Cortical Button Gukosora: Gukoresha, Ubwoko ningaruka

Ubuvuzi bwa siporo buyobora | Cortical suspensory fixation

Cortical buto yo gukosora nuburyo bwo guhagarika uburyo bukoreshwa muburyo bwatoranijwe hamwe nuburyo bwo kwiyubaka. Akabuto karuhutse kumagufwa ya cortical kandi ikorana na suture ihamye cyangwa ihindagurika kugirango ikomeze igenamigambi ryateguwe cyangwa yoroshye-tissue yubaka. Igikoresho gitanga uburyo bwo gukosora mugihe gukiza ibinyabuzima bitera imbere, ariko ntabwo byigenga byemeza gukira byihuse, ingorane nke cyangwa gusubira muri siporo mbere.

Kwubaka guhagarikwa Buto ya cortical, loop, graft cyangwa suture hamwe nu mutego wamagufwa wateguwe bikora hamwe nkibikorwa byo gukosora.

Uburyo bwihariye bwibimenyetso Ibisubizo bivuye mu kwiyubaka kwa ACL ntibishobora guhita bikoreshwa kuri biceps ya kure, syndesmose yamaguru cyangwa inzira yigitugu.

Nta gikoresho cyiza cyogeza isi yose Ubwoko bwa Loop, ibipimo bya buto, graft, tunnel, ubwiza bwamagufwa, ingamba zo gukosora hamwe na label yemewe byose bigira ingaruka kumahitamo.

Cortical buto yo gutunganya ibikoresho bikoreshwa mukubaka ligament — Sisitemu ya buto ya sisitemu iratandukanye na buto ya geometrie, igishushanyo mbonera, kubaka suture, ibikoresho hamwe na progaramu yo kubaga.

Niki Cortical Button Ikosora?

Cortical buto ikosora, nayo bita cortical suspensory fixation, ikoresha buto ntoya ihagaze imbere yinyuma yinyuma yamagufwa. Umuzenguruko cyangwa suture byubaka bihuza buto nigitereko cya tendon, igihangano cya ligament cyangwa cyasannye imyenda yoroshye. Iyo bimaze koherezwa mumwanya wabigenewe, buto itanga cortical support point yo guhagarika kubaka.

Mu kwiyubaka kwa ACL, kurugero, buto ya cortical femorale irashobora gushyigikira igihangano kiri mumugozi wateguwe cyangwa umuyoboro. Ubundi sisitemu ya buto yagenewe uturere dutandukanye nuburyo butandukanye. Ibicuruzwa ntibishobora guhinduka gusa kuko bisangiye imiterere isa.

Ibice byingenzi bigize Cortical Button Kubaka

Akabuto ka Cortical Akantu gato gashizweho kagenewe kuruhuka amagufwa ya cortical no gukwirakwiza imbaraga ukurikije igishushanyo cyayo.

Kuzenguruka cyangwa kudoda byubaka Uburebure-buhamye cyangwa bushobora guhinduka hagati ya buto na graft cyangwa tissue yasanwe.

Igishushanyo cyangwa cyoroshye tissue Ibinyabuzima byubatswe cyangwa bisanwa, byateguwe ukurikije uburyo bwatoranijwe.

Umuyoboro w'amagufwa cyangwa sock Biteganijwe inzira yinzira yamagufa cyangwa sock unyuzamo ibishushanyo mbonera.

Gutambutsa suture Suture ikoreshwa mugutwara, icyerekezo, kohereza cyangwa guhagarika ibyubaka ukurikije tekinike ya sisitemu.

Ibikoresho byabigenewe Imyitozo, kuyobora, gupima ubujyakuzimu, ibikoresho byanyuze hamwe nibikoresho byoguhuza bihuye na sisitemu yatoranijwe.

Cortical Button vs Cortical Screw

Akabuto ka cortical ntabwo kameze nkibisanzwe bisanzwe byamagufwa. Imiyoboro isanzwe ya cortical ikoresha urudodo rwo guhuza amagufwa kandi mubisanzwe bifitanye isano no kuvunika cyangwa kubaka isahani. Akabuto ka cortical muri rusange gatanga guhagarika gukosorwa binyuze muri buto-na-loop cyangwa buto-na-suture yubaka.

Ntukitiranya ibicuruzwa: umugozi wamagufwa ya 2.7, 3.5 cyangwa 4.5 mm ntushobora gusobanurwa nkibintu bisabwa muburyo busanzwe bwa ACL cortical buto yo gukosora keretse sisitemu yemewe yemewe nubuhanga bwo kubaga birimo.

