Views: 179 Author: Site Editor Ɣeyiɣi si Wotae: 2022-09-14 Dzɔtsoƒe: Teƒe
Akɔtadɔlékuiwo nye atikewɔmɔ̃ tɔxɛ siwo ŋu wotrɔ asi le be woatsɔ ado alɔ aklãa ƒe wɔwɔme, ana wòali ke, alo agbugbɔe aɖo eteƒe. Wozãa wo geɖe le egbegbe aklãdɔdada me tsɔ daa aklã ƒe nɔnɔme vovovo siwo gblẽa nu le ame ŋu, siwo gblẽa nu le ame ŋu, kple esiwo do ƒome kple ame ƒe nɔnɔme madeamedzi.
Le esi teƒe be woaɖɔli nugbagbevi siwo wotsɔ dea aklã me la, aklã ƒe akpa gãtɔ wɔa dɔ aduadu kple dɔnɔa ƒe ŋutilã ƒe wɔwɔme be wòanɔ ɖekawɔwɔ me, ado fuɖename ɖe ŋgɔ, eye wòaɖe mɔ̃wo ƒe nuteɖeamedzi si le aklã ƒe akpa siwo ŋu wògblẽ nu le dzi akpɔtɔ.
Le atikewɔlawo ƒe nukpɔsusu nu la, aklã me nusiwo wotsɔ dea aklã me dometɔ aɖewoe nye mɔ̃ siwo wotsɔ léa ame ƒe ŋutilã ɖe te, nusiwo doa alɔ ame ƒe ŋutilã dome, kple nusiwo léa ʋuʋu ta siwo wotsɔa amekoko dea aklãa me alo te ɖe eŋu. Woƒe dɔ vevitɔe nye be woakpɔ aklã ƒe ʋuʋu dzi esime dɔyɔyɔ le edzi yim alo be woana aklã ƒe akpa siwo meli ke o la nali ke tegbee.
Wotrɔ asi le nusiwo wotsɔ dea lãme na ame siawo ŋu be woate ŋu anɔ te ɖe nugbagbeŋusẽ ƒe agba sesẽwo nu, siwo dometɔ aɖewoe nye axial compression, bending, kple torsional forces siwo dona le gbesiagbe ʋuʋu me.
Taɖodzinu vevi siwo le aklã dede ame ŋu ƒe dɔdamɔnu mee nye be woana aklãa nali ke, woana ŋutilã ƒe dɔwɔwɔ nasɔ ɖe ɖoɖo nu, eye woaɖe lãmekawo ƒe tete dzi akpɔtɔ. To akɔtaƒuwo dome ʋuʋu si mesɔ o dzi ɖeɖe kpɔtɔ me la, nusiwo wotsɔ dea ame me kpena ɖe ame ŋu be vevesese si li ke ƒe malikenyenye alo tɔtrɔ siwo gblẽa nu le ame ŋu hena vɛ dzi ɖena kpɔtɔna.
Le go geɖe me la, akɔtaɖonuwo hã naa nɔnɔme nyuitɔ kekeake si me ƒuwo ate ŋu aƒo ƒu ɖo, si wɔnɛ be akɔtaƒuwo te ŋu ƒoa ƒu vivivi zua nu ɖeka si li ke.
Wotsɔa nusiwo sɔ kple nugbagbewo abe titanium-kpewo, PEEK (polyetheretherketone), kple, le go aɖewo me la, carbon fiber–reinforced polymers ene wɔa egbegbe aklãdɔlékuiwo. Wotiaa nu siawo le woƒe ŋusẽ, woƒe xɔxlɔ̃, nɔnɔmetatawo ƒe sɔsɔ, kple nugbagbewo ƒe dedienɔnɔ ɣeyiɣi didi ta.
Nusiwo woatsɔ awɔ dɔe tiatia wɔa akpa vevi aɖe le nusi wotsɔ dea lãme na ame ƒe dɔwɔwɔ me, vevietɔ le agba mama, ƒuwo ƒe ƒoƒo ɖekae, kple dɔwɔwɔ vɔ megbe nɔnɔmetatawo me kɔ nyuie me.

