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Iimveliso
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2200-18
Iseti yesixhobo sokufikelela kwi-PTED
(I-Percutaneous
Transforaminal Endoscopic Discectomy) |
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2200-1801
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TOM Shidi (inqaku lengcebiso)
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UTOM Shidi (ingcebiso ebuthuntu)
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UTOM Shidi
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2200-1804
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I-Manual Cannulated Bone Drill Ø4
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2200-1806
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2200-1807
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I-Manual Cannulated Bone Drill Ø8
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2200-1808
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I-Manual Cannulated Bone Drill Ø9
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2200-1809
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Isiphatho seBhola
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2200-18010
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Ibhokisi yeAluminiyam
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Iimpawu kunye neeNzuzo

Ingcaciso yeMveliso
I-PTED imele i-Percutaneous Transforaminal Endoscopic Discectomy, eyona ndlela incinci yotyando esetyenziselwa ukunyanga iidiski ze-herniated kumqolo. I-PTED Access Instrument Seti yisethi ekhethekileyo yezixhobo zotyando ezisetyenziselwa le nkqubo.
Izixhobo ezikwiPTED Access Instrument Seti ziquka:
Inaliti yokukhokela: Inaliti ende, encinci esetyenziselwa ukukhokela ugqirha kwindawo echanekileyo kumqolo.
I-Dilator: Isixhobo esincinci esifana ne-tube esisetyenziselwa ukwandisa ngokuthe ngcembe ukuvuleka kwi-spine ukuze kunikeze ukufikelela kwi-disc ye-herniated.
I-Endoscope: Ikhamera encinci edityaniswe kwityhubhu encinci esetyenziselwa ukujonga ngaphakathi komqolo ngexesha lenkqubo.
Ukubamba i-forceps: I-forceps encinci esetyenziselwa ukususa i-disc ye-herniated.
Ukufunxa: Isixhobo esincinci esifana ne-vacuum esisetyenziselwa ukususa i-disc ye-herniated.
Ukunkcenkceshela: Ityhubhu encinci esetyenziselwa ukubonelela ngokuhamba rhoqo kwesisombululo saline kwindawo yotyando ukuyigcina icocekile.
I-Radiofrequency probe: Isixhobo esikhethekileyo esisebenzisa ukushisa ukucutha kunye nokutywina i-disc ye-herniated.
Izixhobo ze-Microdiscectomy: Izixhobo ezincinci zotyando ezisetyenziselwa ukususa amaqhekeza amancinci e-herniated disc material.
I-PTED Access Instrument Set yenzelwe ukuvumela ugqirha ukuba enze inkqubo ngokusebenzisa i-incision encinci esikhumbeni, ngaphandle kwesidingo se-incision enkulu okanye i-muscle dissection. Oku kunokubangela intlungu engaphantsi, amaxesha okubuyisela ngokukhawuleza, kunye neengxaki ezimbalwa xa kuthelekiswa nokuhlinzwa okuvulekileyo kwendabuko kwiidiski ze-herniated.
Ibhlog
Ukuphazamiseka komgogodla kunokuchaphazela kakhulu umgangatho wobomi bomntu, kubangela intlungu, ukuhamba okulinganiselwe, kunye nezinye iimpawu eziphazamisayo. Ngelixa utyando oluvulekileyo lwemveli lunokujongana nale miba, lunokuthi lube luhlaselo, lubangele umonakalo omkhulu wezicubu, ukulahleka kwegazi, kunye nexesha elongeziweyo lokubuyisela. Ngokufika kotyando oluncinci (MIS), izigulane ngoku zinokuzuza ngokuhlala esibhedlele ixesha elifutshane, ukunciphisa intlungu emva kokuhlinzwa, kunye namaxesha okubuyisela ngokukhawuleza.
Olunye lolona phuhliso luthembisayo kwi-MIS yinkqubo ye-percutaneous transforaminal endoscopic discectomy (PTED), esebenzisa i-incision encinci kunye ne-endoscope ukufikelela kunye nokususa iidiski ezonakalisiweyo. Isethi yesixhobo sokufikelela kwi-PTED sisisombululo esitsha esenza ukuba oogqirha botyando benze le nkqubo ngokuchaneka okukhulu kunye nokusebenza kakuhle.
