Views: 143 Author: Site Editor Ɣeyiɣi si Wotae: 2022-09-14 Dzɔtsoƒe: Teƒe
Vidzidɔ ƒe dɔwɔwɔ nye atikewɔwɔmɔnu tɔxɛ siwo wozãna le vidzidɔ ƒe akɔta ƒe dɔwɔwɔ me be woatsɔ ana aklãa nali ke, wòana wòasɔ ɖe ɖoɖo nu, eye wòaɖe ahɔhɔ̃mekawo ƒe dzesi siwo vidzidɔ ƒe akɔta ƒe dɔlélewo hena vɛ la dzi akpɔtɔ. Nusiwo wotsɔ dea ame me siawo wɔa akpa vevi aɖe le kɔ ƒe nɔnɔme siwo gblẽa nu le ame ŋu, siwo wɔa nuvevi ame, kple esiwo do ƒome kple nɔnɔme siwo gblẽa nu le ame ŋu la dada me esime wole dɔnɔwo ƒe ʋuʋu kple agbenɔnɔ nyom ɖe edzi.

Wotrɔ asi le vidzidɔ ƒe akɔta ƒe akpa aɖewo ŋu be woado alɔ vidzidɔ ƒe akɔta ƒe akpa aɖewo, aɖɔli wo, alo ana woali ke le amekoko megbe. Wozãa wo zi geɖe ne atikewɔwɔ siwo me womezãa nusiwo gblẽa nu le ame ŋu le o mete ŋu ɖe vevesese, ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie, alo mɔ̃wo ƒe malikenyenye dzi kpɔtɔ o.
Le atikewɔlawo ƒe nukpɔsusu nu la, vidzidɔ me nudede amekolawo kpena ɖe amekolawo ŋu be woaɖe aklã ƒe ʋuʋu, fusion, alo ʋuʋu ta le dɔdamɔnu si wotia nu. Egbegbe vidzidɔdeƒe ƒe ɖoɖowo tea gbe ɖe nugbagbewo ƒe dɔwɔwɔ ƒe liƒo, nugbagbewo ƒe dɔwɔwɔ ƒe ɖekawɔwɔ, kple kakaɖedzi le dɔdamɔnu ŋu ɣeyiɣi didi dzi.
Vidzidɔ ƒe akɔta nye akɔtaƒu adre (C1–C7) siwo le aklãa tame. Nuto sia léa ta ɖe te, ekpɔa aklã ta, eye wònaa woate ŋu aʋuʋu le mɔ vovovowo nu.
Vidzidɔ ƒe akɔtaƒu ɖesiaɖe kpena ɖe kɔ ƒe ʋuʋu kple agba mama ŋu le mɔ vovovowo nu. Vidzidɔ ƒe akɔta ƒe akpa si le etame (C1–C2) koŋue nana wòtrɔna, gake vidzidɔ ƒe akpa siwo le ete (C3–C7) ya nana wòbɔbɔna, kekena ɖe enu, eye wòbɔbɔna ɖe axadzi.
Akɔtaƒuawo dome la, akɔtaƒuwo dome disk siwo xɔa dzidziƒoame eye woléa dometsotso ɖe lãmekawo ƒe kewo dome. Nuto sia ƒe gbegblẽ alo abixɔxɔ ate ŋu aƒo ahɔhɔ̃mekawo ƒe wɔwɔme nu ƒu, eye zi geɖe la, ehiãna be woawɔ dɔ na ame to vidzidɔa me.
Zi geɖe la, woɖea vidzidɔa dede ame me ne eƒe wɔwɔme ƒe gbegblẽ alo eƒe gbegblẽ na aklã ƒe liƒo alo ahɔhɔ̃mekawo ƒe dɔwɔwɔ gblẽ.
Disk ƒe gbegblẽ alo disk ƒe ʋuʋu le tsitsi ta ate ŋu ana kɔ nase veve atraɖii, radiculopathy, alo myelopathy. Vidzidɔ me nudede kpena ɖe ame ŋu be disk ƒe kɔkɔme gaɖoa eŋu eye wòɖea lãmekawo ƒe tete dzi kpɔtɔna.
