Umfowunelwa wokuthengwa kwempahla esibhedlele kwaye akubuze ukuba uphethe isikrufu esincinci se-pedicle. Okwangoku usasaza iinkqubo zokudibanisa ezivulekileyo - i-SecuFix okanye i-ValuFix-type-screw screw constructs - kwaye bebethengisa kakuhle. Ngoku uyazibuza ukuba ukongeza umgca we-MIS kulufanele na utyalo-mali, okanye kukuphazamiseka kudidi lwemveliso esele lusebenza.
Oku kuza ngaphezu kokuba abasasazi belindele. Ukhetho logqirha lutshintsha kwiimarike ezininzi, kodwa kungekhona ngokufanayo, kwaye kungekhona kuzo zonke iinkqubo. Phambi kokongeza ii-SKUs, kuyanceda ukuqonda ukuba yintoni eyona nto yahlukileyo - ngokwezonyango kunye norhwebo - phakathi kwezi ndlela zimbini.
Yintoni 'MIS' etshintshayo kwiGumbi lokuSebenza
Eli gama lisetyenziswa ngokukhululekileyo, ngoko kufanelekile ukuchaneka. Inkqubo yokwenyani ye-MIS pedicle screw ayiyonto nje encinci yenkqubo evulekileyo. Iiyantlukwano eziphambili zezi:
- Percutaneous screw insertion — izikrufu zingena ngesikhumba esincinci esikhokelwa yi-fluoroscopy, endaweni yokuvezwa kanye okuvulelekileyo ngesihlunu esirhoxayo.
- I-pre-gont or reduction-tab rods - intonga idlula kwi-canulated tower extension system kunokuba ibekwe ngqo kwindawo evulekileyo, yiyo loo nto iinkqubo ze-MIS rod zihlala zigobile ngaphambili.
- I-Cannulated, i-fenestrated screws - i-screw shafts ehollow ivumela ukufakwa okusekwe kwisikhokelo kwaye ngamanye amaxesha ukwandiswa kwesamente kwithambo le-osteoporotic
- I-Tubular retractor okanye i-extension tower instrumentation - esi sisixhobo esenza ukuba ukubekwa kwe-percutaneous kwenzeke, kwaye yinxalenye abasasazi bahlala bejongela phantsi ngokweendleko kunye nobunzima.
Iisistim ezivulekileyo zitsiba konke oku. Ugqirha wotyando unokubonwa ngokuthe ngqo, abafumani be-pedicle abaqhelekileyo kunye neempompo, kunye nentonga ethe tye okanye ejijekileyo eye yancitshiswa ngesandla endaweni. Kukuhamba komsebenzi okusekwe ngakumbi kunye negophe lokufunda elingekho nzulu.
OoGqirha boTyando lweKlinikhi eneneni baKhathalela
Abasasazi akufuneki ukuba babe ngoogqirha botyando, kodwa ukuqonda ukuba yintoni eqhuba ukhetho lotyando kukunceda ube nencoko ethembekileyo kunye nokuthengwa kwempahla kunye nabasebenzi OKANYE.
Iindlela ze-MIS ngokubanzi zinciphisa ukulahleka kwegazi, ukuxhatshazwa kwemisipha, kunye nobude besibhedlele sokuhlala kubaviwa abafanelekileyo - ngokuqhelekileyo i-1-2 inqanaba leemeko eziguquguqukayo ngaphandle kokukhubazeka okukhulu. Leyo yinzuzo yokwenyani yeklinikhi kwaye yiyo loo nto kukho imfuno.
Kodwa i-MIS ayikho ngcono jikelele. Ulwakhiwo olunamanqanaba amaninzi, utyando oluhlaziyiweyo, ulungiso olubalulekileyo lweziphene, kunye namatyala afuna ukuthotywa okubanzi asahlala evuliwe, kuba ukubonwa kunye nokufikelela kumcimbi ungaphezulu kobukhulu bokusika kwezo meko. Ugqirha otyandayo owenza umsebenzi wokukhubazeka ontsonkothileyo usenokuba phantse angasebenzisi inkqubo yesikrufu se-MIS. Ugqirha otyandayo owenza isifo esiwohlokayo kakhulu kwiziko lotyando losuku olunye usenokusebenzisa nantoni na eyenye.
Le yinto yokuqala ekufuneka uyibone ngaphambi kokuba wenze uluhlu: ingaba isiseko sakho sotyando sisebenza ngantoni? Ukongeza umgca we-MIS ukusebenzela ugqirha omnye ogxininise kukukhubazeka ngamanye amaxesha kwimeko ye-1-level sisigqibo esahluke kakhulu kunokongeza kuba oogqirha abathathu kwisibhedlele sakho esiphezulu bayayicela ngeveki.
