Kɔnɔbara karilen, a ka ca a la a bɛ wele ko kɔkolo karilen, a ka ca a la, o bɛ kɛ binkanni kɔfɛ, farikoloɲɛnajɛ jogin kɔfɛ, nɛgɛso tiɲɛni kɔfɛ, walima a bɛ gosi a kamankun na. Kɔnɔbara karilenw fanba bɛ se ka furakɛ ni opereli ma kɛ. Nka, kari yɔrɔ, a jiginni, a sɔgɔli, a fari cogoya, jogin minnu bɛ sɔrɔ o la, banabagatɔ si hakɛ, ani a ka baara kɛcogo, olu bɛɛ bɛ se ka nɔ bila furakɛli bolodacogo la.
Nin jateminɛba in min sinsinnen bɛ daliluw kan, o bɛ bana taamasiɲɛw ɲɛfɔ, u sɛgɛsɛgɛli, u danfara, furakɛli min tɛ opereli ye, opereli suganditaw, gɛlɛyaw, ani u kɛnɛyacogo ɲɛgɛnɛsira karilenw na. A dabɔra kalan bɛɛ kama, wa a tɛ kɛnɛyabaarakɛla ŋana dɔ ka jateminɛ nɔ na.
Takeaways (Takeaways) kunbabaw
Cɛmancɛ sabanan walima jiribolo, o ye yɔrɔ ye min ka teli ka kɛ cɛya karilen ye.
A taamasiɲɛw ye dimi, funu, kurukuru, sɔgɔsɔgɔninjɛ, ani bolokɔni lamaga gɛlɛya.
X-ray gansanw ye ja sɛgɛsɛgɛli fɔlɔ ye; CT bɛ se ka kɛ bana gɛlɛnw na, bana minnu bɛ kɛ cɛmancɛ la, walima minnu bɛ kɛ ka kɔn opereli ɲɛ.
Kari minnu ma bɔ yɔrɔ wɛrɛ la, olu fanba bɛ furakɛ ni sɔgɔsɔgɔninjɛ ye, ka tugu ja lajɛ, ani ka u labɛn ka taa a fɛ.
Kari dafalenw, fari min bɛ bagabaga, farikolojidɛsɛ jogin, kamankun cɛsirilan min tɛ sabati, ani kari sugandilenw minnu bɔra yɔrɔ wɛrɛ la walima minnu tɛ sabati, olu bɛ se ka kɛ opereli ye.
Plate fixation ni intramedullary fixation fila bɛɛ bɛ se ka kɛ sababu ɲuman ye balikuw ka sɔgɔsɔgɔninjɛ sugandilenw na, nka u kelen-kelen bɛɛ nafa ni farati tɛ kelen ye.
A kɛnɛyali bɛ danfara ka kɛɲɛ ni a si hakɛ ye, a karicogo, a furakɛcogo, a sigarɛtimin cogoya, ani kolo kɛnɛyali daliluw.
Kɔnɔbara karilen ye mun ye?
Kɔnɔbara ye kolo ye min bɛ i n’a fɔ S, min bɛ disi cɛmancɛ la kɔkolo ni kɔkolo cɛ kamankun na. A bɛ kɛ i n’a fɔ jyɛnnatigɛ-yɔrɔ min bɛ jiribolo ni sanfɛla cɛ ka sɔrɔ ka dɛmɛ don ka nɛrɛmuguma ni joli siraw lakana minnu bɛ tɛmɛ a jukɔrɔ.
Clavicle anatomie ani kariw jiginni cogoya minnu bɛ kɛ cogoya la.
Kɔnɔbara kari bɛ kɛ ni fanga dɔ tɛmɛna kolo fanga kan. Fɛɛrɛ minnu ka teli ka kɛ, olu ye ka bin a kamankun kan k’a ɲɛsin a ma, ka bin bolokɔni kɔrɔtalen kan, ka ɲɔgɔn gosi farikoloɲɛnajɛw kɛtuma na, ani ka nɛgɛso walima mobili jogin min fanga ka bon. Banabagatɔ fitininw na, o joginw ka teli ka kɛ farikoloɲɛnajɛ walima sirabakan kasaara kɔfɛ. Mɔgɔkɔrɔbaw la, fanga dɔgɔyali bɛ se ka kɛ sababu ye, kɛrɛnkɛrɛnnenya la ni kolo jogo dɔgɔyara.
