Ðe nèdze ʋufɔku gã aɖe me kpɔ, alo nège tso kɔkɔƒe aɖe, eye nèse veve si womate ŋu ado dzi atsɔ o le wò akɔta kpɔa? Ɣeaɖewoɣi la, vevesesea nu sẽ ale gbegbe be màte ŋu aʋuʋu wò afɔ gɔ̃ hã o. Ame geɖe susuna be, "Oo, nye akɔta gbã." Gake ɣeaɖewoɣi la, esia ate ŋu asesẽ vie wu akɔta ƒe gbagbã bɔbɔe, eye ate ŋu anye akɔta ƒe gbagbã si hiã be woalé ŋku ɖe eŋu vevie. Ema nye nɔnɔme sesẽ mawo dometɔ ɖeka si ŋu míele nu ƒom tsoe egbea, si nye Acetabular Fracture.
Kpuie ko la, nukae nye Acetabular Fracture?
Be míase esia gɔme la, mina míalé ŋku ɖe alesi wowɔa míaƒe akɔtaƒu ŋu gbã. Bu míaƒe akɔta be enye bɔl kple afɔti ƒe ƒunukpeƒe. Woyɔa esia be "ball-and-socket" ƒe ƒuƒoƒo.
- Bɔl: Esiae nye akpa si le dzogoe ene me le míaƒe ata ƒe ƒu tame. Le atikewɔwɔ me la, míeyɔa esia be ``Femoral head``.
- Socket: Bɔl sia gena ɖe nusi le abe kplu ene le míaƒe akɔta si woyɔna be acetabulum me.
Ƒunukpeƒe wɔnuku sia kpena ɖe mía ŋu míewɔa ʋuʋu ƒomevi ɖesiaɖe, abe azɔlizɔzɔ, duƒuƒu, bɔbɔ, kple míaƒe afɔwo keke ene. Eyata, Acetabular Fracture nye socket (Acetabulum) ƒe gbagbã le akɔta. Zi geɖe la, esia mesẽna boo o wu akɔtaƒu ƒe ta ƒe gbagbã, gake ate ŋu anye nu sesẽ ŋutɔ ne edzɔ.
Nukawoe nye ɖiɖiɖeme siawo ƒe ɖoɖo vovovoawo kple ƒomevi vovovoawo?
Acetabulum ate ŋu agbã le mɔ vovovowo nu, le teƒe vovovowo. Ðɔktawo nɔa te ɖe afi si wole kple alesi wogbãe dzi daa aŋe siawo ɖe hatsotsowo me. Mina míalé ŋku ɖe ƒomevi veviawo ŋu.
| Fracture Ƒomevi | Numeɖeɖe bɔbɔe |
|---|---|
| Gli si le ŋgɔgbe ƒe gbagbã | Akɔta ƒe ŋgɔgbegli alo akɔta ƒe go ƒe gbagbã. |
| Gli si le megbe ƒe gbagbã | Gli alo akɔta ƒe megbekpa ƒe akpa si le gbagbãm. |
| Anyigba ƒe gbagbã le axadzi | Acetabulum la gbãna le tsia dzi, le dzidzenu 90 pɛpɛpɛ. |
| Comminuted ƒe gbagbã | Esia nu sẽ vie. Wogbãa ƒua ɖe akpa eve kple edzivɔ me. |
| Nuteɖeamedzi ƒe gbagbã | Ƒua ƒe gbagbã sue aɖe ŋutɔ si mebɔ o si dzɔna le nyaƒoɖeamenu si nɔa anyi didi, si yia edzi ta (e.g., le kamedefefewɔlawo gome). |
Aleke nèwɔna anya alesi gbegbe srɔ̃ɖeɖea me tɔwo ƒe gbagbã sesẽe?
Ɣeaɖewoɣi la, ƒu sia gbãna ɖe eve, ɣebubuɣiwo la, egbãna ɖe akpa vovovowo me. Wò ɖɔkta abu nu geɖe ŋu atsɔ anya alesi wò gbagbãƒea nu sẽe.
- Ƒu kakɛ siwo gbã ƒe xexlẽme kple woƒe lolome: Zi alesi ƒu kakɛwo sɔ gbɔe la, zi nenemae nɔnɔmea nu sẽnae.
