Ðe wò abɔta nɔa ʋuʋum ɣesiaɣia? Mina míasrɔ̃ nu tso Bankart Lesion sia ŋu!

Ðe wò abɔta vuvu kpɔa? Alo ɖe nèdze anyi esime nèle kamedefefe wɔm eye wò abɔta nɔ veve sem vevie si wɔe be màte ŋu aʋuʋu wò alɔ o kpɔa? Ðewohĩ wò hã àdi be yeanya nu tso nɔnɔme aɖe si woyɔna be Bankart Lesion ŋu. Mina míaƒo nu tso eŋu bɔbɔe eye míaƒo nu tso eŋu bubutɔe.

Nukae nye Bankart Lesion sia?

Kpuie ko la, Bankart ƒe aɖatsi nye abi si wòxɔna le kadodoŋusẽ si kpena ɖe ŋuwò be wò abɔta nalé ɖe teƒe si nye abɔta, si nye abɔta, le wò abɔta ƒe ƒunukpeƒe. Esia dzɔna ne wotu wò abɔta yi ŋgɔ kple axadzi do goe le eƒe abɔta, si gblẽa nu le lãkusi ma ŋu.

Mina míalé ŋku ɖe abɔta ƒe nɔnɔme ŋua?

Wò abɔta nye ƒunukpeƒe si ƒu gã si le wò abɔta (humerus) ƒe akpa si le goglo si le etame si sɔ ɖe wò abɔta ƒe akpa si le wò abɔta (akɔtaƒu) me la wɔ. Ƒunukpeƒetetedɔ ƒe asigɛ aɖe ƒo xlã socket sia. Esiae naa abɔta ƒe ƒunukpeƒea kpena ɖe eŋu nyuie eye wòli ke.

Ƒumeŋuɖui ƒe asigɛ siae nye nusi míeyɔna be `Glenoid Labrum` . Azɔ bu eŋu kpɔ, nukae adzɔ ne wò abɔtaƒu do tso socket ma me eye wòƒo glenoid labrum sia? Emegbe labrum sia ate ŋu avuvu, alo ate ŋu ado le ƒua dzi gɔ̃ hã. Esiae nye nusi míeyɔna be Bankart Lesion.

Ðɔkta ate ŋu agbugbɔ wò abɔta si vuvu la aɖo teƒea. Gake esia mada abi si Bankart xɔ la o. Esia nye abi si xɔa wò ɣeyiɣi didi si nana wò abɔta ƒe ƒunukpeƒe mete ŋu nɔa te o, si fia be anɔ eme be wò abɔta agaʋuʋu ake.

Aleke gbegbee abi sia bɔe?

Abɔta ƒe ʋuʋu nye abi si bɔ ŋutɔ le abɔta. Edzea ame siwo ade 1% dzi. Abɔta ƒe ʋuʋu ƒe 90% lɔƒo nye ŋgɔgbe ƒe ʋuʋu, si fia be wotua ƒua yia ŋgɔ to socket la me.

Afi siae glenoid labrum la ate ŋu agblẽ le wu ne wotsɔ abɔta ƒu gbe ɖe ŋgɔ. Le nyateƒe me la, ƒuƒu mawo ƒe 87% va ɖo 100% nana labrum sia gblẽna. Eyata ne wò abɔta vuvu la, anɔ eme ŋutɔ be Bankart ƒe aɖatsi aɖe avu wò.

Nukae nye Bony Bankart Lesion?

Wò ɖɔkta ate ŋu agblɔ be ‘ƒu ƒe Bankart ƒe abi’ le ŋuwò. Esia fia be wò glenoid labrum kple ƒu si le abɔta (glenoid) siaa gblẽ. Esia fia be lãkusia vuvu eye ƒua gbã alo kakɛ sue aɖe do.

Bankart ƒe abi siawo siwo le ƒu me mebɔ o wu Bankart ƒe abi siwo me ka le, siwo gblẽa nu le ƒumeŋuɖui ŋu ko. Gake wokpɔa wo le abɔta ƒe ŋgɔgbe ʋuʋu ƒe nɔnɔme siwo ade 73% me.

Nukae hea esia vɛ?

Bankart tear alo glenoid labrum tear nye ne ƒu si le wò abɔta la vuvu eye lãkusi si kpe ɖe eŋu si ƒo xlãe la vuvu. Abɔta si ʋuʋu nye abi si nu sẽ si dzɔna ne wozã ŋusẽ geɖe.

