Ku langutiwa: 0 Mutsari: Muhleri wa Sayiti Nkarhi wo kandziyisa: 2025-12-11 Masungulo: Ndhawu
Dyondzo ya Xikombiso: Vuhandzuri byo Lulamisa Scoliosis eDhaka, Bangladesh
Scoliosis i vuvabyi lebyi tolovelekeke bya nkolo eka vantshwa naswona hakanyingi byi lava ku nghenelela ka vuhandzuri loko ku gombonyoka loku yaka emahlweni ku khumba ku ringanisela ka nkolo, ku yima ka nkolo kumbe khwalithi ya vutomi bya nkarhi wo leha. Eka swifundzha leswi hluvukaka, ku fikelela tisisiteme to tshembheka ta ku khoma nkolo na maendlelo ya ntirho ya vuhandzuri lama ringaniseriweke swi tlanga xiave xa nkoka eku fikeleleni ka mimbuyelo ya tliliniki leyi nga languteriwaka.
Emhakeni leyi, endlelo ro lulamisa vuvabyi bya scoliosis ri endliwe hi laha ku humelelaka exibedlhele xa kwalaho xa marhambu eDhaka, Bangladesh , leri katsaka muvabyi wa xisati wa malembe ya 14 hi vukhale loyi a kumiweke a ri ni vuvabyi bya scoliosis bya le malembeni ya kondlo-a-ndzi-dyi. Xikongomelo xa vuhandzuri akuri ku lulamisa ku onhaka ka nkolo, ku vuyisela ku ringanana, naku fikelela ku khomiwa ka le ndzeni loku tiyeke hiku tirhisa 6.0mm pedicle screw–rod system.
Hi ku nyikiwa malembe ya muvabyi na swihlawulekisi swa ku tsana, ku fikelela ku lulamisiwa loku lawuriwaka loko a ri karhi a hlayisa ku tshamiseka endzhaku ka vuhandzuri a ku ri nchumu wa nkoka lowu a wu tekeriwa enhlokweni. Pulani ya vuhandzuri yi kongomisiwile eka ku vekiwa ka swiphemuphemu na ku lulamisiwa ka ku ringanana hakatsongotsongo hi ku tirhisa switirhisiwa swa pedicle screw.

Eka endlelo leri ro lulamisa scoliosis, 6.0mm pedicle screw system yi hlawuriwile tani hi xitshunxo xo sungula xa fixation. Ti pedicle screw–rod constructs titirhisiwa ngopfu eka vuhandzuri bya spinal deformity hikokwalaho ka vuswikoti bya tona byo nyika vertebral anchorage yo tiya xikan’we na vulawuri lebyi kongomeke bya spinal alignment.
Endlelo leri ri pfumelela ku lulamisiwa ka swiphemu swinharhu hi ku lulamisa swiphemu swa coronal, sagittal, na axial swa ku onhaka ka nkolo. Hiku tirhisa segmental fixation eka ti vertebral levels totala, matimba yo lulamisa yanga hangalasiwa hiku ringana, ku seketela spinal balance xikan’we naku hunguta ntshikelelo wa michini eka tindzhawu ta fixation ha yin’we yin’we.
Ku tirhisiwe swilo leswi landzelaka leswi nghenisiweke hi nkarhi wa endlelo leri:
6.0 Xikurufu xa Pedicle xa Polyaxial
6.0 Xihlanganisi xa Xihambano-I (SW3.5) .

