Nukae nye intramedullary nail?
Intramedullary nail nye amekoko ƒe atike ƒomevi aɖe si wozãna le ƒumeŋutinunya me tsɔ ɖɔa ƒu ƒe gbagbãwo ɖo, vevietɔ ƒu ƒe gbagbã didiwo. Enye gati didi aɖe si le sue, si wotsɔ dea ƒua ƒe medullary canal si me do le me eye wotsɔa gavi alo gavi siwo wotsɔ xea mɔe lénɛ ɖe teƒea le eƒe nugbɔ eveawo. Kpea nana ƒu si gbã la li ke le ememe eye wòdoa alɔe, si wɔnɛ be wòhayana le nɔnɔme nyuitɔ me. Wozãa ɖa siwo le lãkusi me zi geɖe le afɔkpodzi kple afɔkpodzi ƒe gbagbã dada me.
Intramedullary nail ƒomeviwo
Nail ƒomevi vovovowo li siwo wozãna le ƒumeŋuɖui me, siwo dometɔ aɖewoe nye:
Afɔkpodzi ƒe ɖa: Wozãa esiawo tsɔ daa akɔta (akɔta ƒe ƒu) ƒe gbagbã. Woate ŋu anye esiwo trɔna yi megbe, wotsɔa wo dea ƒua ƒe klo ƒe nuwuwu, alo esiwo wotsɔa wo dea ŋgɔe, siwo wotsɔa wo dea eme tso akɔta ƒe nuwuwu.
Tibial nails: Wozãa esiawo tsɔ daa tibia (shin bone) ƒe gbagbã. Zi geɖe la, wotsɔa wo dea eme tso ƒua ƒe klo ƒe nuwuwu.
Humeral nails: Wozãa esiawo tsɔ daa humerus (abɔta ƒe ƒu) ƒe gbagbã.
Intramedullary nails for the hand and foot: Esiawo nye ɖa siwo ƒe didime le sue wu siwo wozãna na asi kple afɔ ƒe gbagbã.
Aɖabɛ siwo te ŋu trɔna bɔbɔe: Esiawo nye ɖa siwo ŋu wotrɔ asi le etɔxɛe siwo woate ŋu azã le ɖeviwo kple ƒewuiviwo ŋu atsɔ ada ɖa siwo gale tsitsim kokoko.
Nail ƒomevi si woazã le amekoko me anɔ te ɖe afisi wògbã le kple alesi wòsẽe, kpakple ƒe si dɔnɔa xɔ kple eƒe lãmesẽ bliboa dzi.
Nusiwo wotsɔ wɔa intramedullary nail
Woate ŋu atsɔ nu vovovowo awɔ ɖa siwo le lãkusi me, siwo dometɔ aɖewoe nye gakpo si mexɔ dzo o, titanium, cobalt-chromium, kple titanium-nickel ƒe kpe. Nu ɖesiaɖe kple eƒe nɔnɔme tɔxɛwo kple viɖewo, abe ŋusẽ, enɔa anyi didi, kple alesi wòte ŋu nɔa te ɖe xɔxlɔ̃ nu ene. Nusi woatsɔ awɔe tiatia nɔ te ɖe dɔnɔa ƒe nuhiahiã tɔxɛwo kple gbagbãƒe ƒomevi si wole dɔ wɔm na dzi.
Nu kawo ŋue ɖɔktaa abu hafi awɔ dɔ nɛ?
Hafi woawɔ dɔ na dɔnɔa la, ɖɔkta la abu nu geɖe ŋu atsɔ anya atikewɔwɔ nyuitɔ kekeake na dɔnɔa. Nu siawo ate ŋu anye:
Dɔnɔa ƒe ƒexɔxɔ, eƒe atikewɔwɔ ŋutinya, kple eƒe lãmesẽ bliboa.
Aklã ƒe nɔnɔme alo abi si wòxɔ la ƒomevi kple eƒe sesẽme.
Dɔnɔa ƒe dzesiwo kple vevesese ƒe sesẽme.
Alesi atikewɔwɔ siwo menye amekoko o wɔa dɔe.
Afɔku kple viɖe siwo ate ŋu ado tso amekoko me.
Dɔnɔa ƒe agbenɔnɔ kple eƒe dɔwɔna ƒe seƒe.
Dɔnɔa ƒe mɔkpɔkpɔ kple taɖodzinu siwo le amekokoa ŋu.