Susu vevi geɖewo tae wòle alea ɖo:

• Ʋufɔkuwo: Abe ne ʋu ƒo wò ene.
• Kamedefefewo me afɔkuwo: Ate ŋu adzɔ ɖe abɔta ne èle tsi ƒum hedze anyi esime nèle kriket ƒom, alo ne èle rugby alo volleyball ƒom.
• Anyidzedze: Ne èdze anyi tso kɔkɔƒe alo nèdze anyi hedze anyi la, àte ŋu avuvu wò abɔta.

Bu eŋu kpɔ, ènɔ wò gasɔ dom eye kasia ètɔ brek hedze anyi, ƒo wò abɔta eye àte ŋu adze anyi. Alo, ne èɖiɖi le zikpui dzi esime nèle aƒemedɔwo wɔm heƒo wò abɔta ya ɖe? Nu mawo tɔgbe ate ŋu ahe abi sia vɛ.

Nukawoe nye dzesiawo?

Àte ŋu akpɔ dzesi siawo tɔgbe le Bankart ƒe abi ŋu:

• Abɔtave: Àte ŋu ase veve le wò abɔta katã, alo àte ŋu ase veve le wò abɔta ƒe ŋgɔgbe kple ete. Kpɔe ɖa be vevesese sia nɔa anyi eye medzona ne ègbɔ ɖe eme o hã.
• Seɖoƒe li na ʋuʋu: Abɔta ʋuʋu aɖewo, abe wò abɔ kɔkɔ, nane tsɔtsɔ ƒu gbe, alo asiɖoɖo nane ɖe ta dzi ene, ate ŋu asesẽ. Ate ŋu asesẽ na ame aɖewo hã be woado awu alo abla woƒe ʋu ƒe zikpuimekawo.
• Mɔ̃ɖaŋudzesiwo: Ne woʋuʋu abɔta ƒe ƒunukpeƒea le mɔ aɖe nu la, gbeɖiɖi aɖe ate ŋu ado "agbã" alo wòase le eɖokui me be ele ƒoƒom . Ɣeaɖewoɣi la, ƒua ate ŋu ase le eɖokui me abe ɖe wòlée ene eye emegbe ate ŋu anɔ veve sem.
• Abɔta ƒe malikenyenye: Àte ŋu ase le ɖokuiwò me be yeƒe abɔta ƒe ƒunukpeƒe vuvu, alo adze abe ƒua le ʋuʋum akpa ne ètrɔ wò abɔta ene. Àte ŋu aʋuʋu wò abɔta gɔ̃ hã.

"Xɔ̃nye aɖe yi ɖaƒo kriket eye wòku ʋu eye wòɖe eƒe abɔta. Ðɔkta la gatsɔ abɔta de eme, gake hena ɣeyiɣi aɖe le ema megbe la, mete ŋu ƒo bɔl alo kɔ naneke o. Wogblɔ be abɔta si le gbadzaa koe wònye. Emegbe hafi meva kpɔe be Bankart ƒe abi aɖee."

Aleke tututu nèwɔ de dzesi esia?

Ðɔkta abia wò gbã tso abɔta ƒe abi la ŋu – ɣekaɣie wòdzɔ, alesi wòdzɔe, nenye be edzɔ kpɔ, kple bubuawo Emegbe woalé ŋku ɖe abɔta ƒe ƒunukpeƒe ŋu akpɔe ɖa be malike aɖeke mele eme o hã.

Emegbe, wowɔa nɔnɔmetatawo dodokpɔwo tsɔ léa ŋku ɖe abi si woxɔ ŋu. Zi geɖe la, esia lɔ X-ray kple MRI (Magnetic Resonance Imaging) scan ɖe eme. Ðɔktaa di be yeakpɔ alesi gbegbe wogblẽ nu le glenoid labrum ŋu kple ne abi bubu aɖewo hã li hã. MRI-mɔ̃ ate ŋu akpɔ lãmeka falɛfalɛ sia ƒomevi ƒe gbegblẽ nyuie.

Ðe Bankart ƒe abiwo hiã be woawɔ dɔ na wo ɣesiaɣia?

