Nukae Nye Interference Screws Kple Akpa Si Wowɔna Le Ƒumeŋutinunya Me?

Èzãa nusiwo doa kplamatse nu ƒe gaviwo tsɔ léa ƒumeŋuɖuiwo ɖe ƒu ƒe mɔ̃wo me sesĩe le ƒumeŋuɖui ƒe dɔwɔwɔ me. Screw siawo le vevie le ligament kple soft tissue dzadzraɖo me, vevietɔ le acl dzadzraɖo me, elabena wonaa nuwo li ke. Numekukuwo ɖee fia be bioabsorbable kple titanium interference screws siaa wɔa dɔ abe ɖeka ene, eyata wo ame evea siaa nye tiatia nyuiwo na wò dɔa. Nuɖoanyi yeyewo, abe Ligament Fixation System to... XC Medico , tsɔ susu yeyewo va wò amekokowo me eye wòakpe ɖe ŋuwò nàkpɔ emetsonu nyuitɔwo na dɔnɔwo.

Nu Vevi Siwo Wotsɔna Yia Nu

• Kplu siwo doa kplamatse ƒuwo kpena ɖe ame ŋu be ƒumeŋuɖuiwo nɔa teƒe ɖeka le ƒumeŋuɖuiwo me le amekoko me. Wole vevie ŋutɔ na lãkusiwo ɖɔɖɔɖo.

• Bioabsorbable screws kple titanium screws siaa wɔa dɔ nyuie na ACL amekoko. Wokpena ɖe dɔnɔwo ŋu wodaa gbe le mɔ mawo ke nu.

• Screw ƒe lolome kple nusi wotsɔ wɔe nyuitɔ kekeake tiatia le vevie ŋutɔ. Ekpena ɖe amewo ŋu be woada gbe le wo ŋu nyuie wu eye wòɖea kuxiwo ƒe mɔnukpɔkpɔ dzi kpɔtɔna.

• Susu yeyewo abe... Ligament Fixation System si XC Medico wɔ na amekokowo nyona ɖe edzi. Wozãa nusiwo ŋu ŋusẽ le wu kple aɖaŋu siwo me nunya le wu.

• Ele be ɖɔktawo nalé ŋku ɖe dɔnɔwo ŋu le amekoko vɔ megbe. Esia kpena ɖe ame ŋu be wòakpɔ kuxiwo kaba eye wòkpɔa egbɔ be dɔyɔyɔ yi edzi nyuie.

Interference Screws ƒe Kpɔɖeŋu

Nukae Nye Interference Screws

Kplu siwo doa kplamatse ame kpena ɖe ame ŋu be woalé ƒu siwo wodo ɖe ƒu me sesĩe le amekoko me. Wole vevie na lãkusiwo kple lãkusi falɛfalɛwo ɖɔɖɔɖo. Zi geɖe la, ɖɔktawo zãa wo le ACL dzadzraɖo me. Kplu siawo nana be nusi wotsɔ doe la nɔa te sesĩe to eƒoƒo ɖe ƒua ŋu me. Esia kpena ɖe lãkusia ŋu wòhayana eye wòwɔa ɖeka kple lãkusi siwo ƒo xlãe.

Ðɔktawo gblɔ be interference screws nye mɔ si bɔ si dzi woato aɖɔ ACL ƒe abiwo ɖo. Wowɔa dɔ na ƒu kple ƒu kple lãkusi falɛfalɛwo dzadzraɖo siaa. Kpluawo léa nusi wotsɔ doe la ɖe teƒe si wòle eye wònana ɖɔktawo kpɔa eƒe nɔƒe kple eƒe sesẽ dzi. Dɔléle sia dzi ɖuɖu kpena ɖe dɔnɔwo ŋu wohayana nyuie eye wohayana kabakaba.

De dzesii: Woka ɖe interference screws dzi eye wosrɔ̃a nu tso wo ŋu hena ligament dzadzraɖo. Numekuku geɖe ɖee fia be wowɔa dɔ nyuie le ƒu-ƒu ƒe lãkusi-ƒu ƒe ACL dɔwɔwɔ me.

