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Kushandiswa kwe Mahwendefa ekuvhara akanyanya kuwedzera chiyero chekushandiswa kweplate yekugadziriswa kwemukati maFraination. Nekudaro, kushandisa kwavo kunofanirwa kuve kwakarongeka uye kwakarongedzwa nekuda kwezvikonzero zvinogona kusimbirwa uye zvisingakwanisi. Munyaya ino, tichazotarisa kufungisisa kwekushandisa, matambudziko ekubviswa, uye zvisingakwanisi, zvikamu zvitatu zvekuvhara plate application.
Matanho ekugadzirisa zvakare kupunzika kwakaenzana. Mahwendefa ekuvhara haagadzirise mapundu.
Kamwe yakaiswa muchikamu chepfupi, ichiwedzera zvimwe zviyero hazvingaifambise. Kana ndiro yekuvhara inongobvuma zvipikiri zvinokiya zvichishandiswa,
Izvi zvinoreva kuti ndiro inogona kuvharwa chete mushure mekupwanya kwapera.
Sezvo mahwendefa ekutakura anobvumira kupora kupora pasina kurasikirwa kwekutanga kudzoreredza,
Chikonzero chikuru chekushaiwa kwemhaka yekuvhara mahwendefa hazvisi zvisizvo kwekutanga kudzoreredza.
Uye, kusanzwisisika kudzoreredza kwakakodzera mechanics kunogona kutungamira kurapa kusarongeka sezvo mapuranga emapfupa anokonzerwa nekupora kana kusanzwisisika.
Kudzikisira pasina kushandiswa kwehombodo dzekuvhara inonyanya kuoma kana ichiita zvishoma zvinosangana
Maitiro nekuti pfupa kuratidzwa kunogumira. Zvinoda akasiyana-siyana matanho maitiro (matafura ekutengeserana, dzosera),
Yakasiyana-siyana percutaneous yekudzosera simba, uye kirschner mapini ekushandisa zvidimbu zvemapfupa uye kugadzirisa kwenguva pfupi.
Pamberi pekushandisa kwemahara ekuvhara uye zvipikiri zvinovhara, zvakakosha kuti utarise reset neFluoroscopy.
Zvekare, kana uchishandisa ndiro yekuvhara iyo zvakare ine standard screw maburi,
Chiyero chakajairika chekutevera chinogona kuiswa mumakomba akajairwa ekutanga kudzoreredza mundiro.
Zvidimbu zvepfupa zvinoiswa pakatarisana nendiro. Kana iyo mapini anoenderana neanatomy, inogona kushandiswa segwaro reset.
Kuvhiya zvipikiri kuve nechokwadi chekutangisa mhedzisiro pasina kushandura iyo yekutanga reset. Iyi oda yekuisa (yakajairwa screws, saka inokwereta screws) yakakosha (Mufananidzo 4).
Fig. Chekutanga isa zviyero zviyero uye uzvisimbise.
Iko hakuna mhinduro yetsiva kana ichisimbisa mvura yekuvhiya. Saizvozvo,
Kusimbisa kwechipikiso chekuvhara kunoitika panguva imwe chete mune yekoramu kana kuti haina nzvimbo uye simbi yendima yekuvhara. Neichi chikonzero,
Zviri nyore kune chiremba kuti vafunge zvisirizvo kuti zvipikiri zvekuvhara zvakabata zvakanaka mumapfupa ezvekutakura kana kuti zvinodzima pfupa (Mufananidzo 3).
Fig. 3 Urefu hwekushanda kwekuvhara zviyero zvichienderana nemaripi uye nhamba yemararamiro.
Iko kushandiswa kwekuzvisarudzira kukiya screws kunoreva kuti hapana mhinduro yekutsvaira panguva yekukwevera kana kusimbisa sezvavanoitika panguva imwe chete.
Zvivakwa zvavo zvekugadzira zvakafanana nezvevakarongedzwa zvechiremba kamwechete panguva imwechete cortex application. Kana vakanyanya kureba,
Vachaonana neyechipiri yechipiri cortex, zvichikonzera kusagadziriswa kwekukomba kwechipikiri chekuvhara munzvimbo yekuvhara.
Munguva yeBicortical application, vanogona kunge vakapfupika, vachiita kuti vabatikisi vakoma vaine zvipikiri zvisina kujairika.
Kana vakanyanya kureba, ivo vanowedzera kupfuura cortex uye vanogona kukuvadza zvivakwa zvinonetsa kune rumwe rutivi rweplate.
