So wo nan no fã yi nso yɛ wo yaw? Momma yɛnka (5th Metatarsal Fracture) ho asɛm!

Oh, ɛtɔ da bi a, sɛ ɛyɛ asehwe ketewaa bi, akwantuo, anaa nan a ɛkyinkyin kakra no, yɛn nansoaa ketewa no afã betumi ayɛ yɛn yaw, ɛnte saa? Ebetumi ayɛ yaw araa ma wuntumi nnantew mpo, na ebetumi ahuru na ayɛ bruu mpo. Nea enti a ɛte saa no betumi ayɛ wo nan dompe ketewaa bi a abubu. Ɛnnɛ, yɛreka tebea bi te sɛ yei, a wɔfrɛ no `(5th Metatarsal Fracture)`, a ebetumi ato nnipa pii ho asɛm.

Dɛn ne saa Metatarsal Fracture a Ɛto so 5 yi?

Sɛ yɛbɛka no tiawa a, dompe tenten bi wɔ wo nan no akyi ano, na ɛne wo nansoaa ketewa no di nkitaho . Wubetumi de wo nsa mpo ate nka. Wɔ aduruyɛ mu no, yɛfrɛ saa dompe yi `5th Metatarsal bone` . Enti, sɛ saa dompe yi mu paapae anaasɛ ɛpaapae esiane biribi nti a, yɛfrɛ no `5th Metatarsal Fracture`. Eyi yɛ nan ho opira a abu so sen sɛnea yesusuw ankasa.

So saa akisikuru ahorow yi bi wɔ hɔ?

Yiw, wɔakyekyɛ `(5th Metatarsal Fracture)` yi mu ayɛ no ahorow abiɛsa, a egyina baabi a dompe no bubu so. Nnuruyɛfo frɛ eyinom sɛnea beae a ɛfa ho no te. Yɛfrɛ wɔn Mpɔtam 1, Mpɔtam 2, ne Mpɔtam 3 .

Mpɔtam 1: Avulsion Fracture

Eyi ne akisikuru a ɛtaa ba. Fa no sɛ, wɔfrɛ wɔn mu bɛyɛ ɔha biara mu nkyem 93 ``Avulsion Fractures''. Nea ɛkɔ so wɔ ha ne sɛ, sɛ wɔtwe ntini anaa ntini bi a ɛbata dompe no ho denneennen mpofirim denneennen dodo a, saa ntini anaa ntini no fi dompe no mu ka ne fã ketewaa bi ho. Ɛte sɛ nea sɛ yɛtwe bɔton bi wɔ atade dedaw bi so denneennen dodo a, epue ka ntama bi ho.

Eyi taa ba bere a nan no hwirew kɔ mu (te sɛ nansoaa a ɛpaapae). Ɛtɔ mmere bi a nnuruyɛfo betumi adi mfomso aka sɛ nansoaa a ɛpaapae no yɛ avulsion fracture efisɛ ɛyaw ne ɔfe no taa ba wɔn baanu nyinaa so.

Mpɔtam 2: Jones Abubuw

Saa akisikuru yi a wɔfrɛ no ``Jones Fracture,'' ba wɔ beae ketewaa bi a ɛyɛ pɔtee wɔ metatarsal dompe a ɛto so anum no mu. Ɛyɛ nea mogya a wɔde ma no sua kakra sen dompe a aka no ara kwa . Wunim, sɛ mogya no so tew a, egye bere tenten ansa na kuru biara asa, na hokwan a ɛwɔ hɔ sɛ ɔhaw ahorow bɛba nso yɛ kɛse. Ɛno nti na saa ``Jones Fracture'' yi gye bere kakra ansa na ayɛ yiye, na ebetumi nso de nsɛnnennen aba.

Eyi betumi ayɛ adwennwen a ɛpaapae, a ɛyɛ ti nhwi mu mpaapaemu ketewaa bi a ɛnam adwennwen a ɛkɔ so nkakrankakra a ɛkɔ so wɔ dompe no so bere tenten nti. Anaasɛ ebetumi ayɛ ahomegye a emu yɛ den a akwanhyia bi a ɛba mpofirim de ba.Ebetumi nso aba wɔ akwan a edidi so yi so. Mpɛn pii no, efi nan a wɔde di dwuma boro so (titiriw wɔ agumadifo mu), adwennwen a wɔtaa yɛ, anaa opira a ɛba mpofirim. Eyi ntaa nsen Avulsion Fracture a yɛadi kan aka ho asɛm no, na ɛyɛ den kakra nso sɛ wɔbɛsa.