Kɔnɔbara karilenw bɛ kɛ balikuw ka karilenw 3% fo 5% ɲɔgɔn ye. A ka ca a la, a tilatilali bɛ fɔ ko bimodal, kelen bɛ kɛ funankɛninw ni baliku fitiniw cɛ, dɔ wɛrɛ bɛ kɛ baliku kɔrɔbaw la.
Kɔnɔbara kari taamasiɲɛw
A taamasiɲɛw bɛ bɔ joginda yɔrɔ ni a juguya la, nka a ka ca a la, olu ye:
Dimi teliya la kɔkolo kan joginda kɔfɛ
Funu, kurukuruni ani yɔrɔ dɔw sɔgɔsɔgɔninjɛ
Dimi bɛ kɛ ni aw bɛ bolokɔni min bananen don, aw bɛ o kɔrɔta walima ka a lamaga
Bugun min bɛ ye, senna-tɛgɛrɛ, walima kamankun cogoya caman cili
Dusukunnata min bɛ kɛ ka sɔgɔsɔgɔ walima ka lamaga kari yɔrɔ la
A ka teli ka bolokɔni joginlen dɛmɛ ni bolo wɛrɛ ye
Lakɔlɔsili taamasiɲɛ minnu ka kan ka jateminɛ teliya la
Furakɛcogo kɔrɔtɔlen nafa ka bon ni fari karilen don walima ni a sirilen don kosɛbɛ fɛn nɔgɔlen dɔ kan; bolo walima bolo bɛ kɛ jɛman ye, ka nɛnɛ, ka barika dɔgɔya, walima ka kɛ fɛn ye min bɛ sɔgɔsɔgɔ; ninakili ka gɛlɛn; disidimi bɛ yen; walima jogin in tugura fanga caman sɔrɔli kɔ. Nin sɔrɔlen ninnu bɛ se ka a jira ko kari dabɔlen don walima joginda min bɛ tali kɛ o la, fogonfogon, disi kogo, nɛrɛmuguma walima joli siraw.
Dɔgɔtɔrɔso sɛgɛsɛgɛli ka kan ka kɛ fari, kamankun cogoya, joli lamagacogo ani farikolojidɛsɛ baarakɛcogo ye.
Kɔnɔbara karilen bɛ dɔn cogo di?
Sɛgɛsɛgɛli bɛ daminɛ ni joginda tariku ye ani farikolo sɛgɛsɛgɛli. Dɔgɔtɔrɔ bɛ sɔgɔsɔgɔninjɛ yɔrɔ jateminɛ, farikolo yɔrɔ min bɛ ye, farikolo cogoya, kamankun lamagacogo, ani bolokɔni min bananen don, o joli-sira-funu ni a nɛrɛmuguma baara. Jogin minnu fanga ka bon, disi, kɔ, kɔkili ani kamankun yɔrɔ wɛrɛw fana ka kan ka jateminɛ kɛ kosɛbɛ.
X-Ray (Rayon X) ye
Radiographie gansanw ye ja fɔlɔ sɛgɛsɛgɛli ye min bɛ kɛ ka kɛɲɛ ni sariya ye. U bɛ kariyɔrɔ Sɛmɛntiya ani ka dɛmɛ don ka jiginni, kùnkolo, surunyali ani sɔgɔli jira. Radiographie jɔlenw bɛ se ka jiginni caman jira ka tɛmɛ ja minnu tara ni banabagatɔ dalen bɛ a la, kɛrɛnkɛrɛnnenya la ni a senkɔni cɛmancɛ karilen don.
CT ani Ja wɛrɛw lajɛ
Nafa bɛ se ka kɛ ɔridinatɛri tomografi ye ni kari bɛ kɛ ni cɛya cɛmancɛ walima kɔkolo kolotuguda ye, ni kari cogoya ka gɛlɛn, ni siga bɛ a la ko a bɛ tali kɛ a kamankunw na, walima ni a ka kan ka labɛn ka ɲɛ sani opereli ka kɛ. Ja wɛrɛw bɛ sugandi ka kɛɲɛ ni joginw ye minnu bɛ siga la, sanni u ka kɛ tuma bɛɛ kɔkolo karilen bɛɛ la.
Radiographies bɛ dɛmɛ ka kari yɔrɔ ɲɛfɔ, a jiginni, a surunyali ani a sɔgɔli.
