2026 REVISION ARTHROPLASTY SOURCING GUIDE
Kuyikanso m'chiuno kapena bondo ndi gawo limodzi lokha la pulogalamu yowunikiranso. Ogawa amafunikiranso zimayambira zogwirizana, zigawo zomanganso, zida ndi njira yothandiza yoperekera kukula kowonjezera pamene chipatala chikuzifuna.
Bukuli likufanizira mitundu 10 yokonzanso m'chiuno ndi mawondo ndi opanga, kuphatikiza makampani omanganso, akatswiri okonzanso ndi XC Medico. Imalongosola zomwe muyenera kuyang'ana kupitilira dzina lachidziwitso pomanga mbiri yokonzanso kapena kuyang'ananso wogulitsa watsopano.
Kuti mumve zambiri zamapulogalamu oyambilira ndi osinthidwa, onani buku lathu opanga ophatikizana opangira ma chiuno ndi mawondo.
Momwe mndandandawu unasankhidwira
Kusankhidwaku kumatengera zinthu zomwe zasinthidwa komanso kufunikira kwa ma distributor sourcing. Manambala amakonza kalozera; sichiwerengero chotengera gawo la msika, kupulumuka kwa implant kapena ukulu wachipatala. XC Medico imasindikiza bukhuli ndipo ikuphatikizidwa ngati njira yothandizira. Kuzama kwa zolemba kumasiyana pakati pamakampani, ndipo zomwe zalembedwa sizipezeka m'maiko onse. Zogulitsa zidasinthidwa Seputembara 2026.
Revision Implant Opanga Mwachidule
Gwiritsani ntchito machitidwe omwe ali pansipa ngati poyambira pofunsira makatalogu ndi zolemba zamakono. Zitsanzo zimazindikiritsa mabanja olembedwa, osati gawo lililonse lomwe likupezeka kukampani iliyonse. Medacta ikuphatikizidwa pano chifukwa cha mbiri yake yotsimikizika ya bondo.
| Mtundu kapena wopanga | Zitsanzo za m'chiuno Kubwerezanso | zitsanzo za mawondo | Zomwe zimaperekedwa pakufufuza |
|---|---|---|---|
| 1. Zimmer Biomet | Arcos | Persona Revision | tsinde, kubereka ndi fupa-chilema options |
| 2. Stryker | Kubwezeretsa Modular | Kubwereza kwa Triathlon, Triathlon TS | Kusintha nsanja kasinthidwe |
| 3. DePuy Synthes | BWINO | Kusintha kwa ATTUNE | Kuyika kwapadera kwa nsanja ndi kufalikira kwa zida |
| 4. Smith+Mphwake | REDAPT | LEGION RK | Mabanja odzipatulira a chiuno ndi mawondo |
| 5. Waldemar LINK | MP Kukonzanso | Endo-Model, Endo-Model SL | Hinge mawondo ndi kukonzanso zovuta |
| 6. B. Braun Aesculap | Prevision, Plasmafit Revision | Columbus Revision, EnduRo | Zosankha zokhazikika ndi zigawo zomanganso |
| 7. Medacta | Osawunikidwa mu bukhuli | GMK Revision, GMK Hinge | Kukonzanso mawondo ndi zoletsa zosankha |
| 8. Enovis | EXPRT Revision Hip | EMPOWR Revision Knee | Chidziwitso cha zida ndi zida zamagulu |
| 9. PETER BRHM | MRP-TITAN, MRS-TITAN | BPK-S Integration Revision | Kukonzanso kwa akatswiri |
| 10. XC Medico | Simenti ndi Cementless Revision Hip Systems | Revision Total Knee ndi Hinge Total Knee Systems | Kutengera kwachindunji kwa ogulitsa ndi kutsimikizika kwapanthawi yake |
Mitundu 10 Yapamwamba Yokonzanso Kuyika kwa Hip ndi Bondo ndi Opanga
1. Zimmer Biomet
Zimmer Biomet imapereka machitidwe owunikira odzipereka pamalumikizidwe onse awiri. Arcos Modular Femoral Revision imapereka masinthidwe angapo a proximal ndi distal kuti amangenso chikazi. Persona Revision imawonjezera zigawo za mawondo, zosankha za tsinde ndi ma cones, ndi PS, CPS ndi CCK zokhala ndi zosankha zolembedwa mu mbiri yake.
Distributor checkpoint: Funsani mapu okonzekera dongosolo lomwe likupezeka kwanuko. Tsimikizirani kuti ndi ziti, ma bere, ma cones ndi zida zomwe zili m'gulu lotsegulira, ndi zomwe zitha kuperekedwa ngati zowonjezera.