Alesi Interference Screws wɔa dɔe

Gbã la, ɖɔktawo wɔa mɔ̃ aɖe le ƒua me afisi wòhiã be woaɖɔ lãkusia ɖo. Eyome wotsɔa lãgbalẽgoloa toa mɔ̃ sia me. Kplu la ƒoa nusi wotsɔ doe la ɖe mɔ̃a ƒe gli ŋu. Esia wɔnɛ be nusi wotsɔ doe la meʋãna o.

Nusiwo dzɔna le amekoko me enye si:

• Ðɔktawo kua mɔ̃ aɖe le ƒua me, eye zi geɖe la, eƒe kekeme anɔ abe milimeta 8 ene.

• Wotsɔa nusi wotsɔ doe la to mɔ̃a me.

• Wotsɔa nusi doa kplamatse nu ƒe gavi la dana ɖe nusi wotsɔ doe la xa eye wominɛ sesĩe.

• Ne mede ɖeke o la, milimeta 20 ya teti si wodo ɖe mɔ̃a me la nɔa mɔ̃a me hena ŋusẽdodo.

• Ðɔktawo ate ŋu azã gavi siwo woate ŋu axɔ alo ga, le nɔnɔme si me wole nu.

Dɔ vevi siwo interference screws wɔnae nye:

• Nusi wotsɔ doe la léle ɖe teƒe nyuitɔ kple eƒe sesẽme nyuitɔ.

• Asiléle sesẽ nana le afisi gavi la ka ƒua ŋu le.

• Lé nusi wotsɔ doe la me sesĩe vaseɖe esime ƒua nahaya.

Interference screws ƒomevi yeyewo hã li. Wotsɔa magnesium si gblẽna le ŋutilã me la wɔa ɖewo. Ame aɖewo tsaka magnesium kple ga bubuwo be ŋusẽ nanɔ eŋu wu. Ame bubuwo hã wɔe nenema ka yeyewo ƒe nɔnɔme be woalé wo nyuie wu . Tɔtrɔ siawo kpena ɖe gaviawo ŋu wòwɔa dɔ nyuie wu eye wokpena ɖe ƒuwo ŋu wohayana.

Numekukuwo ɖee fia be gavi siwo le gbadzaa la sesẽna wu eye wonaa nusi wotsɔ blae la sesẽna wu gavi siwo wozãna ɖaa. Esia fia be dɔnɔwo ƒe klowo nyona ɖe edzi eye wosẽna ɖe edzi le ɣeyiɣi aɖe megbe.

Ðɔktawo ɖoa ŋu ɖe gavi siwo doa kplamatse nu ŋu be woatsɔ ana lãkusi siwo wodo ɖe lãme nanɔ dedie ne wole dɔ dam. Alesi wowɔe kple nusiwo wotsɔ wɔe kpena ɖe ɖɔktawo ŋu be nu nyuiwo dona tso eme ne wole lãkusiwo ɖɔm ɖo.

Interference Screws Ƒomeviwo Kple Nusiwo Wozãna

Ga kple Bioabsorbable Tiatiawɔblɔɖe

Kplu ƒomevi vovovowo li siwo xea mɔ na lãkusiwo. Nusiwo wozãna wue nye:

• Titanium si woyɔna be Titanium

• Ga si mexɔ dzo o

• Polymer si woyɔna be polymer

• Glass si wɔa dɔ le nugbagbewo me

Gavi siwo wotsɔ ga wɔe, abe titanium ene, sesẽ ŋutɔ eye wonɔa anyi didi. Titanium mexɔa gbe o, eyata enɔa ŋutilãa me nyuie. Ðɔktawo zãa titanium-gaviwo na nu sesẽwo elabena wosẽna sã wu gavi siwo te ŋu xɔa nu gbagbewo. Titanium screws ateŋu akpɔ ŋusẽ si ade 1130 MPa. Esia sɔ gbɔ abe zi gbɔ zi ewo ene wu gavi aɖewo siwo te ŋu xɔa nugbagbeviwo abe PLA ene. Eyata, titanium-gaviwo naa kpekpeɖeŋu sesẽ ne èhiãe wu.

