Isigaba somkhiqizo
Izinsimbi zomgogodla zibhekisela ezinhlobonhlobo zamathuluzi ezokwelapha akhethekile asetshenziswa ngesikhathi sokuhlinzwa komgogodla ukuze kusetshenziswe futhi kuzinzise umgogodla. Lawa mathuluzi ngokuvamile enziwa ngezinto zekhwalithi ephezulu, njengensimbi engagqwali noma i-titanium, futhi adizayinelwe ukuthi aqine futhi ahlale isikhathi eside.
Izinsimbi zomgogodla zisetshenziselwa ukufinyelela kanye nokuxhaphaza umgogodla ngesikhathi sokuhlinzwa, okuvumela odokotela abahlinzayo ukuba benze izinqubo eziyinkimbinkimbi ngokunemba nokunemba. Ezinye izinhlobo ezivamile zezinsimbi zomgogodla zihlanganisa ama-retractors, ama-drill, amasaha, ama-curettes, nama-forceps.
Ama-retractors asetshenziselwa ukubamba izicubu nemisipha, anikeze ukubonakala okucacile kanye nokufinyelela endaweni yokuhlinzwa. Ama-drill namasaha asetshenziselwa ukususa izicubu zethambo noma ukudala amashaneli okufakwa kokufakelwa. Ama-Curette asetshenziselwa ukukhuhla izicubu noma izinsalela zamathambo, kuyilapho ama-forcep esetshenziselwa ukubamba nokuphatha izakhiwo ezintekenteke.
Izinsimbi zomgogodla ngokuvamile zenzelwe izinqubo ezithile zokuhlinza, futhi kunezinhlobo eziningi ezahlukene ezitholakalayo ukuze zihlangabezane nezidingo zamasu ahlukene okuhlinza kanye nama-anatomi esiguli. Odokotela abahlinzayo bathembele kumathuluzi omgogodla ukwenza ngokuphepha nangempumelelo ukuhlinzwa komgogodla, futhi ikhwalithi nokusebenza kwalezi zinsimbi kungaba nomthelela omkhulu emiphumeleni yokuhlinzwa.
Kunezinhlobo eziningana zezinsimbi zomgogodla, ezihlanganisa:
Izikulufo zePedicle: Lezi yizikulufu ezifakwe kumgogodla ukuze kufakwe izinti noma amapuleti ukuze kuhlanganiswe umgogodla.
Izinduku: Lezi izinduku zensimbi ezixhunywe ezikulungeni ze-pedicle ukuze zinikeze ukuzinza nokusekelwa komgogodla.
Amapuleti: Lawa amapuleti ensimbi axhunywe kumgogodla ngezikulufu ukuze anikeze ukwesekwa okwengeziwe komgogodla.
Amakheji e-Interbody: Lawa ngamadivayisi abekwe phakathi kwama-vertebrae ukuze anikeze ukusekela nokukhuthaza ukuhlanganiswa.
Izingwegwe: Lezi yizinsimbi zensimbi ezixhunywe kuma-vertebrae ukuze zinikeze ukusekela nokuzinza.
Izintambo: Lezi izintambo zensimbi ezincane ezisetshenziselwa ukunikeza ukwesekwa okwengeziwe futhi zibambe umgogodla endaweni.
Ama-Artificial Discs: Lawa ngamadivayisi afakwe esikhundleni samadiski alimele ukuze anikeze ukwesekwa nokuvumela ukunyakaza.
I-Spacers: Lawa ngamadivayisi abekwe phakathi kwama-vertebrae ukuze agcine isikhala esifanele futhi akhuthaze ukuhlangana.
Uhlobo lwensimbi yomgogodla olusetshenziswayo luncike ezidingweni ezithile zesiguli kanye nendlela yokuhlinza esetshenziswayo. Udokotela ohlinzayo uzokhetha uhlobo olufanele kakhulu lwe-instrumentation esekelwe ezicini ezifana nesimo sesiguli, indawo nobukhulu benkinga yomgogodla, kanye nemigomo yokuhlinzwa.
