Tleliniki Background
Scoliosis ke bofokoli bo tloaelehileng ba lesapo la mokokotlo ho bacha 'me hangata bo hloka ho kenella ha ho buuoa ha sekhahla se ntseng se tsoela pele se ama ho leka-lekana ha mokokotlo, boemo kapa boleng ba bophelo ba nako e telele. Libakeng tse ntseng li tsoela pele, phihlello ea lits'ebetso tse tšepahalang tsa ho lokisa lesapo la mokokotlo le tšebetso e tloaelehileng ea ho buoa e phetha karolo ea bohlokoa ho fihlelleng liphetho tse lebelletsoeng esale pele tsa kliniki.
Tabeng ena, mokhoa oa ho lokisa scoliosis o ile oa etsoa ka katleho sepetleleng sa masapo a sebakeng sa Dhaka, Bangladesh , se amanang le mokuli oa mosali ea lilemo li 14 ea fumanoeng a e-na le adolescent scoliosis. Sepheo sa ho buuoa e ne e le ho lokisa ho holofala ha lesapo la mokokotlo, ho tsosolosa botsitso, le ho finyella tokiso e tsitsitseng ea ka hare ho sebelisa 6.0mm pedicle screw-rod system..
Tlaleho ea Mokuli le Tlhahlobo ea Pele ho Ts'ebetso
Mokuli o fane ka liphuputso tsa kliniki le tsa radiographic tse lumellanang le scoliosis. Litlhahlobo tsa litšoantšo tsa pele ho ts'ebetso li ile tsa etsoa ho hlahloba litšobotsi tsa mokokotlo oa mokokotlo le ho tšehetsa moralo oa ho buuoa. Litlhahlobo tsena li thusitse sehlopha sa opereishene ho fumana maemo a nepahetseng a ho lokisa le leano la ho lokisa.
Ho fanoe ka lilemo tsa mokuli le litšobotsi tsa ho holofala, ho finyella khalemelo e laoloang ha ho ntse ho boloka botsitso ka mor'a ts'ebetso e ne e le taba ea bohlokoa. Morero oa opereishene o ne o shebane le ho lokisa likarolo le ho lokisoa butle-butle ho sebelisa lisebelisoa tsa pedicle screw.
Leano la ho Buoa le Khopolo ea ho Lokisa
Bakeng sa mokhoa ona oa ho lokisa scoliosis, ho ile ha khethoa tsamaiso ea 6.0mm pedicle screw e le tharollo e ka sehloohong ea ho lokisa. Mehaho ea 'screw-rod' ea 'Pedicle screw-rod' e sebelisoa haholo ho buoang ho holofala ha lesapo la mokokotlo ka lebaka la bokhoni ba bona ba ho fana ka ts'ehetso e matla ea lesapo la mokokotlo le taolo e nepahetseng ea ho tsamaisana ha lesapo la mokokotlo.
Tsamaiso e lumella ho lokisoa ha likarolo tse tharo ka ho sebetsana le likarolo tsa coronal, sagittal, le axial tsa bokooa ba mokokotlo. Ka ho lokisa likarolo ho pholletsa le mekhahlelo e mengata ea vertebral, matla a ho lokisa a ka ajoa ka mokhoa o ts'oanang, a tšehetsa ho leka-lekana ha mokokotlo le ho fokotsa khatello ea mochine lintlheng tsa ho lokisa motho ka mong.
Litlhaloso tsa Implant tse sebelisitsoeng Tabeng ena
Li-implants tse latelang li ile tsa sebelisoa nakong ea ts'ebetso:
6.0 Polyaxial Pedicle Screw
6.0 Crosslink-I (SW3.5)
![6.0mm spinal pedicle screw setlapa le li-implants tse sebelisetsoang ho lokisa scoliosis-czmeditech1]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech1")
Likarolo tsena li ile tsa sebetsa hammoho le melamu ea mokokotlo ho fana ka mohaho o tsitsitseng oa mokokotlo oa mokokotlo oa mokokotlo o loketseng ho lokisoa ha bacha ba scoliosis.
Instrument Set Overview
The Spinal Pedicle Screw Instrument Set e sebelisoang Dhaka Central International Medical College & Hospital e kenyelletsa:
Lisebelisoa tsa ho kenya screw screw
Lisebelisoa tsa ho lekanya lere, ho kobeha le ho kenya
Crosslink le lisebelisoa tsa sehokelo
Lisebelisoa tsa ho lokisa lesapo le ho fokotsa
![6.0mm spinal pedicle screw sete le li-implants tse sebelisetsoang ho lokisa scoliosis-czmeditech2]( "6.0mm spinal pedicle screw instrument set and implants used for scoliosis correction-czmeditech2")
Sebopeho sa eona sa ergonomic se thusa lingaka tse buoang Bangladesh le libakeng tse ling ho etsa khalemelo e rarahaneng ea scoliosis ka mokhoa o atlehileng le ka mokhoa o sireletsehileng, ho fokotsa nako ea ts'ebetso le ho tšehetsa ho behoa ha screw ka nepo.
