Nshuti zanjye, dukunze kwakira ibibazo bijyanye no kubaga lumbar fusion: uretse gufunga hakoreshejwe vis, kuki "spacer" ishyirwa hagati y'imibiri ibiri y'umugongo? Ni iki mu by'ukuri, kandi ni iyihe nshingano yayo? Uyu munsi, tugiye gusuzuma "spacer" -ikiraro cyo guhuza uruhu rw'imbere rw'umugongo, bakunze kwita "Akazu".
Ni ikiInteruroutuzu two guhuza?
Itsindacimyakafguhindagurikani agakoresho gakoreshwa mu kubaga uruti rw'umugongo. Akamaro kako ni ugushyirwa hagati y'amagufwa abiri yo mu ruti rw'umugongo mu gihe cyo kubaga, bigafasha amagufwa abiri guhuriza hamwe. Ibi bikongera ubushobozi bw'urutirigongo rw'umugongo kandi bigagabanya ububabare.
Ibikoresho byaikiraro cyo guhuza amagufwa?
Itsindaikiraro cy'umugongoIbikoresho ni byiza cyane, Akazu gakozwe muri polyetheretherketone (PEEK). Ibyiza biri mu kuba gafite ubushobozi bwo guhuza neza amagufwa no koroshya ihuzwa ry’amagufwa.
Ubwoko bungana ikiimplants zo mu kagozi k'umugongoEse dufite?
Dufite ubwoko bubiri bw'utuzu, kamwe ni akazu k'umugongo gagororotse (PLIF Cage) n'indi ni agakingirizo k'umugongo gafite inguni (Ikigega cya TLIF)
Ni ibihe bisobanuro bya PLIF Cage na TLIF Cage?
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Uburebure bwa mm 8* Uburebure bwa mm 22 Uburebure bwa mm 10* Uburebure bwa mm 22 Uburebure bwa mm 12* Uburebure bwa mm 22 Uburebure bwa mm 14* Uburebure bwa mm 22 Uburebure bwa mm 8* Uburebure bwa mm 26 Uburebure bwa mm 10* Uburebure bwa mm 26 Uburebure bwa mm 12* Uburebure bwa mm 26 Uburebure bwa mm 14* Uburebure bwa mm 26
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Uburebure bwa mm 7* 28mm Uburebure Uburebure bwa mm 8* Uburebure bwa mm 28 Uburebure bwa mm 9* Uburebure bwa mm 28 Uburebure bwa mm 10* Uburebure bwa mm 28 Uburebure bwa 11mm* Uburebure bwa 28mm Uburebure bwa mm 12* Uburebure bwa mm 28 Uburebure bwa mm 13* Uburebure bwa mm 28 Uburebure bwa mm 14* Uburebure bwa mm 28
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Ni ubuhe buryo bwo kubaga bwaguhuzacimyaka(Bikoreshwa mu kubaga TLIF cyangwa MIS TLIF)?
1. Gukata Disiki Ukoresheje incision hejuru y'ikirenge, reba foramen hanyuma ukureho ibikoresho bya disiki.
2. Tegura amasahani yo ku mpera hanyuma ushyireho umwanya wo gupakira.
3. Huza akazu k'igerageza gakwiye ku gikoresho gikoreshwa.
4. Shyiramo imashini igerageza mu mwanya wa disiki, urebe neza ko icyerekezo cy'imashini igerageza ari cyiza. Umutwe w'imashini igerageza ugomba kuba ugororotse hagati.
5. Gukoresha inyundo zigenzurwa kandi zoroheje ku gikoresho bishobora gusabwa kugira ngo imashini ikoreshwa mu igerageza ihindure aho iherereye.
6. Kuraho imashini idashobora gukurwaho hanyuma ushyire inyundo ku mpera y'agapfundo k'igikoresho gikoreshwa hamwe n'uburyo bwo gufatanya vuba,Niba ukuyemo akazu k'igerageza, kumanura impeta y'umutekano hanyuma icyarimwe uzungurutse agapfundo k'icyuma gikoresha icyuma kinyuranyije n'isaha kugeza igihe gihagaze.
7. Hitamo hanyuma ushyiremo agasanduku k'amagufwa, hanyuma ushyiremo agasanduku ku gikoresho gikoreshwa
8. Suzuma niba ifatanyirizo ry’implanti rihagaze neza ku gikoresho gikoreshwa. Shyiramo implanti mu mwanya wa disiki, urebe neza ko icyerekezo cy’implanti gikwiye. Isonga ry’implanti rigomba kuba rireba hagati.
9. Gukoresha inyundo nto kandi zigenzurwa ku gikoresho bishobora gusabwa kugira ngo uhindure inyundo mu mwanya wayo wa nyuma. Koresha fluoroscopy mu gihe cyo kuyizunguza kandi wemeze ko inyundo ikwiriye kandi ko ihagaze.
10. Kugira ngo ukureho imashini ishyirwa mu gitereko, kumanura impeta y'umutekano hanyuma mu gihe kimwe uhindukize agapfundo k'icyuma gikoresha icyuma kinyuranyije n'isaha kugeza igihe gihagaze
Igihe cyo kohereza: Ukuboza-29-2025