Kɔnɔbara kari suguyaw ni u danfara
Fɛn fɔlɔ min bɛ se ka kɛ kosɛbɛ, o ye ka cɛya karilen tila ka kɛɲɛ ni yɔrɔ ye:
| Yɔrɔ | ɲɛfɔli | Dɔgɔtɔrɔso jateminɛw |
|---|---|---|
| Midshaft karilen | A bɛ kɛ ni cɛya cɛmancɛ tila sabanan ye wa a ye cogoya ye min ka teli ka kɛ. | A jiginni, a surunyali, a sɔgɔli, a fari cogoya, ani banabagatɔ ka baara hakɛ bɛ dɛmɛ ka furakɛli ɲɛminɛ. |
| Kɔnɔbara yɔrɔjan karilen | A bɛ kɛ ni kɛrɛfɛla laban ye min bɛ acromioclaviculaire joint kɛrɛfɛ. | sabatili bɛ bɔ a yɔrɔ dɔ la jɛɲɔgɔnya min bɛ kari ni korakɔlavikilɛri ligament complexe cɛ. |
| Kɔnɔbara cɛmancɛ karilen | A laban bɛ kɛ sɔgɔsɔgɔninjɛ kolotuguda kɛrɛfɛ wa a man teli ka kɛ. | Kɔfɛla jiginni bɛ jateminɛ ɲuman de wajibiya barisa fɛn nafamaw bɛ cɛmancɛ kɔkolo kɔfɛ. |
Daɲɛgafe-sigicogo minnu bɛ Kɛ ɲɔgɔn fɛ
Allman ka sigida bɛ cɛya karilenw kuluw kɛ cɛmancɛ sabanan, yɔrɔjan sabanan ani cɛmancɛ sabanan joginw ye. Sisitɛmu minnu ɲɛfɔlen don kosɛbɛ, olu ye Neer ka danfara ye ka ɲɛsin kɔkolo yɔrɔjan karilenw ma, Robinson walima Edinburgh danfara, ani AO/OTA danfara. O cogoyaw bɛ fɛnw ɲɛfɔ i n’a fɔ yɔrɔ, a jiginni, a sɔgɔli, a senkɔni, ani ligament sabatili.
Danfara tɔgɔ dɔrɔn tɛ furakɛli dantigɛ. Dɔgɔtɔrɔ ka kan ka fari ni farikolo yɔrɔ nɔgɔlenw fana jateminɛ, farikolojidɛsɛ cogoya, joginda minnu bɛ sɔrɔ o la, banabagatɔ si hakɛ, furakɛli cogoya, baara, baara hakɛ, ani furakɛli fɛɛrɛ minnu ka di a ye.
Kɔnɔbara karilenw danfaracogo minnu bɛ kɛ tuma caman na, olu bɛ yɔrɔ, a sabatili, a jiginni ani a tiɲɛni ɲɛfɔ.
Kɔnɔbara karilenw furakɛli min tɛ opere
Kɔnɔbara karilenw fanba bɛ ɲɛnabɔ ni opereli tɛ, kɛrɛnkɛrɛnnenya la ni u bɛ sɔn ka kɛ ɲɔgɔn fɛ ani ni a bɛ fɔ ko kari bɛ to a cogo la. A ka c’a la, bolokɔni nɔgɔman ka fisa ni ja 8 ye barisa a tali ka nɔgɔn, wa a ka ca a la a bɛ mɔgɔ lafiya.
Ladonni min tɛ opereli ye, o bɛ se ka kɛ ninnu ye:
Sling immobilisation walasa ka dususalo ni lakanani sɔrɔ
Dimi madali min ɲɛsinnen bɛ kɛnɛyabaarakɛla dɔ ma
Kɛnɛyaso ni rezow lajɛ tuma bɛɛ
Kɔkili, bolokɔni ani bolokɔni lamaga joona
Kamankun lamagacogo min bɛ taa ɲɛ ni dimi ni kari sabatili bɛ a to
Farikolo sɔrɔli kɛnɛya taamasiɲɛw kɔfɛ kɛnɛyaso ni rezow la
Nafa minnu bɛ furakɛli kɛ ni opereli tɛ, olu ye ka i yɛrɛ tanga tigɛcogo ma, ka anestezi kɛ, ka banakisɛw sɔrɔ, ani ka gɛlɛyaw sɔrɔ minnu bɛ sɔrɔ fɛn donta la. Nafa minnu bɛ se ka sɔrɔ, olu ye farikolo tiɲɛnenw ye minnu bɛ to senna, jɛɲɔgɔnya min bɛ to kɔfɛ, jɛɲɔgɔnya tɛ kɛ, jɛɲɔgɔnya jugu, ani ka segin joona dɔɔni dɔɔni baara walima farikoloɲɛnajɛ gɛlɛnw na kariw sugandilenw na minnu bɔra u ka yɔrɔw la.