Iyo chaiyo yekuvhara zvipikiri zvipikiri zvinogona kungowanikwa nekuyera kureba kwaunoda mushure mekudhirowa kana kuisimbisa neFluoroscopy.
Iko kukanganisa kukuru kwekusagadziriswa kwemaseti ekuvhara ndekwekuti kutarisisa kwavo kwakatemerwa.
Ivo vanogona kunge vaine imwe yekuisa kana prosthetic stem munzira yavo, vachiisa kusaisa zvisingaiti kana kuvamanikidza kuti vasike kusanzwisisika.
Kune aratomical Locking mahwendefa anoshandiswa mumakumbo ane undiaxial kuvhara zvipikiri neyekutarisa,
Optimised yeAnatomical uye Biomechane Zvikonzero, pane njodzi yekuvhiringidza-kunyengera kuvhara zvipikiri.
Muenzaniso chaiwo inguva isinganzwisisike radius. Iyi njodzi yakakura kunyange iyo iyo yekukiya ndiro iri padyo neyakajaira kana iyo aunatomy iri substandard.
Iko kusavapo kweiyo Intra-articular Fracture inofanira kusimbiswa neFluoroscopy.
Iyo miviri inosangana neyakajairika ercutaneous osteosynthesis (mipo) maitiro anosanganisira subcutaneous uye / kana submuscular
uye Extremerosteal Kuisa kwePfupa Plate kuburikidza nekuvhura kudiki mukati mefuma mushure mekutsvedza, pasina kufumura
nzvimbo yakatsiga. Izvi zvinobvumidza zvidiki zvidiki, zvisingaonekwi saiti yekuvhenekera, uye inoita kuti maitiro more 'biologic '
Nekuti hapana chikonzero chekufumura chikamu chega chega chepfupa uye hapana kupindira neye nyoro tishu, periosteial vascularization, kana kupwanya hematoma.
Inogona kuitwa nekuvhara ndiro uye chimbo chakasarudzika chakanyatsobvumira ndiro
Kuti ubatanidzwe uye unopfuura nepakati peganda kuti uwane nyore nyore nzvimbo dzinovhara dzepombi mundiro.
Mifananidzo yeFluoroscopic inofanira kutorwa padanho rega rega kuti uone kufambira mberi. Nhanho yega yega yehunyanzvi iyi inonetsa. Chinetso chekutanga ndechekugadzirisa iyo bracture usati wagadziriswa.
Plate yekuvhara inofanirwa kunge yakavezwa zvakanyatsonaka pamwe nehurefu hwepfupa, zvikasadaro kuenderana kwekuvhara kweplate kuchave asymmetric (Mufananidzo 5). Pamusoro pe,
Iyo yekuvhara ndiro inofanirwa kuve yakakwana kuenderana necortex yefupa rakagadzirirwa kutevera uye padyo nepfupa sepo
zvinogoneka pasina kuderedza zvakanyanya kuomarara kwechimiro. Munguva yekupedzisira yekuvhara nhanho, zvakaoma kuona kuti
Iyo inogadziriswa yezvibodzwa inoenderana nenzira yakakodzera pane yekuvhara ndiro uye kuti zvipikiri zvekuvhara zvakanyatsoita mukati mekusimbisa.
Mufananidzo 5 Eccentric Kumusoro kweiyo yekuvhara ndiro uye kushaya mhinduro yemhinduro panguva ye screw kusimbisa.
Iko kushandiswa kwemahara ekuvhara kugadzirisa kunze kwekunze mahombekombe emahara zvakabatana neakakura zvisina kujairika huwandu hweganda necrosis.
Iko ukobvu kweiyi inokwira-subcutaneous yekuvhara mahwendefa inoisa paganda uye inopindira nekuparadzira kwayo uye kupora.
Chimwe chinhu chakafanana chingangoitika kana mahwendefa ekuvhara anoshandiswa kune hawksbill fractures.
MuOsteoporotic Bone, kukiya zvipikiri zvinobatsira kuderedza njodzi yekukanda pulyout kana kubvisa.
Iyo yekugadzira haina kuomarara nekuda kwekutora kwepfupa cortix uye yakaderedzwa density yetamboculae.
Mune ino kesi, kukiya plate yekugadziriswa inogara yakasimba uye iri nani isingashandiswi kana uchishandisa otescent kana convergent monolitiki kuvaka (Mufananidzo 3).