Menye glenoid labrum ƒe aɖatsiwo katãe hiã be woawɔ dɔ na wo o. Gake ame aɖewo ya wɔnɛ. Bankart ƒe aɖatsiwo ate ŋu ada le wo ɖokui si ɣeaɖewoɣi, gake ɖewohĩ womahaya nyuie abe alesi wòada gbe le amekoko me ene o. Wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò ne:

• Ne wò glenoid labrum ɖe ƒua ɖa keŋkeŋ la, ahiã be woawɔ dɔ nɛ be wòagatsɔe abla ɖe ƒua ŋu ake.
• Ne ƒu ƒe Bankart ƒe abi le ŋuwò eye ƒua ƒe akpa aɖe do.
• Ne wò abɔta meli ke ɣesiaɣi o le abi si nèxɔ va yi ta eye nèti kpo enuenu.
• Ne abɔta ƒe ƒunukpeƒe le vevie ŋutɔ na wò gbesiagbedɔwo alo dɔ si nèwɔna (le kpɔɖeŋu me, abe kamedefefewɔla alo atikpala ene).

Nukae dzɔna ne womewɔ atike nɛ o?

Bankart ƒe abi ate ŋu ahaya ne womewɔ atike nɛ o, gake womehayana nyuie ɣesiaɣi o. Ɣeaɖewoɣi la, abɔta ƒe ƒunukpeƒea te ŋu nɔa te sesĩe. Esia dzia afɔku si li be wòagaʋuʋu ake eye wòagavuvu aɖatsi geɖe wu.

Wò ɖɔkta ate ŋu agblɔ na wò nyuie wu nenye be wò abi la ahaya nyuie le eɖokui si. Ne womewɔ dɔ na wò o hã la, ele be nàlé be na wò abɔta ƒe ƒunukpeƒe nyuie be wòakpɔ egbɔ be ehaya nyuie.

Aleke woate ŋu ada abi sia to amekoko me?

Le Bankart ƒe gbagbã ƒe amekoko me la, woɖea lãkusi kuku alo esiwo gblẽ eye wotsɔa lãkusi si le lãmesẽ me dzraa aɖatsia ɖo. Ne ehiã la, amekolaa agatsɔ wò glenoid labrum la abla ɖe glenoid ƒua ŋu.

Be amekolawo nate ŋu awɔ esia la, wotsɔa seke suewo dea ƒu si le socket la me, eye wotsɔa glenoid labrum ƒe lãkusia blaa sekeawo. Emegbe, woblaa aŋeawo sesĩe be ƒunukpeƒea nali ke. Woyɔa esia ɣeaɖewoɣi be Bankart Dzadzraɖo .

Ƒunukpeƒetetedɔ ƒe mɔnu

Zi geɖe la, amekolawo ate ŋu azã abɔta ƒe ƒunukpeƒetetedɔ atsɔ awɔ Bankart ɖɔɖɔɖo sia . Esia fia be woaɖe ʋuƒo sue aɖe, ade mɔ̃ sue aɖe si me fotoɖemɔ̃ (`arthroscope`) le to eme, eye woawɔ amekokoa to mɔ̃ ma me.

Amekokomɔnu siwo me womezãa nu boo aɖeke le o abe esiawo ene ate ŋu aɖe hayahaya ƒe ɣeyiɣiwo dzi akpɔtɔ eye wòana hayahaya nanɔ bɔbɔe. Gake le abi sesẽ aɖewo gome la, ate ŋu ahiã be woawɔ dɔ na ame le abɔta si le ʋuʋu ɖi be wòahaya nyuie.

Aleke nuwo gbugbɔgaɖɔɖo ƒe ɖoɖoa le?

Woɖawɔ dɔ na wò alo womewɔ dɔ na wò o, ahiã be nàgbɔ ɖe eme ahagbugbɔ aɖɔ wò abɔta ɖo hafi wòahaya. Esia fia be ahiã be nàdo aŋenu aɖe be wò abɔta nagaʋuʋu o kwasiɖa geɖe. Le ema megbe la, ahiã be woawɔ kamedede na wò .

Lãmesẽdɔwɔla aɖe ana kamedede vovovowo wò. Esiawo akpe ɖe ŋuwò vivivi be lãmekawo ƒe ŋusẽ nagaɖo ŋuwò eye nàgate ŋu aʋã. Esia akpe ɖe ƒunukpeƒea ŋu wòali ke eye wòaɖe afɔku si le eme be wòagaxɔ abi ake dzi akpɔtɔ.Ele vevie ŋutɔ be nàwɔ kamedede siawo abe alesi wogblɔe ene pɛpɛpɛ.

