Na sɛ wo hwene bubu nso ɛ? (Nasal Fracture) Momma yɛnhwɛ eyi!

Oops! So wobɔɔ wo hwene wɔ baabi? Anaasɛ wohwee ase na wopiraa wo hwene? Ɛtɔ da bi a, biribi ketewaa bi sen sɛnea wususuw no betumi abubu wo hwene. Eyi ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ ``Nasal Fracture''. Eyi yɛ nnompe a ɛtaa bubu wɔ anim ankasa. Sɛ wususuw sɛ wo hwene abubu a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara. Eyi bɛboa ma wo hwene ansɛe koraa.

Sɛ wo hwene abubu a, wote nka dɛn? Momma yensua saa sɛnkyerɛnne ahorow yi ho ade.

Fa no sɛ wo hwene abubu. Nneɛma bɛn na wobɛte nka? Momma yɛnhwɛ.

• Aniwa ne hwene ho akuru: Te sɛ ntɔkwaw a ɛma w’ani yɛ bruu no, akuru ne kɔla bruu betumi aba wɔ hwene no ho ne w’ani ase.
• Dede a ɛba bere a wode wo nsa ka hwene no: Sɛ woka hwene no a, ebia wobɛte nnyigyei bi te sɛ "nufusu a ɛrehuruhuruw" afi mu, anaa biribi a ɛrebɔ.
• Hwene a ɛrehwe ase: Ebia ɛbɛyɛ te sɛ nea hwene no akɔ fam akɔ ɔfã biako. Sɛ wohwɛ ahwehwɛ mu a, ebia wubehu sɛ ɛnyɛ sɛnea na ɛte kan no.
• Ɛyɛ den sɛ wobɛhome afa hwene mu: Ebia wobɛte nka sɛ home asiw ɔfã biako anaa ɔfã abien no nyinaa.
• Nsuo a ɛfiri hwene mu: Ɛnyɛ nsuo a ɛyɛ nwini nko ara, ɛbɛtumi ayɛ nsuo a mogya kakra wom.
• Ɛyaw ne akisikuru: Hwene no betumi ayɛ yaw paa na ebetumi ayɛ yaw araa ma ɛyɛ den sɛ wobɛka.
• Anom a ɛyɛ den: Ebia hwene no bɛte nka sɛ emu yɛ duru, te sɛ nea biribi akɔhyɛ mu.
• Hwene mu mogya: Hwene mu mogya betumi afi ase mpofirim.
• Hwene no mu ahonhon: Hwene no ne baabi a atwa ho ahyia no betumi ahonhon.

Sɛ wowɔ saa sɛnkyerɛnne yi mu biako anaa nea ɛboro saa a, ebetumi ayɛ hwene a abubu.

Dɛn nti na yɛn hwene bubu? Dɛn na ɛde ba?

Sɛ yɛbɛka no tiawa a, hwene a abubu yɛ ahoɔden a ɛyɛ hu . Eyi kyerɛ sɛ, sɛ biribi ba wo so ntɛmntɛm na ɛbɔ wo hwene mu, anaasɛ wohwe ase wɔ baabi a, ebetumi aba. Susuw tebea horow yi ho hwɛ:

• Wɔ kar akwanhyia mu: Sɛ́ ebia wufi sakre so hwe ase anaasɛ wunya kar akwanhyia no, hokwan kɛse wɔ hɔ sɛ wubepira wo hwene.
• Wɔ ntɔkwaw mu: Sɛ obi bɔ wo hwene mu a, ɛnyɛ den sɛ wubetumi abubu wo hwene.
• Sɛ woredi agumadi a: Fa no sɛ worebɔ rugby anaa akuturukubɔ. Anaasɛ ebia bɔɔl bɛbɔ wo bere a worebɔ kriket no. Wɔ agumadi a ɛtete saa mu no, hokwan kɛse wɔ hɔ sɛ obi bepira hwene no.

Ɛtɔ da bi a, bere a woreyɛ ofie nnwuma no, biribi a ɛwɔ wo soro betumi atɔ wo hwene so, anaasɛ wubetumi ahwe ase na woabɔ wo hwene wɔ ɔpon anaa ɔfasu bi so. Enti eye sɛ wobɛhwɛ yiye kakra.

