Ke ne wò alɔnu gbã ya ɖe? (Abɔ si gbã) Mina míaƒo nu tso esia ŋu tsitotsito!

Oo, ɖe wò alɔnu te veve vevie zi ɖekaa? Ðewohĩ le anyidzedze megbe, alo ɖewohĩ kamedefefewo gbɔe wòtso. Ðe wò alɔ vuvu, blɔ, eye ɖewohĩ wò alɔ ƒe nɔnɔme trɔ viea? Ne nenemae la, ke ɖewohĩ wò alɔnu gbã. Mègatsi dzi o, esia bɔ wu alesi nèsusui. Mina míaƒo nu tso wo katã ŋu eme nakɔ eye míanɔ bɔbɔe egbea.

Nukae nye gbagbã?

Kpuie ko la, alɔ si gbã nye ƒu si le wò alɔnu ƒe gbagbã. Ƒu vevi etɔ̃e le míaƒe alɔnu. Na míalé ŋku ɖe nusiwo wonye ŋu.

• Humerus: Esiae nye abɔta ƒe ƒu. Ne míagblɔe tututu la, eya koe nye ƒu didi si keke tso abɔta va ɖo abɔta.
• Ulna: Esia le wò abɔta ƒe eme. Enye ƒu eve siwo le axa si dzi wò asibidɛ suea le la dometɔ ɖeka.
• Radius: Ƒu sia hã le asibidɛa ƒe gota, gake le eme. Eyae nye ƒu si le axa si dzi wò asibidɛ le.

Bu eŋu kpɔ ko, ɣeaɖewoɣi le afɔku gã aɖe me la, ƒu etɔ̃ siawo katã te ŋu gbãna zi ɖeka. Gake zi geɖe la, ƒu etɔ̃ siawo dometɔ ɖeka koe gbãna.

Ne ègbã alɔ la, ɣeaɖewoɣi la, ehiãna be woawɔ dɔ na wò be ƒua naɖo nyuie. Gake menye amesiamee hiã be woawɔ dɔ na o. Ame aɖewo ate ŋu atsɔ aŋe, aŋe, alo akɔtaɖonu ada gbe le wo ŋu. Gake kamedede hiã godoo be ŋusẽ nagaɖo eŋu eye wòaʋuʋu le abɔa me.

Abɔ siwo gbã ƒomevi kawoe nye?

Tsɔ kpe ɖe wò asi ƒe ƒu si gbã nyanya ŋu la, ɖɔktawo bua ƒu gbagbã siawo ɖe hatsotsowo me. Eyae nye be wonɔa te ɖe alesi wogbã woe dzi yɔa wo. Esia wɔnɛ be ɖɔkta la te ŋu sea ƒu si gbã kple alesi wogbãe gɔme kaba.

Woda ƒomevi aɖewo ɖe hatsotso siwo me wogbãe ƒe nɔnɔme nu:

• Transverse fracture: Ƒua ƒe gbagbã le eƒe go kemɛ dzi tẽ.
• Oblique fracture: Ƒu si gbãna ɖe axadzi.
• Spiral fracture: Ƒu ƒe gbagbã si me wotroa ƒua wòzua spiral. Zi geɖe la, esia dzɔna ne wotro alɔnu.
• Segmental fracture: Ƒu si gbãna wòzua kakɛ siwo wu eve le teƒe ɖeka, si fia be kakɛ aɖe si le ƒua titina la ma.
• Comminuted fracture: Ƒua gbãna ɖe akpa geɖe me, abe ɖe wogbãe ene.
• Buckle/Impacted fracture: Esia bɔ ɖe ɖevi suewo me wu. Ƒua megbãna keŋkeŋ o, gake ebɔbɔna ɖe eme vie le axa ɖeka. Ne míagblɔe tututu la, wotua ƒuawo ɖe wo nɔewo ŋu.

Woda gbagbã aɖewo ɖe hatsotsowo me le alesi wodzɔe nu:

• Nuteɖeamedzi ƒe gbagbã:Le ɣeyiɣi aɖe megbe la, ƒua gbɔdzɔna vivivi eye wògbãna le kpekpeme tsɔtsɔ yi teƒe ɖeka ma ke ta. Esia ate ŋu adzɔ ɖe kamedefefewɔlawo dzi.
• Avulsion fracture: Gbagbãƒe si lãmeka alo lãkusi aɖe léna ɖe ƒu ŋu, si wɔnɛ be ƒu sue aɖe dona le lãmeka alo lãkusi ƒe ŋusẽ si le hehem ɖe edzi ta.

