AC ƒunukpeƒewo ƒe ʋuʋu kple alesi Titanium Plate wɔa vovototoe

Ne èdze ŋgɔ ac ƒunukpeƒe ƒe ʋuʋu la, titanium-gbadzɛwo kple egbegbe mɔ̃ siwo wotsɔna léa nu ɖe ​​te la naa afɔɖeɖe gã aɖe yia ŋgɔ le edzadzraɖo me. Mɔnu deŋgɔ siawo nana nèli ke sesĩe wu eye nèhayana kabakaba wu aɖaŋu xoxowo. Àte ŋu ase le ɖokuiwò me be kakaɖedzi le ye ŋu ne ènya be dɔnɔ siwo wotsɔ atike yeyewo da dɔe ƒe abɔta ƒe dɔwɔwɔ ƒe dzesiwo sɔ gbɔ wu eye ƒunukpeƒewo ƒe tɔtrɔ ʋɛ aɖewo le ɣeyiɣi aɖe megbe.

• Dɔnɔ siwo zãa egbegbe mɔnu siwo wotsɔ léa nu ɖe ​​nu ŋu abe MSTC ene la ɖo Constant-Murley ƒe dzesi si nye 95.8, si lolo ŋutɔ wu 76.7 si wokpɔ le kɔsɔkɔsɔ ƒe agbalẽvi xoxowo ŋu.

• Dɔnɔ siwo ŋu MSTC le ƒe 12.5% ​​koe kpɔ ƒunukpeƒewo ƒe tɔtrɔ, ne wotsɔe sɔ kple 66.7% siwo ŋu hook plates le.

Àte ŋu aka ɖe amekoko ƒe tiatia yeye siawo dzi be woana nu siwo le dedie eye woawɔ dɔ nyuie, si ana vovototo si dze ƒã tso nuwo ɖɔɖɔɖo xoxowo gbɔ.

Nu Vevi Siwo Wotsɔna Yia Nu

• Titanium-gbadzɛ dzadzraɖo naa liƒo sesẽ wu eye wòhayana kabakaba na ac ƒunukpeƒe ƒe ʋuʋu ne wotsɔe sɔ kple mɔnu xoxowo.

• Dɔnɔ siwo zãa egbegbe mɔnu siwo wozãna tsɔ léa abɔta ɖe teƒe ɖeka gblɔ be yewoƒe abɔta ƒe dɔwɔwɔ ƒe dzesiwo lolo wu eye ƒunukpeƒewo ƒe tɔtrɔ ʋɛ aɖewo koe nɔa anyi le ɣeyiɣi aɖe megbe.

• Amekoko ate ŋu ahiã na abi sesẽwo, vevietɔ na sɔhɛ siwo le dɔ dzi, evɔ zi geɖe la, abi siwo mesẽ o ya hayana ne wowɔ atike na wo le mɔ si mesɔ o nu.

• Gbugbɔgaɖɔɖo le vevie ŋutɔ le amekoko vɔ megbe; ɖoɖo si wowɔ ɖe ɖoɖo nu dzi wɔwɔ kpena ɖe ame ŋu be wòagasẽ o eye wòdoa alɔ dɔyɔyɔ.

• Viɖe kple afɔku siwo le eme gɔmesese titanium-gbadzɛ dzadzraɖo ate ŋu akpe ɖe ŋuwò nàwɔ nyametsotso siwo ŋu nènya nu tsoe le wò atikewɔmɔnu siwo nàtia ŋu.

AC ƒunukpeƒewo ƒe ʋuʋu ƒe wɔwɔfia

Nusi wònye

Àte ŋu ase wò ɖɔkta aƒo nu tso ac ƒunukpeƒe ƒe ʋuʋu ŋu ne èxɔ abi le wò abɔta. Abi sia dzɔna le acromioclavicular (AC) ƒunukpeƒe, afisi wò kɔmeƒu do go wò abɔta ƒe akpa si kɔkɔ wu le. Ƒunukpeƒea kpena ɖe wò alɔnu ŋu wòʋãna eye wònana wò abɔta nɔa te.

• Abɔta ƒe abi le ewo ɖesiaɖe me nye ac ƒunukpeƒe ƒe ʋuʋu.

• Amewo katã kpɔa dɔléle siwo ade 3 va ɖo 4 le ame 100,000 ɖesiaɖe me ƒe sia ƒe.