Beae 3: Mid-shaft Fracture anaa Dancer’s Fracture

Wɔsan frɛ eyi sɛ ``Mid-shaft Fracture'', na ɛtɔ mmere bi a wɔfrɛ no ``Dancer's Fracture'' . Ɛbɛyɛ sɛ wɔtoo din esiane sɛ ɛtaa ba asawfo mu nti, titiriw bere a wofi ahurututu mu resi fam no. Ɛtaa fi akwanhyia a ɛba mpofirim, te sɛ ``trauma'' anaasɛ nan no a ɛkyinkyin denneennen. Dompe no mfinimfini, a ɛbɛn ``ti'' ne ``kɔn''.

Hena na obetumi anya akisikuru te sɛ eyi?

Nokwarem no, saa `(5th Metatarsal Fracture)` yi betumi ato obiara . Obiara fi abofra kumaa so kosi obi a ne mfe akɔ anim so betumi anya saa tebea yi. Nanso sɛ wɔhwɛ aduruyɛ ho amanneɛbɔ ne nsɛm a wɔde mae a, wɔka sɛ ɛtaa ba mmarima a wɔadi mfe 30 ne mmea a wɔadi mfe 70 mu kɛse . Wɔsan nso ka sɛ `(Avulsion Fracture)` ne `(Mid-shaft Fracture)` a yɛadi kan aka ho asɛm no abu so kakra wɔ mmea mu sen mmarima mu.

Dɛn na ɛde saa akisikuru yi ba?

Sɛ yɛbɛka no tiawa a, nea ɛde eyi ba titiriw ne akwanhyia bi anaa adwennwen a ɛtra hɔ kyɛ (ahodwiriw anaa adwennwen a ɛtaa ba) a ɛba wo nan so. Susuw nneɛma a ɛte sɛɛ ho hwɛ:

• Ɔhwe a emu yɛ den a ɛba nan no so mpofirim: Te sɛ biribi a emu yɛ duru a ɛtɔ nan no so, anaasɛ ɛbɔ biribi.
• Abansoro a ɛkorɔn: Nnipa binom wɔ abrannaa a ɛkorɔn kakra wɔ wɔn nan ase, na ebetumi de nhyɛso kɛse aba wɔn nan akyi bere a wɔnantew no.
• Nneɛma a wɔde di dwuma boro so mpɛn pii: Asiane yi yɛ kɛse titiriw wɔ agumadifo, mmirikatufo, ne wɔn a wɔyɛ adwuma bere a wogyina hɔ kyɛ no mu.
• Inversion injury: Eyi ne nea ɛtaa de ba. Ebetumi afi nneɛma te sɛ tokuru a wobɛhwe ase bere a wonam anaasɛ wo nan a wobɛbobɔw bere a woresiane antweri bi mu aba.
• Nan no a wɔkyinkyim anaa wɔkyinkyim esiane akwanhyia anaa agumadi mu opira nti: Sɛ wɔkyinkyim anaa wɔkyinkyim nan no wɔ ɔkwan a wɔnhwɛ kwan so a, saa akisikuru yi betumi aba.

Dɛn ne sɛnkyerɛnne ahorow no?

Sɛ wowɔ `(5th Metatarsal Fracture)` a, ade a edi kan a wubehu ne sɛ ɛyɛ den sɛ wobɛnantew . Ebia worentumi mfa wo nan nsi fam mpo. Nea ɛka ho no, ebia wubehu sɛnkyerɛnne ahorow a edidi so yi wɔ wo nan akyi (wɔ nansoaa ketewa no so):

• Bruising and Blueness : Ebia beae no befi ase ayɛ bruu wɔ da koro anaa nnanu akyi.
• Ɛyaw anaa ahotɔ a ɛnyɛ dɛ: Sɛ wokura wo nsa mpo a, ɛyɛ yaw, na ebia ɛyaw bi bɛba bere a wugyina hɔ ara kwa mpo no.
• Ahohoro : Beae no befi ase ahuru, wɔ akwanhyia no akyi pɛɛ anaasɛ ɛno akyi bere tiaa bi.
• Tenderness : Sɛ wɔde wɔn nsa ka beae no te yaw.

Wobɛyɛ dɛn ahu eyi pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ saa sɛnkyerɛnne ahorow yi a, obedi kan abisa wo nsɛm kakraa bi . Ɛyɛɛ dɛn, ɛyaw no atra hɔ bere tenten ahe, na bere bɛn na ɛyaw no mu yɛ den? Afei oduruyɛfo no bɛhwɛ wo nan mu yiye ahwɛ baabi a ɛyɛ yaw, sɛnea ɛho ahonhon, ne sɛ ebia dompe no te sɛ nea ɛretu.