Gukosora-Kuzenguruka vs Guhindura-Kuzenguruka Utubuto

Ibikoresho byahagaritswe byigitsina gore bikoreshwa mugusubiramo ligament bikunze kuganirwaho nka sisitemu ihamye cyangwa ihindagurika. Itandukaniro rigira ingaruka kumyiteguro yubukorikori, tunnel cyangwa igenamigambi rya sock, kubohereza no guhagarika akazi.

Igikoresho gihamye

Umuzingi ufite uburebure bwateganijwe mbere. Ubujyakuzimu bwa tunnel, uburebure bwa burebure na buto bigomba gutegurwa hafi yurwego ruhamye.

Igikoresho gishobora guhindurwa

Uburebure bwa loop burashobora guhindurwa mugihe gikurikizwa muburyo bwa tekinike na tekinike ya sisitemu yihariye, bigatuma ibihangano bitera imbere cyangwa bigahagarara nyuma yo kohereza buto.

Ni ubuhe buryo bwo gupima Laboratoire

Isuzuma ryibinyabuzima rishobora gutanga raporo yimurwa ryikurikiranya, kurambura ibizunguruka, gukomera, umutwaro utanga umutwaro no kunanirwa. Ibi bizamini bifasha kuranga imyitwarire yibikoresho munsi ya laboratoire isobanuwe, ariko ibisubizo biterwa nurwego rwibizamini, ingero, icyerekezo cyo gupakira, preload, protocole protocole na point point.

Agaciro karemereye-kunanirwa mubushakashatsi bumwe bwa laboratoire ntigaragaza vuba gukira-amagufwa cyangwa igipimo cyo kunanirwa kwa clinique. Ibisubizo bya laboratoire bigomba kurebwa hamwe nibimenyetso byubuvuzi hamwe nububiko bwuzuye bwo kubaga.

Ibyo ibimenyetso bya Clinical byerekana

Isubiramo rifatika ryibikoresho byahagaritswe byitwa femorale cortical ihagarikwa ryagaragaje itandukaniro riri hagati yubushakashatsi bwa laboratoire n’ubuvuzi: ubushakashatsi bwinshi bwa laboratoire bwatangaje ko uburebure bwikurikiranya bwikorewe kuri sikeli, mu gihe ubushakashatsi bw’amavuriro bwasuzumwe butagaragaje itandukaniro rigaragara hagati y’amatsinda ashobora guhindurwa- mu buryo butajegajega, amanota y'ivi cyangwa gutsindwa. Abanditsi basabye ko hakorwa ibizamini bikomeye byo kwa muganga.

Kubwibyo, nta cyiciro cya loop gikwiye gusobanurwa nkurwego rwo hejuru kwisi yose. Guhitamo bigomba kubara gahunda yubushakashatsi, ingamba za tunnel, amabwiriza yibikoresho, kumenyera kubaga nibimenyetso bifatika byubuvuzi.

Ibikoresho bikosorwa kandi bigahinduka-bizunguruka cortical guhagarika ibikoresho byo gukosora — Ibikoresho bihamye kandi bishobora guhindurwa-bikoresha ibikoresho bitandukanye byo gutegura no guhagarika akazi; ivuriro rikwiranye na gahunda yo kwiyubaka yuzuye.

Ibisanzwe Byokubaga Porogaramu ya Cortical Button Gukosora

Ibishushanyo bya Cortical bikoreshwa muburyo butandukanye bwamagufwa, ariko ibyerekana biterwa nibikoresho byanditse neza. Akabuto kahanaguwe cyangwa kiyandikishije muburyo bumwe ntigomba gufatwa ko yemerewe buri kintu cyose, ligament cyangwa ingingo.

Kwiyubaka kwa ACL na PCL

Cortical suspensory fixing ikunze gukoreshwa kuruhande rwigitsina gore cyatoranijwe cyo kongera kubaka ACL kandi irashobora no kwinjizwa muri PCL yatoranijwe cyangwa inyubako zose imbere. Akabuto gashigikira igihangano kinyuze mu cyerekezo mugihe igihangano gifata umuyoboro wateguwe cyangwa sock.

