AC olowa dislocation ndi momwe Titanium Plate amapangira kusiyana

Mukayang'anizana ndi kusuntha kwa mgwirizano wa ac, mbale za titaniyamu ndi zida zamakono zopangira zida zimapereka sitepe yayikulu pakukonzanso. Njira zapamwambazi zimabweretsa kukhazikika kwamphamvu komanso kuchira msanga kuposa njira zakale. Mutha kukhala ndi chidaliro podziwa kuti odwala omwe amathandizidwa ndi machitidwe atsopano amakhala ndi magwiridwe antchito apamwamba kwambiri komanso zosintha zochepa pakapita nthawi.

• Odwala omwe amagwiritsa ntchito njira zamakono zokometsera ngati MSTC adafika pachimake cha Constant-Murley cha 95.8, chokwera kwambiri kuposa 76.7 yomwe imawonedwa ndi mbale zakale za mbedza.

• Odwala 12.5% ​​okha omwe anali ndi MSTC adasintha molumikizana, poyerekeza ndi 66.7% yokhala ndi mbale zolumikizira.

Mutha kukhulupirira njira zatsopano zopangira maopaleshoni izi kuti zipereke zotsatira zotetezeka komanso zogwira mtima, ndikukhazikitsa kusiyana koonekera bwino ndi kukonza kwachikhalidwe.

Zofunika Kwambiri

• Kukonza mbale za Titaniyamu kumapereka kukhazikika kwamphamvu komanso kuchira msanga kwa ma ac joint dislocations poyerekeza ndi njira zakale.

• Odwala omwe amagwiritsa ntchito njira zamakono zowonetsera amapereka malipoti apamwamba akugwira ntchito kwa mapewa ndi kusintha kochepa kwa mgwirizano pakapita nthawi.

• Opaleshoni ingakhale yofunikira kuvulala koopsa, makamaka kwa achichepere, okangalika, pomwe kuvulala pang'ono nthawi zambiri kumachiritsa ndi chithandizo chokhazikika.

• Kuchira n'kofunika pambuyo pa opaleshoni; kutsatira dongosolo lokonzedwa kumathandiza kupewa kuuma ndikuthandizira machiritso.

• Kumvetsetsa ubwino ndi zoopsa za kukonza mbale ya titaniyamu kungakuthandizeni kupanga zisankho mwanzeru pazamankhwala anu.

Chidule cha dislocation ya AC

Zomwe izo ziri

Mutha kumva dokotala wanu akulankhula za ac joint dislocation mukavulaza phewa lanu. Kuvulala kumeneku kumachitika pa mgwirizano wa acromioclavicular (AC), kumene collarbone yanu imakumana ndi pamwamba pa mapewa anu. Kulumikizana kumathandiza mkono wanu kusuntha ndikupangitsa phewa lanu kukhala lokhazikika.

• Mmodzi mwa khumi ovulala paphewa ndi ac joint dislocation.

• Anthu ambiri amawona pafupifupi 3 mpaka 4 mwa anthu 100,000 chaka chilichonse.

• Zoposa theka la kuvulala kumeneku kumachitika pamasewera, makamaka masewera okhudzana.

• Anyamata, makamaka azaka zapakati pa 10 ndi 30, ali ndi chiopsezo chachikulu. Mu gulu ili, pafupifupi mmodzi mwa asanu kuvulala mapewa ndi ac olowa kuvulala.

Mutha kupeza kulumikizana kwa ac pazifukwa zingapo:

• Kuwombera mwachindunji pamwamba pa phewa lanu

• Kugwera mwamphamvu paphewa lanu kapena dzanja lotambasula

• Kukweza zinthu zolemetsa kapena kuchita zinthu mobwerezabwereza

• Kuvulala kwamasewera, makamaka pamasewera olumikizana

• Nyamakazi kapena fractures yokhudzana ndi olowa

Kukhudza kuyenda

Mukakhala ndi ac joint dislocation, mumamva ululu, makamaka mukasuntha mkono wanu pachifuwa chanu kapena kuukweza pamwamba. Mitsempha yomwe imagwirizanitsa mgwirizano wanu wa AC pamodzi imakhala ndi gawo lalikulu kuti phewa lanu likhale lokhazikika. Mitsempha iyi ikavulala, phewa lanu limatha kukhala losakhazikika komanso lopweteka.