Apho umahluko weXabiso lokwenyani ubonisayo-kwaye ayilulo uFakelo
Nantsi into ebamba abasasazi bengalindelanga: ixabiso leyunithi nganye yokufakelwa phakathi kwe-MIS kunye neenkqubo ezivulekileyo ze-pedicle screw azohlukanga kakhulu. Umahluko weendleko kwisixhobo.
Inkqubo ye-MIS ifuna iinqaba ezongeziweyo, iintambo ezikhokelayo, iimpompo ezinkonkxiweyo, ii-percutaneous rod passers, kwaye ngokufuthi netreyi yesixhobo ehambelana ne-fluoroscopy eyahlukileyo kwisixokelelwano esivulekileyo. Awongezi nje ii-SKU zokufakelwa kwee-SKU - wongeza isixhobo esipheleleyo esinomjikelezo waso wokuvala inzala, ulawulo lwaso lwetreyi, kunye neendleko zalo ezinkulu ukuba ubonelela ngezixhobo zokuthunyelwa ezibhedlele.
Kumthengisi osele eqhuba uluhlu lwenkqubo evulekileyo, oku kuthetha:
- Isixhobo setreyi esahlukileyo sokulandela umkhondo, ukuvala inzala, kunye nokugcina (okanye ukubonelela njengeseti zomboleki)
- Ixesha elongeziweyo loqeqesho lwabasebenzi OKANYE abakwindibano yenqaba kunye nokuhamba komsebenzi ngepercutaneous
- Inokuba nenkunzi ephezulu ngaphambili ukuba uxhasa ngezimali izixhobo zexesha lolingo esibhedlele
- Ukujika okucothayo kwetyala ukuba unetreyi enye ye-MIS egubungela iiakhawunti ezininzi
Kungenxa yoko le nto abanye abasasazi abongeza imigca ye-MIS bagqibela bedanile ngomda - hayi ngenxa yokuba amaxabiso okufakelwa alibi, kodwa ngenxa yokuba bejonge phantsi ulungiselelo lwezixhobo.
Ecaleni-ngecala: Yintoni etshintshayo kwiFactor yakho yeShishini
| evulekileyo |
ye-Fusion System |
ye-MIS Pedicle Screw System |
| Iitreyi zesixhobo ezifunekayo |
1 itreyi eqhelekileyo |
Iitreyi ezi-1-2 kunye neeseti ze-tower/guidewire |
| Ijiko lokufunda ngogqirha |
Ubuncinci botyando bomqolo abanamava |
Okunentsingiselo - rhoqo 15-20 iimeko ngaphambi kokuthuthuzela |
| Ukuxhomekeka kweFluoroscopy |
Isetyenziswa, kodwa ngaphantsi ngokuqhubekayo |
Kufuphi-ngokuqhubekayo ngexesha lokubeka isikrufu |
| Ukuntsokotha kwemeko efanelekileyo |
Amanqanaba amaninzi, ukukhubazeka, ukuhlaziywa |
Inqanaba le-1-2 le-degenerative, ukukhubazeka okuphantsi |
| Kufuneka izixhobo zesibhedlele |
Standard OKANYE fluoro suite |
Iyafana, kodwa ihlala idityaniswa ne-O-ngalo okanye ukuhambahamba kumaziko omthamo ophezulu |
| Utyalo-mali loqeqesho lwabasasazi |
Phantsi - uninzi lwabaphenduli sele beyazi |
Abaphezulu - abaphenduli bafuna i-tower assembly kunye nenkxaso yecala ngokutyibilikayo |
Imbuyekezo ayisoloko iyivuza i-MIS ngendlela abalindele ngayo ooGqirha
Oku kufanelekile ukuphakamisa ngokuthe ngqo kunye nabafowunelwa esibhedlele ngaphambi kokuba uzinikele kumgca wemveliso, kuba iyahluka kakhulu ngemarike. Kwamanye amazwe kunye neenkqubo zokuhlawula, i-DRG okanye i-bundled payment for a fusion case iyafana nokuba yenziwe ivuliwe okanye i-MIS - isibhedlele sihlawulwa isixa esifanayo, kodwa imeko ye-MIS inokufuna izinto ezichithwayo ezibiza kakhulu (iinqaba zokwandisa, ii-guidewires) kunye neentlawulo ezinokuthi zihlawulwe. Oko kucudisa umda wesibhedlele nangona iziphumo zesigulana zihlala zingcono.
Kwiimarike apho ii-inshorensi zabucala okanye izigulane ezizihlawulelayo zihlawula iprimiyamu kubuchule obungephi, izibhedlele zinenkuthazo ecacileyo yezemali yokwamkela i-MIS. Kwiimarike ezinembuyekezo edityanisiweyo, ukuthathwa kwabantwana kuqhutywa phantse ngokupheleleyo lukhetho lotyando kunye OKANYE nempumelelo, hayi umda wesibhedlele.
