Momma yensua Hill-Sachs Lesion a ɛba bere a mmati no atutu no ho ade pɛpɛɛpɛ!

Ebia woate sɛ obi reka sɛ ne mmati bubui, ontumi mma ne nsa so, na wɔte ɛyaw a emu yɛ den mu, ɛnte saa? Ebia saa na ɛtoo wo nso. Sɛ mmati bi tu, a ɛkyerɛ sɛ mmati no fã a ɛte sɛ bɔɔl no fi hɔ a, nnompe a ɛwɔ yɛn mmati mu no nso betumi asɛe. Ɛno ne nea saa `Hill-Sachs Lesion` (a wɔsan frɛ no Hill-Sachs lesion) yi yɛ. Momma yɛnka eyi ho asɛm tiawa na emu nna hɔ.

Dɛn ne saa `Hill-Sachs Lesion` yi?

Sɛ yɛbɛka no tiawa a, Hill-Sachs Lesion yɛ akisikuru anaa akuru ketewaa bi a ɛba wo nsa atifi dompe no atifi (dompe tenten a ɛwɔ abasa no atifi a ɛne mmati no di nkitaho - humerus), titiriw wɔ ne fã a ɛte sɛ bɔɔl (humeral ti no). Fa no sɛ sɛ woto wo mmati a, ɔfã a ɛte sɛ bɔɔl yi de ne ho petepete wo mmati nkwaa (glenoid socket) no so denneennen. Ɛno ne bere a wɔbubu dompe yi fã ketewaa bi na ɛyɛ abon ketewaa bi. Ɛte sɛ akuru ketewaa bi bere a apɔw-mu-teɛteɛ hwe fam no.

Hena na ɛda adi kɛse sɛ obenya saa `Hill-Sachs Lesion` yi?

Nokwarem no, obiara a obetumi atutu ne mmati no wɔ asiane mu sɛ obenya saa `Hill-Sachs Lesion` yi. Nea enti a ɛte saa ne sɛ ɛba bere a mmati no tu wɔ akwanhyia anaa asehwe mu no. Nanso, wɔ nnipa binom fam no, asiane yi dɔɔso kakra.

• Wɔ agumadifo fam: Titiriw wɔn a wɔbɔ contact sports, sɛ nhwɛso no rugby, bɔɔlbɔ, akuturukubɔ.
• Wɔ mmarima fam no: Wɔka sɛ mmarima betumi anya mmati mu akisikuru bɛboro mmea mmɔho abien.
• Wɔ mmerante ne mmabaa a wɔadi fi mfe 15 kosi 30 fam no: Nnipa a wɔwɔ saa mfe yi mu no taa de wɔn ho hyɛ akwanhyia mu efisɛ wɔyɛ nnam paa.
• Wɔn a wɔn mmati atutu pɛn no fam no: Sɛ wutu wo mmati pɛ a, ɛda adi sɛ wobɛsan atu bio. Eyi betumi ama `Hill-Sachs Lesion` aba.

Saa tebea yi abu so dɛn?

Sɛnea Amerika akontaabu kyerɛ no, nnipa bɛyɛ 10 wɔ mpem ɔha biara mu na wɔn mmati tu fi wɔn ho afe biara. Ɛno kyerɛ sɛ ɛnto obiara. Nanso, sɛ wopae wo mmati a, sɛnea ɛbɛyɛ yiye sɛ wubenya `Hill-Sachs Lesion` no yɛ kɛse. Nhwehwɛmu bi kyerɛ sɛ nnipa a wɔn mmati tu no mu 40% kosi 90% benya saa opira yi. Ɛno kyerɛ sɛ sɛ wopae wo mmati a, ɛsɛ sɛ wususuw eyi nso ho.

Ɔkwan bɛn so na saa `Hill-Sachs Lesion` yi ka wo nipadua?

Mpɛn pii no, `Hill-Sachs Lesion` nkutoo nnya nkɛntɛnso kɛse. Ɛne sɛ, ɛyaw a efi mmati a ɛtwetwe ne nsa a ontumi nkɔ baabiara no ne sɛnkyerɛnne atitiriw. Nanso, sɛ saa `Hill-Sachs Lesion` yi wɔ hɔ a, saa sɛnkyerɛnne ahorow no betumi ayɛ kɛse kakra . Ebia ɛyaw no mu bɛyɛ den kɛse, na ɛbɛyɛ den sɛ wobɛkanyan abasa no.