Ibisubizo byamavuriro biterwa nibirenze buto. Umwanya wa tunnel, ubwoko bwa graft nubwitegure, gukosora kumpande zombi, guhagarika umutima, gukomeretsa bifitanye isano, gusubiza mu buzima busanzwe nibintu byabarwayi byose bigira uruhare. Basomyi barashobora gusuzuma uruhare runini rwa Sisitemu yo gukosora ACL hamwe nubuyobozi bujyanye no gusobanura burya kugarura ibikubiyemo bishyigikira kwiyubaka kwa ACL.

Gutandukanya Biceps Tendon Gusana

Sisitemu yihariye ya cortical buto ya sisitemu irashobora gukoreshwa kugirango umutekano wa biceps ukure kuri radiyo. Ibimenyetso bivuye muriki gikorwa ntibishobora kwimurwa muburyo bwo kwiyubaka kwa ACL kuko anatomy, gupakira, kubaga no kwerekana imiterere biratandukanye.

Isubiramo ryatangajwe muri rusange raporo nziza yimikorere ariko nanone isobanura ibikomere byimitsi, imitsi ya buto cyangwa gutandukana, osisifike ya heterotopique, guhagarika no gukomeretsa ibikomere. Izi ngaruka zigomba kuguma zigaragara igihe cyose ibimenyetso bya kure biceps byaganiriweho.

Indwara ya Syndesmose hamwe nibindi byoroshye-Tissue Fixation

Sisitemu yatoranijwe ya suture-buto irashobora gushyirwaho ikimenyetso cya syndesmose cyangwa ubundi buryo bworoshye bwo gutunganya. Izi nyubako zikoresha kenshi buto ebyiri zahujwe na suture-imbaraga nyinshi, ariko intego yo kubaga hamwe nubukanishi bitandukanye no guhagarikwa kwa femorale ACL.

Ubundi buryo bwihariye bushobora gukoreshwa harimo gutoranya ligament cyangwa kwiyubaka kwa rutugu mu rutugu, inkokora, ikirenge cyangwa akaguru. Ibimenyetso bifatika, ibicuruzwa nibikoresho bigomba kugenzurwa kubicuruzwa nyabyo n'isoko ryerekeza.

Latarjet nubundi buryo bwihariye

Suture-buto yo gukosora nayo yakozweho iperereza kubikorwa bya coracoid muburyo bwa Latarjet. Ibigereranyo bigereranya byerekana ubucuruzi aho kuba hejuru yisi yose: gukosora screw birashobora kwerekana ihungabana ridasubirwaho mugihe cyisesengura ryahurijwe hamwe, mugihe gukosora buto bishobora kwerekana ibikorwa bike bifitanye isano nibyuma. Ingorane zose hamwe nibindi bisubizo ntibishobora gutandukana neza.

Kubera iyo mpamvu, amakuru ya Latarjet ntagomba gukoreshwa nkikimenyetso cyerekana ko buto ya cortique ihora itekanye, ihamye cyangwa nziza yo gukira muburyo budafitanye isano.

Nigute Utubuto twa Cortical Dushyigikira Tendon-Kuri-Amagufa

Akabuto ka cortical gatanga imashini ikosora kugirango igumane umwanya uteganijwe wa graft cyangwa tendon mugihe gukiza ibinyabuzima gukura. Ntabwo irema gukira ubwayo. Kwishyira hamwe kwa Tendon-amagufwa biterwa no guhuza ibihingwa, kugenda kuri interineti, ubwiza bwamagufwa nuduce, gutegura umuyoboro, kubaka ituze, gusubiza mu buzima busanzwe hamwe n’ibinyabuzima by’abarwayi.

Igumana imyanya yubukorikori Ubwubatsi bugamije kugumana igishushanyo cyangwa imitsi muri tunnel iteganijwe, sock cyangwa urubuga.

Kwimura imitwaro Akabuto na loop byohereza imbaraga binyuze mumagufwa ya cortical ukurikije geometrie yuzuye yuzuye.

Gushyigikira intera ikiza Gukosora uburyo bwo gukingira birinda kwiyubaka mugihe guhuza ibinyabuzima bigenda bitera imbere muri gahunda yagenwe yo gusubiza mu buzima busanzwe.

Ubukanishi na biyolojiya biratandukanye: gukosora gukomeye ni intego yingenzi yubuhanga, ariko ntabwo byemeza ko hashyirwaho ibihingwa, kugabanya ububabare, guhuriza hamwe, gusubira muri siporo cyangwa umudendezo wo kubagwa.

