Chii chinonzi spine implants?
Spine implants zvigadziriso zvekurapa zvinoshandiswa kurapa musana wakadai seherniated discs, spinal stenosis, uye scoliosis. Midziyo iyi inowanzo gadzirwa nezvinhu zvinopindirana nezvinhu zvakaita setitanium kana PEEK (polyetheretherketone) uye zvakagadzirirwa kuvhiyiwa kuiswa mumusana kuti ugadzikane kana kutsiva zvimiro zvakakuvadzwa kana kurwara.
Mamwe marudzi akajairika emuzongoza implants anosanganisira:
Pedicle screws: Iyi screws inoshandiswa kumisa simbi tsvimbo kumusana uye inopa kugadzikana kune vertebral column.
Tsvimbo: Metal tsvimbo dzinoshandiswa kubatanidza pedicle screws kana mamwe maspinal implants kupa humwe hutsigiro uye kugadzikana kumusana.
Interbody Cages: Iyi midziyo inoiswa pakati pema vertebrae maviri kuchengetedza kureba kwakajairika uye curvature yemuzongoza, uye kupa rutsigiro nekugadzikana.
Artificial discs: Aya ndiwo midziyo inoshandiswa kutsiva yakakuvadzwa kana chirwere intervertebral discs mumuzongoza.
Plates uye screws: Aya anoshandiswa kupa kugadzikana uye kutsigirwa kune anterior (mberi) chikamu chemusana.
Zvishandiso zvemuzongoza zvinomera
Spine implants inogona kugadzirwa kubva kune akasiyana zvinhu, kusanganisira:
Titanium: Titanium isimbi isina uremu uye yakasimba iyo inowanzoshandiswa mukuiswa kwemusana. Iyo biocompatible, zvinoreva kuti kashoma kukonzeresa kuita kwakashata mumuviri.
Stainless simbi: Stainless simbi isimbi yakasimba uye yakasimba iyo inowanzo shandiswa mukuiswa kwemusana. Iyo inodhura zvishoma pane titanium, asi haina kufanana ne biocompatible.
Cobalt-chromium: Cobalt-chromium isimbi alloy inoshandiswawo mumusana unodyarwa. Iyo yakasimba uye isingadziviriri, asi haina kufanana ne biocompatible se titanium.
Polyetheretherketone (PEEK): PEEK imhando yepurasitiki inowanzoshandiswa mumakeji epakati. Iine zvinhu zvakafanana kune pfupa uye inogona kukurudzira kukura kwepfupa.
Carbon fiber: Carbon fiber chinhu chisina kuremerwa uye chakasimba icho dzimwe nguva chinoshandiswa mumusana unodyarwa. Izvo zvakare biocompatible.
Sarudzo yemidziyo yekudyara inotsamira pazvinhu zvakati wandei, zvinosanganisira zvinodiwa nemurwere, nzvimbo yekudyara mumusana, uye ruzivo rwechiremba uye zvaanoda. Zvakakosha kukurukura nezvengozi dzinogona kuitika uye zvikomborero zvega rega rekuisa zvinhu nechiremba anovhiya musana asati avhiyiwa.
Nzira yekusarudza sei spine implants yekuvhiya?
Sarudzo yemuzongoza ma implants ekuvhiya inoenderana nezvakati wandei, zvinosanganisira:
Zvirwere zvemurwere: Zera remurwere, hutano hwese, nhoroondo yezvekurapa, uye kuwanda kwepfupa kunogona kukanganisa kusarudzwa kwemuzongoza. Mamwe ma implants anogona kunge asina kukodzera kuvarwere vane humwe hutano kana vane mapfupa asina kusimba.
Mamiriro emuzongoza: Mamiriro chaiwo emuzongoza, senge nzvimbo uye kuoma kwekukuvara kana kuremara, zvinogona kukanganisa kusarudzwa kwekusima. Semuenzaniso, ma implants akasiyana anogona kushandiswa kumusana fusion versus spinal decompression kuvhiyiwa.
