Isethi Yensimbi Yokulungisa Ngemva Komlomo Wesibeletho

Isethi Yensimbi Yokulungisa Ngemva Komlomo Wesibeletho

I-Posterior Cervical Fixation Instrument Set iqoqo lezinsimbi zokuhlinza ezisetshenziselwa ukuzinzisa kanye nokuvimbela umgogodla womlomo wesibeletho kusukela endleleni yangemuva. Lawa masethi avame ukusetshenziswa ekuhlinzeni okuhloswe ukubhekana nokuphuka komlomo wesibeletho, ukugudluka, nokukhubazeka.

Amanye amathuluzi angatholakala kusethi Yensimbi Yokulungisa I-Posterior Cervical Fixation ihlanganisa:

I-Cervical spine retractors - lezi zisetshenziselwa ukubamba izicubu ezithambile kanye nemisipha yentamo ukuze zinikeze ukufinyelela kumgogodla womlomo wesibeletho.

Ama-Pedicle probes - lezi zinsimbi zisetshenziselwa ukukhomba indawo ye-pedicle nokwenza lula ukufakwa kwezikulufu.

Ama-Screwdrivers - lezi zisetshenziselwa ukufaka izikulufu kumgogodla womlomo wesibeletho.

Ama-plate benders - lawa asetshenziselwa ukubumba amapuleti omgogodla womlomo wesibeletho ukuze alingane nama-contours of the vertebrae.

Izinduku zokugoba - lezi zisetshenziselwa ukugoba kanye nokukhonta izinduku ezisetshenziselwa ukuxhuma izikulufu namapuleti.

Ama-reduction forceps - lawa asetshenziselwa ukuphatha kahle umgogodla womlomo wesibeletho ukulungisa ukukhubazeka noma ukungahambi kahle.

Abasiki bethambo - lezi zisetshenziselwa ukususa ingxenye ye-lamina noma i-facet joint ukudala isikhala se-instrumentation.

Izingcezu zokubhoboza - lezi zisetshenziselwa ukudala izimbobo kumgogodla womlomo wesibeletho ukuze kufakwe izikulufu.

Sekukonke, i-Posterior Cervical Fixation Instrument Set iqoqo elikhethekile lezinsimbi zokuhlinza eziklanyelwe ukusebenza ndawonye ukuze kube lula ukuqiniswa okuphephile nokuphumelelayo komgogodla womlomo wesibeletho kusukela endleleni yangemuva.

CHA.	PER	Incazelo	Qty.
1	2200-0301	I-In-situ Igobela Insimbi Kwesobunxele	1
2	2200-0302	In-situ Ukugoba Insimbi Kwesokudla	1
3	2200-0303	Isiphazamisi	1
4	2200-0304	I-Feeler ye-Screw Channel Bent	1
5	2200-0305	I-Feeler ye-Screw Channel Straight	1
6	2200-0306	I-Hex Nut Holder SW3.0	1
7	2200-0307	I-Hex Screwdriver SW3.0 Mude	1
8	2200-0308	I-Drill Bit Ø2.4	1
9	2200-0309	I-Drill Bit Ø2.7	1
10	2200-0310	Thepha okuthi Ø3.5	1
11	2200-0311	Thepha okuthi Ø4.0	1
12	2200-0312	I-Mold Rod Ø3.5	1
13	2200-0313	Ukujula kwe-Gague 0-40mm	1
14	2200-0314	I-Crosslink Hex Screwdriver SW2.5 Ifushane	1
15	2200-0315	Quick Coupling T-isibambo	1
16	2200-0316	Induku Pusher	1
17	2200-0317	I-Hole Open Forcep	1
18	2200-0318	AWL	1
19	2200-0319	Isikulufa/Hook Isibambi Forcep	1
20	2200-0320	I-Rod Holder Forcep	1
21	2200-0321	I-Counter Torque	1
22	2200-0322	I-Pedicle Screwdriver	1
23	2200-0323	Faka Idivayisi Yephinikhodi Yokulungisa	1
24	2200-0324	Umkhono Wokuvikela	1
25	2200-0325	I-Drill Guide	1
26	2200-0326	Induku Umsiki	1
27	2200-0327	I-Parallel Compression Forcep	1
28	2200-0328	I-Rod Twist	1
29	2200-0329	Isibambi Esiqondile Sokuhlanganisa Okusheshayo	1
30	2200-0330	I-Distractor Forcep	1
31	2200-0331	URod Bender	1
32	2200-0232	Ibhokisi le-Aluminium	1

Isethi Yensimbi Yokulungisa Ngemva Komlomo Wesibeletho: Umhlahlandlela Ophelele

Uma kuziwa ekuhlinzeni komgogodla womlomo wesibeletho, ukulungiswa kwe-posterior cervical (PCF) kuyindlela evamile esetshenziselwa ukuzinza nokuhlanganisa ama-vertebrae. Isethi yensimbi ye-PCF iyingxenye ebalulekile yale nqubo futhi ihlanganisa amathuluzi ahlukahlukene asetshenziselwa ukufinyelela isici esingemuva somgogodla womlomo wesibeletho, ukulungisa ithambo, nokufaka izikulufu noma izinduku ukuze zilungiswe. Kulo mhlahlandlela ophelele, sizohlola isethi yensimbi ye-PCF, izingxenye zayo, nezindlela zokuhlinza ezisetshenziswa ukwenza i-PCF.

