So ɛyɛ kotodwe a ɛpaapae? (Knee Sprain) – Momma yɛnhwehwɛ nea eyi yɛ ankasa!

Ɛtɔ mmere bi a wɔ yɛn asetra mu no, akwanhyia ketewaa bi mpo betumi ama yɛn kotodwe abubu, ɛnte saa? Ebia ɛba bere a wɔredi agoru, wɔretu mmirika, wɔresian antweri, anaasɛ mpo wɔrehinhim na wɔrehwe ase kɛkɛ no. Sɛ wo kotodwe mu yɛ wo yaw, wo hohoro, na ɛyɛ den sɛ wobɛkanyan no a, ɛda adi kɛse sɛ ɛbɛyɛ wo kotodwe a abubu, kyerɛ sɛ, wo kotodwe a abubu . Enti ɛnnɛ, momma yɛnka nkotodwe a abubu yi ho asɛm.

Dɛn ne Kotodwe a Ɛtwetwe?

Sɛ yɛbɛka no tiawa a, kotodwe a ɛpaapae ne bere a ntini a ɛwɔ wo kotodwe nkwaa mu no atrɛw anaasɛ atetew. Fa no sɛ rɔba a ɛbɔ bere a wɔtwe no denneennen dodo no. Eyi ne nea ɛba pɛpɛɛpɛ.

Yɛn nkotodwe yɛ nkwaa akɛse a ɛwɔ yɛn nipadua mu no mu biako. Wɔde yɛn asen dompe, femur , bata yɛn asen dompe, tibia , ho . Saa nkotodwe yi boa yɛn ma yɛkotow, trɛw yɛn nan mu, na ɛkeka yɛn ho.

Nhama yɛ ntini a ɛyɛ den a ɛte sɛ hama a ɛkyekyere yɛn ntini ne yɛn nnompe bom. Wɔboa nso ma nkwaa ntumi nkɔ baabiara a ɛho nhia na ɛboa ma nkwaa no nkɔ ɔkwan pa so nkutoo.

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Dɛn ne nkotodwe mu akisikuru ahorow?

Nhama atitiriw anan na ɛwɔ yɛn kotodwe nkwaa mu. Eyinom ne:

• Medial Collateral Ligament (MCL): Ɛtu mmirika fa kotodwe no mu.
• Lateral Collateral Ligament (LCL): Ɛtu mmirika fa kotodwe no akyi.
• Anterior Cruciate Ligament (ACL): Ɛwɔ anim, kotodwe no mu.
• Posterior Cruciate Ligament (PCL): Ɛwɔ akyi, kotodwe no mu.

Mpɛn pii no, ntini a ɛwɔ kotodwe no afã abien no nyinaa, MCL anaa LCL, no mu paapae, na ɛkyerɛ sɛ asɛe. Nanso, saa ntini yi mu biara, ne ɛtɔ mmere bi a ntini pii, betumi abubu wɔ akwanhyia biako mu.

Nkotodwe a ɛpaapae abu so dɛn?

Nokwarem no, kotodwe yɛ yɛn nipadua mu nkwaa a ɛnyɛ den sɛ ebepira no mu biako . Saa akisikuru yi nso abu so kɛse, titiriw wɔ agumadifo mu.

Dɛn ne kotodwe a abubu ho sɛnkyerɛnne?

Eyinom ne sɛnkyerɛnne ahorow a ɛtaa ba wɔ kotodwe a abubu ho:

• Kotodwe mu yaw: Ɛyaw betumi aba, titiriw wɔ kotodwe no afã abien no nyinaa. Saa ɛyaw yi betumi ayɛ kɛse bere a wɔde kotodwe no tu anaa wɔde di dwuma no.
• Rehono:Kotodwe no ahonhon.
• Ɛntumi nnyina pintinn: Ebia kotodwe no bɛte nka sɛ wayɛ mmerɛw, ɛrentumi nni ne kankyee so, anaasɛ ɛbɛma kwan. Nnipa binom mpo ka sɛ ɛte sɛ nea "kotodwe no awu."
• Nkotodwe a ɛso tew: Ɛyɛ den sɛ wobɛkotow anaa wobɛteɛteɛ kotodwe no sɛnea ɛsɛ, na ɛma ɛyɛ yaw bere a woreyɛ saa no.

