Iimboniselo: 30 uMbhali: Ixesha lokupapasha loMhleli weSiza: 2024-05-18 Imvelaphi: Isiza
5.5 I-Spinal Pedicle Screw Manual.pdf
5.5 I-Spinal Pedicle Screw Manual.pdf

Utyando lomgudu oluncinci luguqule indawo yeenkqubo ze-orthopedic, ukunika izigulane ukhetho oluncinci lokujongana ne-spinal pathologies. Okusembindini kolu phuhliso zizikrufu zomnqonqo ezingangeneleliyo, ezidlala indima ebalulekileyo ekuzinziseni umqolo ngokuphazamiseka okuncinci kwizicubu ezijikelezileyo. Eli nqaku liphonononga ukubaluleka kwezi zikrufu, izibonelelo zazo, imingeni, kunye nekamva lotyando lomqolo olungephi.
Utyando lomgudu oluncinci lubandakanya iindlela ezijolise ekuphatheni ukuphazamiseka komgudu kunye nokuphazamiseka okuncinci kwizicubu ezijikelezileyo. Ngokungafaniyo notyando oluvulekileyo lwendabuko olufuna ukunqunyulwa okukhulu kunye nokuchithwa okukhulu kwemisipha, iindlela ezincinci ezihlaselayo zisebenzisa izixhobo ezikhethekileyo kunye nesikhokelo sokucinga ukufikelela kumqolo ngokusebenzisa izithintelo ezincinci. Oku kubangela ukuncipha kwegazi, iintlungu ezingaphantsi kotyando, kunye namaxesha okuchacha ngokukhawuleza kwezigulana.
Izikrufu zomnqonqo ziyinxalenye ebalulekileyo yotyando lomqolo olungephi njengoko lunika uzinzo kumqolo kwaye luququzelele ukudibanisa. Ezi zikrufu zibekwe ngokucwangcisiweyo kwi-vertebrae ukudala isakhiwo esizinzileyo esixhasa umqolo ngexesha lenkqubo yokuphilisa. Banceda ukugcina ukulungelelaniswa komgogodla kunye nokuthintela ukuhamba phakathi kwe-vertebrae, ngaloo ndlela kukhuthazwa iziphumo zokuhlinzwa eziyimpumelelo.
Ngaphezu koko, izikrufu ze-spinal invasive encinci zinika ukuchaneka okukhulu ngexesha lokubekwa, ukunciphisa umngcipheko weengxaki ezifana nomonakalo we-nerve okanye ukungahambi kakuhle. Ubuchwephesha bokucinga obuphezulu buvumela oogqirha botyando ukuba bakhokele ngokuchanekileyo ukubekwa kwezikrufu, ukuqinisekisa ukulungelelaniswa komqolo kunye nokuzinza.
Ukongezelela, izixhobo ezisetyenziselwa utyando lomqolo olungephi lunokuba yindleko kwaye lunokufuna uqeqesho olukhethekileyo ukuze lusetyenziswe ngokufanelekileyo. Oogqirha botyando kufuneka bahlale behlaziywa ngenkqubela phambili yetekhnoloji yamva nje kwaye bafumane uqeqesho olungqongqo ukuqinisekisa iziphumo zotyando ezikhuselekileyo nezisebenzayo.
Kwiminyaka yakutshanje, kuye kwakho ukutsha okubalulekileyo kuyilo kunye netekhnoloji ye-screws encinci ye-spinal invasive. Abavelisi baye baphuhlisa izikrufu ezineempawu eziphuculweyo ze-biomechanical, ezivumela ukuzinza okukhulu kunye namazinga okudibanisa. Ngaphaya koko, ukudityaniswa kweenkqubo zokukhangela kunye neerobhothi kuye kwaphucula ukuchaneka kunye nokuchaneka kokubeka isikrufu, ngakumbi ukunciphisa umngcipheko weengxaki.
Izikrufu zomnqonqo ezincinci ezihlaselayo zisetyenziswa kwii-pathologies ezahlukeneyo zomqolo, kubandakanywa nesifo se-disc degenerative, i-spinal stenosis, kunye ne-spinal fractures. Nangona kunjalo, ukhetho lwezigulane lubalulekile, kwaye ayingabo bonke abantu abanokuba ngabaviwa abafanelekileyo botyando oluncinci. Izinto ezifana nobungakanani be-spinal pathology, i-anatomy yesigulane, kunye nempilo yonke kufuneka iqwalaselwe ngononophelo ngaphambi kokuba kuqhutywe utyando.
Ukuvala: I-incisions ivaliwe nge-sutures okanye i-tape yokuhlinzwa, kunye neengubo zokugqoka.
Izifundo ezininzi zeklinikhi zibonise ukhuseleko kunye nokusebenza kakuhle kotyando lomqolo olungephi. Xa kuthelekiswa neenkqubo zemveli ezivulekileyo, ubuchule obuncinci budibene namazinga aphantsi eengxaki, ukunciphisa intlungu emva kokuhlinzwa, kunye namaxesha okubuyisela ngokukhawuleza. Amazinga okwaneliseka kwesigulana aphezulu, kwaye abantu abaninzi bafumana uphuculo olubalulekileyo kwiintlungu kunye nokusebenza emva kotyando.
Ngelixa iindleko zokuqala zotyando lomqolo oluncinci lungaba phezulu kuneenkqubo ezivulekileyo zendabuko, ukuphumelela kweendleko kufuneka kuthathelwe ingqalelo. Uphononongo lubonise ukuba ukuhlala esibhedlele okuncitshisiweyo, ukunciphisa imfuno yamayeza eentlungu emva kokuhlinzwa, kunye nokubuyela ngokukhawuleza emsebenzini kubangela ukongiwa kweendleko zombini izigulane kunye neenkqubo zempilo kwixesha elide. Ukongeza, ezinye izicwangciso ze-inshorensi zinokuhlawula iinkqubo ezincinci zokungena, ngakumbi ukunciphisa iindleko eziphuma epokothweni kwizigulana.
Intsimi yotyando lomgogodla oluncinci luyaqhubeka nokuguquka ngokukhawuleza, kunye nokuqhubela phambili okuqhubekayo kwezobuchwepheshe kunye nobuchule. Iindlela zexesha elizayo zingabandakanya ukuphuhliswa kweendlela ezincinci, ezinjengotyando lwe-endoscopic spinal, kunye nokuhlanganiswa okuqhubekayo kweerobhothi kunye nobukrelekrele bokwenza utyando. Ezi zinto zintsha zibambe isithembiso seziphumo zesigulane eziphuculweyo kunye nokhetho olwandisiweyo zonyango kubantu abane-pathologies yomgogodla.
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