Sistimi ea ho phekola masapo e bolela sete ea mekhoa ea bongaka le mekhoa e sebelisoang ho phekola le ho lokisa masapo, manonyeletso le mathata a mesifa. E kenyelletsa mefuta e fapaneng ea lisebelisoa, lisebelisoa le mekhoa e etselitsoeng ho tsosolosa le ho ntlafatsa ts'ebetso ea masapo le mesifa ea mokuli.
I. Sistimi ea matla ea masapo ke eng?
Sistimi ea matla a masapo e kenyelletsa haholo-holo lintlha tse latelang:
1. Lisebelisoa tsa ho buoa: Hangata opereishene ea masapo e hloka tšebeliso ea lisebelisoa tse khethehileng, tse kang scalpels, li-drill tsa masapo, jj. Lisebelisoa tsena li ka thusa lingaka ho etsa mekhoa ea ho buoa masapong le manonyeletsong, ho kenyeletsoa ho tlosa lisele tse senyehileng tsa masapo le ho lokisa maqeba a robehileng.
2. Manonyeletso a maiketsetso: Ha ho na le tshenyo kapa bolwetse ka hara lenonyeletso, ngaka e ka kgetha ho kenya lenonyeletso la maiketsetso ho nkela lenonyeletso le senyehileng sebaka. Manonyeletso a maiketsetso a ka kgutlisetsa tshebetso e tlwaelehileng ya manonyeletso le ho fokotsa bohloko le ho se phutholohe ha bakudi.
3. Sesebediswa sa ho lokisa masapo ka ntle: Sesebediswa sa ho lokisa masapo ka ntle ke sesebediswa se sebediswang ho lokisa masapo, hangata se entswe ka nale ya tshepe ya masapo le foreimi ya kantle. Se ka sebediswa mekgweng e kang ho robeha masapo, ho lelefatsa masapo le ho a kenya ka hara epiphyseal. Sesebediswa sa ho lokisa masapo ka ntle se tsitsisa masapo mme se kgothaletsa phodiso le kgolo ya dinama tsa masapo.
4. Kalafo ea 'mele: Kalafo ea 'mele ke kalafo ea mathata a masapo le mesifa ka ho sebelisa matla a mechine le matla a 'mele. Mekhoa e tloaelehileng ea phekolo ea 'mele e kenyelletsa phekolo ea mocheso, phekolo ea serame, ho silila, ho hula ka thata, phekolo ea electrotherapy, phekolo ea ultrasound, jj. Mekhoa ena ea phekolo e ka fokotsa bohloko, ea ntlafatsa phallo ea mali, ea matlafatsa mesifa le ho khothalletsa pholiso ea masapo.
Qetellong, litsamaiso tsa ho sebetsana le masapo ke sete ea mekhoa ea bongaka ea ho phekola le ho lokisa mathata a masapo, manonyeletso le mesifa ka lisebelisoa tsa ho buoa, manonyeletso a maiketsetso, li-fixator tsa kantle le phekolo ea 'mele. E ka thusa bakuli ho tsosolosa ts'ebetso e tloaelehileng ea masapo le mesifa le ho ntlafatsa boleng ba bophelo.
II. Lingaka tse buoang li sebelisa mekhoa efe ea ho ikoetlisa?
Mekhoa ea ho thiba ka motlakase e sebelisoang opereisheneng ea masapo e ka aroloa ka mefuta e meraro: Motlakase, Pneumatic le Betri. Mekhoa ea ho thiba ka betri e na le melemo e ikhethang ho feta mekhoa e meng, empa mekhoa ea khoebo ea ho thiba ka betri ea Orthopedic (OBD) e bitsa chelete e ngata haholo.
Ho buuoa ka masapo ke lefapha la bongaka le phekolang tsamaiso ea masapo le lisele tse bonolo tse amanang le tsona tse kang mesifa, li-tendon le ligaments. Ts'ebetso sebakeng sena e hloka ho nepahala ho hoholo le lisebelisoa tse khethehileng. Sehloohong sena, ho hlahisoa tataiso e rutang mabapi le lisakha tsa masapo le likotoana tsa ho phunya, e leng lisebelisoa tsa bohlokoa tse sebelisoang ho buuoa ka masapo.
Lisakha le li-drill tsa masapo ke lisebelisoa tsa bongaka tse etselitsoeng opereishene ea masapo ka ho khetheha. Lisebelisoa tsena li sebelisoa liopereisheneng tse fapaneng, tse kang ho lokisa masapo a robehileng opereisheneng ea masapo, ho beha li-prostheses, kapa ho tlosa likotoana masapong, le ho hohela tlhokomelo ka lebaka la ho nepahala ha tsona ho phahameng le litšobotsi tsa polokeho.