Zolemba zovomerezeka: Arcos Modular Femoral Revision · Persona Revision
2. Stryker
Stryker's Restoration Modular nsanja imayang'anira kukonzanso kwa akazi. Chopereka chake cha Triathlon Revision chimaphatikizapo Triathlon TS, pomwe kampaniyo imalembanso GMRS pazofunikira zazikulu zomanganso gawo.
Distributor checkpoint: Siyanitsani masheya obwereza nthawi zonse kuchokera kumagulu omanganso. Funsani mabanja omwe amadzala, ma tray ndi zida zosungira zomwe chipatala chikufuna kugwiritsa ntchito; mbiri yotakata yamakampani sizitanthauza kuti makina onse ali mu kugula komweko koyambirira.
Zolemba zovomerezeka: Kubwezeretsa Modular · Kubwereza kwa Triathlon
3. DePuy Synthes
DePuy Synthes imalemba RECLAIM Modular Revision Hip System ndi ATTUNE Revision Knee System. Izi zimapereka mabanja omwe amawunikiridwa bwino kwa ogula kuyerekeza ndi ma chiuno ndi mawondo.
Poyang'ana wogawa: Nenani za banja lowunikiridwa pamafunso aliwonse. Mawu a bondo loyambirira la ATTUNE kapena dongosolo lina la m'chiuno silimayambitsa kubwereza. Pezani njira yoyenera ya opaleshoni, mndandanda wa zigawo zomwe zimagwirizana ndi ndondomeko ya zida za nsanja yokonzanso.
Zolemba zovomerezeka: RECLAIM Modular Revision Hip · ATTUNE Revision Knee
4. Smith+Mphwake
Zosintha za Smith + Nephew zikuphatikiza REDAPT Revision Femoral Stem ndi LEGION RK Revision Knee System. Izi ndi zowunikiridwa mwachindunji m'malo mongonena za kuchuluka kwamakampani omwe alowa m'malo.
Distributor checkpoint: Fananizani zofunikira za chiuno ndi mawondo mosiyana. Funsani makulidwe a tsinde omwe alipo ndi zosankha zomanganso m'chiuno, kenaka funsani mndandanda wa mawondo osiyana okhudza zigawo zokonzanso, zowonjezera, zimayambira ndi zida. Sungani ukadaulo ndi zonena zakuthupi zogwirizana ndi chitsanzo chomwe chikuperekedwa.
Zolemba zovomerezeka: REDAPT Revision Femoral Stem · LEGION RK
5. Waldemar LINK
LINK ndiyofunikira makamaka pamndandanda wachidule womwe umayang'ana kwambiri kukonzanso kovutirapo komanso kumanganso ma hinge. MP yake Reconstruction System imayang'anira kukonzanso kwa akazi, pomwe Endo-Model ndi Endo-Model SL imapereka mawondo ozungulira kapena hinge. MEGASYSTEM-C imakulitsa zolembedwa zake kukhala chotupa ndi ntchito zazikulu zomanganso.
Kufufuza kwa Distributor: Fotokozani ngati maakaunti omwe akuwunikirawo amafunikira mawondo okonzanso, ma hinge ozungulira kapena njira zazikulu zomanganso. Pezani chigawo chosiyana ndi dongosolo la chida chilichonse. Kuphimba kwa hinge ndi kupulumutsa miyendo sikuyenera kutengedwa ngati mphamvu zofanana.
Zolemba zovomerezeka: MP Reconstruction · Endo-Model · MEGASYSTEM-C
6. B. Braun Aesculap
Pulatifomu ya Aesculap's Prevision imaphatikizapo zosankha za simenti ndi cementless monobloc komanso ma modular revision zimayambira. Zopereka zake zomanganso m'chiuno zimaphatikizansopo Plasmafit Revision ndi zida zomanganso za acetabular. Zosankha za mawondo zolembedwa zikuphatikiza Columbus Revision ndi EnduRo hinged system.
Kufufuza kwa Distributor: Aesculap imapereka chiwongolero chothandiza pakufanizira zinthu zokhazikika. Pemphani ndandanda zosiyana za tsinde zokhala ndi simenti ndi simenti, zigawo za acetabular ndi mawondo m'malo moyika zinthu zonse zosinthidwa kukhala kabukhu kamodzi kosiyana.
