Ibisobanuro by'ibicuruzwa
Inyuma yinyuma yinkondo y'umura ni igikoresho cyubuvuzi gikoreshwa mu kubagwa kugoreka kugira ngo gihagarike uruti rw'umugongo (akarere k'ijosi) ukosora inkingi y'umugongo n'inzani n'inkoni.
Sisitemu igizwe na pedikole ya pedicle, imigozi rusange, ifata, ninkoni zikoreshwa mugushiraho kubaka umugongo.
Sisitemu yinyuma yinyuma ya screw ikoreshwa mugufata imiterere itandukanye nkindwara ya disgentive, stenosime yumugongo, disiki yatsinzwe, hamwe nigiti cy'umugongo.
Sisitemu isanzwe ikoreshwa mu kubagwa inkondo y'umura.
Inyuma yinyuma ya sisitemu ya scredem irashobora gukorwa mubikoresho bitandukanye, harimo titanium, ibyuma bidafite ishingiro, na codabayium-chamiya. Guhitamo ibikoresho birashobora guterwa mubintu nkimbaraga, biocompaTubitekerezo, no gutekereza.
Inyuma yinyuma yinkondo y'umura ishingiye kubintu bitandukanye nkubunini bwimigozi, igishushanyo cyimigozi, ubwoko bwinkoni, hamwe na sisitemu ikoreshwa. Hano hari ubwoko bumwe na bumwe bwa sisitemu yinyuma yinyuma:
Imiyoboro ya polyaxial: Iyi migozi ifite igishushanyo mbonera cyumupira na sock yemerera guhinduka muburyo bwo gushyira hamwe no kumurika inkoni.
Imiyoboro ya monoaxial: Iyi miyoboro ifite igishushanyo-inguni kandi irashobora gukoreshwa mubihe byashizwe kumurongo runaka.
Imiyoboro ya kanti: Iyi migozi ifite ikigo cyijimye cyemerera kwinjiza insinga iyobora kugirango ifashe hamwe.
Impinduka-Angle Imiyoboro: Iyi migozi ifite igishushanyo cyihariye cyemerera inguni ya screw kugirango ihindurwe mugihe cyo kwinjiza.
Imitsindira ya Octipital-Intereya: Iyi migozi ikoreshwa mukarere ka ocpital-inkondo yumugongo, iherereye munsi yigihanga.
Thoracic Pedicle screws: Iyi migozi ikoreshwa mumugongo wa Thoracic, iherereye mugice cyo hagati cyumugongo.
LUMBAR PEDICH SCRERES: IYI SHAKA ikoreshwa mumugongo wa LUBAR, iherereye mugice cyo hasi cyumugongo.
Ubwoko bwihariye bwa sisitemu yinyuma yinyuma ya screw yakoreshejwe biterwa nibikenewe byumurwayi hamwe nibyifuzo byabaga.
Ibicuruzwa
Izina ry'ibicuruzwa | Ibisobanuro |
Polyaxial Screw Screw | . |
Φ4.0 | |
Ikipe ya Oclipital-I. | 32 / 37mm |
3.5mm rod | 100/200m |
Ikipe ya Ociptal-II | 4/6/8 |
Kwambukiranya | 35/1 40 / 45mm |
Laminar | / |
Imiyoboro ya Ockipital | 4.0 * 10 / 12/1 14/16 / 18mm |
Domini Bolt | 3.5 / 6.0mm |
Bolt | / |
Ibiranga & Inyungu
Ishusho nyayo
Hafi
Inyuma yinyuma yinkondo y'umura ni igikoresho cyubuvuzi gikoreshwa mugukosora inkondo yumugongo. Sisitemu igizwe na screw, inkoni, hamwe no guhuza, kandi ikoreshwa mugutanga umutekano kumugongo wumugati nyuma yo kubaga umugongo cyangwa ihahamuka.
Hano hari intambwe rusange zo gukoresha sisitemu yinyuma yinyuma:
Umurwayi ashyirwa munsi ya anesthesia rusange kandi ahagaze hasi-hasi kumeza yo gukora.
Umuganga ubaga imirongo hagati yijosi hejuru ya vertebrae yibasiwe.
Imitsi irasubirwaho, kandi inzira za sponime ziramenyekana.
Umuganga woguhindura umwobo mu masezerano ya vertebrae, hanyuma ashyiramo imiyoboro inyuze muri ibyo mwobo no mu mubiri wa Vortibral.
Imigozi ihujwe n'inkoni, zikaba zifite imiterere yumugongo wumurwayi.
Inkoni zimaze kuba, zishingiye ku mashini zikoresha abahuza.
Hanyuma, imitsi irafunzwe akoresheje ibyuma, kandi gutenguha birafunze.
