Vuhandzuri byo Lulamisa Scoliosis eBangladesh: 6.0mm Spinal Pedicle Screw System

Nkatsakanyo wa Mhaka

Eka Dhaka Central International Medical College & Hospital eBangladesh,ntlawa wa vuhandzuri bya nkolo wu hetile hi ndlela leyi humelelaka ku rharhangana vuhandzuri byo lulamisa vuvabyi bya scoliosis bya muvabyi wa xisati wa malembe ya 16 hi vukhale, Raisa (vito ri cinciwile leswaku ri va xihundla). Endlelo leri ri tirhise ku 6.0mm Spinal Pedicle Screw Switirhisiwa Seti hlanganisiwa na switirhisiwa swa nkolo leswi fambisanaka ku vuyisela ku ringanana ka nkolo na ku tshamiseka.

Mhaka leyi yi kombisa ndlela leyi a manguva lawa spinal pedicle screw system yi nga pfuna swibedlhele swa le Bangladesh ku fikelela ku lulamisiwa loku tshembekaka ka ku onhaka ni ku ringanisela ka nkolo nkarhi wo leha eka vavabyi lava nga emalembeni ya kondlo-a-ndzi-dyi.

Xivumbeko xa Mhaka

• Vito ra muvabyi: Raisa (vito ra vuxisi) .

• Malembe: 16 wa malembe

• Rimbewu: Wa xisati

• Ku kumiwa ka vuvabyi: Scoliosis ya vantshwa leyi nga na ku gombonyoka lokukulu ka nkolo

Raisa u humelerile hi ku tsana ka nkolo loku vonakaka na ku vilela hi ku sasekisa, kun’we na ku nga tsaki ka nkolo nkarhi na nkarhi na ku karhala endzhaku ka migingiriko ya siku na siku. Ku kamberiwa ka tliliniki na swifaniso swi tiyisisile structural scoliosis leyi lavaka ku lulamisiwa hi vuhandzuri.

Ku Kamberiwa na ku Hlela ka le mahlweni ka vuhandzuri

Loko va nga si endliwa vuhandzuri, ntlawa wa nkolo wa le Dhaka wu endle nkambisiso lowu heleleke, ku katsa ni:

• Ku yima ka X-rheyi ya nkolo hinkwawo ku pima ti-angle ta Cobb

• Ku kamberiwa ka ku olova ka curve na ku rhendzeleka

• Ku kamberiwa ka misiha

• Ku kamberiwa ka vuswikoti bya ku kula na xiyimo xa rihanyo hi ku angarhela

Endzhaku ka mbulavurisano wa swiyenge swo hambana, madokodela ya vuhandzuri ya gimete hi leswaku ku lulamisiwa ka ku tsandzeka ka nkolo hi ku tirhisa 6.0mm Spinal Pedicle Screw Instrument Set a ku ri pulani ya vutshunguri leyi faneleke swinene. Endlelo leri ri hlawuriwile ku nyika:

• Ku lulamisiwa ka swiphemu swinharhu swa ku gombonyoka ka nkolo

• Rigid segmental fixation hiku tirhisa ti pedicle screws na ti rods

• Ku antswisiwa ka ku ringanisela ka coronal na sagittal

• Xivumbeko lexi tiyeke ku seketela ku hlanganisiwa ka nkarhi wo leha na ku vuyelela

Ku Endliwa ka Swifaniso swa le Mahlweni ka Vuhandzuri

Swifaniso swa le mahlweni ka vuhandzuri swi kombise:

• Ku gombonyoka ka le tlhelo loku funghiweke ka nkolo wa thoracolumbar

• Ku rhendzeleka ka vertebral na ku humelela ka rib

• Ku nga ringani ka makatla na ku ringanana ka misisi

Swikumiwa leswi swi tiyisisile xilaveko xa ku lulamisiwa ka posterior spinal deformity na fusion hiku tirhisa pedicle screw–rod construct.

  

X-rheyi ya nkolo hinkwawo ya le mahlweni ka vuhandzuri leyi kombisaka vuvabyi bya thoracolumbar scoliosis eka muvabyi wa malembe ya 16 hi vukhale wo huma eDhaka, Bangladesh.

Nkatsakanyo wa Vuhandzuri

Hi nkarhi wa vuhandzuri byo lulamisa scoliosis, ntlawa wa vuhandzuri wu tirhise... 6.0mm Spinal Pedicle Screw Instrument Seta ku veka swikwirikiri swa pedicle eka swiyimo swotala kuya hi deformity. Endlelo leri ri endle leswaku:

• Ku nghenisiwa loku sirhelelekeke ka swikwirikiri swa polyaxial pedicle eka ti vertebral pedicles

• Ku khomiwa ka tinhonga ta nkolo ku hlanganisa swikwirikiri

• Ku tirhisiwa ka tindlela to lulamisa (ku hambukisa, ku hundzuluxela ni ku endla contouring ya nhonga) .