Wotsɔa nusiwo le abe PLA alo magnesium ene wɔa gavi siwo te ŋu xɔa nu gbagbewoe. Kplu siawo gblẽna vivivi le ŋutilãa me. Magnesium nye ga si me kɔ si sesẽ eye ŋutilã ate ŋu axɔe. Kplu siawo ate ŋu alé nuwo ɖe wo nɔƒe hena amekoko geɖe. Screw yeye siwo te ŋu xɔa bioabsorbable la sesẽna abe titanium screws ene kloe, va ɖoa 90%. Gake, womesesẽ abe ga ƒe gaviwo ene kokoko o. Ke hã, numekukuwo ɖee fia be ƒomevi evea siaa wɔa dɔ nyuie na klo ƒe liƒolili le ACL dɔwɔwɔ vɔ megbe. Kuxi aɖeke mele ƒomevi ɖeka ŋu wu evelia o.

Aɖaŋuwɔwɔ ƒe Nɔnɔmewo Kple Nu Yeyewo

Interference screws yi edzi le nyonyom ɖe edzi ne wowɔ aɖaŋu yeyewo. Fifia nɔnɔme, ka, kple nusiwo wotsɔ wɔa gavi vovovowoe le wo si be wòakpe ɖe wo ŋu woalé wo ahada gbe le wo ŋu nyuie wu. Le kpɔɖeŋu me, nuto si le abe kɔnu alo esi le tsɛ ene nana be gavi la léna sesĩe wu. Esia kpena ɖe gavi la ŋu be nusi wotsɔ blae la nɔa teƒe si wòle. Tabla si le ete la ɖe alesi gavi ƒe nɔnɔme trɔa ŋusẽ si woate ŋu ahe ado goe la fia:

Ka ƒe nɔnɔme yeyewo kple gavi ƒe nugbɔ siwo nyo wu nana wònɔa bɔbɔe be woatsɔ gavi la ade eme. Wonana hã be mexɔa ŋusẽ boo o. Hybrid screws zãa akpa siwo tso nu vovovowo me be woasẽ eye woanɔ dedie na ŋutilãa. Titanium kple PEEK nye tiatia nyuiwo elabena wole dedie eye wokpena ɖe ƒu ŋu wòtsina. Susu yeye siawo kpena ɖe ɖɔktawo ŋu be atike si wodo na wo la nɔa te eye wokpena ɖe dɔnɔwo ŋu be woada gbe le wo ŋu nyuie wu.

ACL Interference Screws le Amekoko me

ACL Gbugbɔgatu ƒe Dɔwɔɖoɖowo

ACL ƒe nutete ƒe gaviwo léa grafts ɖe wo nɔƒe le ACL ƒe amekoko me. Kplu siawo tea nusi wotsɔ doe la ɖe ƒu ƒe mɔ̃a ŋu. Esia nana be nusi wotsɔ doe la nɔa te ale be wòate ŋu ahaya nyuie. Nusi wotsɔ doe la blana kple lãkusi si ƒo xlãe. Àte ŋu atia ga alo bioabsorbable screws na ACL amekoko. Wo ame evea siaa wɔa dɔ nyuie eye nu mawo tɔgbe dona tso eme.

Ne ètia ACL interference screws la, àdi be graft la nanɔ anyi kpoo. Mele be wòaʋuʋu esime wòle dɔ dam o. Numekukuwo ɖee fia be bioabsorbable screws kple hydroxyapatite wɔa dɔ nyuie ŋutɔ. Womehea nugbegblẽ le ame ŋu vɛ o. Kplu siawo nye tiatia nyui aɖe ɖe titanium gavi teƒe. Ga kple bioabsorbable screws doa kpo dɔwɔwɔ le agbɔsɔsɔ ma ke me. Dɔnɔwo hã wɔa dɔ nyuie nenema ke le ƒomevi eveawo dometɔ ɖesiaɖe gome.

Ɣeaɖewoɣi la, ɖɔktawo zãa mɔ̃ siwo woate ŋu atrɔ asi le tsɔ léa ʋua ƒe afɔtiwoe. Mɔ̃ siawo hã naa nu nyuiwo dona eye wònana kloa nɔa te. Dodokpɔ ƒe agbɔsɔsɔme le sue abe alesi wòle le mɔ̃ bubuwo gome ene. ACL ƒe nutete ƒe gaviwo naa ƒu kple ƒu kple lãkusi falɛfalɛwo ƒe ƒoƒo sesĩe. Esia kpena ɖe dɔnɔwo ŋu wohayana kabakaba eye wogatrɔna ɖe woƒe dɔwɔnawo ŋu.

