Ividiyo yeMveliso
Isethi yesixhobo sokuphazamiseka komlomo wesibeleko yisethi yezixhobo zotyando ezisetyenziselwa ukudala indawo phakathi kwe-vertebrae kumqolo wesibeleko. Isethi ngokuqhelekileyo ibandakanya isiphazamisi, esisisixhobo esisetyenziselwa ukuhlukanisa ngobumnene i-vertebrae kwaye ibambe ngaphandle ngelixa ugqirha wenza utyando. Isethi ingabandakanya nezinye izixhobo ezahlukeneyo ezifana nezixhobo zokufakelwa kwamathambo, i-nerve root retractors, kunye nezixhobo ezikhethekileyo zokuhlinzwa zokufikelela kumqolo wesibeleko. Iisethi zesixhobo sokuphazamiseka komlomo wesibeleko zisetyenziselwa utyando lomqolo wesibeleko ezifana ne-discectomy yangaphambili yomlomo wesibeleko kunye ne-fusion (ACDF) okanye ukutshintshwa kwediski yomlomo wesibeleko.
Inkcazo
|
HAYI.
|
I-REF
|
Iimveliso
|
Qty.
|
|
|
Iseti yesiXhobo soMnqophiso
|
1
|
2200-1001
|
I-Retractor Blade egobileyo ngama-20*30
|
1
|
|
2
|
2200-1002
|
I-Retractor Blade egobileyo ngama-20*30
|
1
|
|
|
3
|
2200-1003
|
4 I-Toothed Retractor Blade 20*30
|
1
|
|
|
4
|
2200-1004
|
4 I-Toothed Retractor Blade 20*30
|
1
|
|
|
5
|
2200-1005
|
I-Retractor Blade egobileyo 24*40
|
1
|
|
|
6
|
2200-1006
|
I-Retractor Blade egobileyo 24*40
|
1
|
|
|
7
|
2200-1007
|
5 I-Toothed Retractor Blade 24*40
|
1
|
|
|
8
|
2200-1008
|
5 I-Toothed Retractor Blade 24*40
|
1
|
|
|
9
|
2200-1009
|
IRetractor Blade Blunt 24*40
|
1
|
|
|
10
|
2200-1010
|
IRetractor Blade Blunt 24*40
|
1
|
|
|
11
|
2200-1011
|
I-Retractor
|
1
|
|
|
12
|
2200-1012
|
Ukubamba iForcep
|
1
|
|
|
13
|
2200-1013
|
I-Retractor Blade Curved 20*50
|
1
|
|
|
14
|
2200-1014
|
I-Retractor Blade Curved 20*50
|
1
|
|
|
15
|
2200-1015
|
4 I-Toothed Retractor Blade 24*40
|
1
|
|
|
16
|
2200-1016
|
4 I-Toothed Retractor Blade 24*40
|
1
|
|
|
17
|
2200-1017
|
I-Retractor Blade egobileyo 25*60
|
1
|
|
|
18
|
2200-1018
|
I-Retractor Blade egobileyo 25*60
|
1
|
|
|
19
|
2200-1019
|
5 I-Toothed Retractor Blade 25*60
|
1
|
|
|
20
|
2200-1020
|
5 I-Toothed Retractor Blade 25*60
|
1
|
|
|
21
|
2200-1021
|
Retractor Blade Blunt 25*60
|
1
|
|
|
22
|
2200-1022
|
Retractor Blade Blunt 25*60
|
1
|
|
|
23
|
2200-1023
|
Ibhokisi yeAluminiyam
|
1
|
Iimpawu kunye neeNzuzo

Owona Mfanekiso

Ibhlog
Utyando lomqolo wesibeleko yinkqubo entsonkothileyo nethambileyo efuna ukuchaneka nokuchaneka. Ukuze kuphunyezwe iziphumo eziyimpumelelo, oogqirha botyando kufuneka babe nokufikelela kuluhlu lwezixhobo ezikhethekileyo kunye nezixhobo. Esinye isixhobo esinjalo sisiphazamisi somlomo wesibeleko, esisetyenziselwa ukugcina ukuzinza komqolo wesibeleko ngexesha lotyando. Kule nqaku, siza kuhlolisisa isethi yesixhobo sokuphazamiseka komlomo wesibeleko, amacandelo ayo, kunye nokusetyenziswa kwayo kunyango lomlomo wesibeleko.
