Ɣeaɖewoɣi la, ne alɔ alo afɔ gbã le afɔku aɖe me la, mehayana nyuie o eye wòhea vevesese geɖe vɛ, alo? Alo, ele be nàdo ŋusẽ aɖu ƒe ƒu hafi woado aɖu na wò. Le nɔnɔme siawo tɔgbe me ye ɖɔktawo ƒoa nu tso ' ƒu ƒe dodo' ŋu. Ame aɖewo ate ŋu avɔ̃ ne wose ŋkɔ sia, gake egbea la, míaƒo nu tso nusi tututu wònye, alesi wowɔe, kple nusiwo wòle be nànya ŋu bɔbɔe ŋutɔ.
Kpuie ko la, nukae nye ƒu si wodo ɖe lãme na ame?
Esia nye amekoko ƒe ɖoɖo. Ebia be nàkpe ɖe wò ŋutilã ŋu wòaɖɔ ƒu si gbɔdzɔ, si gbã, alo esi gblẽ ɖo. Bu eŋu kpɔ, ne do aɖe le míaƒe aƒea ƒe gli ŋu la, míetsɔa aŋɔ yɔa eme, alo? Esia hã nye nu ɖeka ma ke. Le amekoko sia me la, ɖɔktaa tsɔa nu tɔxɛ aɖe dea do alo teƒe si gbɔdzɔ le ƒua me.
Taɖodzinu vevi eve le esia ŋu:
1. Ŋusẽ bubu nana: Nusi woda ɖe doa me naa ƒua léa asi eye wòdoa ŋusẽe.
2. Kpekpeɖeŋu nana be ƒu yeye nawɔ: Nusi wodo ɖe lãme na ame ɖoa dzesi ɖe ŋutilãa be "wòatu ƒu ƒe lãkusi yeyewo ɖe afisia." Emegbe ŋutilãa ŋutɔ yɔa doa me eye wògadoa ŋusẽ ƒua ake.
Amekawoe hiã be woawɔ dɔ sia ƒomevi?
Susu geɖe li siwo tae wòahiã be woado ƒu ɖe lãme na ame ɖo. Ɣeaɖewoɣi la, ate ŋu anye le afɔku aɖe megbe, ɣebubuɣiwo la, ate ŋu atso atikewɔwɔ ƒe nɔnɔme bubu aɖe gbɔ. Na míalé ŋku ɖe nɔnɔme vevi siwo me esia hiã le ŋu.
| Susu | Numeɖeɖe Blewu |
|---|---|
| Gbagbãƒe si mehayana nyuie o | Amekoko sia hiã ne ƒu si gbã la haya blewu wu alesi wokpɔ mɔe (ehe ƒoƒo ɖe megbe), mewɔ ɖeka nyuie o (malunion), alo mehaya kura o (nonunion). |
| Hafi Woade Aɖuɖɔtoe | Hafi woatsɔ aɖu si wowɔ kple asi ade aɖua me la, ne aɖua ƒe ƒu gbɔdzɔ la, wodoa ƒu be wòado ŋusẽe. |
| Ƒunukpeƒewo Trɔtrɔ | Wozãa mɔnu sia ne wole ƒunukpeƒe, abe akɔta alo klo ene, ɖɔlim, eye ehiã be ƒu natsi be woakpɔ egbɔ be ƒunukpeƒe si wowɔ la le te nyuie. |
| Amekoko si wowɔna tsɔ ƒoa ƒu ɖe aklã ŋu | Le amekoko siwo wowɔna tsɔ ƒoa ƒu ɖekae me la, wozãa ƒu siwo wodona tsɔ kpena ɖe ame ŋu be akɔtaƒuwo nali ke. |
| Atikewɔwɔ ƒe nɔnɔme bubuwo | Wozãnɛ hã tsɔ gbugbɔa ƒu siwo dɔlélewo abe ƒumeŋuɖui, ƒumeŋuɖui, kple ƒumeŋuɖui (osteomyelitis) gblẽ nu le. |
| Kuxi siwo do mo ɖa tso wo dziɣi | Woate ŋu azã mɔnu sia hã atsɔ aɖɔ nɔnɔmewo abe abɔ kple afɔ ƒe didime ƒe vovototo si wodzina ene ɖo. |
Mɔnu vevi kawoe wozãna tsɔ doa ƒu?
