So wo ba kumaa no nsa anaa nan a abubu? Wonnim sɛ ɛyɛ Greenstick Fracture'' anaasɛ ɛnte saa? Momma yɛnka eyi ho asɛm!

Sɛ wowɔ abofra ketewa bi a ɔyɛ ɔkwasea wɔ fie a, ɛyɛ ade a ɛfata sɛ wɔbɛhwe ase wɔ ha ne ha na wɔapirapira nketenkete. Nanso ɛtɔ mmere bi a, sɛ wohwe ase kakra mpo betumi asɛe nneɛma pii asen sɛnea wususuw. Ne titiriw no, sɛ ɛba mmofra nkumaa nnompe so a, wɔn nnompe yɛ soronko kakra wɔ mpanyimfo de ho. Ɛnnɛ, yɛrebɛka nnompe a abubu a ebetumi ato mmofra nkumaa a wɔte saa ho asɛm.

Dɛn ne saa ``Greenstick Fracture'' yi?

Sɛ yɛbɛka no tiawa a, ``Greenstick Fracture'' yɛ akisikuru bi a ɛtaa ba mmofra nkumaa mu. Fa no sɛ wubegye dua foforo bi a ɛyɛ nwini kakra nkorabata na woabɔ no. Dɛn na ɛba? Sɛ́ anka ebebubu abien koraa no, apaapae kakra wɔ ɔfã biako na ɛda so ara bata ɔfã foforo no ho? Ebia mpo na ɛsensɛn hɔ te sɛ hama. Ɛno ne nea ``Greenstick Fracture'' yɛ. Eyi ne din a wɔde frɛ dompe a abubu a dompe no ntumi mmu abien koraa, na mmom ɛwɔ mpaapaemu ketewaa bi anaa mpaapaemu wɔ ɔfã biako. Wɔfrɛ no ``Greenstick Fracture'' efisɛ ɛte sɛ "green branch" a ɛrebubu.

Dɛn nti na eyi to mmofra nkumaa kɛse?

Afei ebia worebisa wo ho sɛ, "Dɛn nti na eyi to mmofra na ɛnyɛ mpanyimfo?" Nea enti a ɛte saa ne sɛ mmofra nnompe, titiriw wɔn a wonnii mfe 10 no nnompe nyɛ den na ɛyɛ mmerɛw te sɛ mpanyimfo de. Wɔyɛ mmerɛw kakra na ɛyɛ mmerɛw, te sɛ saa baa dwumadibea foforo a madi kan aka ho asɛm no. Wɔ aduruyɛ mu no, wɔn nnompe no wɔ `(Collagen)` pii na `(Minerals)` kakraa bi. Enti, sɛ biribi a ɛbɔ te sɛ nea ɔhwe ase a, ɛda adi sɛ dompe no bɛpaapae ɔfã biako sen sɛ ebebubu abien koraa. Wɔ ɔpanyin mu no, asehwe a ɛte saa betumi ama dompe no abubu koraa, atwa. Nanso saa `(Greenstick Fracture)` yi fi saa nsakrae soronko yi a ɛwɔ mmofra nnompe mu.

Ɔkwan bɛn so na saa `(Greenstick Fracture)` yi ba? Dɛn na ɛde ba?

Seesei ebia woredwene sɛ, "Oh me nyame, ɛbɛyɛ dɛn na eyi atumi ato me ba no?" Ɛho nhia sɛ ɛyɛ akwanhyia kɛse. Nneɛma nketenkete te sɛ mmirikatu a wɔde di akɔneaba ne agodie mpo betumi de tebea yi aba. Nneɛma a ɛtaa de ba ne:

• Sɛ wɔhwe ase bere a wɔredi agoru : Mpɛn pii no, mmofra hwe ase wɔ nsa a wɔateɛ so, kosi wɔn nsateaa anaa wɔn nsateaa so. Eyi betumi afi sofa, mpa, anaa agode anaa agodibea nnwinnade so aba.
• Nan no mu opira : Sɛ wohintiw na wohwe ase bere a woretu mmirika anaa woredi agoru a, wubetumi anya Greenstick Fracture wɔ wo nan ase nnompe mu (Tibia, Fibula).
• Sɛ obi fi sakre so hwe ase : Wotumi hu tebea yi nso wɔ mmofra a wɔanyinyin a wɔhwe ase bere a wɔte sakre so no mu.
• Agumadi mu opira: Sɛ bɔɔl bɔ wo bere a woredi sukuu agumadi, sɛ nhwɛso no, kriket, anaasɛ sɛ wobɔ wo ho wɔ agumadi foforo mu a, saa opira yi betumi aba.
• Direct blow : Sɛ biribi a emu yɛ den bɔ basa anaa nan bi tẽẽ a, ebetumi nso ama ɔtopae a ɛte sɛɛ aba.

Nea ɛho hia sen biara no, eyi taa ba wɔ anim nnompe (`(Forearm bones - Radius, Ulna)`) ne nan ase nnompe (`(Lower leg bones - Tibia, Fibula)`). Afei nso, wobetumi ahu mpaapaemu a ɛte saa wɔ akyi dompe (`(Clavicle anaa Collarbone)`).

Dɛn ne `(Greenstick Fracture)` ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Okay, afei ma yɛnhwɛ sɛnea wubetumi ahu opira te sɛ eyi. Esiane sɛ mmofra sua nti, wonnim nea ɛrekɔ so ankasa. Enti wo na ɛsɛ sɛ wohu saa nsɛnkyerɛnne yi.

• Ɛyaw a emu yɛ den : Sɛ abofra no su anaasɛ ɔte ɛyaw bere a wɔde wɔn nsa aka baabi a wapira no anaasɛ wɔde ne nsa/nan no tu a, ɛno yɛ sɛnkyerɛnne titiriw.
• Ahohoro : Ebia baabi a apira no ho ahonhon kɛse . Ebetumi ahonhon ntɛmntɛm, anaasɛ ebegye bere kakra.
• Bluish anaasɛ kɔla sesa : Ɛtɔ mmere bi a ebetumi adan bruu anaa kɔkɔɔ, te sɛ akuru.
• Ɔmpɛ sɛ ɔde abasa/nan bedi dwuma : Sɛ abofra no mpɛ sɛ ɔde nsa/nan bedi dwuma , te sɛ nea ɔmfa saa nsa no mfa ne nsa nka biribi, ɔmfa agode bi, anaasɛ ɔmfa saa nan no nsi fam a, ɛno nso yɛ sɛnkyerɛnne a ɛho hia.
• Nneɛma a ɛnyɛ ne kwan so anaasɛ ɛyɛ kurukuruwa (`(Deformity)`) : Ɛtɔ da bi a, wotumi hu sɛ abasa anaa nan no akɔ fam kakra anaasɛ ɛkotow a ɛnyɛ awosu . Nanso, ɛnyɛ bere nyinaa na eyi da adi. Wɔ `(Greenstick Fracture)` mu no, mpɛn pii no, nsakrae kɛse biara nni hɔ.
• Saying that you heard a 'kadas' sound : Ɛtɔ da bi a, wotumi te nnyigyei ketewa bi bere a woahwe ase, nanso ɛnyɛ obiara na ɔyɛ saa, enti wuntumi nnye nni.

Nea ɛho hia: Ɛtɔ mmere bi a, ebia ɛbɛyɛ te sɛ nea saa sɛnkyerɛnne ahorow yi nyɛ aniberesɛm saa. Sɛ wo ba no resu kakra kɛkɛ na ɛte sɛ nea ɛyaw no ano abrɛ ase mpo a, sɛ wowɔ nsɛm bi a ɛhaw wo a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn. Mma w’ani ngu so esiane sɛ ɛyɛ asɛm ketewaa bi nti.

Ɔkwan bɛn so na oduruyɛfo bi si eyi so dua?

Sɛ wode wo ba no kɔ oduruyɛfo nkyɛn a, obedi kan abisa wo sɛnea opira no bae, nea ɛkyerɛ ne sɛnea abofra no te. Afei, wɔbɛhwehwɛ abofra no mu yiye. Wɔbɛte opira no nka, na wɔahwehwɛ ɔfe anaa ɛyaw biara.

