Izimila ze-Spine zingamadivayisi wezokwelapha asetshenziselwa ukwelapha ukuphazamiseka komgogodla njengama-disc abulawayo, i-stenosis yomgogodla kanye ne-scoliosis. Lawa madivayisi ajwayele ukwenziwa ngezinto ezihambelana ne-biocompeive enjenge-titanium noma i-peek (i-polytheketone (i-polytheratherketone) futhi yakhelwe ukuthi ifakwe ngokuswela umgogodla ukuze iqinise noma ibeke izakhiwo ezilimele noma ezigula.
Ezinye izinhlobo ezivamile ze-Spine Izimila zifaka:
Izikulufu ze-Pedicle: Lezi zikulufo zisetshenziselwa izinduku zensimbi ezihlotshiswe emgogodleni futhi zinikeze ukuqina kwikholamu ye-vertebral.
Izinduku: Izinduku zensimbi zisetshenziselwa ukuxhuma izikulufo ezi-pedicle noma ezinye izimila zomgogodla ukuhlinzeka ukwesekwa okwengeziwe nokuqina komgogodla.
Amakheji athile: Lawa angamadivayisi afakwe phakathi kwama-vertebrae amabili ukuze alondoloze ukuphakama okujwayelekile kanye ne-curvature yomgogodla, futhi anikeze ukwesekwa nokuqina.
Ama-Disclial Disc: Lawa amadivayisi asetshenziselwa ukufaka ama-disc angonakalisiwe noma anesifo esigulayo emgogodleni.
Amapuleti nezikulufo: Lezi zisetshenziselwa ukuhlinzeka ngosizo nokusekelwa engxenyeni ye-anterior (ngaphambili) yomgogodla.
Izimila ze-Spine zingenziwa ngezinto ezahlukahlukene, kufaka phakathi:
I-Titanium: I-Titanium iyinsimbi engasindi futhi eqinile evame ukusetshenziswa ezincelweni ze-spine. Kuyahambelana, okusho ukuthi kungenzeka ukuthi kungadala ukusabela okuphikisayo emzimbeni.
Insimbi engenasici: Insimbi engenasici iyinsimbi eqinile futhi eqinile futhi evame ukusetshenziswa ezifakwayo zesikhala. Akubizi kakhulu kune-titanium, kepha akuyona njenge-biocoomaspeises.
I-Cobalt-Chromium: I-Cobalt-Chromium ingumbutho wensimbi osetshenziswa futhi ezimisweni zomgogodla. Kuqinile futhi kunamandla okulwa, kepha akuhambelani njenge-biocoomaspeas as titanium.
I-Polyetheketone (Peek): I-Peek uhlobo lwepulasitiki oluvame ukusetshenziswa kumakheji athile. Inezakhiwo ezifanayo ezinhlelweni futhi zingathuthukisa ukukhula kwamathambo.
I-Carbon fiber: I-Carbon Fibre iyinto engasindi futhi eqinile eqinile kwesinye isikhathi esetshenziswa ku-spine izimila. Kuyahambelana futhi.
Ukukhethwa kwezinto ezibonakalayo kuncike ezicini eziningana, kufaka phakathi izidingo ezithile zesiguli, indawo okufakwayo emgogodleni, kanye nesipiliyoni sodokotela ohlinzayo. Kubalulekile ukuxoxa ngezingozi ezingaba khona nezinzuzo zokufakelwa ngakunye okufakwayo ngodokotela ohlinza ofanelekile ngaphambi kokuhlinzwa.
Ukukhethwa kwezimila ze-Spine zokuhlinzwa kuncike ezintweni eziningana, kufaka phakathi:
Izici zeziguli: Ubudala besiguli, impilo ephelele, umlando wezokwelapha, nobuningi bethambo bungathinta ukukhetha kokufakwa komgogodla. Ezinye izimilo kungenzeka zingafaneleki ezigulini ezinezimo ezithile zezempilo noma ezinamathambo abuthakathaka.
Isimo somgogodla: isimo esithile somgogodla, njengendawo nobunzima bomonakalo noma ukonakala, kungathinta ukukhetha kokufakelwa. Isibonelo, ukufakwa okuhlukile kungasetshenziselwa ukuhlinzwa komgogodla okuqhathaniswa nokuhlinzwa komgogodla.
