Ɛnyɛ nsateaa a ɛpaapae nyinaa na ɛyɛ pɛ! Momma yɛnka Smith Fracture no ho asɛm

So woahwe ase na woapira wo nsateaa kɛse pɛn? Sɛ ɛba saa a, ɛtɔ mmere bi a wubetumi abubu dompe bi wɔ wo nsateaa mu. Saa akisikuru yi yɛ soronko, na ɛnto obiara ɔkwan koro so. Ɛnnɛ yɛbɛka akisikuru a ɛte saa biako ho asɛm, Smith Fracture . Sɛ wunim ho asɛm a, sɛ biribi te sɛ eyi to wo anaa obi a wunim no a, wubetumi ayɛ komm na woanya ayaresa a ɛfata ntɛm.

Dɛn ne Smith Fracture?

Sɛ yɛbɛka no tiawa a, Smith akisikuru yɛ wo nsateaa a ɛpaapae titiriw . Ɛtaa ba bere a wohwe ase bere a wo nsateaa abɔ, a ɛkyerɛ sɛ wo nsa abɔ wo nsa so, anaasɛ sɛ wɔbɔ wo denneennen wɔ wo nsa akyi a.

Afei ebia woresusuw sɛ, edin ahorow nyinaa wɔ hɔ a wɔde frɛ saa nnompe a abubu yi, na ɛyɛ basaa. Ɛyɛ nokware. Ebia woate Smith abubuo ho asɛm, a ɛyɛ ``distal radius fracture,'' a ɛyɛ abubuo a ɛwɔ distal end of the radius, a ɛyɛ kɛseɛ wɔ nnompe mmienu a ɛwɔ wo nsateaa mu, a ɛwɔ wo nsateaa no nkyɛn.

Saa nsɛm yi nyinaa ho hia sɛ oduruyɛfo no hu nnompe a ɛwɔ wo nsateaa mu a abubu, baabi a abubu, sɛnea ebubui, ne sɛnea ɛte wɔ mu no pɛpɛɛpɛ. Fa eyinom sɛ nhyehyɛe ahorow a ɛma nneɛma yɛ kɛse wɔ afiri a wɔde hwɛ nneɛma nketenkete so, na ɛma oduruyɛfo no hu wo pira no mu kɔ akyiri. Nanso, nea ɛho hia sen biara ne sɛ wode wo nsateaa bɛkyerɛ oduruyɛfo ntɛm ara sɛnea wubetumi.

Ɔkwan bɛn so na eyi yɛ soronko wɔ nsateaa afoforo a ɛpaapae ho?

Wo nsateaa a abubu no gyina sɛnea wo dompe no abubu ne sɛnea abubu no te so. Smith abubu taa ba bere a wohwe ase a wo nsa abɔ wo mu anaasɛ bere a wɔbɔ wo denneennen wɔ wo nsa akyi no.

Nsonsonoe a ɛda Smith akisikuru ne Colles akisikuru ntam

Afei, sɛ oduruyɛfo no ka kyerɛ wo sɛ wowɔ ``Colles fracture,'' nea ɛba ne sɛ wɔpia dompe a abubu wɔ wo nsateaa mu (``radius'') no kɔ akyi (dorsally). Ɛne sɛ, ɛkɔ nsa no akyi. Nanso wɔ Smith a abubu mu no, ɛyɛ ɔkwan foforo so: wɔpia dompe a abubu no kɔ anim (volarly), kyerɛ sɛ, ɛkɔ nsateaa no so. So wote nsonsonoe a ɛwɔ mu no ase? Eyi ne nsonsonoe titiriw no.

Nsonsonoe a ɛda Smith akisikuru ne Barton abubuw ntam

Barton akisikuru te sɛ Smith akisikuru. N’abien nyinaa betumi aba bere a abasa no kotow kɔ mu na ɛhwe ase no. Nanso, wɔ Barton abubu mu no, dompe a abubu no dan kɔ soro anaasɛ ɛtwe fi wo basa ho, na eyi nso fa nkwaa no ho.

Hena na ɛda adi kɛse sɛ obenya Smith Fractures?

Nokwarem no, obiara betumi anya Smith akisikuru, efisɛ mpɛn pii no akwanhyia anaa ɔhwe a emu yɛ den na ɛde eyinom ba.