Afei, sɛ wobɛsi so dua sɛ ebia eyi yɛ abubuo a, adeɛ a ɛho hia paa ne sɛ wobɛyɛ ``(X-ray)`` sɔhwɛ.`(X-ray)` nkutoo ne ɔkwan a wobɛfa so ahu pɛpɛɛpɛ sɛ dompe no mu abubu, abubu ko a ɛyɛ, `(Greenstick Fracture)`, anaasɛ abubu koraa. Sɛnea mekae no, ɛda adi sɛ `(X-ray)` bɛkyerɛ mpaapaemu ketewaa bi pɛ wɔ dompe no fã biako, bere a ɔfã foforo no nni dɛm.

Ayaresa bɛn na nnuruyɛfo de ma wɔ ``Greenstick Fracture'' ho?

Okay, sɛ X-ray no si so dua sɛ ɛyɛ Greenstick Fracture a, oduruyɛfo no befi ase ayɛ ayaresa. Ade titiriw ne sɛ wode dompe a abubu no besi hɔ yiye, asan akɔ baabi a na ɛwɔ kan no, na woama ayɛ yiye. Wɔfrɛ eyi sɛ immobilization.

• Wɔde cast a wɔde hyɛ : Mpɛn pii no, wɔde ``Plaster of Paris cast`` anaa ``Fiberglass cast`` na edi dwuma. Saa cast yi ma nsa/nan a apira no ntumi nkɔ baabiara sɛnea ɛbɛyɛ a entumi nkɔ baabiara. Eyi ma dompe no sa yare kwa na ɛfata. Saa cast yi taa di bɛyɛ adapɛn 4 kosi 6. Oduruyɛfo no na ɔkyerɛ eyi, a egyina sɛnea abofra no abubu no te, ne mfe a abofra no adi so.
• Splint : Wɔ tebea horow bi mu no, wobetumi adi kan de ``splint'' adi dwuma kosi sɛ ɔfe no bɛkɔ fam kakra, na afei wɔde cast ahyɛ mu wɔ nna kakraa bi akyi. ``Splint'' te sɛ cast, nanso ɛyɛ den wɔ ɔfã biako pɛ na wobetumi de ``Velcro'' nhama a ɛwɔ ɔfã foforo no asiesie.
• Nnuru a wɔde kum ɛyaw : Nea ɛbɛyɛ na ɛyaw a wo ba no rehyia no so atew no, ebia wo duruyɛfo bɛkamfo nnuru a wɔde kum ɛyaw te sɛ Paracetamol (Panadol) akyerɛ wo.
• Bere a ɛsɛ sɛ wodi akyi : Bere a cast no wɔ nea ɛwɔ hɔ, ne bere a wɔayi cast no akyi mpo no, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn mpɛn dodow biara a wopɛ. Obetumi ayɛ X-ray foforo ahwɛ sɛ dompe no resa yiye na ɛne ne ho hyia anaa.

Sɛ yɛrehwɛ abofra wɔ fie a, nneɛma bɛn na ɛsɛ sɛ wususuw ho? (Bere a ɔhyɛ cast)

Sɛ wufi cast no mu ba fie wie a, wowɔ asɛyɛde kɛse sɛ wobɛhwɛ wo ba ketewa no. Hwɛ nneɛma yi so kakra:

• Mma cast no nnyɛ nsu : Sɛ woreguare anaa woreyɛ biribiara a ɛfa nsuo ho a, fa `(Plastic bag)` anaa biribi a nsuo ntumi nkɔ mu kata cast no so yie. Sɛ wo ho yɛ nwini a, ebetumi ama cast no ayɛ mmerɛw na ɛde honam ani haw ahorow aba (`(Skin irritation)` anaa `(Infection)`).
• Mfa biribiara nhyɛ cast no mu : Ɛtɔ da bi a sɛ ɛyaw bi ba a, mmofra nkumaa bɔ mmɔden sɛ wɔde nneɛma te sɛ kyerɛwdua, pɛnsere, ne nnua asinasin bɛhyɛ cast no mu. Mma wɔnnyɛ saa. Eyi betumi asɛe honam ani na ɛde `(Infection)` aba. Sɛ ɛyaw bi wɔ hɔ a, ka kyerɛ oduruyɛfo no , ɔbɛka ano aduru akyerɛ wo (ebia wubetumi de `(Hair dryer)` ahyɛ `(Cool setting)` no so na woaka akyerɛ wɔn sɛ wɔnkura mframa a ɛretu).
• Hwɛ sɛ ɛho ahonhon na ne ho ayɛ no yaw : Hwɛ bere nyinaa sɛ nsateaa a ɛwɔ abasa/nan a ɛwɔ cast no so no ahonhon, adan bruu, anaasɛ ɛte sɛ nea abofra no ayɛ mmerɛw anaa.Hwɛ nso sɛ wo nsateaa ayɛ nwini anaasɛ ayɛ fitaa anaa. Sɛ saa a, ebia nea wɔde ahyɛ mu no mu ayɛ den dodo anaasɛ ebia ɛresiw mogya no kwan. Sɛ eyi ba a , kɔ oduruyɛfo nkyɛn ntɛm ara.
• Ma nsa/nan no so : Wɔ nna a edi kan no mu no, ma nsa/nan a apira no so, sɛnea wubetumi biara, fa pillow, a ɛboro koma no so kakra. Eyi bɛboa ma akisikuru no so atew.
• Hwɛ sɛ ebia cast no anoano na ɛrepira anaa : Ɛtɔ mmere bi a cast no anoano betumi ayɛ den wɔ honam ani na ɛde opira aba. Sɛ eyi ba a, ka kyerɛ wo duruyɛfo .
• Hwɛ hua bɔne : Sɛ hua bɔne bi fi cast no mu reba a, ebetumi ayɛ `(Infection)` ho sɛnkyerɛnne. Sɛ saa a, ka kyerɛ wo duruyɛfo .

So eyi bɛsa koraa? So ɛbɛyɛ ɔhaw bio?

Eyi ne asɛmmisa kɛse a awofo pii bisa na ɛwɔ wɔn adwenem. Yiw, ``Greenstick Fracture'' yɛ opira a ɛtaa sa yiye na enni ɔhaw akɛse. Mmofra nkumaa nnompe nyin na ɛsa ntɛmntɛm ma ɛyɛ nwonwa. Sɛ wosa wɔn yare yiye sɛnea oduruyɛfo no ka no, na sɛ wohwɛ wɔn yiye bere a wohyɛ cast no a, dompe no bɛyɛ den sɛnea na ɛte kan no.

Sɛ woyi cast no wie a, ebia mfiase no abasa/nan no bɛyɛ den kakra (`(Stiffness)`) na ɛyɛ den sɛ wobɛkanyan. Eyi yɛ ade a ɛfata. Nna kakra akyi no, ebia oduruyɛfo no bɛka akyerɛ wo sɛ yɛ apɔw-mu-teɛteɛ bi a ɛyɛ brɛoo (`(Gentle exercises)`). Ɛno akyi no, abofra no tumi di agoru, tu mmirika, na ohuruw sɛnea ɔtaa yɛ no bio.

Nanso, sɛ wɔansa no yiye, anaasɛ wɔamfa aduru a wɔde ahyɛ mu no anhyɛ mu yiye a, ɛtɔ mmere bi a dompe no betumi abɛyɛ malunion. Eyi kyerɛ sɛ dompe no tumi sa yare wɔ ɔkwan a ɛnteɛ so. Enti, ɛho hia paa sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ. Nanso, nsɛnnennen te sɛ eyinom ho yɛ na koraa wɔ greenstick a abubu no mu.

So biribi wɔ hɔ a yebetumi ayɛ de asiw akwanhyia a ɛtete saa ano?