Woate ŋu ama akɔtadɔlékuiwo ƒe hatsotsowo me le mɔ geɖe nu le woƒe ŋutilã ƒe wɔwɔme, mɔnu si wotsɔ léa woe, kple amekoko ƒe taɖodzinu nu. Ƒomedodo ɖesiaɖe wɔa akpa aɖe koŋ le aklã ƒe gbugbɔgatu alo eƒe liƒolili me.
Pedicle screw kple rod systems le mɔ̃ siwo wozãna wu tsɔ léa akɔta ƒe akɔta la dome. Wotsɔa akɔtaƒuwo dea akɔtaƒuwo me eye wotsɔa atikplɔwo doa ka kpli wo be woana aklã ƒe akpa ɖeka alo esi wu nenema nali ke.
Wozãa ɖoɖo siawo geɖe le aklã ƒe fuɖeɖe ƒe amekoko, nuveviwɔame ƒe liƒolili, kple nɔnɔme madeamedzi ɖɔɖɔɖo me le woƒe fixation ŋusẽ sesẽ kple tɔtrɔ ɖe nɔnɔmewo ŋu ta.
Wotsɔa interbody fusion cages dea akɔta ƒe ŋutilã siwo te ɖe wo nɔewo ŋu dome le disc ɖeɖeɖa vɔ megbe. Woƒe dɔ vevitɔe nye be woagbugbɔ disk ƒe kɔkɔme aɖo anyi, woalé foraminal space me ɖe asi, eye woana ƒu ƒe ƒoƒo nanɔ bɔbɔe.
Le amekoko ƒe mɔnu nu la, wozãa ametia dome akafowo le vidzidɔ, akɔta, kple akɔta ƒe dɔwɔwɔwo me, eye wowɔa aɖaŋu siwo sɔ nyuie na ŋutilã ƒe wɔwɔme kple agba mama.
Akɔta ƒe agbawo, kɔsɔkɔsɔwo, kple kpeɖeŋutɔ siwo wotsɔ léa akɔta la naa liƒo geɖe wu le ŋutilã ƒe akpa aɖewo koŋ, vevietɔ le vidzidɔ kple akɔta ƒe amekokowo me. Zi geɖe la, wozãa mɔ̃ siawo tsɔ kpena ɖe gavi kple atikplɔ ŋu be woatsɔ ana ŋusẽ si woatsɔ alé woe kple alesi woakpɔ wo ɖe ɖoɖo nu dzi.
Menye aklã ƒe nɔnɔmewo katãe hiã be woatsɔ wo aƒo ƒui sesĩe o. Aklã siwo wotsɔ dea aklã me siwo léa ʋuʋu ta, abe disk siwo wowɔ kple nusiwo nana ame ƒe lãme nɔa te sesĩe ene, ƒe taɖodzinue nye be woalé aklã ƒe ʋuʋu si dzi wokpɔna me ɖe asi esime wole vevesese kple eƒe gbegblẽ dzi ɖem kpɔtɔ.
Zi geɖe la, wotiaa ɖoɖo siawo na dɔnɔ siwo woda kpɔ nyuie le afisiwo akpa aɖewo ƒe ʋuʋu takpɔkpɔ ɖea vi le le atikewɔnyawo gome.
Wofia be woade akɔta na dɔléle ƒe nɔnɔme vovovo siwo me atikewɔwɔ si me womezãa atike o le mesɔ gbɔ o alo xɔtuɖoɖo ƒe malikenyenye mele o.
Disk ƒe dɔléle si gblẽa nu ate ŋu ana disk nagbã, wòaʋuʋu le mɔ si mesɔ o nu, eye wòase veve atraɖii. Ne malikenyenye va ɖe dzesi la, wozãa aklã ƒe nusiwo wotsɔ dea ame me tsɔ gbugbɔa mɔ̃a ƒe ɖoɖo kple mɔ̃wo ƒe liƒo gaɖoa wo nɔewo ŋu, eye zi geɖe la, wozãa wo kpena ɖe fusion ƒe mɔnuwo ŋu.
