Spinal Instruments ke eng?
Lisebelisoa tsa mokokotlo li bua ka mefuta e fapaneng ea lisebelisoa tse khethehileng tsa bongaka tse sebelisoang nakong ea opereishene ea mokokotlo ho laola le ho tsitsisa mokokotlo. Lisebelisoa tsena hangata li entsoe ka thepa ea boleng bo holimo, joalo ka tšepe e sa hloekang kapa titanium, 'me li etselitsoe ho tšoarella le ho tšoarella nako e telele.
Lisebelisoa tsa mokokotlo li sebelisetsoa ho fihlella le ho laola mokokotlo nakong ea ho buuoa, ho lumella lingaka tse buoang ho etsa mekhoa e rarahaneng ka ho nepahala le ho nepahala. Mefuta e meng e tloaelehileng ea lisebelisoa tsa mokokotlo e kenyelletsa li-retractors, li-drill, saws, curettes le forceps.
Li-retractors li sebelisetsoa ho thibela mesifa le mesifa, ho fana ka ponahalo e hlakileng le ho fihlella sebakeng sa ho buuoa. Li-drill le lisakha li sebelisoa ho tlosa lisele tsa masapo kapa ho etsa likanale tsa ho kenya li-implant. Li-curettes li sebelisetsoa ho phunya lisele kapa maloanlahla a masapo, ha li-forceps li sebelisetsoa ho tšoara le ho laola mehaho e pshatlehileng.
Lisebelisoa tsa mokokotlo li atisa ho etsoa bakeng sa mekhoa e khethehileng ea ho buuoa, 'me ho na le mefuta e mengata e fapaneng e fumanehang ho finyella litlhoko tsa mekhoa e fapaneng ea ho buoa le li-anatomi tsa mokuli. Lingaka tse buoang li itšetlehile ka lisebelisoa tsa mokokotlo ho etsa opereishene ea mokokotlo ka mokhoa o sireletsehileng le ka katleho, 'me boleng le ts'ebetso ea lisebelisoa tsena li ka ama liphello tsa ho buuoa haholo.
Ke mefuta efe ea lisebelisoa tsa mokokotlo?
Ho na le mefuta e 'maloa ea lisebelisoa tsa mokokotlo, ho kenyelletsa:
Li-Screws tsa Pedicle: Tsena ke li-screw tse kenngoa ka har'a mokokotlo oa mokokotlo ho tiisa lithupa kapa lipoleiti bakeng sa fusion ea mokokotlo.
Lithupa: Tsena ke lithupa tsa tšepe tse khomaretsoeng ho li-screw tsa pedicle ho fana ka botsitso le tšehetso bakeng sa mokokotlo.
Lipoleiti: Tsena ke lipoleiti tsa tšepe tse khomaretsoeng mokokotlong oa mokokotlo ka li-screw ho fana ka tšehetso e eketsehileng bakeng sa mokokotlo.
Li-Cages tsa Interbody: Tsena ke lisebelisoa tse behiloeng pakeng tsa vertebrae ho fana ka tšehetso le ho khothalletsa ho kopana.
Li-Hooks: Tsena ke lisebelisoa tsa tšepe tse khomaretsoeng mokokotlong oa mokokotlo ho fana ka tšehetso le botsitso.
Lithapo: Tsena ke lithapo tse tšesaane tsa tšepe tse sebelisetsoang ho fana ka tšehetso e eketsehileng le ho tšoara mokokotlo sebakeng.
Li-Discs tsa Maiketsetso: Tsena ke lisebelisoa tse kentsoeng sebakeng sa li-disk tse senyehileng ho fana ka tšehetso le ho lumella ho sisinyeha.
Spacers: Tsena ke lisebelisoa tse behiloeng pakeng tsa vertebrae ho boloka sebaka se nepahetseng le ho khothalletsa fusion.
Mofuta oa lisebelisoa tsa mokokotlo o sebelisoang o itšetlehile ka litlhoko tse khethehileng tsa mokuli le mokhoa oa ho buoa o sebelisoang. Ngaka e tla khetha mofuta o nepahetseng ka ho fetisisa oa lisebelisoa tse thehiloeng linthong tse kang boemo ba mokuli, sebaka le ho teba ha bothata ba mokokotlo, le lipakane tsa ho buuoa.
Ho buuoa ka mokokotlo ho bitsoa eng?
