Nukae Nye Afɔ Gbagbã? Mina míadzro eme tsitotsito - Nirogi Lanka

Tsɔe be èle zɔzɔm le ablɔdzi, alo ɖewohĩ èle kamedefefe aɖe wɔm, esime kasia nèse "snap" ɖaɖɛ aɖe kple vevesese sesẽ aɖe le wò afɔ ŋu. Enye nuteƒekpɔkpɔ si doa vɔvɔ̃ na ame eye wògbɔa eme, alo? Taflatse minyae be abi siawo tɔgbe ate ŋu adzɔ ɖe amesiame dzi. Eyata nuka tututue dzɔna le afɔ ƒe gbagbãɣi, eye aleke gbegbe wòsesẽe? Le Nirogi Lanka , míedi be míakpe ɖe ŋuwò nàse ɖoɖo sia gɔme nyuie eye le dziɖeɖi me. Mina míagbã nusi tututu ƒu ƒe gbagbã nye kple nusi wòle be nànya.

Nukae nye afɔ ƒe gbagbã? Kpuie ko la...

Ðeko afɔ ƒe gbagbã fia be wò afɔ ƒe ƒu ɖeka gbã. Ðɔktawo yɔa esia be lãmeka ƒe gbagbã . Wò afɔ nye ƒu vevi etɔ̃ siwo ŋu wòle be nànya nu tsoe:

• Femur (Thigh bone): Esiae nye ƒu diditɔ kple sesẽtɔ kekeake le wò ŋutilã me, si le wò afɔ si le etame.
• Tibia (Shinbone): Ƒu gã si le wò afɔ te ƒe akpa si le eme, le klo te.
• Fibula: Ƒu si le tsɛ wu si zɔna sɔna kple afɔkpodzi si le wò afɔ si le ete ƒe gota gome.

Le nuveviwɔame sesẽwo abe ʋufɔku gã aɖe ene me la, ƒu etɔ̃awo katã ate ŋu agbã zi ɖeka. Ebɔ ŋutɔ hã be afɔkpodzi kple afɔkpodzi nagbã ɖekae le nudzɔdzɔ ɖeka me.

Ne ègbã ƒu, vevietɔ le ƒu gã aɖe abe afɔkpodzi ene me la, zi geɖe la, ehiãna be woawɔ dɔ na wò be ƒua nali ke. Gake le nɔnɔme siwo mesẽ boo o me la, ɖɔkta ate ŋu azã aŋetu alo aŋenu atsɔ ada abi la. Eɖanye atikewɔwɔmɔnu ka kee ɖale eŋu o, kamedede le vevie ne ƒua nya haya ko be wò afɔ nagasẽ, wòate ŋu atrɔ ɖe nɔnɔmewo ŋu, eye wòate ŋu aʋuʋu.

Ðe afɔ ƒe gbagbã ƒomevi vovovowo lia?

Ɛ̃. Le ƒu si gbã la nyanya megbe la, atikewɔlawo daa ƒu gbagbãwo ɖe hatsotsowo me le woƒe nɔnɔme nu be woase abi si woxɔ la gɔme nyuie wu. Togbɔ be mɔ̃ɖaŋununya ƒe nya siawo nye hã la, eɖea vi na wò be nàse gɔmedzenuawo gɔme:

Woda gbagbãƒewo ɖe hatsotsowo me le woƒe nɔnɔme alo nɔnɔme nu:

• Transverse fracture: Ƒua gbã tẽe le eƒe go kemɛ dzi.
• Oblique fracture: Ƒua gbã le dzogoe aɖe dzi.
• Spiral fracture: Gbea ƒe gbagbãƒea ƒoa xlã ƒua, abe alesi avɔ trɔnae ne woɖee do goe ene.
• Segmental fracture: Wogbãa ƒua ɖe akpa eve alo esi wu nenema me le ɖoɖo ɖeka nu.
• Comminuted fracture: Ƒua gbãna wòzua kakɛ sue geɖe.
• Buckle / Impacted fracture: Wotsɔa ƒua ƒe akpa ɖeka yia bubu me.

Woda gbagbã aɖewo ɖe hatsotsowo me le alesi wodzɔna nu:

• Nuteɖeamedzi ƒe gbagbã: Taɖa ƒe gbagbã si tsoa ŋusẽ si wozãna enuenu hena ɣeyiɣi didi aɖe, si wokpɔna zi geɖe le kamedefefewɔlawo abe duƒulawo ene gome.
• Avulsion fracture: Wotsɔa lãkusi alo lãkusi aɖe hea ƒu kakɛ aɖe ɖa.

Le kpɔɖeŋu me, woate ŋu akpɔe be "transverse femur fracture" alo "segmental tibia fracture" le ŋuwò. Nya siawo koŋ ɖea mɔ na Nirogi Lanka ƒe atikewɔlawo ƒe ƒuƒoƒowo be woagblɔ alesi tututu wò abi la le eye woawɔ ɖoɖo ɖe wò atikewɔwɔ ŋu nyuie.

Aleke gbegbee afɔ ƒe gbagbã bɔe?

Abe alesi míede dzesii ene la, afɔkpodzie nye ƒu sesẽtɔ kekeake le wò ŋutilã me, eyata zi geɖe la, ebiana be nàxɔ abi vevie hafi wòagbã. Akɔntabubuwo ɖee fia be afɔkpodzi ƒe gbagbã mebɔ kura o, eye wòdzea ame siwo mede 30 le ame 1,000 ɖesiaɖe me o ƒe sia ƒe le xexeame katã.

