Ðe wò asibidɛ gbã alea? Mina míasrɔ̃ nu tso Barton Fracture si me afɔku le ŋu!

Oo, ɖe nège ɖe afi aɖe eye nèwɔ nuvevi wò asibidɛ veviea? Alo ɖewohĩ ètsi nane abe kekexɔ me gege ene me eye wò asibidɛ vuvu? Bu eŋu kpɔ, le nɔnɔme sia tɔgbe me la, menye ɖeko ƒu aɖe si le wò asibidɛ me gbãna ko o, ke le ɣeyiɣi ma ke me la, ƒunukpeƒe aɖe si le teƒe ma la ʋuna, eye ƒu kakɛwo ƒua gbe ɖe afisia kple afima. Emae nye nusi míeyɔna be Barton Fracture, si nye gbagbã si sesẽ vie wu. Esi wònye be esia ate ŋu anye nu vevi vie ta la, mina míaƒo nu tso eŋu tsitotsito, enyoa?

Nuka tututue nye Barton Fracture?

Kpuie ko la, Barton Fracture nye ne wò asibidɛ ƒe akpa aɖe gbã eye akpa bubu ʋu tso afisi wònɔ tsã. Ne míagblɔe tututu la, radius, si nye ƒu si te ɖe asibidɛ ŋu wu, ye nye esi gbãna . Edo ƒome kple asibidɛ ƒe ƒunukpeƒe hã, eyata kuxi sia dzɔna ɖe ƒunukpeƒe ma dzi.

Esia dzɔna zi geɖe ne èbɔbɔ wò alɔnu, si fia wò asibidɛ, eye nèdze anyi kple wò kpekpeme le axa ma. Bu eŋu kpɔ, ènɔ du dzi eye kasia nèdze anyi heƒo wò asi ɖe anyigba, ɣemaɣie gbagbã sia ate ŋu adzɔ. Le nyateƒe me la, ƒu si ƒe didime nye radius bone ye nye ƒu si gbãna wu le míaƒe asi me. Le nusianu me la, 20% koe le gbagbã bubuawo katã me nye radius gbagbã!

Ðe Barton ƒe Gbagbã ƒomevi aɖewo lia?

Ẽ, Barton ƒe gbagbã ƒomevi vevi eve li, le akpa si ƒu kakɛa ʋu le nu.

1. Dorsal Barton Fracture: Esiae nye esime ƒu gbagbãa do ɖe wò asi ƒe megbe, afisi ɖaa le. Esia ate ŋu ana abi sue aɖe nadze le wò asi ƒe megbe.

2. Volar Barton Fracture (si woyɔna hã be Reverse Barton Fracture): Afi siae ƒu ƒe akpa si gbã la dona ɖe gota le wò alɔnu. Nukutɔe la, esiawoe nye Barton ƒe gbagbã ƒomevi siwo bɔ wu.

Amekae ate ŋu axɔ Barton Fractures wu?

Le nyateƒe me la, ame sia ame ate ŋu agbãe alea. Elabena amekae nya ɣeyiɣi si wòadzɔ alo alesi wòadzɔe, alo? Gake le numekukuwo nu la, wogblɔ be Barton ƒe gbagbã siawo ƒe 70% le ɖekakpuiwo dome . Esia bɔ ɖe asidɔwɔlawo alo dzokekedolawo koŋ dome. Nuveviwɔame sia ate ŋu adzɔ le dɔwɔƒe alo le kekefɔku me.

Azɔ hã, ƒumeŋuɖui le ŋuwò.Ne dɔléle aɖe si woyɔna be ƒumeŋuɖui le ŋuwò la, ke àte ŋu axɔ ƒu ƒe gbagbã sia. Ðeko ƒumeŋuɖui nye dɔléle si me ƒuwo gbɔdzɔna eye wogbãna bɔbɔe. Eyata ne ƒuawo gbɔdzɔ la, gege sue aɖe gɔ̃ hã ate ŋu agblẽ nu le wo ŋu vevie. Zi geɖe la, afɔku si le dɔléle sia xɔxɔ me lolona wu le ƒe 50 xɔxɔ vɔ megbe.

Aleke gbegbee Barton ƒe Gbagbãƒewo bɔe?

Ne míagblɔe tututu la, Barton ƒe gbagbã nye gbagbã ƒomevi aɖe si mebɔ kura o . Asibidɛ ƒe gbagbã ƒomevi bubu geɖe li siwo bɔ wu. Eyata menye asibidɛ ƒe gbagbã ɖesiaɖee nye Barton ƒe gbagbã o.