Zolemba zovomerezeka: Aesculap Hip Revision · Zolemba za Aesculap Knee Portfolio
7. Medacta
Medacta ikuphatikizidwa ndi mawondo ake a GMK Revision ndi GMK Hinge. GMK revision portfolio imalemba modular implants ndi zida, ndi zosankha zothana ndi zopinga, kukulitsa tsinde, kuchepetsa ndi kukulitsa.
Poyang'ana kwa Distributor: Funsani mapu ogwirizana olembedwa omwe akuwunikiranso komanso masinthidwe a hinge. Tsimikizirani ngati kusintha koletsa kumafuna zigawo zina zachikazi, zonyamula, zimayambira kapena ma tray. Kugawana chizindikiro kokha sikutsimikizira kuti kuphatikiza kulikonse ndikololedwa.
Zolemba zovomerezeka: GMK Revision System · Mtengo wa GMK
8. Enovis
Enovis imapereka EXPRT Revision Hip, njira yosinthira zachikazi, ndi EMPOWR Revision Knee. Bondo lomwe limapereka zikalata zokhala ndi simenti, VVC polyethylene, ma stackable augments ndi ma cone options.
Kuwunika kwa Distributor: Onaninso mndandanda weniweni wa tray ndi kuchuluka kwa zinthu powunika momwe zinthu zikuyendera. Funsani wogulitsa kuti awonetse dongosolo lathunthu ndikuzindikira zinthu zomwe zasiyidwa pa dongosolo lotsegulira. Ma compact set ndi ofunika pokhapokha ngati akugwirizana ndi zomwe mwagwirizana.
Zolemba zovomerezeka: EXPRT Revision Hip · EMPOWR Revision Knee
9. PETER BRHM
PETER BREHM ali ndi ntchito yokonzanso yokonzanso. Machitidwe ake olembedwa akuphatikizapo tsinde lokonzanso la MRP-TITAN, makapu okonzanso a MRS-TITAN ndi BPK-S Integration Revision Knee System. Kampaniyo imaperekanso zida zaukadaulo ndi maphunziro apadera pazogulitsa.
Distributor checkpoint: Unikani momwe akatswiri amafananizira ntchito yokonzanso zipatala zomwe mukufuna. Funsani za chithandizo chaumisiri chapafupi, mwayi wopeza makulidwe owonjezera ndi kupezeka kwa zida musanasankhe kuchuluka kwa zinthu zaukadaulo zomwe zingagwire.
Zolemba zovomerezeka: MRP-TITAN · Mbiri ya Hip and Knee · BPK-S Integration Revision Technique
10. XC Medico
Gulu lophatikizana la XC Medico limaphatikizaponso chiuno chosinthika mopanda simenti, chiuno chokonzanso, kukonzanso mawondo onse ndi ma hinge okwana mawondo. Magulu anayiwa amapatsa ogawa poyambira kuti afufuze zowunikiranso.
Zoyang'ana za Distributor: Pemphani zamulingo wamamodeli, mindandanda yazakudya ndi zida, kukula komwe kulipo, tsatanetsatane wokonzekera ndi zolemba zolembetsa za msika. Kupezeka kwamasamba amagulu kumakhazikitsa zomwe zalembedwa; sichimakhazikitsa kufanana kwachipatala ndi mtundu wina kapena kutsimikizira chigawo chilichonse chomangidwanso.
Kuti muwunike koyamba, tumizani dziko lomwe mukufuna, dongosolo la m'chiuno kapena la mawondo, zokometsera zomwe mumakonda komanso kuchuluka kwa masitoko okonzekera. Funsani mawu olekanitsa ma implants, zida zogwiritsidwanso ntchito ndi zina zowonjezera.
Revision vs Primary Arthroplasty ndi Zomwe Zimasintha kwa Ogawa
Primary arthroplasty m'malo olowa mbadwa. Revision arthroplasty imalowa m'malo mwa zina kapena zigawo zonse za malo omwe alipo. Kuwonongeka kwa mafupa, kusakhazikika, kuvala, kumasuka, matenda kapena kupasuka kungapangitse kukonzanso kukonzanso kukhala kovuta. Ma implants apadera ndi zida zitha kufunikira. AAOS ikufotokoza kusiyana kumeneku muzofotokozera zake za revision m'chiuno m'malo ndi kukonzanso bondo m'malo.
Kwa wogawa, kusintha kothandiza ndikusuntha kuchokera ku mawu ophatikizika a implants wokhazikika kupita kukuthandizira masinthidwe osiyanasiyana.