Sɛ hwene no mu bubu a, so ɔhaw afoforo betumi asɔre? (Nsɛnnennen a ɛba) .

Ɛtɔ mmere bi a, hwene a abubu nyɛ opira ara kwa. Ebetumi de ɔhaw afoforo pii aba.

• Septal Hematoma a Ɛma Nkwa:Eyi yɛ aniberesɛm kɛse kakra. Ɛyɛ mogya a ɛtɔ a ɛboaboa ano wɔ ɔfasu a ɛda wo hwene ntam (a wɔfrɛ no septum) no mu. Sɛ wɔansa eyi ntɛm a, .
• Tokuru (tokuru) betumi aba ɔfasu a ɛtetew hwene no mu no mu.
• Tebea bi a wɔfrɛ no saddle nose betumi aba. Eyi kyerɛ sɛ hwene no atifi fã, te sɛ bridge no, bubu.
• Ntini a ɛwɔ hwene no mu no betumi afi ase awuwu (`Necrosis`) . Eyi yɛ asiane kɛse.

Ɛno nti na wɔka sɛ sɛ wususuw sɛ wo hwene abubu a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara.

Ɛbɛyɛ dɛn na oduruyɛfo ahu sɛ hwene abubu?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo sɛnea eyi bae. Afei ɔbɛyɛ nipadua mu nhwehwɛmu .

• Oduruyɛfo no de ne nsa bɛka wo hwene no atifi na wahwɛ mu.
• Wɔbɛhwɛ hwene no mu ahwɛ sɛ ebia biribi asiw, anaa biribi te sɛ nea wɔfrɛ no ``Septal Hematoma''.

Mpɛn pii no, nhwehwɛmu yi nkutoo bɛma oduruyɛfo no ahu sɛ hwene no abubu anaasɛ ɛnte saa. Nanso sɛ oduruyɛfo no susuw sɛ apirakuru afoforo wɔ anim a, obetumi ahyɛ sɛ wɔnyɛ X-ray anaa CT scan .

Dɛn na wobetumi ayɛ de asa hwene a abubu?

Mma ɛnhaw wo, ɛnyɛ hwene biara a abubu na ɛsɛ sɛ wɔyɛ oprehyɛn kɛse. Ayaresa no begyina sɛnea wo pira no mu yɛ den so.

Nneɛma a wubetumi ayɛ wɔ fie ama opira nketenkete

• Nsukyenee a wode bɛhyɛ wo hwene mu: Sɛ wode nsukyenee gu wo hwene mu a, ebetumi aboa ma wo hwene a ɛhoa no so atew na ama ɛyaw bi afi hɔ. Nanso mfa nsukyenee no nhyɛ wo honam ani tẽẽ, fa ntama kyekyere.
• Nnuru a wɔde kum ɛyaw: Wubetumi anom nnuru a wɔde kum ɛyaw te sɛ acetaminophen anaa ibuprofen sɛnea wo duruyɛfo akyerɛ wo no.

Ayaresa a wɔde sa septal hematoma

Sɛ wowɔ septal hematoma, a ɛyɛ mogya a wɔaboaboa ano wɔ hwene no mu a, oduruyɛfo no betumi asi gyinae sɛ obeyi afi mu wɔ nnɔnhwerew 24 akyi wɔ opira no akyi . Saa a wɔbɛyɛ no betumi asiw saa nsɛnnennen a anibere wom no ano kɛse.

Nsaano a Wɔde Yɛ Anom Bridge no a Wɔde Yɛ Adwuma

Ɛtɔ da bi a, opira no betumi ama dompe anaa ntini asinasin a ɛwɔ hwene no mu no akɔ baabiara. Sɛ ɛba saa a, oduruyɛfo no betumi asan de asi baabi. Wɔfrɛ eyi ``Manual Realignment''.