Aklã ƒe gbagbã sesẽ siwo dona tso afɔku alo anyidzedze me ate ŋu agblẽ nu le aklã ƒe liƒo kple ahɔhɔ̃mekawo ƒe dedienɔnɔ ŋu. Nusiwo wotsɔ dea aklã me na amekolawo te ŋu trɔa asi le akpa siwo gbã ŋu eye wokpɔa aklãa ta le dɔyɔɣi.
Le aklã ƒe nɔnɔme madeamedziwo abe scoliosis kple kyphosis ene me la, nusiwo wotsɔ dea ame me wɔa akpa vevi aɖe le nuwɔametɔnyenye ɖɔɖɔɖo vivivi kple eƒe liƒolili ɣeyiɣi didi me. Fixation systems siwo le ɖoƒe vovovowo kpena ɖe ame ŋu be aklãa nagasɔ ɖe ɖoɖo nu le mɔ si da sɔ nu eye wòxea mɔ na ŋgɔyiyi.
Nɔnɔme siwo me akɔta ƒe ʋuʋu alo disk ƒe ʋuʋu le ate ŋu ana lãmekawo natsi eye woƒe dɔwɔwɔ nagbɔdzɔ. Akɔtadɔlékuiwo kpena ɖe ame ŋu le decompression dɔwɔwɔwo me to alesi woɖɔa wo ɖoe kple mɔxexe ɖe malikenyenye si gbugbɔna nu me.
Menye alesi woawɔ akɔta ƒe dzidzedzekpɔkpɔ koe nɔ te ɖe alesi woawɔ akɔtae dzi o, ke enɔ te ɖe amekoko ƒe ɖoɖowɔwɔ kple ewɔwɔ pɛpɛpɛ hã dzi.
Zi geɖe la, wobiaa X-ray, CT, kple MRI nɔnɔmetatawo ɖeɖe do ŋgɔ na dɔwɔwɔ nɛ be woatsɔ ada akɔta ƒe ŋutilã ƒe wɔwɔme, malikenyenye, kple ahɔhɔ̃mekawo ƒe wɔwɔme akpɔ. Nɔnɔmetata siwo sɔ pɛpɛpɛ fiaa mɔ ame tiatia, eƒe lolome, kple amekoko ƒe mɔnu.
Wogazãa aklã ƒe fusion si woʋu ɖi si wozãna tsã le afisiafi, gake amekokomɔnu siwo me womezãa nu boo aɖeke le o va xɔ ŋkɔ le esi lãmenugbagbeviwo ƒe gbegblẽ dzi ɖe kpɔtɔ eye woƒe hayahaya kabakaba ta. Mɔnu eveawo siaa zãa aklã ƒe dɔwɔwɔ, eye vovototowo le amekoko ƒe mɔnu kple dɔwɔnuwo zazã me koŋ.
Mɔfianu deŋgɔ siwo wozãna le dɔwɔwɔ me kple robotwo ƒe kpekpeɖeŋu nana be ame ƒe akpa si wotsɔ dea lãme na ame la nyona ɖe edzi. Ne woɖoe ɖe teƒe si sɔ pɛpɛpɛ ɖea kuxi siwo ate ŋu ado mo ɖa dzi kpɔtɔna eye wònaa biomechanical ƒe dɔwɔwɔ nyona ɖe edzi.
Dɔwɔwɔ vɔ megbe hayahaya lɔ gbugbɔgaɖɔɖo si wowɔ ɖe ɖoɖo nu be wòagate ŋu aʋuʋu eye ŋusẽ nagaɖo ame ŋu ɖe eme. Ɣeyiɣi didi ƒe kplɔkplɔ ɖo le vevie be woalé ŋku ɖe fusion ƒe ŋgɔyiyi, implant ƒe liƒo, kple dɔwɔwɔ me tsonu ŋu.

Ne wotia atike siwo wotsɔ dea aklã me wòsɔ eye wodo wo ɖe lãme nyuie la, woɖea vi geɖe le atikewɔnyawo me.