Fa no sɛ wosesaa wo kwan mpofirim bere a worebɔ kriket na wokyinkyim wo kotodwe. Sɛ ɛba saa a, mpofirim ara wote nnyigyei bi a "ɛpaapae", wo kotodwe fi ase yɛ wo yaw, na afei ɛho ahonhon bere tiaa bi akyi, ebetumi ayɛ akisikuru.

Dɛn na ɛde nkotodwe a ɛpaapae ba?

Sɛ yɛbɛka no tiawa a, nkotodwe no betumi abubu bere a wɔhyɛ kotodwe no ma ɛboro ne kankyee a ɛfata so no. Eyi betumi asi wɔ ɔkwan biara so. Sɛ nhwɛso no, sɛ wɔhyɛ kotodwe no ma ɔkotow, trɛw, anaa ɛkyinkyim dodo fi ɔfã biako kɔ ɔfã foforo a, ebetumi abubu.

Nneɛma a ɛtaa ma nkotodwe mu paapae ne:

• Agumadi mu akwanhyia: Eyi ne ade titiriw a ɛde ba. Asiane yi dɔɔso wɔ agumadi a ɛfa mmirikatu, ahuruhuruw, gyinabea mpofirim, ne ɔkwan a wɔsakra ho no mu.
• Ahwease: Sɛ wohintiw na wohwe ase bere a wonam sɛnea ɛsɛ mpo a, wubetumi akɔ so abubu wo kotodwe.
• Apirakuru a Wɔyɛ no Mpɛn pii: Saa opira yi betumi afi kotodwe a wɔde di dwuma boro so bere a wɔretete no, anaasɛ wɔde nan ne nkotodwe a wɔde di dwuma daa wɔ ɔkwan koro no ara so de yɛ adwuma, agumadi, anaa anigyede ahorow mu.

Asiane ahorow a ɛde kotodwe a ɛpaapae ba

Ɛwom sɛ obiara betumi abubu ne kotodwe de, nanso agumadifo ne nnipa a wɔyɛ apɔw-mu-teɛteɛ adwuma no wɔ asiane kɛse mu. Saa asiane yi yɛ kɛse titiriw ma wɔn a wodi agumadi a ɛhwehwɛ sɛ wogyina mpofirim, kyinkyin, na wɔsakra wɔn kwan. Nhwɛsoɔ:

• Bɔɔlobɔ
• Basketball a wɔbɔ no
• Rugby a wɔbɔ
• Tennis a wɔbɔ
• Ski a wɔde tu mmirika
• Agodie te sɛ ice hockey.

Yɛn apɔw-mu-teɛteɛ nso betumi aka eyi:

• Apɔw-mu-teɛteɛ dodow anaa ahoɔden a ɛkɔ soro mpofirim.
• Agumadi foforo anaa apɔw-mu-teɛteɛ a wubefi ase a wunni nnwinnade anaa ntetee a ɛfata (sɛ nhwɛso no, apɔw-mu-teɛteɛ a wogyina hɔ a ɛnteɛ, anaasɛ agumadi a ɛkanyan kɛse a wubefi ase ansa na woasua sɛnea wobedi agoru dwoodwoo).
• Agumadi a ɛde nhyɛso ba nkotodwe nkwaa so afe mũ no nyinaa, a wonnya ahomegye biara nni.

Ɔkwan bɛn so na wobehu kotodwe a abubu?

Oduruyɛfo bi bɛfa nipadua mu nhwehwɛmu so ahu sɛ obi kotodwe abubu . Wo duruyɛfo bɛhwɛ kotodwe a apira no mu na wahwɛ sɛnea etumi keka (ebia mpo ɔde bɛtoto wo kotodwe foforo a enpirae no ho).

Ɛsɛ sɛ woka kyerɛ wo duruyɛfo bere a edi kan a wotee yare no ho sɛnkyerɛnne no, titiriw sɛ wunim ɔkwan pɔtee a akwanhyia no sii ne nea ɛde bae a.

Nhwehwɛmu bɛn na nnuruyɛfo de hu nyarewa?

Bere a woreyɛ nipadua mu nhwehwɛmu no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ ayaresabea nhwehwɛmu titiriw bi . Eyinom yɛ nipadua mu kankyee anaa sɛnea wogyina hɔ. Eyinom betumi aboa ma wɔahu sɛ ebia opira ahorow afoforo wɔ hɔ anaa. Ɛho nhia sɛ wɔde nnwinnade titiriw biara ayɛ saa sɔhwɛ ahorow yi. Oduruyɛfo no bɛka akyerɛ wo sɛ da fam, tena ase, anaa gyina baabi pɔtee bi, na afei woatutu wo kotodwe.