Nanso asiane biako a ɛho hia wɔ hɔ. Ɛno ne nnompe mu yare.Sɛ wowɔ nnompe mu yare a, ɛda adi sɛ wo nnompe bɛbubu ntɛmntɛm sen onipa a ɔte ase no. Ɛwom sɛ ebetumi ato obiara de, nanso ɛda adi sɛ ɛbɛto mmea sen mmarima bɛyɛ mmɔho anan. Afei nso, nnipa a wɔadi boro mfe 50 no wɔ asiane kɛse mu sɛ wobenya nnompe mu yare.

Saa tebea yi abu so dɛn?

Sɛ wɔkyekyɛ mu a, nsateaa a ɛpaapae no yɛ nsateaa a ɛpaapae a wohu wɔ dwumadibea ahorow a wɔhwɛ ntɛmpɛ so nyinaa mu 20%. Wɔsan nso ne nnompe a ɛto so abien a ɛtaa mu paapae wɔ nnipa a wɔadi boro mfe 50 mu.

Nanso sɛ wɔde toto nsateaa afoforo a abubu ho a, Smith abubu no ntaa mma . Wɔn na wɔyɛ nsateaa a ɛpaapae nyinaa mu bɛyɛ 5%. Ɛno sua sen Colles akisikuru.

Dɛn ne eyi ho sɛnkyerɛnne?

Ebia wubenya sɛnkyerɛnne te sɛ eyinom bere a Smith abubu no:

• Ɛyaw a emu yɛ den wɔ nsateaa mu.
• Ahohoro bi a ɛho ahonhon .
• Bere a wɔde wɔn nsa ka no, ɛyɛ mmerɛw.
• Wo nsateaa a wuntumi ntutu a ɛyaw biara nni ho.
• Akuru a ɛwɔ nsateaa no ho, ebia kɔla a ɛsakra bruu/kɔla kɔkɔɔ.
• Wohu dɛmdi anaa akuru bi a ɛyɛ soronko wɔ nsateaa no so. Ɛte sɛ nea nsa no nsusuwii asesa.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Ahwease ne ade a ɛtaa de ba. Nnipa dodow no ara a wonya Smith akisikuru no hwe ase a wɔn nsa abɔ mu, na ɛbɔ nsateaa no akyi.

Bio nso, kar akwanhyia, agumadi mu opira (sɛ nhwɛso no, sakre a obi hwe ase, skateboard a ɔhwe ase), ne akwanhyia afoforo a emu yɛ den nso betumi ama Smith abubu.

Oduruyɛfo no betumi de asɛmfua bi te sɛ ``mechanism for injury'' akyerɛkyerɛ nea ɛde wo nsateaa a abubu no ba. Ɛyɛ asɛmfua a nnuruyɛfo de di dwuma ara kwa, na ɛboa wɔn ma wɔte sɛnea wopirapirae no ase.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Ɔkwan biako pɛ a wobɛfa so ahu no yiye sɛ wowɔ Smith akisikuru ne ``(X-ray)`` sɔhwɛ . Eyi betumi akyerɛ oduruyɛfo no nnompe a woabubu, nnompe ko a woabubu, ne baabi a asinasin a abubu no rekɔ. Akyinnye biara nni ho sɛ wɔfa ``((X-ray)`` ma nsateaa biara a abubu.

Wɔ X-ray a ɛkyerɛ sɛ wo nsateaa abubu akyi no, ɛma oduruyɛfo no nya nsɛm afoforo a ɛho hia pii. Sɛ nhwɛso no, sɛnea abubuw no ho tew, asinasin dodow a ɛwɔ mu, baabi a ɛda nnompe no ntam, ne sɛ ebia nnompe afoforo asɛe anaa.

Ɛtɔ mmere bi a, wobetumi ayɛ CT scan anaa MRI de asi so dua anaasɛ wɔayi sɛ nsateaa no afã afoforo te sɛ ntini, ntini, ne ntini ahorow no asɛe.

Sɔhwɛ ahorow a ɛsɛ sɛ woyɛ no begyina nea ɛde wo pira no ba ne sɛnea emu yɛ den so. Sɛ akwanhyia a emu yɛ den, te sɛ kar akwanhyia anaa antweri a wohwee ase na ɛde wo nsateaa mu bubui a, ebia ebehia sɛ woyɛ nhwehwɛmu foforo.