• Wubetumi atwɛn nna kakraa bi na woayɛ eyi, efisɛ ɛnyɛ den sɛ wobɛyɛ bere a ɔfe no ano abrɛ ase kakra no.
• Nea edi kan no, oduruyɛfo no bɛma wo aduru a wɔde kum wo hwene wɔ mpɔtam hɔ na ama wo hwene ayɛ mmerɛw . Wɔ opira a emu yɛ den yiye ho no, wobetumi ayɛ eyi wɔ aduru a wɔde kum nipadua no nyinaa mu .
• Afei oduruyɛfo no de ahwɛyiye kɛse de dompe ne ntini a abubu no san si baabi a ɛwɔ.
• Afei wubetumi de biribi te sɛ gauze ahyɛ hwene no mu na wode aduru ahyɛ akyi.
• Wɔde ahama bi a ɛyɛ ade ketewaa bi a wɔde gyina hwene no so gu hwene no so bere tiaa bi.
• Ebia oduruyɛfo no nso bɛma wo nnuru a ekum ɔyare mmoawa na amma yare no ankɔ so.

Wobeyi saa gauze packing ne dressing yi afi hɔ wɔ bɛyɛ adapɛn abien mu.

Sɛɛgyiri

Sɛ wo hwene abubu kɛse, anaasɛ ɛyɛ den yiye sɛ wobɛhome afa wo hwene mu a, ebia ebehia sɛ wɔyɛ wo oprehyɛn. Oprehyɛn ahorow atitiriw abien na ɛwɔ hɔ:

• Septoplasty: Nea ɛka eyi ho ne sɛ wɔbɛsan asiesie septum, ɔfasu a ɛtetew hwene no mu no. Oduruyɛfo no betumi ayi dompe anaa ntini asinasin na wasan ayɛ no foforo. Eyi betumi aboa ma wɔayɛ ntokuru (perforations) a ɛma home yɛ mmerɛw.
• Rhinoplasty: Wɔde oprehyɛn yi yɛ hwene no foforo na woyi biribiara a asiw hwene no fi hɔ. Oduruyɛfo no yɛ eyi denam dompe ne ntini a ɛwɔ hwene no mu a ɔtew so anaasɛ ɔsan yɛ no foforo so.

Sɛ wo hwene abubu a, egye bere tenten ahe?

Eyi gu ahorow wɔ onipa biara mu, nanso mpɛn pii no egye bɛyɛ adapɛn asia kosi awotwe ansa na hwene a abubu no ayɛ yiye. Wo duruyɛfo anaa oprehyɛn ho ɔbenfo a ɔyɛɛ oprehyɛn no bɛkyerɛ wo bere tenten a ebegye ne sɛnea wobɛhwɛ so pɛpɛɛpɛ.

So wuntumi nsiw hwene a abubu ano?

Nea ɛyɛ awerɛhow no, ɛrentumi nyɛ yiye sɛ wobesiw hwene a abubu ano koraa. Nanso wubetumi ayɛ saa nneɛma yi de atew asiane a ɛwɔ hɔ no so:

• Hwɛ nneɛma a atwa wo ho ahyia no yiye: Tew asiane a ɛwɔ hɔ sɛ wobɛhwe ase no so, titiriw bere a wonam na woretu mmirika no.
• Hyɛ nneɛma a ɛbɔ wo ho ban bere a woredi agumadi ahorow bi no: Sɛ wobɔ agumadi a ɛka wo ho kɛse te sɛ rugby anaa akuturukubɔ a, ɛho hia yiye sɛ wohyɛ ntade a ɛbɔ wo ti ho ban ma wo ti ne w’anim.

Sɛ wobubu wo hwene a, dɛn na wobɛhwɛ kwan?

Mpɛn pii no, hwene a abubu no nhia ayaresa kɛse biara gye nsukyenee ne nnuru bi a wɔde kum ɛyaw. Nanso, sɛ wo hwene abubu wɔ mmeae pii, anaasɛ sɛ abubu no mu yɛ den a, ebia ebehia sɛ wɔyɛ wo ayaresa anaa oprehyɛn. Nanso, sɛ wususuw sɛ wo hwene abubu a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara sɛnea wubetumi. Eyi betumi atew asiane a ɛwɔ hɔ sɛ nsɛnnennen bɛba no so kɛse.

Dɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wuhu sɛ wo hwene abubu wie a, wubetumi abisa oduruyɛfo no nsɛm te sɛ:

• Apirakuru bɛn na mewɔ?
• Ayaresa ahorow bɛn na mewɔ?
• Bere tenten ahe na ebegye ansa na me hohoro no akɔ fam?
• Bere tenten ahe na ebegye ansa na me hwene asa?
• Dwumadi bɛn na ɛsɛ sɛ mekwati kosi sɛ me hwene bɛsa?

Ɛho hia paa sɛ wubisa saa nsɛm yi na wunya wo tebea no ho ntease a emu da hɔ.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Sɛ woda so ara wɔ saa sɛnkyerɛnne yi bi wɔ ayaresa akyi a, kɔ wo duruyɛfo nkyɛn bio:

• Sɛ wo hwene da so ara yɛ wo yaw na/anaasɛ ɛho ahonhon wɔ adapɛn kakraa bi ayaresa akyi a.
• Sɛ wuntumi mfa wo hwene mu nhome a.

Bere a ɛsɛ sɛ wokɔ Emergency Room:

• Sɛ wo hwene mu mogya no annyae wɔ ayaresa akyi, anaasɛ sɛ mogya fi ase tu bio a.
• Sɛ hwene no mfa nsuo ntu mmirika, na mmom nsuo a emu da hɔ te sɛ nsuo.
• Sɛ wo ti yɛ wo yaw kɛse a.

Sɛ biribi te sɛ eyi si a, ntwentwɛn wo nan ase, kɔ ayaresabea ntɛm ara.

Sɛ wo hwene abubu a, woda dɛn?

Ebetumi ayɛ den kakra sɛ wobɛda yiye anadwo bere a wo hwene ahonhon no. Afiri ketewaa bi wɔ hɔ a wɔde yɛ saa. Fa apɔw-mu-teɛteɛ kakraa bi da a wo ti ne wo mmati so. Eyi bɛboa ma akisikuru no so atew na ayɛ mmerɛw sɛ wobɛhome. Sɛ wo duruyɛfo tu wo fo a, wubetumi nso anom aduru a ɛma wo ho yɛ hyew.

Nnipa binom susuw sɛ, "Oh, dɛn ne saa?" Hwene a abubu nyɛ aduruyɛ mu asɛm a egye ntɛmpɛ wɔ nsɛm dodow no ara mu. Nanso, sɛ wunya adwenem naayɛ ketewaa bi mpo sɛ wo hwene abubu a, kɔ oduruyɛfo nkyɛn ntɛm ara. Afei oduruyɛfo no betumi ahwɛ wo hwene mu na watu wo fo wɔ ayaresa a ɛho hia ho. Sɛ wɔsa yare ntɛm a, ebetumi atew asiane a ɛwɔ ɔhaw ahorow a yɛkaa ho asɛm no mu no so kɛse.

Nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

• Hwene a abubu yɛ anim opira a ɛtaa ba. Nnuruyɛfo frɛ no ``Nasal Fracture''.
• Nsɛnkyerɛnne no betumi ayɛ hwene mu yaw, ahonhon, akisikuru, ne hwene mu mogya.
• Sɛ wususuw sɛ wo hwene abubu a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.
• Ɛtɔ da bi a, nsɛnnennen a emu yɛ den te sɛ `(Septal Hematoma)` betumi aba, enti ayaresa ntɛm ho hia.
• Ayaresa a wobetumi apaw fi nsukyenee so kosi oprehyɛn so, na egyina opira no so.
• Ɛtaa sa wɔ adapɛn 6-8 mu, nanso ɛho hia yiye sɛ wudi oduruyɛfo no akwankyerɛ akyi.
• Ɛwom sɛ wontumi nsiw ano koraa de, nanso wobetumi atew asiane no so denam ahobammɔ ho nhyehyɛe ahorow a wobedi akyi so.

Ade a ɛho hia sen biara ne sɛ wobɛhwɛ w’akwahosan so. Mewɔ anidaso sɛ saa nsɛm yi so bɛba wo mfaso!

` Hwene a abubu, hwene dompe a abubu, hwene mu yare, anim apirakuru, hwene mu mogya, hwene mu oprehyɛn, septal hematoma