Yiziphi izimila zomgogodla?
Izimila zomgogodla ziyimishini yezokwelapha esetshenziselwa ukwelapha ukuphazamiseka komgogodla njengama-disc herniated, i-spinal stenosis, ne-scoliosis. Lawa madivayisi ngokuvamile enziwe ngezinto ezihambisana ne-biocompatible njenge-titanium noma i-PEEK (i-polyetheretherketone) futhi aklanyelwe ukuthi afakwe ngokuhlinzwa emgogodleni ukuze kuzinze noma kushintshwe izakhiwo ezilimele noma ezigulayo.
Ezinye izinhlobo ezivamile zokufakelwa komgogodla zihlanganisa:
Izikulufu ze-Pedicle: Lezi zikulufi zisetshenziselwa ukumisa izinduku zensimbi emgogodleni futhi zinikeze ukuzinza kukholomu yomgogodla.
Izinduku: Izinduku zensimbi zisetshenziselwa ukuxhuma izikulufu ze-pedicle noma ezinye izimila zomgogodla ukuze zinikeze ukwesekwa okwengeziwe nokuzinza komgogodla.
Amakheji e-Interbody: Lawa ngamadivaysi afakwa phakathi kwama-vertebrae amabili ukuze kugcinwe ukuphakama okujwayelekile nokugoba komgogodla, nokuhlinzeka ngokusekela nokuzinza.
Ama-disc okwenziwa: Lawa ngamadivayisi asetshenziselwa ukufaka esikhundleni sama-intervertebral discs awonakele noma anesifo emgogodleni.
Amapuleti nezikulufu: Lezi zisetshenziselwa ukunikeza ukuzinza nokusekelwa engxenyeni engaphambili (ngaphambili) yomgogodla.
Izinto zokufakelwa komgogodla
Izimila zomgogodla zingenziwa ngezinto ezahlukahlukene, kufaka phakathi:
I-Titanium: I-Titanium iyinsimbi engasindi futhi eqinile evame ukusetshenziswa ekufakweni komgogodla. I-biocompatible, okusho ukuthi mancane amathuba okuthi ibangele ukusabela okungekuhle emzimbeni.
Insimbi engagqwali: Insimbi engagqwali iyinsimbi eqinile futhi ehlala isikhathi eside futhi evame ukusetshenziswa ekufakweni komgogodla. Ibiza kancane kune-titanium, kodwa ayihambisani ne-biocompatible.
I-Cobalt-chromium: I-Cobalt-chromium iyingxube yensimbi ebuye isetshenziswe ekufakweni komgogodla. Iqinile futhi imelana nokugqwala, kodwa ayihambisani ne-biocompatible njenge-titanium.
I-Polyetheretherketone (PEEK): I-PEEK uhlobo lwepulasitiki oluvame ukusetshenziswa kumakheji e-interbody. Inezici ezifanayo nethambo futhi ingakhuthaza ukukhula kwamathambo.
I-Carbon fiber: I-Carbon fiber yinto engasindi futhi enamandla ngezinye izikhathi esetshenziswa ekufakweni komgogodla. Futhi i-biocompatible.
Ukukhethwa kwezinto zokufakelwa kuncike ezicini eziningana, kuhlanganise nezidingo ezithile zesiguli, indawo yokufakelwa emgogodleni, nolwazi lukadokotela ohlinzayo kanye nalokho akuthandayo. Kubalulekile ukuxoxa ngezingozi ezingase zibe khona kanye nezinzuzo zezinto zokufakelwa ngakunye nodokotela ohlinza umgogodla oqeqeshiwe ngaphambi kokuhlinzwa.
Ungakhetha kanjani izimila zomgogodla zokuhlinzwa?
Ukukhethwa kwezimila zomgogodla zokuhlinzwa kuncike ezintweni eziningana, okuhlanganisa:
Izici zesiguli: Iminyaka yesiguli, impilo iyonke, umlando wezokwelapha, nokuminyana kwamathambo kungathinta ukukhetha kokufakelwa komgogodla. Amanye ama-implants angase angafaneleki iziguli ezinezimo ezithile zempilo noma ezinamathambo abuthaka.
Isimo somgogodla: Isimo esithile somgogodla, njengendawo kanye nobukhulu bomonakalo noma ukukhubazeka, kungathinta ukukhetha kokufakelwa. Isibonelo, izimila ezihlukene zingase zisetshenziselwe ukuhlanganiswa komgogodla nokuhlinzwa kokunciphisa umgogodla.