Aklã ƒe mɔ si le kpuie ate ŋu aƒo aklã alo lãmekawo ƒe kewo nu ƒu, si ana wòagbɔdzɔ, wòazu lãmetutudɔ, alo azɔlizɔzɔ ƒe tɔtɔ. Zi geɖe la, amekoko ƒe nutete ɖeɖeɖa bia be woatsɔ nusiwo wotsɔ dea lãme na ame nali ke.
Abi siwo woxɔna le ame ŋu vevie ate ŋu agblẽ nu le aklã ƒe ɖoɖowɔwɔ ɖe ɖoɖo nu ŋu. Vidzidɔ ƒe nutete ƒe ɖoɖowo le vevie be mɔ̃wo nagali ke eye woaxe mɔ ɖe ahɔhɔ̃mekawo ƒe abi evelia xɔxɔ nu.

Wonɔa te ɖe dɔléleŋutinunya, amekoko ƒe mɔnu, kple dɔdamɔnu si wodi dzi tiaa vidzidɔa dodo ƒe ɖoɖo vovovowo.
Wozãa ŋgɔgbe vidzidɔ ƒe agbalẽviwo zi geɖe le ŋgɔgbe vidzidɔ ƒe discectomy kple fusion (ACDF) ƒe dɔwɔwɔwo me. Plɛti siawo naa li ke enumake eye wodoa ƒu ƒe ƒoƒo dzidzedzetɔe ɖe ŋgɔ le akɔtaƒuwo dome.
Wotrɔ asi le vidzidɔ ƒe disk siwo wowɔ kple asi ŋu be woakpɔ ŋutilã ƒe ʋuʋu ta esime wole vevesese si disk ƒe gbegblẽ hena vɛ dzi ɖem kpɔtɔ. Zi geɖe la, wobua vidzidɔ ƒe disk ɖɔliɖɔli ŋu na dɔnɔ siwo metsi o alo esiwo le dɔ dzi wu.
Wozãa megbe vidzidɔ ƒe gaviwo kple atikplɔwo tsɔ naa akɔta la li ke tso kɔa ƒe megbe, vevietɔ le fusion si le ɖoƒe vovovowo alo nɔnɔme madeamedzi sesẽwo me.
Le nɔnɔme siwo me woɖea akɔta ƒe ŋutilã ɖa le me la, akɔta ƒe atɔ naa ŋgɔgbekpa dzi kpena ɖe ame ŋu eye wòkpena ɖe ame ŋu be aklãa nasɔ ɖe ɖoɖo nu.
Nusiwo woatsɔ awɔ dɔe tiatia wɔa akpa vevi aɖe le nusi wotsɔ dea lãme na ame ƒe dɔwɔwɔ kple emetsonu siwo anɔ anyi ɣeyiɣi didi me.
Titanium-nu siwo wotsɔ dea lãme na ame la naa ŋusẽ nyui aɖe ŋutɔ, womete ŋu ƒoa ƒu o, eye ƒumeŋuɖuiwo te ŋu ƒoa ƒu, si wɔe be wozãa wo geɖe le vidzidɔa ƒe xɔxlɔ̃ ƒe ɖoɖowo me.
PEEK (polyetheretherketone)-kawo naa elastic modulus si te ɖe ƒu ŋu wu eye wònaa woate ŋu akpɔ nɔnɔmetata siwo me kɔ wu le dɔwɔwɔ vɔ megbe, si doa alɔ fusion ƒe dodokpɔ si sɔ.
Egbegbe vidzidɔ me nusiwo wotsɔ dea lãme ate ŋu anye esiwo me ʋuʋudedi le alo esiwo wota ɖe 3D me be woatsɔ ana ƒuwo nawɔ ɖeka kple biomechanical ƒe ɖekawɔwɔ nanyo ɖe edzi.