Ade foforo ne sɛ saa `Hill-Sachs Lesion` yi betumi agye bere kakra ansa na wo mmati asa. Afei nso, dodow a akuru no yɛ kɛse no, dodow no ara na ɛda adi sɛ wobɛsan atutu wo mmati bio daakye. Bere kɔ so no, ntini mu yare a ɛwɔ saa mmati nkwaa no mu betumi aba.Afei nso, ebetumi aba sɛ obi anya mmati mu ntini mu yare, a ɛkyerɛ sɛ nkwaa no asɛe.

Dɛn ne Hill-Sachs Lesion ho sɛnkyerɛnne ahorow?

`Hill-Sachs Lesion` ho sɛnkyerɛnne no ne nea ɛwɔ mmati a abubu mu no yɛ pɛ titiriw. Nanso, sɛnea madi kan aka no, sɛ wowɔ saa `akuru` yi a, ebia sɛnkyerɛnne no bɛyɛ kɛse kakra.

• Ɛyaw a emu yɛ den yiye a wɔte nka .
• Mete mmerɛwyɛ nka wɔ me nsam.
• Mintumi ntutu me nsa.
• Mmati no hwɛ soronko , a enni baabi a na ɛwɔ (te sɛ nea apuepue).
• Ɔhonhon ba.
• Ebia wubehu akuru anaa honam ani kɔla a ɛsakra.
• Ntini a ɛyɛ mmerɛw .
• Ebia wobɛte nka sɛ wo nsa , wo nsateaa, anaa wo nsateaa ayɛ mmerɛw, wo ho ayɛ wo yaw , anaa wo ho ayɛ wo mmerɛw .

Nea ɛho hia: Sɛ wususuw sɛ wo mmati atutu, anaasɛ woanya akwanhyia kɛse wɔ wo mmati so a, kɔ ayaresabea dan a ɛbɛn wo a wɔhwɛ ntɛmpɛ so ntɛm ara. Mma nntwentwɛn wo nan ase, efisɛ ɛho hia yiye sɛ wubenya ayaresa ntɛm.

Dɛn na ɛde saa `Hill-Sachs Lesion` yi ba?

Nea ɛde ba titiriw ne mmati a ɛtwetwe .

Susuw ho saa kwan yi so: yɛn mmati nkwaa yɛ `bɔl-ne-socket nkwaa`. Ɔfã a ɛte sɛ bɔɔl a ɛwɔ wo nsa atifi dompe (`Humerus`) atifi no taa wɔ `socket` a ɛwɔ mmati dompe (`Scapula`) no mu.

Afei, sɛ wo mmati puw kɔ w’anim (kyerɛ sɛ, efi wo nipadua anim) a, abasa no atifi dompe no fã a ɛte sɛ bɔɔl, socket no, betumi akɔhyɛ socket no mu na apete. Saa nhyɛso no ma ɔfã a ɛte sɛ bɔɔl no yɛ akuru na ɛyɛ `dent`. Wɔfrɛ eyi `Hill-Sachs Lesion`.

Nneɛma atitiriw a ɛma wɔtwe wɔn mmati ne:

• Agumadi mu opira - Susuw sɛ wobɛhwe ase bere a worebɔ rugby, anaasɛ wobɛkɔ nsu ase bere a worebɔ kriket.
• Ahwease - Wei betumi aba denam asehwe a wohwe fam anaase antweri so ara kwa so.
• Kar akwanhyia - Saa akwanhyia ahorow yi nso tumi ma obi pira mmati.

Ɔkwan bɛn so na nnuruyɛfo hu `Hill-Sachs Lesion`?

Sɛ wokɔ oduruyɛfo nkyɛn a wo mmati atutu a, wɔbɛhwɛ sɛ Hill-Sachs Lesion bi wɔ hɔ bere a wɔreyɛ wo nhwehwɛmu no.

Nea edi kan no, oduruyɛfo no bɛyɛ wo nsa ne wo mmati ho nipadua mu nhwehwɛmu . Wɔbɛhwehwɛ mmeae a ɛyɛ yaw, ɛho wosow, ne sɛ ebia wubetumi atutu wo nsa anaa. Afei, ebia wɔbɛyɛ mfoninitwa sɔhwɛ ahorow bi de ahu nea ɛrekɔ so wɔ mu no pɛpɛɛpɛ.

