Ƒumeŋutinunya ƒe gakpo si mexɔ dzo o ƒe agba: ƒu ƒe dɔyɔyɔ kple liƒo dodo ɖe ŋgɔ

Kpɔkplɔyiɖeme

Ƒumeŋuɖui wɔa akpa vevi aɖe le lãmekawo ƒe nɔnɔmewo dada me, eye gakpo siwo mexɔ dzo o zazã nye nusi bɔ le dɔwɔwɔ mawo tɔgbe me. Ga si mexɔ dzo o ƒe ƒuƒoƒo nye atikewɔmɔnu siwo woate ŋu azã le mɔ vovovowo nu siwo ŋu wotrɔ asi le be woatsɔ ana ƒuwo nahaya eye woali ke. Le nyati sia me la, míadzro ƒumeŋuɖui si mexɔ dzo o ƒe vevienyenye me, woƒe viɖewo, kple wo zazã le ƒumeŋutinunya ƒe dɔwɔwɔ vovovowo me.

Emenyawo ƒe Tabla .

1. Nukae nye ƒumeŋuɖui si mexɔ dzo o ƒe agbawo?

2. Alesi ƒunukpeƒe siwo mexɔ dzo o ƒe agbalẽviwo nana ƒuwo ƒe dɔyɔyɔ nyona ɖe edzi .

3. Viɖe siwo le ƒunukpeƒe siwo mexɔ dzo o zazã me .

4. Dɔwɔwɔwo le ƒumeŋuɖui si mexɔ dzo o ƒe agbawo .

5. Tiatia si sɔ le ƒumeŋutinunya me si mexɔ dzo o ƒe agba .

6. Amekokoa ƒe ɖoɖoa: ƒunukpeƒe siwo mexɔ dzo o ƒe agbawo dada ɖe teƒe ɖeka .

7. beléle na ame le dɔwɔwɔ nɛ vɔ megbe kple eƒe nɔnɔme gbugbɔgaɖɔɖo .

8. Kuxi siwo ate ŋu ado mo ɖa kple afɔku siwo ate ŋu ado mo ɖa .

9. Ƒumeŋuɖui ƒe etsɔme gakpo siwo mexɔ dzo o ƒe agbalẽviwo .

10. Nyanuwuwuw

11. Nya siwo wobiaa amewo .

1. Nukae nye ƒumeŋuɖui si mexɔ dzo o ƒe agbawo?

Ƒumeŋuɖui si mexɔ dzo o ƒe agbawo nye mɔ̃ siwo woate ŋu ade ame me siwo wozãna tsɔ naa liƒo kple kpekpeɖeŋu le ƒu ƒe gbagbã ƒe fixation, ƒumeŋuɖui, kple ƒumeŋuɖui ƒe dɔwɔwɔ bubuwo me. Zi geɖe la, wotsɔa gakpo si mexɔ dzo o si wotsɔ wɔa dɔ le amekoko me wɔa agba siawoe, si naa nugbagbewo ƒe dɔwɔwɔ nyuie, woƒe xɔxlɔ̃ te ŋu nɔa te ɖe wo nu, kple mɔ̃wo ƒe ŋusẽ nyona ŋutɔ. Wole nɔnɔme kple lolome vovovowo me be woate ŋu axɔ ŋutilã ƒe wɔwɔme ƒe teƒe vovovowo kple gbagbãƒewo ƒe nɔnɔmewo.

2. alesi ƒunukpeƒe siwo mexɔ dzo o ƒe agbawo nana ƒuwo ƒe dɔyɔyɔ nyona ɖe edzi .