1. Kuvhara zviyero hazvitenderi kupwanya pane pfupa racho kuti rigadzirwe.
2.
3 Iyo Mippo maitiro ari kudiwa zvakanyanya.
Kubvisa ndiro yekuvhara kana ikhatidziro yapora ichinetsa uye isingafungidziriki,
Asi mamiriro acho anogona kugadziriswa. Chinetso chikuru kusunungura ganda rekuvhara.
Mune zvimwe zviitiko, tambo mumusoro wechipikiri chekuvhara zvakakanganisika panguva yekuisa
.
zvinoreva kuti hazvigone kusaziva. Naizvozvo, zvakanyatsokwanisa kudzivisa iyi complication nekukurumidza kutsiva chero banga ne
Yakakuvadzwa musoro wepamhepo panguva yekuisa mukati, uchishandisa yakazara screwdriver uye kunyatso kusimbisa chikwama neruoko (kwete nekukweva kwemagetsi).
Uchishandisa zviyero zvakagadzirwa nezvinhu zvine simba zvinogona kubatsira kuderedza dambudziko iri.
Muzhinji, pane mhanya uchivhara kana kusvetuka pakati pekuvhara zvipikiri zvipikiri uye gomba rakarukwa munzvimbo yekuvhara.
Izvi zvinonyanya kuonekwa ne 3.5mm Diameter Titanium Hex Polic Imwe Shaft Loacing screws. Iko hakuna mechanism imwe chete
yekukanganisa. Screws inowanzo pfuura-yakasimbiswa nekuda kwekutadza kushandisa torque wrench yakapa muiridzwa kit,
iyo inogona kushandura tambo pane yekuvhara peg uye locking ndiro. Mune zvimwe zviitiko,
kutadza kushandisa kana kushandisa kweiyo isiriyo yekudhirowa greill greill yakaguma ne screws isiri kutenderedzwa kana ichisimbiswa,
iyo yakakonzera zviyero kuna jam. Kuti uderedze njodzi yekunyora panguva yekugadzirisa kwekutanga,
Izvo zvakakosha kuti ushandise zvese zviridzwa zviripo: Drill Gaudides uye zvigadziko, torque madhiri mune yakazara kutendeka maitiro kana uchisimbisa zvipikiri zvekuvhara.
Iyo Mippo matongero anotakura njodzi yakakwira yekuisa zvisiri izvo kwekuriritira,
Sezvo pasina maonero akananga pane yekuvhara ndiro. Kusarongeka kwekusagadzikana kwegwaro rekurova zvinoreva kuti gomba rakadyarwa
Chipikiri chekuvhara uye kuiswa kwechipikiri chekuvhara kuchave kwakashata. Kune zvakare njodzi yekukuvadza musoro weiyo
Kuvhiya chipikiri kana screwdriver haina kubatwa zvakanaka neclrew.
Nekuda kwezvikonzero izvi, usati wabvisa ndiro yekuvanda, chiremba anovhiya anofanira kuziva kuti zvingave zvisiri
Zvinokwanisika kusunungura chipikiri chekuvhara, saka chinoda kushandiswa kwemhando yepamusoro yemhando yeScrewdriver uye kuwedzera chiridzwa.
Kana chipikiri chekuvhara kana chisingarasunungurwa, kana iyo nzira yemusoro yakanganisika,
Nhanho yekutanga yekuisa iyo screw inowedzera (iyo taped screwdriver ine yakamiswa tambo) mumusoro weChrew;
Izvi zvinogona kunge zvakaringana kusunungura chikwama. Imwe sarudzo ndeyekucheka ndiro yekuvhara kune rumwe rutivi rwechipikiri chekuvhara uye kushandiswa
iyo se screwdriver kusunungura chimiro chose. Kana iyo screw ichiri isingakwanisi kusunungurwa, ndiro yekuvhara inogona kusunungurwa ne
Kudhonza iyo nekukwevera, ichiparadza musoro wechipikiri chekuvhara, kana nekucheka kutenderera ndiro kuti isunungure mbambo yekuvhara. Mushure maizvozvo,
A VISE inogona kushandiswa kubvisa matanda ezviputi zvekuvhara. Kana ikasakwanisa kusunungurwa (nekuti yakabatanidzwa mune pfupa kana kuti haina kuratidzira zvakakwana),
Inogona kubviswa nemhete drill (Fig. 6).
Mufananidzo 6 mazano uye matipi ekubvisa zvikwereti zvekuvhara zvakanamatira mubhodhi.
