I-Case Study: Ukuhlinzwa Kokulungiswa Kwe-Scoliosis e-Dhaka, e-Bangladesh Kusetshenziswa i-6.0mm Pedicle Screw System

Ingemuva Lomtholampilo

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 eDhaka, e-Bangladesh , ehlanganisa isiguli sesifazane esineminyaka engu-14 esitholakala ukuthi sine-adolescent scoliosis. Inhloso yokuhlinza kwakuwukulungisa ukukhubazeka komgogodla, ukubuyisela ukuhleleka komgogodla, nokuzuza ukulungiswa okuzinzile kwangaphakathi kusetshenziswa i- 6.0mm pedicle screw-rod system..

Iphrofayili Yesiguli Nokuhlola Ngaphambi Kokuhlinzwa

Isiguli sethulwe ngokutholwa komtholampilo kanye ne-radiographic okuhambisana ne-scoliosis. Ukuhlolwa kwe-imaging yangaphambi kokuhlinzwa kwenziwa ukuze kuhlolwe izici zokugoba komgogodla kanye nokusekela ukuhlelwa kokuhlinzwa. Lokhu kuhlola kwasiza ithimba labahlinzayo ukuba linqume amazinga afanele okulungisa kanye nesu lokulungisa.

Njengoba kunikezwe iminyaka yesiguli kanye nezici zokukhubazeka, ukufeza ukulungiswa okulawulwayo ngenkathi kugcinwa ukuzinza kwangemva kokuhlinzwa kwaba ukucatshangelwa okuyinhloko. Uhlelo lokuhlinza lugxile ekulungisweni kwesigaba kanye nokulungiswa kokuqondanisa kancane kancane kusetshenziswa i-pedicle screw instrumentation.

Isu Lokuhlinza kanye Nomqondo Wokulungisa

Kule nqubo yokulungiswa kwe-scoliosis, isistimu ye-screw ye-6.0mm ye-pedicle ikhethiwe njengesixazululo sokuqala sokulungisa. I-Pedicle screw-rod constructs isetshenziswa kabanzi 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.

Izicaciso zokufakelwa ezisetshenziswa kuleli cala

Ama-implants alandelayo asetshenziswe ngesikhathi senqubo:

1. 6.0 I-Polyaxial Pedicle Screw

2. 6.0 I-Crosslink-I (SW3.5)

   
   

   
   

Lezi zingxenye zasebenza kanye nezintambo zomgogodla ukuze zinikeze isakhiwo esizinzile se-posterior spinal fusion esifanele ukulungiswa kwe-adolescent scoliosis.

I-Instrument Setha Uhlolojikelele

I I-Spinal Pedicle Screw Instrument Set 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

Umklamo wayo we-ergonomic usiza odokotela abahlinzayo e-Bangladesh nakwezinye izifunda ukuthi benze ukulungiswa kwe-scoliosis okuyinkimbinkimbi ngokuphumelelayo nangokuphepha, ukunciphisa isikhathi sokusebenza nokusekela ukubekwa kwesikulufa okunembile.

Ukuhlolwa Kwangemva Kokuhlinzwa kanye Nomphumela

I-postoperative imaging ibonise ukulungiswa komgogodla okuthuthukisiwe uma kuqhathaniswa nesimo sangaphambi kokuhlinzwa. Ukwakhiwa kokulungisa kubonakale kuzinzile, kusekela ukulungiswa okuhlosiwe. Ngokusho kwethimba elihlinzayo, isiguli sibonise ukululama okwanelisayo ngemva kokuhlinzwa, ngaphandle kwezinkinga ezihlobene nokulungiswa ngokushesha okubikiwe.

Isifinyezo Sokuhlinzwa kanye Nokubaluleka Komtholampilo

Leli cala lokulungiswa kwe-scoliosis elivela e-Dhaka, e-Bangladesh libonisa ukusetshenziswa komtholampilo kwesistimu yesikulufu se-pedicle engu-6.0mm ekuhlinzekweni kokukhubazeka komgogodla osemusha. 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.

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