Mawonedwe: 0 Wolemba: Site Editor Nthawi Yosindikiza: 2025-12-11 Poyambira: Tsamba
Nkhani Yophunzira: Opaleshoni Yowongolera Scoliosis ku Dhaka, Bangladesh
Scoliosis ndi vuto lodziwika bwino la msana kwa achinyamata ndipo nthawi zambiri limafuna kuchitidwa opaleshoni pamene kupindika pang'onopang'ono kumakhudza kukhazikika kwa msana, kaimidwe, kapena moyo wautali. M'madera omwe akutukuka kumene, kupeza njira zodalirika zoyendetsera msana ndi kayendedwe kabwino ka opaleshoni kumathandiza kwambiri kuti akwaniritse zotsatira zachipatala zodziwikiratu.
Pachifukwa ichi, njira yowongolera scoliosis inachitidwa bwino pachipatala cha mafupa a mafupa ku Dhaka, Bangladesh , kuphatikizapo wodwala wamkazi wa 14 wazaka zomwe adapezeka ndi adolescent scoliosis. Cholinga cha opaleshoni chinali kukonza kupunduka kwa msana, kubwezeretsanso kuyanjanitsa, ndi kukwaniritsa kukhazikika kwamkati mkati pogwiritsa ntchito 6.0mm pedicle screw-rod system..
Chifukwa cha msinkhu wa wodwalayo ndi makhalidwe ake opunduka, kukwaniritsa kuwongolera koyendetsedwa ndikukhalabe okhazikika pambuyo pa opaleshoni kunali kofunika kwambiri. Dongosolo la opaleshoni limayang'ana kwambiri pakukonza magawo ndikuwongolera pang'onopang'ono pogwiritsa ntchito zida za pedicle screw.

Kwa njirayi yokonza scoliosis, 6.0mm pedicle screw system inasankhidwa ngati njira yoyamba yothetsera. Pedicle screw-rod constructs amagwiritsidwa ntchito kwambiri pa opaleshoni yopunduka kwa msana chifukwa cha kuthekera kwawo kupereka mphamvu yamphamvu ya vertebral anchorage ndi kuwongolera molondola kwa msana.
Dongosololi limalola kuwongolera katatu mwa kuthana ndi coronal, sagittal, ndi axial components of spinal deformity. Kupyolera mu kukhazikika kwa magawo pamagulu angapo amtundu wa vertebral, mphamvu zowongolera zimatha kugawidwa mofanana, kuthandizira kukhazikika kwa msana ndi kuchepetsa kupsinjika kwamakina pazigawo zokhazikika.
Ma implants otsatirawa adagwiritsidwa ntchito panthawiyi:
6.0 Polyaxial Pedicle Screw
6.0 Crosslink-I (SW3.5)

Zigawozi zinagwira ntchito limodzi ndi msana wa msana kuti upereke chokhazikika chokhazikika chamsana chamsana chomangirira choyenera kukonzanso kwa achinyamata a scoliosis.
The Spinal Pedicle Screw Instrument Set yomwe imagwiritsidwa ntchito ku Dhaka Central International Medical College & Hospital ikuphatikiza:
Zida zolowetsa zitsulo za pedicle
Zida zoyezera ndodo, kupinda, ndi kulowetsamo
Crosslink ndi zida zolumikizira
Kukonzekera kwa mafupa ndi zida zochepetsera

Mapangidwe ake a ergonomic amathandiza madokotala ochita opaleshoni ku Bangladesh ndi madera ena kuti akonze zovuta zowonongeka za scoliosis mogwira mtima komanso motetezeka, kuchepetsa nthawi ya opaleshoni ndikuthandizira kuyika kolondola kwa screw.
Kujambula kwa postoperative kunawonetsa kusintha kwa msana poyerekeza ndi preoperative preoperative. Zomangamangazo zidawoneka zokhazikika, kuthandizira kuwongolera komwe kukufuna. Malingana ndi gulu la opaleshoni, wodwalayo anasonyeza kuchira kokhutiritsa pambuyo pa opaleshoni, popanda zovuta zowonongeka zomwe zinanenedwa.

Mlanduwu wokonza scoliosis wochokera ku Dhaka, Bangladesh ukuwonetsa kagwiritsidwe ntchito kachipatala ka 6.0mm pedicle screw system mu opaleshoni yachinyamata yachinyamata. Mlanduwu ukuwonetsa zinthu zazikuluzikulu kuphatikiza kukonza magawo, kuwongolera kupunduka koyendetsedwa, ndi kukhazikika kokhazikika pambuyo pa opaleshoni.
Milandu yotereyi imapereka chidziwitso chofunikira kwa madokotala ochita opaleshoni ya mafupa ndi ogawa omwe akufuna njira zodalirika zowongolera msana pakuwongolera kupunduka m'malo osiyanasiyana azachipatala.
Mlanduwu unakhudza chithandizo cha opaleshoni ya adolescent scoliosis, kupunduka kwa msana komwe kumadziwika ndi kupindika kwachilendo kwa msana.
Opaleshoniyo adachitidwa pachipatala cha mafupa am'deralo ku Dhaka, Bangladesh.
Dongosolo la 6.0mm pedicle screw linasankhidwa kuti lipereke kukhazikika kokhazikika kwa magawo ndikuthandizira kuwongolera kwapatatu kwa kupunduka kwa msana.
Zomangira za polyaxial pedicle zimalola kulumikizana kwa ndodo kosavuta komanso kusintha kwamayendedwe, komwe kumapindulitsa munjira zovuta zowongolera kupunduka kwa msana.
Crosslink imatha kuthandizira kukhazikika kokhazikika pakuwongolera kukana mphamvu zozungulira, kutengera njira yokonzekera komanso maopaleshoni omwe akukhudzidwa.
Kuyanjanitsa kwa msana kunayesedwa pogwiritsa ntchito maphunziro a kujambula musanayambe opaleshoni ndi kufufuza kwa radiographic pambuyo pa opaleshoni kuti atsimikizire kuwongolera ndi kukhazikika.
Kujambula kwa postoperative kunawonetsa kuwongolera bwino kwa msana, ndipo wodwalayo adawonetsa kuchira kokhutiritsa ndi kukhazikika kwamkati mkati.
Inde, machitidwe a pedicle screw-rod amagwiritsidwa ntchito kwambiri pa opaleshoni ya adolescent scoliosis chifukwa cha kuthekera kwawo kupereka kukhazikika kodalirika ndi kuwongolera kupunduka koyendetsedwa.