Phambi kokuba ufake izixhobo ze-MIS esibhedlele, kufanelekile ukuqonda ukuba leliphi icala laloo mgca imakethi yakho iwela kuyo. Umsasazi othatha i-MIS ngokuzenzekelayo ukuba ukhethwa sisibhedlele ngokoqoqosho unokufumana impendulo ebanda ngokungalindelekanga kwiqela lolawulo lwezixhobo ezigxile kwindleko yemeko nganye.
Indlela ePhakathi: Ukwamkelwa kweHybrid
Uninzi lwabasasazi abongeze ngempumelelo i-MIS abayithathi indawo yesixokelelwano sabo esivulekileyo — baqhuba zombini, kwaye bavumele ukhetho lwemeko lugqibe ukuba yeyiphi esetyenziswayo. Oku kukwaqhelekile ukuba basebenze njani oogqirha botyando ngokwabo: I-MIS yeemeko ezithe ngqo zenqanaba eli-1-2, ivuleleke kuyo nayiphi na into entsokothileyo.
Enyanisweni, oku kuthetha:
- Gcina inkqubo yakho ekhoyo evulekileyo ye-rod-screw njengomgca wekhathalogu ephambili yeemeko ezinzima
- Yongeza izixhobo ze-MIS kuphela xa unogqirha omnye okanye ababini abanemfuno yokwenene, eqhubekayo - hayi umdla oqikelelwayo
- Thetha ngemigaqo yetreyi yesixhobo (umthwalo ngokuchasene nokuthenga) ngononophelo, kuba kulapho umda we-MIS uye wenziwa okanye ulahleke khona.
- Uhlahlo-lwabiwo mali lokwenyani loqeqesho - kubathengisi bakho njengabasebenzi be-OR - kuba inkxaso ye-MIS ifuna ubukho obungakumbi ngexesha lokwamkelwa kwangoko.
Abavelisi ababonelela ngeenkqubo zombini ezivulekileyo (ezifana ne-rod-screw constructs ezifana ne-SecuFix okanye i-ValuFix-type platforms) kunye nomgca we-MIS ohambelanayo - kunye nezixhobo ezenzelwe ukwabelana nge-screw geometry kunye ne-diameter yentonga kuzo zombini - yenza olu tshintsho lube lula kakhulu kunokuba i-juggling implants evela kubaxhasi ababini abanganxulumananga. Isikrufu esihambelanayo kunye neenkcukacha zentonga zithetha ukuba uluhlu lwakho lwempahla aluqhekeki lube ziinkqubo ezimbini ezingahambelaniyo, kwaye iqela lakho lokuthengisa kufuneka lifunde ujongano lomqhubi we-screw endaweni yezimbini.
Imibuzo efanelekileyo ukubuza ngaphambi kokuba wenze uluhlu
- Bangaphi oogqirha botyando kwiiakhawunti zam zangoku ababuza ngenkuthalo i-MIS, xa kuthelekiswa nokuba bangaphi abayikhankanyileyo xa bepasa?
- Yeyiphi ipesenti yomthamo wabo wetyala oya kuthi ngokwenyani itshintshele kwi-MIS - ngaba yi-10% yamatyala okanye yi-60%?
- Ndingayifumana itreyi yesixhobo somthwalo kumenzi wexesha lolingo phambi kokuba ndithenge ngokuthe ngqo?
- Ngaba inkqubo ye-MIS screw yabelana ngejiyometri kunye nenkqubo yam evulekileyo ekhoyo, okanye ngaba ezi zintlu zempahla ezimbini ezahluke ngokupheleleyo zokulawula?
- Ingaba uqeqesho lomenzi kunye nenkxaso yecala ibonakala njani kwiimeko zokuqala ze-10-15?
Ukuba awukwazi ukufumana iimpendulo ezitofotofo kwimibuzo emibini yokuqala, kudla ngokuba ngcono ukuba ulinde. Ukongeza umgca wemveliso osekelwe kwincoko yogqirha wotyando onomdla, ngaphandle kokujonga ukuba loo nto iguqulela kumthamo wemeko yokwenyani, yenye yeendlela ezixhaphake kakhulu abasasazi baphela benoluhlu olungasetyenziswanga behleli kwitreyi eshelufini.
Abasasazi ngoku bavavanya iinketho zeMIS pedicle screw ecaleni kwekhathalogu yabo ekhoyo yomqolo, ukuphonononga okuhambelanayo I-MIS Spinal Fixation Systems egubungela zombini ulwakhiwo oluvulekileyo kunye ne-MIS inokusenza lula esi sigqibo - ngakumbi xa ijiyometri yesikrufu kunye neenkcukacha zentonga kwabelwana ngazo kuyo yonke imigca yemveliso kunokuba kufuneke uluhlu lwempahla olwahluke ngokupheleleyo.