Ðɔkta la anɔ te ɖe nu geɖe dzi atia mɔnu si sɔ na wò wu, abe wò nɔnɔmea kple ƒu agbɔsɔsɔme si wòle be woado na wò ene. Mɔnu vevi geɖewo li.
- Autograft: Esia bia be nàɖe ƒu sue aɖe tso wò ŋutilã ƒe akpa bubu , zi geɖe la, ƒu si woyɔna be iliac crest. Wobua esia be enye mɔnu si kpɔ dzidzedze wu. Esi wònye wò ŋutɔ wò lãmekae ta la, wò ŋutilã megbenɛ o, eye dɔlékuiwo xɔxɔ ƒe afɔkua hã le sue. Gake esi wònye be woɖea ƒu ɖe vovo le afisi woɖe ƒua le ta la, vevesese aɖe ate ŋu anɔ teƒe ma. Ƒu agbɔsɔsɔme si woate ŋu aɖu hã se ɖe afi aɖe.
- Allograft: Esia zãa ƒumeŋuɖui si tso ame bubu (si na ame si ku) gbɔ . Woɖea esiawo tso lãkusi tɔxɛwo me, wokɔa wo ŋu, wowɔa dɔlékuiwutikewo, eye wodzraa wo ɖo le lãmesẽnyawo ŋuti se sesẽ ŋutɔwo te. Eyata dɔlékuiwo xɔxɔ ƒe afɔkua le sue ŋutɔ. Viɖe si le esia ŋue nye be mehiã be woalã wò ŋutilã ƒe akpa bubu aɖeke o. Wozãa mɔnu sia geɖe le amekoko na aklã me.
- Ƒumeŋuɖui si Wotsɔ Ƒo Ƒu: Esiawo nye nusiwo wotsɔ asi wɔe le nudokpɔƒe.. Wotsɔa nu mawo ke siwo le ƒuwo me, abe calcium ene, wɔa esiawoe. Dɔlékui aɖeke mele wo me o eye woate ŋu ano wo le agbɔsɔsɔ si hiã me. Woɖea vi ŋutɔ le ƒu gãwo ƒe dometsotsowo yɔyɔ me. Protein siwo doa ŋusẽ ƒu ƒe tsitsi hã le nusiwo wotsɔ dea ame ƒe ŋutilã me dometɔ aɖewo me.
- Bone Marrow Aspirate: Esia bia be nàzã aŋe atsɔ aɖe ƒumeŋuɖui sue aɖe tso ƒu gã aɖe abe wò akɔtaƒu ene me. Lãmenugbagbevi tɔxɛwo (lãmenugbagbevi siwo nye stem cells) siwo ate ŋu awɔ ƒu la le ƒumeŋuɖui sia me. Ne wozã ƒumeŋuɖui sia kpe ɖe ƒumeŋuɖui ƒe mɔnu bubuwo ŋu la, ƒu ƒe dɔyɔyɔ kabakaba.
Nukae dzɔna le amekokoa wɔɣi?
Na míalé ŋku ɖe alesi esia dzɔna zi geɖe afɔɖeɖe ɖesiaɖe ŋu.
1. Atike si naa alɔ̃dɔdɔ: Gbã la, woatsɔ atike si naa alɔ̃dɔdɔ wò keŋkeŋ (woana atike si naa alɔ̃dɔdɔ wò ). Eyata màse veve aɖeke le amekokoa wɔɣi o, ànɔ alɔ̃ dɔm.
2. Ƒutsotsoea wɔwɔ: Emegbe amekolaa lãa ŋutigbalẽ si me woatsɔ ƒu si wodo la ɖo be wòage ɖe ƒua me.
3. Ƒua Dzadzraɖo: Eyome, wokɔa ƒua ŋu nyuie, woɖea ƒu ɖesiaɖe si gblẽ alo dɔlékui la ɖa, eye wodzraa ƒua ɖo hena ƒua dodo.
4. Ƒu si wodo la ɖɔɖɔɖo: Fifia wotsɔa ƒu si wodo ɖa si nèdzra ɖo va yi (wò ŋutɔ wò ƒu ƒe akpa aɖe, ƒu si wotsɔ na wò, alo nusi wowɔ) dea doa me, eye ɖewohĩ wotsɔa agbalẽvi suewo alo gaviwo ɖɔnɛ ɖo be wòagaʋuʋu o.