Kpekpeɖeŋu: Kpɔ egbɔ be ƒu si wodo ɖe ƒua me la didi milimeta 20 ya teti le ƒu ƒe mɔ̃a me. Esia kpena ɖe graft la ŋu wòsẽna eye wòdaa gbe le eŋu nyuie wu.

Ligament Fixation Zãzã Bubuwo

Menye ACL ƒe amekoko ɖeɖekoe nye interference screws o. Ðɔktawo zãa wo tsɔ dzraa lãkusi bubuwo ɖo, abe PCL kple MPFL ene. Kplu siawo kpena ɖe ame ŋu be woaɖɔ lãkusiwo kple lãkusi falɛfalɛwo ɖo le teƒe geɖe. Wowɔa dɔ na ƒu kple ƒu kple lãkusi falɛfalɛwo dzadzraɖo siaa.

Nu yeyewo le Ligament Fixation System si XC Medico wɔ la ŋu na amekoko siawo. Ezãa PEEK, si le dedie na ŋutilã eye mehea nuwɔna gbegblẽwo vɛ o. Kpluawo ƒe lolome le vovovo be woasɔ ɖe hiahiã vovovowo nu. PEEK- gaviwo nana ɖɔktawo kpɔa nɔnɔmetata siwo me kɔ le amekoko vɔ megbe. Wo dede eme le bɔbɔe, si wɔnɛ be ɣeyiɣia menɔa amekokoxɔa me o. Nuɖoanyia le dedie na MRI-dɔdamɔnu, eyata ɖɔktawo ate ŋu alé ŋku ɖe dɔyɔyɔ ŋu kuxi aɖeke manɔmee.

Tabla aɖe si me Ligament Fixation System si XC Medico wɔ ƒe nɔnɔme veviwo le enye si:

Ðɔktawo zãa nusiwo xea mɔ na nu ƒe gaviwo le ACL ƒe amekoko geɖe me. Bioabsorbable screws ye bɔ ​​wu tsɔ léa nusi wodo ɖe afɔkpodzia me. Dɔnɔ aɖewo, vevietɔ sɔhɛ kamedefefewɔlawo, ate ŋu ase veve le afisi gavi la le. Cysts ateŋu adzɔ le 5% me le ACL dɔwɔwɔ vɔ megbe kple bioabsorbable screws. Esia dzɔna elabena ŋutilãa wɔa nu ɖe ​​gavi la ŋu, eyata ɖɔktawo léa ŋku ɖe dɔnɔwo ŋu nyuie.

Ðɔktawo tiaa gavi siwo doa kplamatse ame elabena wowɔa dɔ nyuie na lãkusi kple lãkusi falɛfalɛwo ƒe amekoko geɖe. Woka ɖe gavi siawo dzi be woalé nusi wotsɔ doe la sesĩe eye woakpe ɖe dɔnɔwo ŋu woahaya nyuie.

Tiatia si nye Interference Screws

Nusiwo Wozã Kple Agbɔsɔsɔme Tiatia

Ne èle nusiwo doa kplamatse nu ƒe gaviwo tiam la, ele be nàbu nusiwo wotsɔ wɔe kple woƒe lolome ŋu. Kplu nyuitɔ kpena ɖe dɔnɔwo ŋu wodaa gbe le wo ŋu nyuie wu. Nusiwo wotsɔ wɔe ƒe sɔsɔ le vevie na ŋutilãa ƒe lãkusiwo. Èdi be yeatɔ te nuwɔna gbegblẽwo be woagadzɔ o. Zi geɖe la, wozãa nusiwo sɔ kple nugbagbeviwo, abe polymer siwo woate ŋu axɔ alo titanium ene. Nu siawo kpena ɖe ame ŋu be ŋutilãa nanɔ dedie.

Ele be nàdi gavi siwo wotsɔ mɔ̃ si sɔ pɛpɛpɛ wɔ hã. Esia fia be gavi la sɔ nyuie eye wòléa nusi wotsɔ blae la sesĩe. Ne ame si sɔ nyuie ate ŋu ana amekoko nawɔ dɔ nyuie wu.

