Vuhandzuri byo lulamisa bya 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 hetisise muako lowu humelelaka hi ndlela leyi humelelaka . Vuhandzuri byo lulamisa bya scoliosis eka muvabyi wa xisati wa malembe ya 16 hi vukhale, Raisa (vito ri cinciwile leswaku ri ta va ra xihundla). Endlelo leri ri tirhise ku 6.0mm Spinal Pedicle Screw Xitirhisiwa . hlanganisiwa ka swirho swa nkolo leswi fambisanaka ku vuyisela ku ringanana ka nkolo ni ku tiya.

Mhaka leyi yi kombisa ndlela leyi ya manguva lawa . Spinal pedicle screw system yinga pfuna swibedlhele e Bangladesh ku fikelela ku lulamisiwa ka deformity loku tshembekaka na ku ringanisela ka nkolo ka nkarhi woleha eka vavabyi lava nga emalembeni ya kondlo-a-ndzi-dyi.

Xifaniso xa xiyimo xa le henhla .

• Vito ra Muvabyi: Raisa (vito ra le hansi) .

• Malembe: 16 wa malembe .

• Rimbewu: Xisati .

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

Raisa u nyikele hi ku onhaka ka nkolo loku vonakaka ni ku vilela hi ku sasekisa, kun’we ni ku nga tsaki ka le ndzhaku ni ku karhala nkarhi na nkarhi endzhaku ka mintirho ya siku na siku. Ku kamberiwa ka tliliniki na ku teka swifaniso swi tiyisisile structural scoliosis leyi lavaka ku lulamisiwa ka vuhandzuri.

Ku kamberiwa na ku pulana ka le mahlweni ka vuhandzuri .

Loko vuhandzuri byi nga si endliwa, ntlawa wa nkolo eDhaka wu endle nkambisiso lowu heleleke, ku katsa ni:

• Ku yima ka ti-X-ray leti nga ni xirhendzevutana lexi heleleke leswaku u 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 onhaka ka nkolo hi ku tirhisa sete ya xitirhisiwa xa 6.0mm spinal pedicle screw set a ku ri pulani ya vutshunguri leyi faneleke swinene. Endlelo leri ri hlawuriwile ku nyika:

• Ku lulamisiwa ka swiphemu swinharhu ka ku gombonyoka ka nkolo .

• Rigid segmental fixation hi ku tirhisa swikwirikiri swa pedicle na tinhonga .

• Ku antswisiwa ka ku ringanisela ka coronal na sagittal .

• Xivumbeko lexi tiyeke xo seketela ku hlanganisiwa ka nkarhi wo leha na ku vuyiseriwa .

Ku endla swifaniso swa le mahlweni ka vuhandzuri .

Ku endla swifaniso swa le mahlweni ka vuhandzuri swi kombise leswaku:

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

• Ku rhendzeleka ka vertebral na ku humelela ka rib .

• Makatla lama nga ringaniseriwangiki na ku ringanisa xikundzu .

Swikumiwa leswi swi tiyisisile xilaveko xa ku lulamisiwa ka ku onhaka ka nkolo ka le ndzhaku na ku hlanganisiwa hi ku tirhisa pedicle screw–rod construct ..

  

X-rheyi ya le mahlweni ka xipikiri lexi heleleke lexi kombisaka scoliosis ya thoracolumbar eka muvabyi wa malembe ya 16 hi vukhale wo huma eDhaka, Bangladesh.

Nkatsakanyo wa vuhandzuri .

Hi nkarhi wa vuhandzuri byo lulamisa vuvabyi bya scoliosis, ntlawa wa vuhandzuri wu tirhise . 6.0mm spinal pedicle screw instrument yi vekiwile ku veka swikwirikiri swa pedicle eka swiyimo swo tala ku ya hi deformity. Endlelo ri pfulekile:

• Ku nghenisiwa loku sirhelelekeke ka . Swikurufu swa pedicle ya polyaxial eka vertebral pedicles .

