseera.
Okukendeeza ku bulabe bw‟ebizibu: Tlif peek cage nkola ya kitono nnyo eyingirira mu mubiri eyinza okukwatagana n‟obulabe obutono obw‟ebizibu bw‟ogeraageranya n‟enkola endala ez‟okulongoosa.
Kikulu okumanya nti tlif peek cage kye kyuma eky’obujjanjabi ekirina okukozesebwa wansi w’obulagirizi bw’omusawo alina ebisaanyizo byokka. Si kirungi eri abalwadde okugula tlif peek cage ku lwabwe nga tebalabirirwa bulungi musawo.
Bw’oba omusawo w’ebyobulamu ng’oyagala okugula tlif peek cage, kikulu okukakasa nti ekyuma kino okifuna okuva mu kkampuni oba omugabi ow’ettutumu era eyeesigika. Wano waliwo emitendera egisobola okukuyamba okugula tlif peek cage ey’omutindo ogwa waggulu:
Abakola okunoonyereza: Noonyereza ku bakola tlif peek cage ab’enjawulo era bakebere erinnya lyabwe n’ebyafaayo byabwe. Noonya amakampuni agalina erinnya eddungi mu mulimu guno, gamaze ebbanga nga gakola bizinensi, era nga galina ebyafaayo ebikakasibwa nti gafulumya ebyuma eby’omutindo ogw’okujjanjaba eby’omutindo ogwa waggulu.
Kebera okugoberera amateeka: Kakasa nti omukozi w’ebintu agoberera ebitongole ebifuga nga FDA, CE oba ebibiina ebirala ebikwatibwako mu nsi yo.
Noonya satifikeeti: Noonya abakola ebintu ebifunye satifikeeti z’enkola y’okuddukanya omutindo nga ISO 13485, ekiraga okwewaayo eri omutindo n’okugoberera omutindo gw’ensi yonna.
Kebera omutindo gw’ebintu: Kakasa nti omukozi akozesa ebintu eby’omutindo ogwa waggulu n’enkola mu kukola tlif peek cage. Kebera enkola y’okugezesa ebintu n’okukakasa omutindo ebikakasa nti ekyuma kino kituukana n’omutindo ogwetaagisa ogw’obukuumi n’obulungi.
Okukebera obulungi bw’ensimbi: Lowooza ku nsaasaanya y’ensimbi z’ekiyumba kya TLIF peek, ng’okikuuma mu birowoozo nti ekyuma kino tekisaanye kukosa mutindo oba obukuumi ku nsaasaanya.
Mu nkomerero, kikulu okwebuuza ku musawo wo okuzuula oba tlif peek cage kye kyuma ekituufu eky’obujjanjabi eri omulwadde wo n’okufuna ekyuma ng’oyita mu mikutu emituufu egy’obujjanjabi.
CZMEDITECH kkampuni ekola ebyuma eby’obujjanjabi ekuguse mu kukola n’okutunda ebyuma ebiteekebwa mu magumba n’ebikozesebwa eby’omutindo ogwa waggulu omuli n’okuteekebwako omugongo. Kkampuni eno erina obumanyirivu bw’emyaka egisukka mu 14 mu mulimu guno era emanyiddwa olw’okwewaayo okuyiiya, omutindo, n’okuweereza bakasitoma.
Nga bagula omugongo okuva mu CZMEDITECH, bakasitoma basobola okusuubira ebintu ebituukana n’omutindo gw’ensi yonna ogw’omutindo n’obukuumi, gamba nga ISO 13485 ne CE certification. Kkampuni ekozesa tekinologiya ow’omulembe ow’okukola ebintu n’enkola enkakali ez’okulondoola omutindo okulaba ng’ebintu byonna biri ku mutindo gwa waggulu era nga bituukiriza ebyetaago by’abasawo abalongoosa n’abalwadde.
Ng’oggyeeko ebintu byayo eby’omutindo ogwa waggulu, CZMEDITECH era emanyiddwa olw’okuweereza bakasitoma obulungi. Kkampuni erina ttiimu y’abatunzi abalina obumanyirivu abasobola okuwa bakasitoma obulagirizi n’okuwagira bakasitoma mu nkola yonna ey’okugula. CZMEDITECH era ekola emirimu egy’enjawulo oluvannyuma lw’okutunda, omuli obuyambi obw’ekikugu n’okutendeka ebintu.