Nea ɛka ho no, wobetumi de mfoninitwa nhwehwɛmu adi dwuma de atwa kotodwe nkwaa ne ntini a atwa ho ahyia no mfonini. Nhwɛsoɔ:

• Nkotodwe X-ray a wɔyɛ
• Ultrasound a wɔde yɛ nneɛma
• Magnetic Resonance Imaging (MRI) a Wɔde Yɛ Nneɛma a Wɔde Yɛ Adwuma (MRI) .

Nkotodwe mu Akisikuru Grades

Nnuruyɛfo gyina sɛnea ntini a asɛe no kodu so na ɛkyekyɛ nkotodwe mu akisikuru mu:

• Grade 1 Sprain (Mild): Nhama no mu trɛw anaasɛ ɛtetew kakra. Anaasɛ ebia wɔbɛtrɛw mu ara kwa a ntetewmu biara. Eyi ne ɔfã a ɛyɛ mmerɛw sen biara .
• Grade 2 Sprain - Moderate: Nhama no fã bi atetew, nanso ɛntetew koraa. Eyi yɛ ɔfã a ɛkɔ fam .
• Grade 3 Sprain - Severe: Nhama no mu atetew koraa, a ɛkyerɛ sɛ abubu. Wɔtaa frɛ saa Grade 3 akisikuru yi Ligament Tears . Eyi yɛ tebea a emu yɛ den .

Dɛn ne ayaresa ahorow a wɔde sa nkotodwe a ɛyɛ mmerɛw?

Mpɛn pii no, wobetumi adi kotodwe a abubu ho sɛnkyerɛnne ahorow ho dwuma wɔ fie. Nanso, ɛho hia sɛ wudi kan kɔ oduruyɛfo nkyɛn na ama woahu opira no yiye na woahwɛ ahu sɛ biribiara nsɛe kotodwe no mu.

Ayaresa a wɔtaa de sa nkotodwe a ɛyɛ mmerɛw ne RICE kwan no :

• R - Ahomegye: Kwati dwumadie a emaa opira no. Bɔ mmɔden sɛ woremfa kotodwe no nni dwuma kosi sɛ ɛbɛsa.
• I - Ice: Fa ice pack gu wo kotodwe so bɛyɛ simma 15 mpɛn pii da biara. Fa ntama a ɛyɛ tratraa anaa mpopaho kyekyere nsukyenee no ho, na mma ɛnka wo honam ani tẽẽ.
• C - Compression: Fa elastic bandage kyekyere wo kotodwe ho na aboa ma wo ho atew. Wo duruyɛfo bɛkyerɛ wo sɛnea wobɛyɛ eyi dwoodwoo.
• E - Elevation: Ma wo nkotodwe nkɔ soro sɛnea ɛbɛyɛ yiye biara. Fa wo nan si pillow so bere a woada fam no.

Nnuru a wɔde kum ɛyaw a efi NSAID (Non-Steroidal Anti-Inflammatory Drugs) kuw no mu, te sɛ Aspirin anaa Ibuprofen, de tew ɛyaw ne ɔfe so.Yiw, wubetumi de paracetamol (Acetaminophen) adi dwuma. Wo ne oduruyɛfo nkasa ansa na woanom nnuru a wɔde kum ɛyaw yi bɛboro nnafua 10.

Ebia ɛho behia sɛ wohyɛ aduru a wɔde hyɛ wo kotodwe mu na ɛboa ma ɛkɔ so tra baabi. Ebia ɛho behia nso sɛ wode poma di dwuma kosi sɛ wo kotodwe bɛsa. Ebia wo duruyɛfo nso bɛkamfo apɔw-mu-teɛteɛ a ɛbɛboa ma wo kotodwe a ɛnyɛ den na ama wo kankyee atu mpɔn.

So nkotodwe a ɛpaapae no hwehwɛ sɛ wɔyɛ oprehyɛn?

