Mafotokozedwe Akatundu
Khola la khomo lachiberekero lomwe lili ndi screw ndi chipangizo chachipatala chomwe chimagwiritsidwa ntchito pa opaleshoni ya khomo lachiberekero kuti apereke chithandizo ndi kukhazikika kwa vertebrae. Amagwiritsidwa ntchito pazochitika zomwe msana wa khomo lachiberekero umawonongeka kapena kutayika, kumayambitsa kupweteka, kusakhazikika, kapena kuponderezedwa kwa msana kapena mitsempha.
Khola la khomo lachiberekero ndi kanyumba kakang'ono kopangidwa ndi zinthu zomwe zimayenderana ndi biocompatible monga titaniyamu kapena zinthu za polima, zomwe zimapangidwa kuti ziziyikidwa pakati pa ma vertebrae awiri oyandikana a khomo lachiberekero. Kholalo nthawi zambiri limadzazidwa ndi zida zolumikizira mafupa kuti zilimbikitse kukula kwa minyewa yatsopano ya fupa ndikulimbikitsa kuphatikizika pakati pa ma vertebrae awiriwo.
Zomangira zomwe zimagwiritsidwa ntchito ndi khola la khomo lachiberekero zimagwiritsidwa ntchito kuteteza khola pamalo ake ndikukhazikitsa msana. Nthawi zambiri amapangidwa ndi titaniyamu ndipo amakhomeredwa m'mitsempha yoyandikana nayo. Zomangirazo zimatha kupangidwa mosiyanasiyana komanso mosiyanasiyana kuti zigwirizane ndi zosowa za wodwalayo.
Khola la khomo lachiberekero lomwe lili ndi zomangira nthawi zambiri limagwiritsidwa ntchito popanga opaleshoni ya khomo pachibelekeropo pofuna kuchiza matenda monga degenerative disc disease, herniated discs, spinal stenosis, ndi spondylolisthesis. Njirayi imachitidwa pansi pa anesthesia wamba, ndipo nthawi yochira imatha kusiyana malinga ndi kukula kwa opaleshoniyo komanso thanzi la wodwalayo.
Zomwe zimapangidwa ndi khola la khola lokhala ndi screw zimatha kusiyana, koma nthawi zambiri, zimapangidwa ndi titaniyamu, titaniyamu alloy, kapena polyetheretherketone (PEEK). Zidazi zimasankhidwa chifukwa cha biocompatibility, mphamvu, komanso kuthekera kophatikizana ndi fupa. Zomangirazo zithanso kupangidwa ndi titaniyamu kapena chitsulo chosapanga dzimbiri.
Pali mitundu yosiyanasiyana ya makola a khomo lachiberekero okhala ndi zomangira, koma nthawi zambiri amagwera m'magulu awiri kutengera zomwe amapangidwira:
Makhola achitsulo: Amapangidwa ndi zinthu monga titaniyamu, chitsulo chosapanga dzimbiri, kapena cobalt chrome. Amabwera mosiyanasiyana komanso mosiyanasiyana ndipo amakhala ndi mabowo osiyanasiyana kuti athe kukhazikika ku vertebrae yoyandikana nayo.
Makhola a Polyetheretherketone (PEEK): Makholawa amapangidwa ndi polima wochita bwino kwambiri yemwe ali ndi zinthu zofanana ndi mafupa, zomwe zimapangitsa kukhala njira yabwino yopangira maopaleshoni ophatikizira msana. Zimabweranso mosiyanasiyana komanso mosiyanasiyana ndipo zimatha kukhala ndi bowo limodzi kapena zingapo zomangira.
Kuonjezera apo, mazenera a chiberekero amatha kugawidwa malinga ndi mapangidwe awo, monga lordotic (opangidwa kuti abwezeretse kupindika kwachilengedwe kwa msana), osakhala a lordotic, kapena owonjezera omwe angasinthidwe kukula kwakukulu pambuyo poika. Kusankhidwa kwa khola la chiberekero kudzadalira zosowa zenizeni za wodwalayo komanso zomwe dokotala wa opaleshoni akufuna.