• Nuveviwɔame siawo ƒe afã kple edzivɔ dzɔna le kamedefefewo me, vevietɔ le kamedefefe siwo wowɔna le kadodo me.

• Ðekakpuiwo, vevietɔ amesiwo xɔ tso ƒe 10 va ɖo ƒe 30, ye nye amesiwo ŋu afɔku le wu. Le ƒuƒoƒo sia me la, abɔta ƒe abi le atɔ̃ ɖesiaɖe me kloe nye ac ƒunukpeƒe ƒe abi.

Àte ŋu axɔ ac ƒunukpeƒe ƒe ʋuʋu tso nu geɖe gbɔ:

• ƒoƒo tẽe ɖe wò abɔta tame

• Gɔmedzedze sesĩe ɖe wò abɔta alo asi si wodo ɖa dzi

• Nu kpekpewo kɔkɔ alo dɔ siwo wowɔna le ta dzi enuenu

• Kamedefefe me abixɔxɔ, vevietɔ le kamedefefe siwo me wodoa ka kple ame le me

• Ƒunukpeƒetetedɔ alo ƒunukpeƒetetedɔ si ku ɖe ƒunukpeƒea ŋu

Ŋusẽkpɔɖeamedzi ɖe ʋuʋu dzi

Ne ac ƒunukpeƒe ƒe ʋuʋu le ŋuwò la, anɔ eme be àse veve, vevietɔ ne ètsɔ wò abɔ to wò akɔta alo kɔe ɖe ta dzi. Lãmetsi siwo léa wò AC ƒunukpeƒea ɖe te la wɔa akpa gã aɖe le wò abɔta be wòanɔ te. Ne lãkusi siawo xɔ abi la, wò abɔta ate ŋu magali ke o eye wòate ŋu abi.

De dzesii: Ame geɖe de dzesii be gbesiagbedɔwo, abe asiɖoɖo nane si le agbalẽdzraɖoƒe alo kamedefefe ene, va sesẽna le abi sia xɔxɔ vɔ megbe. Le kamedede gɔ̃ hã me la, vevesese aɖewo kple ʋuʋu si seɖoƒe li na ate ŋu ayi edzi ne lãkusiawo mehaya nyuie o.

Ðewohĩ àkpɔe be yeƒe abɔta le gbɔdzɔgbɔdzɔm alo meli ke o. Dɔ bɔbɔewo, abe awudziwui dodo alo akplo tsɔtsɔ ene, ate ŋu ava zu nu sesẽ. Le ɣeyiɣi aɖe megbe la, ne ƒunukpeƒea mehaya nyuie o la, àte ŋu ase veve alo kuxi si anɔ ŋuwò le ta ƒe ʋuʋu ta.

Nukatae woawɔ dɔ na ame?

Ne ehiã

Àte ŋu abia ɖokuiwò be ɣekaɣie amekoko va zua tiatia nyuitɔ kekeake na ac ƒunukpeƒe ƒe ʋuʋu hã. Ðɔktawo zãa Rockwood ƒe hatsotsowo tsɔ tsoa nya me nenye be ehiã be woawɔ dɔ na wò. Nuɖoanyi sia ƒoa abiwo nu ƒu ɖe alesi ƒunukpeƒea ʋuʋu kple alesi wò abɔta meli ke o nu.

Ne abi sue aɖe le ŋuwò (Ƒomevi I alo II) la, zi geɖe la, mehiã be woawɔ dɔ na wò o. Gbɔɖeme, tsikpe, kple kamedede kpena ɖe ame akpa gãtɔ ŋu wohayana. Le abi ƒomevi III gome la, wò ƒexɔxɔ kple wò dɔwɔna ƒe agbɔsɔsɔme le vevie. Sɔhɛ kamedefefewɔlawo alo amesiwo ƒe ŋutilã bia nu geɖe ate ŋu aɖe vi na amekoko. Ɣesiaɣi kloe la, ehiãna be woawɔ dɔ na IV kple V ƒomeviwo elabena ƒunukpeƒea meli ke kura o alo mele teƒe si wòle o.