Wowɔa ɖoɖo ɖe vidzidɔ ƒe amekoko ŋu nyuie le dɔnɔa ƒe ŋutilã ƒe wɔwɔme kple dɔléle ŋuti nunya nu.
Wozãa nɔnɔmetatawo ŋuti numekukuwo abe MRI kple CT scan ene tsɔ daa akɔta ƒe ɖoɖo, ahɔhɔ̃mekawo ƒe tete, kple ƒu ƒe nyonyome kpɔ hafi tiaa ƒu ƒe ɖoɖo si sɔ.
Wozãa ŋgɔgbe mɔnuwo zi geɖe hena disk ɖɔliɖɔli kple fusion ƒe dɔwɔwɔwo, si wɔnɛ be woate ŋu age ɖe vidzidɔa ƒe diskwo me tẽ evɔ lãmekawo metɔtɔ boo o.
Wolɔ̃a megbe mɔnuwo le nɔnɔme siwo hiã be woaɖe nutete ɖa geɖe alo woali ke le ɖoɖo geɖe nu.
Amekoko megbe hayahaya toa vovo le dɔdamɔnua kple dɔnɔa ƒe nɔnɔme nu.
Dɔnɔ aɖewo ate ŋu ahiã be woatsɔ vidzidɔ ƒe kɔla awɔe be wòaxe mɔ ɖe ʋuʋu nu eye wòado alɔ dɔyɔyɔ le hayahaya ƒe gɔmedzedze.
Gbugbɔgaɖɔɖo ƒe ɖoɖowo ku ɖe kɔ ƒe ʋuʋu ake, ŋusẽdodo lãmeka siwo ƒo xlãe, kple dɔwɔwɔ bliboa ƒe nyonyome ŋu.
Dɔnɔ akpa gãtɔ ƒe dzesiwo nyona ɖe edzi ŋutɔ, eye vivivi la, wogatrɔna ɖe gbesiagbedɔwo ŋu le atikewɔlawo ƒe mɔfiafia te.
Togbɔ be zi geɖe la, vidzidɔ ƒe dɔwɔwɔ na ame le dedie hã la, ele be woase afɔku siwo ate ŋu ado tso eme gɔme.
Amekokomɔnu nyuitɔ kple beléle na ame le dɔwɔwɔ vɔ megbe ɖea kuxi siwo do ƒome kple amekoko ƒe afɔkua dzi kpɔtɔna.
Fusion ƒe mɔnuwo ate ŋu ana nuteɖeamedzi nadzi ɖe edzi le akpa siwo te ɖe wo nɔewo ŋu, si abia be woagade nu eme ɣeaɖewoɣi.
Vidzidɔa ƒe akpa nyuitɔ tiatia lɔ nu geɖe ɖe eme.
Ƒe si woxɔ, ƒu ƒe kpekpeme, kple alesi wòsɔ ɖe aklãa nu kpɔa ŋusẽ ɖe atike si woatsɔ ade ame me ƒe tiatia dzi.
Amekolawo daa viɖe siwo le liƒolili ŋu kpɔna kple didi be woalé vidzidɔ ƒe ʋuʋu le dzɔdzɔme nu me ɖe asi.
Ele be nusiwo wotsɔ dea ame me naɖo dukɔwo dome sewo ƒe nudidiwo gbɔ eye woatsɔ atikewɔƒewo ƒe kpeɖodziwo aɖo kpe wo dzi.
Vidzidɔ ƒe dɔwɔwɔ nye dɔwɔnu veviwo le vidzidɔ ƒe akɔta ƒe dɔlélewo dada me, si naa liƒo, vevesese dzi ɖena kpɔtɔna, eye ahɔhɔ̃mekawo ƒe dɔwɔwɔ nyona ɖe edzi. Esi wowɔ ŋgɔyiyi le atike siwo wotsɔ dea vidzidɔa me, nusiwo woatsɔ awɔ dɔe, kple amekokomɔnu me ta la, vidzidɔ ƒe akɔta ƒe dɔwɔwɔ yi edzi le nusiwo ŋu kakaɖedzi le eye woate ŋu agblɔe ɖi la hem vɛ na dɔnɔwo le xexeame katã.