Ɛntaa mma sɛ ɛho nhia sɛ wɔyɛ oprehyɛn wɔ kotodwe a abubu akyi. Nanso, sɛ wo ho apirapira kɛse anaa woapirapira afoforo te sɛ dompe a abubu a, ebia ɛho behia sɛ woyɛ wo oprehyɛn.

Ɛrenkyɛ na me ho atɔ me bere a mafi ayaresa ase awie no?

Sɛ wufi ase sa wo kotodwe a abubu a, nkakrankakra wo ho bɛtɔ wo. Ebia ebegye adapɛn pii ansa na yare no ho sɛnkyerɛnne no ano abrɛ ase.

Bisa wo duruyɛfo sɛnea wubetumi de adi dwuma bere a wo kotodwe resa no. Mfi ase mfa wo kotodwe nni dwuma bio kosi sɛ wo duruyɛfo bɛka akyerɛ wo, sɛ wo ho tɔ wo mpo a. Sɛ wode nhyɛso ba wo kotodwe so ansa na ntini no asa koraa a, ɛda adi sɛ wubepira bio anaasɛ wobɛma mfitiase akisikuru no ayɛ kɛse.

Sɛ wo kotodwe mu paapae a, dɛn na wubetumi ahwɛ kwan?

Mpɛn pii no nkotodwe a ɛpaapae yɛ bere tiaa mu opira . Akisikuru dodow no ara nka sɛnea wubetumi adi agoru anaasɛ wobɛkɔ so ayɛ nnam bere a wo duruyɛfo aka sɛ asiane biara nni ho sɛ wobɛbɔ anaasɛ wobɛtete wo ho akyi.

Nanso, sɛ wo kotodwe mu paapae pɛnkoro a, ebia ɛbɛyɛ mmerɛw kakra sɛ wobɛsan apira bio daakye (titiriw sɛ woabubu a ɛkɔ fam anaasɛ emu yɛ den a). Bisa wo duruyɛfo nea wubetumi ayɛ na ama asiane a ɛwɔ hɔ sɛ wobɛtete wo ho daakye no so atew.

Bere tenten ahe na egye ansa na kotodwe a abubu no ayɛ yiye?

Anyɛ yiye koraa no, egye adapɛn kakraa bi ansa na kotodwe a abubu no ayɛ yiye. Akisikuru a emu yɛ den kɛse betumi agye asram pii. Wo duruyɛfo no ne wo bɛkasa afa eyi ho.

Bisa wo duruyɛfo no dwumadi ne kankyee a asiane biara nni ho sɛ wobɛyɛ bere a wo ho retɔ wo no. Ɔbɛka bere a asiane biara nni ho sɛ wode wo kotodwe san fi apɔw-mu-teɛteɛ a emu yɛ den ase nso akyerɛ wo.

Wobɛyɛ dɛn asiw kotodwe a ɛbɛpaapae ano?

Ebia ɔkwan biara nni hɔ a wobɛfa so asiw kotodwe a abubu no ano koraa, titiriw sɛ woyɛ ogumadifo a. Nanso akwan bi wɔ hɔ a wobɛfa so atew asiane a ɛwɔ hɔ no so. Hwɛ nneɛma yi yiye bere a woredi agumadi anaa apɔw-mu-teɛteɛ afoforo:

• Hyɛ ahobammɔ nnwinnade a ɛfata (a mpaboa a ɛfata ka ho).
• Sɛ wo kotodwe yɛ wo yaw, sɛ́ ɛyɛ bere a woreyɛ apɔw-mu-teɛteɛ anaasɛ bere a woayɛ apɔw-mu-teɛteɛ akyi no, "nni agoru wɔ ɛyaw no mu."
• Bere a wɔayɛ dwumadi a emu yɛ den akyiMa wo kotodwe ahomegye ne bere ma ɛsa yare.
• Yɛ apɔw-mu-teɛteɛ a ɛma wo ho yɛ hyew na woteɛteɛ w’apɔw mu ansa na woadi agoru anaa woateɛteɛ w’apɔw mu.
• Yɛ apɔw-mu-teɛteɛ a ɛma wo ho dwo na woteɛteɛ w’apɔw mu bere a woayɛ apɔw-mu-teɛteɛ awie no.

