Ukubuka: 0 Umbhali: Isikhathi Sokushicilela Isihleli Sesayithi: 2025-12-11 Umsuka: Isayithi
I-Case Study: Ukuhlinzwa Kokulungiswa Kwe-Scoliosis e-Dhaka, e-Bangladesh
I-Scoliosis iwukukhubazeka okuvamile komgogodla entsheni futhi ngokuvamile kudinga ukungenelela kokuhlinzwa lapho ukugoba okuqhubekayo kuthinta ibhalansi yomgogodla, ukuma, noma izinga lokuphila lesikhathi eside. Ezifundeni ezisathuthuka, ukufinyelela ezinhlelweni zokulungisa umgogodla ezinokwethenjelwa kanye nokuhamba komsebenzi okujwayelekile okuhlinzayo kudlala indima ebalulekile ekuzuzeni imiphumela yomtholampilo ebikezelwe.
Kulesi simo, inqubo yokulungiswa kwe-scoliosis yenziwa ngempumelelo esibhedlela samathambo sendawo e -Dhaka, e-Bangladesh , ehlanganisa isiguli sesifazane esineminyaka engu-14 esitholakala ukuthi sine-adolescent scoliosis. Inhloso yokuhlinzwa kwakuwukulungisa ukukhubazeka komgogodla, ukubuyisela ukuhleleka, kanye nokuzuza ukulungiswa okuzinzile kwangaphakathi kusetshenziswa uhlelo lwe-6.0mm pedicle screw-rod..
Njengoba kunikezwe iminyaka yesiguli kanye nezici zokukhubazeka, ukufeza ukulungiswa okulawulwayo ngenkathi kugcinwa ukuzinza kwangemva kokuhlinzwa kwakuyinto esemqoka yokucatshangelwa. Uhlelo lokuhlinza lugxile ekulungisweni kwesigaba kanye nokulungiswa kokuqondanisa kancane kancane kusetshenziswa i-pedicle screw instrumentation.

Kule nqubo yokulungiswa kwe-scoliosis, isistimu ye-screw ye-6.0mm ye-pedicle ikhethiwe njengesixazululo sokuqala sokulungisa. I-Pedicle screw-rod constructs isetshenziswa kakhulu ekuhlinzeni ukukhubazeka komgogodla ngenxa yekhono labo lokuhlinzeka nge-anchorage eqinile ye-vertebral kanye nokulawula okunembile kokuqondiswa komgogodla.
Uhlelo luvumela ukulungiswa kwe-three-dimensional ngokubhekana ne-coronal, sagittal, ne-axial components of spinal deformity. Ngokusebenzisa ukulungiswa kwesigaba emazingeni amaningi e-vertebral, amandla okulungisa angasatshalaliswa ngokulinganayo, asekele ibhalansi yomgogodla futhi anciphise ukucindezeleka kwemishini kumaphuzu okulungisa ngamanye.
Ama-implants alandelayo asetshenziswe ngesikhathi senqubo:
6.0 I-Polyaxial Pedicle Screw
6.0 I-Crosslink-I (SW3.5)

Lezi zingxenye zasebenza kanye nezinduku zomgogodla ukuze zinikeze isakhiwo esizinzile se-posterior spinal fusion esifanele ukulungiswa kwe-adolescent scoliosis.
I I-Spinal Pedicle Screw Isethi yamathuluzi esetshenziswa e-Dhaka Central International Medical College & Hospital ihlanganisa:
Amathuluzi okufaka isikulufu se-Pedicle
Amathuluzi okulinganisa izinduku, ukugoba, nawokufaka
Izinsimbi ze-Crosslink nezixhumi
Amathuluzi okulungisa amathambo nokunciphisa

Ukuklama kwayo kwe-ergonomic kusiza odokotela abahlinzayo e-Bangladesh nakwezinye izifunda ukuthi benze ukulungiswa kwe-scoliosis okuyinkimbinkimbi ngokuphumelelayo nangokuphepha, ukunciphisa isikhathi sokusebenza nokusekela ukubekwa kwesikulufa okunembile.
I-postoperative imaging ibonise ukulungiswa komgogodla okuthuthukisiwe uma kuqhathaniswa nesimo sangaphambi kokuhlinzwa. Ukwakhiwa kokulungisa kubonakale kuzinzile, kusekela ukulungiswa okuhlosiwe. Ngokusho kwethimba labahlinzayo, isiguli sibonise ukululama okwanelisayo ngemva kokuhlinzwa, ngaphandle kwezinkinga ezihlobene nokulungiswa ngokushesha okubikiwe.

Leli cala lokulungiswa kwe-scoliosis elivela e-Dhaka, e-Bangladesh libonisa ukusetshenziswa komtholampilo kwesistimu yesikulufu se-pedicle engu-6.0mm ekuhlinzekweni kokukhubazeka komgogodla kwentsha. Ikesi ligqamisa izici ezibalulekile ezihlanganisa ukulungiswa kwesigaba, ukulungiswa kokukhubazeka okulawulwayo, nokuqondanisa okuzinzile kwangemva kokuhlinzwa.
Amacala anjalo ahlinzeka ngereferensi ebalulekile yodokotela abahlinzayo bamathambo nabasabalalisi abafuna izixazululo ezinokwethenjelwa zokulungisa umgogodla wokulungiswa kokukhubazeka ezindaweni ezihlukahlukene zomtholampilo.
Leli cala lalihilela ukwelashwa kokuhlinzwa kwe-adolescent scoliosis, ukukhubazeka komgogodla okubonakala ngokugoba okungavamile komgogodla.
Ukuhlinzwa kwenziwa esibhedlela sendawo samathambo eDhaka, eBangladesh.
Isistimu yesikulufu se-pedicle engu-6.0mm yakhethwa ukuze inikeze ukulungiswa kwesigaba esizinzile futhi isekele ukulungiswa kwezinhlangothi ezintathu zokukhubazeka komgogodla.
Izikulufu ze-Polyaxial pedicle zivumela ukuxhumana kwenduku okulula nokulungiswa kokuqondisa, okuzuzisa ezinkambisweni eziyinkimbinkimbi zokulungisa ukukhubazeka komgogodla.
I-crosslink ingasiza ukuthuthukisa ukuzinza kokwakhiwa ngokuthuthukisa ukumelana namandla ajikelezayo, kuye ngesu lokulungisa kanye namazinga okuhlinzwa ahilelekile.
Ukulungiswa komgogodla kwahlolwa kusetshenziswa izifundo ze-imaging ngaphambi kokuhlinzwa kanye nokuhlolwa kwe-radiographic kwangemva kokuhlinzwa ukuze kuqinisekiswe ukulungiswa nokuzinza kokulungiswa.
I-imaging ye-postoperative ibonise ukulungiswa komgogodla okuthuthukisiwe, futhi isiguli sabonisa ukutakula okwanelisayo ngokulungiswa okuzinzile kwangaphakathi.
Yebo, izinhlelo ze-pedicle screw-rod zisetshenziswa kakhulu ekuhlinzweni kwe-adolescent scoliosis ngenxa yekhono lazo lokuhlinzeka ngokulungiswa okuthembekile nokulungiswa kokukhubazeka okulawulwayo.