Afei, wobetumi ayɛ mfoniniyɛ mu sɔhwɛ ahorow pii de asi tebea no so dua na wɔahu sɛnea abubu no te ankasa:

• X-ray: Eyi ne nhwehwɛmu a wɔtaa yɛ. X-ray betumi akyerɛ baabi a wo dompe no abubu ne sɛnea abubu. Nanso, ebia wɔrentumi nhu akisikuru bi te sɛ Jones Fracture a yɛadi kan aka ho asɛm no wɔ X-ray so.
• CT scan (computed tomography scan) anaa MRI (magnetic resonance imaging): Sɛ wo duruyɛfo susuw sɛ Jones Abubu anaasɛ ɔpɛ sɛ ohu akisikuru no ho nsɛm pii a, ebia ɔbɛkra sɛ wɔnyɛ CT scan. Saa mfonini ahorow yi betumi akyerɛ dompe no ne ntini a ɛyɛ mmerɛw a atwa ho ahyia no yiye.

Ɔkwan bɛn so na wɔsa?

Ayaresa a wɔde sa ``5th Metatarsal Fracture'' no gyina nneɛma pii so. Adeɛ titire a ɛsɛ sɛ yɛsusu ho ne sɛ ebia nnompe asinasin a abubu no ``atutu`` anaasɛ ``ɛyɛ pɛpɛɛpɛ`` . Nea ɛka ho no, wo:

• Dwumadie gyinabea: Nneɛma te sɛ sɛ ebia woyɛ ogumadifoɔ anaa obi a ɔnantew pii.
• Mfeɛ.
• Akwahosan nyinaa.

Bere a wo duruyɛfo asusuw eyinom nyinaa ho awie no, obesi ayaresa a ɛfata wo sen biara ho gyinae. Ayaresa atitiriw abien na ɛwɔ hɔ:

1. Nneɛma a ɛma obi ntumi nkɔ baabiara

Sɛ wo nnompe asinasin no ntumi nkɔ, a ɛkyerɛ sɛ ɛda so ara wɔ beae koro no ara a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ ma wo nan no ntra hɔ. Wɔfrɛ eyi sɛ obi ntumi nkɔ baabiara .

• Wɔ Zone 1 Avulsion Fracture a yɛkaa ho asɛm no ho no, mpɛn pii no eyi nkutoo ne ayaresa.
• Saa ``(Immobilization)'' yi nso wobetumi ayɛ sɛ anammɔn a edi kan ama Zone 2 Jones Fracture .

Nea ɛka eyi ho ne sɛ wode mpaboa a wɔde ayɛ wo nan, mpaboa soronko, anaa mpaboa a ne nan yɛ den bɛma wo nan no ntumi nkɔ baabiara.. Eyi bɛma dompe a abubu no anya hokwan asa yiye. Ɛho behia nso sɛ wode poma di dwuma wɔ saa bere yi mu, efisɛ ɛnyɛ papa sɛ wode mu duru bɛto nan no so. Mpɛn pii no ɛsɛ sɛ woma ɛyɛ nea entumi nkɔ baabiara bɛyɛ adapɛn asia kosi awotwe .

2. Oprehyɛn a wɔyɛ

Wɔ tebea horow bi mu no, oprehyɛn ho hia. Eyinom bi ne:

• Sɛ wo nnompe asinasin no tu bɛboro milimita 3 (`displaced`) .
• Sɛ woyɛ elite athlete ( efisɛ wopɛ sɛ wo ho tɔ wo ntɛm na wosan kɔ agumadi mu).
• Sɛ Zone 2 Jones Fracture no ntumi nyɛ ayaresa a wɔhwɛ kwan sɛ wɔmfa nkɔ baabiara no a.
• Wɔtaa kamfo oprehyɛn kyerɛ wɔ Zone 3 (`Zone 3 Mid-shaft anaa Dancer's Fracture`) .

Wɔ saa oprehyɛn yi mu no, nan ne nansoaa ho oprehyɛn (Foot and Ankle Surgeon) de pin, skru, poma, anaa mprɛte ketewaa bi hyɛ dompe no mu de kura dompe a abubu no mu. Mpɛn pii no, saa nneɛma a wɔde hyɛ nipadua no mu yi kɔ so tra nipadua no mu bere a dompe no asa mpo na wɔntaa nyi mfi hɔ.

Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ woyi dompe a asɛe a atwa baabi a abubu no ho ahyia no na wɔde dompe a wɔde ahyɛ mu si ananmu . Eyi hwehwɛ sɛ wode dompe bi a efi wo nipadua no fã foforo anaa baabi foforo besi dompe a asɛe no ananmu. Wubetumi nso de afiri bi a wɔfrɛ no bone healing stimulator , a ɛboa ma dompe no sa ntɛmntɛm bedi dwuma.

So nsɛnnennen betumi aba wɔ ayaresa akyi?

Sɛnea ɛte wɔ aduruyɛ biara mu no, nsɛnnennen bi betumi aba bere a wɔasa `(5th Metatarsal Fracture)` akyi. Nanso, eyinom mma obiara mu, na ɛsono onipa biara. Nsɛnnennen a ɛtaa ba no bi ne:

• Mogya a ɛtɔ : Titiriw wɔ oprehyɛn akyi efisɛ nan no ntumi nkɔ baabiara.
• Mogya ntini anaa ntini a ɛsɛe : Eyi betumi asi bere a wɔreyɛ oprehyɛn anaasɛ akwanhyia bi.
• Mogya a ɛtɔ dodo .
• Infection : Titiriw sɛ wɔyɛ wo oprehyɛn a.
• Ntini a ɛyɛ mmerɛw : Ntini betumi ayɛ mmerɛw esiane sɛ wɔmfa nni dwuma nti.
• Nonunion anaa Malunion : Ɛtɔ mmere bi a, nnompe asinasin a abubu no renhyia yiye anaasɛ ebetumi ahyia wɔ ɔkwan a ɛnteɛ so.
• Ɛyaw a ɛkɔ so daa (`Ɛyaw`) .

Nea ɛho hia: Nea ɛbɛyɛ na asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen te sɛ eyinom so atew no, ɛho hia yiye sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Mɛyɛ dɛn ahwɛ me ho akosi sɛ me ho bɛtɔ me? Mɛyɛ dɛn atumi adi me yare no ho sɛnkyerɛnne ahorow ho dwuma?

Wubetumi ayɛ saa nneɛma yi de aboa wo ma wo ho atɔ wo ntɛmntɛm na woate ɛyaw so:

• Wo nan a wobɛma so sɛnea wubetumi: Sɛ wote ase a, fa wo nan si pillow anaa nkongua so sɛnea ɛbɛyɛ a ɛbɛboro wo koma so kakra. Eyi bɛma akisikuru so atew.
• Icing wo nan: Fa ice pack a wɔde ntama abɔ mu gu baabi a woapira no simma 15-20 mpɛn pii da biara wɔ nnɔnhwerew 24-48 a edi kan wɔ opira no akyi ne ɛno akyi. Eyi bɛma ɛyaw ne ɔfe nyinaa so atew. Nanso mfa nsukyenee nhyɛ honam ani tẽẽ.
• Mfa mu duru nhyɛ wo nan so kosi sɛ wo duruyɛfo bɛka akyerɛ wo sɛ (`Keeping weight off your foot`): Sɛ wode poma di dwuma a, fa di dwuma yiye.
• Sɛ wonom sigaret a, gyae (`Sigaretnom a wubegyae`): Sigaretnom ne tawa nneɛma a wode di dwuma no kyɛ akuru no ayaresa ase. Enti, saa su yi a wubegyae no bɛboa kɛse ma wɔasa yare ntɛmntɛm.
• Ɛyaw nnuru a wobɛnom: Fa nnuru a wɔde kum ɛyaw a wo duruyɛfo akyerɛw ama wo, te sɛ ibuprofen anaa naproxen, sɛnea wɔakyerɛ no. Eyinom betumi aboa ma wɔadi ɛyaw so wɔ mfiase no. Nanso, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa aduru a ɛfata wo ho.

So wobetumi atew asiane a ɛwɔ akisikuru a ɛte sɛɛ mu no so?