Boloci nɔgɔman bɛ kɛ ka caya walasa ka dusu saalo ni lakanani kɛ furakɛli daminɛ na ni opereli tɛ.
Tuma jumɛn na cɛya karilen ka kan ka opere?
Opereli man kan ka kɛ cɛya karilen bɛɛ la min bɔra yɔrɔ wɛrɛ la, wa sumanikɛlan kelen man kan ka kɛ a dan na. Furakɛli ka kan ka kɛ mɔgɔ kelen-kelen bɛɛ ka latigɛw fɛ banabagatɔ ni operelikɛla furakɛlikɛla cɛ.
Opereli furakɛli bɛ se ka fɔ walima ka jateminɛ kɛ kosɛbɛ ni:
Kari da wulilen dɔ
Fari bɛ tiɲɛni walima fanibugu jugumanba dɔ karilen yɔrɔ dɔ kan
Joginni min bɛ tali kɛ joli siraw walima nɛrɛmuguma la
Kamankun cɛsirilan min tɛ sabati walima joginda caman kɛcogo sugandilen
Yɛlɛma taamasiɲɛ bɛ a la, a surunyali walima a sɔgɔli baliku cɛmancɛla karilen na
Kɔnɔbara yɔrɔjan karilen min tɛ sabati ni kɔkololavikilɛri ligament complexe tiɲɛni ye
Taamaʃyɛnw tɛ ɲɔgɔn sɔrɔ walima ɲɔgɔndɛmɛbaliya
Mako min bɛ ka ɲɔgɔndɛmɛ ni sabatili segin a cogo kɔrɔ la, baara, farikoloɲɛnajɛ, kɛnɛya bɛɛ lajɛlen ani banabagatɔw diyanyekow jateminɛni kɔfɛ
Baliku minnu cɛmancɛ karilenw bɔra u nɔ na, opereli furakɛli bɛ tali kɛ jɛɲɔgɔnya hakɛ caya la ani banabagatɔw ka jateminɛ kɛlenw joona ka tɛmɛ furakɛli kan min tɛ opereli ye. Nka, kuntaalajan kɔlɔlɔw ni wasa bɛ se ka kɛ kelen ye ni fɛɛrɛ fila la kelen ye. Balannako tɛ kelen ye funankɛninw na, minnu kɛnɛyali seko ka bon ani opereli kɛcogo kɔrɔlen cɛmancɛla karilen dɔ la min bɔra yɔrɔ kelen na, o tɛ se ka nafa jɛlen si di u ma baarakɛcogo la.
Kari cogoyaw ni jogin minnu bɛ tali kɛ o la, olu bɛ jateminɛ ɲɔgɔn fɛ ni u bɛ a latigɛ ni opereli bɛ se ka kɛ a bɛnnen don.
