Iimboniselo: 143 uMbhali: Ixesha lokupapasha loMhleli weSiza: 2022-09-14 Imvelaphi: Isiza
Ukufakelwa komlomo wesibeleko zixhobo zonyango ezikhethekileyo ezisetyenziselwa utyando lomqolo wesibeleko ukubuyisela ukuzinza komgogodla, ukugcina ukulungelelaniswa, kunye nokunciphisa iimpawu ze-neurological ezibangelwa ukuphazamiseka komqolo wesibeleko. Ezi zifakelo zidlala indima ebalulekileyo ekuphatheni i-degenerative, traumatic, kunye neemeko ezinxulumene nokukhubazeka kwentamo ngelixa uphucula ukuhamba kwesigulane kunye nomgangatho wobomi.

Ukufakelwa kwe-Cervical spine yenzelwe ukuxhasa, ukubuyisela, okanye ukuzinzisa amacandelo e-vertebrae yomlomo wesibeleko emva kokungenelela kokuhlinzwa. Ngokuqhelekileyo zisetyenziswa xa unyango olulondolozayo lusilela ukukhulula intlungu, ukusilela kwe-neurological, okanye ukungazinzi komatshini.
Ukususela kumbono weklinikhi, ukufakelwa komlomo wesibeleko kunceda oogqirha bogqirha bafezekise ukunyanzeliswa komgogodla, ukudibanisa, okanye ukugcinwa kwentshukumo kuxhomekeke kwinkqubo ekhethiweyo. Iinkqubo zanamhlanje zokufakelwa komlomo wesibeleko zigxininisa ukuzinza kwe-biomechanical, biocompatibility, kunye nokuthembeka kweklinikhi yexesha elide.
Umqolo wesibeleko uqukethe i-vertebrae ezisixhenxe (C1-C7) ezibekwe phezulu kwikholamu yomgogodla. Lo mmandla uxhasa intloko, ukhusela intambo yomgogodla, kwaye uvumela uluhlu olubanzi lokuhamba.
I-vertebra nganye yomlomo wesibeleko igalelo ngokuhlukileyo ekuhambeni kwentamo kunye nokusabalalisa umthwalo. Umqolo womlomo wesibeleko ophezulu (C1-C2) uxanduva ngokuyinhloko ekujikelezeni, ngelixa iinqununu ezisezantsi zomlomo wesibeleko (C3-C7) ziququzelela ukuguqa, ukwandiswa, kunye nokugoba kwecala.
Phakathi kwe-vertebrae kukho iidiski ze-intervertebral ezithatha ukothuka kunye nokugcina isithuba kwiingcambu zemithambo-luvo. Ukuncipha okanye ukulimala kule ndawo kunokucinezela izakhiwo ze-neural, ngokuqhelekileyo kufuna ukungenelela kokuhlinzwa kunye nokufakelwa komlomo wesibeleko.
Ukufakelwa komlomo wesibeleko ngokuqhelekileyo kuboniswa xa umonakalo wesakhiwo okanye ukuchithwa kuphazamisa ukuzinza komgogodla okanye umsebenzi we-neurological.
I-disc ehambelana nobudala okanye i-disc herniation ingabangela intlungu engapheliyo entanyeni, i-radiculopathy, okanye i-myelopathy. Ukufakelwa komlomo wesibeleko kunceda ukubuyisela ukuphakama kwediski kunye nokunciphisa uxinzelelo lwe-nerve.
Ukunciphisa umgudu womgogodla kunokucinezela intambo yomgogodla okanye iingcambu ze-nerve, ezikhokelela kubuthathaka, ukuphazamiseka, okanye ukuphazamiseka kwe-gait. Uqhaqho ngoqhaqho lufuna uzinzo ngofakelo.
Ukulimala okubuhlungu kunokuphazamisa ukulungelelaniswa komgogodla. Iinkqubo zokulungiswa komlomo wesibeleko zibalulekile ukubuyisela ukuzinza komatshini kunye nokukhusela ukulimala kwesibini se-neurological.

Iinkqubo ezahlukeneyo zokufakelwa komlomo wesibeleko zikhethwa ngokusekelwe kwi-pathology, indlela yokuhlinzwa, kunye nesiphumo esifunwayo seklinikhi.