Ɛwom sɛ wontumi nsiw ano koraa de, nanso nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Kura wo nipadua mu duru a ɛfata mu: Sɛ woyɛ kɛse boro so a, ɛde nhyɛso kɛse ba wo nan so.
• Sɛ wowɔ asikreyare a, di so yiye: Nnipa a wɔwɔ asikreyare no wɔ asiane kɛse mu sɛ wobebubu ne nsɛnnennen a ɛka ho no. Nnipa a wɔayɛ kɛse mmoroso nso wɔ asiane kɛse mu.
• Hyɛ mpaboa a ɛfata yiye: Hyɛ mpaboa a ɛboa wo nan yiye, titiriw bere a woredi agumadi anaa woreyɛ adwuma no.
• Di apɔw-mu-teɛteɛ ho akwan a ɛfata akyi: Mfi ase nteɛteɛ w’apɔw mu denneennen prɛko pɛ, na mmom ma ahoɔden no nkɔ soro nkakrankakra.
• Ma w’adwene nkɔ nneɛma a atwa yɛn ho ahyia so: Ma w’adwene nkɔ mmeae a ɛyɛ hwerɛma wɔ fie ne adwumam, na ma w’adwene nkɔ ntokuru a ɛwɔ kwan so no so.

Sɛ mepaapae te sɛ eyi a, dɛn na metumi ahwɛ kwan?

Sɛ wɔde ɔkwan a wɔfa so ma obi ntumi nkɔ baabiara (plaster) saa wo abubuw no yare a, mpɛn pii no wubetumi ahwɛ kwan sɛ ɛbɛsa wɔ bɛyɛ adapɛn asia kosi awotwe mu .

Sɛ wɔayɛ wo oprehyɛn a, ebetumi adi bɛyɛ adapɛn ason anaa nea ɛboro saa kakra ansa na asa. Nanso, ɛmfa ho ayaresa no, ɛho behia sɛ wokwati sɛ wode mu duru bɛto wo nan so anyɛ yiye koraa no adapɛn asia .

Bere a ne ho atɔ no koraa akyi, kyerɛ sɛ, mpɛn pii noAsram abiɛsa kosi anan akyi no, wubetumi asan akɔ wo dwumadi ne agumadi a wotaa yɛ no so. Nanso ɛsɛ sɛ wɔyɛ ɛno nso bere a oduruyɛfo no pene so. Ebia oduruyɛfo no bɛkamfo apɔw-mu-teɛteɛ ayaresa a ɛbɛma wo nan no atumi asan atumi akɔ baabiara na ayɛ den. Saa apɔw-mu-teɛteɛ yi a wobɛyɛ no yiye no ho hia yiye na ama obi ho atɔ no ntɛmntɛm.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Sɛ wufi ayaresa a wosan kɔ fie a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn ntɛm ara sɛ wo ho yɛ wo hyew anaasɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa wɔ wo nan mu a:

• Sɛ ɛyaw no bɛyɛ nea wontumi nnyina ano (`Ɛyaw a ɛkɔ soro`) .
• Sɛ ɔfe no rekɔ soro a (`Nhohoro a ɛkɔ soro`) .
• Sɛ wote nka sɛ wo nan ho ayɛ wo yaw anaasɛ wo ho ayɛ wo yaw a .
• Sɛ wo nan ho were reyɛ kɔkɔɔ , anaasɛ sɛ wote nka sɛ awɔw ayɛ wo sen sɛnea wotaa yɛ a.
• Sɛ akisikuru bi fi kuru no mu, anaasɛ hua bɔne bi wɔ hɔ (sɛ wɔayɛ wo oprehyɛn a).

Nsɛnkyerɛnne a ɛte sɛ eyinom kyerɛ sɛ ebia ɔhaw bi wɔ hɔ. Enti, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, enti mewɔ anidaso sɛ seesei woanya ntease pa wɔ 5th Metatarsal Fracture a yɛkaa ho asɛm nnɛ no ho.

Ɛwom sɛ eyi yɛ tebea a abu so sen sɛnea ebia wubesusuw de, nanso sɛ wunya yare no yiye, wonya ayaresa a ɛfata, di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ, na wugye w’ahome pii a, wobetumi asa no ntɛm.

Nea ɛho hia sen biara ne sɛ, sɛ wo nansoaa ketewa no yɛ wo yaw, wohoro, anaasɛ ɛyɛ den sɛ wobɛnantew a , wobɛkɔ oduruyɛfo nkyɛn ntɛm ara . Saa kwan no so no, wubetumi ahu nea ɛyɛ ɔhaw no ntɛm, ayɛ X-ray sɛ ɛho hia a, na woafi ase ayɛ ayaresa a ɛfata. Saa kwan no so no, wubetumi asan akɔ wo dwumadi ahorow a wotaa yɛ no so ntɛm!

` Abubuw, Nan mu Ɛyaw, Metatarsal, Jones Abubu, Avulsion Abubu, Nan mu Yare, Ankle Sprain