Dɛn ne ayaresa ahorow a ɛwɔ hɔ?

Ayaresa a wɔde bɛma wo Smith abubuw no begyina sɛnea mfitiase abubuw no mu yɛ den so. Ɛsɛ sɛ wo nnompe a abubu no sa na ɛsan ba bom. Akwan pii wɔ hɔ a yebetumi afa so akɔ so ayɛ den.

Immobilization yɛ adeyɛ a ɛne sɛ wɔrenhinhim nsa no.

Sɛ wo mpaapaemu no mu nyɛ den koraa, na nnompe no ntam nware koraa (ɛnyɛ nea entu anaasɛ entu kakraa bi) a, ebia ɛho behia sɛ wode ahama anaa nea wɔde tow wo nsa nkutoo. Mpɛn pii no, nhama a wɔde kyekyere nipadua no di adapɛn abiɛsa kosi anum. Ebia cast bi bɛkyɛ akyɛ, mpɛn pii no adapɛn asia kosi awotwe . Ebia ɛho behia nso sɛ woyɛ X-ray foforo na ama woahwɛ ahu sɛ wo nnompe no resa yiye.

Wɔatoto mu a wɔtew so

Sɛ wopɛ sɛ wo nnompe no mu paapae a emu yɛ den kɛse, a ɛkyerɛ sɛ wobɛpaapae a, ebia ɛho behia sɛ wunya biribi a wɔfrɛ no ``closed reduction'' na ama wo nnompe no asan akɔ ne gyinabea. Eyi nyɛ oprehyɛn. Wɔ eyi mu no, oduruyɛfo no bɛkura wo nsa ne wo nsateaa mu na watwe so de asan asiesie nnompe a abubu no. Nea ɛbɛyɛ na woanya ɛyaw kakraa bi bere a woreyɛ eyi no, wobetumi ama wo nea edidi so yi mu biako:

• Aduru a wɔde kum nipadua no wɔ mpɔtam hɔ bɛma wo nsateaa ne wo nsa nkutoo ayɛ mmerɛw.
• Nnuru a ɛma wo ho dwo (nnuru a ɛma woda) ma wo nipadua nyinaa te nka sɛ wo ho adwo wo.
• Wɔde wo bɛda (general anesthesia) wɔ oprehyɛn no nyinaa mu.

Sɛ wɔtew so a wɔatoto mu wie a, wo duruyɛfo no de aduru anaa ahama bɛhyɛ wo nsateaa so. Afei ɛho behia sɛ wokɔ oduruyɛfo titiriw bi nkyɛn kɔka ayaresa a wubetumi apaw ho asɛm.

So ɛsɛ sɛ wɔyɛ wo oprehyɛn?

Wɔ akisikuru a emu yɛ den yiye, kyerɛ sɛ, akisikuru a wontumi mfa ``closed reduction'' nsi hɔ yiye, anaasɛ abubu a entumi nnyina a, ɛho hia sɛ wɔyɛ oprehyɛn. Wo oprehyɛn ho ɔbenfo no bɛsan asiesie nnompe a abubu no (open reduction), na ɔde dade mprɛte ne nkɔnsɔnkɔnsɔn ahyɛ wo nsateaa mu de akura mu (internal fixation).

Oprehyɛn a obi ho tɔ no gye bere tenten sen oprehyɛn afoforo. Sɛ woyɛ oprehyɛn wie a, ɛho behia sɛ wode ahama hyɛ wo nnompe ho ban na aboa ma ayɛ yiye. Wubehia apɔw-mu-teɛteɛ nso na aboa wo ma woasan anya ahoɔden na woatumi akɔ baabiara.

Dɛn na wobetumi ayɛ wɔ ɛyaw ho?

Ɛho hia sɛ wo ne wo duruyɛfo kasa ansa na woanom aduru biara a ɛbɛma ɛyaw no so atew wɔ ayaresa biara akyi. Nnuru a wɔde kum ɛyaw a wɔtɔn (te sɛ ibuprofen anaa acetaminophen) betumi aboa ma ɛyaw ne ɔfe so atew. Fa di dwuma sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ.

Wobɛyɛ dɛn asiw biribi a ɛte sɛɛ ano?