Amacwecwe omlomo wesibeleko angaphambili asetyenziswa ngokuqhelekileyo kwi-discectomy yomlomo wesibeleko kunye neenkqubo ze-fusion (ACDF). Ezi cwecwe zibonelela ngokuzinza ngokukhawuleza kwaye zikhuthaza ukudibanisa kwamathambo okuphumelelayo phakathi kwemizimba ye-vertebral.
Iidiski ze-Cervical Artificial zenzelwe ukugcina ukunyakaza komzimba ngelixa unciphisa intlungu ebangelwa yi-disc degeneration. Ukutshintshwa kwediski yomlomo wesibeleko kudla ngokuqwalaselwa kwizigulane ezincinci okanye ezisebenzayo.
Izikrufu zangasemva zomlomo wesibeleko kunye neentonga zisetyenziselwa ukuzinzisa umqolo ukusuka emva kwentamo, ngokukodwa kwi-fusion yamanqanaba amaninzi okanye iimeko ezinzima zokukhubazeka.
Kwiimeko ezibandakanya ukususwa komzimba we-vertebral, iikheji ze-corpectomy zibonelela ngenkxaso yekholomu yangaphambili kunye nokunceda ukugcina ulungelelwaniso lomgogodla.
Ukukhethwa kwezinto eziphathekayo kudlala indima ebalulekileyo ekusebenzeni kokufakelwa kunye neziphumo zexesha elide.
Ukufakelwa kwe-Titanium kunika amandla abalaseleyo, ukuxhathisa ukubola, kunye ne-osseointegration, okwenza ukuba zisetyenziswe ngokubanzi kwiinkqubo zokulungiswa komlomo wesibeleko.
I-PEEK (i-polyetheretherketone) iikheji zibonelela nge-elastic modulus kufuphi nethambo kwaye zivumela ukucinga okucacileyo emva kokusebenza, ukuxhasa uvavanyo oluchanekileyo lwe-fusion.
Ukufakelwa komlomo wesibeleko kwanamhlanje kunokuba nezakhiwo ezinqabileyo okanye i-3D-printed designs ukuphucula ukuhlanganiswa kwamathambo kunye nokuhambelana kwe-biomechanical.
Utyando lokufakelwa komlomo wesibeleko lucwangciswe ngononophelo olusekelwe kwi-anatomy yesigulane kunye ne-pathology.
Izifundo zokucinga ezifana ne-MRI kunye ne-CT scans zisetyenziselwa ukuvavanya ukulungelelaniswa komgogodla, ukunyanzeliswa kwe-neural, kunye nomgangatho wamathambo ngaphambi kokukhetha inkqubo efanelekileyo yokufakelwa.
Iindlela zangaphambili ziqhelekileyo zisetyenziselwa ukutshintshwa kwediski kunye neenkqubo zokudibanisa, ukuvumela ukufikelela ngokuthe ngqo kwiidiski zomlomo wesibeleko kunye nokuphazamiseka okuncinci kwemisipha.
Iindlela zangasemva zikhethwa kwiimeko ezifuna ukuchithwa okukhulu okanye ukuzinziswa kwamanqanaba amaninzi.
Ukubuyisela emva kokusebenza kuyahluka ngokuxhomekeke kwinkqubo kunye nemeko yesigulane.
Ezinye izigulane zinokufuna ikhola yomlomo wesibeleko ukunciphisa ukunyakaza kunye nokuxhasa ukuphulukiswa ngexesha lokuqala lokubuyisela.
Iinkqubo zokuvuselela zijolise ekubuyiseleni ukuhamba kwentamo, ukuqinisa imisipha ejikelezayo, kunye nokuphucula umsebenzi jikelele.
Uninzi lwezigulana zifumana ukuphuculwa kweempawu eziphawulekayo, ngokubuyela ngokuthe ngcembe kwimisebenzi yemihla ngemihla phantsi kwesikhokelo sonyango.
Ngelixa utyando lokufakelwa komlomo wesibeleko lukhuselekile ngokubanzi, iingozi ezinokubakho kufuneka ziqondwe.
Ubuchwephesha botyando obufanelekileyo kunye nokhathalelo lwasemva kotyando kunciphisa umngcipheko weengxaki ezinxulumene nokufakelwa.
Iinkqubo ze-Fusion zinokwandisa uxinzelelo kumacandelo akufutshane, ngamanye amaxesha adinga ukungenelela okungaphezulu.
Ukukhetha ukufakelwa komlomo wesibeleko ngokufanelekileyo kubandakanya izinto ezininzi.
