So wo mmati puei mpofirim? Momma yɛnka saa mmati a ɛpaapae yi ho asɛm!

Oh, ebia wunim ɛyaw a ɛwɔ mmati a abubu mu, ɛnte saa? Ebetumi afi asehwe, agumadi mu opira, anaa kar akwanhyia mu. Mmati a atutu yɛ tebea a emu yɛ den, nanso sɛ wɔsa no yiye a, wobetumi asa no ntɛm. Ɛnnɛ, yɛbɛka ho asɛm akɔ akyiri, te sɛ nea yɛne yɛn adamfo bi rekasa.

Dɛn ankasa ne mmati a ɛtwetwe?

Sɛ yɛbɛka no tiawa a, mmati a abubu ne bere a nnompe a ɛwɔ wo mmati nkwaa mu no fi baabi a ɛfata no. Susuw ho saa kwan yi so: nkwaa ne baabi a yɛn nipadua mu nnompe abien ka bom. Eyinom yɛ yɛn nnompe nhyehyɛe nyinaa fã .

Wo mmati nkwaa no yɛ wo nsa atifi dompe (a wɔfrɛ no humerus ) no fã bi a ɛte sɛ bɔɔl a ɛhyɛ wo mmati dompe no fã bi a ɛte sɛ kuruwa (a wɔfrɛ no glenoid) . Ɛte sɛ bɔɔl a ɛhyɛ kuruwa mu.

Enti, nea ɛkɔ so wɔ ɔhaw yi a wɔfrɛ no mmati a ɛtwetwe no mu ne sɛ bɔɔl-ne-socket nkitahodi no san ba. Eyi nso betumi asɛe ntini a atwa mmati nkwaa no ho ahyia no. Eyi kyerɛ sɛ:

• Wɔ ntini ahorow ho
• Ɛde kɔ ntini ahorow no so
• Ɛde kɔ ntini ahorow no so
• Kɔ ntini a ɛwɔ ntini no mu
• Kɔ mogya ntini mu

Nea ɛho hia paa: Sɛ wususuw sɛ wo mmati atutu, anaasɛ wuntumi ntutu wo mmati a, ɛsɛ sɛ wokɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ tebea a egye ntɛmpɛ mu ntɛm ara. Mmɔ mmɔden da sɛ w’ankasa wobɛsan de wo mmati asi baabi foforo. Eyi bɛma opira no ayɛ kɛse.

Dɛn ne mmati so ahuruhuruw ahorow?

Nnuruyɛfo gyina baabi a dompe no akɔ akyiri so kyekyɛ mmati a ɛpaapae mu:

• Complete Dislocation anaa Luxation: Eyi ne bere a nkwaa no nnompe no mu tetew koraa na ɛnyɛ nea ɛfata.
• Subluxation a Ɛfa Fam: Eyi ne nea nnuruyɛfo frɛ no ‘lateral subluxation’. Nea ɛkɔ so wɔ ha ne sɛ biribi atwe wo nkwaa no mu atew na nnompe abien no da so ara bom, nanso ɛnyɛ nea edi mũ koraa sɛnea na ɛte kan no.

Mmati a ɛbɔ abu so dɛn?

Nokwarem no, mmati nkwaa ne nkwaa a ɛtaa mu paapae wɔ yɛn nipadua mu. Nanso, ɛnyɛ nea abu so saa. Wɔ ɔman te sɛ Amerika mpo mu no, nnipa mpem ɔha biara mu bɛyɛ du na wɔn mmati mu tetew afe biara.

Dɛn ne mmati a abubu ho sɛnkyerɛnne?

Mmati a abubu betumi de sɛnkyerɛnne ahorow te sɛ:

• Ɛyaw a emu yɛ den yiye.
• Mmerewa bi.
• Sɛ wontumi nkyere wɔn nsa.
• Ɛte sɛ nea ɛda adi pefee sɛ mmati no atutu.
• Rehono.
• Akuru anaa honam ani kɔla a ɛsakra.
• Ntini a ɛyɛ mmerɛw.
• Nsa, abasa, anaa nsateaa a ɛyɛ mmerɛw, ɛyɛ mmerɛw, anaa ɛyɛ mmerɛw.