Uhlolojikelele lwe-Posterior Cervical Fixation

Iyini i-Posterior Cervical Fixation?

Ukulungiswa komlomo wesibeletho ngemuva kuyindlela yokuhlinzwa ehlanganisa ukusetshenziswa kwezikulufu noma izinduku ukuze kuqiniswe umgogodla womlomo wesibeletho kusukela ngemuva kwentamo. Yenzelwe ukwelapha izimo eziningi, okuhlanganisa ukuphuka komgogodla, izimila, ukukhubazeka, nokungazinzi.

Izinkomba zokulungiswa komlomo wesibeletho ngemuva

I-PCF ivamise ukwenziwa lapho kunokungazinzi noma ukunyakaza okungavamile emgogodleni womlomo wesibeletho. Okulandelayo ezinye zezinkomba ezijwayelekile ze-PCF:

• Ukuhlukumezeka noma ukuphuka komgogodla womlomo wesibeletho

• Isifo se-disgenerative

• Izimila zomgogodla noma izifo

• I-Spondylosis yomlomo wesibeletho

• I-Cervical myelopathy

• I-stenosis yomlomo wesibeletho

Izinhlobo ze-Posterior Cervical Fixation

Kunezinhlobo eziningana zamasu e-PCF, okuhlanganisa:

• Ukuhlangana komlomo wesibeletho ngemuva

• I-laminectomy yomlomo wesibeletho yangemuva kanye ne-fusion

• I-laminoplasty yomlomo wesibeletho yangemuva kanye ne-fusion

• Ukulungiswa kwesikulufu se-pedicle yangemuva komlomo wesibeletho

Uhlobo lwe-PCF olusetshenzisiwe luncike esimweni esithile esiphathwayo kanye nokuthandwa ngudokotela ohlinzayo.

Izingxenye Zesethi Yensimbi Yokulungisa Ngasemva Komlomo Wesibeletho

Izinsimbi Eziyisisekelo

Amathuluzi ayisisekelo afakwe kusethi ye-PCF yilawa:

• I-Dissector: isetshenziselwa ukuhlukanisa izicubu ezithambile nethambo

• I-Kerrison Rongeur: isetshenziselwa ukususa ithambo le-lamina

• I-Pituitary Rongeur: isetshenziselwa ukususa izicubu ezithambile nethambo

• I-Curette: isetshenziselwa ukususa imfucumfucu yamathambo

• I-Elevator: isetshenziselwa ukuphakamisa izicubu ezithambile ukusuka ethanjeni

• I-Periosteal Elevator: isetshenziselwa ukukhipha i-periosteum ethanjeni

Izinsimbi zokubeka izikulufa

Izisetshenziswa zokubeka izikulufu ezifakwe kusethi ye-PCF yilezi:

• I-Awl: isetshenziselwa ukudala imbobo yokuhlola yesikulufu

• I-Pedicle Probe: isetshenziselwa ukunquma i-trajectory yesikulufu

• I-Pedicle Screwdriver: isetshenziselwa ukufaka isikulufu ku-pedicle

• Setha i-Screwdriver: isetshenziselwa ukufaka isikulufu esisethiwe ukulungisa induku kusikulufu

Izinsimbi Zokufaka Izinduku

Amathuluzi okufaka izinduku afakwe kusethi ye-PCF yilawa:

• I-Rod Bender: isetshenziselwa ukugoba induku ibe yisimo oyifunayo

• I-Rod Cutter: isetshenziselwa ukusika induku ibe ubude obufunekayo

• Isibambi Senduku: sisetshenziswa ukubamba induku ngesikhathi sokufakwa

• I-Rod Inserter: isetshenziselwa ukufaka induku emakhanda e-screw

I-Surgery Technique yokulungiswa komlomo wesibeletho ngemuva

Ukuhlela Kwangaphambi Kokuhlinzwa

Ngaphambi kokuhlinzwa, udokotela ohlinzayo uzokwenza ukuhlola okuphelele kwesimo sesiguli futhi athole izifundo ezifanele zokuthwebula izithombe. Udokotela ohlinzayo uzosebenzisa lolu lwazi ukuze ahlele indlela yokuhlinzwa, anqume izinsimbi ezifanele, futhi akhethe usayizi wokufakelwa ofanelekile.