Wɔne:

• X-ray nhwehwɛmu a wɔyɛ(`X-rays`): Eyi betumi aboa ma wɔahwɛ baabi a nnompe no wɔ, abubuw, ne nea ɛkeka ho Ɛtɔ mmere bi a wobetumi ahu `Hill-Sachs Lesion` mpo wɔ `X-ray` so.
• MRI (Magnetic Resonance Imaging) scan: Eyi betumi ama wɔahu ntini a ɛyɛ mmerɛw te sɛ ntini, ntini, ntini, ne nnompe no yiye. MRI ho hia yiye na ama wɔahu Hill-Sachs Akuru no kɛse ne ne mu dɔ pɔtee.
• CT (Computed Tomography) scan: Eyi nso betumi ama woanya nnompe no ho nsɛm a ɛkɔ akyiri yiye. Ɛtɔ mmere bi a wɔde CT scan di dwuma bere a wɔreyɛ oprehyɛn ho nhyehyɛe no.

Saa mfonini ahorow yi tumi hu baabi a nnompe no apirapira no ne ne kɛse pefee, na ɛno boa kɛse wɔ ayaresa ho nhyehyɛe a wɔyɛ mu.

Ɔkwan bɛn so na wɔsa Hill-Sachs Lesion?

Ayaresa ko a wuhia no gyina sɛnea Hill-Sachs Lesion no kodu, kyerɛ sɛ, sɛnea dompe no asɛe no so.

Mpɛn pii no, sɛ akisikuru ti no nnu 20% bubu a, ɛho nhia sɛ wɔde sa yare titiriw biara. Wɔde ayaresa a wɔtaa de sa mmati a abubu no di dwuma.

Ayaresa a ɛnyɛ oprehyɛn

1. Ntetew a wɔatoto mu:

Eyi ne ade a ɛho hia sen biara. Ɛkyerɛ sɛ wobɛsan de wo mmati akɔ baabi a na ɛwɔ, wɔ socket no mu. Eyi nyɛ oprehyɛn. Oduruyɛfo no bɛkura wo mmati mu afi akyi, atwe no akɔ ɔkwan pa so, na wapia no asan akɔ mu Bere a woreyɛ eyi no, ebia wɔbɛma wo aduru bi a ɛma wo ho yɛ wo hyew (aduru a ɛma wo ho yɛ wo yaw nkutoo) na ama ɛyaw no so atew, anaasɛ wɔbɛma wo nnuru bi a ɛma wo ho dwo wo (nnuru a ɛma wo ho dwo wo kakra).

2. Nneɛma a wɔmma ɛnkɔ baabiara:

Sɛ wɔsan de mmati no si baabi a, ebia ebehia sɛ wohyɛ ahama anaa ahama na ama akɔ so atra nea ɛwɔ hɔ. Wɔfrɛ eyi sɛ immobilization. Eyi ma mmati a apira no gye n’ahome na ɛboa ma ɛsa.

Ebia oduruyɛfo no bɛka akyerɛ wo sɛ fa nsukyenee gu so mpɛn pii da biara. Ebia ɔbɛka akyerɛ wo nso sɛ yɛ apɔw-mu-teɛteɛ bi na amma wo mmati anyɛ den anaasɛ ɛnnyɛ nwini (nwini). Bisa wo duruyɛfo bere tenten a ɛsɛ sɛ wohyɛ agyan no ne apɔw-mu-teɛteɛ dodow a ɛsɛ sɛ woyɛ. Ɛsɛ sɛ nnipa dodow no ara ma wɔn mmati ntumi nkɔ baabiara adapɛn kakraa bi.

3. Apɔw-mu-teɛteɛ:

Bere a wo mmati resa nkakrankakra no, san nya n’ahoɔden na woatumi akanyan no yiye.Apɔw-mu-teɛteɛ befi ase. Nea edi kan no, wobɛyɛ nneɛma nketenkete a wobɛtrɛw mu na ama wo mmati no ayɛ mmerɛw na ayɛ den. Afei, wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔbenfo de ahoɔden apɔw-mu-teɛteɛ bɛka ho de ahyɛ wo ntini ne wo ntini mu den. Eyi nso bɛboa ma asiane a ɛwɔ hɔ sɛ daakye obi bɛpaapae no so atew. Ɛho behia sɛ nnipa pii yɛ apɔw-mu-teɛteɛ asram pii bere a wɔn ho ayɛ wɔn hyew akyi.