Dɛn na ɛma mmati mu yɛ den?

Sɛ yɛbɛka no tiawa a, biribiara a ɛde ahoɔden kɛse bi a ɛbɛma wo mmati nkwaa atutu no betumi ama ayɛ saa. Nneɛma a ɛtaa de ba ne:

• Ahwease: Susuw nneɛma te sɛ aguaree a wobɛhwe ase, dua a wobɛhwe ase, anaa antweri so a wobɛhwe ase ho.
• Kar akwanhyia: Te sɛ sakre akwanhyia, kar akwanhyia.
• Agumadi mu akwanhyia: Asuguare ne asehwe bere a ɔrebɔ kriket, nkitahodi agumadi te sɛ rugby, ne volleyball.

Hena na ɔwɔ asiane kɛse sɛ ne mmati bɛbɔ?

Ɛwom sɛ obiara betumi ama ne mmati atutu de, nanso nnipa binom wɔ asiane kɛse mu. Eyinom bi ne:

• Agodifo a wɔbɔ nkitahodi agumadi (e.g. rugby, bɔɔlbɔ).
• Mmarima (mmarima taa nya mmati mu akisikuru bɛboro mmea mmɔho abien).
• Mmabun a wɔadi fi mfe 15 kosi 30.
• Wɔn a wɔde wɔn mmati too fam bere a etwaam no.

Dɛn ne nsɛnnennen a ebetumi afi mmati a abubu mu aba?

Mmati a ɛpaapae betumi asɛe nnompe ne ntini a atwa wo mmati ho ahyia no. Eyinom ne nsɛnnennen a ɛtaa ba:

• Nnompe a Ɛpaapae.
• Ntini a Ɛma Ntini ne Ntini a Ɛpaapae.
• Ntini a ɛsɛe.
• Mogya ntini a ɛsɛe.
• Ntini mu Nhyɛso.

Dɛn ne Hill-Sachs akuru yi?

Nnipa binom betumi anya biribi a wɔfrɛ no Hill-Sachs Lesion bere a wɔn mmati atutu no. Eyi te sɛ wo nsa a ɛwɔ soro dompe (humerus) no fã a ɛte sɛ bɔɔl no mu akisikuru. Sɛ wo mmati no tu na humerus no mia mmati no socket no so a, saa fã a ɛte sɛ bɔɔl no betumi asɛe.

Ɔkwan bɛn so na oduruyɛfo hu no yiye sɛ mmati bi atutu?

Oduruyɛfo bi de nipadua mu nhwehwɛmu bɛkyerɛ sɛ ne mmati atutu . Ɔbɛhwehwɛ wo mmati ne wo nsa nyinaa mu. Ɛho behia sɛ woka wo yare no ho sɛnkyerɛnne ne nea na woreyɛ ansa na worepira wo mmati no ho asɛm kyerɛ oduruyɛfo no .

Sɔhwɛ ahorow bɛn na wɔreyɛ ama eyi?

Sɛnea ɛbɛyɛ na oduruyɛfo bi asusuw sɛnea nipadua no mu asɛe bere a ne mmati atutu akyi no ho pɛpɛɛpɛ no, obetumi ayɛ mfoninitwa nhwehwɛmu te sɛ:

• X-ray a wɔde yɛ adwuma.
• Magnetic Resonance Imaging (MRI) a Wɔde Yɛ Nneɛma a Ɛyɛ Fɛ (MRI).
• Kɔmputa so mfoninitwa (CT scan).
• Ultrasound a wɔde yɛ nneɛma.

Dɛn ne ayaresa a wɔde sa mmati a abubu? (Eyi ho hia yiye!)

Sɛ wote nka sɛ wo mmati abubu a, .Kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara. Ayaresa a ɛho hia sen biara a wɔde sa mmati a abubu ne sɛ wode wo nsa bɛsan akɔ baabi a na ɛwɔ, wɔ baabi a ɛte sɛ kuruwa no. Wɔfrɛ eyi sɛ wɔatew so a wɔatoto mu anaasɛ wɔde di dwuma ɔkwammɔne so . Wɔyɛ eyi a wɔnyɛ oprehyɛn. Oduruyɛfo no bɛpia wo nipadua no na watwe akɔ abɔnten de asan asiesie wo mmati. Ebia wɔbɛma wo aduru a ɛma wo ho yɛ wo hyew wɔ baabi a atwa wo mmati ho ahyia no, anaasɛ wɔbɛma wo nnuru a ɛma wo ho dwo na aboa wo nipadua no ma ayɛ mmerɛw.