Nonooperative Care vs. Surgical Fixation
| Treatment | A bɛ jateminɛ ka caya | Nafa minnu bɛ se ka sɔrɔ | Dan minnu bɛ se ka sɔrɔ |
|---|---|---|---|
| Sling ni rehabilitation | Kari caman minnu tɛ yɔrɔ wɛrɛ la, minnu tɛ yɔrɔ wɛrɛ la dɔɔnin, ani minnu sabatilen don | A bɛ a yɛrɛ tanga opereli ni gɛlɛyaw ma minnu bɛ sɔrɔ fɛnw doncogo fɛ | Kari minnu sugandira ka bɔ u nɔ na, olu farati ka bon ka kɛ ɲɔgɔndɛmɛbaliya ye, ka ɲɔgɔn sɔrɔbaliya, walima ka kɛnɛya joona joona |
| Plate ni vis fixation (fixation) min bɛ kɛ ni plati ye | Kari minnu sugandira ka bɔ u nɔ na, minnu surunyalen don, minnu tigɛlen don, minnu dabɔlen don, walima minnu tɛ sabati | Dɔgɔyali tilennen, fixation barikama, ani union rates caman | Jogindaw, banakisɛw, sɔgɔsɔgɔninjɛ, fɛnɲɛnamafagalanw bɔli, ani fɛn minnu bɛ se ka don a kɔnɔ, olu bɔli |
| Fixation intramédullaire (sɔgɔsɔgɔninjɛ) kɔnɔ | Kɔnɔbara basigilen karilenw sugandilenw ni u cogoya bɛnnen don | Tigɛ misɛnninw ani farikolo yɔrɔ nɔgɔlenw tɛ kɛ ka caya a dɔw la | A doncogo dimi, a jiginni, a bɔli, ani a ma bɛn kosɛbɛ fɛn dɔw ma minnu tigɛlen don |
Opereli furakɛcogo sugandilenw
Plaque ni Vis Fixation
Da wulilen dɔgɔyali ni kɔnɔna sirili ni tasa ye, o ye opereli fɛɛrɛ ye min bɛ kɛ ka caya cɛya karilenw na. Operelikɛla bɛ a labɛn kokura ani ka a karilen siri ni tabali ni juruw ye. Kura kolotugudaw datugucogo minnu bɛ kɛ, olu bɛ sugandiliw di minnu bɛ kɛ ni yɔrɔ jɔlenw ye, ka ɲɛsin karicogo sugandilenw ma. Plate fixation bɛ se ka nafa sɔrɔ kɛrɛnkɛrɛnnenya la ni a karilen don walima ni a janya ni a jiginni marali nafa ka bon.
Fɛn minnu bɛ don mɔgɔ la ka kɔn kontoron ɲɛ i n’a fɔ S-shaped clavicle locking plate dabɔra ka tugu clavicle kurulen kɔ, hali ni a doncogo laban sugandili ni a contouring bɛ bɔ mɔgɔ kelen-kelen bɛɛ farikololabɔli ni a kari cogoya la. Nafa minnu bɛ se ka sɔrɔ olu ye tigɛyɔrɔ lamini na, fɛn donta bɛ bɔ kɛnɛ kan, farikolo yɔrɔ nɔgɔlenw dimi, banakisɛw sɔrɔli, ani fɛɛrɛ dɔ bɛ se ka kɛ kɔfɛ walasa ka taamasiɲɛw fɛnɲɛnamafagalanw bɔ. Fɛn min bɛ don a la, o bɔli tɛ kɛ a yɛrɛma, kari bɛɛ kɛnɛyalen kɔfɛ.
Plate fixation bɛ alignment segin a cogo kɔrɔ la ani ka clavicle sabati ka sɔrɔ kari bɛ kɛnɛya.
Fixation intramedullaire (furakisɛw kɔnɔna na
Minɛn minnu bɛ kɛ ɲɛgɛnɛsira kɔnɔ, olu bɛ don cɛya ka kanal kɔnɔ walasa ka sɔgɔsɔgɔninjɛ karilenw sugandilenw sabati. Ni aw ye a suma ni plati ye, o fɛɛrɛ bɛ se ka kɛ ni tigɛ misɛnninw ye ani ka dɔ bɔ farikolo yɔrɔ nɔgɔlen dɔw bɔli la. Nka, kari bɛɛ tɛ bɛn senkɔni kɔnɔnatumuw jɔli ma, kɛrɛnkɛrɛnnenya la ni a sɔgɔli bɛ janya walima jiginni kunbɛnni gɛlɛya. Fali ni nɛgɛ fila bɛɛ bɛ kɛ fɛn dɔ ye min ka bon kolotugudaw ka joginda jɔcogo.
Ni balikuw ka kɔkiliw karilen don, u bɛ sɔgɔsɔgɔninjɛ kɛ senkɔniw kɔnɔ ani ka u siri ni plati kelen ye, o bɛ se ka kɛ sababu ye ka kɛnɛyaso kuntaalajan sɔrɔcogo kelenw ni gɛlɛya hakɛw lase u ma. Plate fixation bɛ se ka nafa lase a ma ni comminution bɛ yen.
Intramedullaire fixation bɛ se ka jateminɛ ka ɲɛsin clavicle shaft fracture patterns sugandilenw ma.