Isethi yesixhobo sokuphazamiseka komlomo wesibeleko yingqokelela yezixhobo ezikhethekileyo zotyando ezisetyenziselwa ukuzinzisa umqolo wesibeleko ngexesha lotyando. Iseti ibandakanya isakhelo esiphazamisi, iiblade zokuphazamisa, kunye neentlobo ngeentlobo zezixhobo ezikhethekileyo ezifana nezikrufu zamathambo, iihuku, kunye neeretractors. Isethi yenzelwe ukuvumela ugqirha ogqirha ukuba enze indawo phakathi kwe-vertebrae yomlomo wesibeleko, eququzelela ukufikelela kwindawo yokuhlinzwa kwaye inikeze uzinzo ngexesha lenkqubo.
Amacandelo aphambili esethi yesixhobo sokuphazamiseka komlomo wesibeleko zezi:
Isakhelo sesiphazamisi siyinxalenye ephambili yesethi. Sisakhelo sesinyithi esidityaniswe kukhakhayi kunye namagxa esigulane, kwaye sibonelela ngesiseko seeblades eziphazamisayo.
I-distractor blades zizixhobo ezikhethekileyo zotyando ezisetyenziselwa ukudala indawo phakathi kwe-vertebrae yomlomo wesibeleko. Zifakwe phakathi kwe-vertebrae kwaye zandiswe ngokusebenzisa isakhelo se-distractor, esibonelela ngokuzinza kunye nokugcina indawo ye-vertebrae ngexesha lotyando.
Izikrufu zamathambo zisetyenziselwa ukumisa isakhelo esiphazamisayo kukhakhayi lwesigulane kunye namagxa. Zifakwe kwithambo kwaye zinikeze indawo ekhuselekileyo yokunamathisela kwisakhelo se-distractor.
Iihuku kunye ne-retractors zisetyenziselwa ukuphatha kunye nokubeka izicubu ezithambileyo ngexesha lotyando. Zenzelwe ukubonelela ugqirha ngokufikelela kwindawo yotyando ngelixa unciphisa umonakalo kwizicubu ezijikelezileyo.
Isethi yesixhobo sokuphazamiseka komlomo wesibeleko sisetyenziswa kwiinkqubo ezahlukeneyo zotyando, kubandakanya:
I-ACDF yinkqubo yotyando esetyenziselwa ukususa idiski eyonakalisiweyo okanye i-herniated kumqolo wesibeleko. Inkqubo ibandakanya ukususa i-disc kunye nokudibanisa i-vertebrae esondeleyo kunye nokuzinzisa umqolo. Isixhobo sokuphazamiseka komlomo wesibeleko sisetyenzisiweyo ngeli xesha lenkqubo ukudala indawo phakathi kwe-vertebrae kunye nokubonelela ngokuzinza ngexesha lenkqubo yokudibanisa.
I-Cervical corpectomy yinkqubo yotyando esetyenziselwa ukususa inxalenye ye-vertebrae kumqolo wesibeleko. Inkqubo iyenziwa ngokuqhelekileyo ukukhulula uxinzelelo kwintambo yomgogodla okanye imithambo-luvo. Isethi yesixhobo sokuphazamiseka komlomo wesibeleko isetyenziswe ngeli xesha lenkqubo ukudala indawo phakathi kwe-vertebrae kwaye inikeze uzinzo ngelixa i-graft yamathambo ifakwa.
Ukuhlanganiswa komlomo wesibeleko ngasemva yinkqubo yotyando esetyenziselwa ukuzinzisa umqolo wesibeleko. Inkqubo ibandakanya ukudibanisa i-vertebrae kunye usebenzisa i-bone grafts kunye nezikrufu zetsimbi. Isixhobo sokuphazamiseka komlomo wesibeleko sisetyenzisiweyo ngeli xesha lenkqubo ukudala indawo phakathi kwe-vertebrae kunye nokubonelela ngokuzinza ngexesha lenkqubo yokudibanisa.
Isethi yesixhobo sokuphazamiseka komlomo wesibeleko sisixhobo esibalulekileyo soogqirha abenza utyando lomqolo wesibeleko. Inika uzinzo kwaye iququzelele ukufikelela kwindawo yotyando, eyona nto ibalulekileyo ekufezekiseni iziphumo eziyimpumelelo. Isethi ibandakanya izixhobo ezikhethekileyo ezahlukeneyo, kubandakanywa isakhelo se-distractor, i-distractor blades, izikrufu zamathambo, ii-hook, kunye ne-retractors. Isethi isetyenziswe kwiinkqubo ezahlukeneyo zokuhlinzwa, kubandakanywa i-dice ctomy yangaphambili yomlomo wesibeleko kunye ne-fusion, i-corpectomy yomlomo wesibeleko, kunye ne-posterior cervical fusion.