Matambudziko ese aya anogona kuwedzera kuvhiyiwa, anogona kukonzera zvinyoro-nyoro tissu abrasion nekuda kwekuburitsa zvidimbu zvesimbi, uye kutakura njodzi yekutapukirwa.
Iko kushandiswa kwemhete drill kunowedzera njodzi yekufesera nguva.
1. Dambudziko rekubvisa zvipikiri zvinokonzeresa zvinowanikwa zvakanyanya ne 3.5mm Hex musoro kuvhara titanium screws.
2.The yakanakisa nzira yekudzivirira dambudziko iri ndere kushandisa zvese zvakapihwa zviridzwa kana uchiisa iyo screw. Izvi zvinonetsa zvinogona kugadziriswa nekushandisa zvishandiso zvakakodzera.
Clavicle Plate Bracture uye Osseous nonunion
Nekuona kuti chimiro hachina kunyanyisa kuomarara nekuda kwekureba kwekushanda kweplate kana nhamba yakawandisa yekuvhara pasi.
Mufananidzo 7 Bone Kuporesa kwakawanikwa mushure memazuva makumi matanhatu nekurera nhamba uye chinzvimbo chekuvhara zviyero uye kuwedzera elasticity yezvivakwa zvakawandisa.
Iko kuongororwa kwePfupa nonunion kunowanzo kuve kusimbiswa nelate kuputsa.
Kunonoka kuparara kwekuvandika ndiro kana chipikiri chekuvhara nguva nenguva paMikromotion inogona kuitika kutungamira kupora pfupa.
Mukukanganisa kuri nyore kunoda kumanikidzwa, uko kunoenderana nerudzi rwehunhu kwete pfupa rinobatanidzwa,
Chimiro chakaomarara umo zvidimbu zviviri hazvibate zvinogona kutungamira kune isiri-kupora uye kupera simba kutadza kweplate.
Iko kusanganiswa kweiyo yakaoma splint + kuvhara zvipikiri + traction panzvimbo yakatsvairwa nesaiti inoguma nekuziva kwepopion.
Kusiyana kweizvi ndiko kuparadzwa panguva imwe chete yekuvhara zvipikiri pasi pechiitiko chacho mundiro,
iyo zvakare inokonzerwa neyakanyanya kuomarara chimiro. Izvi zvinokonzeresa kupera kweiyo ndiro kuburitsa '' mune chimwe chidimbu 'uye kurapa hakuwanikwe (Mufananidzo 8).
Mufananidzo 8 wepashanu kutadza kwechimiro chakaomarara uye chisina kugadzikana
Naizvozvo, gadziriso yeIntraapasular Plave yeHip ine mahwendefa ekuvhara anogona kutungamira kune pfupa nonunion nekuti chimiro chakanyanya kuomesa kuti isimbe panzvimbo yakatsemuka.
Pasina mikromotion inodiwa pakurapa, mutoro wese unotakurwa nekuisa pasi uye zvakazokundikana.
Perieverial pfupa scabs inogona kunge iri asymmetric,
kunyanya mumapundu eiyo distal 1/3 ye femur. Micromotion nekuda kweElasticity inobvumidza iyo
Yunifomu yekuvandudza yekuvhiringidza kupora kwematehwe anoitika chete pane inoenderana nzvimbo dzekuvhara plate / chipikiri kuvaka.
Kuti udzore njodzi iyi, urefu hwekushanda hwekuvhara hunofanirwa kuwedzerwa, kungave nekushandisa zvimwe zvinoshanduka-shanduka titanium mahwendefa kana kushandisa matsva ekuvhara zvipikiri zvipikiri.
Zvekare, zvakanyanyisa zvinowedzera zvinogona kutungamira kune hypertrophic pfupa nonunion.
Kuisa ndiro pedyo necortix seinobvira inoderedza njodzi yekushongedza kwepurasitiki pakati nepakati.
Kana chinhambwe pakati pemapuranga uye cortex inodarika 5 mm,
Simba reruzivo rinoderedzwa zvakanyanya uye njodzi yekushongedza kwepurasitiki yeplate uye kutadza kweiyo Titanium Plate yakakwira.
Njodzi yekunonoka kupwanyika pakupera kwekuvhara plate diaphysis kana metaphysis,
Kunyanya muOsteoporotic Pfupa, inogona kuderedzwa nekuisa chipikiri chekuvhara kamwe chete kana chiyero chakajairika chebhaibheri pakupera kwemapepa kuti uderedze kushushikana mudunhu iri.