De dzesii: Vevesese sesẽ, nuwɔametɔnyenye si dze ƒã, alo wò abɔ zazã ƒe kuxi nye dzesi siwo fia be amekoko ate ŋu akpe ɖe ŋuwò nàtrɔ ava nɔ nɔnɔme nyui me kabakaba.

Amekoko ƒe tiatiawɔblɔɖe

Tiatia geɖe le asiwò ne ehiã be woawɔ dɔ na wò le ac ƒunukpeƒe ƒe ʋuʋu ta. Amekolawo ate ŋu azã mɔnu siwo woʋuna alo esiwo wotsɔa ƒunukpeƒewo kpɔna (siwo me womewɔa nu boo aɖeke le o). Mɔnu eveawo siaa ƒe taɖodzinue nye be woagbugbɔ wò ƒunukpeƒea ƒe nɔnɔme si sɔ eye woagbugbɔ lãkusi siwo nana wò abɔta li ke la atu.

• Zi geɖe la, amekolawo tiae be woatsɔ aŋe ablae na abi siwo de ŋgɔ. Mɔnu sia nana wò abɔta wɔa dɔ nyuie wu eye nègatrɔna yia kamedefefewo me kabakaba.

• Amekoko siwo wowɔna le gaglãgbe kple esiwo wowɔna le ƒunukpeƒewo siaa ɖea nu mawo tɔgbe fiana. Wò amekola atia mɔnu nyuitɔ kekeake le wò abi si nèxɔ kple wò nuhiahiãwo nu.

• Egbegbe nuwo ɖɔɖɔɖowo ku ɖe coracoclavicular kple acromioclavicular ligaments siaa gbugbɔgatu ŋu. Esia kpena ɖe ŋuwò be ŋusẽ gaɖoa wò abɔta eye wòli ke.

Ne amekoko dze ŋgɔ wò la, wò ɖɔkta aɖe tiatia siwo nàte ŋu awɔ la me na wò eye wòakpe ɖe ŋuwò nàtia ɖoɖo nyuitɔ kekeake si nàwɔ be nàhaya.

Dzadzraɖomɔnu siwo wozãna tso blema ke

Aɖaŋu siwo bɔ

Ne èlé ŋku ɖe alesi ɖɔktawo daa ac ƒunukpeƒetetedɔ tsã ŋu la, àkpɔ amekokomɔnu geɖe siwo bɔ. Zi geɖe la, amekolawo zãa K-kawo, kɔsɔkɔsɔwo, alo mɔ̃ siwo wotsɔ léa ƒunukpeƒea ɖe te tsɔ léa ƒunukpeƒea ɖe te. K-kawo nye ga tsɛ siwo ƒoa ƒuawo nu ƒu. Kɔsɔkɔsɔ ƒe agbawo nɔa kɔmeƒua tame eye wotsɔa kɔsɔkɔsɔa nɔa acromion la te be ƒunukpeƒea nali ke. Mɔ̃ siwo wotsɔ blaa ƒuwoe, abe endobutton-mɔ̃ gbãtɔwo ene, zãa aŋe sesẽwo kple abɔta tsɔ blaa ƒuawo ɖekae.

Ðɔkta aɖewo te nusiwo wotsɔ lãnuwo wɔ, abe LARS lãkusiwo ene hã kpɔ, alo wozã nugbagbevi siwo wotsɔ de wò ŋutɔ wò ŋutilã alo ame aɖe si tsɔ ʋu na wò. Mɔnu siawo ƒe taɖodzinue nye be woagbugbɔ lãkusi siwo vuvu la atu eye woagaʋuʋu nyuie.

De dzesii: Mɔnu siawo dometɔ ɖesiaɖe dze agbagba be yeana wò abɔta nali ke eye wòawɔ dɔ, gake woawo ŋutɔ ƒe kuxiwo va.

Seɖoƒewo

Ele be nànya be seɖoƒe vevi geɖe le nuwo ɖɔɖɔɖomɔnu xoxowo ŋu. Dɔnɔ geɖe do go kuxiwo le amekoko vɔ megbe, si gblẽ nu le woƒe hayahaya kple nusiwo do tso eme ɣeyiɣi didi ŋu.

• Zi geɖe la, K-ka ƒe mɔnuwo hea kuxiwo vɛ, abe pin ƒe gbagbã alo tɔtrɔ siwo gblẽa nu le ƒunukpeƒea ŋu ene.