Zindikirani: Anthu ambiri amazindikira kuti zochita za tsiku ndi tsiku, monga kupeza chinachake pashelufu kapena kusewera masewera, zimakhala zovuta pambuyo povulala. Ngakhale ndi mankhwala ochiritsira, kusokonezeka kwina ndi kuyenda kochepa kungapitirire ngati mitsempha sichichiritsa bwino.

Mutha kupeza kuti phewa lanu limakhala lofooka kapena losakhazikika. Ntchito zosavuta, monga kuvala malaya kapena kunyamula chikwama, zingakhale zovuta. M'kupita kwa nthawi, ngati cholumikizira sichichira bwino, mutha kumva kupweteka kosalekeza kapena vuto ndi mayendedwe apamwamba.

Chifukwa chiyani opaleshoni?

Pamene pakufunika

Mutha kudabwa kuti opaleshoni ikakhala liti chisankho chabwino kwambiri cha dislocation ya ac. Madokotala amagwiritsa ntchito gulu la Rockwood kusankha ngati mukufuna opaleshoni. Dongosololi limasankha kuvulala potengera kuchuluka kwa mgwirizano komanso momwe phewa lanu limakhalira osakhazikika.

Ngati mwavulala pang'ono (Mtundu Woyamba kapena Wachiwiri), nthawi zambiri simufunika opaleshoni. Kupumula, ayezi, ndi chithandizo chamankhwala zimathandiza anthu ambiri kuchira. Pazovulala za Type III, zaka zanu ndi zochita zanu ndizofunikira. Achinyamata othamanga kapena anthu omwe ali ndi zofuna zambiri zakuthupi angapindule ndi opaleshoni. Mitundu ya IV ndi V pafupifupi nthawi zonse imafunika kukonza opaleshoni chifukwa cholumikizira chimakhala chosakhazikika kapena chosakhazikika.

Zindikirani: Kupweteka kwambiri, kupunduka koonekeratu, kapena vuto logwiritsa ntchito mkono wanu ndi zizindikiro zosonyeza kuti opaleshoni ikhoza kukuthandizani kuti mubwerere mwakale mwamsanga.

Zosankha za opaleshoni

Muli ndi zisankho zingapo ngati mukufuna opareshoni ya ac joint dislocation. Madokotala ochita opaleshoni amatha kugwiritsa ntchito njira zotseguka kapena za arthroscopic (zosasokoneza pang'ono). Njira zonsezi zimayang'ana kubwezeretsa malo abwino a mgwirizano wanu ndikumanganso mitsempha yomwe imasunga mapewa anu.

• Madokotala ochita opaleshoni nthawi zambiri amasankha kumanganso mabatani a suture chifukwa cha kuvulala kwapamwamba. Njirayi imakupatsani ntchito yabwino ya mapewa komanso kubwerera mwamsanga ku masewera.

• Maopaleshoni otsegula ndi arthroscopic amasonyeza zotsatira zofanana. Dokotala wanu adzasankha njira yabwino kwambiri yotengera kuvulala kwanu ndi zosowa zanu.

• Kukonzanso kwamakono kumayang'ana pakumanganso minyewa ya coracoclavicular ndi acromioclavicular. Izi zimathandiza kubwezeretsa mphamvu ndi kukhazikika paphewa lanu.

Ngati mukukumana ndi opaleshoni, dokotala wanu adzakufotokozerani zomwe mungachite ndikukuthandizani kusankha njira yabwino yothetsera vutoli.

Njira zokonzetsera zachikhalidwe

Njira zodziwika bwino

Mukayang'ana momwe madotolo amachitira kuchitira ac joint dislocation, mumapeza njira zingapo zochitira opaleshoni. Madokotala ochita maopaleshoni nthawi zambiri amagwiritsa ntchito mawaya a K, mbale zokokera, kapena zida zoyikirapo kuti agwiritsire ntchito mfundozo. Mawaya a K ndi zikhomo zopyapyala zachitsulo zomwe zimalumikiza mafupa. Ma mbale a mbedza amakhala pamwamba pa collarbone ndikumangirira pansi pa acromion kuti mgwirizano ukhale wolimba. Zipangizo zoyimitsa zoyimitsa, monga makina oyambira oyambira, amagwiritsa ntchito ma sutures amphamvu ndi mabatani kuti amangirire mafupa pamodzi.