Kpe siwo wotsɔ gakpo si mexɔ dzo o wɔe le ƒumeŋuɖui me wɔa akpa vevi aɖe le ƒu ƒe dɔyɔyɔ dodo ɖe ŋgɔ me. Ne ƒu aɖe gbã la, wotsɔa agbaa ɖoa teƒe si gbã la dzi eye wotsɔa gaviwo blanɛ. Plɛti la wɔa dɔ abe lãkusi si le eme ene, eye wòléa ƒu kakɛ siwo mã la ɖe ɖoɖo nyuitɔ nu, si wɔnɛ be woate ŋu ada dɔ nyuie. To li ke me la, agbaa ɖea vevesese dzi kpɔtɔna, enaa ʋukawo ƒe wɔwɔme kabakaba (ƒu yeye ƒe tsitsi), eye wònaa ƒu ƒe dɔwɔwɔ si sɔ la gbugbɔgaɖoanyi nɔa bɔbɔe.

3. Viɖe siwo le ƒunukpeƒe siwo mexɔ dzo o zazã me .

Ƒumeŋuɖui si mexɔ dzo o zazã ɖea vi geɖe:

a. Ŋusẽ kple nusiwo nɔa anyi didina .

Wonya gakpo siwo mexɔ dzo o ƒe agbawo ɖe woƒe ŋusẽ tɔxɛ kple woƒe anyinɔnɔ ɖaa ta. Woate ŋu anɔ te ɖe ŋusẽ siwo le ƒuwo dzi le gbesiagbedɔwo me nu eye woado alɔ dɔyɔyɔ ƒe ɖoɖoa le hayahayaɣi bliboa me.

b. Nu gbagbewo ƒe dɔwɔwɔ ɖekae .

Wotrɔ asi le ƒumeŋuɖui siwo mexɔ dzo o ƒe agbawo ŋu be woate ŋu awɔ dɔ le wo ŋu, si fia be amegbetɔ ƒe ŋutilã te ŋu ɖea mɔ ɖe wo ŋu nyuie. Afɔku si le nugbegblẽ le ame ŋu alo nusiwo ŋu wò ŋutilã melɔ̃a nu le o me mele boo o, si wɔnɛ be woate ŋu awɔ amekokoa me tsonu dzidzedzetɔe.

C. Tsitretsitsi ɖe xɔxlɔ̃ ŋu .

Ga si mexɔ dzo o ƒe agbawo ɖea tsitretsitsi nyuie ɖe xɔxlɔ̃ ŋu fiana. Nɔnɔme sia le vevie ŋutɔ na amedede ɣeyiɣi didi me, elabena ekpɔa egbɔ be agbalẽa ƒe blibonyenye kple agbenɔƒe didi le ŋutilãa me.

d. Nu geɖe wɔwɔ .

Ƒumeŋutinunya ƒe gakpo siwo mexɔ dzo o ƒe agbawo le lolome, nɔnɔme, kple ɖoɖo vovovowo me. Nuwɔwɔ le mɔ vovovowo nu sia wɔnɛ be amekolawo tiaa agbalẽ si sɔ wu na dɔnɔ ɖesiaɖe, eye wobua nusiwo nye ƒu ƒe gbagbã, ƒu ƒe nyonyome, kple teƒe si ŋutilã le ŋu.

4. Aɖuɖɔtoe siwo mexɔ dzo o ƒe gbadzɛwo zazã .

Ƒumeŋuɖui si mexɔ dzo o ƒe agbawo di be woazã le ƒumeŋutinunya ƒe ɖoɖo vovovowo me, siwo dometɔ aɖewoe nye:

a. Fracture fixation .

Wozãa gakpo siwo mexɔ dzo o ƒe agbawo zi geɖe tsɔ ƒoa ƒu ɖe ƒu didiwo me, abe afɔkpodzi kple afɔkpodzi ene. Wonaa fixation si li ke eye wònaa woate ŋu aƒo wo nu ƒu kaba, si wɔnɛ be wohayana kabakaba.

b. Ƒumeŋuɖui .

