Ukubuka: 143 Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2022-09-14 Umsuka: Isayithi
Izimila zomlomo wesibeletho ziyizisetshenziswa zezokwelapha ezikhethekile ezisetshenziselwa ukuhlinzwa komgogodla womlomo wesibeletho ukuze kubuyiselwe ukuzinza komgogodla, ukugcina ukuqondanisa, nokukhulula izimpawu ze-neurological ezibangelwa ukuphazamiseka komgogodla wesibeletho. Lezi zimila zidlala indima ebalulekile ekwelapheni izimo zentamo eziwohlokayo, ezihlukumezayo, kanye nokukhubazeka ngenkathi kuthuthukisa ukuhamba kwesiguli kanye nekhwalithi yokuphila.

Izimila zomgogodla wesibeletho zenzelwe ukusekela, ukufaka esikhundleni, noma ukuzinzisa izingxenye ze-vertebrae yomlomo wesibeletho ngemva kokungenelela kokuhlinzwa. Zivame ukusetshenziswa lapho ukwelashwa okuvamile kwehluleka ukukhulula ubuhlungu, ukushoda kwezinzwa, noma ukungazinzi kwemishini.
Ngokombono womtholampilo, izimila zomlomo wesibeletho zisiza odokotela abahlinzayo ukuba bafeze ukuchithwa komgogodla, ukuhlanganiswa, noma ukulondolozwa kokunyakaza kuye ngokuthi inqubo ekhethiwe. Izinhlelo zesimanje zokufakelwa komlomo wesibeletho zigcizelela ukuzinza kwe-biomechanical, i-biocompatibility, nokuthembeka komtholampilo kwesikhathi eside.
Umgogodla womlomo wesibeletho uqukethe ama-vertebrae ayisikhombisa (C1-C7) atholakala phezulu kwekholomu yomgogodla. Lesi sifunda sisekela ikhanda, sivikela umgogodla, futhi sivumela ukunyakaza okubanzi.
I-vertebra ngayinye yomlomo wesibeletho inikela ngokuhlukile ekuhambeni kwentamo nokusabalalisa umthwalo. Umgogodla ongaphezulu womlomo wesibeletho (C1-C2) ngokuyinhloko unesibopho sokujikeleza, kuyilapho izingxenye ezingezansi zomlomo wesibeletho (C3-C7) zisiza ukuguquguquka, ukunwetshwa, nokugoba kwe-lateral.
Phakathi kwama-vertebrae kukhona ama-intervertebral discs abamba ukushaqeka futhi agcine isikhala sezimpande zemizwa. Ukuwohloka noma ukulimala kule ndawo kungacindezela izakhiwo ze-neural, ngokuvamile okudinga ukungenelela kokuhlinzwa ngokufakelwa komlomo wesibeletho.
Izimila zomlomo wesibeletho zivame ukuboniswa lapho ukulimala kwesakhiwo noma ukuwohloka kuphazamisa ukuzinza komgogodla noma umsebenzi wezinzwa.
Ukuwohloka kwe-disc okuhlobene nobudala noma i-disc herniation kungabangela ubuhlungu obungapheli bentamo, i-radiculopathy, noma i-myelopathy. Izimila zomlomo wesibeletho zisiza ukubuyisela ukuphakama kwe-disc futhi kunciphise ukucindezelwa kwezinzwa.
Ukuncipha komsele womgogodla kungase kucindezele umgogodla noma izimpande zezinzwa, okuholela ekubeni buthaka, ukuba ndikindiki, noma ukuphazamiseka kokuhamba. Ukuwohloka kokuhlinzwa ngokuvamile kudinga ukuzinzisa ngezimila.
Ukulimala okubuhlungu kungaphazamisa ukuqondanisa komgogodla. Izinhlelo zokulungisa umlomo wesibeletho zibalulekile ukubuyisela ukuzinza kwemishini nokuvimbela ukulimala kwesibili kwezinzwa.

Izindlela ezihlukene zokufakelwa komlomo wesibeletho zikhethwa ngokusekelwe ku-pathology, indlela yokuhlinzwa, kanye nomphumela womtholampilo oyifunayo.
Amapuleti omlomo wesibeletho angaphambili avame ukusetshenziswa ku-anterior cervical discectomy kanye nezinqubo ze-fusion (ACDF). Lawa mapuleti ahlinzeka ngokuzinza ngokushesha futhi akhuthaze ukuhlanganiswa kwamathambo okuphumelelayo phakathi kwemizimba yama-vertebral.
