Fixateur extérieur de la joint de la main

Wrist Joint External Fixator: Gafe min bɛ ɲɛfɔli kɛ kosɛbɛ

Bololabaara ye hadamaden farikolo yɔrɔ koloma ye bawo a bɛ lamaga-lamagali caman nɔgɔya ani k’a to an bɛ se ka baara suguya caman kɛ. Nka, ka a sababu kɛ jogin walima bana ye, bolokɔni kolotuguda bɛ se ka kɛ fɛn ye min tɛ sabati, o bɛ na ni dimi ye ani ka baara kɛbaliya. O cogo la, bolokɔni kolotuguda kɛnɛma fiɲɛbɔlan bɛ se ka kɛ walasa ka kolotuguda sabati ani k’a dɛmɛ kɛnɛya waati. Nin barokun in kɔnɔ, an bɛna kuma bolokɔni kolotugudaw kɛnɛma fiɲɛbɔlan kan, a yɔrɔw, a taamasiɲɛw, opereli kɛcogo, opereli kɔfɛ ladonni, ani gɛlɛya minnu bɛ se ka sɔrɔ.

Daminɛ kuma

Bolokɔni kɛnɛma fiɲɛbɔlan ye minɛn ye min bɛ kɛ ka bolokɔni kolotugudaw sabati kɛnɛyali senfɛ joginda walima opereli kɔfɛ. A ka ca a la ni bolokɔniw karilen don kosɛbɛ, ni u bɛ wuli, walima ni bolokɔniw joginni don. Kɛnɛma fiɲɛbɔlan bɛ bila fari kɔkan, ka nɔrɔ kolotugudaw la ni pini walima nɛgɛw ye, minnu bɛ don fari fɛ ka don kolo la.

Anatomie de la joint de la main

Sani an ka baro kɛ bolokɔni kolotuguda kɛnɛma fiɲɛbɔlan kan, a nafa ka bon ka bolokɔni kolotugudaw farikolo cogoya faamuya. Bolokɔni ye kolotuguda gɛlɛn ye min bɛ Kɛ ni kolo misɛnnin 8 ye minnu bɛ Weele ko bolokɔniw, minnu bɛ Labɛn ɲɔgɔn kɔ fla ye. Kɔnɔnatumuw bɛ siri bolokɔni kolotugudaw la minnu bɛ wele ko radius ani ulna kolo, o bɛ kɛ bolokɔni kolotuguda ye.

Bololabaara bɛ kɛ sababu ye ka lamaga caman kɛ, i n’a fɔ a kɔrɔta, a janya, a minɛcogo, a wulicogo ani a wulicogo. A bɛ sabati ni sɔgɔsɔgɔninjɛ, sɔgɔsɔgɔninjɛ ani farikolo yɔrɔw ye minnu bɛ kolotugudaw lamini.

Bololabaarakɛla min bɛ bɔ bolokɔni na, o ye mun ye?

Bolokɔni kɛnɛma fiɲɛbɔlan ye minɛn ye min bɛ kɛ ka bolokɔni kolotugudaw sabati joginni walima opereli kɔfɛ. Minɛn in bɛ Kɛ ni fɛnba fla ye: karamɔgɔya ni piniw walima nɛgɛw. Kalansen bɛ siri kolotugudaw la ni pini walima nɛgɛw ye, minnu bɛ don fari fɛ ka don kolo la. O kɔfɛ, karamɔgɔ bɛ ladilan walasa kolotugudaw ka to u nɔ na ani ka a to bolokɔni kolotuguda ka kɛnɛya ka ɲɛ.