To akpa siwo meli ke o ƒe liƒolili kple lãmekawo ƒe tete dzi ɖeɖe kpɔtɔ me la, aklã me nutetewo kpena ɖe dɔnɔ geɖe ƒe vevesese dzi ɖena kpɔtɔna ŋutɔ eye wònaa gbesiagbedɔwɔwɔ nyona ɖe edzi.
Nusiwo wotsɔ dea ame me gbugbɔ maa mɔ̃wo ƒe agbawo ɖe akɔta, si ɖea nuteɖeamedzi si le xɔtunu siwo gblẽ ŋu dzi kpɔtɔna eye wòxea mɔ na woƒe gbegblẽ alo woƒe nɔnɔme madeamedzi bubuwo.
Aklã ƒe liƒo si nyo wu kple vevesese dzi ɖuɖu nana dɔnɔwo trɔna yia dɔwɔna siwo sɔ me eye woƒe agbenɔnɔ nyona wu ɣeyiɣi didi.
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku siwo ate ŋu ado mo ɖa le amekoko ƒe mɔnuwo ŋu, eye ele be woakpɔ wo gbɔ nyuie.
Amekoko ƒe ɖoɖo sesẽwo kple beléle na ame le dɔwɔwɔ vɔ megbe le vevie be woaɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ. De dzesii kaba kple nudede eme le vevie ŋutɔ be emetsonuwo nakpɔ dzidzedze.
Kuxi siwo do ƒome kple nusi wotsɔ dea lãme na ame ate ŋu anye eƒe ʋuʋu, eƒe gbagbã, alo esi mewɔ ɖeka o. Nya siawo ate ŋu abia be woagbugbɔ awɔ dɔ na wo le alesi dɔlélea nu sẽe nu.
Wozãa amekokomɔnu si me wowɔa nu nyuie kple ŋkuléle ɖe ame ŋu le dɔwɔwɔ me tsɔ ɖea ahɔhɔ̃mekawo ƒe abixɔxɔ ƒe afɔkua dzi kpɔtɔna le amekokoa dede lãme na ame me.
Mɔ̃ɖaŋununya si wotsɔ dea aklã me yi edzi le ŋgɔ yim kpe ɖe ŋgɔyiyi siwo wowɔ le nuwo ŋuti dzɔdzɔmeŋutinunya kple amekokomɔnu me ŋu.
Atike siwo wotsɔ kpe ɖe eŋu wɔwɔ na be woate ŋu awɔ atike siwo wotsɔ dea lãme na dɔnɔwo koŋ ƒe nɔnɔme siwo sɔ ɖe ame ɖekaɖekawo ƒe ŋutilã ƒe wɔwɔme nu, si wɔnɛ be wosɔna nyuie wu eye woƒe mɔ̃wo ƒe dɔwɔwɔ sɔna nyuie wu.
Dzidzime si gbɔna ƒe ʋuʋu takpɔkpɔ ƒe ɖoɖowo ƒe taɖodzinue nye be woada asɔ le liƒo kple ʋuʋu si dzi wokpɔna me, eye woakpɔ seɖoƒe siwo le fusion mɔnu xoxowo ŋu gbɔ.
Wole robotwo kple mɔfianu siwo zãa AI tsɔm dea amekoko me geɖe wu, si wɔnɛ be wowɔa dɔ pɛpɛpɛ, wowɔa nu ɖekae, eye wokpɔa emetsonu siwo nɔa anyi didi wu.
Akɔta ƒe amekoko nye egbegbe aklãdɔdada ƒe dzogoedzikpe, si naa egbɔkpɔnu siwo ŋu kakaɖedzi le hena eƒe liƒo, eƒe ɖoɖowɔwɔ ɖe ɖoɖo nu, kple vevesese dzi ɖeɖe kpɔtɔ le aklã ƒe nɔnɔme vovovowo me. Esi mɔ̃ɖaŋununya si wotsɔ dea ame ƒe aklã me kple amekokomɔnu yi edzi le ŋgɔ yim la, aklã dede ame me awɔ akpa vevi aɖe geɖe wu le dɔnɔwo ƒe dɔwɔwɔ me tsonu ƒe nyonyo me le xexeame katã.
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