Mafotokozedwe a Zamalonda
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Dzina
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REF
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Kufotokozera
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REF
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Kufotokozera
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Cervical Peek Cage (2 zokhoma zomangira)
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2100-4701
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5 mm
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2100-4705
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9 mm
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2100-4702
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6 mm
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2100-4706
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10 mm
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2100-4703
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7 mm
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2100-4707
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11 mm
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2100-4704
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8 mm
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2100-4708
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12 mm
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Cervical Peek Cage (4 zokhoma zomangira)
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2100-4801
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5 mm
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2100-4805
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9 mm
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2100-4802
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6 mm
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2100-4806
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10 mm
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2100-4803
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7 mm
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2100-4807
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11 mm
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2100-4804
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8 mm
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2100-4808
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12 mm
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Chithunzi Chenicheni

Za
Kugwiritsiridwa ntchito kwa khola la khomo lachiberekero ndi wononga kumadalira njira ya opaleshoni komanso zosowa za wodwalayo. Komabe, njira zambiri zogwiritsira ntchito khola la khomo lachiberekero ndi screw ndi motere:
Kukonzekera koyambirira: Dokotala wa opaleshoni adzachita kafukufuku wa wodwalayo, kuphatikizapo maphunziro ojambula zithunzi monga X-rays, CT scans kapena MRI. Dokotalayo adzasankhanso khola loyenera la khomo lachiberekero lokhala ndi wononga potengera zosowa za wodwalayo komanso momwe thupi lake lilili.
Opaleshoni: Wodwala adzalandira opaleshoni, yomwe ingakhale opaleshoni kapena opaleshoni ya m'deralo ndi sedation, malingana ndi njira ya opaleshoni.
Kuwonekera: Dokotala wa opaleshoni adzapanga kachipangizo kakang'ono pakhosi kuti awonetsere vertebrae yowonongeka kapena yodwala.
Kuchotsa diski yowonongeka: Dokotala wa opaleshoni adzachotsa diski yowonongeka kapena yodwala pakati pa vertebrae pogwiritsa ntchito zida zapadera.
Kulowetsa khola la khomo lachiberekero ndi wononga: Khola la khomo lachiberekero lomwe lili ndi wononga ndiye limayikidwa mosamala mu danga lopanda kanthu kuti lipereke chithandizo ndi kukhazikika kwa msana.
Kutchinjiriza screw: Khola la khomo lachiberekero lokhala ndi screw likakhazikika bwino, zomangira zimamangidwa kuti kholalo likhazikike.
Kutsekera: Kudulidwako kumatsekedwa, ndipo wodwalayo amayang'aniridwa m'chipinda chothandizira.
Ndikofunika kuzindikira kuti njira zenizeni zogwiritsira ntchito khola la khomo lachiberekero lokhala ndi screw zingasiyane malinga ndi zosowa za wodwalayo komanso njira ya opaleshoni yomwe dokotalayo amagwiritsa ntchito. Ndikofunikira kuti njirayi ichitidwe ndi dokotala wodziwa bwino komanso wodziwa bwino ntchito.
Makola a khomo lachiberekero okhala ndi zomangira amagwiritsidwa ntchito pa opaleshoni ya msana kuti akhazikike ndikugwirizanitsa vertebrae pakhosi (chibelekero cha msana) potsatira kuvulala kapena zinthu zowonongeka monga herniated discs kapena spinal stenosis. Khola la khomo lachiberekero limakhala ngati spacer lomwe limathandiza kusunga kutalika kwa diski, kubwezeretsanso kuyanjanitsa bwino, ndikupereka dongosolo la kukula kwa fupa panthawi ya fusion. Zomangirazo zimagwiritsidwa ntchito kumangirira khola ku vertebrae komanso kupereka kukhazikika kwa msana panthawi ya machiritso. Makola a khomo lachiberekero okhala ndi zomangira atha kugwiritsidwanso ntchito pokonzanso maopaleshoni kuti achotse ma implants omwe adalephera kale kapena kuthana ndi zovuta monga kusalumikizana kapena kusamuka kwa hardware.
Makola a khomo lachiberekero okhala ndi zomangira amagwiritsidwa ntchito kwa odwala omwe ali ndi matenda osokonekera a disc kapena kusakhazikika kwa msana mumsana wa khomo lachiberekero (khosi). Odwalawa akhoza kukhala ndi zizindikiro monga kupweteka kwa khosi, kupweteka kwa mkono, kufooka, kapena dzanzi. Makola a khomo lachiberekero okhala ndi zomangira amagwiritsidwa ntchito kuti azitha kukhazikika komanso kulimbikitsa kuphatikizika kwa zigawo za msana zomwe zakhudzidwa. Odwala enieni omwe angapindule ndi mazenera a khomo lachiberekero ndi zomangira amatha kutsimikiziridwa ndi katswiri wa msana atatha kufufuza bwinobwino zizindikiro za wodwalayo ndi maphunziro a kujambula.
