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Gamma Nail ƒe nyatakakawo

Gamma Intramedullary Nail: Numedzodzro si me kɔ

        Ne míeƒo nu tso ƒumeŋuɖui ŋu la, dɔ siwo wowɔna wu dometɔ ɖekae nye ƒu ƒe gbagbãƒewo kple ɖa siwo le ƒunukpeƒetetedɔ me léle ɖe te. Le esiawo dome la, gamma intramedullary nail nye tiatia si ame geɖe lɔ̃a zazã le eƒe viɖe vovovoawo ta. Le nyati sia me la, míadzro alesi wowɔe, nusiwo woatsɔ afiae, aɖaŋu siwo wozãna, kuxi siwo dona tso eme, kple emetsonu siwo do ƒome kple gamma intramedullary nail zazã me.

Kpɔkplɔyiɖeme

        Gamma intramedullary nail nye mɔ̃ ƒomevi aɖe si wotsɔna léa ƒu ɖe ƒumeŋuɖui me si wozãna tsɔ daa ƒu ƒe gbagbã didiwo. AO Foundation ye to esia vɛ zi gbãtɔ le ƒe 1980-awo me eye tso ɣemaɣi la, eva zu tiatia si ame geɖe lɔ̃na le afɔkpodzi, afɔkpodzi, kple akɔta ƒe gbagbãwo gbɔ kpɔkpɔ me. Wotrɔ asi le gamma- ɖaa ŋu be wòana wòalé ɖe te sesĩe esime wòle teƒe si wògbã la ƒe nugbagbeŋutinunya ta eye wòana woate ŋu atsɔ kpekpeme kaba.

Ŋutilã ƒe Nɔnɔme Kple Aɖaŋuwɔwɔ

        Gamma nail nye titanium-ti si wotsɔ dea ƒua ƒe intramedullary canal me. Atikplɔa ƒe nɔnɔme le goglo, si wɔnɛ be wòte ŋu zɔna ɖe ƒua ƒe dzɔdzɔme ƒe nɔnɔme dzi. ɖaa ƒe nuwuwu si te ɖe eŋu la ƒe nɔnɔme le abe dzo ene, si naa ɖaa nɔa te sesĩe eye wòxea mɔ na ɖaa ƒe ʋuʋu. Ka si wotsɔa ga ƒoa ɖae le ɖaa ƒe nuwuwu si le didiƒe ʋĩ, si wɔa dɔ kple ƒu si woyɔna be cancellous bone eye wònana wòli ke le axial.

Nusiwo ɖee fia

        Wofia gamma nail la be woatsɔ ada ƒu didi siwo gbã, vevietɔ esiwo le afɔkpodzi, afɔkpodzi, kple akɔta ƒe gbagbã. Wozãnɛ wu na ƒu gbagbã siwo le ƒua ƒe titina alo akpa etɔ̃lia si le didiƒe. Wofia gamma nail hã be woatsɔ ada aŋe siwo meli ke o alo esiwo ʋu le teƒe bubu, kpakple na gbagbã siwo vuvu alo kpakpaluʋui ƒe kakɛ aɖe le wo ŋu.

Amekoko ƒe Mɔnu

        Amekokomɔnu si wozãna tsɔ dea gamma ɖa la lɔ dɔwɔnu tɔxɛ aɖe zazã ɖe eme. Zi geɖe la, wowɔa dɔa le atike si naa alɔ̃dɔdɔ ame katã alo atike si naa alɔ̃dɔdɔ ame le nutoa me me. Ne wodzra dɔnɔa kple afisi woawɔ amekokoa ɖo vɔ la, wotsɔa mɔfianu ka aɖe dea ƒua ƒe ƒunukpeƒetetedɔ me to fluoroscopic mɔfiame zazã me. Emegbe woɖea mɔfianu ka la tsɔ dzraa tɔdzisasrãa ɖo na ɖaa. Wotsɔa gamma-ti la dea mɔfianu ka la dzi eye wòyia ŋgɔ yia tɔdzisasrãa me vaseɖe esime wòɖoa afisi wògbã le. Emegbe wotsɔa gavi siwo xea mɔ na ɖaa le teƒe si te ɖe eŋu kple esiwo le didiƒe la dea eme be woatsɔ alé ɖaa ɖe teƒea.

Kuxi siwo dona tso eme

        Togbɔ be zi geɖe la, wobua gamma ɖa be enye atikewɔmɔnu si le dedie eye wòwɔa dɔ nyuie hã la, menye kuxi siwo ate ŋu ado tso eme manɔmee o. Kuxi siwo dona tso gamma nail zazã me ate ŋu anye:

• ɖaa ƒe masɔmasɔ alo eƒe tɔtrɔ nyuie o

• Aɖabɛ alo ƒu ƒe gbagbã

• Nonunion alo delayed union of the gbagbãƒea

• Dɔdzedze

• Hardware ƒe kpododonu

• Nusiwo gblẽ le xɔtunu siwo ƒo xlãe, abe lãmekawo alo ʋukawo ene ŋu

Emetsonuwo

        Numekuku geɖe da nusiwo dona tso gamma- ɖa zazã atsɔ ada ƒu didiwo ƒe gbagbã me kpɔ. Le nusianu me la, emetsonuwo nyo, eye wogblɔ be woƒe gbagbã ƒe ƒuƒoƒo sɔ gbɔ, kuxiwo mebɔ o, eye dɔwɔwɔ me tsonu nyuiwo do tso eme. Meta-kuxiwo me dzodzro le numekuku 22 me ɖee fia be gamma nail zazã na 95% ƒe union rate kple 92% ƒe dɔwɔwɔ me tsonu nyui alo nyuitɔ kekeake.