Screw ƒe lolome hã le vevie. Screw ƒe didime gãwo naa ŋusẽ geɖe wu le fixation ŋu. Esia kpena ɖe graft la ŋu wònɔa teƒea. Tabla si le ete la ɖe alesi screw ƒe lolome trɔa emetsonuwoe fia:

Dɔnɔwo Kple Amekoko Ŋuti Nusiwo Ŋu Woabu

Ele be nàbu dɔnɔ ɖesiaɖe ŋu ɣesiaɣi ne èle gaviwo fɔm. Ƒu ƒe nyonyome le vevie ŋutɔ. Ne ƒu sesẽwo le dɔnɔ aɖe ŋu la, àte ŋu azã gavi bubu si to vovo na ƒu siwo gbɔdzɔ. Dɔwɔna ƒe seƒe hã le vevie. Ðewohĩ kamedefefewɔlawo ahiã na gavi siwo sesẽ wu.

Tabla aɖe si akpe ɖe ŋuwò nànya nusiwo ŋu nàlé ŋku ɖoe nye esi:

Gavi la tsɔtsɔ sɔ kple amekokoa le vevie ŋutɔ. Numekukuwo ɖee fia be gavi nyuitɔ kpena ɖe dɔnɔwo ŋu wohayana kabakaba eye wònyona ɖe edzi. Àte ŋu akpe ɖe dɔnɔwo ŋu ne èlé fɔ ɖe dɔléle ɖesiaɖe ŋuti nyatakakawo ŋu tsitotsito. Mɔ sia si dzi nàto nyuie la kpena ɖe ŋuwò nèkpɔa beléle nyuitɔ kekeake le acl kple lãkusi ƒe amekoko bubuwo me.

Afɔkuwo Kple Afɔɖeɖewo

Kuxi siwo ate ŋu ado mo ɖa

Ne ɖɔktawo zãa gavi siwo doa kplamatse nu la, ele be woalé ŋku ɖe kuxiwo ŋu. Kuxi siawo ate ŋu atrɔ alesi amekokowo abe acl gbugbɔgatu ene wɔa dɔ nyuie. Kuxi siwo bɔ dometɔ aɖewoe nye:

• Kplu la ate ŋu agbã.

• Ŋutilã ate ŋu awɔ nu ɖe ​​eŋu eye wòaxɔ dɔdzẽ.

• Atike si wodo ɖe lãme na ame ate ŋu atso.

• Ðewohĩ gavi la manɔ teƒe nyuitɔ o alo masẽ nyuie o.

Dɔnɔ siwo ade 1 le 10 ɖesiaɖe me ate ŋu akpɔ dzesiwo le amekoko vɔ megbe. Dɔnɔ siwo ade 5% hiã amekoko bubu be woatsɔ aɖɔ kuxi siawo ɖo. Ame akpa gãtɔ ate ŋu agaƒo kamedefefe ake ne woɖe gavi la do goe. Kpluwo ate ŋu adzo alo agbã ne ʋuʋu alo nuteɖeamedzi sɔ gbɔ akpa. Esia ate ŋu ana be gavi la nagbã. Le numekuku aɖewo me la, gaviwo ʋuna le wo nɔƒe yi vaseɖe 16.9% le dɔléleawo dome. Kplu siwo wotsɔ de dzogoe aɖe dzi la ʋãna wu gavi dzɔdzɔewo.

De dzesii: Mɔnukpɔkpɔ si li be kuxiwo ate ŋu atrɔ le gavi ƒomevi si wozãna kple alesi wowɔa amekokoae nu.

Dedienɔnɔ Kple Nuwɔna Nyuitɔwo

Ðɔktawo ate ŋu aɖe afɔkuwo dzi akpɔtɔ ne wowɔ ɖe dedienɔnɔ ŋuti sewo kple numame nyuiwo dzi. Aɖaŋuɖoɖo aɖewo siwo akpe ɖe ŋuwò nàkpɔ nu nyuitɔ kekeake le nusiwo doa kplamatse nu ƒe gaviwo ŋue nye esi:

• Tia gavi ƒe lolome kple nusi woatsɔ awɔe si sɔ na dɔnɔ ɖesiaɖe.

• De gavi la eme nyuie ale be nusi wotsɔ doe la nagawɔ nuvevi o.

• Kpɔ egbɔ be ƒu si wodo ɖe ƒua me la didi milimeta 20 ya teti le ƒu ƒe mɔ̃a me.

• Lé ŋku ɖe dɔnɔwo ŋu be woakpɔ dzesi siwo fia be gavi la le ʋuʋu alo eʋuʋu le amekoko vɔ megbe hã.