- Inventory: Gwirizanani ndi makulidwe ndi zida zomwe zimachitikira kwanuko, kuperekedwa ndi ngongole kapena kuyitanitsa mlandu wina aliyense.
- Zida: Tsimikizirani kukonzekera, kuyesa, kusonkhanitsa ndi kuchotsa zofunikira ndi chipatala.
- Kubwezeretsanso: Fotokozani momwe masheya omwe amagwiritsidwa ntchito amasinthidwira komanso momwe zida zowonjezera zimaperekedwa mwachangu.
- Kukonzekera zamalonda: Phatikizani umwini wa zida kapena chiwongola dzanja, zonyamula katundu, zoletsa zoletsa komanso masheya omwe akuyenda pang'onopang'ono mumtundu wamtengo.
Mtengo wokwera wogulitsira woyikapo sumangotulutsa malire apamwamba ogawa. Werengani mtengo wothandizira mbiriyo musanawonjezere.
Miyezo Yoletsa Mabondo Yofotokozedwa kuchokera ku CR ndi PS kupita ku CCK ndi Hinge
Bondo limafotokoza kuchuluka kwa mapangidwe a implants omwe amalepheretsa kuyenda kuti apereke bata. CR ndi PS ndi mawu oyambira ofunikira, koma kufananitsa kobwerezanso kuyeneranso kuphatikiziranso mapangidwe oponderezedwa a condylar kapena varus-valgus ndi makina olumikizana nawo. Zolembazi sizisinthana. The Kufotokozera mwachidule kwa mawondo a AAOS kumalongosola kusiyana kwa mapangidwe a CR ndi PS.
| Design | Basic distinction | Zomwe ogula ayenera kutsimikizira |
|---|---|---|
| CR Cruciate kusunga |
Amasunga minyewa ya posterior cruciate; zomwe zimagwirizanitsidwa ndi mapangidwe a mawondo oyambirira. | Kulemba kwa CR kokha sikukhazikitsa mbiri yowunikiranso. |
| PS Posterior idakhazikika |
Kawirikawiri amagwiritsa ntchito makina a post-cam kuti alowe m'malo mwa posterior cruciate ntchito; si koloko. | Yang'anani zowunikiranso ndi matsinde ololedwa, ma bere ndi zigawo. |
| CCK / VVC Wokakamizidwa condylar / varus-valgus wokakamizidwa |
Amapereka choletsa chowonjezera cha coronal-ndege popanda hinge yolumikizidwa; zambiri zimasiyana malinga ndi dongosolo. | Pezani zenizeni za kubereka, gawo lachikazi ndi malamulo ofananirako. |
| Hinge Linked bondo kapangidwe |
Zimagwirizanitsa zigawo za femoral ndi tibial. Mapangidwe ozungulira-hinge amalolanso kuzungulira kwa axial. | Tsimikizirani mozungulira motsutsana ndi hinji yokhazikika, magawo ophatikizira, matsinde ndi zida zodzipereka. |
Mawu opanga mawu amaphatikizapo zosankha zapakatikati, monga CPS mu Persona Revision. Dokotalayo amasankha cholepheretsa chofunikira kuchokera kuzochitika zachipatala ndi zizindikiro za chipangizocho; chizindikiro chapamwamba cholepheretsa sichikukweza kwapadziko lonse. Kwa zitsanzo zolembedwa, yerekezerani Persona Revision yokhala ndi zosankha ndi LINK's hinge bondo nsanja.
Sungani zofunikira za hinge mosiyana pakufunsa kwa ogulitsa. Onani XC Medico's hinge okwana mawondo dongosolo ndi kufunsa ndendende kapangidwe ndi chigawo specifications.
Cemented vs Cementless Revision Fixation
Kukonzanso chiuno kukonza
Zitsanzo za simenti zokonzedwanso zimagwiritsa ntchito simenti ya mafupa kukonza. Zosintha zopanda simenti zimagwiritsa ntchito mapangidwe opangidwa kuti akwaniritse kukonza kwamakina popanda simenti, ndikukhazikika kwachilengedwe kutengera kapangidwe ka implant ndi mawonekedwe a mafupa. Palibe gulu lokha lomwe limatsimikizira kuyenerera kwa kuwunikiranso payekha.
Zithunzi za Aesculap Prevision portfolio , mwachitsanzo, zolemba zonse zokhala ndi simenti komanso zopanda simenti za monobloc. Chifukwa chake ogula ayenera kufunsa mtundu weniweni wa tsinde ndi njira yokhazikitsira, osati mtengo wa 'revision hip'.