Nukawo koŋ gbɔe wòtso be wo dome gblẽ alea?

Zi geɖe la, si fia be zi geɖe la, anyidzedze gbɔe esia tsona . Abe alesi míegblɔe va yi ene la, esia dzɔna ne èdze anyi ale be wò asi ka anyigba. Tsɔ kpe ɖe eŋu la, gbagbã mawo ate ŋu adzɔ le afɔku sesẽwo abe ʋufɔkuwo kple dzokekefɔkuwo ene hã me.

Nukae nye Barton Fracture ƒe dzesiwo?

Barton ƒe gbagbã ƒe dzesiwo sɔ kple gbagbã bubu siwo le didiƒe ƒe didime si ŋu míeƒo nu tsoe va yi la ŋutɔ. Àte ŋu ato nusiwo le abe:

• Asibidɛ ƒe ƒoƒo kple ƒoƒoe: Ne ame aɖe dze anyi vɔ la, teƒea ate ŋu azu blɔ eye wòaƒo abi.
• Asibidɛ ƒe akpa si vuvu alo ƒoƒo: Ne ƒu kakɛa le ʋuʋum la, ate ŋu avuvu eye wòadze abe ƒoƒo ene.
• Mate ŋu aʋuʋu asibidɛ vevesese manɔmee: Vevesesea ate ŋu asẽ ale gbegbe be màte ŋu aʋuʋu asi gɔ̃ hã o.
• Asibidɛwo ƒe nugbɔ siwo le ʋuʋum alo wole ʋuʋum: Ɣeaɖewoɣi la, ne lãmekawo te ɖe wo ŋu vie la, asibidɛwo ate ŋu ase le wo ɖokui me be yewole ʋuʋum.
• Vuvu: Asibidɛ ate ŋu avuvu ŋutɔ.
• Asibide sesẽ: Esiae nye dzesi vevitɔ. Vevesesea ate ŋu anye nusi womate ŋu ado dzi atsɔ o.

Bu eŋu kpɔ, ne èdze anyi esime nèle kriket ƒom eye nède abi wò asi alea la, màte ŋu awɔ wò gbesiagbedɔwo o. Eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èkpɔ dzesi siawo tɔgbe.

Aleke ɖɔktawo wɔa anya be Barton ƒe Gbagbãdɔ le ame ŋu?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo, alesi wosẽe, kple alesi abi si nèxɔ la dzɔe ŋu. Emegbe, ɖɔktaa abia be woawɔ X-ray na wò be wòakpɔe ɖa be ƒu aɖe gbã hã eye ƒu ka ƒomevie wògbã hã. X-ray la ate ŋu akpe ɖe ɖɔktaa ŋu wòakpɔ:

• Ðe ƒu bubu aɖewo hã gbãa?
• Afikae ƒu kakɛ siwo gbã la dome didi tso wo nɔewo gbɔ?
• Eɖanye ƒu si gbã la ƒe gogloƒe le ƒuƒlu alo le gbadzaa o.

Ɣeaɖewoɣi la, lé ŋku ɖe wò lãkusiwo, lãmekawo, kple lãkusiwo ŋu be naneke megblẽ le ŋuwò hã.Woate ŋu awɔ CT scan alo MRI hã.

Nya siwo ɖɔkta ate ŋu abia wò

• "Vevesese ka gbegbee nèle?"
• "Aleke gbegbee wò dzesiwo nu sẽe?"
• "Àte ŋu aʋuʋu wò asibidɛa?"
• "Aleke nèwɔ de abi asibidɛ sia ŋu?"
• "Ɣekaɣie abi sia dzɔ?"

Ðɔktaa ate ŋu ase nɔnɔmea gɔme nyuie le wò ŋuɖoɖo na biabia siawo tɔgbe nu.

Aleke nèwɔa nu ɖe ​​ƒu gbagbã alea ŋui?

Wò ɖɔkta atsɔ ka abla wò asibidɛ gbã be wòagaʋuʋu o. Emegbe, atsɔ wò ayi ƒumeŋutinunyala gbɔ. Ƒumeŋutinunyalawo daa abi siwo woxɔ le ƒuwo, lãmekawo, lãkusiwo, kple lãkusiwo ŋu.