Plaque Osteosynthèse min bɛ don a la kosɛbɛ
Plate osteosynthèse min tɛ fɛn caman kɛ, o bɛ kɛ ni tigɛ misɛnninw ye ani ka dan sigi a la ka a sɔrɔ a bɛ kari sabati ni plati ye. O fɛɛrɛ in kun ye ka farikolo yɔrɔ nɔgɔlenw ni farikolo karilenw ka ɲɛnamaya mara, nka ɲɛda sanfɛla nɛrɛmuguma dɔgɔyali ni u lakanani tigitigi nafa ka bon hali bi.
Misaliw ye plati fixation minimum invasive ye ka ɲɛsin cɛya karilenw ma.
Kɔlɔsili yɔrɔjan (Distal Clavicle Fixation).
Kɔnɔbara yɔrɔjan karilenw ka kan ka kari yɔrɔ jateminɛ, a yɔrɔ hakɛ, a senkɔniw sen bɛ a la, ani a karilen doncogo jateminɛ. Sugandili bɛ se ka kɛ a distal clavicle locking plate , coracoclaviculaire stabilisation, walima fixation fɛɛrɛ wɛrɛw minnu sugandira o cogoya kɛrɛnkɛrɛnnen kama. Dalilu tɛ fɛɛrɛ kelen sinsin yɔrɔjan kari bɛɛ la.
Distal clavicle fixation bɛ sugandi ka kɛɲɛ ni fragment hakɛ ni ligament sabatili ye.
Kɔnɔbara cɛmancɛ karilenw
Kɔnɔbara cɛmancɛ karilenw fanba minnu bɛ bɔ yɔrɔ wɛrɛ la, olu fanba bɛ se ka furakɛ ni opereli ma kɛ. A ka ca a la, CT nafa ka bon ni jiginni ɲɛfɔli ka gɛlɛn walima ni siga bɛ kɛ kɔfɛla jiginni na. Ikomi fiɲɛbɔlan, dumunikɛminɛnw, joli sirabaw ani cɛmancɛlafɛn wɛrɛw bɛ u kɛrɛfɛ, kɔfɛla joginw minnu bɛ bɔ kɔfɛ, olu ka kan ka teliya ka sɛgɛsɛgɛli kɛ kɛrɛnkɛrɛnnenya la.
Kɔnɔbara joginni gɛlɛnw bɛ se ka kɛ sababu ye ka a siricogo dɔ kɛ min bɛ bɛn mɔgɔ kelen-kelen bɛɛ karicogo ma.
Kɔnɔbara karilen kɛnɛyali ni a labɛnni
Kɛnɛya waati bolodalen kelen tɛ senkɔni karilen bɛɛ la. Si hakɛ, a kariyɔrɔ, a jiginni, furakɛli kɛcogo, sigarɛtimin cogoya, joginw minnu bɛ sɔrɔ o la, ani kɛnɛyali minnu bɛ kɛ ni rezow ye, olu bɛɛ bɛ nɔ bila ɲɛtaa la. Banabagatɔ caman bɛ baara nafama sɔrɔ kokura dɔgɔkun 6 fo dɔgɔkun 12 kɔnɔ, nka kolo kɛnɛyali pewu, fanga sɔrɔli, ani ka segin baara la min ka kan ka kɛ, o bɛ se ka mɛn ka tɛmɛ o kan.
Lakanali dakun: Sɔgɔlan bɛ kɛ ka mɔgɔ dusu saalo ani ka mɔgɔ tanga. A ka ca a la, bolo, bolokɔni ani kɔkili lamagacogo bɛ dusu don mɔgɔ kɔnɔ fo ni joginda wɛrɛ ye a bali.
Lamaga daminɛ waati : Kamankunw degecogo nɔgɔman bɛ se ka daminɛ ni dimi dɔgɔyara ani ni dɔgɔtɔrɔ min bɛ furakɛli kɛ, o y’a jira ko lamaga bɛnnen don.
Farikoloɲɛnajɛ dakun : Banakisɛfagalanw bɛ daminɛ kɛnɛyaso ni kɛnɛyaso la kɛnɛya bɛrɛbɛrɛ kɔfɛ.