• Ku hlanganisiwa ka tinhonga ta nkolo ku hlanganisa swikwirikiri .

• Ku tirhisiwa ka tindlela to lulamisa (Derotation, Translation, na Rod Contouring) .

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

Dokodela wa vuhandzuri bya nkolo loyi a rhangelaka u kombisile ku eneriseka lokukulu hi sete ya xitirhisiwa xa 6.0mm spinal pedicle screw na switirhisiwa leswi fambisanaka leswi nyikiwaka hi khamphani ya hina. Thekiniki leyi yi pfumelele ku lulamisiwa ka swiphemu swinharhu swa ku onhaka na ku tiyisisiwa loku tiyeke ka swiphemu swa switirhisiwa.

Xivumbeko lexi xa pedicle screw–rod xitala kutirhisiwa eka scoliosis na vuhandzuri bya spinal deformity lebyi rharhanganeke hikuva byi nyika:

• Ku lulamisiwa ka xiphemu lexi tiyeke .

• Ku lawula hi ku kongoma ku ringanisa 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 kombisiwile:

• Ku antswisiwa lokukulu eka ku ringanisiwa ka nkolo .

• Ku hunguteka ka ku gombonyoka na ku humelela ka rib .

• Makatla lama ringaniseriweke ni xirhabyani .

Hi tlhelo ra vutshunguri, Raisa u kombisile:

• Xiyimo xa misiha lexi tiyeke .

• Ku lawula switlhavi loku enerisaka .

• Ku tlhelela hakatsongo-tsongo eku yimeni ni ku famba hi nseketelo .

• Ku antswisiwa ka xiyimo xa ku yima na ku languteka ka switolwa .

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

Swihlawulekisi swa implant leswi tirhisiweke eka xiyimo lexi .

Switirhisiwa leswi landzelaka swa ku vekiwa ka swirho swi tirhisiwile hi nkarhi wa endlelo:

1. 6.0 Xikurufu xa pedicle ya polyaxial .

2. 6.0 xihlanganisi xa xihambano-I (SW3.5) .

   
   

   
   

Swiphemu leswi swi tirhile swin’we na ti spinal rods ku nyika xivumbeko xa spinal fusion lexi tiyeke lexi tiyeke lexi faneleke ku lulamisiwa ka scoliosis ya adolescent.

Nkatsakanyo wa Seti ya Switirhisiwa .

Xitolo xa . Spinal pedicle screw instrument set leyi tirhisiwaka eDhaka Central International Medical College & Hospital yi katsa:

• Switirhisiwa swo nghenisa xikurufu xa pedicle .

• Switirhisiwa swo pima, swo gombonyoka ni swo nghenisa nhonga .

• Switirhisiwa swa CrossLink na Swihlanganisi .

• Switirhisiwa swo lunghiselela marhambu ni 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 ka swikwirikiri loku kongomeke.

Nkoka wa vutshunguri 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:

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

• Fikelela ku lulamisiwa ka deformity loku tshembekaka na ku hlanganisiwa .

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

Eka swibedlhele, vaxavisi na madokodela ya vuhandzuri bya nkolo lama 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 ya kahle.

Mahetelelo & Ku tihlanganisa

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

• Ku pulana hi vukheta ka le mahlweni ka vuhandzuri .

• A Ku Tshembeka . Xikurufu xa pedicle ya nkolo na sisiteme ya nhonga .

• Thekiniki ya vuhandzuri bya vutshila ni ku landzelerisa endzhaku ka vuhandzuri .

Loko u lava ku dyondza swo tala hi mhaka leyi kumbe . 6.0mm spinal pedicle screw instrument set , hi kombela u tihlanganisa na hina ku kuma vuxokoxoko bya swikumiwa leswi nga na vuxokoxoko, vukorhokeri bya sete na nseketelo wa tliliniki ..

Tihlanganisi na hina ku kuma vuxokoxoko bya xiyimo lexi heleleke na swintshuxo swa swikwirikiri swa pedicle ya nkolo .

FAQ .