Madokotala ena anayesanso zida zopangira, monga minyewa ya LARS, kapena kugwiritsa ntchito zolumikizira zamoyo kuchokera m'thupi lanu kapena kwa wopereka. Njirazi zinali ndi cholinga chomanganso minyewa yong'ambika ndikubwezeretsanso kuyenda bwino.

Zindikirani: Njira iliyonseyi idayesa kubweretsanso bata ndikugwira ntchito pamapewa anu, koma idabwera ndi zovuta zawo.

Zolepheretsa

Muyenera kudziwa kuti njira zokonzetsera zachikhalidwe zili ndi zolephera zingapo zofunika. Odwala ambiri anakumana ndi mavuto pambuyo pa opaleshoni, zomwe zinakhudza kuchira kwawo ndi zotsatira za nthawi yaitali.

• Njira za K-waya nthawi zambiri zimabweretsa zovuta, monga kusweka kwa pini kapena kusintha kosasinthika kwa olowa.

• Machitidwe a Endobutton nthawi zina amalephera kusunga mgwirizano m'malo mwake, ndi kafukufuku wosonyeza kuti 24% ya odwala akuchepa.

• Zida zoyimitsira zoyimitsidwa zinali ndi mitengo yolephera kuyambira 16.6% mpaka 50%. Izi zikutanthauza kuti odwala ambiri amafunikira chithandizo chochulukirapo.

• Synthetic ligaments ngati LARS inawonetsa kuchepa kwa 3.3% ndi kupambana kwakukulu kwa 93.3%. Komabe, kulumikizidwa kwachilengedwe nthawi zambiri kumapereka zotsatira zabwino pakuvulala kosatha.

Zolepheretsa izi zidapangitsa madotolo kuyang'ana njira zabwinoko zothanirana ndi kusagwirizana kwa ac. Njira zatsopano tsopano zikuyang'ana pa kukonza mwamphamvu, zovuta zochepa, ndi kuchira msanga.

Kukonza mbale ya Titaniyamu

Momwe zimagwirira ntchito

Mukafuna kasamalidwe kabwino ka ac joint dislocation, kukonza mbale ya titaniyamu kumapereka yankho lodalirika. Madokotala ochita opaleshoni amagwiritsa ntchito njira yowonjezerapo kuti mubwezeretse kukhazikika kwa phewa lanu ndi ntchito. Nazi zomwe mungayembekezere panthawi ya ndondomekoyi:

1. Mumalandira anesthesia wamba kuti mukhale omasuka.

2. Gulu la opaleshoni limakuyikani pampando wamphepete mwa nyanja. Mapewa anu amapindika, ndipo mutu wanu umapendekera kumbali yathanzi.

3. Dokotala wa opaleshoni amawonetsa pamwamba pa coracoid yanu komanso kumapeto kwa clavicle yanu.

4. Chigawo cha fluoroscopy chimathandiza gulu kuona clavicle bwino.

5. Dokotala wa opaleshoni amapanga 4-5 cm pakhungu lamkati mkati mwa mgwirizano wanu wa acromioclavicular.

6. Khungu ndi minofu imatsegulidwa kuti ifike kumalo osokonekera.

7. Minofu yong'ambika imatsukidwa. Chingwe cha mitsempha chimayikidwa m'mphepete mwa njira yanu ya coracoid.

8. Dokotala amapanga ngalande ndikuyika kumapeto kwa clavicle yanu.

9. Wotsogolera amalowetsedwa m'munsi mwa njira yanu ya coracoid, kutsatira njira yomwe ili pa clavicle mark.

10. Udindo wa wotsogolera umatsimikiziridwa pogwiritsa ntchito C-arm fluoroscopy.

Langizo: Kukonza kwa Titanium Plate nthawi zambiri kumagwiritsa ntchito zomanga zopanda mfundo komanso Kore waya tepi kuti muteteze mgwirizano. Njirayi imachepetsa chiopsezo cha kutsetsereka kwa mfundo ndikuwongolera kukhazikika kwanthawi yayitali.

Mumapindula ndi njira yomwe imayang'ana kuyika kolondola komanso kukonza mwamphamvu. Kugwiritsa ntchito zida za titaniyamu kumathandizira kuti mgwirizano wanu ukhale bwino komanso umathandizira kuyenda koyambirira.

Kukhazikika kwa biomechanical

Kukonzanso kwa Titanium Plate kumadziwika chifukwa cha mphamvu zake za biomechanical. Mumakhala okhazikika mu ndege zonse za axial ndi zapamwamba, zomwe zikutanthauza kuti phewa lanu limatha kugwira ntchito za tsiku ndi tsiku ndi masewera popanda kutsetsereka kapena kulephera.

