Isethi Yethuluzi Lokufinyelela le-PTED

Imikhiqizo	Imininingwane
2200-18 Isethi Yethuluzi Lokufinyelela le-PTED (I-Percutaneous Transforaminal Endoscopic Discectomy)	1	2200-1801	TOM Shidi (iphuzu ithiphu)	1
	2	2200-1802	U-TOM Shidi (ithiphu elingenalutho)	1
	3	2200-1803	TOM Shidi	1
	4	2200-1804	I-Manual Cannulated Bone Drill Ø4	1
	5	2200-1805	I-Manual Cannulated Bone Drill Ø6	1
	6	2200-1806	I-Manual Cannulated Bone Drill Ø7	1
	7	2200-1807	I-Manual Cannulated Bone Drill Ø8	1
	8	2200-1808	I-Manual Cannulated Bone Drill Ø9	1
	9	2200-1809	Isibambo sebhola	1
	10	2200-18010	Ibhokisi le-Aluminium	1

Isethi Yethuluzi Lokufinyelela le-PTED 

I-PTED imele i-Percutaneous Transforaminal Endoscopic Discectomy, okuyindlela yokuhlinza engavamile esetshenziselwa ukwelapha ama-herniated discs emgogodleni. I-PTED Access Instrument Set iyisethi ekhethekile yamathuluzi okuhlinza asetshenziselwa le nqubo.

Amathuluzi aku-PTED Access Instrument Set ngokuvamile ahlanganisa:

Inalithi yokuqondisa: Inalithi ende, ezacile esetshenziselwa ukuqondisa udokotela ohlinzayo endaweni efanele emgogodleni.

I-Dilator: Ithuluzi elincane elifana neshubhu elisetshenziselwa ukukhulisa kancane kancane ukuvuleka emgogodleni ukuze kunikeze ukufinyelela kudiski ye-herniated.

I-Endoscope: Ikhamera encane exhunywe kwishubhu elincanyana elisetshenziselwa ukubona ngeso lengqondo ingaphakathi lomgogodla phakathi nenqubo.

Ukubamba ama-forceps: Ama-forceps amancane asetshenziselwa ukususa i-herniated disc material.

Ukumunca: Ithuluzi elincane elifana ne-vacuum elisetshenziselwa ukususa i-herniated disc material.

Ukuchelela: Ishubhu elincane elisetshenziselwa ukunikeza ukugeleza okuqhubekayo kwesisombululo saline endaweni yokuhlinza ukuyigcina ihlanzekile.

I-Radifrequency probe: Ithuluzi elikhethekile elisebenzisa ukushisa ukuze lishwabane futhi livale i-herniated disc material.

Izinsimbi ze-Microdiscectomy: Izinsimbi zokuhlinza ezincane ezisetshenziselwa ukususa izingcezu ezincane ze-herniated disc material.

I-PTED Access Instrument Set iklanyelwe ukuvumela udokotela ohlinzayo ukuba enze inqubo ngokusebenzisa i-incision encane esikhumbeni, ngaphandle kwesidingo sokusika okukhulu noma ukuhlukaniswa kwemisipha. Lokhu kungabangela ubuhlungu obuncane, izikhathi zokululama ngokushesha, kanye nezinkinga ezimbalwa uma kuqhathaniswa nokuhlinzwa okuvulekile kwendabuko kwamadiski e-herniated.

Ukuphazamiseka komgogodla kungathinta kakhulu izinga lokuphila komuntu, kubangele ubuhlungu, ukuhamba okulinganiselwe, nezinye izimpawu ezicindezelayo. Nakuba ukuhlinzwa okuvulekile kwendabuko kungabhekana nalezi zinkinga, kungase futhi kuhlasele, kubangele umonakalo omkhulu wezicubu, ukulahlekelwa igazi, kanye nesikhathi sokululama esandisiwe. Ngokufika kokuhlinzwa okungenasidingo (i-MIS), iziguli manje zingazuza ngokuhlala isikhathi esifushane esibhedlela, ubuhlungu obuncishisiwe bangemva kokuhlinzwa, kanye nezikhathi zokululama ngokushesha.