Zvakaitika kuna Chiremba wokuvhiya: Ruzivo rwachiremba uye zvaanofarira zvinogona kuitawo basa mukusarudza kudyara. Vamwe vanachiremba vanovhiya vanogona kunge vaine ruzivo rwakanyanya kune mamwe marudzi ekudyara, uye vangasarudza kuashandisa kune varwere vavo.
Kudyara zvinhu: Sarudzo yekudyara zvinhu inofanirawo kutariswa, sezvo zvinhu zvakasiyana zvine zvimiro zvakasiyana uye zvingave zvakanyanya kukodzera kune vamwe varwere kana mamiriro.
Njodzi uye zvakanakira: Njodzi dzinogona kuitika uye zvakanakira rudzi rwega rwega rwekuisirwa dzinofanira kukurukurwa nemurwere, kusanganisira njodzi yekutadza kuisirwa kana matambudziko, zvinogona kukonzera matambudziko enguva refu, uye mukana wekubudirira kupora.
Vanachiremba vanoisa sei muzongoza?
Iyo chaiyo nzira yekuisa spinal implant zvinoenderana nerudzi rwekuisirwa uye mamiriro chaiwo ari kurapwa, asi kazhinji, matanho anobatanidzwa mukuita ndeaya anotevera:
Anesthesia: Murwere anopiwa general anesthesia kuti ave nechokwadi chokuti havana chavanoziva uye vasina kurwadziwa mukati mekuita.
Incision: Chiremba anovhiya anoita incision muganda uye tsandanyama pamusoro penzvimbo yakakanganiswa yemuzongoza.
Kugadzirira kwepelinha: Chiremba anovhiya anobvisa chero yakakuvadzwa kana chirwere chinorwara kubva mumuzongoza, senge herniated discs kana bone spurs, uye anogadzirira nzvimbo yekuisa.
Kuiswa kwekuisirwa: Chiremba anovhiya anobva aisa iyo yekuisa munzvimbo yakagadzirirwa yemuzongoza. Izvi zvinogona kusanganisira screws, tsvimbo, makeji, kana mamwe marudzi emaimplants.
Kuchengetedza iyo implant: Kana iyo implant yave panzvimbo, chiremba anovhiya anoichengetedza kumusana achishandisa screws, waya, kana zvimwe zvishandiso.
Kuvhara: Chiremba anovhiya anobva avhara iyo incision ne sutures kana staples uye inoshandisa bhandeji kana kupfeka.
Kupora: Murwere anotariswa munzvimbo yekupora kwemaawa akati wandei uye anogona kupihwa mushonga wemarwadzo kana kumwe kutarisirwa kunotsigira sezvinodiwa.
Mushure mekuita, murwere achada kutevera chirongwa chekugadzirisa kuti abatsire kudzorera kufamba uye simba kumusana. Iyo chaiyo chirongwa inoenderana nerudzi rwekuisirwa uye zvinodiwa nemurwere ega uye mamiriro.
Ndiani anogona kubatsirwa kubva kuspinal implants?
Spinal implants inowanzoshandiswa kune varwere vanotambura nemamiriro ezvinhu anokonzera kurwadziwa, kushaya simba, kana kusagadzikana mumusana. Mamwe emamiriro ezvinhu anogona kubatsirikana kubva kuspinal implants anosanganisira:
1. Degenerative disc chirwere
2. Herniated kana bulging discs
3. Spinal stenosis
4. Spondylolisthesis
5. Kutsemuka kwemusana
6. Scoliosis
7. Mamota emuzongoza
Mishonga yemuzongoza inowanzoshandiswa apo kurapa kusiri kwekuvhiya kwakadai sekurapa kwemuviri, mushonga, kana jekiseni remuzongoza zvatadza kupa zororo. Sarudzo yekushandisa maspinal implants inowanzoitwa nenyanzvi yemuzongoza, senge chiremba wemapfupa kana neurosurgeon, uyo achaongorora mamiriro emurwere uye anokurudzira chirongwa chakakodzera chekurapa.
