Sɛ yɛrebɛhwe ase a, ade a edi kan a yɛyɛ a yennim mpo ne sɛ yɛbɛbɔ mmɔden agye yɛn ho denam yɛn nsa a yɛde bɛto fam no so. Fa no sɛ wohwee wo ho wɔ antweri bi so, anaasɛ wohintiw wɔ biribi so bere a wonam no. Saa bere no, yɛbɔ mmɔden sɛ yebesiw yɛn nipadua no kwan sɛ ɛbɛbɔ fam denam yɛn nsa a yɛde bɛto fam no so. Nanso sɛ yɛyɛ saa a, yɛn nipadua nyinaa mu duru kɔ yɛn nsateaa so mpofirim . Esiane nhyɛso a emu yɛ den a ɛba saa bere no nti, hokwan kɛse wɔ hɔ sɛ dompe bi bebubu wɔ nsateaa no mu . Ɛno nti na yɛfrɛ nsateaa a ɛpaapae, a ɛtaa ba paa no, "Colles Fracture" wɔ nnuruyɛ mu.
Sɛ yɛbɛka no tiawa a, dɛn ne Colles Fracture?
Okay, momma yɛnkyerɛkyerɛ eyi mu kakra. Nnompe atitiriw abien na ɛwɔ wo nsam, efi wo nsateaa so kosi wo nsateaa so . Wɔfrɛ nea ɛsõ sen saa, wɔ nsateaa fã no, radius. Colles Fracture yɛ dompe a ɛwɔ radius no mu a ɛpaapae, a ɛbɛn nsateaa no kɛse , bɛyɛ nsateakwaa biako wɔ nsateaa no atifi .
Nea ɛyɛ soronko wɔ eyi ho ne sɛ, sɛ dompe no bubu a, wɔtwe asinasin a abubu no kɔ soro kɔ nsa no mu. Ɛte sɛ nea wɔabɔ nkorabata ketewaa bi a wɔabubu mu abien no fã biako. Eyi yɛ tebea a ɛyɛ yaw na emu yɛ den yiye a egye ayaresa ntɛm ara.
Sɛ wususuw sɛ wo nsateaa abubu a, nsusuw ho mpo sɛ wobɛsa wɔ fie. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ ayaresabea a ɛbɛn wo no dwumadibea a wɔhwɛ ntɛmpɛ so, anaa ETU (Emergency Treatment Unit) ntɛm ara sɛnea wubetumi.
Hena na ɛda adi sɛ obehyia saa tebea yi?
Ɛwom sɛ Colles Fracture betumi aba obiara a wadi mfe biara mu de, nanso akuw bi wɔ asiane kɛse mu.
- Mmea a wɔadi boro mfe 60: Asiane yi yɛ kɛse titiriw ma mmea a wɔn mfe akɔ anim a wɔwɔ tebea bi a wɔfrɛ no ``Osteoporosis.`` Sɛ yɛbɛka no tiawa a, ``Osteoporosis`` yɛ yare a nnompe yɛ mmerɛw, ɛyɛ mmerɛw, na ɛnyɛ den sɛ ebebubu bere a yɛrenyin no. Ɛtɔ da bi mpo a nkurɔfoɔ nnim sɛ wɔwɔ saa yareɛ yi. Sɛ obi hwe ase kakra na ɔhwe ase mpo a, ebetumi ama dompe bi abubu.
- Agumadifo: Nnipa a wɔbɔ agumadi te sɛ kriket, bɔɔlbɔ, ne skating nso wɔ asiane mu efisɛ wɔtaa hwe ase.
- Akwanhyia afoforo: Saa mpaapaemu ahorow yi nso betumi aba wɔ akwanhyia a emu yɛ den te sɛ kar akwanhyia, sakre a obi hwe ase, ne ɔhwe ase bere a ɔte apɔnkɔ so no mu.
Ɔkwan bɛn so na nnompe mu yare ne eyi wɔ abusuabɔ?
Wo nsateaaSɛ wobubu dompe bi esiane sɛ wohwee ase kakra nti a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia wowɔ nnompe mu yare. Ɛnyɛ mmerɛw sɛ nnompe a ɛte apɔw na ɛyɛ den no bebubu denam asehwe ketewaa bi so. Enti, nyansa wom sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na woayɛ nhwehwɛmu sɛ ebia nnompe mu yare anaa. Mprempren ayaresa pa wɔ hɔ a wɔde sa no.
Dɛn ne Colles Fracture ho sɛnkyerɛnne ahorow?