Enye yentuthuko ethembisa kakhulu ku-MIS yindlela ye-percutaneous transforaminal endoscopic discectomy (PTED), esebenzisa ukusika okuncane kanye ne-endoscope ukuze ufinyelele futhi ukhiphe amadiski alimele. Isethi yethuluzi lokufinyelela le-PTED liyisixazululo esishintshayo esenza odokotela abahlinzayo bakwazi ukwenza le nqubo ngokunemba okukhulu nangempumelelo.

Kulesi sihloko, sizoxoxa ngethuluzi lokufinyelela le-PTED elisethwe ngokuningiliziwe, okuhlanganisa izingxenye zalo, izinzuzo, kanye nezinhlelo zokusebenza.

I. Isingeniso Sesethi Yethuluzi Lokufinyelela le-PTED

Isethi yethuluzi lokufinyelela le-PTED iqoqo lamathuluzi okuhlinza aklanyelwe ukwenza lula indlela ye-PTED. Iqukethe izingxenye ezimbalwa, okuhlanganisa i-endoscope, umkhono osebenzayo, ama-dilators, ama-cannula, ama-obturator, nezinye izinsimbi ezikhethekile. Lawa mathuluzi asebenza ndawonye ukuze anikeze udokotela ohlinzayo umbono ocacile wendawo yokuhlinzwa kanye nekhono lokuhamba emseleni womgogodla ngokulimala okuncane kwezicubu.

II. Izingxenye Zesethi Yethuluzi Lokufinyelela le-PTED

Isethi yethuluzi lokufinyelela le-PTED ihlanganisa izingxenye ezilandelayo:

A. I-Endoscope

I-endoscope iyikhamera encane enikeza udokotela ohlinzayo umbono ocacile wendawo yokuhlinza. Inamathiselwe emthonjeni wokukhanya futhi ifakwe ngomkhono osebenzayo.

B. Umkhono Wokusebenza

Umkhono osebenzayo uyishubhu elingenalutho elinikeza indlela yamathuluzi okuhlinza. Ifakwa ngembobo encane futhi iqondiswe endaweni yokuhlinza.

C. Dilators

Ama-dilator angamathuluzi amise okwekhoni asetshenziselwa ukunweba indlela yokuhlinza. Afakwa ngomkhono osebenzayo futhi kancane kancane akhule ngosayizi ukuze avumele udokotela ohlinzayo ukuthi aqondise amathuluzi amakhulu.

D. AmaCannula

Ama-cannula angamashubhu angenalutho afakwe kumkhono osebenzayo kanye nendlela enwetshiwe. Bahlinzeka ngomzila wezinsimbi zokuhlinza futhi bangalungiswa ukuze balawule izinga lokuphazamiseka kwezicubu.

E. Obturators

Ama-obturators angamathuluzi akhethekile asetshenziselwa ukugcina indlela yokuhlinza ngesikhathi sokushintsha kwezinsimbi. Afakwa kuma-cannula bese ekhishwa ukuze kufakwe insimbi elandelayo.

F. Amanye amathuluzi akhethekile

Ngokungeziwe ezingxenyeni ezibalwe ngenhla, isethi yethuluzi lokufinyelela le-PTED ihlanganisa izinhlobonhlobo zamathuluzi akhethekile, okuhlanganisa ama-graspers, ama-punch, nama-cutters, avumela udokotela ohlinzayo enze izinqubo ezidingekayo ngokunemba nokusebenza kahle.

III. Izinzuzo ze-PTED Access Instrument Set

Isethi yethuluzi lokufinyelela le-PTED inikeza izinzuzo ezimbalwa ngaphezu kokuhlinzwa okujwayelekile okujwayelekile kanye namanye amasu e-MIS. Lokhu kubandakanya:

A. Ihlasela Kancane

Indlela ye-PTED kanye nesethi yethuluzi lokufinyelela le-PTED ivumela indlela engenele kancane ekuhlinzweni komgogodla. Le ndlela ibangela ukulimala kwezicubu ezincane futhi ibangele izikhathi zokululama ngokushesha, ubuhlungu obuncane ngemva kokuhlinzwa, kanye nokuhlala esibhedlela isikhathi esifushane.

B. Ukunemba Kakhudlwana

Ukusetshenziswa kwe-endoscope nezinsimbi ezikhethekile kuvumela udokotela ohlinzayo ukuthi enze izinqubo ezidingekayo ngokunemba okukhulu nangokunemba okukhulu. Lokhu kubangela imiphumela engcono esigulini.

