Incamake y'urubanza
Muri Dhaka Central International Medical College & Hospital muri Bangladesh, itsinda ryo kubaga umugongo ryarangije neza uruganda kubaga ubugororangingo bwa scoliose kumurwayi wumukobwa wimyaka 16, Raisa (izina ryahinduwe kubanga). Inzira yakoresheje 6.0mm Uruti rw'umugongo rwerekana ibikoresho ihujwe hamwe noguhuza umugongo kugirango igarure urutirigongo no gutuza.
Uru rubanza rugaragaza uburyo bugezweho sisitemu y'umugongo irashobora gufasha ibitaro byo muri Bangaladeshi kugera ku gukosora ubumuga bwizewe no kuringaniza igihe kirekire ku barwayi b'ingimbi.
Umwirondoro
Raisa yerekanye ubumuga bugaragara bwumugongo hamwe no kwisiga, hamwe rimwe na rimwe kutamererwa neza numunaniro nyuma yibikorwa bya buri munsi. Isuzuma rya Clinical and imaging byemeje scoliose yuburyo busaba gukosorwa kubagwa.
Isuzuma mbere yo gutangira no gutegura
Mbere yo kubagwa, itsinda ryumugongo i Dhaka ryakoze isuzuma ryuzuye, harimo:
Guhagarara-X-imirasire yuzuye kugirango ipime inguni ya Cobb
Isuzuma ryumurongo uhindagurika no kuzunguruka
Isuzuma ry'imitsi
Gusuzuma ubushobozi bwo gukura hamwe nubuzima muri rusange
Nyuma y’ibiganiro byinshi, abaganga babaga banzuye ko gukosora ubumuga bwumugongo ukoresheje 6.0mm ya Spinal Pedicle Screw Instrument Set aribwo buryo bukwiye bwo kuvura. Ubu buryo bwatoranijwe gutanga:
Ibice bitatu-byo gukosora umugongo uhetamye
Rigid segmental fixation ukoresheje pedicle screw ninkoni
Kunoza imitekerereze ya coronale na sagittal
Inyubako ihamye yo gushyigikira igihe kirekire no gukira
Kwerekana amashusho mbere
Kwerekana amashusho mbere yo kwerekana:
Ikimenyetso cyuruhande rugoramye rwa thoracolumbar umugongo
Kuzunguruka kwa vertebral no kumenyekanisha imbavu
Kuringaniza ibitugu no guhuza ibice
Ibyavuye mu bushakashatsi byemeje ko hakenewe gukosorwa inyuma y’umugongo no guhuza hakoreshejwe pedicle screw - inkoni yubaka.
![Mbere yo gutangira X-ray yumurwayi wimyaka 16 wumurwayi wa scoliose i Dhaka, Bangladesh-czmeditech]( "Preoperative full-spine X-ray of a 16-year-old scoliosis patient in Dhaka, Bangladesh-czmeditech")
Mbere yo gutangira umugongo X-ray yerekana thoracolumbar scoliose kumurwayi wimyaka 16 ukomoka i Dhaka, muri Bangladesh.
Incamake yo kubaga
Mugihe cyo kubaga scoliose yo gukosora, itsinda ryo kubaga ryakoresheje 6.0mm Igikoresho cya Spinal Pedicle Igikoresho Gushiraho kugirango ushyire imigozi ya pedicle kurwego rwinshi ukurikije ubumuga. Sisitemu yashoboye:
Kwinjiza neza polyaxial pedicle ihinduranya muri vertebral pedicles
Kumugereka winkoni yumugongo kugirango uhuze imigozi
Gushyira mu bikorwa inzira ikosora (derotation, ibisobanuro, hamwe n'inkoni)
Kugera kugenzurwa, gutera imbere gukosora umurongo wa scoliotic
Umuganga ubaga umugongo wagaragaje ko yishimiye cyane 6.0mm ya Spinal Pedicle Screw Instrument Set hamwe nimbuto zihuye zitangwa nisosiyete yacu. Tekinike yemerewe gukosora ibice bitatu byo guhindura ubumuga no gutuza gukomeye kubice byabigenewe.
Iyi pedicle screw - inkoni yubaka ikoreshwa mubisanzwe muri scoliose hamwe no kubaga umugongo bigoye kuko itanga:
Kwerekana amashusho
Kwerekana amashusho nyuma yibikorwa byerekanwe:
Iterambere rikomeye muguhuza umugongo
Kugabanya kugabanuka no kuvunika imbavu
Kuringaniza ibitugu hamwe nigiti
Mubuvuzi, Raisa yerekanye:
Imiterere ihamye ya neurologiya
Kurwanya ububabare bushimishije
Buhoro buhoro gusubira guhagarara no kugenda hamwe n'inkunga
Kunoza imyifatire no kwisiga
Mugukurikiranira hafi, umurwayi yakomeje gukira neza, kandi ibisubizo byambere byatanze igitekerezo cyiza cyigihe kirekire cyo kugereranya urutirigongo nubuzima bwiza.
![Nyuma ya X-ray yerekana guhuza umugongo gukosorwa nyuma yo kubagwa scoliose muri Bangladesh-czmeditech]( "Postoperative X-ray showing corrected spinal alignment after scoliosis surgery in Bangladesh-czmeditech")
Ibisobanuro Byimikorere Byakoreshejwe Muri Uru rubanza
Gutera ibi bikurikira byakoreshejwe mugihe gikurikira:
6.0 Inzira ya Polyaxial Pedicle
6.0 Guhuza-I (SW3.5)
![6.0mm umugongo pedicle screw igikoresho cyashyizweho hamwe nogushiramo gukoreshwa mugukosora scoliose-czmeditech1]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech1")
Ibi bice byakoranye hamwe ninkoni zumugongo kugirango bitange ibyuma bihamye byumugongo byubaka bikwiranye no gukosora scoliose yingimbi.