Amekoko dɔwɔƒewo kple lãmesẽdɔwɔlawo ƒe anyinɔnɔ kple woƒe nunya.
Ne ɖɔkta bu nu siawo ŋu la, ate ŋu awɔ atikewɔwɔ ƒe ɖoɖo si asɔ na dɔnɔa ƒe nuhiahiã ɖekaɖekawo.
Viɖe si le intramedullary nail ŋu le dɔwɔwɔ me.
Viɖe siwo le ɖa si wotsɔ dea lãkusi me zazã le amekoko me dometɔ aɖewoe nye:
Lãɖeɖe suetɔ kekeake: Ne wozã ɖa si le lãkusi me la, enaa woate ŋu atsoe sue wu ne wotsɔe sɔ kple amekoko si wowɔna le gaglãgbe si wozãna tsã, si ate ŋu aɖe dɔlékuiwo xɔxɔ kple abi ƒe afɔkua dzi akpɔtɔ.
Eƒe hayahaya kabakaba: Esi wònye be wotsɔa ɖa si le lãkusia me dea ƒua me ta la, enaa ƒua ƒe gbagbã alo nusi gblẽ la nɔa te, si wɔnɛ be wòhayana kabakaba eye wòhayana.
Vevesese dzi ɖeɖe kpɔtɔ: Alesi ɖa si le lãkusia me naa li ke ate ŋu aɖe vevesese si wokpɔna le hayahaya me dzi akpɔtɔ.
Kuxi ʋɛ aɖewo koe dona: Afɔku si le lãme na ame le lãkusi me la mebɔ o ne wotsɔe sɔ kple amekoko ƒomevi bubuwo.
Ʋuʋu ƒe zɔzɔ nyuie wu: Ne wogbugbɔ trɔ asi le wo ŋu nyuie la, dɔnɔ siwo wotsɔ ati ƒo ɖe woƒe lãkusi me ate ŋu akpɔ mɔ be yewoagate ŋu aʋuʋu kple dɔwɔwɔ do ŋgɔ na abixɔxɔ.
Ðe wòhiã be woaɖe ɖa si bla ɖe wo nɔewo ŋu la ɖaa?
Zi geɖe la, womeɖea ɖa siwo bla ɖe wo nɔewo ŋu le wo dede wo me vɔ o. Wotrɔ asi le wo ŋu be woanɔ teƒea tegbee, ne womele kuxi alo nya aɖeke hem vɛ na dɔnɔa o ko. Gake le go aɖewo me la, ahiã be woaɖe ɖaa le dɔlékuiwo, ƒua ƒe ɖekamawɔmawɔ, alo kuxi bubuwo ta. Le nɔnɔme siawo me la, dɔnɔa ƒe ɖɔkta anɔ te ɖe woƒe nɔnɔme ɖekaɖeka dzi atso nya me be woaɖe ɖaa ɖa.
Ɣeyiɣi didi kae wòxɔna hafi wòhayana ne woɖe ɖa le lãkusi me?
Ɣeyiɣi si woatsɔ ahaya le ɖaɖeɖe le lãkusi me megbe ate ŋu ato vovo le nusiwo nye afisi ɖaa le kple eƒe lolome, susu si ta woɖee ɖa, kple amea ƒe lãmesẽ bliboa nu. Zi geɖe la, zi geɖe la, hayahaya tso ɖaɖeɖe le lãkusi me me kabakaba eye mevea ame boo o wu amekoko gbãtɔ si wowɔ be woatsɔ ɖaa ade eme. Zi geɖe la, dɔnɔwo ate ŋu adze dɔ siwo mesẽ o gɔme le ŋkeke ʋɛ aɖewo megbe le dɔwɔwɔ nɛ vɔ megbe, gake ele be woaƒo asa na kamedede sesẽ alo nu kpekpewo kɔklɔ kwasiɖa geɖe be teƒe si wotsoe la nahaya nyuie. Ate ŋu axɔ kwasiɖa alo ɣleti geɖe hafi ƒua nahaya keŋkeŋ eye dɔnɔa nagate ŋu aʋuʋu bliboe le teƒe si dɔlélea le. Ele vevie be woawɔ ɖe ɖɔkta ƒe mɔfiamewo dzi le beléle na ame le dɔwɔwɔ vɔ megbe kple ɖɔɖɔɖo ŋu be woakpɔ egbɔ be nu nyuitɔ kekeake si woate ŋu ado tso eme.