Mamiriro ezvinhu anotevera anowedzera njodzi yekukundikana kwekutadza kwekuvhara ndiro:
1. Kugadziriswa kwehukama diaphysis fractures kunoda kushandiswa kwezvipikiri zvina zvinokomberedza kune rumwe rutivi rwesimba renzvimbo yekukanganisa kuti udzivise chimiro uye nekuwedzera mechaniki kutadza; uye
2. Kugadziriswa kwe Epiphyseal Fractures kwakaoma nekuti kazhinji havagadzikwi,
Kunyanya nekuti iyo Bracture saiti haigone kumanikidzwa nezvipikiri zvinovhara uye pfupa iri pane inopora;
3..
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4.
Locking plates dzakasungirirwa kune yakazotevera chikamu chepfupa inopa chimiro chakasimba chinowanzo kukwana
Kuti udzikise izvi zvidimbu pasina kudiwa kwekuwedzera console-mhando mahwendefa nepakati kana kuwedzera pfupa uchiramba uine biologic nharaunda.
Kugadzikana kunoenderana chete pane yekuvhara ndiro / kuvhara zvipikiri zvechipikiri,
Iyo inonyanya kusimbiswa mushure mekudzoreredzwa kana iyo epiphysis ichiramba ichitsvakwa kana apo iyo m medal console isina kuvakwa. Iyo yekuvhara ndiro inogona kunge yakundikana sekondari kuneta.
Naizvozvo, gadziriso yeBicondylar tibial Plateau Fractures ichishandisa maheti ekuvhara chete pane iyo inotevera chikamu chinofanira kutariswa zvinoenderana nerudzi.
Kune Proximal Humerus Fractures, nhamba yemabhuruku kuvhunduka, kurasikirwa kwekutsigirwa kwemukati,
uye inversion yeEpiphysis yekugadziriswa inozivikanwa nengozi zvinhu. Kuderedza njodzi yekuvaka kutadza,
Zvimwe zvipikiri zvekuvhara zvinokatyamadzwa zvichitsigirwa kuti ubatsirwe nekusavapo kwemu medial rutsigiro mukudzikira kwekushandurwa kwekunze
Iyo biological kutadza modes yemaketeti ekuvhara ari screw akacheka uye kupwanyika kana kusimbisa mbambo yekuvhara.
Njodzi idzi dzakakura kana pfupa osteoporosis iripo muSkeleton,
zvinoreva kuti kugadziridzwa kwekutanga uye kudzokera kuhuremu kutakura kunofanirwa kuitwa nokungwarira pamberi pefudzi kupora kunowanikwa.
Screw orcorns inoenderana ne 'yakazara Mune zvimwe zviitiko,
chipikiri chekuvhara chinobviswa nechidimbu chefupa rakakomberedza.
Munharaunda ye epipphyseal, iyo-chidimbu chinokiya chidimbu chemuchero chinowanzopa kugadzikana kwakakwana nekuda kwekuparadzirwa kana kuisirwa zvipikiri zvipikiri,
Uye iyo nhatu-yemhando chimiro inowedzera kupokana kuti iite screw kutsvawa kubva kune inocherechedzwa pfupa.
Mudunhu re diaphyseal, kushandura uye kuparadzira zvipikiri zvekuvhara uye vanogadzira nehombodo refu yekuvhara vane simba riri nani purgwa.
Urwu rudzi rwekuvaka rwakakodzera kune fungidziro dzinotambudza. Mune osteoporotic pfupa,
Bicortical stem screw kugadzirisa yakakwirira kune monolortical screw screw kugadzirisa. Zvematanho aunotambudza, akapurukesa-musoro asina musoro screws anobatsira kudzivisa kusangana neIntramedullary misplants.
Aya magadzirirwo ekutadza anobatanidzwa nemhando dzisina kunaka dzemapfupa, kunyangwe kana chimiro chacho chakanangana.
Cheka-kunze kana kukanganisa kwekuvhara zvipikiri neIntra-hunyanzvi hwekupinda zvinogona kuitika munharaunda yeEpippyseal yePIPHHYSEAL Dunhu.
Kubviswa uku kwekubviswa kweiyo epiphyseal zvidimbu zvemapfupa akaderera-pfupa zvakamanikidzwa kutenderedza kugadzirira zvipikiri.