Kweli nqaku, siza kuxoxa ngesixhobo sokufikelela se-PTED esisetwe ngokweenkcukacha, kubandakanywa amacandelo ayo, izibonelelo, kunye nezicelo.
Isethi yesixhobo sokufikelela kwi-PTED yingqokelela yezixhobo zotyando ezilungiselelwe ukuququzelela ubuchule be-PTED. Iqulathe amacandelo amaninzi, kubandakanywa i-endoscope, umkhono osebenzayo, i-dilators, i-cannulas, i-obturators, kunye nezinye izixhobo ezikhethekileyo. Ezi zixhobo zisebenza kunye ukubonelela ugqirha ngombono ocacileyo wendawo yotyando kunye nokukwazi ukuqhuba umgca womgogodla kunye nomonakalo omncinci wezicubu.
Isethi yesixhobo sofikelelo se-PTED iquka la malungu alandelayo:
I-endoscope yikhamera encinci enikezela ugqirha ngombono ocacileyo wendawo yotyando. Ifakwe kumthombo wokukhanya kwaye ifakwe kwi-sleeve yokusebenza.
Umkhono osebenzayo ngumbhobho ongenanto onika indlela yezixhobo zotyando. Ifakwe kwi-incision encinci kwaye ikhokelwa kwindawo yotyando.
Iidilators zizixhobo ezimilise okwekhowuni ezisetyenziselwa ukwandisa indlela yotyando. Zifakwa ngomkhono osebenzayo kwaye ngokuthe ngcembe zanda ngobukhulu ukuvumela ugqirha wotyando ukuba alawule izixhobo ezikhulu.
Iicannula zityhubhu ezikroliweyo ezifakwe kumkhono osebenzayo kunye nendlela evulelekileyo. Banikezela umjelo wezixhobo zotyando kwaye banokuhlengahlengiswa ukulawula izinga lokuphazamiseka kwezicubu.
I-Obturators zizixhobo ezikhethekileyo ezisetyenziselwa ukugcina indlela yotyando ngexesha lokutshintsha kwesixhobo. Zifakwa kwi-cannulas kwaye emva koko zisuswe ukuvumela ukuba kufakwe isixhobo esilandelayo.
Ukongeza kumacandelo adweliswe ngasentla, isethi yesixhobo sokufikelela kwi-PTED iquka izixhobo ezikhethekileyo ezahlukeneyo, kubandakanywa i-graspers, iipunch, kunye ne-cutters, eyenza ukuba ugqirha enze iinkqubo eziyimfuneko ngokuchanekileyo kunye nokusebenza kakuhle.
Iseti yesixhobo sokufikelela kwi-PTED ibonelela ngeenzuzo ezininzi ngaphezulu kotyando oluvulelekileyo lwesintu kunye nobunye ubuchule be-MIS. Ezi ziquka:
Ubuchwephesha be-PTED kunye nesethi yesixhobo sokufikelela kwi-PTED ivumela indlela encinci yokungena kuqhaqho lomqolo. Le ndlela ibangela umonakalo omncinci wezicubu kwaye ibangele amaxesha okubuyisela ngokukhawuleza, iintlungu ezingaphantsi kokuhlinzwa, kunye nokuhlala esibhedlele ixesha elifutshane.
Ukusetyenziswa kwe-endoscope kunye nezixhobo ezikhethekileyo kuvumela ugqirha ukuba enze iinkqubo eziyimfuneko ngokuchaneka okukhulu kunye nokuchaneka. Oku kubangela iziphumo ezingcono kwisigulane.
Ubuchule be-PTED kunye neseti yesixhobo sokufikelela kwi-PTED yenza ukuba ugqirha enze iinkqubo eziyimfuneko ngobuchule obukhulu, okukhokelela kumaxesha amafutshane okusebenza kunye nokunciphisa umngcipheko weengxaki.
