Humeral Intramedullary Nail Box: Gafe laban
Ni kolotugudaw opereli ko don, a nafa ka bon ka baarakɛminɛn ɲumanw sɔrɔ i bolo walasa ka banabagatɔw ka opereli kɛcogo ɲuman sɔrɔ. O baarakɛminɛn sugu dɔ ye wuluwulu kɛsu ye min bɛ wele ko humeral intramedullary nail box, o ye minɛnw ye minnu dilannen don walasa ka dɛmɛ don ka wuluwulu don wuluwulu kolo la.
Nin gafe in kɔnɔ, an bɛna wuluwulu kɛsu lajɛ kosɛbɛ wuluwulu kɔnɔ ani a yɔrɔ suguyaw, ka fara a baaracogo, a nafaw ani a ladoncogo kan.
1. Kuma daminɛ
Humeral intramedullary nail box ye minɛn caman ye minnu bɛ kɛ ka intramedullary nail don humerus kolo la. A ka c’a la, minɛn suguya caman bɛ nɛgɛso kɔnɔ minnu bɛ nɛgɛ doncogo dɛmɛ, i n’a fɔ ɲɛminɛlanw, jirisunw ani jirisunw.
Nɛgɛ min bɛ kɛ senkɔni kɔnɔ, o kɛli kɔkolo karilenw na, o ye fɛɛrɛ ye min bɛ sɔn a ma kosɛbɛ, min bɛ nɔ ɲumanw di kolo kɛnɛyali ni banabagatɔ kɛnɛyali siratigɛ la. Ni aw bɛ wuluwulu kɛsu kɛ ka ɲɛgɛnɛ kɛ, o bɛ dɛmɛ ka ɲɛtaa sɔrɔ ni operelikɛla ye minɛnw di a ma minnu ka kan walasa ka opereli kɛ ka ɲɛ ani ka a kɛ cogo la min tɛ mɔgɔ tɔɔrɔ.
2. Humeral Intramedullary Nail Box kɔnɔfɛnw
Nin fɛn ninnu bɛ sɔrɔ wuluwulu kɛsu kɔnɔ:
2.1. Guide Files (Kalansenw ɲɛminɛbaga).
Aw bɛ kɛ ni ɲɛjiralanw ye walasa ka dɛmɛ don ka nɛgɛ ɲɛminɛ ka tɛmɛ kɔkolo kolotuguda kɔnɔ. A ka c’a la, ɲɛjiralan ye minɛn fɔlɔ ye min bɛ kɛ wale kɛtuma na, wa a bɛ kɛ sira ye nɛgɛ bɛ tugu min kɔ.
2.2. Reamers (Sɛnɛfɛnw tigɛbagaw).
Reamɛriw bɛ kɛ ka kɔkolo kolotuguda kolotugudaw bonya. Reamers bɛ don guide wire fɛ, wa u bɛ dɛmɛ ka siraba dɔ dilan walasa nɛgɛ ka tugu.
2.3. Drills (Dɛriw) minnu bɛ kɛ
Drills bɛ kɛ ka dingɛ dɔ da sɔgɔsɔgɔninjɛ kolo kɛrɛfɛ ani a kɔkanna na. Dingɛw bɛ sira di walasa ka da tugulanw don minnu bɛ nɛgɛ siri a nɔ na.
2.4. Nail Intramedullaire (Nɛgɛ min bɛ kɛ ɲɛgɛnɛsira kɔnɔ).
Ɲɛgɛnɛsiraw kɔnɔbara ye ɲɛgɛnɛsiralabanaw kɛsu kɔnɔfɛn fɔlɔ ye. Nɛgɛ bɛ don ɲɛjiralan fɛ ka jigin kɔkolo kolotuguda la. Ni nɛgɛ in bilala a nɔ na, da tugulanw bɛ don dingɛw kɔnɔ minnu dabɔra jirisunw fɛ walasa ka nɛgɛ siri a nɔ na.
2.5. Vis-viseur (viseur) ye
Kurukuruni bɛ kɛ ka dakun datugulanw don kɔkolo kolo la. A ka c’a la, burusi bɛ kɛ ni T-bolo ye min bɛ minɛcogo ɲuman di ani min bɛ sira di juruw doncogo tigitigi ma.
3. Baara kɛli ni wuluwulu kɛsu ye min bɛ wele ko Humeral Intramedullary Nail Box
Humeral intramedullary nail box baara bɛ kɛ ni nin wale ninnu ye:
Labɛnni sani opereli ka kɛ: Operelikɛla bɛna banabagatɔ ka rezow ni a ka furakɛli tariku sɛgɛsɛgɛ walasa ka fɛɛrɛ ɲuman dɔn o kɛcogo la.
