Utyando lweLumbar oluNcinci – Ukusetyenziswa kweNkqubo yokuBuyisa iTubular ukuze kugqitywe utyando lweLumbar Decompression

I-spinal stenosis kunye ne-disc herniation zezona zinto zixhaphakileyo zokucinezelwa kweengcambu zemithambo-luvo kunye ne-radiculopathy. Iimpawu ezifana nentlungu yomqolo nemilenze ngenxa yolu qela lwezi ngxaki zinokwahluka kakhulu, okanye zingabi nazimpawu, okanye zibe qatha kakhulu.

Izifundo ezininzi zibonise ukuba utyando lokukhulula uxinzelelo xa unyango olungelulo utyando alusebenzi kakuhle luphumela kwiziphumo ezilungileyo zonyango. Ukusetyenziswa kweendlela ezingangenisi kakhulu kunokunciphisa iingxaki ezithile emva kotyando kwaye kunokunciphisa ixesha lokuchacha kwesigulana xa kuthelekiswa notyando lwendabuko lokukhulula uxinzelelo lwe-lumbar.

Kwiphepha lakutshanje le-Tech Orthop, uGandhi nabanye abavela kwiDrexel University College of Medicine banika inkcazo eneenkcukacha zokusetyenziswa kweTubular Retraction System kutyando lwe-lumbar decompression olungenasithintelo kangako. Eli nqaku lifundeka kakhulu kwaye lixabisekile ekufundeni. Iingongoma eziphambili zeendlela zabo zotyando zichazwe ngokufutshane ngolu hlobo lulandelayo.

Umfanekiso 1. Iikliphu ezibambe inkqubo yokurhoxiswa kweTubular zibekwe kwibhedi yotyando kwicala elinye nogqirha onyangayo, ngelixa i-C-arm kunye ne-microscope zibekwe kwicala elifanelekileyo ngokwendlela elibekwe ngayo igumbi.

Umfanekiso 2. Umfanekiso we-Fluoroscopic: iiphini zokubeka umqolo zisetyenziswa ngaphambi kokuba kwenziwe utyando ukuqinisekisa ukuba utyando lubekwe kakuhle.

Umfanekiso 3. Ukusikwa kwe-parasagittal kunye nechaphaza eliluhlaza okwesibhakabhaka eliphawula indawo ephakathi komgca.

Umfanekiso 4. Ukwandiswa kancinci kancinci kwesithintelo ukuze kwenziwe umjelo wotyando.

Umfanekiso 5. Ukubekwa kweNkqubo yokuBuyisa iTubular nge-X-ray fluoroscopy.

Umfanekiso 6. Ukucocwa kwezicubu ezithambileyo emva kokuhlinzwa ukuqinisekisa ukubonakala kakuhle kweempawu ezisemathanjeni.

Umfanekiso 7. Ukususwa kwezicubu zediski ezivelelayo ngokufaka i-pituitary bite forceps

Umfanekiso. 8. Ukunciphisa uxinzelelo nge-grinder drill: indawo iyaguqulwa kwaye amanzi afakwa ukuze kuhlanjwe intsalela yethambo kwaye kuncitshiswe ubungakanani bomonakalo wobushushu obubangelwa bubushushu obuveliswa yi-grinder drill.

Umfanekiso 9. Ukufakwa kwe-local analgesic esebenza ixesha elide kwindawo yokusikwa ukunciphisa iintlungu zokusika emva kotyando.

Ababhali bagqibe kwelokuba ukusetyenziswa kwenkqubo yokurhoxisa iTubular kwi-lumbar decompression ngeendlela ezingaphantsi kakhulu kuneengenelo ezinokubakho kunotyando lwendabuko lwe-open lumbar decompression. Indlela yokufunda iyalawuleka, kwaye uninzi loogqirha botyando banokugqiba amatyala anzima ngokuthe ngcembe ngenkqubo yoqeqesho lwesidumbu, ukuthunga, kunye nokuziqhelanisa ngezandla.

Njengoko obu buchwephesha buqhubeka bukhula, kulindeleke ukuba oogqirha botyando bakwazi ukunciphisa ukopha ngotyando, iintlungu, amazinga osulelo, kunye nokuhlala esibhedlele ngeendlela zokunciphisa uxinzelelo oluncinci.