• Ku fikeleriwa ka ku lulamisiwa loku lawuriwaka, loku yaka emahlweni ka curve ya scoliotic

Dokodela wa vuhandzuri bya nkolo loyi a rhangelaka u kombisile ku eneriseka lokukulu hi 6.0mm Spinal Pedicle Screw Instrument Set na switirhisiwa leswi fambelanaka leswi nghenisiweke leswi nyikiweke hi khamphani ya hina. Thekiniki leyi yi pfumelele ku lulamisiwa ka swiphemu swinharhu swa ku onhaka na ku tiyisisiwa loku tiyeke ka swiphemu leswi nga na switirhisiwa.

Xivumbeko lexi xa pedicle screw–rod xitala kutirhisiwa eka scoliosis na vuhandzuri byo rharhangana bya spinal deformity hikuva xinyika:

• Ku tiya ka segmental fixation

• Ku lawula loku kongomeke eka ku ringanana ka nkolo

• Ku hlayisiwa loku tshembekaka ka matimba yo lulamisa eka nkolo hinkwawo

Swifaniso swa le ndzhaku ka vuhandzuri

Swifaniso swa le ndzhaku ka vuhandzuri swi kombisile:

• Ku antswisiwa lokukulu eka ku ringanana ka nkolo

• Kuhunguteka ka curvature na rib prominence

• Makatla na xirho lexi ringaniseriweke

Hi tlhelo ra vutshunguri, Raisa u kombisile:

• Xiyimo xa misiha lexi tiyeke

• Ku lawula switlhavi hi ndlela leyi enerisaka

• Vuya hakatsongo-tsongo eku yimeni ni ku famba hi nseketelo

• Ku antswisiwa ka ku yima na ku languteka ka cosmetic

Ehansi ka ku landzelerisa lokukulu, muvabyi u ye emahlweni a hola hi ndlela leyinene, naswona vuyelo byo sungula byi ringanyete vuprofeta lebyinene bya nkarhi wo leha bya ku ringanisela ka nkolo na khwalithi ya vutomi.

Swihlawulekisi swa Implant leswi Tirhisiweke eka Mhaka Leyi

Ku tirhisiwe swilo leswi landzelaka leswi nghenisiweke hi nkarhi wa endlelo leri:

1. 6.0 Xikurufu xa Pedicle xa Polyaxial

2. 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.

Nkatsakanyo wa Seti ya Switirhisiwa

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.

Nkoka wa Tliliniki wa Vuhandzuri bya Nkolo eBangladesh

Mhaka leyi yi kombisa leswaku hi nseketelo wa sisiteme ya manguva lawa ya 6.0mm spinal pedicle screw system, swibedlhele swa le Bangladesh swi nga:

• Nyika vuhandzuri bya xiyimo xa le henhla byo lulamisa scoliosis eka vavabyi lava nga emalembeni ya kondlo-a-ndzi-dyi

• Fikelela ku lulamisiwa ka deformity loku tshembekaka na fusion

• Ku antswisa mimbuyelo ya switolwa na ntirho eka vavabyi lavatsongo na mindyangu ya vona

Eka swibedlhele, vaxavisi na madokodela ya vuhandzuri bya nkolo lava lavaka spinal pedicle screw systems leyi faneleke eka scoliosis na vuhandzuri byin’wana bya spinal deformity, mhaka leyi yi nyika vumbhoni bya xiviri bya matirhelo lama humelelaka.

Mahetelelo & Ku Tihlanganisa

Vuhandzuri byo lulamisa vuvabyi bya scoliosis lebyi humeleleke eka nhwanyana wa malembe ya 16 hi vukhale eDhaka byi kombisa nkoka wa:

• Ku pulana hi vukheta emahlweni ka vuhandzuri

• A ku tshembeka xikurufu xa pedicle ya nkolo na sisiteme ya nhonga

• Thekiniki ya vuhandzuri ya vutshila na ku landzelerisa endzhaku ka vuhandzuri

Loko u lava ku dyondza swo tala hi nandzu lowu kumbe ku... 6.0mm Spinal Pedicle Screw Instrument Set , hi kombela u hi tihlanganisa ku kuma vuxokoxoko bya swikumiwa, ku lulamisiwa ka sete na nseketelo wa tliliniki.

Tihlanganise na Hina ku kuma Vuxokoxoko bya Mhaka leyi heleleke na Switshuxo swa Swikwirikiri swa Spinal Pedicle

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