Ama-discs okwenziwa komlomo wesibeletho aklanyelwe ukulondoloza ukunyakaza komzimba ngenkathi enciphisa ubuhlungu obubangelwa ukuwohloka kwe-disc. Ukushintshwa kwediski yomlomo wesibeletho kuvame ukucatshangelwa iziguli ezincane noma ezisebenzayo.
Izikulufu ezingemuva komlomo wesibeletho kanye nezinduku zisetshenziselwa ukuzinzisa umgogodla kusukela ngemuva kwentamo, ikakhulukazi ekuhlanganiseni kwamazinga amaningi noma izimo eziyinkimbinkimbi zokukhubazeka.
Ezimweni ezibandakanya ukususwa komzimba we-vertebral, amakheji e-corpectomy ahlinzeka ngokusekela kwekholomu yangaphambili futhi asize ukugcina ukuhambisana komgogodla.
Ukukhethwa kwezinto kudlala indima ebalulekile ekusebenzeni kokufakelwa kanye nemiphumela yesikhathi eside.
Izimila ze-Titanium zinikeza amandla amahle kakhulu, ukumelana nokugqwala, kanye ne-osseointegration, okuwenza asetshenziswe kabanzi ezinhlelweni zokulungisa umlomo wesibeletho.
Amakheji e-PEEK (i-polyetheretherketone) ahlinzeka nge-modulus enwebekayo eduze nethambo futhi avumele ukubonwa kwesithombe okucacile kwangemva kokuhlinzwa, okusekela ukuhlolwa kokuhlanganisa okunembile.
Izimila zomlomo wesibeletho zanamuhla zingase zibe nezakhiwo ezinezimbobo noma imiklamo ephrintiwe ye-3D ukuze kuthuthukiswe ukuhlanganiswa kwamathambo nokuhambisana kwe-biomechanical.
Ukuhlinzwa kokufakelwa komlomo wesibeletho kuhlelwe ngokucophelela ngokusekelwe ku-anatomy yesiguli kanye ne-pathology.
Izifundo zokucabanga ezifana ne-MRI ne-CT scans zisetshenziselwa ukuhlola ukuqondanisa komgogodla, ukucindezelwa kwe-neural, nekhwalithi yamathambo ngaphambi kokukhetha uhlelo olufanele lokufakelwa.
Izindlela zangaphambili zivame ukusetshenziselwa izinqubo zokushintshwa kwe-disc kanye ne-fusion, okuvumela ukufinyelela okuqondile kuma-disc womlomo wesibeletho ngokuphazanyiswa okuncane kwemisipha.
Izindlela zangemuva zikhethwa ezimweni ezidinga ukucindezelwa okubanzi noma ukuqiniswa kwamazinga amaningi.
Ukubuyiselwa kwe-postoperative kuyahlukahluka kuye ngokuthi inqubo kanye nesimo sesiguli.
Ezinye iziguli zingase zidinge ikhola yomlomo wesibeletho ukunciphisa ukunyakaza nokusekela ukuphulukiswa phakathi nesigaba sokululama sokuqala.
Izinhlelo zokuvuselela zigxile ekubuyiseleni ukuhamba kwentamo, ukuqinisa imisipha ezungezile, nokuthuthukisa umsebenzi jikelele.
Iziguli eziningi zithola ukuthuthuka okuphawulekayo kwezimpawu, ngokubuyela kancane kancane emisebenzini yansuku zonke ngaphansi kokuqondisa kwezokwelapha.
Nakuba ukuhlinzwa kokufakelwa komlomo wesibeletho ngokuvamile kuphephile, izingozi ezingaba khona kufanele ziqondwe.
Indlela yokuhlinza efanele kanye nokunakekelwa kwangemva kokuhlinzwa kunciphisa ingozi yezinkinga ezihlobene nokufakelwa.
Izinqubo ze-Fusion zingandisa ingcindezi ezingxenyeni eziseduze, ngezinye izikhathi ezidinga ukungenelela okwengeziwe.
Ukukhetha ukufakelwa komlomo wesibeletho okuphelele kuhilela izici eziningi.
Ubudala, ukuminyana kwamathambo, nokuqondaniswa komgogodla kunomthelela ekukhethweni kokufakelwa.
Odokotela abahlinzayo bakala izinzuzo zokuzinza ngokumelene nesifiso sokugcina ukunyakaza kwemvelo komlomo wesibeletho.