Anɔ eme godoo be ahiã be woawɔ dɔ na wò si woyɔna be Open Reduction and Internal Fixation (ORIF) . Esia aɖi ŋkɔ si gɔme sese sesẽ, gake ne míagblɔe bɔbɔe la, ewɔa dɔ ale:

1. Open Reduction: Amekolaa ɖea ƒu sue aɖe le ŋutigbalẽa me, dia ƒu kakɛ siwo gbã la, eye wògatsɔa wo dana ɖe woƒe nɔnɔme gbãtɔ me.

2. Ememe Kpeɖodzi: Emegbe, wozãa ka suewo (pin), atikplɔ, agba, gavi, kple bubuawo tsɔ léa ƒu kakɛ siwo wotsɔ va teƒe nyuitɔ la ɖe wo nɔewo ŋu Ɣeaɖewoɣi la, woate ŋu azã esiawo dometɔ geɖe ɖekae.

Be nàɖe vevesese dzi akpɔtɔ le amekoko sia megbe la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàno vevesesenutsitikewo abe acetaminophen (e.g. Tylenol®) kple ibuprofen (e.g. Advil®, Motrin®) .

Ɣeyiɣi didi kae wòxɔna hafi Barton Fracture hayana?

Esia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Gake le goawo katã me la, .

• Ne womewɔ dɔ na wò o (si ɖewohĩ mahiã le go aɖewo me o, gake zi geɖe la, amekoko hiãna na Barton ƒe gbagbã) la, ahiã be nàdo aŋenu ɖe ​​wò asibidɛ ŋu abe kwasiɖa ade ene.
• Le amekoko vɔ megbe gɔ̃ hã la, ɖewohĩ ahiã be nàdo aŋɔ si wotsɔna ƒoa aŋɔ alo aŋetu hena ɣeyiɣi aɖe.
• Le ema megbe la, ahiã be nàwɔ kamedede ƒe atikewɔwɔ , afisi vivivi la, wò asibidɛ agaʋuʋu eye ŋusẽ nagaɖo ŋuwò le.

Àte ŋu ase le ɖokuiwò me be yeƒe lãme sẽ le ɣleti ʋɛ aɖewo megbe. Gake ate ŋu axɔ ƒe ɖeka hafi wò alɔ nahaya keŋkeŋ eye ŋusẽ nagaɖo eŋu. Eyata ele vevie be míagbɔ dzi ɖi ahakpɔ gome le atikewɔwɔ me. Kpɔ egbɔ be yebia wò ɖɔkta ɣekaɣie nàte ŋu adze kamedede gɔme ake kple ɣekaɣie nàte ŋu awɔ kamedefefe siwo me nàte ŋu aƒo kamedede le abe bɔlƒoƒo kple hockey ene.

Aleke woate ŋu aɖe afɔku sia dzi akpɔtɔ?

Míate ŋu agblɔ ɣeyiɣi si me afɔku siawo adzɔ kple alesi woawɔe ɖi o. Gake míate ŋu aɖɔ ŋu ɖo vie:

• Kpɔ nyuie geɖe wu ne èle kamedefefe wɔm, nèle asidɔ wɔm, nèle dzokeke dom, alo nèle teƒe kɔkɔwo abe atrakpuiwo ene liam.
• Ne ƒumeŋuɖui le afɔku gã aɖe me (vevietɔ ne èxɔ wu ƒe 50) la, ɖe afɔku siwo ate ŋu adze anyi le wò aƒeme ɖa.
• Ne èzãa atizɔti alo afɔti la, mègaŋlɔ be be yeazã wo edziedzi o.

Nukae nye mɔkpɔkpɔ le Barton ƒe Gbagbã megbe? (Nukpɔsusu/Nyagblɔɖi) .

Nya nyuiae nye be ame akpa gãtɔ ate ŋu atrɔ ayi woƒe gbesiagbedɔwo wɔwɔ me le Barton ƒe gbagbã megbe. Ke hã, ebia ɣeyiɣi, atikewɔwɔ nyuie, kple kamedede nyuie.

Kuxi kawoe ate ŋu ado mo ɖa le amekoko megbe?