Ubudala, ukuxinana kwamathambo, kunye nokulungelelaniswa komqolo kuchaphazela ukhetho lokufakelwa.
Oogqirha balinganisa izibonelelo zokuzinza ngokuchasene nomnqweno wokugcina ukunyakaza kwendalo yomlomo wesibeleko.
Ukufakelwa kufuneka kuhlangabezane neemfuno zolawulo lwamazwe ngamazwe kwaye zixhaswe bubungqina bekliniki.
Ukufakelwa komlomo wesibeleko zixhobo ezibalulekileyo kunyango lweengxaki zomgudu womlomo wesibeleko, ukubonelela ngokuzinza, ukunciphisa intlungu, kunye nokuphucula iziphumo ze-neurological. Ngenkqubela phambili yoyilo lokufakelwa, izixhobo, kunye nobuchule bokuhlinzwa, utyando lomqolo wesibeleko luyaqhubeka nokubonelela ngeziphumo ezithembekileyo neziqikelelwayo kwizigulane emhlabeni jikelele.
Kubathengi botyando kunye nabathengi bezixhobo zonyango, ukuqonda iinketho zokufakelwa komlomo wesibeleko kungundoqo ekufezekiseni iziphumo ezilungileyo zeklinikhi kunye nempumelelo yexesha elide.
Ukufakelwa komgogodla womlomo wesibeleko zixhobo zonyango ezifakwe ngokuhlinzwa entanyeni ukubonelela ukuzinza kunye nenkxaso kumqolo wesibeleko. Zisetyenziselwa ukunyanga iimeko ezahlukeneyo, kubandakanywa nesifo se-disc degenerative, i-spinal stenosis, kunye neediski ze-herniated. Kule nqaku, siza kuxubusha iintlobo ezahlukeneyo zokufakelwa komgogodla wesibeleko, ukusetyenziswa kwazo, kunye neenkqubo zotyando ezibandakanyekayo.
Ukufakelwa komlomo wesibeleko kusetyenziselwa ukuzinzisa umlenze womlomo wesibeleko, ukukhulula ukunyanzeliswa kwentsholongwane, ukubuyisela ukulungelelaniswa, kunye nokuxhaswa kwe-fusion okanye ukugcinwa kwentshukumo emva kokuhlinzwa komqolo wesibeleko.
Utyando lokufakelwa komlomo wesibeleko luqhelekileyo lwenziwa kwisifo se-disc degenerative, i-cervical disc herniation, i-spinal stenosis, i-fractures, ukungazinzi, kunye nokunyanzeliswa kwentambo yomgogodla.
Izixhobo eziqhelekileyo zokufakelwa komlomo wesibeleko ziquka iiplate zangaphambili zomlomo wesibeleko, izixhobo zokutshintshwa kwediski yomlomo wesibeleko, iinkqubo zokulungiswa kwangasemva, kunye ne-corpectomy cages.
Ukufakelwa komlomo wesibeleko ngokuqhelekileyo kwenziwa kwi-titanium alloys okanye izinto ze-PEEK, ezikhethiweyo ngenxa yamandla abo, i-biocompatibility, kunye nokuhambelana nokudityaniswa komgogodla okanye ukugcinwa kwentshukumo.
Ukuxutywa komlomo wesibeleko kuphelisa ukunyakaza kwinqanaba eliphathwayo ukubonelela ukuzinza, ngelixa ukutshintshwa kwediski yomlomo wesibeleko kugcina ukunyakaza kwendalo kwaye kunokunciphisa uxinzelelo kumacandelo akufutshane.
Ixesha lokubuyisela liyahluka ngokwenkqubo, kodwa uninzi lwezigulana ziphinda ziqalise imisebenzi yesiqhelo yemihla ngemihla kwiiveki ezimbalwa, kunye novavanyo olupheleleyo kunye novavanyo lokudibanisa oluthatha iinyanga ezininzi.
Ukufakelwa komlomo wesibeleko kwanamhlanje kuyilelwe ukhuseleko lwexesha elide kunye nokuqina, kunye namazinga aphezulu empumelelo yeklinikhi xa ikhethwe ngokufanelekileyo kwaye ifakwe ngotyando.
Kwiimeko ezinqabileyo ezibandakanya iingxaki okanye isifo secandelo elisondeleyo, ukufakelwa komlomo wesibeleko kunokufuna ukuhlaziywa okanye ukususwa, kuxhomekeke kuvavanyo lweklinikhi.
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