• Endobutton ɖoɖowo mete ŋu na ƒunukpeƒea nɔa teƒea ɣeaɖewoɣi o, eye numekukuwo ɖee fia be dɔnɔ siwo ade 24% bu ɖe edzi.

• Suspensory fixation devices ƒe kpododonu ƒe agbɔsɔsɔme tso 16.6% va ɖo 50%. Esia fia be dɔnɔ gbogbo aɖewo hiã atikewɔwɔ geɖe wu.

• Lãmetsi siwo wowɔ abe LARS ene ɖe kuxiwo ƒe agbɔsɔsɔ si le sue si nye 3.3% kple dzidzedzekpɔkpɔ ƒe agbɔsɔsɔ gã si nye 93.3% fia. Gake zi geɖe la, nugbagbevi siwo wotsɔ dea lãme na ame naa nu nyuiwo dona tso abi siwo nɔa ame ŋu atraɖii me.

Seɖoƒe siawo na ɖɔktawo di mɔ nyuitɔ siwo dzi woato akpɔ ac ƒunukpeƒewo ƒe ʋuʋu gbɔ. Fifia mɔnu yeyewo ku ɖe nusiwo woatsɔ ablae sesĩe wu, kuxi ʋɛ aɖewo, kple hayahaya kabakaba ŋu.

Titanium-gbadzɛwo dzadzraɖo

Alesi wòwɔa dɔe

Ne èhiã na ac ƒunukpeƒewo ƒe ʋuʋu dzikpɔkpɔ deŋgɔ la, . titanium-gbadzɛ dzadzraɖo naa egbɔkpɔnu si ŋu kakaɖedzi le. Amekolawo zãa afɔɖeɖe ɖesiaɖe tsɔ naa wò abɔta gali ke eye wòwɔa dɔ. Nusiwo nàte ŋu akpɔ mɔ na le dɔdamɔnua wɔɣie nye esi:

1. Wodoa atike si naa alɔ̃dɔdɔ wò katã be wò dzi nadze eme.

2. Amekolawo ƒe ƒuƒoƒoa tsɔa wò dana ɖe ƒutazikpui dzi. Wò abɔtawo xɔa nu, eye wò ta trɔna ɖe akpa si le lãmesẽ me.

3. Amekolaa ɖea wò coracoid ƒe go kple wò akɔta ƒe nuwuwu ɖe go.

4. Fluoroscopy unit kpena ɖe ƒuƒoƒoa ŋu wokpɔa wò akɔta nyuie.

5. Amekolaa lãa ŋutigbalẽ si didi sentimeta 4-5 le wò acromioclavicular ƒunukpeƒe ƒe go ememetɔ.

6. Woʋua ŋutigbalẽa kple lãkusia be woaɖo ƒunukpeƒe si vuvu la gbɔ.

7. Wokɔa lãkusi siwo vuvu la ɖa. Wotsɔa ʋukawo ƒe nulénu dea wò coracoid dɔwɔwɔ ƒe axadzi.

8. Amekolaa wɔa mɔ aɖe eye wòdea dzesi wò akɔta ƒe gota gome.

9. Wotsɔa mɔfianu la dea wò coracoid-dɔwɔwɔ ƒe go si le ete la me, eye wòkplɔa mɔ̃a ɖo le akɔta ƒe dzesia gbɔ.

10. Wozãa C-arm fluoroscopy tsɔ ɖoa ​​kpe mɔfiala la ƒe nɔƒe dzi.

Kpekpeɖeŋu: Zi geɖe la, Titanium Plate dzadzraɖo zãa xɔtunu siwo me ga mele o eye... Core wire tape be woatsɔ alé ƒunukpeƒea ɖe te. Mɔnu sia ɖea afɔku si le ƒoƒoe ƒe gbagbã me dzi kpɔtɔna eye wònana wòli ke ɣeyiɣi didi wu.

Mɔnu aɖe si léa fɔ ɖe teƒe si woaɖoe pɛpɛpɛ kple teƒe si woaɖoe sesĩe ŋu la ɖea vi na wò. Titanium-mɔ̃wo zazã kpena ɖe wò ƒunukpeƒe ŋu wòhayana le teƒe nyuitɔ eye wòdoa alɔ ʋuʋu kaba.