Eyata, àte ŋu axɔ transverse humerus fracture alo segmental radius fracture. Ŋkɔ siawo kpena ɖe ɖɔkta ŋu wònyaa ƒu si gbã kple nusi dzɔ ɖe edzi kaba eye wòdea pɛpɛpɛ.

Aleke gbegbee esia bɔe?

Le nyateƒe me la, abɔta ƒe gbagbã, si nye ulna alo radius ƒe gbagbã, bɔ ŋutɔ, vevietɔ le ɖevi suewo kple ƒewuiviwo dome. Eŋutinunyalawo gblɔ be ɖevi siwo ade ɖeka le 100 ɖesiaɖe me gbãa woƒe ulna alo radius ƒe sia ƒe. Bu alesi gbegbe ema bɔe ŋu kpɔ!

Gake abɔta ƒe ƒu si le etame ƒe gbagbã mebɔ nenema gbegbe o. Le nyateƒe me la, humerus ƒe gbagbãwo mede 10% le gbagbãwo katã me o.

Alɔ ƒe gbagbã ƒe dzesi kawoe ɖenɛ fiana?

Nusiwo gbɔna nye alɔ ƒe gbagbã ƒe dzesi veviwo:

• Vevesese sesẽ: Esiae nye nu vevitɔ. Ɣeaɖewoɣi la, vevesesea ate ŋu anye nusi womate ŋu ado dzi atsɔ o.
• Vuvu: Vuvu geɖe ƒo xlã afisi wògbã.
• Fatu: Akpa si gbã la vea ame ne woka asi eŋu alo te ɖe eŋu.
• Mate ŋu aʋuʋu asi alo azãe o: Eva sesẽna ŋutɔ, ne menye ɖe manya wɔ o hã, be woakɔ asi ɖe dzi, aʋuʋui, alo awɔ naneke o.
• Abi alo amadede ƒe tɔtrɔ: Ŋutilã si ƒo xlã abi la ate ŋu atrɔ azu blɔ alo aŋutiɖiɖi.
• Nuwɔametɔnyenye: Kpe alo nusi dona ɖe gota si menɔa asi ŋu le dzɔdzɔme nu o la dzena. Esia fia be edze abe asi ƒe nɔnɔme trɔ ene.

Aleke alɔ si gbã la le?

Zi geɖe la, alɔ si gbã la adze bubui ne èkpɔe zi gbãtɔ. Àte ŋu ade dzesii be vuvu kple amadede ƒe tɔtrɔ (blɔ/aɖabɛ) ƒo xlã afisi wògbã. Àte ŋu ade dzesi ƒunukpeƒetetedɔ alo nuwɔametɔ aɖe hã ne èka asi alɔnu ŋu alo nèle ekpɔm tso gota. Le nɔnɔme sesẽ aɖewo me la, ƒu si gbã la ate ŋu anɔ dodom to ŋutigbalẽa me gɔ̃ hã.

Nukawoe hea alɔ ƒe gbagbã vɛ?

Zi geɖe la, afɔku (nuveviwɔame) ƒomevi aɖe gbɔe alɔ si gbã tsona. Nusiwo gbɔ wòtsona zi geɖee nye:

• Anyidzedze: Vevietɔ ne èdze anyi ɖe ŋgɔ eye nèdo wò abɔwo ɖe ŋgɔ. Bu nuwo abe gasɔ dzi gege, ati ƒe gege, alo glidzaglidza le anyigba glidzaglidza dzi le aƒeme ŋu kpɔ.
• Ʋufɔkuwo: Afɔku gã aɖe li be wò abɔ nagbã le ʋu kple gasɔfɔkuwo me.
• Kamedefefewo me afɔkuwo: Asiwo ate ŋu agbã ne wole kamedefefe siwo gblẽa nu le ame ŋu ŋutɔ abe kriket, bɔl, kple rugby ene ƒom.

Amekae le afɔku me wu le esia ta?