• Ma mbale a Titaniyamu ndi mabatani a suture onse amapereka kukhazikika kolimba pambuyo pokweza axial mobwerezabwereza.

• Mapangidwe otsekeka a Endobutton awiri amafanana ndi mphamvu ya biomechanical yamakina amalonda a cortical.

• Mumakumana ndi chiwopsezo chocheperako, chomwe chimathandiza kupewa kulumikizana kwamagulu komanso kufunikira kwa chithandizo china.

Nayi kufananitsa kwa magwiridwe antchito a biomechanical pansi pamikhalidwe yosiyanasiyana yotsitsa:

Chidziwitso: Kukonza kwa Titanium Plate kumakupatsani kuuma kwakukulu komanso kukana kuyenda mu ndege ya axial. Izi zikutanthauza kuti phewa lanu limakhala lotetezeka pakukweza, kufikira, ndi kuzungulira.

Kafukufuku wa biomechanical akuwonetsa kuti mbale zonse za titaniyamu ndi zida zapamwamba zamtundu wa suture zimapereka zolemetsa zomwezo mpaka kulephera. Mutha kukhulupirira zida izi kuti zisungitse kulumikizana kwanu kwa ac kukhala kokhazikika pakuchira komanso kupitirira. Mukasankha kukonza Titanium Plate, mumagwiritsa ntchito njira yomwe imathandizira machiritso amphamvu komanso kugwira ntchito kwa mapewa.

Titaniyamu mbale zothandiza

Kuchira ndi zotsatira

Mukasankha Titanium Plate kukonza kwa ac joint dislocation management, mumadzikonzekeretsa kuti muchiritsidwe mwamphamvu komanso zotsatira zabwino zanthawi yayitali. Njirayi imakuthandizani kuti mukhalenso ndi mphamvu pamapewa ndikugwiranso ntchito kuti muthe kubwerera kuntchito zanu zatsiku ndi tsiku ndi masewera.

• Mudzawona zowawa zochepa komanso zoyenda bwino poyerekeza ndi njira zakale.

• Odwala ambiri amafotokoza kukhutira kwakukulu ndi phewa lawo pambuyo pa opaleshoni.

• Chigoli cha Constant-Murley, chomwe chimayesa kugwira ntchito kwa mapewa, chikuwonetsa kuti njira za tepi za Titanium Plate ndi Core zimathandizira kuti mupeze zotsatira zabwinoko kuposa mbale zachikhalidwe.

• Mungathe kuyembekezera kuchita bwino pazochitika za tsiku ndi tsiku, monga kufika, kukweza, ndi kuvala.

• Kuwongolera kutsogolo, kapena kukweza mkono wanu, nthawi zambiri kumakhala bwino ndi njira zapamwamba. Odwala omwe amagwiritsa ntchito batani la suture kapena njira za Titanium Plate amafika pafupifupi 172.6 °, pomwe omwe ali ndi mbale zolumikizira amafika pafupifupi 166.0 °.

• Kuwonongeka kwa subacromial, kusintha pansi pa fupa la phewa, kungachitike ndi zipangizo zina, koma kawirikawiri sizimakhudza ululu wanu kapena ntchito yanu pakapita nthawi.

Langizo: Anthu ambiri omwe amalandira kukonza kwa Titanium Plate chifukwa cha kusuntha kwa mgwirizano wa ac amabwerera ku machitidwe awo achizolowezi mofulumira komanso ndi zovuta zochepa kusiyana ndi zomwe zimagwiritsidwa ntchito ndi hardware yakale.

Mumapindula ndi kukonza kokhazikika komwe kumathandizira kuyenda koyambirira. Izi zikutanthauza kuti mutha kuyambitsa masewera olimbitsa thupi mwachangu, zomwe zimathandiza kupewa kuuma ndikufulumizitsa kuchira.

Zowopsa ndi malingaliro

Opaleshoni iliyonse imabwera ndi zoopsa zina. Mukasankha kukonza Titanium Plate kuti mudutse ma ac joint dislocation, muyenera kudziwa zovuta zomwe zingachitike. Dokotala wanu adzakambirana nanu izi musanayambe ndondomeko yanu.

• Kutayika kwa kuchepetsa kungathe kuchitika, zomwe zikutanthauza kuti mgwirizanowo ukhoza kuchoka pamalo ake kachiwiri.