Biomechanical ƒe liƒo

Titanium Plate dzadzraɖo ɖe dzesi le eƒe biomechanical ŋusẽ ta. Èkpɔa liƒo le yameʋu siwo le axial kple superior siaa me, si fia be wò abɔta ate ŋu akpɔ gbesiagbedɔwo kple kamedefefewo gbɔ evɔ màdze anyi alo ado kpo nu o.

• Titanium-gbadzɛwo kple suture-button constructs siaa naa fixation sesẽ le axial agbatsɔtsɔ enuenu megbe.

• Endobutton eve ƒe nɔnɔme si wotu ɖe ʋuƒo dzi la sɔ kple biomechanical ŋusẽ si le asitsatsa ƒe cortical button systems ŋu.

• Èkpɔnɛ be afɔku si le ƒunukpeƒetetedɔ me dzi ɖena kpɔtɔna, si kpena ɖe ŋuwò nèxea mɔ na ƒunukpeƒewo ƒe ʋuʋu kple atikewɔwɔ bubuwo ƒe hiahiã.

Biomechanical ƒe dɔwɔwɔ le agbatsɔtsɔ ƒe nɔnɔme vovovowo me tsɔtsɔ sɔ kple wo nɔewoe nye esi:

De dzesii: Titanium Plate dzadzraɖo naa wò sesẽna nyuie ŋutɔ eye nètsia tre ɖe ʋuʋu ŋu le axial plane me. Esia fia be wò abɔta nɔa dedie ne èle ekɔm, esi nèle asi ɖom, eye nèle tɔtrɔm.

Biomechanical numekukuwo ɖee fia be titanium-gbadzɛwo kple suture-button constructs deŋgɔwo siaa tsɔa agba mawo tɔgbe vaa kpododonu dzi. Àte ŋu aka ɖe mɔ̃ siawo dzi be woana wò ac ƒunukpeƒe ƒe ʋuʋu nanɔ te le hayahayaɣi kple emegbe. Ne ètia Titanium Plate dzadzraɖo la, èdea ga egbɔkpɔnu si doa alɔ abɔta ƒe dɔyɔyɔ sesẽ kple dɔwɔwɔ si nɔa anyi didi me.

Titanium-gbadzɛa ƒe viɖewo

Hayahaya kple emetsonuwo

Ne ètia Titanium Plate dzadzraɖo na ac ƒunukpeƒewo ƒe ʋuʋu dzikpɔkpɔ la, èɖoa ɖokuiwò ɖe hayahaya sesẽ kple ɣeyiɣi didi ƒe emetsonu nyuitɔwo ŋu. Mɔnu sia kpena ɖe ŋuwò be ŋusẽ gaɖoa wò abɔta eye wòwɔa dɔ ale be nàte ŋu atrɔ ayi wò gbesiagbedɔwo kple kamedefefewo gbɔ.

• Àde dzesii be vevesese sue aɖe koe le ŋuwò eye wò ʋuʋu ƒe didime hã nyo wu ne wotsɔe sɔ kple mɔnu xoxowo.

• Dɔnɔ geɖe gblɔna be yewoƒe abɔta dzea yewo ŋu wu le amekoko vɔ megbe.

• Constant-Murley ƒe dzesi, si dzidzea abɔta ƒe dɔwɔwɔ, ɖee fia be Titanium Plate kple Core wire tape mɔnuwo kpena ɖe ŋuwò nèkpɔa nu nyuiwo wu hook plate xoxowo.

• Àte ŋu akpɔ mɔ be yeawɔ dɔ nyuie wu le gbesiagbegbenɔnɔ me dɔwɔnawo, abe asiɖoɖo ame dzi, nu kɔkɔ, kple awudodo ene me.

• Zi geɖe la, wò abɔta bɔbɔ ɖe ŋgɔ, alo ŋutete si le asiwò be nàkɔ wò abɔ ɖe dzi, nyona ɖe edzi ne èzã aɖaŋu deŋgɔwo. Dɔnɔ siwo zãa suture-button alo Titanium Plate mɔnuwo la ɖoa abe 172.6° ene, gake amesiwo si hook plate le ya ɖoa abe 166.0° ene.

• Subacromial erosion, si nye tɔtrɔ le abɔtaƒu te, ate ŋu adzɔ le mɔ̃ aɖewo dzi, gake zi geɖe la, mekpɔa ŋusẽ ɖe wò vevesese alo dɔwɔwɔ dzi le ɣeyiɣi didi aɖe megbe o.