Le ƒumeŋuɖui ƒe dɔwɔwɔwo me, afisiwo woɖoe koŋ tso ƒuwo hegbugbɔ wo ɖo ɖe ɖoɖo nu le la, gakpo siwo mexɔ dzo o ƒe agbawo kpena ɖe wo nɔewo ŋu be woalé wo ɖe ɖoɖo si wodi nu le dɔyɔyɔ me. Wonaa liƒo si hiã be ƒu ƒe ƒoƒo ɖekae nakpɔ dzidzedze.

C. Gbugbɔgaɖɔɖo ƒe ƒuƒoƒo .

Wozãa gakpo siwo mexɔ dzo o ƒe agbawo hã le ƒunukpeƒewo gbugbɔgatu ƒe amekokowo me, abe akɔta ƒe ƒuƒoƒo bliboa kple klo ƒe ƒunukpeƒewo ƒe ƒuƒoƒo bliboa ene. Wokpena ɖe ametia ƒe akpa aɖewo ŋu be woakpɔ wo ta eye wonaa ƒunukpeƒea nɔa te ɖe enu geɖe wu.

5. Ƒumeŋuɖui si sɔ si mexɔ dzo o la tiatia .

Ƒumeŋutinunya ƒe gakpo si mexɔ dzo o ƒe agba si sɔ tiatia bia be woabu nu vovovowo ŋu nyuie:

a. Plɛti ƒe nɔnɔmetata .

Ele be plate la ƒe nɔnɔme nasɔ kple fracture pattern kple anatomical teƒea be woakpɔ egbɔ be woɖo wo ɖe ɖoɖo nu nyuie eye woli ke. Plɛti ƒe nɔnɔme vovovowo, abe compression plates kple locking plates ene, naa viɖe vovovowo le nɔnɔme tɔxɛwo me.

b. Plɛti ƒe titrime .

Ele be woanɔ te ɖe ƒu ƒe nyonyome kple mɔ̃ɖaŋununya ƒe nudidi siwo wotsɔ de nusi wotsɔ de eme dzi la dzi atia alesi woatsɔ agbaa ƒe titrimee. Zi geɖe la, wolɔ̃a agba siwo le kpekpem wu na ƒu siwo sesẽ wu alo teƒe siwo nuteɖeamedzi geɖe wu le.

C. Screw ƒe ɖoɖowɔwɔ .

Ne ètia gavi siwo sɔ be woatsɔ alé agbaa ɖe te la, ele vevie ŋutɔ. Ele be gavi la ƒe didime, eƒe didime, kple ka ƒomevi nasɔ kple agbalẽ xatsaxatsaa kple ƒu ƒe wɔwɔme be woaɖo wo ŋu nyuie wu.

6. Amekokoa ƒe ɖoɖoa: Ƒumeŋuɖui si mexɔ dzo o ƒe agbawo dada .

Alesi wotsɔa gakpo siwo mexɔ dzo o ƒua gbe ɖe ƒumeŋuɖui me la lɔ afɔɖeɖe geɖe ɖe eme:

1. Ðoɖowɔwɔ do ŋgɔ na dɔwɔwɔ nɛ : Amekolaa daa akɔta ƒe gbagbã alo nɔnɔmea kpɔna nyuie, tiaa agbalẽvi si sɔ, eye wòwɔa ɖoɖo ɖe amekokomɔnu ŋu.

2. Incision and exposure : Woɖea lãkusi ɖe amekokoƒea dzi, eye wotsɔa ƒu si le ete la doa go be woate ŋu akpɔ eƒe gbagbãƒea.

3. Plate Placement : Wotsɔa gakpo si mexɔ dzo o ƒe agbaa ɖoa gbagbãƒea dzi, woɖonɛ ɖe ɖoɖo nu nyuie, eye wotsɔa gaviwo ɖoa wo teƒe nyuie.