Segin-ka-bɔ-yɔrɔ: Fɛn gɛlɛnw kɔrɔtali, farikoloɲɛnajɛ minnu bɛ kɛ ni ɲɔgɔn ye, ani baara minnu farati ka bon ka bin, olu ka kan ka kɔnɔni kɛ fo ka se kari ka kɛnɛya ani ka fanga ni lamaga sɔrɔ.
Kuntilenni nafa ka bon barisa ni farikolojidɛsɛ bɛ caya, dimi basigilen, walima ni a tɛ taa ɲɛ ni rezow ye, o bɛ se ka kɛ sababu ye ka a jira ko a bɛ taa yɔrɔ wɛrɛ la, ko a bɛ mɛn sen na, walima ni a ma kɛ ɲɔgɔn fɛ. Sigarɛtimin bɛ se ka kari kɛnɛyali tiɲɛ, wa a ka kan ka ɲɛnabɔ furakɛli bolodalen dɔ ye.
Gɛlɛya minnu bɛ se ka sɔrɔ
Gɛlɛya minnu bɛ sɔrɔ furakɛli kɔfɛ min tɛ opereli kɛ
Jɛɲɔgɔnya tɛ : kari tɛ se ka kɛnɛya, o bɛ se ka kɛ sababu ye ka dimi basigilen walima fanga dɔgɔya.
Malunion : a karilen bɛ kɛnɛya ni a surunyalen don, a kɛrɛ fɛ walima a bɛ bɔ yɔrɔ wɛrɛ la.
Yɔrɔ min bɛ ye: kurukuru bɛ se ka to kari kɛnɛyalen kan.
Sɔgɔsɔgɔninjɛ gɛlɛya walima a barika dɔgɔyali: a bɛ se ka kɛ ko a ka kan ka a labɛn walasa ka baara kɛ kokura.
Nisɔndiya taamasiɲɛw : ninnu man teli nka u ka kan ka jateminɛ kɛ joona.
Gɛlɛya minnu bɛ sɔrɔ Opereli kɔfɛ
Joginda banakisɛ
Dusukunnata walima dusukunnata caman caman cili tigɛyɔrɔ lamini na
Hardware irritation walima prominence
A doncogo lajɔli, a kɔrɔtalen walima a karilen
Union delay, nonunion, walima malunion
Refracture, hali fɛn donta bɔli kɔfɛ
Mako bɛ opereli wɛrɛ la, a ka ca a la, o bɛ a sababu kɛ bana taamasiɲɛw ye
Gɛlɛya farati bɛ bɔ kari ni banabagatɔ de la. Ni rezow ka jɛɲɔgɔnya hakɛ cayara, o kɔrɔ tɛ ko opereli ye sugandili ɲuman ye bɛɛ bolo, i n’a fɔ ka i yɛrɛ tanga opereli ma, o tɛ a to kɔfɛ, a bɛ se ka kɛ cogo min na.
Ja minnu bɛ tugu ɲɔgɔn kɔ, olu bɛ se ka dɛmɛ don ka kɛnɛya gɛlɛyaw ni gɛlɛya minnu bɛ sɔrɔ fɛnw doncogo la, olu dɔn.
Ɲininkali minnu bɛ kɛ tuma caman na
Yala cɛya karilen bɛ se ka kɛnɛya ni opereli ma kɛ wa?
Awɔ. Kɔnɔbara karilen minnu bɛ yɔrɔ kelen na, olu fanba bɛ furakɛ ni opereli tɛ, wa u bɛ kɛnɛya ni sɔgɔsɔgɔninjɛ dɛmɛni ye, ka tugu u kɔ, ani ka u labɛn ka taa a fɛ. Ladonni min tɛ opereli ye, o ka se ka ɲɛ, o bɛ bɔ kari sabatili la, a jiginni, a dacogo, a sigiyɔrɔ, banabagatɔ si hakɛ, ani kɛnɛyaso fɛn wɛrɛw.
Kɔnɔbara karilen bɛ waati joli ta ka kɛnɛya?
Banabagatɔ caman bɛ baara kɛ kokura dɔgɔkun 6 fo dɔgɔkun 12 ɲɔgɔn kɔnɔ, nka kɛnɛya waati tɛ kelen ye. Mɔgɔkɔrɔbaw, sigarɛtiminbagaw, mɔgɔ minnu karilen don kosɛbɛ walima minnu karilen don kosɛbɛ, ani banabagatɔ minnu ka furakɛlicogo wɛrɛw bɛ u la, olu mago bɛ se ka mɛn ka tɛmɛ o kan. Segin ka taa ɲɔgɔn fɛ farikoloɲɛnajɛw bɛ kɛnɛya sabatili ni dɔgɔtɔrɔso yamaruya de wajibiya.