Izimila kufanele zihlangabezane nezidingo zokulawula zamazwe ngamazwe futhi zisekelwe ubufakazi bomtholampilo.
Izimila zomlomo wesibeletho zingamathuluzi abalulekile ekwelapheni ukuphazamiseka komgogodla womlomo wesibeletho, ukuhlinzeka ngokuzinza, ukukhulula ubuhlungu, kanye nemiphumela ethuthukisiwe yezinzwa. Ngokuthuthuka kokuklama kokufakelwa, izinto zokwakha, kanye namasu okuhlinza, ukuhlinzwa komgogodla womlomo wesibeletho kuyaqhubeka nokuletha imiphumela enokwethenjelwa futhi ebikezelwe ezigulini emhlabeni wonke.
Kodokotela abahlinzayo nabathengi bemishini yezokwelapha, ukuqonda izinketho zokufakelwa komlomo wesibeletho kuyisihluthulelo sokuzuza imiphumela emihle yomtholampilo kanye nempumelelo yesikhathi eside.
Izimila zomgogodla womlomo wesibeletho ziyizisetshenziswa zezokwelapha ezifakwe ngokuhlinzwa entanyeni ukuze zinikeze ukuzinza nokusekela umgogodla womlomo wesibeletho. Zisetshenziselwa ukwelapha izimo ezihlukahlukene, kuhlanganise nesifo se-disc degenerative, i-spinal stenosis, nama-disc herniated. Kulesi sihloko, sizoxoxa ngezinhlobo ezahlukene zokufakelwa komgogodla wesibeletho, ukusetshenziswa kwazo, nezinqubo zokuhlinzwa ezihilelekile.
Izimila zomlomo wesibeletho zisetshenziselwa ukuzinzisa umgogodla womlomo wesibeletho, ukukhulula ukucindezelwa kwezinzwa, ukubuyisela ukuqondanisa, nokusekela ukuhlanganisa noma ukulondolozwa kokunyakaza ngemva kokuhlinzwa komgogodla womlomo wesibeletho.
Ukuhlinzwa kokufakelwa komlomo wesibeletho kuvame ukwenziwa ngenxa yesifo se-disc degenerative, i-cervical disc herniation, i-spinal stenosis, ama-fractures, ukungazinzi, nokucindezelwa komgogodla.
Izimila zomlomo wesibeletho ezivame kakhulu zihlanganisa amapuleti angaphambili omlomo wesibeletho, amadivaysi okubuyisela idiski yomlomo wesibeletho, izinhlelo zokulungisa ngemuva, kanye namakheji e-corpectomy.
Izimila zomlomo wesibeletho ngokuvamile zenziwe ngama-alloys e-titanium noma izinto ze-PEEK, ezikhethwe ngamandla azo, i-biocompatibility, nokuhambisana nokuhlanganisa umgogodla noma ukulondolozwa kokunyakaza.
Ukuhlanganiswa komlomo wesibeletho kuqeda ukunyakaza engxenyeni ephathwayo ukuze kunikeze ukuzinza, kuyilapho ukushintshwa kwediski yomlomo wesibeletho kugcina ukunyakaza kwemvelo futhi kungase kunciphise ukucindezeleka ezingxenyeni eziseduze.
Isikhathi sokululama siyahlukahluka ngenqubo, kodwa iziguli eziningi ziphinda ziqale imisebenzi evamile yansuku zonke phakathi namasonto, nokululama okugcwele nokuhlola ukuhlanganisa kuthatha izinyanga ezimbalwa.
Izimila zomlomo wesibeletho zesimanje zenzelwe ukuphepha nokuhlala isikhathi eside, namazinga aphezulu empumelelo emtholampilo uma kukhethwe kahle futhi kufakwe ngokuhlinzwa.
Ezimweni ezingavamile ezihlanganisa izinkinga noma isifo sesigaba esiseduze, izimila zomlomo wesibeletho zingadinga ukubuyekezwa noma ukususwa, kuye ngokuhlolwa komtholampilo.
I-ACDF Uhlelo Olusha Lobuchwepheshe——I-Uni-C Standalone Cervical Cage
I-discectomy yangaphambili yomlomo wesibeletho ene-decompression kanye ne-implant fusion (ACDF)
I-Thoracic Spinal Implants: Ukuthuthukisa Ukwelashwa Kokulimala Komgogodla
Idizayini entsha ye-R&D I-Minimally Invasive Spine System (MIS)
5.5 I-Monoplane Invasive Kancane Kakhulu kanye nabakhi be-Orthopedic Implant