5. Nutsotso si wotso la: Mlɔeba la, wotsɔa lãɖeɖea ƒoa nu eye wotua eŋu nyuie.
Ðe afɔku aɖewo le esia mea?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku aɖewo le eme. Gake ɖɔktawo wɔa woƒe ŋutete ɖesiaɖe be woaɖe nusiawo dzi akpɔtɔ alesi woate ŋui. Ele vevie be nànya nusiawo do ŋgɔ.
Afɔku siwo ate ŋu ado tso esia me dometɔ aɖewoe nye:
- Ʋu si le dodom
- Dɔlékuiwo
- Ƒuwo ƒe dɔyɔyɔ ƒe kuxiwo
- Vevesese si nɔa anyi didi
- Hardware ƒe gbagbã, abe mɔ̃ siwo wozãna tsɔ ɖɔa nusi wotsɔ dea eme, abe agbalẽviwo kple gavi ene ƒe ʋuʋu alo woƒe gbagbã ene
- Lãmetsiŋusẽ ƒe gbegblẽ
- Abidede ame ŋu
Nukae dzɔna le amekokoa megbe? Ɣeyiɣi didi kae wòxɔna hafi wòhayana?
Le amekoko vɔ megbe la, wò ŋutilã dzea ɖekawɔwɔ gɔme vivivi kple nusi wotsɔ doe, eye wòwɔa nu ɖe eŋu abe eya ŋutɔ ƒe ƒu ene. Dɔ sia ate ŋu axɔ kwasiɖa ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo alo ƒe ɖeka gɔ̃ hã .
Ɣeyiɣi si nàda gbe le ame ŋu nɔ te ɖe nusiwo le abe ƒe si nèxɔ, wò lãmesẽ bliboa, kple ƒu si wodo na wò ƒe lolome kple afisi wòle dzi.
Vevietɔ ŋutɔ: Ne atamanolae nènye la, atamanono dzudzɔ akpe ɖe dɔyɔyɔ ŋu ŋutɔ. Sigaretnono xea mɔ na ʋukawo eye wòɖea ʋu si yia ƒuwo me dzi kpɔtɔna. Esia ate ŋu ahe ƒuwo ƒe dɔyɔyɔ ɖe megbe.
Ne dzesi siawo le ŋuwò la, gblɔe na wò ɖɔkta enumake.
Ele vevie ŋutɔ be nàlé ŋku ɖe wò nɔnɔmea ŋu le wò amekoko vɔ megbe. Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe la, te ɖe wò ɖɔkta ŋu enumake.
| Dzesi si dzena | Nusiwo ŋu wòle be woalé ŋku ɖo |
|---|---|
| Ʋu alo vuvu le afisi wotsoe | Ne ʋu si mebɔ o le dodom alo tsi bubu aɖe le dodom tso afisi wotsoe le, alo ne teƒea vuvu ŋutɔ. |
| Asrã | Ne èse le ɖokuiwò me be asrã le ye ŋu la, ate ŋu anye dɔlékui aɖe ƒe dzesi. |
| Nutete (Ahɔhɔ̃mekawo ƒe Dɔléle) . | Seselelãme si le ʋuʋum ƒo xlã teƒe si woda nusi wotsɔ de eme, alo seselelãme aɖeke kura o. |
| Vevesese si dzi womate ŋu aɖu o | Ne èno vevesesenutsitike siwo ɖɔktaa na wò hã la, vevesesea nu metsina o. |
Gbedasi si Wotsɔ Yi Aƒeme
- Ƒuwo dodo nye amekoko si kpɔa dzidzedze be woado ŋusẽ ƒu siwo gbɔdzɔ alo esiwo gbã. Mehiã be míavɔ̃ esia o.
- Woate ŋu azã wò ŋutɔ wò ƒu, ame bubu ƒe ƒu, alo nusiwo wotsɔ asi wɔe na esia. Wò ɖɔkta atso nya me le mɔnu si nyo na wò ŋu.
- Ɣeyiɣi si woatsɔ ahaya la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ, vevietɔ nuwo abe atamanono ene.
- Ne èkpɔ dzesi aɖewo siwo mebɔ o (asrã, vevesese si gbɔ eme, vuvu, lãmetutudɔ) le amekokoa megbe la, mègahe ɖe megbe le wò ɖɔkta nyanya enumake o.
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