Okuhlangenwe nakho kukadokotela ohlinzayo: Ulwazi lukadokotela ohlinzayo nalokho akuthandayo kungase kube nendima ekukhethweni kokufakelwa. Abanye odokotela abahlinzayo bangase babe nolwazi oluthe xaxa ngezinhlobo ezithile zokufakelwa, futhi bangase bakhethe ukuzisebenzisela iziguli zabo.
Impahla yokufakelwa: Ukukhethwa kwezinto zokufakelwa kufanele kucatshangelwe, njengoba izinto ezihlukene zinezakhiwo ezihlukile futhi zingase zifaneleke kakhulu iziguli noma izimo ezithile.
Izingozi nezinzuzo: Izingozi nezinzuzo ezingase zibe khona zohlobo ngalunye lokufakelwa kufanele kuxoxwe ngazo nesiguli, okuhlanganisa ingozi yokwehluleka kokufakelwa noma izinkinga, amathuba okuba nezinkinga zesikhathi eside, kanye nethuba lokululama ngempumelelo.
Odokotela bayifaka kanjani i-spinal implant?
Inqubo eqondile yokufaka i-spinal implant incike ohlotsheni lokufakelwa kanye nesimo esithile esiphathwayo, kodwa ngokuvamile, izinyathelo ezihilelekile kule nqubo zimi kanje:
I-Anesthesia: Isiguli sinikezwa i-anesthesia ejwayelekile ukuze kuqinisekiswe ukuthi awazi futhi abuhlungu kuyo yonke inqubo.
I-incision: Udokotela ohlinzayo wenza i-incision esikhumbeni nasemisipha phezu kwendawo ethintekile yomgogodla.
Ukulungiswa komgogodla: Udokotela ohlinzayo ususa noma yiziphi izicubu ezilimele noma ezigulayo emgogodleni, njengama-discs e-herniated noma i-bone spurs, futhi ulungiselela indawo yokufakelwa.
Ukubekwa kokufakelwa: Udokotela ohlinzayo ube esebeka i-implant endaweni elungiselelwe yomgogodla. Lokhu kungase kuhlanganise izikulufu, izinduku, amakheji, noma ezinye izinhlobo zokufakelwa.
Ukuvikela ukufakwa: Uma ukufakelwa sekusendaweni, udokotela ohlinzayo ukuvikeleka emgogodleni esebenzisa izikulufu, izintambo, noma amanye amadivaysi.
Ukuvala: Udokotela ohlinzayo ube esevala i-incision nge-sutures noma ama-staples futhi afake ibhandishi noma okokugqoka.
Ukululama: Isiguli sigadwa endaweni yokululama amahora ambalwa futhi singase sinikezwe imithi yezinhlungu noma okunye ukunakekelwa okusekelayo njengoba kudingeka.
Ngemuva kwenqubo, isiguli sizodinga ukulandela uhlelo lokuvuselela ukusiza ukubuyisela ukuhamba namandla emgogodleni. Uhlelo oluthile luzoncika ohlotsheni lokufakelwa kanye nezidingo nesimo sesiguli ngasinye.
Ubani ongazuza ekufakweni komgogodla?
Izimila zomgogodla zivame ukusetshenziswa ezigulini ezibhekene nezimo ezibangela ubuhlungu, ubuthakathaka, noma ukungazinzi emgogodleni. Ezinye zezimo ezingase zizuze ekufakweni komgogodla zihlanganisa:
1. Isifo se-disc degenerative
2. Amadiski ane-herniated noma aqhumile
3. Ukuqina komgogodla
4. I-Spondylolisthesis
5. Ukuphuka komgogodla
6. I-Scoliosis
7. Izimila zomgogodla
Izimila zomgogodla zivame ukusetshenziswa lapho ukwelashwa okungezona ukuhlinzwa njengokwelashwa ngokomzimba, imithi, noma imijovo yomgogodla yehlulekile ukunikeza ukukhululeka. Isinqumo sokusebenzisa izimila zomgogodla ngokuvamile senziwa uchwepheshe womgogodla, njengodokotela ohlinzayo wamathambo noma udokotela ohlinzayo, ozohlola isimo sesiguli futhi atuse uhlelo lokwelapha olufanele kakhulu.