Isipiliyoni sikadokotela ohlinzayo: Ukuhlangenwe nakho okuhlinzayo nokuthandwayo kungahle kudlale indima ekukhetheni okufakayo. Abanye odokotela abahlinzayo bangaba nokuhlangenwe nakho okwengeziwe ngezinhlobo ezithile zezimila, futhi kungahle bathande ukuzisebenzisa iziguli zabo.
Izinto ezifakiwe: Ukukhethwa kwezinto ezibonakalayo kufanele futhi kubhekwe, njengoba izinto ezahlukene zinezakhiwo ezihlukile futhi zingahle zilungele kakhulu iziguli noma izimo ezithile.
Izingozi Nezinzuzo: Izingozi ezingaba khona nezinzuzo zohlobo ngalunye lokufakelwa kufanele kuxoxwe ngazo nesiguli, kufaka phakathi ingozi yokwehluleka noma izinkinga zesikhathi eside, kanye namathuba okululama okuphumelelayo.
Inqubo ngqo yokufaka ukufakwa komgogodla incike ngohlobo lokufakelwa kanye nesimo esithile esiphathwe, kodwa ngokujwayelekile, izinyathelo ezihilelekile kule nqubo zimi ngokulandelayo:
I-Anesthesia: Isiguli sinikezwa i-General Anesthesia ukuze siqinisekise ukuthi azizi lutho futhi zingenazinhlungu kuyo yonke inqubo.
I-incision: Udokotela ohlinzayo wenza incision esikhunjeni nasemisipha phezu kwendawo ethintekile yomgogodla.
Ukulungiselela umgogodla: udokotela ohlinzayo ususa noma yiziphi izicubu ezonakele noma ezinesifo emgogodleni, ezinjengama-disc noma ama-herniated noma amathambo, alungiselele indawo yokufakelwa.
Ukubekwa kokufakelwa: udokotela ohlinzayo bese efaka ukufakwa endaweni elungiselelwe umgogodla. Lokhu kungafaka izikulufa, izinduku, amakheji, noma ezinye izinhlobo zezimila.
Ukuthola okufakelwe: Uma ukufakwa kusendaweni, udokotela ohlinzayo evikela umgogodla usebenzisa izikulufa, izintambo, noma amanye amadivaysi.
Ukuvalwa: Udokotela ohlinzayo ube esevale ukuvela ngama-suture noma ama-staples futhi asebenzisa i-bandage noma ukugqoka.
Ukubuyiselwa: Isiguli sibhekwe endaweni yokutakula amahora amaningi futhi singanikezwa umuthi wezinhlungu noma okunye ukunakekelwa okusekelwa njengoba kudingeka.
Ngemuva kwenqubo, isiguli sizodinga ukulandela uhlelo lokuvuselelwa ukusiza ukubuyisela ukuhamba namandla emgogodleni. Uhlelo oluthile luzoncika ohlotsheni lokufakelwa kanye nezidingo kanye nesimo esithile sesiguli.
Izimila zomgogodla zivame ukusetshenziswa ezigulini ezihlushwa izimo ezibangela ubuhlungu, ubuthakathaka, noma ukungalingani emgogodleni. Eminye imibandela engazuza kwizithani zomgogodla zifaka:
1. Isifo se-disc ewohlokayo
2. Ama-Disc Adilitic noma ancele
3. I-stenosis yomgogodla
4. Spondylolisthesis
5. Ama-spinal fractures
6. I-Scoliosis
7. Amathumbu omgogodla
Izimila zesigogo zivame ukusetshenziswa lapho izindlela zokwelapha ezingapheli njengokulashwa ngokomzimba, umuthi, noma imijovo yomgogodla ehlulekile ukuhlinzeka impumuzo. Isinqumo sokusebenzisa izimila zomgogodla ngokuvamile senziwa nguchwepheshe we-spine, njengodokotela ohlinzayo wamathambo noma i-neurosurgeon, ozohlola isimo sesiguli futhi ancome uhlelo lokwelashwa olufanele kakhulu.