Le amekolawo kple atikewɔnuwo ƒlelawo gome la, vidzidɔ dede ƒe tiatiawɔblɔɖe gɔmesese nye nu vevi aɖe si ana woakpɔ dɔdamɔnu nyuitɔ kekeake eye woakpɔ dzidzedze ɣeyiɣi didi.
Vidzidɔ ƒe aklã ƒe akɔtaɖonuwo nye atikewɔmɔ̃ siwo wotsɔa amekoko dea kɔ me be wòana vidzidɔa ƒe akɔta nali ke eye wòado alɔe. Wozãa wo tsɔ daa dɔléle vovovowo, siwo dometɔ aɖewoe nye degenerative disc disease, spinal stenosis, kple herniated discs. Le nyati sia me la, míaƒo nu tso vidzidɔ ƒe aklã ƒomevi vovovo siwo wotsɔ dea vidzidɔ me, wo zazã, kple amekokomɔnu siwo ku ɖe eme ŋu.
Wozãa vidzidɔ ƒe akɔtaɖonuwo tsɔ naa vidzidɔa ƒe akɔta nɔa te, ɖea lãmekawo ƒe tete dzi kpɔtɔna, wogaɖoa wo nɔewo ɖe ɖoɖo nu, eye wodoa alɔ fusion alo ʋuʋu takpɔkpɔ le vidzidɔa ƒe akɔta ƒe dɔwɔwɔ vɔ megbe.
Zi geɖe la, wowɔa dɔ na vidzidɔa dede lãme na ame le degenerative disc disease, vidzidɔ ƒe disk ƒe ʋuʋu, aklã ƒe ʋuʋu, aklã ƒe gbagbã, malikenyenye, kple aklã ƒe tete ta.
Nusiwo wotsɔ dea vidzidɔa me si bɔ wue nye vidzidɔ ƒe ŋgɔgbekpawo, mɔ̃ siwo wotsɔ ɖɔlia vidzidɔ ƒe disk, megbedede ƒe mɔ̃wo, kple vidzidɔ ƒe atɔ siwo woɖena.
Zi geɖe la, wotsɔa titanium-kpe alo PEEK-nu siwo wotsɔ dea vidzidɔ me, siwo wotia le woƒe ŋusẽ, woƒe nugbagbewo ƒe ɖekawɔwɔ, kple woƒe ɖekawɔwɔ kple aklã ƒe fusion alo ʋuʋu takpɔkpɔ ta.
Vidzidɔ ƒe fusion ɖea ʋuʋu ɖa le akpa si ŋu wowɔ atike ɖo be wòana wòali ke, gake vidzidɔ ƒe disk ɖɔliɖɔli ya kpɔa dzɔdzɔmeʋuʋu ta eye ate ŋu aɖe nuteɖeamedzi si le akpa siwo te ɖe eŋu dzi akpɔtɔ.
Ɣeyiɣi si wohayana la toa vovo le dɔwɔwɔ na wo nu, gake dɔnɔ akpa gãtɔ gadzea gbesiagbedɔ siwo wowɔna ɖaa gɔme le kwasiɖa aɖewo megbe, eye woxɔa ɣleti geɖe hafi wohayana bliboe eye wowɔa fusion ƒe dodokpɔ.
Wotrɔ asi le egbegbe vidzidɔ me atikewo ŋu be woanɔ dedie ɣeyiɣi didi eye woanɔ anyi eteƒe nadidi, eye wokpɔa dzidzedze geɖe le dɔdaƒewo ne wotia wo nyuie eye wodo wo ɖe amekoko me.
Le nɔnɔme siwo mebɔ o siwo me kuxiwo alo akpa si te ɖe eŋu ƒe dɔléle le me la, ate ŋu ahiã be woagbugbɔ ŋku alé ɖe vidzidɔa me alo aɖee ɖa, le dɔdaƒe ƒe dodokpɔ nu.
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