- Aleke gbegbe ƒu kakɛawo ʋu tso afisi wonɔ tsã: Ne woɖe kakɛawo ƒe akpa gãtɔ ɖa la, ate ŋu ahiã be woawɔ dɔ nɛ.
- Nusiwo gblẽ le ƒunukpeƒe si le ƒunukpeƒea ŋu: Ne ƒunukpeƒe si kpena ɖe ƒunukpeƒea ŋu wòwɔa dɔ nyuie la gblẽ la, nɔnɔmewo abe ƒunukpeƒetetedɔ ene ate ŋu adzɔ le etsɔme.
- Lãmetsiwo, lãmekawo, kple ŋutigbalẽ siwo ƒo xlã akɔta ƒe gbegblẽ.
Nu ɖeka si wòle be wòanɔ susu me na wòe nye gbagbã si le ʋuʋu ɖi alo esi me ʋuʋudedi le . Esia fia be ƒu gbagbã aɖe gbã to ŋutigbalẽa me eye wòle dodom. Esia nye nɔnɔme sesẽ aɖe ŋutɔ. Elabena mɔnukpɔkpɔ gã aɖe li be dɔlékuiwo nate ŋu ato abi la me age ɖe ƒua me eye woahe dɔlékui sesẽ aɖe vɛ.
Nukatae wo dome gblẽ alea gbegbe ɖo?
Le nyateƒe me la, míaƒe akɔta ƒe ƒuwo, siwo dome acetabulum hã le, sesẽ ŋutɔ. Eyata ebia ŋusẽ sesẽ aɖe ŋutɔ hafi woate ŋu agbã wo. Nusiwo gbɔ nɔnɔme sia tsona wue nye:
- Afɔku sesẽwo: Nuwo abe ʋu kple dzokeke ƒe afɔkuwo ene.
- Tsitretsitsi tso kɔkɔƒe gãwo: Gege tso teƒe kɔkɔ aɖe, abe ati alo xɔ ene.
Gake mehiã be wòanye afɔku gã aɖe ɣesiaɣi o. Ƒu gbagbã siawo ate ŋu adzɔ ɖe amesiwo ƒe ƒuwo gbɔdzɔ hã dzi , vevietɔ amesiwo ŋu ƒumeŋuɖui, si nye dɔléle si nana ƒuwo ƒuna ne míele tsitsim.Ame tsitsi si ŋu dɔlélea le ate ŋu agbã vevie abe esia ene ne edze anyi hedze anyi le aƒeme gɔ̃ hã.
Nukae nye esia ƒe dzesiwo?
Dzesi vevitɔ si dzena wu si ɖea acetabular fracture fianae nye vevesese sesẽ si womate ŋu ado dzi atsɔ le akɔta ƒe akpa si le akɔta o. Vevesese sia nu sẽna ɖe edzi ne èdze agbagba be yeaʋuʋu afɔa.
Tsɔ kpe ɖe eŋu la, ne lãmeka siwo te ɖe ŋuwò la gblẽ la, àte ŋu akpɔ dzesiwo abe:
- Afɔ ƒe ʋuʋu alo elektrikŋusẽ ƒe ƒoƒo ƒe seselelãme le afɔa dzi.
- Afɔ ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ.
Ne dzesi siawo le ŋuwò la, ele be nàyi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
Aleke ɖɔkta awɔ anya esia?
Ðɔkta si ado wò kpɔ la ado wò akɔta, akɔta, kple afɔwo kpɔ nyuie gbã. Hã,
- Woabia tso asiwò be nàʋuʋu wò afɔkpodziwo kple afɔbidɛwo atsɔ akpɔe ɖa be lãmekawo gblẽ hã.
- Le afɔkua ƒe nɔnɔme nu , woléa ŋku ɖe abi bubuwo hã ŋu.
Emegbe be woaɖo kpe alesi tututu gbagbãƒea le dzi ahase eƒe sesẽme gɔme la, wowɔa dodokpɔwo abe esiawo ene:
- X-ray: Esia ate ŋu afia ƒu siwo le akɔta si gbã kple alesi kakɛawo le teƒe ɖeka.
- CT scan: Esia ate ŋu aɖe akɔta ƒe nɔnɔmetata siwo wotso ɖe wo nɔewo ŋu. Esia le vevie ŋutɔ be míase alesi gbagbãƒea sesẽe kple alesi wòsesẽe gɔme.