Ukuma kanye Nokuvezwa

Isiguli sibekwe sithambekele etafuleni lokusebenza, futhi i-middleline incision yenziwa ngaphezu kwezinga elifanele lomgogodla. Imisipha kanye nezicubu ezithambile zihlakazwa ngokucophelela ukuze ziveze izinqubo ze-spinous kanye nama-laminae.

Ukubekwa kwesikulufu

Izisetshenziswa zokubeka izikulufu zisetshenziselwa ukudala izimbobo zokushayela kuma-pedicles, okulandelwa ukufakwa kwezikulufu ze-pedicle. Amakhanda e-screw abe esexhunywa ngenduku, futhi izikulufo ezimisiwe zisetshenziselwa ukuvikela induku kuzikulufu.

I-Fusion

Ngemva kokufakwa kwezikulufu nezinduku, i-bone graft material ibekwa phezu kwezingxenye zomgogodla eziveziwe. Lokhu okubalulekile kuzogcina kuhlangana nethambo ukuze kwakhiwe ukuhlangana okuzinzile nokuhlala unomphela.

Ukuvala

Imisipha nezicubu ezithambile ziyavalwa, futhi isilonda simbozwe ngendwangu eyinyumba. Isiguli sibe sesiqashwa ngeso elibukhali egunjini lokululama ngaphambi kokuba sidluliselwe ewodini lesibhedlela.

Izinzuzo ze-Posterior Cervical Fixation

Ukuncipha Kwegazi

I-PCF iboniswe ukuthi yehlise ukulahlekelwa igazi uma kuqhathaniswa nokunye ukuhlinzwa komgogodla womlomo wesibeletho, okuholela esidingo esincane sokumpontshelwa igazi.

Ukuzinza Okuthuthukisiwe

I-PCF inikeza ukuzinza okuthuthukisiwe futhi inciphisa ingozi yokwehluleka kokufakelwa, okuholela ekuhlinzeni okuyimpumelelo.

Imiphumela Yesiguli Ethuthukisiwe

Ucwaningo luye lwabonisa ukuthi i-PCF iphumela emiphumeleni ethuthukisiwe yesiguli, kuhlanganise nobuhlungu obuncishisiwe kanye nokusebenza okuthuthukisiwe nokuhamba.

Izinkinga Ezingenzeka

Nakuba i-PCF ngokuvamile iyinqubo ephephile nephumelelayo, kunezinkinga ezingase zenzeke. Lokhu kubandakanya:

• Ukutheleleka

• Ukopha

• Ukulimala kwemizwa

• Ukuhluleka kwezingxenyekazi zekhompuyutha

• Ukufuduka kokufakelwa

Imibuzo Evame Ukubuzwa

1. Kuthatha isikhathi esingakanani ukululama kusukela ekuhlinzweni kwe-PCF?

• Isikhathi sokululama singahluka, kodwa iziguli eziningi zingabuyela emisebenzini yazo evamile phakathi kwamaviki angu-6-8.

1. Iluphi uhlobo lwe-anesthesia esetshenziselwa ukuhlinzwa kwe-PCF?

• I-anesthesia ejwayelekile isetshenziselwa ukuhlinzwa kwe-PCF.

1. Ingabe ukuhlinzwa kwe-PCF kungenziwa njengenqubo yokulaliswa ngaphandle?

• Ukuhlinzwa kwe-PCF ngokuvamile kwenziwa esimweni sasesibhedlela futhi kudinga ukuhlala ubusuku bonke.

1. Ingabe ngizodinga ukwelashwa ngokomzimba ngemva kokuhlinzwa kwe-PCF?

• Ukwelapha ngokomzimba kungase kunconywe ngemva kokuhlinzwa kwe-PCF ukusiza ngokululama nokuthuthukisa ukuhamba.

1. Lithini izinga lempumelelo yokuhlinzwa kwe-PCF?

• Izinga lokuphumelela lokuhlinzwa kwe-PCF liyahlukahluka kuye ngesimo esithile esiphathwayo kanye nezimo zomuntu ngamunye zesiguli. Kodwa-ke, ucwaningo lubonise izinga eliphezulu lempumelelo yokuhlinzwa kwe-PCF ekuthuthukiseni imiphumela yesiguli.

Isiphetho

Ukulungiswa komlomo wesibeletho kwangemuva kuyindlela evamile yokuhlinzwa esetshenziselwa ukuzinzisa nokuhlanganisa umgogodla womlomo wesibeletho. Isethi yensimbi ye-PCF iyingxenye ebalulekile yale nqubo, ehlanganisa amathuluzi ahlukahlukene asetshenziselwa ukufinyelela isici esingemuva somgogodla womlomo wesibeletho, ukulungisa ithambo, nokufaka izikulufu noma izinduku ukuze zilungiswe. Nakuba i-PCF ngokuvamile iyinqubo ephephile nephumelelayo, kunezinkinga ezingase zenzeke. Iziguli kufanele zixoxe ngezingozi nezinzuzo ze-PCF nodokotela wazo ohlinzayo ngaphambi kokwenza inqubo.