Tlhahlobo le Sephetho sa Kamor'a Ts'ebetso
Setšoantšo sa postoperative se bontšitse ho ntlafala ha mokokotlo oa mokokotlo ha o bapisoa le boemo ba pele ho ts'ebetso. Mohaho oa ho lokisa o ile oa bonahala o tsitsitse, o tšehetsa tokiso e reretsoeng. Ho ea ka sehlopha sa ho buuoa, mokuli o ile a bontša ho hlaphoheloa ka mokhoa o khotsofatsang ka mor'a ho buuoa, ho se na mathata a amanang le ho lokisa hang-hang a tlalehiloeng.
![X-ray ea mokokotlo ea postoperative e bonts'a ho lokisoa ka mor'a opereishene ea scoliosis ka li-screw tsa pedicle-czmeditech]( "postoperative spinal x-ray showing corrected alignment after scoliosis surgery with pedicle screws-czmeditech")
Kakaretso ea ho Buoa le Bohlokoa ba Bongaka
Nyeoe ena ea tokiso ea scoliosis e tsoang Dhaka, Bangladesh e bonts'a ts'ebeliso ea kliniki ea 6.0mm pedicle screw system ho opereishene ea bokooa ba mokokotlo oa bacha. Nyeoe e totobatsa lintlha tsa bohlokoa tse kenyeletsang ho lokisa likarolo, ho lokisoa ha bokooa bo laoloang, le ho lumellana ho tsitsitseng ka mor'a ts'ebetso.
Linyeoe tse joalo li fana ka litšupiso tsa bohlokoa bakeng sa lingaka tsa masapo le baphatlalatsi ba batlang litharollo tse tšepahalang tsa ho lokisa mokokotlo bakeng sa tokiso ea bokooa maemong a fapaneng a kliniki.
LBH
1. Ke mofuta ofe oa boemo ba mokokotlo o ileng oa phekoloa tabeng ee?
Nyeoe ena e ne e amana le phekolo ea ho buuoa ea adolescent scoliosis, bokooa ba lesapo la mokokotlo bo khetholloang ke ho kobeha ho sa tloaelehang ha lesapo la mokokotlo.
2. Opereishene ea ho lokisa scoliosis e ne e etsoa hokae?
Opereishene ena e ile ea etsoa sepetleleng sa lehae sa masapo se Dhaka, Bangladesh.
3. Hobaneng ho ile ha khethoa 6.0mm pedicle screw system bakeng sa nyeoe ee?
The 6.0mm pedicle screw system e khethiloe ho fana ka mokhoa o tsitsitseng oa ho lokisa likarolo le ho tšehetsa tokiso ea likarolo tse tharo tsa bokooa ba mokokotlo.
4. Melemo ea ho sebelisa li-screws tsa polyaxial pedicle ho opereishene ea scoliosis ke efe?
Li-screws tsa polyaxial pedicle li lumella ho hokahana ha molamu habonolo le ho lokisoa ha maemo, e leng molemo mekhoeng e rarahaneng ea ho lokisa lesapo la mokokotlo.
5. Ke karolo efe eo crosslink e e phethang ho lokisa mokokotlo oa mokokotlo?
Crosslink e ka thusa ho ntlafatsa botsitso ba kaho ka ho ntlafatsa ho hanyetsa matla a potoloho, ho itšetlehile ka leano la ho lokisa le maemo a ho buuoa a amehang.
6. Ho ikamahanya ha lesapo la mokokotlo ho ile ha hlahlojoa joang pele le ka mor’a ho buuoa?
Ho lumellana ha mokokotlo ho ile ha hlahlojoa ho sebelisoa lithuto tsa litšoantšo pele ho opereishene le litlhahlobo tsa radiographic tsa postoperative ho netefatsa ho lokisoa le botsitso ba ho lokisa.
7. Sephetho sa morao-rao se tlalehiloeng tabeng ee e bile sefe?
Litšoantšo tsa postoperative li bontšitse ho ntlafala ha mokokotlo oa mokokotlo, 'me mokuli o ile a bontša ho hlaphoheloa ka mokhoa o khotsofatsang ka ho lokisa ka hare ho tsitsitseng.
8. Na mofuta ona oa 'pedicle screw system' o atisa ho sebelisoa bakeng sa adolescent scoliosis?
E, litsamaiso tsa 'screw-rod' tsa pedicle li sebelisoa haholo ho opereishene ea bacha ea scoliosis ka lebaka la bokhoni ba bona ba ho fana ka tokiso e tšepahalang le khalemelo ea bofokoli bo laoloang.