Anestezi : Anestezi bɛna di banabagatɔ ma walasa a ka to dimi tɛ a la opereli waati.
Tigɛ : Operelikɛla bɛna tigɛ kɛ fari la walasa ka kɔkolo kolo bɔ kɛnɛ kan.
Guide wire donni : Operelikɛla bɛna guide wire don ka tɛmɛ humerus kolo kɔnɔna na.
Reaming: Operelikɛla bɛna baara kɛ ni reamers ye walasa ka intramedullary canal bonya.
Nɛgɛ doncogo : Nɛgɛso kɔnɔna bɛna don ɲɛjiralan fɛ ka jigin ɲɛgɛnɛsira kɔnɔ.
Kuru doncogo : Operelikɛla bɛna baara kɛ ni jirisunw ye walasa ka dingɛw da sɔgɔsɔgɔninjɛ kolo kɛrɛfɛla ni a kɔkanna na, o kɔ, a bɛna baara kɛ ni kurukuruni ye ka kurukuruw don a kɔnɔ walasa ka wulu siri a nɔ na.
Dadon : Operelikɛla bɛna tigɛda datugu ni sutura walima ni sɔgɔsɔgɔninjɛ ye.
4. Nafa minnu bɛ Humeral Intramedullary Nail Box la
Humeral intramedullary nail box bɛ nafa caman lase mɔgɔ ma, i n’a fɔ:
4.1. Opereli kɛcogo ɲuman ɲɛnabɔli
Fɛn caman bɛ sɔrɔ wuluwulu kɔnɔbara kɔnɔ, minnu bɛ dɛmɛ don wuluwulu doncogo la, o bɛ dɛmɛ ka opereli kɛcogo ɲuman ni tiɲɛni kɛ.
4.2. Opereli waati min bɛ dɔgɔya
Ni aw bɛ baara kɛ ni wuluwulu kɛsu ye min bɛ kɛ ni wuluwulu ye, o bɛ se ka dɛmɛ ka opereli waati dɔgɔya, barisa minɛn minnu ka kan ka kɛ o kɛcogo la, olu bɛɛ bɛ kɛsu kɔnɔ.
4.3. Banabagatɔw ka sɔrɔw ɲɛnabɔcogo ɲuman
Nɛgɛ min bɛ kɛ senkɔni kɔnɔ, o kɛli kɔkolo karilenw na, o ye fɛɛrɛ ye min bɛ sɔn a ma kosɛbɛ, min bɛ nɔ ɲumanw di kolo kɛnɛyali ni banabagatɔ kɛnɛyali siratigɛ la.
5. Humeral Intramedullary Nail Box ladonni
Humeral intramedullary nail box bɛ ladonni ɲuman de wajibiya walasa a ka mɛn ani a ka baara ka ɲɛ. Nin laadilikan ninnu bɛ se ka dɛmɛ don ka wuluwulu kɛsu mara:
Saniya tuma bɛɛ : Minɛn minnu bɛ wuluwulu kɛsu kɔnɔ, olu ka kan ka saniya ani ka banakisɛfagalanw kɛ tuma bɛɛ walasa ka banakisɛw bali ka jɛnsɛn.
A maracogo ka ɲi: Nɛgɛso ka kan ka mara yɔrɔ jalen na, yɔrɔ min saniyalen don, ani yɔrɔ min ka nɛnɛ walasa minɛnw kana tiɲɛ.
Sɛgɛsɛgɛli kɛli tuma bɛɛ : Minɛn minnu bɛ wuluwulu kɛsu kɔnɔ, olu ka kan ka to ka sɛgɛsɛgɛli kɛ ni taamasiɲɛw tɛ u la minnu bɛ u sɛgɛn walima ni u tiɲɛna.
6. Kuncɛli
Humeral intramedullary nail box ye baarakɛminɛn nafama ye kolotugudaw operelikɛlaw bolo minnu bɛ humerus kari opereli kɛ. Minɛn suguya caman bɛ kɛsu kɔnɔ minnu bɛ dɛmɛ don ka wuluwulu don senkɔni kɔnɔ, o bɛ dɛmɛ ka opereli kɛcogo ɲuman ni tiɲɛni kɛ, ka opereli waati dɔgɔya, ani ka banabagatɔ ka ɲɛnamaya kɛcogo ɲɛ. Naminɛ kɛsu ladonni ka ɲɛ, o nafa ka bon walasa a ka mɛn ani a ka se ka kɛ.