Oprehyɛn a wɔyɛ ma Hill-Sachs Lesion

Sɛ `Hill-Sachs Lesion`, kyerɛ sɛ, dompe a akuru no, kata abasa a ɛwɔ soro dompe (`humerus ti`) no fã a ɛte sɛ bɔɔl no bɛboro 20% , a ɛkyerɛ sɛ akuru no yɛ kɛse a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie.

Oprehyɛn ahorow pii wɔ hɔ a wɔtaa yɛ:

• Remplissage procedure: Eyi hwehwɛ sɛ wɔde ntini a ɛyɛ mmerɛw a ɛbɛn hɔ bɛhyɛ baabi a ɛte sɛ amoa a Hill-Sachs akuru agyaw no ma. Mpɛn pii no, wɔde capsule ne tendon a ɛbɛn mmati a apira no no di dwuma ma eyi.
• Nnompe a wɔde hyɛ mu: Wɔ saa adeyɛ yi mu no, oduruyɛfo no fa nnompe mu ntini foforo na ɔde kɔ baabi a asɛe no de siesie. Ɛtɔ mmere bi a wɔfrɛ eyi sɛ nnompe a wɔma ɛyɛ kɛse.
• Mmati a wɔde besi ananmu: Sɛ akisikuru, scapula (mmati mu ntini), ne ntini afoforo a ɛwɔ mmati no mu asɛe kɛse a, ebia ɛho behia sɛ wɔsesa mmati no. Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no yi mmati no afã horow a asɛe no na ɔde afiri a wɔde yɛ nipadua no si ananmu.

Bere tenten ahe na egye ansa na asa?

Mpɛn pii no, egye asram pii ansa na obi ho atɔ no wɔ Hill-Sachs Lesion ho. Ɛho behia sɛ wɔma wo mmati ntumi nkɔ baabiara adapɛn pii, na wɔde asram pii ayɛ nipadua mu ayaresa.

Bere tenten a egye ansa na wo kuru no ayɛ yiye no gyina nneɛma pii so:

• Sɛnea opira no sii (te sɛ asehwe anaa agumadi mu akwanhyia).
• Sɛ́ ebia apirakuru afoforo anaasɛ asɛe wɔ mmati no mu (te sɛ ntini a atetew anaasɛ labrum a asɛe).
• Ayaresa bɛn na na wuhia, anaasɛ sɛ ɛsɛ sɛ wɔyɛ wo oprehyɛn a ?

Wo duruyɛfo anaa oduruyɛfo a ɔyɛ oprehyɛn bɛma wo bere pɔtee bi a wode bɛsan atɔ wo wɔ wo pira no ho, enti mma ɛnhaw wo.

So wobetumi asiw saa `Hill-Sachs Lesion` yi ano?

Esiane sɛ mmati a ɛpaapae dodow no ara fi nsɛm a esisi mpofirim te sɛ asehwe ne agumadi mu akwanhyia nti, nokwarem no, biribiara nni hɔ a wobetumi ayɛ pɔtee de asiw `Hill-Sachs Lesion` yi ano.

Nanso, ɛyɛ papa sɛ wubedi ahobammɔ ho afotu a ɛfa nneɛma nyinaa ho yi akyi na ama akwanhyia ho asiane so atew:

• Bere nyinaa hyɛ ahobammɔ bɛlt bere a wote kar mu no.
• Hyɛ ahobammɔ nnwinnade a ɛfata bere a woreyɛ dwumadi ne agumadi biara.(e.g. dade kyɛw, mmati so ntama).
• Ma wo fie ne w’adwumam nyɛ fɛ na nneɛma a ebetumi ama wo anaa afoforo ahwe ase nni hɔ. Hwɛ yiye wɔ nneɛma a ɛyɛ hwerɛma ho.
• Sɛ worefa biribi afi soro a, fa adwinnade anaa afiri bi a wɔayɛ ama atirimpɔw no pɔtee di dwuma bere nyinaa. Mforo nkongua anaa apon 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.

Dɛn na wobɛhwɛ kwan wɔ `Hill-Sachs Lesion` ho?

Nnipa dodow no ara ho tɔ wɔn koraa wɔ opira bi mu. Sɛ wɔyɛ wo oprehyɛn mpo a, ɛsɛ sɛ wutumi san kɔ wo dwumadi ne agumadi a wotaa yɛ no mu dodow no ara so bere a wo mmati ayɛ yiye no.

