Humeral Intramedullary Nail Box: Mɔfiame Mamlɛtɔ
Ne míeƒo nu tso ƒumeŋutinunya ŋu la, ele vevie be dɔwɔnu nyuitɔwo nanɔ asiwò be woakpɔ egbɔ be nu nyuitɔ kekeake ado tso eme na dɔnɔwo. Dɔwɔnu mawo dometɔ ɖekae nye aɖaka si woyɔna be humeral intramedullary nail box, si nye dɔwɔnu siwo wowɔ be woakpe ɖe ame ŋu woade nail si le abɔta ƒe ƒu me.
Le mɔfiame sia me la, míalé ŋku ɖe humeral intramedullary nail box kple eƒe akpa vovovoawo ŋu nyuie, kpakple eƒe zazã, viɖe siwo le eŋu, kple beléle nɛ.
1. ŋgɔdonya .
Humeral intramedullary nail box nye dɔwɔnu gbogbo aɖewo siwo wozãna tsɔ dea intramedullary nail ɖe humerus ƒu me. Zi geɖe la, dɔwɔnu vovovo siwo kpena ɖe ɖaa dede eme ŋu nɔa ɖaɖakaa me, siwo dometɔ aɖewoe nye mɔfianu ka, reamers, kple drills.
Intramedullary nail zazã le humerus ƒe gbagbã me nye mɔnu si dzi ame geɖe da asi ɖo si naa nu nyuiwo dona tso ƒuwo ƒe dɔyɔyɔ kple dɔnɔwo ƒe hayahaya gome. Humeral intramedullary nail box zazã kpena ɖe ame ŋu be woakpɔ dzidzedze to dɔwɔnu siwo hiã nana amekolaa be wòawɔ dɔa pɛpɛpɛ eye wòanɔ dedie me.
2. Humeral Intramedullary Nail Box ƒe akpa aɖewo
Nu siwo gbɔna la le aɖaka si wozãna le humeral intramedullary nail box si bɔ me:
2.1. Mɔfiame Kawo
Wozãa mɔfiakawo tsɔ kpena ɖe ɖaa ŋu wòfiaa mɔ toa ƒunukpeƒe ƒe ƒu si le lãkusi me la me. Zi geɖe la, mɔfiaka lae nyea dɔwɔnu gbãtɔ si wozãna le dɔa wɔwɔ me, eye wònyea mɔ si dzi ɖaa tona.
2.2. Agbledelawo
Wozãa reamers tsɔ kekea humerus ƒu ƒe intramedullary canal ɖe edzi. Wotsɔa ka si wotsɔna ƒoa ɖae la dea eme, eye wokpena ɖe ame ŋu be mɔ si lolo wu nana ɖaa be wòato.
2.3. Drills ƒe dɔwɔwɔ
Wozãa drills tsɔ wɔa do ɖe humerus ƒua ƒe nuwuwu si te ɖe eŋu kple esi le didiƒe. Doawo nyea mɔ aɖe si dzi woato ade gavi siwo léa ɖaa ɖe teƒea.
2.4. Intramedullary Nail si wotsɔna ƒoa ɖae
Intramedullary nail ye nye nu vevitɔ si le humeral intramedullary nail box me. Wotsɔa ɖaa toa mɔfianu ka la me hegena ɖe ƒunukpeƒe ƒe ƒu si le lãkusi me la me. Ne ɖaa nya ɖo teƒea ko la, wotsɔa gavi siwo xea mɔ na ɖaa to do siwo do siwo wotsɔ doa ɖae la me be woatsɔ alé ɖaa ɖe teƒea.
2.5. Screwdriver ƒe ʋuƒo
Wozãa gavi la tsɔ dea gavi siwo xea mɔ na nu la ƒua ƒe ƒu me. Zi geɖe la, T-handle ƒe nɔnɔme nɔa ʋuƒoa ŋu si nana wòléa nu nyuie eye wònana woate ŋu ade gaviawo eme pɛpɛpɛ.
3. Humeral Intramedullary Nail Box zazã
Humeral intramedullary nail box zazã lɔ afɔɖeɖe siwo gbɔna ɖe eme:
Ðoɖowɔwɔ do ŋgɔ na dɔwɔwɔ nɛ: Amekolaa alé ŋku ɖe dɔnɔa ƒe X-ray kple eƒe atikewɔwɔ ŋutinya ŋu be yeanya afɔɖeɖe nyuitɔ si woawɔ na dɔa.