Ɛkame ayɛ sɛ bere nyinaa na nsateaa a abubu ba wɔ akwanhyia mu. Esiane sɛ asehwe ne ade titiriw a ɛma wo nsateaa mu paapae nti, ɛho hia sɛ woma wo fie ne w’adwumam nneɛma a ebetumi ahinhim wo anaa afoforo nni hɔ. Hwɛ yiye wɔ nhama, apɔw-mu-teɛteɛ, ne agode a ɛwɔ fam no ho. Afei nso, hwɛ hu sɛ w’abusua mufo a wɔadi boro mfe 50 no reyɛ su pa a wɔde siw asehwe ano.

Afei nso, wo ne wo duruyɛfo nka nnompe mu yare ne sɛnea wubetumi ama wo nnompe ayɛ den denam nneɛma te sɛ aduan (a calcium ne vitamin D pii wom), apɔw-mu-teɛteɛ, ne nnompe a ɛyɛ den ho nhwehwɛmu a wɔyɛ daa so ho asɛm.

Bere tenten ahe na egye ansa na asa?

Bere a egye na woasa no gyina sɛnea wo abubu no mu yɛ den ne ayaresa a wɔde maa wo no so. Ebetumi agye asram kakraa bi kosi bɛboro afe ansa na ayɛ yiye koraa.

• Sɛ wɔde ahama anaa aduru a wɔde kyekyere ade di dwuma a: bɛyɛ adapɛn asia.
• Sɛ wowɔ closed reduction: Sɛ wompɛ oprehyɛn a, wubetumi akɔ fie da koro no ara. Anyɛ yiye koraa no, ɛho behia sɛ wohyɛ ahama/aduru a wɔde kyekyere wo ho adapɛn asia kosi awotwe.
• Sɛ wɔyɛ wo oprehyɛn a: Egye bɛyɛ asram biako kosi abiɛsa ansa na wo ho atɔ wo wɔ oprehyɛn no mu. Wo nso wubehia bɛyɛ adapɛn anan kosi asia rehab ne nipadua mu ayaresa.

Ebia nnipa pii nsateaa ayɛ den na ayɛ wɔn yaw asram pii, mfe pii mpo, bere a wɔn nsateaa a abubu no asa akyi. Ɛno nti na ɛho hia sɛ woyɛ apɔw-mu-teɛteɛ a wo duruyɛfo kyerɛw ma wo no.

Bere bɛn na metumi asan akɔ adwuma ne sukuu?

Ɛmfa ho ayaresa biara a wubenya no, Smith akisikuru bɛka w’asetra kosi sɛ ɛbɛsa:

• Akenkan, akyerɛw, ne kɔmputa a wode bedi dwuma betumi ayɛ den, titiriw sɛ wo nsa a edi tumi no nsateaa abubu a.
• Sɛ wɔayɛ wo oprehyɛn a, wubehia nipadua mu ayaresa na ama woanya ahoɔden bio.
• Sɛ ɛho nhia sɛ wɔyɛ oprehyɛn mpo a, wo duruyɛfo bɛkyerɛ wo apɔw-mu-teɛteɛ bi a ɛbɛboa ma wo nsa ne wo nsateaa akɔ baabiara na woatumi ayɛ nsakrae.

Oduruyɛfo no nso bɛkyerɛkyerɛ bere tenten a worentumi nkɔ adwuma, sukuu, anaa dwumadi afoforo mu akyerɛ wo.

Nnipa dodow no ara betumi asan afi apɔw-mu-teɛteɛ a emu nyɛ den ase (nantew, mmirikatu, nipadua no ase apɔw-mu-teɛteɛ) wɔ ɔsram biako anaa abien mu bere a wɔayi aduru a wɔde hyɛ nipadua no mu no afi hɔ anaasɛ wɔayɛ oprehyɛn no akyi. Nanso, ebia ebegye asram abiɛsa kosi asia ansa na wɔasan afi apɔw-mu-teɛteɛ a emu yɛ den anaa nkitahodi agumadi ase.

Nsɛnnennen afoforo bɛn na eyi betumi de aba?