Ele be ɖɔktawo hã nalé ŋku ɖe nudzɔdzɔ gbegblẽ ɖesiaɖe ŋu eye woalé ŋku ɖe dɔnɔwo ŋu enuenu. Bioabsorbable kple ga screws siaa wɔa dɔ abe ɖeka ene le vevesese, ʋuʋu, kple alesi ƒunukpeƒea wɔa dɔ nyuie ŋu. Ne gavi aɖe gbã esime wole edem la, mehea kuxi vɛ ɣesiaɣi o, gake ele be ɖɔktawo nalé ŋku ɖe dɔnɔa ŋu kokoko.

Kpekpeɖeŋu: Ðoɖowɔwɔ nyuie kple ŋkuléle ɖe nu ŋu tsitotsito kpena ɖe ame ŋu wòɖea afɔkuwo dzi kpɔtɔna eye wònana dɔnɔwo ƒe dɔwɔwɔ nyona ɖe edzi ne wozãa nusiwo doa kplamatse nu ƒe gaviwo.

Èzãa interference screws tsɔ naa grafts nɔa teƒe ɖeka le acl kple ligament dɔwɔwɔ me. Numekukuwo ɖee fia be bioabsorbable screws kple ɖoɖo yeyewo kpena ɖe dɔnɔwo ŋu be woahaya nyuie wu le acl dzadzraɖo megbe. Ligament Fixation System si XC Medico wɔ la naa kpekpeɖeŋu sesẽ, ekpena ɖe ame ŋu wòdaa gbe, eye wòɖea kuxiwo dzi kpɔtɔna. Ðɔkta geɖe kpɔa ƒunukpeƒewo ƒe ŋusẽ nyuitɔ kple nu nyui siwo dona tso eme ɣeyiɣi didi le ɖoɖo sia me.

• XC Medico zɔna ɖe se deŋgɔwo dzi.

• Èxɔa delivery kabakaba eye wokpena ɖe ŋuwò le nyabiasewo me.

• Nuɖoanyia kpena ɖe ŋuwò be nu nyuiwo dona tso eme na wò dɔnɔwo.

Tia XC Medico abe wò dɔwɔƒe si dzi nèka ɖo ene na nusiwo doa kplamatse nu ƒe ʋuƒo kple nu bubuwo.

Nyabiasewo ƒe Nyabiasewo

Nukae nye taɖodzinu vevitɔ si le nusiwo wotsɔna doa kplamatse nu ƒe gavi ŋu?

Èzãa nusi doa kplamatse nu ƒe gavi tsɔ léa nusi wodo ɖe ƒu me sesĩe le ƒu ƒe mɔ̃ me. Esia nana be nusi wotsɔ doe la nɔa te sesĩe le dɔyɔɣi. Kplu la kpena ɖe lãkusi yeyea ŋu wòléna ɖe ƒua ŋu.

Aleke nàwɔ atia nuxexlẽ ƒe ʋuƒo si ƒe lolome sɔ?

Ètsɔa gavi ƒe lolome sɔna kple ƒu si wotsɔ doe kple ƒu ƒe mɔ̃a. Kplu si lolo wu nana wòléa nu geɖe wu. Lé ŋku ɖe dɔnɔa ƒe ƒu ƒe nyonyome kple amekoko si ƒomevi nèɖo be yeawɔ ŋu ɣesiaɣi.

Ðe bioabsorbable screws le dedie na dɔnɔwo katãa?

Bioabsorbable screws le dedie na dɔnɔ akpa gãtɔ. Ele be nàlé ŋku ɖe nulɔdɔ alo lãmesẽkuxi tɔxɛ aɖewo ŋu hã. Kplu siawo gblẽna le ŋutilãa me le ɣeyiɣi aɖe megbe.

Ðe nàte ŋu azã nusiwo doa kplamatse nu ƒe gaviwo na amekoko bubu siwo menye ACL gbugbɔgatu oa?

Ẽ, àte ŋu azã nusiwo doa kplamatse nu ƒe gaviwo atsɔ adzra lãkusi bubuwo ɖo, abe PCL alo MPFL ƒe amekoko ene. Wokpena ɖe lãmeka falɛfalɛwo ƒe léle ɖe te hã ŋu le ƒumeŋuɖui geɖe me.