Lisakha tsa masapo: Lisakha tsa masapo li sebelisoa haholo ho seha kapa ho bopa masapo. Sesebelisoa sena se na le lehare le potolohang ka lebelo le phahameng 'me le ka sebelisoa ka lebelo le tlase kapa le phahameng ho latela matla a sebelisoang ke ngaka e buoang nakong ea opereishene. Ho latela litlhoko tsa mosebetsi, boholo le libopeho tse fapaneng tsa mahare li ka sebelisoa. E etselitsoe ka ho khetheha ho baka tšenyo e nyane lesapong le ho potlakisa ts'ebetso ea pholiso nakong ea ts'ebetso ea ho seha.
Mechini ea ho phunya masapo: Mechini ea ho phunya masapo e etselitsoe ka ho khetheha ho phunya masoba masapong. Sesebelisoa sena se bapala karolo ea bohlokoa maemong ao li-prostheses kapa li-screw li hlokang ho kenngoa pakeng tsa masapo. Mechini ea ho phunya masapo e fumaneha ka maemo a fapaneng a lebelo le litheko tse fapaneng bakeng sa ho phunya ka nepo. Mechini ena ea ho phunya masapo e fumaneha ka bobeli ka letsoho le ka motlakase 'me e ka khethoa ho latela litlhoko tsa ngaka e buoang.
Tšebeliso ea lisakha le li-drill tsa masapo e fapana ho latela mofuta oa opereishene le boemo ba bophelo bo botle ba mokuli. Lisebelisoa tsena li lokela ho sebelisoa feela ke litsebi tsa tlhokomelo ea bophelo tse koetlisitsoeng. Tšebeliso e nepahetseng le e sebetsang ea lisebelisoa tsa opereishene ea masapo e ka ba le tšusumetso e ntle ts'ebetsong ea ho hlaphoheloa ha mokuli ka mor'a opereishene, e leng se eketsang sekhahla sa katleho ea opereishene.
Qetellong, lisakha tsa masapo le likotoana tsa ho phunya ke lisebelisoa tsa bohlokoa opereisheneng ea masapo 'me li bapala karolo ea bohlokoa ts'ebetsong e sireletsehileng le e atlehileng ea liopereishene tsena. Ka thuso ea lisebelisoa tsena tsa theknoloji, lingaka li ka etsa liopereishene tse amanang le masapo ka ho nepahala le ka bokgabane bo boholo, li potlakisa ts'ebetso ea ho hlaphoheloa ha mokuli le ho fokotsa kotsi ea mathata a ka bang teng.
III.Sesebelisoa sa Stryker ke eng?
Stryker Corporation ke koporasi ea mahlale a bongaka ea machaba ea Amerika e Kalamazoo, Michigan.[2] Lihlahisoa tsa Stryker li kenyelletsa li-implant tse sebelisoang ho buuoeng manonyeletso le ho buuoa ka likotsi; lisebelisoa tsa ho buoa le litsamaiso tsa ho tsamaea tsa opereishene; litsamaiso tsa endoscopic le tsa puisano; lisebelisoa tsa bongaka tsa ho sebetsana le bakuli le tsa tšohanyetso; lisebelisoa tsa ho buoa methapo ea kutlo, methapo ea kutlo le tsa mokokotlo; hammoho le lihlahisoa tse ling tsa lisebelisoa tsa bongaka tse sebelisoang mesebetsing e fapaneng ea bongaka.
United States, boholo ba lihlahisoa tsa Stryker li rekisoa ka kotloloho ho lingaka, lipetlele le litsing tse ling tsa tlhokomelo ea bophelo. Machabeng, lihlahisoa tsa Stryker li rekisoa linaheng tse fetang 100 ka makala le makala a thekiso a nang le lik'hamphani hammoho le barekisi le barekisi ba mekhatlo ea boraro.
Stryker o arola litlaleho tsa bona ka likarolo tse tharo tsa khoebo tse ka tlalehoang: Orthopedics, Medical and Surgical (MedSurg), le Neurotechnology le Spine.[3]
●Lihlahisoa tsa masapo li entsoe haholo-holo ka li-implant tse sebelisoang ho nkela manonyeletso a letheka le lengole sebaka le liopereishene tsa likotsi le tsa maoto sebaka.
