Ukubukwa: 30 Umbhali: Isihleli Sesihleli Sesihleli Sokushicilela: 2024-05-18 Imvelaphi: Isizango
I-5.5 Spinal Pedicle Screw.pdf
I-5.5 Spinal Pedicle Screw.pdf
Ukuhlinzwa okuncane okuhlaselayo kuguqule isimo sezinqubo zama-Orthopedic, okunikeza iziguli inketho engabonakali yokubheka indlela yomgogodla. I-Central Kulezi zithuthuka ziyi-scrases emncane emgogodleni, edlala indima ebalulekile ekuqiniseni umgogodla ngokuphazamiseka okuncane ezicutshini ezizungezile. Lo mbhalo uhlola ukubaluleka kwalezi zikulungi, izinzuzo zabo, izinselelo kanye nekusasa lokuhlinzwa komgogodla okuhlaselayo.
Ukuhlinzwa komgogodla okuhlaselayo kufaka amasu ahlose ukwelapha ukuphazamiseka komgogodla ngokuphazamiseka okuncane ezicutshini ezizungezile. Ngokungafani nokuhlinzwa kwendabuko okuvulelekile okudinga ukuboshwa okukhulu kanye nokuhlaziywa kwemisipha okubanzi, izindlela ezihlaselayo ezihlaselayo zisebenzisa amathuluzi akhethekile kanye nesiqondiso sokucabanga ukufinyelela umgogodla. Lokhu kuphumela ekunciphiseni ukuncipha kwegazi, ubuhlungu obuncane be-postoperative, kanye nezikhathi zokutakula ngokushesha ezigulini.
Izikulufu ezihlwabusayo ziyizakhi ezibalulekile ekuhlinzekeni komgogodla omncane njengoba zinikeza ukuqina emgogodleni futhi zigqugquzele ukuhlanganiswa. Lezi zikulungisa zibekwe kahle kwi-vertebrae ukudala ukwakha okuzinzile okusekela umgogodla ngesikhathi senqubo yokuphulukisa. Basiza ukugcina ukuqondanisa okumnandi futhi bavikele ukunyakaza phakathi kwe-vertebrae, ngaleyo ndlela kukhuthaze imiphumela ephumelele yokuhlinzwa.
Ngaphezu kwalokho, ama-spinal spinal scrases anciphisa ukunemba okukhulu ngesikhathi sokubekwa, ehlisa ubungozi bezinkinga ezinjengomonakalo wezinzwa noma ukuphathwa kabi. Ubuchwepheshe obuthuthukisiwe bokucabanga banika amandla odokotela abahlinzayo baqondise ngokunembile ukubekwa kwezikulufo, baqinisekise ukuqondanisa okuhle komgogodla kanye nokuqina.
Ngokwengeziwe, imishini esetshenziswa ekuhlinzeni okuhlaselayo okuhlaselayo ingabizi futhi ingadinga ukuqeqeshwa okukhethekile kokusetshenziswa kahle. Odokotela abahlinzayo kumele bahlale bevuselelwa ngentuthuko yakamuva yezobuchwepheshe futhi baqeqeshelwa ukuqeqeshwa okuqinile ukuqinisekisa imiphumela ephephile nephumelelayo yokuhlinzwa.
Eminyakeni yamuva nje, kube nokuqamba okubalulekile ekwakhiweni nasebuchwepheshekweni bezinsimbi ezihlaselayo ezihlaselayo. Abakhiqizi basungule izikulufu ezinezinto ezithuthukisiwe ze-biomechanical, zivumela ukuqina okukhulu kanye namanani entengo. Ngaphezu kwalokho, ukuhlanganiswa kwezinhlelo zokuhambisa kanye namarobhothi kuthuthukise ukunemba nokunemba kokubekwa kwesikulufa, kunciphisa futhi ingozi yezinkinga.
Izikulufo ezihlaselayo ezihlaselayo zisetshenziswa kuma-pathologies ahlukahlukene womgogodla, kufaka phakathi isifo se-disc degegerative, stinosis stenosis, kanye nokuqhekeka komgogodla. Kodwa-ke, ukukhethwa kweziguli kubalulekile, futhi akubona bonke abantu abangahle basebenze kahle ngokuhlinzwa okuncane. Izici ezifana nezinga le-Phopinal Pathology, i-anatomy yesiguli, kanye nempilo ephelele kufanele icatshangwe ngokucophelela ngaphambi kokuqhubeka nokuhlinzwa.
Ukuvalwa: Ukulimala kuvaliwe ngama-suture noma amatheyiphu okuhlinza, nokugqoka kuyasetshenziswa.
Izifundo eziningi zomtholampilo zikhombisile ukuphepha nokusebenza kahle kokuhlinzwa okuncane okuhlaselayo. Uma kuqhathaniswa nezinqubo ezivulekile zendabuko, amasu amancane ahlaselayo ahlotshaniswe namanani aphansi ezinkinga, ancishiswe izinhlungu ze-postoperative, kanye nezikhathi zokutakula ngokushesha. Amanani anelisekile akwanelisayo aphezulu, anabantu abaningi ababhekene nentuthuko enkulu ebuhlungwini nasekusebenzeni kokulandela ukuhlinzwa.
Ngenkathi izindleko zokuqala zokuhlinzwa komgogodla ozihlaselayo zingase ziphakeme kunezinqubo ezivulekile zendabuko, kufanele kubhekwe izindleko zonke. Ucwaningo lukhombisile ukuthi ukuhlala esibhedlela okuncishisiwe, ukuncipha kwesidingo semithi yezinhlungu ze-postoperative, futhi ukubuyela ngokushesha emsebenzini kube yimiphumela yokonga izindleko zazo zombili iziguli kanye nezinhlelo zezempilo ekuhambeni kwesikhathi eside. Ngaphezu kwalokho, ezinye izinhlelo zomshuwalense zingase zimboze izinqubo ezihlaselayo kancane, ziphinde zinciphise izindleko eziphuma ngaphandle kweziguli.
Inkambu yokuhlinzwa komgogodla omncane iyaqhubeka nokuvela ngokushesha, ngentuthuko eqhubekayo kwezobuchwepheshe nakumasu. Amathrendi wesikhathi esizayo angafaka ukuthuthukiswa kwezindlela ezingenayo ezihlaselayo, njengokuhlinzwa komgogodla we-endoscopic, kanye nokuhlanganiswa okwengeziwe kwamarobhothi kanye ne-intelligence yokufakelwa ngokuzijwayeza okuhlinzayo. Lokhu okusha kubamba isithembiso semiphumela yeziguli ethuthukisiwe kanye nezinketho zokwelashwa zandiswa zabantu abane-pathologies yomgogodla.
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