Kpekpeɖeŋu: Ame akpa gãtɔ siwo xɔa Titanium Plate ɖɔɖɔɖo le ac ƒunukpeƒetetedɔ ta la trɔna yia woƒe ɖoɖowɔɖi siwo sɔ gbɔ kabakaba eye kuxi ʋɛ aɖewo koe nɔa wo ŋu wu amesiwo wotsɔ xɔtunu xoxowo da dɔe.

Dzadzraɖo si li ke si doa alɔ ʋuʋu kaba la ɖea vi na wò. Esia fia be àte ŋu adze kamedede fafɛwo gɔme kaba, si kpena ɖe ŋuwò be màgasẽ o eye wòana wò hayahaya kabakaba.

Afɔkuwo kple nusiwo ŋu woabu

Amekoko ɖesiaɖe hea afɔku aɖewo vɛ. Ne ètia Titanium Plate dzadzraɖo na ac ƒunukpeƒe ƒe ʋuʋu la, ele be nànya nu tso kuxi siwo ate ŋu ado mo ɖa ŋu. Wò amekola adzro nusiawo me kpli wò hafi woawɔ dɔ na wò.

• Ðeɖekpɔkpɔ ƒe bu ate ŋu adzɔ, si fia be ƒunukpeƒea ate ŋu atrɔ le teƒe si wòle ake.

• Peri-implant fracture, alo gbagbã le teƒe si te ɖe agbaa ŋu ate ŋu adzɔ gake mebɔ o.

• Acromial cut-out, afisi agbaa zɔna to ƒua me le la nye afɔku si mebɔ o.

• Rotator cuff impingement ate ŋu adzɔ ne xɔtunuawo te ɖe abɔta ƒe lãkusiwo ŋu.

• Ame aɖewo ƒe abɔta sea veve tegbee, togbɔ be wo dometɔ akpa gãtɔ hayana nyuie hã.

• Acromial osteolysis, alo ƒu ƒe tɔtrɔ le acromion gbɔ ate ŋu adze le go aɖewo me.

Nya siwo ku ɖe xɔtunuwo ŋu ƒe kpukpui aɖee nye esi:

De dzesii: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàɖe xɔtunuwo ɖa ne èle veve sem alo ne agbaa he kuxiwo vɛ. Mehiã be woawɔ dɔ na ame akpa gãtɔ zi evelia o, gake ele vevie be nàkplɔ wò belélenameha ɖo.

Ele be nàbu ga si woatsɔ adzra Titanium Plate ɖo hã ŋu. Atikewɔwɔ ŋuti gazazãwo katã kple kɔdzi nɔnɔ sɔ gbɔ wu le amekoko ƒe atikewɔwɔwo gome ne wotsɔe sɔ kple beléle si menye amekoko o. Gake èkpɔa liƒo kple dɔwɔwɔ nyuie wu, si ate ŋu ana gadede eme naɖe vi na ame geɖe siwo doa vevie nu.

• Ga si wozãna ɖe atikewɔwɔ ŋu sɔ gbɔ ɖe amekoko ta ($11,012.39) wu beléle si menye amekoko o ($1,163.81).

• Kɔdzi nɔnɔ nɔa anyi didi wu na dɔnɔ siwo wowɔ dɔ na (ŋkeke 3.3) ne wotsɔe sɔ kple amesiwo wowɔ dɔ na amekoko manɔmee (ŋkeke 0).

• Ga si wozãna ɖe atikewɔwɔ ŋu katã lolo wu le dɔwɔwɔ na ame ƒe nuwo ɖɔɖɔɖo me ($30,262.17) wu le atikewɔwɔ si womewɔna o me ($7,833.82).

Kpekpeɖeŋu: Da viɖe siwo le abɔta ƒe dɔwɔwɔ nyuie wu kple eƒe hayahaya kabakaba me kpɔ kple gazazã geɖe wu kple afɔku siwo ate ŋu ado tso eme. Ƒo nu kple wò ƒumeŋutinunyala be nàtso nya me nenye be Titanium Plate dzadzraɖoe nye tiatia nyuitɔ kekeake na wò ac ƒunukpeƒetetedɔ dzikpɔkpɔ.