Kuti mugule khola la khomo lachiberekero lapamwamba kwambiri lokhala ndi screw, mutha kutsatira izi:
Kafukufuku: Chitani kafukufuku wokwanira pamitundu yosiyanasiyana yamakhola a khomo lachiberekero omwe amapezeka pamsika, mawonekedwe awo, komanso mawonekedwe ake. Werengani ndemanga ndi mavoti kuchokera kwa ogula ena ndikupeza zambiri zokhudza mbiri ya wopanga.
Kukambirana: Funsani dokotala kapena dokotala wa opaleshoni ya msana kuti mumvetse zofunikira zenizeni ndi kuyenera kwa khola la khomo lachiberekero lokhala ndi screw pa chikhalidwe cha wodwalayo.
Mbiri ya wopanga: Sankhani wopanga wodalirika yemwe amadziwika popanga mazenera apamwamba kwambiri komanso odalirika okhala ndi zomangira. Yang'anani ziphaso zawo ndi zidziwitso kuti muwonetsetse kuti akutsatira miyezo ndi malamulo ofunikira amakampani.
Ubwino wazinthu: Tsimikizirani mtundu wa zida zomwe zimagwiritsidwa ntchito popanga khola la khomo lachiberekero ndi screw. Sankhani zinthu zomwe zimagwirizana ndi biocompatible komanso zolimba, monga titaniyamu kapena cobalt-chromium.
Kugwirizana: Onetsetsani kuti khola la khomo lachiberekero lokhala ndi screw limagwirizana ndi mawonekedwe a msana wa wodwalayo komanso njira yopangira opaleshoni yomwe idzagwiritsidwe.
Mtengo: Yerekezerani mitengo ya opanga osiyanasiyana ndikusankha yomwe imapereka mazenera apamwamba a khomo lachiberekero okhala ndi zomangira pamtengo wokwanira.
Chitsimikizo ndi chithandizo pambuyo pa malonda: Onetsetsani ngati wopanga amapereka chitsimikizo ndi chithandizo pambuyo pa malonda, kuphatikizapo chithandizo chaukadaulo ndi ndondomeko zosinthira ngati pali zolakwika kapena zolakwika.
Potsatira izi, mutha kupeza khola lachibelekero lapamwamba kwambiri lomwe lili ndi zomangira zomwe zimagwirizana ndi momwe wodwalayo alili komanso zimapereka zotsatira zabwino za opaleshoni.
CZMEDITECH ndi kampani yazida zamankhwala zomwe zimagwira ntchito yopanga ndi kugulitsa zida zapamwamba zamafupa ndi zida, kuphatikiza ma implants a msana. Kampaniyo ili ndi zaka zopitilira 14 pantchitoyi ndipo imadziwika chifukwa chodzipereka pakupanga zatsopano, zabwino, komanso ntchito zamakasitomala.
Pogula ma implants a msana kuchokera ku CZMEDITECH, makasitomala amatha kuyembekezera zinthu zomwe zimagwirizana ndi miyezo yapadziko lonse ya khalidwe ndi chitetezo, monga ISO 13485 ndi CE certification. Kampaniyo imagwiritsa ntchito ukadaulo wapamwamba wopanga komanso njira zowongolera zowongolera kuti zitsimikizire kuti zinthu zonse ndi zapamwamba kwambiri komanso zimakwaniritsa zosowa za maopaleshoni ndi odwala.
Kuphatikiza pa zinthu zamtengo wapatali, CZMEDITECH imadziwikanso ndi ntchito zabwino kwambiri zamakasitomala. Kampaniyo ili ndi gulu la oimira odziwa bwino malonda omwe angapereke chitsogozo ndi chithandizo kwa makasitomala panthawi yonse yogula. CZMEDITECH imaperekanso ntchito zambiri zogulitsa pambuyo pogulitsa, kuphatikiza chithandizo chaukadaulo ndi maphunziro azinthu.