Yɛsrɛ sɛ kae eyi: Mmɔ mmɔden da sɛ wobɛsan de wo mmati ato w’ankasa so. Mma obiara nka wo mmati a apira no da gye obi a wɔatete no. Ma wo mmati nyɛ dinn sɛnea wubetumi, na mmɔ mmɔden sɛ wobɛhyɛ no.

Sɛ wobɔ mmɔden sɛ wobɛsan de wo mmati asi w’ankasa so a, wubetumi ama opira no ayɛ kɛse na woasɛe ntini a atwa wo ho ahyia no.

Sɛ oduruyɛfo no san de wo nkwaa no si baabi a, ebia wubehia ayaresa foforo. Eyinom bi ne:

• Nkɔso: Sɛ wosiesie mmati no wie a, ɛho behia sɛ wohyɛ ahama anaa ahama na ama mmati a apira no antumi ankɔ baabiara. Eyi bɛma nhyɛso a ɛba mmati no so no so atew na aboa ma ayɛ yiye. Ebia wo duruyɛfo nso bɛka akyerɛ wo sɛ fa nsukyenee to wo mmati a apira no so mpɛn pii da biara. Ebia ɛho behia nso sɛ woyɛ apɔw-mu-teɛteɛ a emu nyɛ den na ama wo mmati anyɛ den na ayɛ den. Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wohyɛ aduru a wɔde kyekyere wo mmati anaa afiri a wɔde kyekyere wo mmati no ne mpɛn dodow a ɛsɛ sɛ woteɛteɛ wo mmati mu. Ɛho behia sɛ nnipa dodow no ara ma wɔn mmati ntumi nkɔ baabiara adapɛn pii.
• Nnuru: Wo duruyɛfo bɛkyerɛ wo nnuru a wubetumi anom de atew ɛyaw ne ɔfe so. Mfa nnuru a wɔde kum ɛyaw a wɔmfa nni dwuma nni dwuma bɛboro nnafua 10 bere koro mu a wo ne oduruyɛfo nkasa.
• Ahomegye: Ɛsɛ sɛ wokwati apɔw-mu-teɛteɛ biara a ɛde wo mmati di dwuma anaasɛ ɛde nhyɛso ba so. Bisa wo duruyɛfo no dwumadi ahorow a ɛsɛ sɛ wokwati kosi sɛ wo ho bɛtɔ wo.
• Apɔw-mu-teɛteɛ: Sɛ wo mmati sa a, ebehia sɛ wufi apɔw-mu-teɛteɛ ase na aboa ma woasan anya ahoɔden na woatumi akɔ baabiara. Mfiase no, ɛda adi sɛ eyi bɛhwehwɛ sɛ wɔyɛ apɔw-mu-teɛteɛ brɛoo a wɔde bɛtew wɔn ho so na ama ayɛ den. Bere a wo mmati mu ntini (a wɔsan frɛ no mmati mu aduru) fi ase sa no, ebehia sɛ wotrɛw mu na aboa ma wo mmati no ayɛ mmerɛw na amma anyɛ den. Awiei koraa no, wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo de apɔw-mu-teɛteɛ bɛka ho de ahyɛ wo mmati ntini mu den. Eyi betumi aboa ma asiane a ɛwɔ hɔ sɛ daakye mmati bɛpaapae no so atew. Nnipa pii behia nipadua mu ayaresa asram pii bere a wɔn mmati atutu akyi.

Bere bɛn na ɛho hia sɛ wɔyɛ oprehyɛn ma mmati a abubu?