Ne èse viɖe siwo le eme kple afɔku siwo le eme siaa gɔme la, àte ŋu atso nya me le wò atikewɔwɔ ŋu nyuie. Titanium Plate kple Core wire tape mɔnuwo naa egbegbe egbɔkpɔnu si ŋu kakaɖedzi le wò na ac ƒunukpeƒewo ƒe ʋuʋu, si kpena ɖe ŋuwò be nàtrɔ ayi dɔwɔna siwo nèlɔ̃na la gbɔ.

Dɔnɔwo ƒe nuteƒekpɔkpɔ

Nusi woakpɔ mɔ na

Ne èle dzadzram ɖo ɖe Titanium Plate dzadzraɖo ŋu abe wò ac ƒunukpeƒewo ƒe ʋuʋu dzikpɔkpɔ ƒe akpa aɖe ene la, àte ŋu akpɔ mɔ na ɖoɖo si me kɔ tso gɔmedzedze vaseɖe nuwuwu. Hafi woawɔ dɔ na wò la, wò belélenameha ana mɔfiame wò ku ɖe nutsitsidɔ kple vavaɣiwo ŋu. Atikewɔla si naa alɔ̃dɔdɔ alé ŋku ɖe wò lãmesẽ ŋu eye wòaɖe atike siwo nàzã atsɔ alɔ̃ alɔ̃e la me na wò. Le amekokoxɔa me la, woade ECG elektrikŋusẽnamɔ̃wo kple ʋu ƒe sisi ƒe asibide na wò. Zi geɖe la, amekokoa xɔa abe miniti 60 va ɖo 75 ene.

Le amekoko vɔ megbe la, ànɔ xɔ si me woahaya le me. Dɔnɔdzikpɔlawo alé ŋku ɖe ŋuwò eye woana oxygen kple tsi wò vaseɖe esime nàse le ɖokuiwò me be yeƒe lãme sẽ. Wò alɔ atɔ ɖe aŋetu me, eye àxɔ vevesesenutsitike be wò dzi nadze eme. Dɔnɔ akpa gãtɔ yia aƒeme ne wonya se le wo ɖokui me ko eye woate ŋu atsɔ atike siwo woano akpɔ vevesesea gbɔ.

Ame akpa gãtɔ dea dzesi ŋgɔyiyi gã aɖe le amekoko megbe. Vevesese ƒe agbɔsɔsɔ ɖiɖi tso 4.9 le mamã dedie nu do ŋgɔ na amekoko va ɖo 0.55 ko le ema megbe. Abɔta ƒe dɔwɔwɔ ƒe dzesiwo dzina ɖe edzi tso 32.8 va ɖo 95.5. Amesiame kloe trɔna yia dɔwɔwɔ nyuie me le ɣleti 15 me.

• Anɔ eme be màse veve boo o eye nàʋuʋu wò abɔta bɔbɔe.

• Kuxiwo mebɔ o, eye ƒunukpeƒenya suesuesue ʋɛ aɖewo koe dzɔna.

• Dɔnɔ akpa gãtɔ trɔna yia dɔme kple gbesiagbegbenɔnɔ me kaba.

Gbugbɔgaɖɔɖo

Gbugbɔgaɖɔɖo kpena ɖe ŋuwò nègakpɔa ŋusẽ eye nèʋuʋuna le Titanium Plate dzadzraɖo vɔ megbe. Wò dɔnɔdzikpɔlawo ƒe ƒuƒoƒoa afia mɔ wò le akpa ɖesiaɖe me. Èdzea egɔme kple kamedede fafɛ eye nèyia ŋgɔ va ɖoa ʋuʋu si me dzo le wu gbɔ.

Àte ŋu akpɔ mɔ be yeatrɔ ayi dɔwɔna siwo nèwɔna ɖaa ƒe akpa gãtɔ dzi le ɣleti 2 va ɖo 3 me. Ame geɖe gadzea kamedefefe alo dɔ sesẽwo wɔwɔ gɔme hafi ɣleti 6 naɖo. Wò amekola ate ŋu azã Core wire tape kple Titanium Plate atsɔ ana nàdzrae ɖo si li ke, si kpena ɖe ŋuwò be nàhaya dedie eye wòanɔ anyi ɖaa.