Igenamiterere ry'ibikoresho
Uwiteka Igikoresho cya Spinal Pedicle Screw ibikoresho byakoreshejwe muri Dhaka Central International Medical College & Ibitaro birimo:
Ibikoresho byo gushiramo pedicle
Ibikoresho byo gupima, kunama, nibikoresho byo gushiramo
Ibikoresho byo guhuza no guhuza
Ibikoresho byo gutegura amagufwa no kugabanya
![6.0mm umugongo pedicle screw igikoresho cyashyizweho hamwe nugushiramo gukoreshwa mugukosora scoliose-czmeditech2]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech2")
Igishushanyo mbonera cyacyo gifasha kubaga muri Bangaladeshi no mu tundi turere gukora ubugororangingo bukomeye bwa scoliose neza kandi neza, kugabanya igihe cyo gukora no gushyigikira gushyira neza neza.
Akamaro k’ubuvuzi bwo kubaga umugongo muri Bangladesh
Uru rubanza rwerekana ko ku nkunga ya kijyambere ya 6.0mm ya spinal pedicle screw, ibitaro byo muri Bangladesh bishobora:
Tanga uburyo bwo kubaga scoliose ikosora abarwayi b'ingimbi
Kugera ku gukosora ubumuga bwizewe no guhuza
Kunoza umusaruro wo kwisiga no gukora kubarwayi bakiri bato nimiryango yabo
Kubitaro, abagabura hamwe nabaganga babaga umugongo bashaka sisitemu ya spinal pedicle screw sisitemu ikwiranye na scoliose hamwe nubundi buryo bwo kubaga umugongo, uru rubanza rutanga ibimenyetso bifatika byerekana imikorere myiza.
Umwanzuro & Twandikire
Kubaga scoliose ikosora neza kumukobwa wimyaka 16 i Dhaka byerekana akamaro ka:
Niba ushaka kumenya byinshi kubyerekeye uru rubanza cyangwa 6.0mm Igikoresho cya Spinal Pedicle Screw Igikoresho , nyamuneka twandikire amakuru arambuye yibicuruzwa, shiraho iboneza hamwe nubufasha bwamavuriro.
Twandikire kubibazo byuzuye hamwe numugongo Pedicle Igisubizo
Ibibazo
1. Kubaga gukosora scoliose ni iki?
Kubaga Scoliose ikosora ni uburyo bukoreshwa nko gushiramo imigozi ya pedicle hamwe ninkoni kugirango ugorore kandi uhagarike urutirigongo rudasanzwe. Muri uru rubanza rwaturutse muri Bangaladeshi, sisitemu ya 6.0mm ya spine pedicle screw yakoreshejwe kugirango ikosore ubumuga no gushyigikira uruti rwumugongo.
2. Kuki sisitemu ya 6.0mm yumugongo yatoranijwe kuri uyu murwayi?
Sisitemu ya 6.0mm ya pedicle itanga inanga ikomeye mumibiri yintegamubiri kandi ituma ikosorwa rihamye ryibice bitatu, bifite akamaro kanini kubaga scoliyose yingimbi bisaba gukosorwa neza no guhuza igihe kirekire.
3. Ese kubaga scoliose bifite umutekano kubangavu?
Iyo bikozwe nitsinda ryinzobere mu kubaga umugongo hamwe no kubikurikirana no kubikurikirana, kubaga scoliose muri rusange ni byiza kubangavu. Muri uru rubanza rwa Dhaka, umurwayi w’imyaka 16 yakize neza hamwe n’umugongo uhamye kandi nta defisite nshya y’imitsi.
4. Gukira bifata igihe kingana iki nyuma yo kubagwa gukosora scoliose?
Abarwayi benshi batangira kwicara no kugenda batewe inkunga muminsi mike nyuma yo kubagwa. Gukira kwambere mubisanzwe bifata ibyumweru byinshi, mugihe guhuza amagufwa yuzuye hamwe no kuvugurura igihe kirekire bishobora gufata amezi 6-12, bitewe nimyaka, ubukana bwimiterere nubuzima busanzwe.
5.Ni izihe nyungu zo gukoresha pedicle screw - inkoni yubaka mu kubaga scoliose?
Inzira ya pedicle screw-inkoni itanga ibyiciro bikomeye byo gukosora, kugenzura neza guhuza uruti rwumugongo no gufata neza imbaraga zo gukosora, bifasha kugera kumurongo mwiza wo gukosora, kuringaniza uruti rwumugongo no guhagarara neza.
6. Ni izihe ngorane zikurikiranwa nyuma yo kubagwa scoliose?
Abaganga babaga bakurikirana kwandura, kuva amaraso, kugabanuka cyangwa kumeneka, impinduka zifata ubwonko no gukira nabi. Hamwe nubuhanga bwokubaga bwitondewe no kubikurikirana, ibyago byingutu zikomeye biragabanuka.
7. Scoliose irashobora kugaruka nyuma yo kubagwa gukosorwa?
Iyo guhuza bikomeye bimaze kugerwaho kandi urutirigongo rumaze gukira hafi ya pedicle screw - inkoni yubaka, ibyago byo kugaruka cyane muri rusange ni bike. Ariko rero, birasabwa gukurikirana amashusho buri gihe, cyane cyane mubarwayi bakura.
8. Ubu bwoko bwo kubaga scoliose buraboneka muri Bangladesh?
Yego. Nkuko bigaragara muri uru rubanza ruva i Dhaka, gukosora scoliose ikoresheje sisitemu ya 6.0mm ya spinal pedicle screw isanzwe ikorerwa muri Bangladesh nitsinda ryumugongo kabuhariwe mubitaro bifite ibikoresho.