Bololabaarakɛla dɔ ka yɔrɔw

Bololabaara kɛnɛma fiɲɛbɔlan yɔrɔw ye a karamɔgɔ ni a piniw walima a nɛgɛw ye. A ka c’a la, a karamɔgɔ bɛ dilan ni nɛgɛ ye, wa a dilannen don walasa a ka se ka don bolokɔniw lamini na. A bɛ nɔrɔ kolotugudaw la ni pini walima nɛgɛw ye, minnu bɛ don fari fɛ ka don kolo la. Pinɛw walima nɛgɛw bɛ siri karamɔgɔya la ni sirilanw walima juruw ye, minnu b’a to fɛn dɔw bɛ se ka ladilan karamɔgɔya la ni a mago bɛ a la.

Taamaʃyɛnw ka ɲɛsin bolokɔni kolotuguda kɛnɛma sirili ma

Bololabaara kɛnɛma fiɲɛbɔlan bɛ se ka jira joginda walima cogoya suguya caman na, i n’a fɔ:

• Bololabaara karilen gɛlɛnw

• Bololabaarakɛlaw ka sɔgɔsɔgɔninjɛ

• bolokɔni joginniw (ligament) minnu bɛ bolokɔni kolotugudaw la

• Bololabaarakɛminɛnw karilenw ni ɲɔgɔn cɛbaliya

• Bolola joli karilenw ka ɲɔgɔndɛmɛbaliya

• Banakisɛw bɛ sɔrɔ bolokɔni kolotugudaw la

Opereli fɛɛrɛ min bɛ kɛ ka bolokɔni kolotugudaw kɛnɛma siri

Opereli fɛɛrɛ min bɛ kɛ ka bolokɔni kolotugudaw kɛnɛma siri, o bɛ nin wale ninnu kɛ:

1. Anestezi tali : Anestezi basigilen walima anestezi maralen bɛ di banabagatɔ ma.

2. Pinɛ walima nɛgɛw bilali : Pinɛ walima nɛgɛw bɛ don fari fɛ ka don kolo la ni jiribolo walima baarakɛminɛn kɛrɛnkɛrɛnnen ye. Pinɛ walima nɛgɛw hakɛ ni u bilali bɛna bɔ joginda suguya ni a sigiyɔrɔ la.

3. Kalansen sirili : Kalansen bɛ siri piniw walima nɛgɛw la ni sirilanw walima juruw ye, ani ladilanni bɛ kɛ karamɔgɔya la i n’a fɔ a mago bɛ cogo min na walasa kolow ka bɛn ɲɔgɔn ma ka ɲɛ.

4. Opereli kɔfɛ ja lajɛ : X-ray walima ja lajɛ wɛrɛw bɛ se ka kɛ walasa ka a jira ko fiɲɛbɔlan bilalen don ka ɲɛ.

Opereli kɔfɛ ladonni min bɛ kɛ bolokɔni kolotugudaw kɛnɛma sirili la

Opereli kɔfɛ, banabagatɔ bɛna a ɲini ka kɔlɔsili kɛ kosɛbɛ ani ka tugu a kɔ walasa bolokɔni kolotugudaw kɛnɛya ka ɲɛ. A ka ca a la nin ladonni fɛɛrɛ ninnu bɛ kɛ opereli kɔfɛ:

• Dimi madali : Dimimadafura bɛna di banabagatɔ ma walasa ka dusukasi kunbɛn kɛnɛya waati.

• Pinɛ walima nɛgɛ ladonni: Pinɛ walima nɛgɛw ka kan ka saniya ani ka u don tuma bɛɛ walasa ka banakisɛw bali.

• Farikoloɲɛnajɛ : Banabagatɔ bɛ se ka farikoloɲɛnajɛ kɛ walasa ka fanga sɔrɔ kokura ani ka se ka lamaga bolokɔni kolotugudaw la.

• Kuntilenna lajɛw : Banabagatɔ ka kan ka taa tuguni lajɛw la tuma bɛɛ n’a ka operelikɛla ye walasa ka kɛnɛya taabolo kɔlɔsi ani ka fɛn o fɛn ka kan ka ladilan fiɲɛbɔlan na.

