Opaleshoni ya Opaleshoni ndi Tsamba ndizovuta komanso zotheka kupewa. Malinga ndi ntchito yolumikizirana yovomerezeka pakuvomerezeka kwa mabungwe azaumoyo, zolakwa zoterezi zimatha kupangidwa mpaka 41% ya Orthopdic / Pediatric maopaleshoni. Kwa opaleshoni ya msana, vuto la opaleshoni limachitika gawo la vertebral kapena chofanizira sizolondola. Kuphatikiza pa kulephera kuthana ndi matenda a wodwalayo komanso matenda olakwika amatha kuyambitsa matenda atsopano monga disc cenger kapena stalsity studmptation kapena zigawo zabwino.
Palinso nkhani zalamulo zokhudzana ndi zolakwa za msana, komanso pagulu, mabungwe aboma, mabungwe aboma, ndi magulu a maopaleshoni samvera zolakwika zotere. Ochita opaleshoni ambiri a msana, monga Disctoctommy, fusion, laminectimy kufooketsa, ndipo Kyphoplasty, amachitidwa pogwiritsa ntchito njira zam'mbuyo, ndikuyika moyenera. Ngakhale kuti maluso omwe akuganizapo kanthu, zolakwika zolumikizira zimachitika, zomwe zimakhala ndi ziwonetsero zochokera ku 0.032% mpaka 15% yomwe ili m'mabuku. Palibe chomaliza kuti ndi njira iti yolondola kwambiri.
Ophunzira ku Dipatimenti ya Opaleshoni ya Orthopdic paphiri la Sinayi mafunso. Phunziroli lidachitidwa pogwiritsa ntchito mafunso olumikizidwa kwa mamembala a kumpoto kwa North America (kuphatikizapo madokotala opanga ma Orthopedic ndi neurosurgeon). Funsolo lidatumizidwa kamodzi, monga momwe amalimbikitsira Soth America ku North America. Madokotala 2338 omwe adalandira, 532 adatsegula ulalo, ndipo 173 (7.4% Yankho) adamaliza mafunso. Asanu ndi awiri mphambu awiri mphambu awiri opangira ma Orthopedic, 28% anali a neurosurgeon, ndipo 73% anali asing'anga a msana pophunzitsa.
Funsolo linali ndi mafunso 8 (mkuyu. 1) Kuphimba njira zomwe zimagwiritsidwa ntchito poyerekeza (zonse zomwe zimapangitsa kuti zikhalepo), zomwe zimapangitsa kuti zikhale zolakwika), komanso mayanjano olakwika. Funso silinali woyendetsa kapena kutsimikizika. Funsolo limalola mayankho angapo.
Chithunzi 1 Mayankho 8 kuchokera pafunso. Zotsatira zake zinawonetsa kuti njira ziwiri zam'madzi zinali njira yomwe imagwiritsidwa ntchito kwambiri kwa porpir thoric ndi 89% ndi 86%, motero ma radiography (54%, motero, motero, motero, motero, motsatana). Madokotala 76 amasankha kugwiritsa ntchito njira zonse ziwiri pakumangirira. Makina ozungulira komanso malembedwe omwe amagwiritsidwa ntchito kwambiri amagwiritsidwa ntchito kwambiri kwa thoracic ndi lumbar msana (67% ndi 59%), kenako 52%) (mkuyu.). 68% ya madotolo adavomereza kuti adapanga zolakwa za kuderali m'machitidwe awo, zomwe ena mwa iwo adawongoleredwa (mkuyu. 3).
Mkuyu. 2 Kulingalira ndi anatomication njira zomwe zimagwiritsidwa ntchito.
Mkuyu. 3 dokotala komanso udritatiatic alangidwe ochita opaleshoni.
Pakulakwitsa kwa madokotala, 56% ya madokotala awa adagwiritsa ntchito ma radiograph otsogola ndi 44% amagwiritsa ntchito mbiya ya intraoroscopy. Zifukwa zogwiritsira ntchito zothandizira pokonzekera zolakwazi zinali zowoneka bwino zodziwika bwino (mwachitsanzo, nthiti zam'madzi zam'madzi zomwe zidachitika (zonyansa), komanso zowoneka bwino za X-ray). Zomwe zimayambitsa zolakwa zomwe zikuchitika polemba zimaphatikizapo kulankhulana mokwanira ndi phylooscopist, kulephera kwa singano pambuyo pa nthiti (Lumbar 3/4).
Mkuyu. 4 Zifukwa 4 zothandizira komanso zolakwa za anthu wamba.
Zotsatira zomwe zili pamwambazi zikuwonetsa kuti ngakhale pali njira zambiri zomangiridwira, makamaka ma opaleshoni ambiri amangogwiritsa ntchito ochepa okha. Ngakhale zolakwika zochitira opaleshoni ndizosowa, moyenera sizikupezeka. Palibe njira yokhayo yothetsera zolakwika izi; Komabe, kupatula nthawi yochita ndikuzindikiritsa zomwe zimachitika chifukwa cholakwitsa kuchepetsa zolakwa za opaleshoni mu thoctolombala msana.
Post Nthawi: Jul-24-2024