Ibikorwa rusange byo kubaga

Ibikorwa byo kubaga bigenda bitandukana muburyo na sisitemu. Ibikurikira nubusobanuro buhanitse bwo gusobanura cortical suspensory graft fixation, ntabwo tekinike yo kubaga cyangwa amabwiriza yabarwayi.

Tegura ibyubaka Kubaga ahitamo igishushanyo, buto, loop, tunnel cyangwa ibipimo bya sisitemu hamwe nuburyo bwo kuzuzanya.

Tegura igufwa n'amagufwa Igishushanyo n'amagufwa byateguwe hifashishijwe ibikoresho n'ibipimo byagenwe kuri sisitemu yatoranijwe.

Genda kandi ukoreshe Akabuto kanyuze mumurongo uteganijwe kandi wicaye hejuru yubugenewe bwa cortical.

Kwemeza no guhagarika umutima Kohereza, guhuza tissue, imyanya yimiterere hamwe nimpagarara bigenzurwa ukurikije uburyo nubuhanga bwibikoresho.

Imyanya itariyo cyangwa imyanya yoroheje hagati ya buto na cortex irashobora kubangamira gukosorwa. Intraoperative visualisation, amashusho cyangwa ubundi buryo bwo kwemeza biterwa na tekinike. Akabuto ntigomba gufatwa nkaho kakoherejwe neza gashingiye gusa kubitekerezo byubusa.

Cortical buto ishyirwa mugihe cyo gukosora ligament — Kohereza buto, kwicara kuri cortical, imyanya ya graft hamwe na loop tension bisaba kwemezwa ukoresheje tekinoroji yihariye.

Cortical Button vs Ubundi buryo bwo Gukosora

Kugereranya gukosora birasobanutse gusa mugihe birimo inzira imwe, igishushanyo, urubuga rwa anatomique nibisubizo. Birayobya kugereranya buto ya femorale ya ACL cortical na biceps ya sipure ya biceps ya kure cyangwa umugozi wa Latarjet hanyuma ugatanga ibisubizo nkurutonde rusange.

Icyiciro cyo gukosora	Uburyo rusange	Uburyo bwihariye bwo gutekereza
Akabuto	Hagarika ibihingwa cyangwa inyama zoroshye kuva kuri buto ishyigikiwe namagufwa ya cortical	Kwicara kwa buto, imyitwarire ya loop, ubunyangamugayo bwa cortical, tunnel geometrie hamwe no guhuza imyenda yoroheje
Intambamyi	Itanga aperture ikosora mugukata igihangano muri tunnel	Kuramo ibikoresho nubunini, kwangirika kwangiritse, guhuza neza, ubwiza bwamagufwa no gukuraho cyangwa gutekereza kubitekerezo
Inanga	Ihuza inyama zoroheje kumagufa binyuze muri ankor-na-suture yubaka	Ibikoresho bya Anchor, inguni yinjizwamo, ubwiza bwamagufwa, ibishushanyo bidafite ipfundo cyangwa ipfundo
Gukosora cyangwa kugarura ibintu neza	Itanga inyongera cyangwa igororotse ikurikije igishushanyo mbonera	Ahantu anatomiya yaho, imyanya yimyanya, icyamamare, ikurikiranye ryikurikiranabikorwa kandi niba aribanze cyangwa gusubira inyuma

Cortical Button vs Interference Screw muri ACL Kwiyubaka

Ubu buryo bukosora igishushanyo muburyo butandukanye kandi burashobora gukoreshwa kumpande zitandukanye zo kwiyubaka. Akabuto ka cortical gatanga gukosorwa gukosorwa, mugihe umugozi wo kwivanga utanga gukosora hafi ya tunnel aperture. Kugereranya kwa clinique biterwa na tekinike ya ACL yose aho gushirwa wenyine.

Cortical Button vs Suture Anchor muri Tendon Gusana

Ubushakashatsi bwibinyabuzima bushobora kugereranya umutwaro no kunanirwa cyangwa kwimurwa, ariko guhitamo kwa muganga nanone biterwa no kubagwa, kubirenge bya anatomique, kubika amagufwa, ibyago kumitsi iri hafi, gusubiza mu buzima busanzwe no kwerekana ibikoresho biboneka. Amatsinda ya XC Medico aratandukanye sisitemu ya sisitemu kuberako inanga ntabwo ari irindi zina rya buto ya cortical.

