I-stenosis yomgogodla kanye ne-disc herniation yizimbangela ezivame kakhulu zokucindezelwa kwezimpande ze-lumbar nerve kanye ne-radiculopathy. Izimpawu ezifana nobuhlungu bomhlane nomlenze ngenxa yaleli qembu lezifo zingahluka kakhulu, noma zingabi nezimpawu, noma zibe zimbi kakhulu.
Izifundo eziningana zikhombisile ukuthi ukuhlinzwa kokunciphisa ukucindezeleka lapho ukwelashwa okungekona ukuhlinzwa akuphumelelanga kuphumela emiphumeleni emihle yokwelapha. Ukusetshenziswa kwamasu angangenisi kakhulu kunganciphisa izinkinga ezithile zangaphambi kokuhlinzwa futhi kunganciphisa isikhathi sokululama kwesiguli uma kuqhathaniswa nokuhlinzwa okuvamile kokunciphisa ukucindezeleka kwamalungu entanyeni.
Kumagazini wakamuva we-Tech Orthop, uGandhi nabanye baseDrexel University College of Medicine banikeza incazelo eningiliziwe yokusetshenziswa kwe-Tubular Retraction System ekuhlinzeni kwe-lumbar decompression okungangenisi kakhulu. Lesi sihloko sifundeka kakhulu futhi siwusizo ekufundeni. Amaphuzu ayinhloko amasu abo okuhlinza achazwe kafushane kanje.
Isithombe 1. Ama-clamp abambe uhlelo lokuhoxisa i-Tubular abekwe embhedeni wokuhlinzwa ohlangothini olufanayo nodokotela ohlinzayo, kuyilapho i-C-arm kanye ne-microscope kubekwe ohlangothini olulula kakhulu ngokwendlela igumbi elihlelwe ngayo.
Isithombe 2. Isithombe se-Fluoroscopic: izikhonkwane zokubeka umgogodla zisetshenziswa ngaphambi kokwenza ukusika ngokuhlinzwa ukuqinisekisa indawo efanele yokusika.
Isithombe 3. Ukusikwa kwe-parasagittal okunechashazi eliluhlaza okwesibhakabhaka eliphawula indawo ephakathi nendawo.
Isithombe 4. Ukwandiswa kancane kancane kwesibazi ukudala isiteshi sokuhlinza.
Umfanekiso 5. Ukubekwa kweSistimu Yokuhoxiswa Kwe-Tubular nge-X-ray fluoroscopy.
Isithombe 6. Ukuhlanzwa kwezicubu ezithambile ngemva kokuhlinzwa ukuze kuqinisekiswe ukuthi izindawo eziphawulekayo ezinamathambo zibonakala kahle.
Isithombe 7. Ukususwa kwezicubu zediski eziphumayo ngokusebenzisa i-pituitary bite forceps
Isithombe. 8. Ukunciphisa ukucindezeleka nge-grinder drill: indawo iyashintshwa bese kufakwa amanzi ukuze kuhlanzwe ukungcola kwamathambo futhi kuncishiswe izinga lomonakalo wokushisa ngenxa yokushisa okukhiqizwa yi-grinder drill.
Isithombe 9. Ukufakwa kwesidakamizwa sokudambisa ubuhlungu sendawo esisebenza isikhathi eside endaweni yokusikwa ukuze kuncishiswe ubuhlungu bokusikwa ngemva kokuhlinzwa.
Abalobi baphetha ngokuthi ukusetshenziswa kohlelo lokuhoxisa i-Tubular ekuqedeni ukucindezeleka kwe-lumbar ngokusebenzisa amasu angangenisi kakhulu kunezinzuzo ezingaba khona kunokuhlinzwa kwe-lumbar okuvulekile okujwayelekile. Indlela yokufunda iyalawuleka, futhi odokotela abaningi abahlinzayo bangaqeda kancane kancane amacala anzima ngenqubo yokuqeqeshwa kwesidumbu, ukufihla, kanye nokuzijwayeza ukwenza izinto ngezandla.
Njengoba ubuchwepheshe buqhubeka nokukhula, odokotela abahlinzayo kulindeleke ukuthi bakwazi ukunciphisa ukopha ngokuhlinzwa, ubuhlungu, amazinga okutheleleka, kanye nokuhlala esibhedlela ngamasu okunciphisa ukucindezeleka angangenisi kakhulu.
Isikhathi sokuthunyelwe: Disemba 15-2023