Nanso, sɛ wutu wo mmati pɛ a, ɛda adi kɛse sɛ wubepira bio. Nhwehwɛmu ahorow bi ada no adi sɛ agumadifo a wonnii mfe 25 a wɔpaapae wɔn mmati wɔ contact agumadi mu no mu bɛboro 90% bɛsan apira mmati koro no ara daakye.

Enti, ansa na wobɛsan afi apɔw-mu-teɛteɛ biara ase – titiriw agumadi a wo ne no di nkitaho – ne wo duruyɛfo anaa oprehyɛn ho ɔbenfo nkasa. Wobetumi akyerɛkyerɛ nea ɛsɛ sɛ wɔhwɛ kwan ne sɛnea wobesiw daakye a wɔbɛtwetwe wɔn ho ano mu. Apɔw-mu-teɛteɛ a ɛfata nso betumi atew asiane yi so.

So merentumi nkɔ adwuma anaa sukuu kosi sɛ me ho bɛtɔ me?

Sɛ wuntumi nyɛ w’adwuma anaa sukuu adwuma a wuntumi ntutu wo nsa bere a wo mmati ntumi nkɔ a, ebia worentumi nkɔ adwuma anaa sukuu. Wo duruyɛfo bɛkyerɛ wo kankyee ne gyinabea ahorow a ɛsɛ sɛ wokwati kosi sɛ wo ho bɛtɔ wo. Di saa akwankyerɛ ahorow no akyi yiye.

Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ?

Sɛ woanya akwanhyia kɛse (trauma) , kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara.

Sɛ wususuw sɛ wo mmati atutu a:

• Kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ anaa frɛ 1990.
• Mma nnhinhim wo nsa. Ma ɛnbɛn wo nipadua.
• Mmɔ mmɔden sɛ w’ankasa wobɛsan de wo mmati asi baabi foforo. Mma obi foforo biara nyɛ oduruyɛfo. Sɛ obi a ɔnyɛ oduruyɛfo titiriw bɔ mmɔden sɛ ɔbɛsan de wo mmati asi baabi foforo a, wubetumi asɛe mogya ntini, ntini, ntini, ne ntini ahorow.
• Fa nsukyenee a wɔde ahyɛ mu gu baabi a apira no. Eyi bɛtew ɔfe ne ɛyaw so.
• Nnuru a wɔde kum ɛyaw (e.g. paracetamol, anaa `NSAIDs` - Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa, sɛnea wo duruyɛfo akyerɛw ama wo no) betumi aboa ma ɛyaw ne sɛnkyerɛnne afoforo so atew. Nanso, nnom nsen dodow a wɔkamfo kyerɛ no.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wowɔ tebea a ɛte sɛɛ a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo no nea edidi so yi ho asɛm:

• So ɛsɛ sɛ wɔyɛ me oprehyɛn de siesie me Hill-Sachs Lesion no? Sɛ saa a, ɛnde dɛn?
• Bere tenten ahe na ɛsɛ sɛ mema me nsa nkɔ baabiara?
• Bere bɛn na ɛsɛ sɛ mifi apɔw-mu-teɛteɛ ase? Bere tenten ahe na ebegye?
• Bere bɛn na metumi adi agumadi anaa apɔw-mu-teɛteɛ bio? Nneɛma bɛn na metumi adi kan ayɛ?
• Dɛn na metumi ayɛ na amma me mmati ammɔ bio?

Nsonsonoe bɛn na ɛwɔ `Hill-Sachs Lesion` ne `Reverse Hill-Sachs Lesion` ntam?

`Hill-Sachs Lesion` ne `Reverse Hill-Sachs Lesion` yɛ opira koro. Nsonsonoe a ɛwɔ mu ara ne wo nsa atifi dompe (`Humerus`) no fã a ɛte sɛ bɔɔl no fã bɛn na opira no wɔ .

• `Hill-Sachs Lesion` yɛ akuturuku a ɛba akyi fã (wɔ aduruyɛ mu no, `posterolateral aspect`) a ɛwɔ mmati no fã a ɛte sɛ bɔɔl no bere a wɔpia no kɔ anim fi `anim fã` no.
• `Reverse Hill-Sachs Lesion` yɛ akuturuku a ɛba wɔ anim fã (wɔ aduruyɛ mu no, `anteromedial aspect`) a ɛwɔ mmati no fã a ɛte sɛ bɔɔl no bere a wɔtow fi `akyi fã` no.