Aleke wowɔa atike nɛ? Ðe wòhiã be woawɔ dɔ na amea?
Atikewɔwɔ ƒe mɔnu nɔ te ɖe alesi wò ʋu ƒe sisi ƒe sesẽme kple alesi wòsẽe dzi.
Nya siwo me mehiã be woawɔ dɔ na ame o
Ɣeaɖewoɣi la, ne ƒu gbagbãa mesẽ akpa o, si fia be ƒu kakɛawo meʋu tso afisi wonɔ gbɔ akpa o (ƒu gbagbã si li ke) la, ɖɔkta ate ŋu atso nya me be yeada ƒu gbagbãa amekoko manɔmee. Le nɔnɔme mawo me la, woate ŋu akafu nu siwo gbɔna:
- Crutches alo walker : Womaɖe mɔ na wò be nàtsɔ wò afɔ aɖo anyi o vaseɖe esime ƒua haya keŋkeŋ, si nye abe kwasiɖa 12 ene.
- Mɔ̃ siwo wotsɔ xea mɔ na afɔ: Zã akɔtaɖonu alo klonu si xea mɔ na akɔta be wòagaʋuʋu le mɔ si mesɔ o nu.
- Vevesesenutsitikewo: Woana atike wò be nàtsɔ aɖu vevesesea dzi.
- Atike siwo tsia ʋu ƒe sisi nu: Esi màte ŋu azɔ azɔli ahanɔ teƒe ɖeka o ta la, afɔku li be ʋu nado ɖe wò afɔwo ƒe ʋukawo me. Wona atike siawo be woatsɔ axe mɔ ɖe esia nu.
Nya siwo me wòhiã be woawɔ dɔ le
Le nyateƒe me la, acetabular ƒe gbagbã akpa gãtɔ hiã be woawɔ dɔ na wo.
Le alesi aŋea le nu la, amekolaa atia mɔnu siawo dometɔ ɖeka:
1. Open Reduction and Internal Fixation (ORIF): Kpuie ko la, esia bia be woawɔ dɔ na ƒu kakɛ siwo gbã la atrɔ ayi woƒe nɔƒe gbãtɔ eye emegbe woazã agbalẽviwo kple gaviwo atsɔ alé wo ɖe wo nɔewo ŋu. Esiawo nɔa ŋutilãa me va se ɖe esime ƒuawo haya keŋkeŋ.
2. Total Hip Replacement: Ne acetabulum la gbɔdzɔ akpa alo gblẽ akpa be womate ŋu adzrae ɖo o la, wò amekola ate ŋu aɖo aɖaŋu na wò be nàwɔ dɔ sia. Esia bia be woaɖe akɔta ƒe ƒunukpeƒe kple ƒunukpeƒe bliboa ɖa eye woatsɔ ƒunukpeƒe si wowɔ kple asi aɖo eteƒe .
Kuxi kawoe ate ŋu ado mo ɖa tso gbagbã sia me?
Esi wònye abi gã aɖee esia nye ta la, kuxi aɖewo ate ŋu ado mo ɖa. Ele vevie ŋutɔ be nànya nusiawo.