Ibanze na Backup Fixation

Akabuto ka cortical gashobora kuba ikintu cyambere cyo guhagarika gukosorwa muburyo bumwe, mugihe ikintu cyingenzi, umugozi cyangwa ikindi cyatewe gishobora kuba nkibisubizo byububiko mubindi. Uwiteka Sisitemu yo gukosora sisitemu rero ni icyiciro cyibicuruzwa bitandukanye aho kuba buto ya cortical.

Ingaruka nimbibi za tekinike

Nta sisitemu ya cortical sisitemu idafite ingaruka. Ingorane zijyanye na anatomy nuburyo bukoreshwa, ariko ibibazo bikurikira birashobora gukenera kwitabwaho:

Imikorere ya buto: iyatewe ntishobora kwicara hejuru yubutaka bwagenewe.
Guhuza byoroshye-tissue: tissue irashobora kugwa hagati ya buto n'amagufwa.
Kwimuka cyangwa gutandukana: gutakaza umwanya wabigenewe birashobora guhungabanya kubaka.
Kurambura kumurongo cyangwa kwimuka: kwimurwa munsi yikizunguruka bishobora kugira ingaruka kubidukikije.
Kwagura umuyoboro: impinduka za tunnel ni nyinshi kandi zishobora kuba zifitanye isano na graft igenda, ibinyabuzima na tekinike.
Ubwumvikane buke: gusohoka kwumuyoboro udahagije, gusohoka kwa cortical cyangwa kutagira amagufwa meza bishobora kugira ingaruka kubufasha.
Gukomeretsa kw'imitsi: ibyago biterwa nuburyo bwo kubaga, icyerekezo cyo gucukura, anatomiya nuburyo bukoreshwa.
Kwandura, gukomera cyangwa kunanirwa kw'inyama: ibibazo rusange hamwe nuburyo bwihariye bwo kubaga bikomeza bishoboka.

Ibimenyetso bigomba kuguma muburyo bwihariye: igipimo cyingorabahizi kuva gusana biceps ya kure ntigomba kugaragazwa nkigipimo cy’ingorabahizi za ACL, kandi amakuru ya Latarjet yisubiramo cyangwa yongeye gukoreshwa ntabwo agomba gukoreshwa mu guhanura gukira kw'amagufwa mu ivi cyangwa mu nkokora.

Nigute abaganga bahitamo buto ya Cortical?

Guhitamo bishingiye kuri gahunda yuzuye yo kwiyubaka aho kuba isoko yo kwamamaza kubyerekeye imbaraga. Ibyingenzi byingenzi birimo:

byemewe byerekana ibimenyetso no kwiyandikisha-isoko;
gukosora-guhinduranya cyangwa guhinduranya-gukora akazi;
ibipimo bya buto hamwe na cortical footprint;
ibikoresho bya loop, uburebure buringaniye nuburyo bwo guhindura;
ubwoko bwa graft, diameter n'uburebure bwateguwe;
umuyoboro cyangwa umurambararo wa diameter, ubujyakuzimu n'ubusugire bwa cortical;
amagufwa meza no gusubiramo imiterere;
imyitozo ihuje, kuyobora, kunyuza suture nibikoresho byogosha;
gukosora byateganijwe kuruhande rwo kwiyubaka;
amahugurwa yo kubaga hamwe nubuhanga bwihariye.

Ibikoresho bya FDA byerekana sisitemu yo gukosora urutonde rwerekana ubwiza bwamagufwa ya cortical cyangwa ubwinshi nkibishobora kwanduza. Ibicuruzwa byihariye bivuguruza bigomba gusubirwamo aho gutekereza ko gukosora cortical bikwiye kuri buri murwayi.

Cortical Fixation Sisitemu kubitaro nababitanga

Ibitaro, abakwirakwiza hamwe nabafatanyabikorwa ba OEM / ODM bagomba gusuzuma portfolio yuzuye yo gukosora, ntabwo ari buto ya titanium igaragara gusa. XC Medico sisitemu yubuvuzi bwimikino na siporo ikubiyemo ibyiciro byinshi byo gukosora kugirango ukoreshe umwuga.

Uwiteka ligament fixation titanium plaque na buto ibyiciro bigomba gusuzumwa numero ya kataloge, ikoreshwa, ibikoresho, ibisobanuro hamwe nibikoresho bihuye. Amatsinda yamasoko agomba gusaba ibyangombwa byubu kugirango ibone neza nisoko.