Ɣeaɖewoɣi la, kuxiwo ate ŋu ado mo ɖa le amekoko vɔ megbe. Mɔnukpɔkpɔ sue aɖe li be nusiawo adzɔ le amekoko le Barton ƒe gbagbã ta megbe:

• Acute Compartment Syndrome (ACS): Esiae nye esime wotso ʋu ƒe sisi yi ŋutilã ƒe akpa veviwo. Esia ate ŋu agblẽ nu le lãmekawo kple lãmekawo ŋu. Esia nye nudzɔdzɔ kpata aɖe.
• Osteomyelitis: Ne ƒu gbagbã le ʋuʋu ɖi – si fia be ƒua gbã to ŋutigbalẽa me la – èle afɔku gã aɖe me be dɔlékui aɖe nadze dziwò.
• Carpal Tunnel Syndrome: Nɔnɔme sia ate ŋu ado mo ɖa ne asibidɛ si gbã la mehaya nyuie o. Ate ŋu ana ame nase veve, wòagbɔdzɔ, eye wòana ame natsi dzodzodzoe. Gake atikewɔmɔnu aɖewo li na esia.
• Complex Regional Pain Syndrome (CRPS): Esia nye nɔnɔme si me vevesese le ŋutɔ. Edzɔna ne lãmekawo do ŋusẽ akpa le abixɔxɔ vɔ megbe, si wɔnɛ be womewɔa dɔ nyuie o.
• Malunion: Esia fia be ne wò ƒu gbagbãwo da gbe le wo ŋu la, womewɔa ɖeka nyuie o eye womewɔa ɖeka nyuie o.
• Nu bubu siwo gblẽna le lãmenugbagbevi siwo ƒo xlãe ŋu: Ƒu siwo gbã ate ŋu agblẽ nu le lãmeka siwo ƒo xlãe, ʋukawo, lãmekawo, lãkusiwo, kple lãkusiwo hã ŋu.

Ne ètsi dzi alo nètsi dzi ɖe kuxi siawo ŋu la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta. Atike nyuiwo li na nu aɖewo.

Ɣeyiɣi kawoe nye nyuitɔ kekeake siwo nàte ŋu ayi ɖɔkta gbɔ?

• Ne èxɔ wu ƒe 50 eye wò ƒu gbã kpɔ la, wò lãmesẽdɔwɔla vevitɔ ate ŋu adi be yeado wò kpɔ be ƒumeŋuɖui le ŋuwò hã. Ƒu gbagbã fia be wò ƒuwo ate ŋu agbɔdzɔ.

Ɣekaɣie wòhiã be nàyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ?

Ne èsusu be ɖewohĩ yeƒe asibidɛ gbã la, anyo wu be nàyi xɔ si me wowɔa dɔ kpata le si te ɖe ŋuwò enumake . Vevietɔ ne:

• Ne wò vevesesea nu sẽ ŋutɔ.
• Ne wò asibidɛ dze nu wɔnuku aɖe (abe ɖe wògblẽ ene).
• Ne asibidɛa le ʋuʋum.
• Ne wò asibidɛwo ƒe amadede trɔ (abe blɔ, ɣi, alo blɔ ene).

Nya vevi siwo wòle be nàbia wò ɖɔkta

Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:

• "Ðe wòhiã be woawɔ dɔ nam ŋutɔŋutɔa?"
• "Gbe ka ƒomevie le ŋunye?"
• "Ɣekaɣie mate ŋu aɖe nye aŋɔ ɖa?"
• "Ɣekaɣie mate ŋu atrɔ ayi nye dɔwɔna siwo mewɔna ɖaa gbɔ?"

Nu vevitɔ kekeake si dzi wòle be nàɖo ŋkui (Take-Home Message) .

Ðo ŋku edzi be ne èdze anyi eye wò asibidɛ bɔbɔ la, eƒe akpa aɖe ate ŋu agbã eye eƒe akpa aɖe ate ŋu aʋuʋu. Esia fia be ɖewohĩ Barton Fracture le ŋuwò. Ne ƒunukpeƒea dze abe ɖe wòto vovo ene la, ate ŋu anye Barton Fracture. X-ray ate ŋu akpe ɖe ɖɔktawo ŋu woanya nusi tututu wònye gbagbã. Zi geɖe la, amekokoe nye atike nyuitɔ kekeake.

Ne Barton Fracture ƒe dzesiwo le ŋuwò la, yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ enumake . Woate ŋu ada gbagbãƒe siawo, eye ne woda wo kaba la, àte ŋu aɖe vevesese dzi akpɔtɔ eye nàdze dɔyɔyɔ gɔme kabakaba. Míele didim be nàhaya kaba!

` Barton ƒe gbagbã, asibidɛ ƒe gbagbã, asi ƒe gbagbã, asibidɛ ƒe vevesese, ƒu ƒe dɔwɔwɔ, ORIF ƒe amekoko, ƒu ƒe dɔyɔyɔ