C. Izikhathi Zokusebenza Ezimfushane

Indlela ye-PTED kanye nesethi yethuluzi lokufinyelela le-PTED yenza udokotela ohlinzayo enze izinqubo ezidingekayo ngempumelelo enkulu, okuholela ezikhathini zokusebenza ezifushane kanye nokunciphisa ingozi yezinkinga.

IV. Izinhlelo zokusebenza ze-PTED Access Instrument Set

Isethi yensimbi yokufinyelela ye-PTED isetshenziswa ngokuyinhloko ekwelapheni amadiski e-herniated, i-spinal stenosis, nezinye izimo ezidinga ukususwa kwezicubu ezonakalisiwe noma ezigulayo emseleni womgogodla. Ibuye isetshenziswe ekwelapheni ubuhlungu obungapheli obuphansi emuva obungazange buphendule ekwelashweni okungahlinzeki.

Isethi yensimbi yokufinyelela ye-PTED ingasetshenziswa kokubili kokuhlinzwa komgogodla wesibeletho kanye ne-lumbar, ukuhlinzeka odokotela abahlinzayo ithuluzi eliguquguqukayo nelisebenzayo lezinqubo eziningi zomgogodla.

V. Isiphetho

Isethi yensimbi yokufinyelela ye-PTED iyisixazululo esiyisisekelo esenza odokotela abahlinzayo bakwazi ukwenza izinqubo zomgogodla ezingangeneleli kancane ngokunemba okukhulu nokusebenza kahle. Ngokusebenzisa amathuluzi akhethekile kanye ne-endoscope, udokotela ohlinzayo angakwazi ukuzulazula emseleni womgogodla ngokuphazanyiswa okuncane kwezicubu, okuholela ezikhathini zokululama ngokushesha, ubuhlungu obuncane be-post-operative, nemiphumela ethuthukisiwe yesiguli. Njengoba umkhakha wokuhlinzwa okungenakuhlasela kancane uqhubeka nokuvela, isethi yethuluzi lokufinyelela le-PTED isilungele ukuba yithuluzi elibalulekile lodokotela abahlinza umgogodla emhlabeni jikelele.

VI. Imibuzo Evame Ukubuzwa

1. Ingabe indlela ye-PTED imbozwe umshwalense?

• Indlela ye-PTED ivamise ukumbozwa izinhlelo eziningi zomshwalense. Nokho, ukuhlinzekwa kungase kuhluke kuye ngohlelo lomuntu ngamunye kanye nomlando wezokwelapha. Kungcono ukuthintana nomhlinzeki wakho womshwalense ukuze uthole ukukhava.

2. Kuthatha isikhathi esingakanani ukululama ngemva kwenqubo ye-PTED?

• Izikhathi zokululama ziyahlukahluka kuye ngeminyaka yesiguli, impilo, kanye nezinga lenqubo. Ngokuvamile, iziguli zingalindela ukubuyela emisebenzini evamile phakathi namasonto ambalwa enqubo.

3. Ingabe bukhona ubungozi obuhlobene nendlela ye-PTED?

• Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezihlobene nendlela ye-PTED. Lokhu kungase kuhlanganise ukopha, ukutheleleka, ukulimala kwezinzwa, nezinye izinkinga. Kodwa-ke, izingozi ngokuvamile ziphansi kunokuhlinzwa okuvamile okuvulekile.

4. Ingabe indlela ye-PTED ingasetshenziswa ukwelapha zonke izimo zomgogodla?

• Inqubo ye-PTED isetshenziselwa ngokuyinhloko ukwelapha ama-discs e-herniated, i-spinal stenosis, nezinye izimo ezidinga ukususwa kwezicubu ezonakalisiwe emgodleni womgogodla. Nokho, kungase kungafaneleki kuzo zonke iziguli noma zonke izimo zomgogodla.

5. Ingabe isethi yethuluzi lokufinyelela le-PTED iqhathaniswa kanjani nezinye izindlela zokuhlinza ezingangeneleli kancane?

• Isethi yethuluzi lokufinyelela le-PTED inikeza izinzuzo ezimbalwa kunezinye izindlela zokuhlinza ezihlasela kancane, okuhlanganisa ukunemba okukhulu, izikhathi zokusebenza ezimfushane, kanye nemiphumela ethuthukisiwe yesiguli. Ngokushesha iba yithuluzi elikhethwayo lodokotela abahlinza umgogodla emhlabeni jikelele.