• Kuphulika kwa peri-implant, kapena kupuma pafupi ndi mbale, kumatha kuchitika koma kumakhala kosazolowereka.

• Acromial cut-out, komwe mbale imadutsa m'fupa, ndi chiopsezo chosowa.

• Kupindika kwa makapu a rotator kumatha kuchitika ngati hardware ikanikizira pamapewa.

• Anthu ena amamva kupweteka kwapaphewa kosatha, ngakhale ambiri amachira bwino.

• Acromial osteolysis, kapena kusintha kwa mafupa pafupi ndi acromion, kungawonekere nthawi zina.

Nayi chidule cha zovuta zokhudzana ndi hardware:

Zindikirani: Dokotala wanu angakulimbikitseni kuchotsa hardware ngati simukumva bwino kapena ngati mbaleyo ikuyambitsa mavuto. Anthu ambiri safuna kuchitidwa opaleshoni yachiwiri, koma ndikofunikira kutsatira ndi gulu lanu losamalira.

Muyeneranso kuganizira za mtengo wa kukonza Titanium Plate. Ndalama zonse zachipatala ndi nthawi yogonera kuchipatala ndizokwera kwambiri potengera chithandizo chamankhwala osachita opaleshoni. Komabe, mumapeza kukhazikika komanso kugwira ntchito bwino, zomwe zingapangitse kuti ndalamazo zikhale zopindulitsa kwa anthu ambiri ogwira ntchito.

• Mtengo wa ntchito zachipatala ndi wapamwamba pa opaleshoni ($ 11,012.39) kusiyana ndi chisamaliro chosapanga opaleshoni ($ 1,163.81).

• Chipatala chimakhala nthawi yayitali kwa odwala opaleshoni (masiku 3.3) poyerekeza ndi omwe amathandizidwa popanda opaleshoni (masiku 0).

• Mtengo wonse wa chithandizo chamankhwala ndi wokulirapo pakukonza opareshoni ($30,262.17) kuposa oyang'anira osagwira ntchito ($7,833.82).

Langizo: Ganizirani zaubwino wakuchita bwino kwa mapewa ndikuchira mwachangu motsutsana ndi mtengo wokwera komanso zoopsa zomwe zingachitike. Lankhulani ndi dokotala wanu wa opaleshoni ya mafupa kuti musankhe ngati kukonza Titanium Plate ndi njira yabwino kwambiri yoyendetsera kayendetsedwe kanu ka ac joint dislocation.

Pomvetsetsa ubwino ndi zoopsa zake, mukhoza kupanga chisankho mwanzeru pazamankhwala anu. Titanium Plate ndi Core wire tepi njira zimakupatsirani njira yamakono, yodalirika yolumikizirana ma ac joint dislocation, kukuthandizani kuti mubwerere ku zomwe mumakonda.

Chokumana nacho cha odwala

Zoyenera kuyembekezera

Mukakonzekera kukonza Titanium Plate ngati gawo la kasamalidwe kanu ka ac, mutha kuyembekezera njira yomveka kuyambira koyambira mpaka kumapeto. Musanachite opaleshoni, gulu lanu la chisamaliro lidzakupatsani malangizo okhudza kusala kudya ndi nthawi yofika. Wochita opaleshoni adzayang'ana thanzi lanu ndikufotokozera zomwe mungachite. M'chipinda chopangira opaleshoni, mudzakhala ndi ma electrodes a ECG ndi chikhomo cha kuthamanga kwa magazi. Opaleshoniyo nthawi zambiri imatenga pafupifupi mphindi 60 mpaka 75.

Pambuyo pa opaleshoni, mudzakhala mu chipinda chothandizira. Anamwino adzakuyang'anirani ndikukupatsani mpweya ndi madzi mpaka mutakhazikika. Dzanja lanu lidzapumira mu legeni, ndipo mudzalandira mpumulo wa ululu kuti mukhale omasuka. Odwala ambiri amapita kunyumba akamva bwino ndipo amatha kuthana ndi ululu ndi mankhwala amkamwa.

Anthu ambiri amawona kusintha kwakukulu pambuyo pa opaleshoni. Ululu umatsika kuchokera pa 4.9 musanachite opaleshoni mpaka 0.55 pambuyo pake. Kuchuluka kwa mapewa kumakwera kuchokera ku 32.8 mpaka 95.5. Pafupifupi aliyense amabwerera kuntchito yabwino mkati mwa miyezi 15.