Ho buuoa ka mokokotlo ke mokhoa oa bongaka o ikemiselitseng ho phekola mathata a amanang le mokokotlo, likotsi, kapa maemo a bakang bohloko ba morao, bofokoli, bohatsu kapa matšoao a mang. Opereishene e kenyelletsa mekhoa le mekhoa e fapaneng, joalo ka decompression, fusion, kapa tokiso ea bokooa ba mokokotlo, ho sebelisa lisebelisoa tsa ho buoa le li-implants ho tsitsisa kapa ho khutlisetsa ts'ebetso ea mokokotlo. Sepheo sa ho qetela sa ho buuoa ka mokokotlo ke ho kokobetsa bohloko, ho ntlafatsa ho tsamaea le ho ntlafatsa boleng ba bophelo ba mokuli.
Ke mang ea hlokang ho buuoa lesapo la mokokotlo?
Ho buuoa ka mokokotlo ho ka 'na ha buelloa ho batho ba nang le maemo a mokokotlo kapa likotsi tse sa kang tsa arabela liphekolo tse tsitsitseng tse kang meriana, phekolo ea' mele, le mekhoa e meng eo e seng ea ho buuoa. Qeto ea ho etsoa opereishene ea lesapo la mokokotlo hangata e etsoa ka mor'a ho hlahlojoa ka botlalo le ho hlahlojoa ke setsebi se tšoanelehang sa tlhokomelo ea bophelo. Maemo a mang a ka hlokang ho buuoa lesapo la mokokotlo a kenyelletsa:
Herniated disc
stenosis ea mokokotlo
Lefu la 'degenerative disc'.
Spondylolisthesis
Ho robeha ha mokokotlo
Lihlahala tsa mokokotlo
Tšoaetso ea mokokotlo
Matšoao a mokokotlo a kang scoliosis kapa kyphosis.
Leha ho le joalo, ha se linyeoe tsohle tse hlokang ho buuoa, 'me litsebi tsa tlhokomelo ea bophelo li tla nahana ka lintlha tse' maloa pele li buella ho buuoa, ho kenyelletsa le bophelo bo botle ba mokuli, lilemo le boima ba boemo boo.
Ke lisebelisoa life tse sebelisoang ho buoa lesapo la mokokotlo?
Ho buuoa ka mokokotlo ho hloka tšebeliso ea lisebelisoa tse khethehileng tse etselitsoeng ho fihlella le ho phekola mokokotlo. Tse ling tsa lisebelisoa tse tloaelehileng tse sebelisoang ho buuoa ka mokokotlo li kenyelletsa:
Li-retractors: tse sebelisetsoang ho boloka sebaka sa ho buoa se bulehile le ho fana ka mokhoa oa ho fumana mokokotlo.
Drill: e sebedisoang ho etsa masoba ka har'a lesapo la mokokotlo bakeng sa ho beha li-screw kapa li-implants tse ling.
Currettes: e sebedisoang ho tlosa dinama tse bonolo kapa lesapo.
Matlapa (forceps) /forceps/ Ketso ya ho tshwara: e sebedisoang ho tshwara dinama kapa makumane a masapo.
Curettes: e sebedisoang ho hohla lesapo la masapo.
Rongeurs/ Ketso ya ho ntsha makumane a marapo kapa dithishu.
Probes: e sebelisetsoang ho fumana libaka tse itseng tsa mokokotlo kapa ho netefatsa ho behoa ha li-implants.
Li-hook: tse sebelisetsoang ho tšoara le ho laola likarolo tsa mokokotlo nakong ea ho buuoa.
Li-Pedicle probes: tse sebelisetsoang ho fumana le ho netefatsa ho behoa ha li-screw tsa pedicle.
Sistimi ea ho tsamaea e tataisoang ke setšoantšo: e sebelisetsoang ho tataisa ho beoa ha lisebelisoa le li-implants tse nang le litšoantšo tsa nako ea nnete.
Khetho ea lisebelisoa tse sebelisoang ha ho buuoa lesapo la mokokotlo e tla itšetleha ka mokhoa o khethehileng o etsoang le khetho ea ngaka. Lisebelisoa tsena li tlameha ho ba tse nepahetseng le tse entsoeng hantle ho netefatsa hore opereishene ea mokokotlo e bolokehile ebile e sebetsa hantle.