Nnipa dodow no ara nhia oprehyɛn bere a wɔn mmati atutu akyi. Nanso, ebia ebehia sɛ wɔyɛ wo oprehyɛn wɔ nsɛm a edidi so yi mu:

• Sɛ akwanhyia a ɛmaa wo mmati popae no maa wopirapiraa afoforo wɔ wo mu a.
• Sɛ closed reduction a yɛadi kan aka ho asɛm no anyɛ adwuma, anaasɛ wɔantumi anyɛ a, ebehia sɛ wɔyɛ wo oprehyɛn na ama wo mmati nkwaa no asan asiesie.
• Sɛ woadi kan atutu wo mmati a, ebia ebehia sɛ wɔyɛ wo oprehyɛn de siesie anaa wɔkyekyere ntini a ɛka wo nsa ne wo mmati ho no mu den.

Bere tenten ahe na egye ansa na obi asa fi mmati a abubu no mu?

Mpɛn pii no, mmati a abubu no gye asram pii ansa na ayɛ yiye. Ɛho behia sɛ woma wo mmati ntumi nkɔ baabiara adapɛn pii na afei woyɛ wo nipadua mu ayaresa asram pii bere a nkwaa no ayɛ yiye awie no.

Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wotwɛn ansa na woatumi asan afi apɔw-mu-teɛteɛ ase bio. Sɛ wobɔ agumadi anaa woteɛteɛ w’apɔw mu ansa na wo mmati asa koraa a, wowɔ asiane kɛse mu sɛ wobɛsan apira bio – a ɛkyerɛ sɛ wubetumi abubu bio.

So wobetumi asiw mmati a ɛbɛbɔ no ano?

Ɛnyɛ bere nyinaa na wobetumi asiw mmati a ɛbɛpaapae ano, efisɛ ɛtaa ba esiane akwanhyia a wɔnhwɛ kwan ne opira a ɛba mpofirim (apirakuru) nti.

Ma nneɛma yi ntra w’adwenem bere a woredi agoru no:

• Hyɛ ahobammɔ nnwinnade a ɛfata.
• Sɛ wo mmati yɛ wo yaw, sɛ́ ɛyɛ bere a woreyɛ apɔw-mu-teɛteɛ anaasɛ bere a woayɛ apɔw-mu-teɛteɛ akyi no, nsusuw sɛ wubetumi "adi agoru wɔ ɛyaw no mu" kɛkɛ.
• Ma wo nipadua no bere mfa nnye n’ahome na ne ho ntɔ no bere a woayɛ adwuma denneennen awie no.
• Ma wo ho yɛ hyew na teɛteɛ wo ho yiye ansa na woabɔ agumadi anaa woateɛteɛ w’apɔw mu.
• Fa wo ho dwo na teɛteɛ w’apɔw mu bere a woayɛ apɔw-mu-teɛteɛ awie no.

Momma yɛnyɛ saa nneɛma yi mma ahobammɔ a ɛwɔ hɔ nyinaa:

• Ma wo fie ne w’adwumam nyɛ fɛ na nneɛma a ɛho nhia nni mu. Eyi remma wo ne afoforo mfa wɔn ho nhyɛ mu.
• Sɛ worefa nneɛma wɔ fie a, fa nnwinnade anaa nnwinnade a ɛfata di dwuma bere nyinaa. Mforo nkongua, apon, anaa counter so da.
• Sɛ ɛyɛ den ma wo sɛ wobɛnantew anaasɛ asiane kɛse wom sɛ wobɛhwe ase a, fa poma anaa nea wɔde nantew di dwuma.

Sɛ mmati no tu a, dɛn na ɛbɛba? (Nsusuwii) .

Nnipa dodow no ara ho tɔ wɔn koraa bere a wɔn mmati atutu awie no. Sɛ wɔyɛ wo oprehyɛn mpo a, ɛsɛ sɛ wutumi san kɔ wo dwumadi ne agumadi dodow no ara mu bere a wo mmati ayɛ yiye no.

Nanso, ɛda adi kɛse sɛ mmati a kan no abubu bio. Nhwehwɛmu bi ada no adi sɛ agumadifo a wonnii mfe 25 a wɔn mmati tu bere a wɔredi agoru a wɔde di nkitaho no mu bɛboro 90% bɛsan apira mmati koro no ara daakye.

Wo ne wo duruyɛfo anaa oprehyɛn ho ɔbenfo nkasa ansa na woasan afi apɔw-mu-teɛteɛ biara ase – titiriw no, di nkitaho wɔ agumadi mu. Wobetumi aboa wo ma woate nea wobɛhwɛ kwan ne sɛnea wobɛsiw wo mmati a ɛbɛtetew ano daakye ase.