Wohu abien no nyinaa na wɔsa wɔn yare wɔ ɔkwan koro so koraa.

Nsonsonoe bɛn na ɛwɔ `Hill-Sachs Lesion` ne `Bankart Lesion` ntam?

`Hill-Sachs Lesion` ne `Bankart Lesion` yɛ opira ahorow abien a ɛbata mmati a ɛtwetwe ho. Nanso, ɛsono wɔn.

• `Hill-Sachs Lesion` yɛ nnompe a ɛyɛ mmerɛw a ɛba bere a wo mmati twetwe kɔ w’anim fi ɔfã biako kɔ ɔfã foforo (anterior glenohumeral dislocation), na ɛma abasa a ɛwɔ soro dompe (`humerus`) no ti yɛ mia, na ɛma akuru bi ba mmati no mu. Eyi kyerɛ sɛ eyi yɛ dompe no a wɔsɛe no.
• `Bankart Lesion` yɛ opira a ɛba cartilage ring a ɛbɔ ho ban a atwa mmati nkwaa ho ahyia (a wɔfrɛ no `Labrum`). `Bankart Lesion` bi yɛ nusu a ɛwɔ saa `Labrum` yi mu. Eyi betumi aba afi dislocation anaasɛ kankyee kakra (`subluxation`) mu. Sɛ mmati bi tu pɛ a, ɛda adi sɛ ɛbɛsan aba bio. Sɛ mmati no kɔ so tu anaasɛ `subluxate` a, `Labrum` no betumi asɛe bio (te sɛ `SLAP tear`).

Mmati a abubu betumi ayɛ osuahu a ɛyɛ yaw kɛse na ɛyɛ hu. Mpofirim ara a wuntumi ntutu wo nsa, te sɛ nea wo mmati nni baabi a na ɛwɔ kan no bio no yɛ ahodwiriw kɛse. Mmɔ mmɔden da sɛ wobɛ "tock" wo mmati na woasan de abom. Kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara na kɔ ayaresabea ntɛm ara sɛnea wubetumi.

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Sɛ woatutu wo mmati pɛnkoro, sɛ́ ebia wowɔ Hill-Sachs Lesion anaasɛ wunnya bi a, wowɔ asiane kɛse mu sɛ wobɛsan apira bio daakye. Enti, wo ne wo duruyɛfo nkasa bere a wo ho retɔ wo no. Saa kwan no so no, wubetumi anya nea wobɛhwɛ kwan ne sɛnea wobɛbɔ wo mmati ho ban ho adwene pa.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti momma yɛnsan nsusuw nneɛma a ɛho hia sen biara a yɛkaa ho asɛm wɔ saa `Hill-Sachs Lesion` yi mu no ho:

• Eyi ba bere a mmati bi atutu , na abasa a ɛwɔ soro dompe no fã a ɛte sɛ bɔɔl (`humerus`) no bɔ mmati no socket no, na ɛma akuru ketewaa bi a ɛte sɛ akisikuru ba dompe no so.
• Ɛwɔ sɛnkyerɛnne koro no ara a ɛte sɛ mmati a abubu, te sɛ ɛyaw a emu yɛ den, abasa a entumi nkɔ baabiara, ne ɔfe , nanso ebetumi ayɛ nea emu yɛ den kakra.
• Mpɛn pii no, wobetumi asan de mmati no asi baabi foforo, ayɛ nea entumi nkɔ baabiara, na wɔde apɔw-mu-teɛteɛ ayɛ ho adwuma a wɔnyɛ no oprehyɛn .
• Sɛ kuru no yɛ kɛse (boro dompe no 20%) a, ebia ɛho behia sɛ wɔyɛ oprehyɛn .
• Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara sɛ wo mmati tu a. Mmɔ mmɔden sɛ w’ankasa wubesiesie.
• Sɛ wopae wo mmati pɛnkoro a, ɛda adi sɛ wobɛsan atu bio. Enti, ɛho hia paa sɛ wudi nnuruyɛfo afotu akyi na woma wo mmati mu yɛ den.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo anaa awogyefo. Kɔ so nya apɔwmuden!

` Mmati a ɛpaapae, Hill-Sachs Lesion, Hill-Sachs akuru, mmati mu yaw, nnompe a ɛyɛ kurukuruwa, mmati mu ayaresa, nipadua mu ayaresa