• Mudzamva kupweteka pang'ono ndikusuntha phewa lanu mosavuta.

• Zovuta ndizosowa, ndi zochitika zochepa chabe za nkhani zazing'ono zomwe zimagwirizanitsa.

• Odwala ambiri amabwerera kuntchito ndi moyo wa tsiku ndi tsiku mwamsanga.

Kukonzanso

Kukonzanso kumakuthandizani kuti mukhalenso ndi mphamvu komanso kuyenda mutatha kukonza Titanium Plate. Gulu lanu la chisamaliro lidzakutsogolerani mu gawo lililonse. Mumayamba ndi kuchita masewera olimbitsa thupi pang'onopang'ono ndikupita patsogolo kumayendedwe achangu.

Mutha kuyembekezera kubwereranso kuzinthu zanthawi zonse mkati mwa miyezi iwiri kapena itatu. Anthu ambiri amayambiranso masewera kapena ntchito zolemetsa pakadutsa miyezi isanu ndi umodzi. Dokotala wanu angagwiritse ntchito tepi ya Core wire ndi Titanium Plate kuti akupatseni kukonza kokhazikika, komwe kumathandizira kuchira kotetezeka komanso kokhazikika.

Langizo: Tsatirani dongosolo lanu lakukonzanso mosamala. Izi zimathandizira kupewa kuuma komanso kuthandizira machiritso amphamvu pambuyo pa kasamalidwe ka ac joint dislocation.

Mutha kuwona momwe Titanium Plate ndi Core wire tepi zimasinthira kwenikweni pakuwongolera kolumikizana kwa ac. Zida zapamwambazi zimakupatsani kukhazikika bwino, kuchira msanga, ndi zovuta zochepa kuposa njira zakale. Tebulo ili m'munsiyi likuwonetsa momwe njira zamakono zimasinthira zotsatira zanu:

Malangizo a mafupa amasonyeza kuti mbale za mbedza zimakhalabe njira, koma nthawi zambiri zimafunika opaleshoni yachiwiri kuti ichotsedwe. Nthawi zonse lankhulani ndi dokotala wanu wa opaleshoni ya mafupa kuti mupeze dongosolo labwino kwambiri la ac joint dislocation pa zosowa zanu.

FAQ

Kodi phindu lalikulu la Titanium Plate mu ac joint dislocation management ndi chiyani?

Mumakhazikika mwamphamvu, mokhazikika ndi Titanium Plate. Chipangizochi chimathandizira phewa lanu kuchira pamalo oyenera. Zimathandizira kusuntha koyambirira ndikuchepetsa chiopsezo cha kutsetsereka kwa mgwirizano poyerekeza ndi njira zakale.

Kodi Core wire tepi imathandizira bwanji maopaleshoni?

Core wire tepi imawonjezera mphamvu pakukonza kwanu. Zimagwirizanitsa mafupa pamodzi mwamphamvu. Izi zimakuthandizani kuti muchira msanga komanso zimachepetsa mwayi woti olowa achoke pamalo opangira opaleshoni.

Kodi ndiyenera kuchotsa Plate ya Titaniyamu ndikachiritsa?

Anthu ambiri safuna kuchotsa mbale. Dokotala wanu akhoza kukuuzani ngati simukumva bwino kapena ngati mbaleyo imayambitsa mavuto. Nthawi zonse tsatirani ndi gulu lanu losamalira kuti mupeze kasamalidwe kabwino ka ac joint dislocation.

Kodi ndingabwerere bwanji kumasewera pambuyo pa opaleshoni ya ac joint dislocation?

Nthawi zambiri mumabwerera kumasewera osalumikizana nawo pakadutsa miyezi itatu. Pamasewera olumikizana nawo, mungafunike kudikirira miyezi 6. Dokotala wanu wa opaleshoni ndi wothandizira thupi adzatsogolera kubwerera kwanu kotetezeka kutengera momwe mukupitira patsogolo.

Kodi kukonza Titanium Plate ndi kotetezeka kwa mibadwo yonse?

Kukonzekera kwa Titanium Plate kumagwira ntchito bwino kwa magulu azaka zambiri. Dokotala wanu adzaganizira zaka zanu, msinkhu wanu, ndi mtundu wovulala. Izi zimakuthandizani kuti mupeze zotsatira zabwino kwambiri pakusokonekera kwanu kwa ac.