Sɛ me mmati mu paapae a, merentumi nkɔ adwuma/sukuu?

Sɛ wo mmati a apira no yɛ yaw dodo sɛ wobɛyɛ adwuma anaa sukuu a, ebia worentumi nkɔ adwuma anaa sukuu bere a wo mmati ntumi nkɔ baabiara. Wo duruyɛfo bɛkyerɛ wo kankyee ne gyinabea ahorow a ɛsɛ sɛ wokwati kosi sɛ wo ho bɛtɔ wo. Bisa wo duruyɛfo bere a wubetumi afi ase adi agoru, ayɛ ofie nnwuma, anaasɛ woama nneɛma a emu yɛ duru so.

Bere bɛn na eye sen biara sɛ wobɛkɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

Sɛ woapira mpofirim (trauma) a, kɔ adwumayɛbea a wɔhwɛ ntɛmpɛ so ntɛm ara.

Sɛ wususuw sɛ wo mmati atutu a:

• Kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara, anaa frɛ nɔma a egye ntɛmpɛ te sɛ 1990.
• Mma nnhinhim wo nsa. Ma ɛnbɛn wo nipadua.
• Mmɔ mmɔden da sɛ wobɛsan de wo mmati ato w’ankasa so. Mma obiara a ɛnyɛ oduruyɛfo mmɔ mmɔden sɛ ɔbɛyɛ da. Sɛ obi a ɔnyɛ oduruyɛfo bɔ mmɔden sɛ ɔbɛsan de wo mmati ato so a, wubetumi asɛe mogya ntini, ntini, ntini, ne ntini ahorow.
• Fa nsukyenee gu baabi a apira no so na ama ɛho ahonhon ne ɛyaw no so atew.
• NSAID nnuru a wɔde kum ɛyaw a wɔtɔn wɔ aduruyɛdan mu betumi aboa ma wo yaw ne sɛnkyerɛnne afoforo so atew. Nanso, nnom nsen dodow a wɔkamfo kyerɛ no.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

• So ɛsɛ sɛ wɔyɛ me oprehyɛn?
• Bere tenten ahe na ɛsɛ sɛ mede me nsa si hɔ dinn?
• Bere bɛn na mifi apɔw-mu-teɛteɛ ase?
• Bere bɛn na metumi adi agumadi anaa apɔw-mu-teɛteɛ bio?

So mmati a abubu no ankasa bɛsa?

Dabi, mmati a abubu no ankasa rensa. Afei nso, ɛrensa yiye gye sɛ oduruyɛfo bi hwehwɛ mu na ɔsa no yare yiye.

Sɛ wowɔ sɛnkyerɛnne biara a ɛkyerɛ sɛ wo mmati abubu bere a woahwe ase, agumadi mu akwanhyia, anaa akwanhyia foforo bi akyi a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara.

Enti, momma yɛmmɔ nea yɛaka ho asɛm no mua. (Nkrasɛm a Wɔde Kɔ Fie)

Okay, enti mmati a abubu ne bere a wo nsa a ɛwɔ soro dompe no ti a ɛte sɛ bɔɔl no pue fi wo mmati no socket mu. Ahwease, agumadi mu opira, ne opira afoforo a ɛba mpofirim (apirakuru) yɛ nneɛma a ɛtaa ma ne mmati tu. Yɛsan nso kaa sɛnea mmati nkwaa no yɛ nkwaa a ɛpaapae sen biara wɔ yɛn nipadua mu no ho asɛm.

Nea ɛho hia sen biara ne sɛ, mmɔ mmɔden da sɛ wobɛsan de wo mmati ato w’ankasa so. Mma obiara mfa ne nsa nka anaa ɔnhinhim da gye oduruyɛfo. Sɛ wususuw sɛ wo mmati atutu, anaasɛ wuntumi ntutu anaasɛ wuntumi mfa wo nsa nni dwuma a, kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Mmati a ɛpaapae, Mmati mu opira, Nkwaa a ɛpaapae, Nnompe, Apɔw-mu-teɛteɛ, Mmoa a edi kan, Agumadi mu opira, Ntɛmntɛm hwɛ