4. Abiwo Nutsotso : Wotua abi si woɖe la, eye wowɔa abiléleɖemɔnu siwo sɔ dzi.

   
   

7. Beléle na ame le dɔwɔwɔ vɔ megbe kple gbugbɔgaɖɔɖo .

Le amekokoa megbe la, beléle na ame le dɔwɔwɔ vɔ megbe kple eƒe nɔnɔme gbugbɔgaɖɔɖo le vevie ŋutɔ be woahaya dzidzedzetɔe. Esia ate ŋu anye:

• Vevesese dzi kpɔkpɔ : Atikewo kple atikewɔmɔnu siwo woatsɔ axe mɔ ɖe vevesese kple vevesese nu.

• Lãmesẽfefewɔwɔ : Kamedede kple ɖɔɖɔɖo ƒe ɖoɖowo be woagbugbɔ ʋuʋu, ŋusẽ, kple dɔwɔwɔ aɖo anyi.

• Amekoko siwo woatsɔ akplɔ ame ɖo ɖe amekola gbɔ edziedzi be woalé ŋku ɖe dɔyɔyɔ ƒe ŋgɔyiyi ŋu eye woakpɔ nusiwo ŋu wotsi dzi ɖo ɖesiaɖe gbɔ.

  
  

8. Kuxi siwo ate ŋu ado mo ɖa kple afɔku siwo ate ŋu ado mo ɖa .

Togbɔ be zi geɖe la, ƒunukpeƒe siwo mexɔ dzo o ƒe agbawo le dedie eye wowɔa dɔ nyuie hã la, kuxiwo ate ŋu ado mo ɖa. Esiawo ate ŋu anye:

• Dɔlékui : Afɔku si le dɔlékuiwo xɔxɔ me la li le amekoko ɖesiaɖe me. Mɔnu nyui siwo me dɔlékui mele o kple beléle na ame le dɔwɔwɔ vɔ megbe ate ŋu akpe ɖe ame ŋu be woaɖe afɔku sia dzi akpɔtɔ.

• Implant Failure : Ƒã hafi, plate alo screws ate ŋu aɖiɖi, agbã, alo atrɔ, si abia be woawɔ dɔ na ame bubuwo.

• Nulɔdɔ ƒe nuwɔna : Togbɔ be mebɔ o hã la, ga aɖewo koŋ ate ŋu anɔ ame ɖekaɖeka aɖewo ŋu, siwo dome gakpo si mexɔ dzo o hã le.

  
  

9. Ƒumeŋuɖui si mexɔ dzo o ƒe etsɔme .

Ŋgɔyiyi siwo wowɔ le ƒumeŋutinunya me yi edzi le aɖaŋu kple nusiwo wozãna le gakpo siwo mexɔ dzo o ƒe gbadzɛwo me la wɔm ɖe edzi. Numekulawo le mɔnu yeyewo abe 3D tata ene me dzrom be woawɔ agbalẽvi siwo ku ɖe dɔnɔwo ŋu koŋ siwo ana woasɔ nyuie wu eye woawɔ dɔ nyuie wu. Tsɔ kpe ɖe eŋu la, wole nusiwo wotsɔ dea ame ƒe lãme siwo gblẽa nu le nugbagbewo ŋu wɔm, si ate ŋu aɖe dɔwɔwɔ na ame le agba me ƒe hiahiã ɖa.

Nyanuwuwuw

Ƒumeŋuɖui si mexɔ dzo o ƒe agbawo nye mɔ̃ vevi siwo le ƒumeŋutinunya me, si naa liƒo, kpena ɖe ame ŋu, kple ƒu ƒe dɔyɔyɔ si dzi ɖe edzi. Le woƒe ŋusẽ, nugbagbewo ƒe dɔwɔwɔ ɖekae, kple nusiwo gblẽa nu le wo ŋu ƒe tsitretsitsi ta la, wowɔa akpa aɖe le nu me tsonu siwo kpɔa dzidzedze le ƒumeŋuɖui ƒe dɔwɔwɔ vovovowo me. Esi mɔ̃ɖaŋununya le ŋgɔ yim la, etsɔme le ŋgɔyiyi siwo ŋugbe wodo wu gɔ̃ hã me le ƒumeŋuɖui ƒe lãkusiwo me.