Gɛlɛya minnu bɛ sɔrɔ bolokɔni kolotugudaw kɛnɛma sirili la

I n’a fɔ opereli suguya bɛɛ, bolokɔni kolotugudaw kɛnɛma sirili bɛ farati dɔw lase mɔgɔ ma ani gɛlɛya minnu bɛ se ka sɔrɔ, i n’a fɔ:

• Banakisɛ sɔrɔli pini walima nɛgɛdaga yɔrɔ la

• Nɛrɛmuguma walima joli siraw tiɲɛni

• Kolow ka ɲɔgɔndɛmɛbaliya

• Kolow kɛnɛyali kɔfɛ walima u ma fara ɲɔgɔn kan

• Dimi walima dusukasi

• Lamaga-lamagali yɔrɔ danmadɔ

Kuncɛli

Bolokɔni kɛnɛma fiɲɛbɔlan ye minɛn ɲuman ye min bɛ bolokɔni kolotugudaw sabati ani k’a dɛmɛ kɛnɛya waati la joginda walima opereli kɔfɛ. O ye fɛɛrɛ nɔgɔman ye min bɛ se ka kɛ anestezi basigilen walima marabolow la. Nka, i n’a fɔ opereli bɛɛ, faratiw ni gɛlɛya minnu bɛ se ka sɔrɔ, olu bɛ yen minnu ka kan ka baro kɛ ni aw ka operelikɛla ye sani aw ka opereli kɛ.

Ɲininkaliw minnu bɛ kɛ

1. Bololabaara kɔkanna fiɲɛbɔlan bɛ to a nɔ na fo waati joli?

• Bololabaara kɔkanna fiɲɛbɔlan bɛ to a nɔ na waati min na, o bɛ bɔ joginda suguya n’a juguya la. Tuma dɔw la, a bɛ se ka kɛ ko fixatɛri ka kan ka kɛ dɔgɔkun damadɔ dɔrɔn kɔnɔ, ka sɔrɔ a bɛ se ka kɛ a ka kan ka kɛ a nɔ na kalo damadɔ kɔnɔ.

1. Yala bolokɔni kolotuguda kɛnɛma fiɲɛbɔlan bɛ dimi wa?

• Pinɛw walima nɛgɛw bilali bɛ se ka kɛ sababu ye ka dimi walima dimi dɔw lase mɔgɔ ma, nka o bɛ se ka furakɛ ni dimimadafura ye. Ni fiɲɛ bilalen don a nɔ na, ​​a man kan ka dimi walima dusukasiba si lase mɔgɔ ma.

1. Yala ne bɛ se ka baara kɛ ni ne bolo ye hali bi ni bolokɔni kolotugudaw kɛnɛma fiɲɛbɔlan ye wa?

• Fixatɛri bɛ se ka dan sigi bolokɔni lamagacogo la, nka banabagatɔ fanba bɛ se ka baara kɛ ni u bolo ni u bolokɔnincininw ye baara jɔnjɔnw na kɛnɛyali senfɛ.

1. Yala ne mago bɛna kɛ farikoloɲɛnajɛ furakɛli la bolokɔni kolotugudaw kɛnɛma fiɲɛbɔlan kɛlen kɔfɛ wa?

• Banabagatɔ fanba mago bɛna kɛ farikoloɲɛnajɛ sugu dɔ la walasa ka fanga sɔrɔ kokura ani ka se ka lamaga bolokɔni kolotugudaw la fiɲɛbɔlan bɔli kɔfɛ.

1. A bɛ waati joli ta walasa ka kɛnɛya ka bɔ bolokɔni kolotugudaw kɛnɛma sirili la?

• Waati janya min bɛ ta walasa ka kɛnɛya ka bɔ bolokɔni kolotugudaw kɛnɛma sirili la, o bɛna bɔ joginda suguya n’a juguya la, ka fara a tigi ka kɛnɛya bɛɛ kan ani a kɛnɛyali seko kan. A ka ca a la, banabagatɔ fanba bɛna dɔgɔkun walima kalo caman kɛ walasa u ka kɛnɛya pewu.