Kɔnɔbara kari suguya jumɛn ka teli ka kɛ?
Kɔnɔbara cɛmancɛ karilenw de ka teli ka kɛ. Kɛrɛnkɛrɛnnenya la, yɔrɔjan kariw man teli ka kɛ, wa cɛmancɛla cɛya kari man teli ka kɛ.
Yala kurukuru min bɛ ye kɔkolo karilen kɔfɛ, yala o tɛ kojugu ye wa?
Kɔrɔya yelen bɛ kɛ kɛnɛya waati la, wa a bɛ se ka to kolo faralen kɔfɛ. Denmisɛnw ni funankɛninw na a bɛ se ka wuli ka bɔ a nɔ na kosɛbɛ waati tɛmɛnen kɔfɛ. Farikoloɲɛnajɛ min bɛ ka bonya, fari min bɛ bagabagali la, dimi min bɛ ka juguya, a bɛ kɛ ni sɔgɔsɔgɔninjɛ ye, walima ni a fanga ka dɔgɔn, o ka kan ka jateminɛ joona.
Yala plati fixation ka fisa ni intramedullary fixation ye wa?
Fɛɛrɛ fila si man fisa banabagatɔ bɛɛ ma. U fila bɛɛ bɛ se ka nɔ ɲumanw di kuntaalajan na balikuw ka wuluwulu karilen sugandilenw na. Plate fixation bɛ se ka fisaya ni comminuted patterns ye, ka sɔrɔ intramedullary fixation bɛ se ka dɔ bɔ tigɛda hakɛ la karilenw na minnu bɛnnen don. O desizɔn bɛ bɔ kari cogoya la, operelikɛla ka ko kɛlenw, banabagatɔ ka fɔlɔfɔlɔ kow, ani farati minnu bɛ sɔrɔ a doncogo la.
Yala clavicle hardware ka kan ka bɔ tuma bɛɛ wa?
Ayi, fasaw, juruw ani senkɔniw kɔnɔfɛnw tɛ bɔ tuma bɛɛ ni u taamasiɲɛ tɛ u la ani ni u karilen kɛnɛyara. A bɔli bɛ se ka jateminɛ ka da a kan a bɛ dimi tuma bɛɛ, a ɲɛ bɛ bɔ a la, a bɛ dimi, a doncogo gɛlɛyaw la, walima a ka kɛnɛyako kun wɛrɛw la, opereli wɛrɛ faratiw baro kɔfɛ.
Taamaʃyɛn jumɛnw b’a jira ko cɛya karilen tɛ kɛnɛya?
Dimi basigilen kariyɔrɔ la, lamaga walima a ŋɛɲɛ min bɛ to sen na, baarakɛcogo ɲɛtaa danma, ani ɲɛtaa sɔrɔbaliya tuguni ja lajɛw la, o bɛ se ka kɛ sababu ye ka jɛɲɔgɔnya bila kɔfɛ walima ka kɛ ɲɔgɔn na. Nin sɔrɔlen ninnu bɛ furakɛlikɛla ka jateminɛ de wajibiya.
Kuncɛli
Kɔnɔbara kari furakɛli bɛ bɔ fɛn caman na ka tɛmɛ X-ray kelen bɔli kan. Kari minnu sabatilen don walima minnu tɛ bɔ yɔrɔ wɛrɛ la, olu fanba bɛ se ka ɲɛnabɔ ka ɲɛ ni opereli ma kɛ. Jogin minnu sugandira ka bɔ u nɔ na, minnu surunyara, minnu tigɛra, minnu dabɔlen don, walima minnu tɛ sabati, olu bɛ se ka nafa sɔrɔ opereli sirili la, kɛrɛnkɛrɛnnenya la balikuw la. Kari cogoya, fari ni farikolojidɛsɛ cogoya, jogin minnu bɛ tali kɛ o la, banabagatɔ si hakɛ, baara ɲininiw, ani furakɛli kuntilenna jateminɛ koɲuman, o nafa ka bon walasa ka ɲɔgɔn ka latigɛw kɛ.