Isethi yesixhobo sokufikelela kwi-PTED isetyenziswe ngokuyinhloko kunyango lweediski ze-herniated, i-spinal stenosis, kunye nezinye iimeko ezifuna ukususwa kwezicubu ezonakalisiweyo okanye ezigulayo kwi-spinal canal. Ikwasetyenziselwa unyango lweentlungu ezingapheliyo ezisezantsi ezingakhange ziphendule kunyango olungenalo utyando.
Isethi yesixhobo sokufikelela kwi-PTED singasetyenziselwa utyando lomqolo wesibeleko kunye ne-lumbar spine, ukubonelela oogqirha botyando kunye nesixhobo esisebenzayo soluhlu olubanzi lweenkqubo zomgudu.
Isethi yesixhobo sokufikelela kwi-PTED sisisombululo esiqhekezayo esenza ukuba oogqirha botyando benze iinkqubo zomgudu omncinci ngokuchaneka okukhulu kunye nokusebenza kakuhle. Ngokusebenzisa izixhobo ezikhethekileyo kunye ne-endoscope, ugqirha unokuhamba kwi-canal yomgogodla kunye nokuphazamiseka okuncinci kwezicubu, okubangelwa amaxesha okubuyisela ngokukhawuleza, intlungu engaphantsi kwe-post-operative, kunye neziphumo eziphuculweyo zesigulane. Njengoko intsimi yotyando olungephi luqhubeka nokuvela, iseti yesixhobo sokufikelela kwi-PTED ilungele ukuba sisixhobo esibalulekileyo koogqirha botyando kwihlabathi liphela.
Ngaba ubuchule be-PTED buhlawulelwa yi-inshurensi?
Ubuchule be-PTED bugqunywa ngokubanzi luninzi lwezicwangciso ze-inshorensi. Nangona kunjalo, ukhuseleko lunokwahluka ngokuxhomekeke kwisicwangciso somntu kunye nembali yonyango. Kungcono ukudibana nomboneleli wakho we-inshurensi ukugqiba nge-inshorensi.
Kuthatha ixesha elingakanani ukuchacha emva kwenkqubo ye-PTED?
Amaxesha okuchacha ayahluka ngokuxhomekeke kwiminyaka yesigulana, impilo, kunye nobungakanani benkqubo. Ngokuqhelekileyo, izigulane zinokulindela ukubuyela kwimisebenzi eqhelekileyo kwiiveki ezimbalwa zenkqubo.
Ngaba kukho nayiphi na imingcipheko eyayanyaniswa nobuchule be-PTED?
Njengayo nayiphi na inkqubo yotyando, kukho imingcipheko eyayanyaniswa nobuchule be-PTED. Oku kunokuquka ukopha, usulelo, ukonakala kwemithambo-luvo, kunye nezinye iingxaki. Nangona kunjalo, imingcipheko isezantsi ngokubanzi kunotyando oluvulelekileyo lwemveli.
Ngaba ubuchule be-PTED bunokusetyenziswa ukunyanga zonke iimeko zomqolo?
Indlela ye-PTED isetyenziselwa ngokukodwa ukuphatha iidiski ze-herniated, i-spinal stenosis, kunye nezinye iimeko ezifuna ukususwa kwezicubu ezonakalisiweyo kumgudu womgogodla. Nangona kunjalo, ayinakufaneleka kuzo zonke izigulane okanye zonke iimeko zomgogodla.
Ingaba isixhobo sofikelelo se-PTED sithelekisa njani nezinye iindlela zotyando ezihlaselayo kancinane?
Iseti yesixhobo sokufikelela kwi-PTED ibonelela ngeenzuzo ezininzi ngaphezu kolunye ubugcisa botyando obungephi, kubandakanywa ukuchaneka okukhulu, amaxesha amafutshane okusebenza, kunye neziphumo eziphuculweyo zesigulane. Ikhawuleza ibe sisixhobo esithandwayo seengcibi zomnqonqo kwihlabathi jikelele.