Togbɔ be alɔ gbagbã ate ŋu adzɔ ɖe amesiame dzi hã la, ame aɖewo le afɔku si lolo wu me vie:

• Ðevi siwo le zɔzɔm kple ɖevi suewo: Wodzea anyi bɔbɔe le esi woƒua du henɔa fefem ɣesiaɣi ta.
• Fefewɔla siwo ƒoa kamedefefe siwo kpɔa ŋusẽ ɖe ame dzi ŋutɔ.
• Ame siwo xɔ wu ƒe 65: Vevietɔ amesiwo ate ŋu adze anyi. Esia ate ŋu adzɔ le esi womeda sɔ nyuie o ne wole zɔzɔm ta.
• Ame siwo ŋu lãmesẽkuxi siwo gblẽa nu le ƒu ƒe kpekpeme ŋu le: Le kpɔɖeŋu me, amesiwo ŋu ƒumeŋuɖui ƒe dɔlélewo le .

Amesiwo ŋu ƒumeŋuɖui alo ƒumeŋuɖui le la ate ŋu agbã, vevietɔ ne wodze anyi. Ƒumeŋuɖui nana ƒuwo gbɔdzɔna. Emegbe, nu suetɔ kekeake gɔ̃ hã ate ŋu ana ƒu nagbã kpata. Ame geɖe menya be ƒumeŋuɖui le yewo ŋu o vaseɖe esime wogbã ƒu. Esia le alea elabena dzesi aɖeke koŋ menɔa eŋu le gɔmedzedzea me o.

Aleke ɖɔktawo dea dzesi esia?

Ðɔkta atsɔ ŋutilã dodokpɔ kple nɔnɔmetatawo dodokpɔ aɖewo akpɔ alɔ si gbã. Ne èyi xɔ si me wowɔa dɔ kpata le (ETU) le nane abe ʋufɔku ene megbe la, ɖɔkta siwo le afima ate ŋu akpɔ esia kaba.

Dodokpɔ ka ƒomevie woawɔ?

Be woakpɔ alesi wògbãe nyuie la, woate ŋu awɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema:

• X-ray: X-ray ate ŋu aɖee afia ne ƒu aɖe gbã pɛpɛpɛ kple alesi gbegbe wògblẽ nu le eŋu. Esiae nye dodokpɔ gã gbãtɔ si wowɔ.
• Magnetic Resonance Imaging (MRI): Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ MRI atsɔ akpɔ nusiwo gblẽ le ƒuwo kple lãkusi falɛfalɛ siwo ƒo xlãe ŋu bliboe. MRI ate ŋu akpɔ ƒunukpeƒe kple lãkusi siwo ƒo xlã ƒuwo hã nyuie wu.
• Computed Tomography (CT scan): CT scan nana ɖɔkta alo amekola kpɔa ƒuawo ƒe nɔnɔmetata tsitotsito wu X-ray.

Nukae nye alɔ si gbã ƒe atikewɔwɔ?

Alesi nàwɔ ada wò alɔ si gbã la nɔ te ɖe nusiwo nye ƒu si gbã kple ne abi bubuwo le ŋuwò dzi.

Mɔmaɖemaɖeɖenuŋu

Ne ƒu gbagbãa mesẽ akpa o, si fia be ƒu kakɛawo mele teƒe si wole o ( ƒu gbagbã si womeɖe le teƒe bubu o ), àte ŋu atsɔ Paris ƒe aŋɔ alo aŋe si wotsɔ ƒo ƒui ƒe aŋɔ aɖe ko akpɔ agbe. Ɣeyiɣi didi si wòhiã be woado esia nɔ te ɖe alesi wògbãe dzi. Ahiã be ame akpa gãtɔ nado akɔtaɖonu kwasiɖa ʋɛ aɖewo. Ðewohĩ ahiã hã be woawɔ X-ray na wò ɣeaɖewoɣi be woakpɔ egbɔ be ƒua le hayahayam nyuie.

Amekoko

Asi ƒe gbagbã aɖewo hiã be woawɔ dɔ na wo.

Amekoko si bɔ wue nye amekoko si woɖena kpɔtɔna le gaglãgbe kple ememe nuléle (ORIF). Le esia me la, amekolaa ɖoa ƒu gbagbãawo ɖe woƒe nɔƒe nyuitɔ, emegbe eɖɔa wo ɖo ale be woate ŋu asɔ ɖe wo nɔewo nu ahada gbe le wo ŋu. Zi geɖe la, wozãa ememe nusiwo wotsɔna léa nu ɖe ​​te tsɔ wɔa esiae. Esia fia be amekolaa dea ga gbadzɛwo, gaviwo, alo gaviwo wò ƒu me be wòalé ɖe teƒea vaseɖe esime wòahaya.