Sɛ wububu wo nsateaa , wote ɛyaw kɛse. Nea ɛka ɛno ho no, ebia wubehu sɛnkyerɛnne afoforo pii.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɛyaw a emu yɛ den | Ɛyaw a ano yɛ nnam a wontumi nnyina ano a efi nsateaa a abubu mu ba . |
| Rehono | Beae a atwa abubuw no ho ahyia no fi ase ahonhon kɛse. |
| Bluish/a ɛyɛ bruu | Mogya betumi asen wɔ honam ani, na ama baabi no ayɛ bruu anaa kɔkɔɔ. |
| Hwɛ a ɛnyɛ ne kwan so (Deformity) . | Eyi yɛ nneɛma a ɛda nsow sen biara wɔ Colles Fracture ho no mu biako. Ebia nsateaa no bɛkotow, akyeakyea, na akotow akɔ soro wɔ ɔkwan a ɛyɛ nwonwa so, te sɛ kyɛnsee. |
| Ɛyɛ den sɛ wobɛtu akɔ baabi foforo | Ebia worentumi nkyinkyin wo nsateaa no sɛnea ɛsɛ, anaasɛ worentumi mfa nkɔ soro ne fam. Ebia ɛbɛyɛ den nso sɛ wobɛkanyan wo nsateaa. |
Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?
Sɛ wɔansa Colles Fracture yiye, na ɛtɔ mmere bi mpo a wɔde sa yare a, nsɛnnennen bi betumi aba. Ɛho hia paa sɛ yehu eyinom.
| Nsɛnnennen a ɛba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nsateaa a ɛyɛ den | Eyi ne ɔhaw a ɛtaa ba. Sɛ woyi cast no wie a, ebia ɛbɛyɛ den sɛ wobɛkotow anaa wobɛteɛteɛ nsateaa no ɔsram biako anaa abien. Wobetumi akwati eyi kɛse denam nipadua mu ayaresa so. |
| Compartment Syndrome a Ɛma Nnipa Yɛ Fɛ | Tebea a emu yɛ den a ɛyɛ yaw a efi nhyɛso a ɛboro so wɔ nsa no ntini ho. Eyi yɛ asɛm a egye ntɛmpɛ. |
| Malunion na ɛyɛ | Ebia nnompe abien a abubu no renhyia koraa, nanso ebia ɛbɛdannan kakra. Eyi betumi asesa sɛnea nsateaa no te na ama wakɔ so ate ɛyaw. |
| Ntini mu Opira | Sɛ dompe bi bubu a, ntini a ɛbɛn no betumi asɛe. Sɛ nhwɛso no, tebea bi a wɔfrɛ no ``Carpal Tunnel Syndrome'' betumi aba. Wɔ eyi mu no, ntini bi a ɛwɔ nsateaa mu no mia, na ɛma nsa ne nsateaa no yɛ mmerɛw na ɛyɛ yaw. |
| Nnompe mu Ntini a Ɛto so Abien | Bere bi akyi no, ntini mu yare betumi aba nkwaa a na dompe no mu abubu no mu. Eyi de ɛyaw ne ɔfe ba nkwaa no mu. |
Ɔkwan bɛn so na oduruyɛfo no hu eyi? Dɛn ne ayaresa no?
Sɛ wokɔ ETU a, oduruyɛfo no bedi kan abisa wo sɛnea akwanhyia no sii, ɛyaw a wote, ne sɛnkyerɛnne ahorow a worehu no ho asɛm. Afei ɔbɛhwehwɛ wo nsa mu.
Afei, wɔyɛ X-ray de hwɛ sɛ dompe no abubu anaa, na sɛ ɛte saa a, baabi ne ɔkwan a wɔfaa so bubui. X-ray betumi asi so dua pefee sɛ ebia `Colles Fracture` bi wɔ hɔ anaa.
Akwan a wɔfa so sa yare
Botae atitiriw abien na ɛwɔ ayaresa mu. Biako ne sɛ wɔde nnompe asinasin a abubu no bɛsan aba ne gyinabea a ɛfata (Reduction). Nea ɛto so abien ne sɛ wɔbɛma dompe no antumi ankɔ baabiara sɛnea ɛbɛyɛ a ebetumi asa bio (Immobilization).
1. Ayaresa a ɛnyɛ oprehyɛn:
Eyi ne ayaresa a wɔtaa de di dwuma. Ɛha yi, oduruyɛfo no bɛma wo aduru a ɛbɛma wo nsateaa ayɛ mmerɛw na ɔde nkakrankakra de dompe a abubu no asan akɔ baabi a ɛwɔ bere a ɔretwe wo nsa no. Wɔfrɛ eyi sɛ ``resetting''. Afei, wɔde plaster cast fi nsateaa no ase kosi nsateaa no mfinimfini na ama nnompe no akɔ so atra nea ɛwɔ hɔ. Mpɛn pii no ɛsɛ sɛ wɔhyɛ saa plaster cast yi bɛyɛ adapɛn 6 . Saa bere yi mu no, dompe a abubu no bɛsa na asan akɔka.