Nyanuwuwuw

        Le nyataƒoƒo me la, gamma intramedullary nail nye atike si ame geɖe lɔ̃a zazã eye wòwɔa dɔ nyuie na ƒu ƒe gbagbã didiwo. Viɖe geɖe le eŋu wu mɔnu bubu siwo wozãna tsɔ léa nu ɖe ​​te, siwo dometɔ aɖewoe nye nuléle si li ke, afisi wògbã teƒea ƒe nugbagbeŋutinunya takpɔkpɔ, kple kpekpeme tsɔtsɔ kaba. Togbɔ be menye kuxi siwo ate ŋu ado tso eme manɔmee o hã la, nusiwo dona tso eme le gamma nail zazã me katã nyo ŋutɔ.

Gamma Nail ƒe Nyabiasewo

1: Ɣeyiɣi didi kae wòxɔna hafi wòhayana le Gamma Nail dɔwɔwɔ vɔ megbe?

Ɣeyiɣi si woatsɔ ahaya le Gamma Intramedullary Nail dɔwɔwɔ vɔ megbe la toa vovo le alesi wògbãe, afisi wògbãe le (abe intertrochanteric alo subtrochanteric fractures ene), ƒe si dɔnɔa xɔ, ƒu ƒe nyonyome, kple lãmesẽ ƒe nɔnɔme bliboa nu.
Le goawo katã me la, dɔnɔ akpa gãtɔ dzea ʋuʋu kaba gɔme le amekoko vɔ megbe kpuie eye woate ŋu akpɔ mɔ be yewoƒe dɔwɔwɔ nahaya eye yewoatrɔ ayi gbesiagbedɔwo me le ɣleti 3 va ɖo 6 me , nenye be kuxi aɖeke meli o eye wowɔ ɖe ɖɔɖɔɖo ƒe ɖoɖowo dzi.

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2: Ðe Gamma Nail sɔ na ƒu didiwo katã ƒe gbagbãa?

Ao, togbɔ be wozãa Gamma Nail ƒe ɖoɖoa geɖe tsɔ léa afɔkpodzi ƒe akpa si te ɖe eŋu kple ƒu didi siwo wotia la ɖe te hã la, mesɔ na ƒu ƒe gbagbã ƒomeviwo katã o hã .
la, nusi fia la nɔ te ɖe nusiwo le abe ƒu ƒe gbagbã ƒe nɔnɔme, ƒu ƒe wɔwɔme, dɔnɔa ƒe nɔnɔme, kple amekola ƒe dodokpɔ dzi. Ele be woanɔ te ɖe atikewɔƒe ƒe numekuku kple amekoko ƒe ʋɔnudɔdrɔ̃ dzi tiatia mamlɛtɔ si woatsɔ ade ame me dzi ɣesiaɣi.

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3: Ðe Gamma Nail dede eme nye dɔ si me vevesese lea?

Wowɔa Gamma Nail insertion le general alo regional anesthesia , si fia be dɔnɔwo mesea veve le amekokoa ŋutɔ me o.
Vevesese alo vevesese ate ŋu adzɔ le dɔwɔwɔ vɔ megbe gake zi geɖe la, enɔa anyi ɣeyiɣi kpui aɖe eye woate ŋu akpɔ egbɔ nyuie to vevesesenutsitikewo, ɖɔɖɔɖo, kple dɔwɔwɔ vɔ megbe beléle nyuie me.

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4: Kuxi kawoe ate ŋu ado tso Gamma Nail dɔwɔwɔ me?

Abe alesi wòle le ƒumeŋuɖui ƒe dɔwɔwɔ ɖesiaɖe gome ene la, afɔku siwo ate ŋu ado tso Gamma Nail dɔwɔwɔ me . Kuxi siwo ate ŋu ado tso eme ate ŋu anye lãmeka siwo wotsɔ de ame me ƒe masɔmasɔ, ɖekawɔwɔ alo ƒoƒo ɖekae ƒe megbetsitsi, dɔlékuiwo xɔxɔ, xɔtunuwo ƒe gbagbã, lãmeka alo ʋuka siwo ƒo xlãe ƒe gbagbã, alo abixɔxɔ le lãmeka alo ʋuka siwo ƒo xlãe ŋu.
Amekokomɔnu nyuie, atike si woatsɔ ade ame me tiatia nyuie, kple ŋkuléle ɖe ame ŋu le dɔwɔwɔ vɔ megbe kpena ɖe ame ŋu be afɔku siawo dzi ɖena kpɔtɔna.

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5: Ðe wòhiã be woaɖe Gamma Intramedullary Nail ɖa le eƒe gbagbã ƒe dɔyɔyɔ vɔ megbea?

Zi geɖe la, mehiã be woaɖe Gamma Intramedullary Nail ɖa ne wonya haya ko o.
Gake woate ŋu abu nusi wotsɔ de eme la ɖeɖeɖa ŋu ne dɔnɔa le veve sem atraɖii, dzikudodo si do ƒome kple nusi wotsɔ de eme, alo kuxi bubuwo le eŋu. Ele be ƒumeŋutinunyala si le dɔ wɔm na ame natso nya me le dɔlélea ƒe dzesiwo kple nɔnɔmetatawo me tsonu nu.