Onaninso za XC Medico cemented revision revision system ndi cementless revision m'chiuno dongosolo payokha. Funsani kukula kwake, zakuthupi, kasinthidwe ka tsinde ndi zida zofananira zokonzekera chilichonse.
Kukonzanso mawondo kukonza
Mawu akuti 'cementless revision bondo' akufunika kumveka bwino. Atha kutanthauza tsinde kapena porous reconstruction chigawo m'malo mopanda simenti. Machitidwe obwereza amatha kugwiritsa ntchito njira zosiyanasiyana zokometsera pamakomedwe osiyanasiyana. Cone, tsinde ndi gawo limodzi liyenera kukhala ndi njira yokhazikika yolembedwa.
Mwachitsanzo, Enovis akufotokoza EMPOWR Revision Knee fixation pogwiritsa ntchito tsinde ndi simenti . Funsani ogulitsa kuti adziwe zomwe akufuna kukonza pagawo lililonse lomwe latchulidwa ndikupereka njira yoyenera yopangira opaleshoni. Osafanizira kukhazikika kwadongosolo lonse kuchokera pamalo amodzi.
Zomwe Complete Revision Portfolio ikuphatikiza
'Kukwanira' akuyenera kutanthauza kukwanira pazachipatala zomwe mwagwirizana. Wothandizira atha kuthandizira masinthidwe osinthidwa osankhidwa popanda kupereka njira iliyonse yovuta yomanganso. Gwiritsani ntchito mndandanda wotsatirawu kuti muzindikire zinthu zomwe zilipo ndi mipata; sikofunikira kugwiritsa ntchito chinthu chilichonse munjira iliyonse.
Kuchuluka kwa hip revision
- Konzaninso tsinde lachikazi, kuphatikiza utali wofunikira, ma diameter ndi zosankha za simenti kapena zopanda simenti.
- Matupi a modular ndi zigawo za msonkhano pomwe dongosolo losankhidwa limagwiritsa ntchito zomangamanga modular.
- Konzaninso zipolopolo za acetabular, ma augment, mphete zolimbikitsira kapena makola ngati pakufunika mkati mwazomwe zakonzedwa.
- Zolembedwa mitu yogwirizana ndi ma liner, kuphatikiza zosankha zilizonse zokhazikika zokhazikika.
- Reamers, kuyesa, kuyika ndi zida zophatikizira, kuphatikiza zida zochotsera zomwe zavomerezedwa padera.
Kuwongolera bondo
- Konzaninso zigawo za femoral ndi tibial ndi zisankho zoyenera komanso zoletsa.
- Zowonjezera tsinde, zosankha zochotsera ndi magawo awo olumikizirana ngati kuli koyenera.
- Zowonjezera zachikazi ndi tibial, kuphatikiza ma cones ogwirizana kapena manja ngati aperekedwa ndi nsanja.
- A payokha hinji njira ngati m'gulu zofunika chipatala.
- Mayesero ofananira, zida zokonzekera, zida zolumikizirana ndi zolemba zama tray.
Gwiritsani ntchito XC Medico's kukonzanso dongosolo lonse la mawondo ngati poyambira kufufuza kwa bondo, ndiye pemphani chitsimikiziro cholembedwa cha zomwe zili pamwambazi zomwe zilipo pa chitsanzo chomwe mukufuna. Tsinde lalitali lokha siliyankha funso lathunthu.
Momwe Mungatsimikize Wopereka Impulanti Yokonzanso
Funsani aliyense amene wasankhidwa kuti atchule zomwe zafotokozedwazo. Izi zimapangitsa kuti zida zomwe zikusowa ziwonekere ndikulepheretsa mtengo wotsika woyikapo kuti ufanane ndi kuperekedwa kwathunthu kothandizidwa ndi chida.
- Tsimikizirani malonda enieni. Sonkhanitsani mayina achitsanzo, manambala amakasitomala, zida, makulidwe, kukonza komwe mukufuna ndi malangizo ogwiritsira ntchito. Fananizani izi ndi zinthu zomwe zatchulidwa m'malo modalira mwachidule za kampani.
- Tsimikizirani wopanga zovomerezeka ndi zolemba zamsika. Fananizani wopanga pa lebulo ndi zolemba zamalonda ndi udindo wa ogulitsa. Funsani umboni wokhudzana ndi zida zenizeni komanso msika komwe mukupita. Kulembetsa kukhazikitsidwa kwa FDA kapena mndandanda wa zida sizikutanthauza kuvomereza kwazinthu kapena kuvomerezedwa, monga FDA ikufotokoza momveka bwino.