2. Oprehyɛn a wɔyɛ:
Ɛtɔ mmere bi a, sɛ dompe no mu abubu asinasin pii anaasɛ ɛtrɛw dodo sɛ wɔde nsa nsiesie a, ebia ɛho behia sɛ wɔyɛ oprehyɛn. Oduruyɛfo a ɔyɛ nnompe ho oprehyɛn na ɔyɛ eyi. Wotwitwa were no, wɔsan de nnompe asinasin a abubu no si baabi foforo, na wɔde nneɛma a edidi so yi di dwuma de kɔ so tra baabi:
- Dade a wɔde yɛ pin
- Dade mprɛte a wɔde yɛ nneɛma
- Nkuruwankuruwa a wɔde hyɛ mu
- Abɔnten so fixator
Sɛ wɔyɛ oprehyɛn wie a, wɔde plaster anaa aduru a wɔde kyekyere nsa no bɛhyɛ nsa no so.
Bere tenten ahe na ebegye ansa na ne ho atɔ no? So metumi asan aba sɛnea na meyɛ kan no?
Wɔtaa yi cast no fi hɔ wɔ bɛyɛ adapɛn 6 akyi. Nanso, sɛ woyi wo nsa no a, ɛnsa koraa. Ebia nsateaa no ayɛ den kakra na ayɛ yaw bi .
Ebetumi agye baabiara fi asram 6 kosi afe ansa na ayɛ yiye, a ɛkyerɛ sɛ 100%, asan anya wo nsa dwumadi sɛnea na ɛte ansa na akwanhyia no reba no. Eyi gu ahorow wɔ onipa biara mu.
Sɛ woyi cast no wie a, wo duruyɛfo de wo bɛkɔ apɔw-mu-teɛteɛ ayaresa . Apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ pɔtee bi a ɛbɛboa wo ma woasan akanyan wo nsateaa na ama ahoɔden a ɛwɔ wo nsa mu no ayɛ kɛse. Saa apɔw-mu-teɛteɛ yi a wobɛyɛ no yiye no ho hia yiye na ama obi ho atɔ no ntɛmntɛm.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn bio
Sɛ wuhu saa sɛnkyerɛnne ahorow yi, sɛ́ ebia wohyɛ plaster no anaasɛ bere a woayi afi hɔ awie no, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ntɛm ara .
- Sɛ ɛyaw no bɛyɛ nea wontumi nnyina ano a.
- Sɛ wuntumi ntutu wo nsateaa anaasɛ wo nsateaa kɔla sesa (blue, fitaa, anaa bruu).
- Sɛ wo nsateaa mu yɛ wo yaw anaasɛ ɛyɛ wo yaw a.
- Sɛ hua bɔne bi fi plaster no mu reba a.
- Sɛ plaster no te nka sɛ ɛyɛ den dodo a.
Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara efisɛ eyinom betumi ayɛ ɔhaw bi ho sɛnkyerɛnne.
Nkrasɛm a Wɔde Kɔ Fie
- Colles Fracture yɛ nsateaa a ɛpaapae a ɛyɛ yaw, na ɛtaa yɛ yaw a ɛba bere a nsa no hwe ase a wɔatrɛw mu no.
- Sɛ wote ɛyaw a emu yɛ den, wo hohoro, na wo nsateaa yɛ mmerɛw soronko a , ebetumi ayɛ wo nsateaa a abubu.
- Sɛ w’adwene mu yɛ wo naa a, mmɔ mmɔden sɛ wobɛsa wo yare wɔ fie na kɔ ayaresabea Emergency Treatment Unit (ETU) ntɛm ara.
- Saa akisikuru yi a ɛwɔ mmea a wɔn mfe akɔ anim mu no betumi ayɛ nnompe mu yare ho sɛnkyerɛnne, enti wo ne wo duruyɛfo nkasa mfa ɛno nso ho.
- Wɔ ayaresa akyi no, nipadua mu ayaresa ne apɔw-mu-teɛteɛ ho hia na ama obi ho atɔ no koraa.
- Oduruyɛfo no akwankyerɛ a wubedi akyi pɛpɛɛpɛ no ho hia na ama obi ho atɔ no ntɛmntɛm na ayɛ yiye.
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