Nukae nye abi sia ƒe mɔkpɔkpɔ?

Ðewohĩ ahiã be woawɔ dɔ na wò le Bankart ƒe abi ta alo mahiã o. Ke hã, zi geɖe la, nukpɔsusua nyona. Ame akpa gãtɔ hayana nyuie tso Bankart ƒe abi aɖe me. Gake ate ŋu axɔ ɣleti ade hafi wòahaya bliboe.

Afɔku gãtɔ kekeake le hayahaya megbe enye be abɔta ƒe malikenyenye ayi edzi, si ana abɔta nagaʋuʋu ake eye abɔta navuvu. Afɔku sia dzi ɖena kpɔtɔna ne wowɔ dɔ na wò eye nèwɔ kamedede nyuie.

Vovototo kae le Bankart ƒe abi kple Hill-Sachs ƒe abi dome?

Hill-Sachs ƒe abi kple Bankart ƒe abi siaa ate ŋu adzɔ le susu ɖeka ta, zi geɖe le ɣeyiɣi ɖeka me. Ne wò abɔtaƒu vuvu sesĩe la, edzea abɔta ƒe ʋuƒoa ƒe go dzi.

Esia ate ŋu avuvu ƒunukpeƒe si ƒo xlã socket (wò glenoid labrum). Woyɔa esia be Bankart ƒe abi. Nuveviwɔame sia ate ŋu agblẽ nu le abɔtaƒua ŋutɔ hã ŋu, si ana ʋuʋudedi nado ɖe eme. Woyɔa esia be Hill-Sachs ƒe nɔnɔme madeamedzi alo abi.

Vovototo kae le Bankart ƒe abi kple SLAP ƒe abi dome?

SLAP tear nye aɖatsi ƒomevi bubu si le glenoid labrum me. Esia dzɔna le labrum ƒe akpa si le etame, tso ŋgɔgbe yi megbe. Nya SLAP tso kpukpui si nye Superior Labrum Anterior to Posterior me .

Aɖatsi sia ƒomevi metsoa abi si woxɔ le abɔta gbɔ boo o. Ke boŋ zi geɖe la, abɔta ƒe ʋuʋu sesĩe gbɔe wòtsona. Ate ŋu adzɔ kpata, alo ate ŋu adzɔ vivivi le ɣeyiɣi aɖe megbe le teteɖeanyi enuenu ta. Bu eŋu abe volleyball ƒola si le ti kpom hele ƒoƒom enuenu ene.

Dzesiwo kple kuxi siwo ate ŋu ado tso Bankart ƒe abiwo kple aɖatsi siwo wotsɔ ƒoa woe me la ɖi wo nɔewo ŋutɔ. Wo ame evea siaa ate ŋu ana abɔta ƒe ƒunukpeƒea nagali ke o, si ana wòase veve eye wòana abɔta ƒe ƒunukpeƒea naʋuʋu. Ðewohĩ ahiã be woawɔ dɔ na wo ame evea siaa.

Ne mèɖo ŋku edzi be wò abɔta vuvu o, eye nèse veve le wò abɔta ƒe afɔti tame la, ke anɔ eme godoo be aɖatsi aɖe le ƒowò. Ne vevesesea le ŋgɔgbe kple ete la, ate ŋu anye Bankart ƒe aɖatsi.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Ne èɖe wò abɔta la, anɔ eme be wò glenoid labrum hã vuvu. Abi sia ate ŋu akpɔ ŋusẽ gã aɖe ɖe ame dzi wu abɔta ƒe ʋuʋu. Le go aɖewo me la, ahiã be woawɔ dɔ na wò hafi aɖɔe ɖo.

Dɔyɔyɔ tso abi si Bankart xɔ me bia ɣeyiɣi kple agbagbadzedze. Ate ŋu axɔ kamedede ƒe atikewɔwɔ ɣleti geɖe. Gake ame geɖe, kamedefefewɔlawo gɔ̃ hã, siwo wu ɖoɖo sia nu dzidzedzetɔe la gagate ŋu wɔa dɔ bliboe le woƒe abɔta. Eyata, mègatsi dzodzodzoe o eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie.Míele didim be nàhaya kaba!

` Abɔta ƒe ʋuʋu, Bankart ƒe abi, Glenoid labrum, Abɔta ƒe vevesese, Abɔta ƒe dɔwɔwɔ, Lãmesẽfefe, Kamedefefe me abixɔxɔ