Xa ukhetha isethi yesixhobo sokuphazamiseka komlomo wesibeleko, kubalulekile ukuqwalasela iimfuno ezithile zesigulane kunye nenkqubo eyenziwayo. Isethi kufuneka ikhethwe ngokusekelwe kubukhulu kunye nokumila komqolo wesibeleko wesigulane, kunye nohlobo lwenkqubo yokuhlinzwa eyenziwa. Oogqirha kufuneka baqeqeshelwe ukusetyenziswa ngokufanelekileyo kwesixhobo sokuphazamiseka komlomo wesibeleko, ukwenzela ukuba kuqinisekiswe ukuba kusetyenziswe ngokukhuselekileyo nangempumelelo ngexesha lotyando.
Ukuququmbela, iseti yesixhobo sokuphazamiseka komlomo wesibeleko sisixhobo esibalulekileyo sokufumana iziphumo eziyimpumelelo kutyando lomqolo wesibeleko. Ivumela oogqirha ukuba benze indawo phakathi kwe-vertebrae, banikeze ukuzinza, kunye nokufikelela kwindawo yokuhlinzwa ngokuchanekileyo kunye nokuchaneka. Ngokukhetha okufanelekileyo kunye nokusetyenziswa, iseti yesixhobo sokuphazamiseka komlomo wesibeleko sinokufaka isandla ekuphuculeni iziphumo zesigulane kunye neziphumo ezingcono zotyando jikelele.
Ngaba isixhobo sokuphazamiseka komlomo wesibeleko sisetyenzisiweyo kuzo zonke ii-surgeries zomlomo wesibeleko?
Hayi, isethi yesixhobo sokuphazamiseka komlomo wesibeleko isetyenziswa ngokuqhelekileyo kwiinkqubo apho ukuzinza kunye nokufikelela kwindawo yokuhlinzwa kuyadingeka.
Ngaba kukho iisayizi ezahlukeneyo zeeseti zesixhobo sokuphazamiseka komlomo wesibeleko ezikhoyo?
Ewe, kukho ubungakanani obuhlukeneyo beesethi zesixhobo sokuphazamiseka komlomo wesibeleko, ezinokuthi zikhethwe ngokusekelwe kwiimfuno ezithile zesigulane kunye nenkqubo yokuhlinzwa eyenziwa.
Ngaba uqeqesho olufunekayo ukusebenzisa isixhobo sokuphazamiseka komlomo wesibeleko iseti?
Ewe, oogqirha kufuneka bafumane uqeqesho ekusebenziseni ngokufanelekileyo isixhobo sokuphazamiseka komlomo wesibeleko, ukwenzela ukuba kuqinisekiswe ukuba kusetyenziswe ngokukhuselekileyo nangempumelelo ngexesha lotyando.
Ngaba kukho imingcipheko enxulumene nokusebenzisa isixhobo sokuphazamiseka komlomo wesibeleko iseti?
Njengayo nayiphi na inkqubo yotyando, kukho imingcipheko ehambelana nokusebenzisa isixhobo sokuphazamiseka komlomo wesibeleko, kubandakanywa umonakalo wemithambo-luvo, usulelo kunye nokopha. Le mingcipheko inokuncitshiswa ngokukhetha iseti efanelekileyo, ngokulandela ubuchule obufanelekileyo botyando, kunye nokubeka iliso kwisigulane ngexesha nasemva kotyando.
Kuthatha ixesha elingakanani ukwenza utyando lomqolo wesibeleko usebenzisa iseti yokuphazamiseka komlomo wesibeleko?
Ubude bexesha lotyando lomgudu womlomo wesibeleko usebenzisa isethi yesixhobo sokuphazamiseka komlomo wesibeleko sinokuhluka ngokuxhomekeka kwindlela ethile eyenziwayo kunye neemeko zesigulane ngasinye. Oogqirha botyando ngokuqhelekileyo baya kubonelela izigulane ngoqikelelo lwexesha lotyando phambi kwenkqubo.