Smith akisikuru betumi de nsɛnnennen te sɛ eyinom aba, ɛno nti na ɛho hia sɛ wonya ayaresa a ɛfata:

• Acute compartment syndrome (ACS) : Nhyɛso a ɛkɔ soro wɔ wo nsateaa ntini mu no betumi ama mogya akɔ ntini ahorow no mu, na ama ntini ne ntini asɛe daa. Eyi yɛ asɛm a egye ntɛmpɛ.
• `(Malunion)` : Eyi ba bere a wo nnompe a abubu no nsa yiye na ɛnyɛ pɛpɛɛpɛ.
• Carpal tunnel syndrome : Nsateaa a ɛpaapae a ɛnsa yiye no betumi ama nsateaa no mfinimfini ntini no amia, na ama nsa no ayɛ yaw, ayɛ mmerɛw, na ayɛ mmerɛw.
• Nnompe mu yare (osteomyelitis) : Sɛ wo nsateaa mu abubu (nea dompe no bubu fa honam ani) a, asiane kɛse wom sɛ wubenya ɔyare mmoawa.
• Apirakuru afoforo a ɛwɔ wo mu : Akisikuru nso betumi asɛe ntini, ntini, mogya ntini, ntini, ne ntini a atwa wo pira no ho ahyia no.
• Ntini mu yare : Bere kɔ so no, ntini mu yare betumi aba nkwaa a apira no mu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wo nsateaa abubu a, nya mmoa ntɛm ara sɛnea wubetumi . Kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu sɛ woahyia akwanhyia na woanya saa sɛnkyerɛnne ahorow yi a:

• Ɛyaw a emu yɛ den.
• Ahohoro bi a ɛho ahonhon.
• Sɛ wɔde wɔn nsa ka a, ɛyɛ yaw.
• Worentumi nwosow wo nsateaa.
• Sɛ nsateaa no te sɛ nea wɔabɔ no anwonwakwan so na asɛe a.
• Sɛ wo nsateaa reyɛ ayɛ wo yaw anaasɛ ɛreyɛ mmerɛw a.

Ka nea esii no kyerɛ oduruyɛfo anaa adwumayɛfo a wɔhwɛ ntɛmpɛ so .

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Mma wo werɛ mmfi sɛ wubebisa saa nsɛm yi bere a worekɔ oduruyɛfo nkyɛn no. Saa kwan no so no, wubetumi ate biribiara ase yiye.

• Akisikuru bɛn na mewɔ? So ɛyɛ Smith akisikuru?
• So ɛho behia sɛ mehyɛ aduru a wɔde kyekyere nneɛma ho anaasɛ mehyɛ afiri a wɔde kyekyere nneɛma? Bere tenten ahe?
• So ɛsɛ sɛ wɔyɛ me oprehyɛn?
• So mehia nipadua mu ayaresa?
• Bere bɛn na metumi de nsateaa a abubu adi dwuma?
• Bere bɛn na metumi adi agumadi anaa apɔw-mu-teɛteɛ?
• Bere bɛn na me nsateaa bɛsa koraa?
• Nneɛma bɛn na ɛsɛ sɛ meyɛ pɔtee na mekwati wɔ fie?
• Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Awiei koraa no, ade a ɛho hia sen biara (Take-Home Message) .

Dompe a wobɛbubu no yɛ hu bere nyinaa, titiriw sɛ ɛyɛ akwanhyia a emu yɛ den a. Nea eye ne sɛ, wobetumi asa nsateaa a abubu, a Smith a abubu ka ho. Sɛ wɔde ayaresa a ɛfata na oduruyɛfo de afotu ma a, nnipa dodow no ara betumi asan ayɛ biribiara a na wɔreyɛ ansa na wɔrepirapira no.

Sɛ wususuw sɛ wowɔ Smith abubu anaa wo nsateaa a abubu foforo biara a, nsɛe bere na ma wɔnhwɛ ntɛm ara sɛnea wubetumi.Sɛ wowɔ asiane pɔtee bi te sɛ nnompe mu yare a, mma wo werɛ mmfi sɛ wo ne wo duruyɛfo bɛkasa afa akwan a wobɛfa so ama wo nnompe ayɛ den na asiw abubuw ano ho. W’akwahosan wɔ wo nsam!

` Nsateaa a ɛpaapae, Smith a ɛpaapae, nsa a ɛpaapae, nnompe a ɛpaapae, nsateaa mu yaw, nsateaa mu ayaresa, Smith Fracture