●Lihlahisoa tsa MedSurg li kenyelletsa lisebelisoa tsa ho buoa le litsamaiso tsa ho tsamaisa litsamaiso tsa ho buoa (Lisebelisoa); litsamaiso tsa endoscopic le tsa puisano (Endoscopy); lisebelisoa tsa bongaka tsa ho sebetsana le bakuli le tsa tšohanyetso (Bongaka); le lisebelisoa tsa bongaka tse sebetsitsoeng bocha le tse entsoeng bocha hammoho le lihlahisoa tse ling tsa lisebelisoa tsa bongaka tse sebelisoang mesebetsing e fapaneng ea bongaka.
●Lihlahisoa tsa Stryker Neurotechnology le Spine li kenyelletsa lethathamo la lihlahisoa tse kenyeletsang lisebelisoa tsa neurosurgical le tsa neurovascular. Thepa ea bona ea neurotechnology e kenyelletsa lihlahisoa tse sebelisetsoang mekhoa ea endovascular e sa keneleng hantle, hammoho le letoto la lihlahisoa tsa mekhoa ea setso ea ho buoa ea boko le ea lehata le bulehileng, lihlahisoa tsa orthobiologic le biosurgical ho kenyeletsoa le li-graft tsa masapo a maiketsetso le lihlahisoa tsa ho eketsa lesapo la mokokotlo, hammoho le lihlahisoa tse sa keneleng hantle bakeng sa kalafo ea stroke e matla ea ischemic le hemorrhagic. Stryker e boetse e nts'etsapele, e etsa le ho rekisa lihlahisoa tsa ho kenya lesapo la mokokotlo ho kenyeletsoa le litsamaiso tsa molomo oa mokokotlo, thoracolumbar le interbody tse sebelisoang kalafong ea kotsi ea lesapo la mokokotlo, ho holofala le ho senyeha ha methapo.[4]
VI. Ke lisebelisoa life tse sebelisoang ho tsa masapo?
Lefatšeng la tlhahiso ea lisebelisoa tsa bongaka tsa masapo, ho nepahala le ho tšepahala lia hlokahala. Ho Meridian Medical, re ikemiselitse karolo ea rona re le moetsi ea ka sehloohong oa lisebelisoa tsa bongaka tse sebelisoang hang feela, ka nalane e ruileng ea ho fana ka lisebelisoa tse ikhethang tsa masapo tse lahloang ho tse ling tsa lik'hamphani tse tummeng ka ho fetisisa UK.
Disebediswa tsa masapo ke disebediswa tsa bongaka tse etseditsweng ho phekola kapa ho thibela dikotsi tsa mesifa le masapo kapa mathata a bakwang ke kotsi, maemo a tswalo le lefu le senyehang. Di tshehetsa kapa di nkela mesifa, lefufuru, manonyeletso kapa masapo sebaka, hammoho le tshebetso ya tsosoloso kamora opereishene.
Ha ho tluoa tabeng ea tšebeliso e le 'ngoe, ho na le mefuta e 'maloa ea lisebelisoa tsa masapo, ho kenyeletsoa:
●lisebelisoa tsa ho buoa tse lahloang
●li-implant tsa masapo tse kang likurufu, lipoleiti, lipini le lithupa tse etselitsoeng tšebeliso ea nakoana
●lisebelisoa tse lahloang tse kang li-splint le li-cast
●lisebelisoa tsa arthroscopic tse kang li-bur, li-shaver tse lahloang le mahare a sebelisoang bakeng sa opereishene ea lesoba la senotlolo ho phekola manonyeletso
●lisebelisoa tsa ho kenya masapo tse kang li-cannula le li-syringe tse lahloang
Mokhoa oa ho sebelisa lisebelisoa tsa masapo hanngoe feela o hlahisa melemo e mengata bakeng sa lipetlele le litsebi tsa tsona tsa tlhokomelo ea bophelo bo botle ba masapo le bakuli ka ho tšoana. Ho amoheloa ha lisebelisoa tsa bongaka tsa masapo tse lahloang indastering ea tlhokomelo ea bophelo ho fokolitse litšenyehelo tse bakoang ke tšebeliso ea likamore tse se nang likokoana-hloko, mosebetsi oa matsoho, ho robeha le thepa e sebelisoang hangata le lisebelisoa tsa setso kapa tse sebelisoang hangata. Ho se be le likokoana-hloko ho tiisitsoeng ha lisebelisoa tsa masapo tse sebelisoang hanngoe feela ho eketsa polokeho, ho tlosa kotsi ea tšilafalo e fapaneng le tšoaetso, ka hona ho sireletsa polokeho ea mokuli. Meralo e ikhethileng ea ts'ebetso ea lisebelisoa tse joalo e netefatsa boleng le ts'ebetso e tsitsitseng, e fokotsa monyetla oa ho se sebetse hantle.
Nako ea poso: Tshitwe-09-2024