Ukuhlinzwa komgogodla kuyinkambiso yezokwelapha ehlose ukwelapha ukuphazamiseka okuhlobene nomgogodla, ukulimala, noma izimo ezibangela ubuhlungu beqolo, ubuthakathaka, ukuba ndikindiki, noma ezinye izimpawu. Ukuhlinzwa kuhilela amasu nezindlela ezihlukahlukene, njengokuwohloka, ukuhlanganisa, noma ukulungisa ukukhubazeka komgogodla, ukusebenzisa amathuluzi okuhlinza nezimila ukuze kuzinze noma ukubuyisela ukusebenza komgogodla. Umgomo oyinhloko wokuhlinzwa komgogodla ukunciphisa ubuhlungu, ukuthuthukisa ukuhamba, nokuthuthukisa izinga lempilo yesiguli.
Ukuhlinzwa komgogodla kungase kunconywe kubantu abanezimo zomgogodla noma abalimele abangazange baphendule ekwelapheni okuqinile njengemithi, ukwelapha ngokomzimba, nezinye izinketho ezingahlinzeki. Isinqumo sokuhlinzwa komgogodla ngokuvamile senziwa ngemva kokuhlolwa okuphelele nokuxilongwa nguchwepheshe wezempilo oqeqeshiwe. Ezinye izimo ezingase zidinge ukuhlinzwa komgogodla zihlanganisa:
I-Herniated disc
I-stenosis yomgogodla
Isifo se-disgenerative
I-Spondylolisthesis
Ukuphuka komgogodla
Izimila zomgogodla
Izifo zomgogodla
Ukukhubazeka komgogodla njenge-scoliosis noma i-kyphosis.
Kodwa-ke, akuzona zonke izimo ezidinga ukuhlinzwa, futhi ochwepheshe bezempilo bazocabangela izici ezimbalwa ngaphambi kokuncoma ukuhlinzwa, okuhlanganisa impilo yonke yesiguli, ubudala, kanye nobunzima besimo.
Ukuhlinzwa komgogodla kudinga ukusetshenziswa kwezinsimbi ezikhethekile eziklanyelwe ukufinyelela nokwelapha umgogodla. Ezinye zezinsimbi ezijwayelekile ezisetshenziswa ekuhlinzeni umgogodla zihlanganisa:
Ama-retractors: asetshenziselwa ukugcina indawo yokuhlinza ivulekile futhi inikeza ukufinyelela kumgogodla.
I-Drill: isetshenziselwa ukudala izimbobo kumathambo omgogodla ukuze kubekwe izikulufu noma ezinye izimila.
Ama-Currettes: asetshenziselwa ukususa izicubu ezithambile noma ithambo.
Ama-Forceps: asetshenziselwa ukubamba izicubu noma izingcezu zamathambo.
Ama-Curettes: asetshenziselwa ukususa izicubu zethambo.
Ama-Rongeurs: asetshenziselwa ukususa izingcezu zamathambo noma izicubu.
Ama-probes: asetshenziselwa ukuthola izindawo ezithile zomgogodla noma ukuqinisekisa ukubekwa kwezimila.
Izingwegwe: ezisetshenziselwa ukubamba kanye nokuxhaphaza izakhiwo zomgogodla ngesikhathi sokuhlinzwa.
Ama-Pedicle probes: asetshenziselwa ukuthola nokuqinisekisa ukubekwa kwezikulufu ze-pedicle.
Amasistimu wokuzulazula aqondiswa isithombe: asetshenziselwa ukuqondisa ukubekwa kwezinsimbi nezigxivizo ezinomfanekiso wesikhathi sangempela.
Ukukhethwa kwezinsimbi ezisetshenziswa ekuhlinzeni umgogodla kuzoncika enqubweni ethile eyenziwayo kanye nokuthandwa ngudokotela ohlinzayo. Lawa mathuluzi kufanele anembile futhi aklanywe kahle ukuze kuqinisekiswe ukuhlinzwa komgogodla okuphephile futhi okuphumelelayo.