Alɔ̃dɔdɔ: Woana atike si naa alɔ̃dɔdɔ dɔnɔa be wòakpɔ egbɔ be vevesese aɖeke manɔ eŋu le amekokoa me o.
Lãɖeɖe: Amekolaa atso ŋutigbalẽa be wòaɖe humerus ƒua ɖe go.
Mɔfiame ka dede eme: Amekolaa atsɔ mɔfiaka la ato humerus ƒu ƒe intramedullary canal me.
Reaming: Amekolaa azã reamers la atsɔ adzi intramedullary canal la ɖe edzi.
Nail dede: Woade intramedullary nail to mɔfianu ka la me eye woaɖiɖi intramedullary canal la me.
Screw dede: Amekolaa azã drills la atsɔ awɔ dowo ɖe humerus ƒua ƒe nuwuwu siwo te ɖe eŋu kple esiwo le didiƒe, emegbe azã screwdriver la atsɔ gavi siwo xea mɔ na ɖaa ade eme be wòalé ɖaa ɖe teƒea.
Nututu: Amekolaa atsɔ aŋe alo aŋetu atu afisi wotsoe.
4. Viɖe siwo le Humeral Intramedullary Nail Box ŋu
Viɖe geɖe le humeral intramedullary nail box ŋu, siwo dometɔ aɖewoe nye:
4.1. Amekoko ƒe Nusɔsɔe si Nyo Wu
Dɔwɔnu vovovowo le humeral intramedullary nail box me siwo kpena ɖe ame ŋu be woade intramedullary nail, si kpena ɖe amekokoa ŋu wòdea pɛpɛpɛ eye wòwɔa nu pɛpɛpɛ.
4.2. Amekoko Ɣeyiɣi Dzi Ðeɖe Akpɔtɔ
Humeral intramedullary nail box zazã ate ŋu akpe ɖe amekokoa ƒe ɣeyiɣi dzi ɖeɖe kpɔtɔ ŋu, elabena dɔwɔnu siwo katã hiã na amekokoa le aɖakaa me.
4.3. Dɔnɔwo ƒe Emetsonu Siwo Nyo Wu
Intramedullary nail zazã le humerus ƒe gbagbã me nye mɔnu si dzi ame geɖe da asi ɖo si naa nu nyuiwo dona tso ƒuwo ƒe dɔyɔyɔ kple dɔnɔwo ƒe hayahaya gome.
5. Humeral Intramedullary Nail Box la dzi kpɔkpɔ
Humeral intramedullary nail box la hiã beléle nyuie be wòanɔ agbe didi eye wòawɔ dɔ nyuie. Aɖaŋuɖoɖo siwo gbɔna ate ŋu akpe ɖe ŋuwò nàlé ɖa ƒe aɖaka la me ɖe asi:
Dzadzɛnyenye edziedzi: Ele be woakɔ dɔwɔnu siwo le ɖaɖaka me ŋu ahawu dɔlékuiwo edziedzi be dɔlékuiwo nagakaka o.
Nudzraɖoƒe nyuie: Ele be woadzra ɖaɖaka la ɖo ɖe teƒe si ƒu, si le dzadzɛ, eye fafa le be dɔwɔnuawo nagagblẽ o.
Dzodzro edziedzi: Ele be woalé ŋku ɖe dɔwɔnu siwo le ɖaɖaka me ŋu edziedzi be dzesi aɖeke mele wo ŋu be wovuvu alo gblẽ o hã.
6. Nyataƒoƒo
Humeral intramedullary nail box nye dɔwɔnu vevi aɖe na ƒumeŋutinunyala siwo wɔa dɔ na ƒumeŋuɖui ƒe gbagbã. Dɔwɔnu vovovowo le aɖakaa me siwo kpena ɖe ame ŋu be woade ɖa si le lãkusi me, si kpena ɖe amekokoa ŋu wòdea pɛpɛpɛ eye wòwɔa nu pɛpɛpɛ, eɖea amekoko ƒe ɣeyiɣi dzi kpɔtɔna, eye wònaa dɔnɔa ƒe dɔwɔwɔ nyona ɖe edzi. Beléle na ɖaɖakaa nyuie le vevie be woakpɔ egbɔ be enɔa agbe didi eye wòwɔa dɔ nyuie.