Ga siawo ate ŋu anɔ wò ƒu me le wò agbemeŋkekewo katã me. Ðewohĩ ahiã be woagawɔ dɔ na ame aɖewo be woaɖe wo ɖa.

Kuxi siwo dona tso amekoko si wowɔna na ame ƒe gbagbã me

Kuxi siwo dona tso amekoko me mebɔ kura o, gake ɣeaɖewoɣi la, nu siawo tɔgbe ate ŋu adzɔ:

• Acute Compartment Syndrome (ACS): Nyaƒoɖeamenu si dzi ɖe edzi le lãmekaa me nana ʋu mete ŋu sina yia lãkusiawo me nyuie o. Esia ate ŋu ana lãmekawo kple lãmekawo nagblẽ tegbee. Esia nye nudzɔdzɔ kpata aɖe.
• Malunion: Ƒu si gbã si mewɔ ɖeka nyuie ne ehaya o.
• Nonunion: Ƒua mewɔa ɖeka keŋkeŋ o, alo meƒoa ƒu kura o.

Ɣeyiɣi didi kae wòxɔna hafi alɔ si gbã la haya?

Zi geɖe la , exɔa ɣleti geɖe hafi alɔ si gbã la hayana. Ame geɖe siwo ƒe abɔwo gbã la ahiã be woawɔ kamedede na wo ɣleti geɖe . Lãmesẽdɔwɔla ate ŋu akpe ɖe ŋuwò be ŋusẽ nagaɖo wò alɔnu ŋu eye wòana wò ʋuʋu ƒe didime nadzi ɖe edzi. Wò ɖɔkta alo amekola agblɔ nusi nàkpɔ mɔ na na wò.

Ɣeyiɣi si woatsɔ ada gbe le asi aɖe ŋu

Ɣeyiɣi didi si wò asi xɔna hafi wòhayana nɔ te ɖe nu geɖe dzi:

• Ƒu kae wogbã?
• Nuka tae wogbɔ ɖe eme ɖo?
• Atikewɔwɔ ka ƒomevie nèhiã?
• Ðe abi bubu aɖewo hã nɔ ŋuwòa?

Gbagbã akpa gãtɔ xɔa ɣleti geɖe hafi wohayana. Bia wò ɖɔkta alo amekola tso ɣeyiɣi si sɔ na wò nɔnɔme tɔxɛa ŋu.

Bia wò ɖɔkta ɣekaɣie nàte ŋu adze kamedede gɔme ake. Ðewohĩ ahiã be nàʋuʋu wò alɔnu vie be wòagasẽ o esime nèle hayahayam, gake mègadze kamedefefe, kamedede, alo kpekpeme kɔkɔ gɔme o vaseɖe esime wò ɖɔkta nagblɔ na wò.

Aleke woawɔ axe mɔ ɖe alɔ si gbã nu?

Ðewohĩ manya wɔ be woaxe mɔ ɖe alɔ si gbã nu keŋkeŋ o, elabena zi geɖe la, abi siawo dzɔna le afɔku siwo ŋu womewɔ ɖoɖo ɖo o ta. Gake àte ŋu aɖe wò afɔkua dzi akpɔtɔ ne èwɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo siwo bɔ dzi:

• Do zikpuimeka ɣesiaɣi ne èle ʋu me.
• Do dedienɔnɔ ƒe dɔwɔnu siwo sɔ na dɔwɔna kple kamedefefe ɖesiaɖe.
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ to nusiwo ate ŋu agbã wò alo ame bubu aɖe la ɖeɖeɖa me.
• Zã dɔwɔnu alo dɔwɔnu siwo sɔ ɣesiaɣi nàtsɔ aɖo nuwo gbɔ tso dziƒo. Mègalia zikpuiwo alo kplɔ̃wo dzi o.
• Wɔ ɖe nuɖuɖu kple kamedede ƒe ɖoɖo si akpe ɖe ŋuwò nàlé wò ƒuwo ƒe lãmesẽ me ɖe asi dzi .
• Ne èxɔ wu ƒe 65, alo ne ƒumeŋuɖui le wò ƒomea me tɔ aɖe ŋu la, ƒo nu kple wò ɖɔkta tso ƒu ƒe kpekpeme dodokpɔ ŋu.
• Ne azɔlizɔzɔ sesẽ na wò alo nèle afɔku gã aɖe me be nàdze anyi la, zã atizɔti alo azɔlizɔmɔ̃.