| Kuxi si dona tso eme | Numeɖeɖe bɔbɔe |
|---|---|
| Ƒunukpeƒetetedɔ si dzɔna le afɔku megbe | Gbagbãƒea gblẽa nu le ƒunukpeƒe si le ƒunukpeƒea ŋu. Esia ate ŋu ahe ƒunukpeƒetetedɔ vɛ le ɣeyiɣi aɖe megbe. |
| Ʋu ƒe gege ɖe ƒua me (Avascular necrosis) . | Gbagbãƒea ate ŋu agblẽ nu le ʋuka siwo naa ʋu yia ƒua gbɔ la ŋu. Ne ʋua bu la, ƒumelãmenugbagbeviwo kuna eye ƒua dzea gbagbã gɔme. |
| Dɔdzedze | Dɔlékuiwo ate ŋu adze abi si wowɔ dɔ na la ƒe gogloƒe alo eƒe gogloƒe. Dɔlékui siwo goglo wu ate ŋu abia be woawɔ dɔ na wo atsɔ akɔ abi la ŋu. |
| Ʋu ƒe sisi | Teƒe ɖeka nɔnɔ le amekoko vɔ megbe ɖea ʋu ƒe sisi ɖe afɔawo ŋu dzi kpɔtɔna eye ʋu ƒe sisi ƒe afɔku le eme. |
| Sciatic lãmekawo ƒe abixɔxɔ | Esi wònye be lãmeka sia ƒua du le akɔta ƒe ƒunukpeƒea megbe ta la, ate ŋu agblẽ nu le eŋu ne egbã alo amekoko. Esia ateŋu ahe nɔnɔme aɖe si woyɔna be "afɔ ƒe ɖiɖi" (ŋutete be woakɔ afɔkpodzi kple afɔbidɛwo ɖe dzi ne wole zɔzɔm) vɛ. |
| Ƒu ƒe tsitsi si mesɔ o (Heterotopic ossification) . | Nɔnɔme si me ƒu yeye tsina le lãmeka falɛfalɛwo abe lãmeka siwo ƒo xlã akɔta ene me. |
Dɔyɔyɔ ƒe ɖoɖo kple hayahaya
Vevesese sɔ le amekoko megbe. Ðɔktaa ana vevesesenutsitike siwo hiã la wò.
Àhiã atizɔti alo afɔzɔla godoo ne ègadze azɔlizɔzɔ gɔme ake. Àte ŋu atsɔ kpekpeme aɖe ɖe wò afɔ dzi le abe kwasiɖa 6-8 ene megbe. Ke hã, axɔ ɣleti geɖe hafi woate ŋu azɔ bliboe.
Lãmesẽfefewɔwɔ nye mɔzɔzɔ sia ƒe akpa vevi aɖe ŋutɔ. Kamedede hiã be wòagate ŋu aʋuʋu le akɔta eye wòado ŋusẽ lãmekawo. Le ɣeyiɣi aɖe megbe la, wò ɖɔkta aɖo aɖaŋu na wò be nàʋu ayi kamedede siwo mewɔa dɔ boo o, abe tsiƒuƒu alo gasɔdodo le teƒe ɖeka ene. Gake ahiã be nàlala abe ɣleti 6 va ɖo 12 ene hafi aƒo ɖokuiwò ɖe dɔ sesẽ siwo tea ɖeɖi ame ŋu me.
Ðo ŋku edzi be ne atamanolae nènye la, ƒu ƒe dɔyɔyɔ nɔa blewu sã. Eye afɔku si le kuxiwo me hã lolo wu. Eyata ele vevie ŋutɔ na wò lãmesẽ be nàƒo asa na atamanono keŋkeŋ le ɣeyiɣi sia me.
Wò hayahaya bliboe nɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye alesi wògbãe, wò ƒexɔxɔ, kple wò lãmesẽ bliboa. Togbɔ be ame aɖewo ate ŋu atrɔ ayi woƒe dɔwɔna si wowɔ tsã la dzi hã la, ame bubuwo mate ŋu atrɔ ayi woƒe dɔwɔna si wowɔ tsã la gbɔ o. Eyata ele vevie be nàgbɔ dzi ɖi ahawɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Acetabular fracture nye gbagbã le socket si lé akɔta ƒe bɔl la me. Esia nye nɔnɔme sesẽ aɖe si dzɔna zi geɖe le afɔku gã aɖe ta.
- Dzesi vevitɔe nye vevesese si womate ŋu ado dzi atsɔ le akɔta ƒe akpa si o.
- Ne abi sia tɔgbe dzɔ la, ele be nàyi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake kaba.
- Zi geɖe la, ehiãna be woawɔ dɔ na ame be wòaɖɔ gbagbãƒe siawo ɖo, eye dɔyɔyɔ xɔa ɣleti geɖe.
- Lãmesẽfefewɔwɔ nye ɣeyiɣi si me ame ƒe hayahaya ƒe akpa vevi aɖe ŋutɔ.
- Wɔ ɖe mɔfiame siwo wò ɖɔkta kple kamededeŋutinunyala na wò dzi pɛpɛpɛ ɣesiaɣi. Ne ègbɔ dzi ɖi hewɔ nu ɖe ŋuwò la, àte ŋu anɔ agbe nyui ake.
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