Ɛyɛ den sɛ wobɛsiw akwanhyia ano 100%. Ɛyɛ ade a ɛfata sɛ mmofra nkumaa bɛhwe ase na wɔapirapira nketenkete bere a wɔredi agoru anaasɛ wɔrekyinkyin no. Nanso yebetumi asusuw wɔn ahobammɔ ho kakra na yɛabɔ mmɔden sɛ yɛbɛtew akwanhyia so.

• Agorudibea a ahobammɔ wom : Hwɛ sɛ nneɛma a ano yɛ nnam anaa nneɛma a ɛyɛ hwerɛma biara nni mmeae a mmofra di agoru no. Ɛbɛyɛ papa sɛ wobɛtumi de biribi te sɛ ``Soft matting`` ahyɛ agoprama no ase.
• Hwɛ : Ma w’ani si mmofra nkumaa so bere nyinaa, titiriw bere a wɔreforo mmeae a ɛkorɔn, wɔretu mmirika, wɔrehuruw, anaa wɔredi agoru no.
• Nneɛma a wɔde bɔ wɔn ho ban wɔ agumadi mu : Sɛ wo ba di agumadi a, hyɛ no nkuran sɛ ɔmfa nneɛma a ɛfata a wɔde bɔ ne ho ban, te sɛ dade kyɛw, nkotodwe a wɔde kata ne nsateaa so, ne nsateaa a wɔde bɔ ne ho ban nni dwuma.
• Ofie nneɛma a atwa yɛn ho ahyia a wɔbɛbɔ ho ban: Sɛ wowɔ abofra ketewa a, wubetumi atew akwanhyia so denam mpa so apon a wode besisi mpa no ho, ahobammɔ apon a wode besisi antweri so, ne mfɛnsere ho ban a wode besisi mfɛnsere so no so.

Sɛ abofra bi pira mpofirim mpo a, so ɛsɛ sɛ ɔkɔ oduruyɛfo nkyɛn?

Ɛtɔ da bi a, sɛ yɛnya akuru ketewaa bi anaa yɛn ho twitwa a, yɛnom nnuru bi wɔ fie kɛkɛ na yɛgyaw. Nanso, sɛ sɛnkyerɛnne ahorow a madi kan aka ho asɛm no, kyerɛ sɛ , sɛ abofra no kɔ so su bere a wahwe ase akyi, sɛ ɔte ɛyaw na ontumi ntutu ne nsa anaa ne nan, sɛ ɛho ahonhon anaasɛ ɛyɛ mmerɛw wɔ baabi a wapira no a, akyinnye biara nni ho sɛ eye sɛ wobɛkɔ oduruyɛfo nkyɛn. Ntwɛn. Efisɛ ebia biribi a anibere wom rekɔ so wɔ mu sen nea wotumi hu wɔ akyi. Sɛ wunya ayaresa ntɛm a, wubetumi asa ntɛm na asiw ɔhaw ahorow a ebetumi aba akyiri yi ano.

Nkrasɛm a Wɔde Kɔ Fie wɔ Nsɛm a Wɔaboaboa Ano Mu

Enti, ``Greenstick Fracture`` yɛ nnompe mu opira a ɛtaa ba mmofra nkumaa mu, te sɛ nkorabata foforo a ɛpaapae wɔ ɔfã biako pɛ. Sɛ wɔsa eyi yiye a, ɛbɛsa koraa, biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho. Sɛ wo ba kumaa no apira saa a, mma wo ho nnyɛ wo hu. Hwɛ oduruyɛfo ntɛm ara sɛnea ɛbɛyɛ yiye biara na sa no sɛnea ɔkamfo kyerɛ no. Hwɛ wo ba no yiye bere a cast no wɔ nea ɛwɔ hɔ no. Da a wo ba no bɛtu mmirika na wadi agorɔ bio no nware. Ade a ɛho hia sen biara ne w’adwene, wo boasetɔ, ne oduruyɛfo no akwankyerɛ a wubedi so pɛpɛɛpɛ.

` Greenstick Fracture, Mmofraberem Fracture, Dompe Fracture, Greenstick Fracture, Mmofra Akwahosan, Nnompe a Wɔsa, Akwanhyia a Ɛba Mmofra Nketewa Mu