Ɣekaɣie wòle be nàyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ?

Ne èsusu be yeƒe abɔ gbã la, yi xɔ si me wowɔa dɔ kpata le enumake. Yi ER godoo ne dzesi siawo dometɔ aɖe le ŋuwò:

• Vevesese si womate ŋu ado dzi atsɔ o.
• Ne màte ŋu ado asi ɖa o.
• Ne wò asi ƒe dzedzeme trɔ eme kɔ ƒã , ne edze abe ɖe wòto vovo ene.
• Ne àte ŋu akpɔ ƒua to ŋutigbalẽa me.
• Tete.
• Dzesi siawo kpena ɖe abi yeyewo ƒe dodo kpata ŋu.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia nya siawo wò ɖɔkta:

• Ƒu kae gbã le nye asi me?
• Ðe wòhiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòahiã be mado aŋɔ si wotsɔ ƒoa aŋɔe?
• Ɣeyiɣi didi kae wòahiã be mawɔ ŋutilãmedɔdada?
• Ɣekaɣie mate ŋu adze dɔwɔna siwo sɔ abe dɔwɔwɔ kple kamedefefe ene gɔme ake?

Aleke mawɔ anya ne nye alɔnu vuvu alo gbã?

Ƒu ƒe gbagbã kple ƒu ƒe ŋeŋe nye abi eve siwo to vovo kura siwo ate ŋu atso afɔku mawo tɔgbe me, gake woto vovo kura.

Ƒu gbagbã dzɔna ne nane gblẽ nu le ƒu ŋu, si na wògbã, gbã, alo gbã. Àte ŋu ase "crack" ƒe gbeɖiɖi ne wò alɔnu gbã.

Ʋuʋudedi dzɔna ne wò lãkusiwo dometɔ ɖeka (lãmeka siwo doa ka kple ƒuwo) keke alo vuvu. Àte ŋu avuvu wò asibidɛ, abɔta, alo abɔta. Ɣeaɖewoɣi la, àte ŋu agbã ƒunukpeƒe ɖeka alo esi wu nenema le asi me abe alesi nàwɔe ne èdze afɔku ene.

Ƒu ɖesiaɖe gbagbã, eɖanye alɔ alo afɔ o, nye nuteƒekpɔkpɔ dziŋɔ aɖe. Tsɔ kpe ɖe vevesese, vuvu, kple zazã si megate ŋu zãna o ŋu la, àte ŋu ase le ɖokuiwò me hã be yeate ɖe dziwò ŋutɔ. Gake mègawɔ kaba le dɔyɔyɔa me o. Na ɣeyiɣi wò ŋutilã si wòhiã be wòada gbe le ƒu si gbã la ŋu. Nya nyuiae nye be asi gbagbã akpa gãtɔ hayana nyuie evɔ womekpɔa ŋusẽ aɖeke ɖe ame dzi ɣeyiɣi didi o.

Ne ele be nàdo aŋekotoku la, bia wò ɖɔkta alo amekola alesi nàlé be nɛ hã. Woana mɔfiame wò le alesi nàlé be nɛ le gbesiagbedɔwo, abe tsilele kple awudodo ene me ŋu.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Abɔ si gbã ate ŋu anye abi gã aɖe, gake ne wowɔ atike na wò nyuie helé be nɛ la, àte ŋu ahaya keŋkeŋ. Ele vevie be nàse dzesiawo gɔme eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo le ɣeyiɣi nyuitɔ dzi. Azɔ hã, atikewɔwɔa dzi wɔwɔ abe alesi wò ɖɔkta gblɔe ene kple kamedede nyuie le vevie be nàhaya kaba. Anyo wu be nàwɔ afɔɖeɖe ɖesiaɖe atsɔ akpɔ ɖokuiwò ta tso afɔkuwo me. Míele didim be nàhaya kaba!

` Abɔ si gbã, Ƒu si gbã, Alɔ si gbã, Humerus, Ulna, Radius, Asi ƒe abi, Abɔ si gbã, Ƒu si gbã