Di ahobammɔ ho afotu a ɛfa nneɛma nyinaa ho yi akyi na ama asiane a ɛwɔ hɔ sɛ wubepira no so atew:

• Ma wo fie ne w’adwumam nyɛ fɛ na nneɛma a ɛho nhia a ebetumi ahinhim wo anaa afoforo nni mu.
• Fa nnwinnade anaa nnwinnade a wɔayɛ no yiye di dwuma bere nyinaa na ama woadu nneɛma a ɛkorɔn wɔ wo fie ho. 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.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ woahyia akwanhyia na wohu sɛ wo kotodwe abubu a, kɔ oduruyɛfo nkyɛn. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye (anaasɛ sɛ ɛyɛ kɛse) wɔ nna kakraa bi a wɔde sa wo yare akyi a, wo ne wo duruyɛfo nkasa.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara:

• Ɛyaw a emu yɛ den yiye.
• Ɔhonhon no renya nkɔanim.
• Kɔla a ɛsakra - Ɛte sɛ nea beae a atwa kotodwe no ho ahyia no redan bruu/akuturuku.
• Sɛ wuntumi ntutu wo kotodwe anaa wo nan koraa (a wuntumi ntutu nkwaa no).
• Sɛ wotee anaa wotee nnyigyei bi te sɛ "knock knock" anaa "pop" fi wo kotodwe mu a.

Dɛn na ɛsɛ sɛ mibisa me duruyɛfo?

• So me kotodwe abubu anaasɛ mapira foforo?
• Eyi yɛ akisikuru a ɛyɛ den?
• Ayaresa bɛn na mihia?
• Bere tenten ahe na ebegye ansa na asa?
• Bere bɛn na metumi afi ase atete me ho anaasɛ madi agoru bio?
• Apɔw-mu-teɛteɛ ahorow bɛn na asiane biara nni ho sɛ wobɛyɛ bere a wo ho retɔ no?

Nsonsonoe bɛn na ɛwɔ kotodwe a ɛpaapae ne ntini a ɛtetew ntam?

Nkotodwe a ɛpaapae ne kotodwe mu ntini a ɛtetew no yɛ opira a ɛte saa ara. Nsonsonoe no ne sɛnea wo ntini ahorow no atrɛw kɛse anaasɛ asɛe no.

Grade 1 ne 2 kotodwe a ɛpaapae kyerɛ sɛ wo ntini no atrɛw anaasɛ ne fã bi atetew, nanso ɛntetew koraa. Kotodwe a ɛyɛ grade 3 no yɛ tetew koraa, a ɛkyerɛ sɛ opira no atrɛw wo ntini no mu akɔ akyiri araa ma ɛkame ayɛ sɛ atetew.

Enti, grade 3 kotodwe a ɛtwetwe ne ligament tear yɛ opira koro no ara. Eyinom betumi ayɛ:

• MCL nusuo
• LCL nusuo
• ACL nusu a ɛyɛ mmerɛw
• PCL nusu

Sɛ wote yaw, wo hohoro, anaasɛ wuntumi ntutu wo kotodwe a, kɔ oduruyɛfo nkyɛn. Obetumi ahu opira no na wakamfo ayaresa a ɛfata sen biara akyerɛ.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Nkotodwe a ɛyɛ yaw, na ebetumi ayɛ hu sɛ wubehu sɛ woapira wo kotodwe. Ɛyɛ asiane a ɛtaa ba (na ɛyɛ abasamtu) ma obiara a ɔbɔ agumadi anaasɛ ɔyɛ apɔw-mu-teɛteɛ. Asɛmpa no ne sɛ nkotodwe mu akisikuru dodow no ara sa bere a wɔagye wɔn ahome na wɔasa wɔn yare wɔ fie.

Sɛ wowɔ sɛnkyerɛnne te sɛ kotodwe mu yaw ne ɛho ahonhon – titiriw sɛ wo kotodwe no mu paapae anaasɛ wobɔ biribi a – mmu w’ani ngu so. Kɔ oduruyɛfo nkyɛn kɔhwɛ sɛ woapira. Saa kwan no so no, wubetumi ahu nea enye, bere tenten a ebegye na woasa, ne bere a asiane biara nni ho sɛ wubefi ase atete wo ho na woadi agoru bio. Hwɛ wo nkotodwe so yiye!

` Kotodwe a Ɛpaapae, Nkotodwe mu Ɛyaw, Nhama a Ɛpira, Agumadi mu Apirakuru, RICE Ayaresa, Kotodwe a Ɛhonhon, Nkwaa mu Nyarewa