Ni ngombwa kumenya ko tekinike yihariye yo gukoresha sisitemu yinyuma yinyuma yinyuma irashobora gutandukana bitewe nuburwayi bwumurwayi nuburyo bwo kubaga. Amahugurwa akwiye nuburambe birakenewe kugirango ukoreshe neza kandi neza iki gikoresho cyubuvuzi.
Inyuma yinyuma yinkondo y'umura ikoreshwa mu kubaga ku gasanduku kugira ngo ihagarike uruti rw'umugongo (ijosi) nyuma yo gukomeretsa cyangwa kwangirika. Barashobora gukoreshwa muguvura ibintu nkibintu byumugongo, disiki yatsindiye, ivunika, hamwe nubumuga bwumugongo nka scoliose. Imiyoboro yinjijwe muri vertebrae yumugongo kandi ifatanye ninkoni cyangwa ibyapa kugirango itange umutekano kandi iteze imbere fusion ya vertebrae yibasiwe. Ibi birashobora gufasha kugabanya ububabare, kunoza imigabane, kandi wirinde ibindi byangiritse.
Kugura inzira nziza yinyuma ya sisitemu ya screences, kurikiza izi ntambwe:
Baza umuganga ubaga cyangwa umwuga w'ubuvuzi: Ni ngombwa kugisha inama umutimana w'abagore cyangwa inzoka mu buvuzi mbere yo kugura sisitemu y'inyuma y'inyuma. Barashobora gutanga ubuyobozi kubwoko bukwiye nubunini bwa sisitemu ishingiye kubikenewe byumurwayi.
Ubushakashatsi abakora ibyuma bizwi: Shakisha abakora neza mu nganda z'ubuvuzi kugirango ubyare urwego rwohejuru kandi wizewe. Urashobora kugenzura ibisobanuro kumurongo no kugenzura, kimwe no kugisha inama inzobere mu buvuzi kubisabwa.
Reba Icyemezo cya FDA: Menya neza ko sisitemu y'inyuma y'inyuma yemejwe n'ibiryo by'Amerika n'Ubuyobozi bw'ibiyobyabwenge (FDA) cyangwa imibiri ihwanye mu gihugu cyawe. Ibi birabyemeza ko sisitemu yageragejwe kandi ihura nibipimo byumutekano nubuzima bwiza.
Kugenzura ibicuruzwa ukuri: Menya neza ko sisitemu y'inyuma ya Screw Interport ari ukuri mu kugenzura ikirango, nimero y'uruhererekane, nimero iranga. Witondere ibicuruzwa byiganano bishobora kuba bihendutse ariko birashobora guteza akaga kandi bitagira ingaruka.
Reba kuri garanti na nyuma yo kugurisha: Shakisha abakora batanga garanti na nyuma yo kugurisha ibicuruzwa byabo. Ibi birashobora kuguha amahoro yo mumutima mugihe ibyo aribyo byose cyangwa inenge hamwe na sisitemu yinyuma yinyuma ya screw.
Kugura kuri abakwirakwiza byemewe: Gugura gusa sisitemu yinyuma ya screw screw sisitemu yo kugabura byemewe cyangwa abadandaza. Ibi birabyemeza ko ugura ibicuruzwa nyabyo kandi ushobora gushyigikira neza mugihe ibyo aribyo byose.
Czmeditech ni isosiyete yibikoresho byubuvuzi byihariye mumusaruro no kugurisha amagufwa meza kandi arimo imiti yinkombe. Isosiyete ifite uburambe bwimyaka 14 mu nganda kandi izwiho kwiyemeza guhanga udushya, ubuziranenge, na serivisi zabakiriya.
Mugihe ugura uruti rw'umugongo muri Czmeditech, abakiriya barashobora kwitega ibicuruzwa byujuje ubuziranenge mpuzamahanga ku buziranenge n'umutekano, nka ISO 13485 na CE Icyemezo. Isosiyete ikoresha tekinoroji yo gukora imbere hamwe nuburyo bukomeye bwo kugenzura ubuziranenge kugirango tumenye ko ibicuruzwa byose bifite ubuziranenge kandi bujuje ibyifuzo byabaga n'abarwayi.
Usibye ibicuruzwa byayo byiza, Czmeditech izwiho kandi serivisi nziza y'abakiriya. Isosiyete ifite itsinda ryabahagarariye ibicuruzwa babishoboye bashobora gutanga ubuyobozi no gutera inkunga abakiriya mugihe cyo kugura. Czmeditech kandi itanga serivisi yuzuye nyuma yo kugurisha, harimo inkunga ya tekiniki hamwe namahugurwa yibicuruzwa.