Izvi zvinoguma nekurasikirwa kwe epipphyseal kukanda kuderedzwa. Mune yakanakisa kesi, iyo epipphyseal chipikiri zvipikiri zvinorega uye
inopinda mune inogara pfupa. Muchiitiko chakaipisisa, iyo epiphyseal chipikiri chinobuda maEphiphysis uye anofamba achipinda mubatanidzwa.
Aya maviri matambudziko anowanzoitika kazhinji mune proximal humerus uye distal radius fantures.
Yekuvhara plate yekugadziriswa kweProximal Humerus Fractures, inokurudzirwa kuti kureba kwaJehovha
Epiphyseal kukiya chipikiri kuve mashoma kuti aderedze njodzi yekucheka uye sekondari yekupinda.
Uku kukundikana kwekugadziriswa kuri nekuda kwekukodzera kusingakwanisi pfupa uye kwekutanga kwekutanga kwekutanga kwezvimedu zvinokatyamadza kusimuka,
Kunyangwe kana chimiro chakanyoroveswa.
Kugadziriswazve uye kuremerwa kwehuremu zvinongotenderwa mushure mekugadziriswa kwakakwana kwakawanikwa uye kusimbiswa pane postoperative x-rays.
Biomechanical fundo yakaratidza kuti mune yakajairika pfupa, kana musana pakati pezvimedu zvisingasviki 1 mm,
Kurera uremu kunogoneka pasina njodzi. Mushure memamirioni 1 come come, kusindimara kwakafanana neiyo yepafupa rakajairika, iro rakaringana kurapwa kuti riitike.
Kana kurira kurira, kukiya mahwendefa uye akagadziriswa-angle locking zvipikiri kubvumidza yekutanga kudzoka
Kurema nekuti mutoro unoendeswa zvakananga kubva kuChidimbu chekuvhara kune iyo yekuvhara ndiro, isina njodzi yekugadzirisa kutadza kuimba yepikiri.
Nekudaro, apo axis yeiyo Meriyaxial Locking Peg isiri perpendicular kune iyo yekuvhara ndiro, yekutanga kurema haina kubvumidzwa.
For mipo, yekutanga kuremerwa inobvumirwa kuwedzera-yehunyanzvi, yakapusa uye / kana yakapetwa mabvumirano.
Zvivakwa zvakapfuura zvakaringana zvakaringana zvakaringana nekuchinja kwebhisiki kukiya zvipikiri uye kuvhurika kwekutakura kutumira uye kugoverwa.
1.Bomiomechancal fundo yakaongorora mhando dzakasiyana siyana dzekugadzira uye zvivakwa zvavo zvekushandisa.
Mabhuku anobatsira kusimbisa tariro dzidziso dzakatarwa dzakabatana nerudzi urwu rwekugadzirira.
Nekudaro, mabhuku achangobva kuitika anojekesawo matambudziko ehunyanzvi uye kukundikana kwakabatana nemahwendefa ekuvhara.
2.Chinonyanya chikonzero chekutadza hachina kukwana kuronga kwehunyanzvi hwekuvhiya,
iyo iri kudiwa kwazvo, kunyanya kana ichiita mikana yekusanzwisisika.
3.Kutswa kunofanirwa kutangazve kutanga, pasina kuvhara zviyero kupanga,
Semunhu asina kunanga seti yeplate nekuvhara zviyero hazvigoneke.
4.Chimiro chinofanira kuve chehurefu hwakakodzera uye simba,
zvinoreva kuti chiremba anovhiya anofanira kujaira nheyo nemirairo inotungamira kushandiswa kweiyi mahwendefa.
Chimiro chacho chinofanira kunge chakanyorwa, nenhamba shoma yekugara ichisunganidzwa inovhara zviyero zvinodzedzereka nemakomba asina chinhu.
5.Sespite iyo iri nani yekufungidzira kwekutanga kugadzikana kwemahara mahwendefa,
Kugadziriswa kwechimiro kunogumira nekuomarara kwekupwanya, kunaka kwekudzikiswa, uye mhando yebongozi yepfupa.
6.Kana chimiro chacho chakanangana nehunyanzvi, kunaka kwepfupa kwakanaka uye kupwanya kwakawedzera-kunyengera,
Murwere ane mari yakakwana inogona kubvumidzwa kutakura uremu pamakumbo akapetwa. Muzviitiko zvakawanda, kuvhara ndiro yekugadziriswa kunobvumidza kugadziridzwa kwekutanga.
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