- Yang'anani umboni wokhudzana ndi dongosolo. Pemphani njira zopangira opaleshoni, zolemba zoyezetsa zoyenera komanso umboni wachipatala kapena kaundula wa dongosolo lomwe laperekedwa. Umboni wa kuyika kwina kuchokera ku kampani yomweyi sayenera kuperekedwa ngati umboni wa chitsanzo ichi.
- Audit zida ndi ngakhale. Pezani mndandanda wa thireyi, kukula kwake, zida zosonkhanitsira zofunika, malangizo okonzanso ndi kuphatikiza kololedwa. Musaganize kuti magawo owoneka ngati ofanana kapena miyeso yofananira imakhazikitsa kugwirizana.
- Gwirizanani ndi dongosolo logulitsira. Ikani katundu wotsegulira, nthawi zotsogola, mwayi wowonjezera, zida zolowa m'malo, zogwirira ntchito zomwe zimatha nthawi yake komanso zomwe mwakhazikitsa pamalonda.
- Fananizani mtengo wonse wa pulogalamu. Phatikizani ma implants, zida, katundu, kuwonjezeredwa ndi kuwonekera kwazinthu. Pezani madandaulo, traceability ndi field-action contacts musanayike choyamba.
Mafunso Ofunsidwa Kawirikawiri
Kodi ndi wopanga makina ati a chiuno ndi bondo omwe ali abwino kwambiri kwa ogulitsa?
Mndandanda woyenerera woyenerera umadalira machitidwe ofunikira, chilolezo cha mankhwala a m'deralo, zokonda zachipatala, chithandizo cha zida ndi chitsanzo cha katundu. Fananizani masinthidwe enieni ndi kudzipereka kwautumiki m'malo mongosankha molingana ndi kukula kwa kampani kapena mtengo woyika.
Kodi bondo lililonse losinthidwa ndi bondo lopindika?
Ayi. Magawo okonzanso atha kukhala ndi zosankha zopanda ma hinged komanso ma hinge system. Kukonzekera kofunikira ndi chisankho chachipatala. Ogula akuyenera kulemba zomwe akufunsidwa komanso zomwe zikugwirizana nazo asanagule.
Kodi ma implants ounikanso kuchokera kumitundu yosiyanasiyana angaphatikizidwe?
Musaganize kuti zikugwirizana ndi mitundu yosiyanasiyana. Pezani zolemba zomveka bwino za kuphatikiza komwe mukufuna, kuphatikiza malangizo ogwiritsira ntchito. Chizindikiro chofananira, kukula kapena mawonekedwe sizotsimikizika mokwanira.
Kodi revision hip mbiri ikufunika zigawo za acetabular?
Zopereka zowunikiranso zachikazi komanso zopereka zonse zomanganso m'chiuno zimakhala ndi mawonekedwe osiyanasiyana. Ngati zipatala zanu zimafunanso kukonzanso kwa acetabular, fufuzani makapu, zingwe, zowonjezera ndi zowonjezera zosankha mosiyana m'malo mongoganiza kuti zikuphatikizidwa ndi tsinde.
Kodi nditumize chiyani kwa wopereka impulanti yowunikanso kuti andipatse ndalama?
Tumizani dziko lomwe mukupita, dongosolo lofunikira, mtundu wokhazikika, kukakamizidwa kwa mawondo komwe kukufunika, kukula kwake, zofunikira za zida ndi kuchuluka komwe mwakonzekera. Funsani zinthu zomwe zikusowa kapena zomwe sizikupezeka kuti zidziwike bwino.
Pangani Mbiri Yobwereza Pamsika Wanu
Mukukonzekera kuwonjezera ma implants a chiuno kapena mawondo pagawo lanu logawa? Tumizani XC Medico msika womwe mukufuna komanso masinthidwe ofunikira. Funsani zomwe zilipo panopa, implants ndi mindandanda ya zida, zolemba zoyenera ndi mawu otengera mawu.
Pemphani Tsatanetsatane wa Kachitidwe KokonzansoBukuli lalembedwa kuti liziwunikira akatswiri komanso kuwunika kwa mbiri. Kusankhidwa kwachipatala kumatsatira kuwunika kwa dokotala wochiza komanso malangizo a chipangizocho. Mayina amtundu ndi a eni ake. Zogulitsa zimaperekedwa kuti zitsimikizidwe ndipo sizikutanthauza kuvomereza kapena kuchita nawo malonda.