Swiphemu leswi swi tirhile swin’we na tinhonga ta nkolo ku nyika xivumbeko lexi tiyeke xa posterior spinal fusion construct leyi faneleke eka ku lulamisiwa ka scoliosis ya vantshwa.
Ku... Spinal Pedicle Screw Instrument Set leyi tirhisiwaka eDhaka Central International Medical College & Xibedlhele yi katsa:
Switirhisiwa swo nghenisa swikwirikiri swa pedicle
Switirhisiwa swo pima nhonga, swo gombonyokisa ni swo nghenisa
Switirhisiwa swa crosslink na connector
Switirhisiwa swo lunghiselela marhambu na ku hunguta

Dizayini ya yona ya ergonomic yi pfuna madokodela ya vuhandzuri eBangladesh na swifundzha swin’wana ku endla ku lulamisiwa ka scoliosis loku rharhanganeke hi ndlela leyinene na ku hlayiseka, ku hunguta nkarhi wa vuhandzuri na ku seketela ku vekiwa loku kongomeke ka swikwirikiri.
Swifaniso swa le ndzhaku ka vuhandzuri swi kombisile ku antswisiwa ka ku ringanana ka nkolo loko ku pimanisiwa na xiyimo xa le mahlweni ka vuhandzuri. Xivumbeko xa fixation xi vonake xi tshamisekile, xi seketela ku lulamisiwa loku kunguhatiweke. Hi ku ya hi ntlawa wa vuhandzuri, muvabyi u kombise ku hola loku enerisaka endzhaku ka vuhandzuri, ku nga ri na swiphiqo leswi fambisanaka ni ku khomiwa hi ku hatlisa leswi vikiweke.

Mhaka leyi yo lulamisa scoliosis ku suka eDhaka, Bangladesh yi kombisa ku tirhisiwa ka tliliniki ka sisiteme ya 6.0mm pedicle screw eka vuhandzuri bya ku tsandzeka ka nkolo wa vantshwa. Mhaka leyi yi kombisa swiaki swa nkoka ku katsa na ku vekiwa ka swiphemu, ku lulamisiwa ka ku onhaka loku lawuriwaka, na ku ringanisiwa loku tiyeke endzhaku ka vuhandzuri.
Milandzu yo tano yi nyika xikombo xa nkoka eka madokodela ya vuhandzuri bya marhambu na vaxavisi lava lavaka swintshuxo leswi tshembekaka swo khoma nkolo eka ku lulamisa ku onhaka eka swiyimo swo hambana swa tliliniki.
Mhaka leyi a yi katsa vutshunguri bya vuhandzuri bya scoliosis ya vantshwa, ku nga ku tsana ka nkolo loku tivekaka hi ku gombonyoka loku nga tolovelekangiki ka nkolo.
Vuhandzuri lebyi byi endliwe exibedlhele xa kwalaho xa marhambu eDhaka, le Bangladesh.
Sisiteme ya 6.0mm pedicle screw yi hlawuriwile ku nyika ku tshamiseka ka segmental fixation na ku seketela ku lulamisiwa ka swiphemu swinharhu swa spinal deformity.
Ti screws ta polyaxial pedicle ti pfumelela ku hlanganisiwa ka rod hiku olova xikan’we naku lulamisiwa ka alignment, leswi pfunaka eka maendlelo yo rharhangana ya spinal deformity correction.
Crosslink yinga pfuneta ku ndlandlamuxa ku tshamiseka ka construct hiku antswisa ku lwisana na matimba yo rhendzeleka, kuya hi maqhinga ya fixation na ti levele ta vuhandzuri leti katsekaka.
Ku ringanisiwa ka nkolo ku kamberiwile hi ku tirhisa tidyondzo ta swifaniso emahlweni ka vuhandzuri na ku kamberiwa ka radiographic endzhaku ka vuhandzuri ku tiyisisa ku lulamisiwa na ku tshamiseka ka ku khoma.
Swifaniso swa le ndzhaku ka vuhandzuri swi kombise ku antswisiwa ka ku ringanana ka nkolo, naswona muvabyi u kombise ku hola loku enerisaka hi ku khomiwa loku tiyeke ka le ndzeni.
Ina, tisisiteme ta pedicle screw–rod ti tirhisiwa ngopfu eka vuhandzuri bya scoliosis bya vantshwa hikwalaho ka vuswikoti bya tona byo nyika ku khomiwa loku tshembekaka na ku lulamisiwa ka ku onhaka loku lawuriwaka.
Swikumiwa