Kugenzura amasoko	Ibyo kugenzura
Kwerekana	Gukoresha neza ligament, tendon, guhuza hamwe no gukosora byavuzwe mubicuruzwa byubu
Ibikoresho	Ibipimo bya buto, ubwoko bwumuzingi, urutonde, ibikoresho bya suture nibishobora kuboneka
Igikoresho	Imyitozo ijyanye, kuyobora umurongo, gupima ubujyakuzimu, abahisi n'ibikoresho byo guhagarika umutima
Ibimenyetso bya mashini	Ikoreshwa rya cyclicale yikuramo, kwimura no gutsindwa kubikoresho bya nyuma
Inyandiko	Impamyabumenyi, amabwiriza yo gukoresha, gukurikiranwa, imiterere idasanzwe hamwe namakuru yubuzima
Kubona isoko	Kwiyandikisha no kwemererwa gusaba igihugu cyangwa akarere ugana

Kumasoko yumwuga: saba urutonde rwibikorwa bya ligament, urutonde rwibikoresho, urutonde rwibikoresho bihuye hamwe nisoko ryihariye ryamasoko mbere yo guhitamo sisitemu yo gukosora.

Shakisha Ligament Fixation Implants Gusubiramo buto ya titanium iboneka, isahani hamwe nibyiciro byuzuzanya. Menyesha itsinda rya XC Medico Emeza ibisobanuro, inyandiko, guhuza ibikoresho nibisabwa-isoko.

Ibibazo Bikunze Kubazwa Kubijyanye na Cortical Button Gukosora

Gukosora buto ya cortical ni iki?

Nuburyo bwo guhagarika uburyo bwo gukosora aho buto iruhukira kumagufwa ya cortical hanyuma igahuza binyuze mumuzinga cyangwa suture yubaka kumitsi ya grande, graft ligament cyangwa gusana imyenda yoroshye.

Akabuto ka cortical karasa na cortical screw?

Oya. Cortical buto isanzwe ikora nkigice cyo guhagarika buto-na-loop yubaka. Cortical screw ikoresha urudodo rwo guhuza amagufwa kandi ni mubyiciro bitandukanye.

Ni irihe tandukaniro riri hagati ya buto-ihindagurika na buto-ihinduranya-buto?

Igikoresho gihamye gifite uburebure bwateganijwe mbere. Igikoresho gishobora guhindurwa cyemerera uburebure bwa loop ukurikije uburyo bwihariye bwo kohereza hamwe na tekinike yo guhagarika.

Ese gukosora buto ya cortical bituma igihangano cya ACL gikira vuba?

Itanga gukanika imashini mugihe gukiza ibinyabuzima bitera imbere, ariko ntabwo byemeza ko byinjira vuba. Gukira biterwa no kwiyubaka byuzuye, ibinyabuzima bya tissue, gutegura tunnel, gutuza, gusubiza mu buzima busanzwe hamwe nimpamvu zabarwayi.

Akabuto gashobora guhinduka-karuta buto ihamye?

Ntabwo ari rusange. Ubushakashatsi bwa laboratoire bwerekanye itandukaniro ryibinyabuzima, mugihe ubushakashatsi bwamavuriro butigeze bugaragaza ko busumba byose mu gutuza, amanota y'ivi cyangwa kunanirwa. Guhitamo bigomba kuba inzira- na sisitemu yihariye.

Ni izihe ngorane zishobora kubaho?

Ibibazo bishoboka birimo malposition, yoroshye-tissue interosition, kwimuka, kurambura loop, kwaguka kwa tuneli, kunanirwa gukosorwa hamwe nuburyo bwihariye bwimitsi, imitsi, kwandura cyangwa gukomera.

Ubuvuzi nubuyobozi

Kwamagana ubuvuzi: Iyi ngingo ni iyamakuru rusange yumwuga nuburezi. Ntabwo ari inama zubuvuzi, tekinike yo kubaga, kwerekana ibicuruzwa cyangwa gusimbuza ibikoresho biriho ubu hamwe no guca imanza z’abarwayi babishoboye babishoboye. Ibicuruzwa biboneka, bigenewe gukoreshwa nuburyo bugenzurwa biratandukanye ku isoko. XC Medico itanga ibicuruzwa mumashyirahamwe yabigize umwuga kandi ntabwo igurisha abarwayi.

Niki Cortical Button Ikosora? Gukoresha, Ubwoko hamwe ningaruka