Kpekpeɖeŋu: Wɔ ɖe wò ɖɔɖɔɖo ƒe ɖoɖoa dzi nyuie. Esia kpena ɖe ame ŋu be wòagasẽ o eye wòdoa alɔ dɔyɔyɔ sesẽ le ac ƒunukpeƒe ƒe ʋuʋu dzikpɔkpɔ megbe.

Àte ŋu akpɔ alesi Titanium Plate kple Core wire tape wɔa vovototo ŋutɔŋutɔ le ac ƒunukpeƒewo ƒe ʋuʋu dzikpɔkpɔ me. Mɔ̃ deŋgɔ siawo naa wò li ke nyuie wu, wò hayana kabakaba, eye kuxi ʋɛ aɖewo koe dona tso eme wu mɔnu xoxowo. Tabla si le ete la ɖe alesi egbegbe mɔnuwo nana wò dɔwɔwɔwo nyona ɖe edzii fia:

Ƒumeŋutinunyalawo ƒe mɔfiamewo ɖee fia be kɔsɔkɔsɔwo gakpɔtɔ nye tiatia, gake zi geɖe la, ehiãna be woawɔ dɔ na wo zi evelia hafi woaɖe wo ɖa. Ƒo nu kple wò ƒumeŋutinunyala ɣesiaɣi be nàdi ac ƒunukpeƒewo ƒe ʋuʋu dzikpɔkpɔ ƒe ɖoɖo nyuitɔ kekeake na wò hiahiãwo.

Nyabiasewo ƒe Nyabiasewo

Viɖe vevitɔ kae le Titanium Plate ŋu le ac ƒunukpeƒewo ƒe ʋuʋu dzikpɔkpɔ me?

Èkpɔa fixation sesẽ, si li ke kple Titanium Plate. Mɔ̃ sia kpena ɖe wò abɔta ŋu wòhayana le nɔnɔme nyuitɔ me. Edoa alɔ ʋuʋu kaba eye wòɖea ƒunukpeƒetetedɔ ƒe afɔkua dzi kpɔtɔna ne wotsɔe sɔ kple mɔnu xoxowo.

Aleke Core wire tape nana amekoko me tsonu nyona ɖe edzii?

Core wire tape naa ŋusẽ geɖe wu nɔa wò dzadzraɖo ŋu. Eléa ƒuawo ɖe wo nɔewo ŋu sesĩe. Esia kpena ɖe ŋuwò nèhayana kabakaba eye wòɖea mɔnukpɔkpɔ si li be ƒunukpeƒea nadzo le teƒea le amekoko vɔ megbe dzi kpɔtɔna.

Ðe wòahiã be maɖe Titanium Plate la ɖa le eƒe dɔyɔyɔ vɔ megbea?

Mehiã be woaɖe agba le ame akpa gãtɔ me o. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò ne èse le ɖokuiwò me be yeƒe dzi dze eme alo ne agbaa he kuxiwo vɛ. Dzɔ ɖe wò beléle na wò ƒuƒoƒoa dzi ɣesiaɣi hena ac ƒunukpeƒewo ƒe ʋuʋu dzikpɔkpɔ nyuitɔ kekeake.

Aleke gbegbee mate ŋu atrɔ ayi kamedefefewo me kaba le ac ƒunukpeƒetetedɔ ƒe dɔwɔwɔ vɔ megbe?

Zi geɖe la, ètrɔna yia kamedefefe siwo me kadodo mele o me le abe ɣleti 3 ene megbe. Le kadodo ƒe kamedefefewo gome la, ɖewohĩ ahiã be nàlala ɣleti 6. Wò amekola kple ŋutilãmedɔdala anɔ te ɖe wò ŋgɔyiyi dzi afia mɔ wò be nàtrɔ ava dedie.

Ðe Titanium Plate dzadzraɖo le dedie na ƒe ɖesiaɖe me tɔwoa?

Titanium Plate dzadzraɖo wɔa dɔ nyuie na ƒexɔxɔ ƒe hatsotso geɖe. Wò ɖɔkta abu ƒe si nèxɔ, alesi nèwɔa dɔe, kple abi si ƒomevi nèxɔ ŋu. Esia kpena ɖe ŋuwò be nàkpɔ nu nyuitɔ kekeake na wò ac ƒunukpeƒe ƒe ʋuʋu.