Gake afɔkpodzi kple afɔkpodzi ƒe gbagbã bɔ wu. Esiawo le ƒu didi siwo gbãna zi geɖe wu la dome. Fibula ƒe gbagbã si ɖe eɖokui ɖe aga mebɔ o; zi geɖe la, fibula la gbãna kpe ɖe abi si woxɔ le afɔkpodzi ŋu.

Dzesi kawoe ɖee fia be afɔ gbã?

Zi geɖe la, afɔ si gbã la adze le nukpɔkpɔ me ato vovo na alesi wòle dzɔdzɔmee. Àte ŋu ade dzesii be vuvu kple abi (amadede blɔ/aɖabɛ) le teƒea. Le nɔnɔme sesẽwo me la, ƒua ate ŋu ato ŋutigbalẽa gɔ̃ hã, si nye atikewɔwɔ kpata si woyɔna be ƒu si le ʋuʋu ɖi (si wotsɔ ƒo ƒui) ƒe gbagbã.

Dzesi siwo bɔ dometɔ aɖewoe nye:

• Vevesese sesẽ: Vevesese sesẽ si wɔnɛ be ʋuʋu ɖesiaɖe sesẽna.
• Vuvu: Fuɖename gã aɖe ƒo xlã abi la.
• Vevesese: Vevesese si gbɔ eme ne woka asi teƒea ŋu.
• Mate ŋu aʋuʋu alo atsɔ kpekpeme o: Anɔ eme be àkpɔe be manya wɔ be yeatsi tre alo aʋuʋu yeƒe afɔ o.
• Abi: Amadede ƒe tɔtrɔ si dzena abe aŋutiɖiɖi alo viviti ene.
• Nuwɔametɔnyenye: Wò afɔ ƒe ƒoƒo alo tɔtrɔ le dzɔdzɔme nu si mebɔ o.

Ne èxɔ abi eye nèsusu be yeƒe afɔ gbã la, mègalala o. Di atikewɔwɔ kpata le kɔdzi si te ɖe ŋuwò wu enumake!

Nukawo koŋue hea afɔ ƒe gbagbã vɛ?

Afɔ ƒe gbagbã akpa gãtɔ tsoa nuveviwɔame gbɔ. Nusiwo gbɔ wòtsona zi geɖe dometɔ aɖewoe nye:

• Tsitsetse: Vevietɔ tso teƒe kɔkɔwo, abe atrakpuiwo, atiwo, alo xɔtaxɔwo ene.
• Ʋufɔkuwo: Ʋu, dzokeke, alo kekefɔfɔwo dzia ʋu ƒe gbagbã ƒe afɔkua ɖe edzi ŋutɔ.
• Kamedefefe me abi: Kamedefefe siwo wowɔna le kadodo me abe rugby alo bɔl ene ate ŋu ana ame nagbã le ʋu ƒe gododo alo anyidzedze si mebɔbɔ o ta.

Amekawoe le afɔku gã aɖe me be afɔ nagbã?

Togbɔ be amesiame ate ŋu agbã afɔ hã la, ame aɖewo dzea ŋgɔ afɔku geɖe wu le agbenɔnɔ alo atikewɔwɔ ta.

• Le Kamedefefewɔlawo gome: Vevietɔ amesiwo kpɔa gome le kamedefefe siwo me wowɔa dɔ le siwo kpɔa ŋusẽ ɖe ame dzi ŋutɔ me.
• Le amesiwo xɔ wu ƒe 65 gome la: Ne woxɔ ƒe sia la, afɔku si le eme be woadze anyi la lolona wu, eye ƒuwo ate ŋu agbã.
• Le amesiwo ŋu ƒu ƒe lãmesẽkuxiwo le gome: Abe ƒumeŋuɖui ƒe dɔléle siwo gblẽa nu le ƒu ƒe kpekpeme ŋu ene.
• Afɔku siwo ate ŋu adzɔ: Ame siwo ŋu ƒu ƒe gbagbã alo ƒumeŋuɖui le la ate ŋu agbã. Ƒumeŋuɖui nye nɔnɔme si me ƒuwo gbɔdzɔna vivivi eye wogbãna. Ame geɖe menya be ele yewo ŋu o vaseɖe esime ƒu aɖe gbã, elabena zi geɖe la, meɖea dzesi ɖedzesi aɖeke fiana le eƒe gɔmedzedze o.

Aleke ɖɔktawo wɔa anya be afɔ gbã?

Ðɔktawo toa ŋutilãmedɔdada tsitotsito kple nɔnɔmetatawo dodokpɔ tɔxɛwo me kpɔa afɔ ƒe gbagbã. Ne èva ɖo xɔ si me wokpɔa dɔnɔwo gbɔ kpata le le afɔku aɖe megbe la, atikewɔlawo ƒe ƒuƒoƒoa le dzadzraɖoɖi be woade dzesi ƒunukpeƒe siawo kaba.

Dodokpɔ kawoe le eme?

Ðewohĩ ahiã be nàwɔ dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema be nàkpɔ alesi wògbãe le susu me:

• X-ray: Esiae nye mɔnu vevitɔ si dzi woato aɖo kpe ƒu ƒe gbagbã dzi ahakpɔ alesi gbegbe abi la keke tae.
• Magnetic Resonance Imaging (MRI): Wò ɖɔkta ate ŋu abia be woawɔ MRI be yeakpɔ menye ƒuwo ɖeɖeko tsitotsito o, ke boŋ lãmeka falɛfalɛ siwo ƒo xlãe, ƒunukpeƒewo, kple lãkusiwo hã.
• Computed Tomography (CT) scan: CT scan naa wò ɖɔkta alo amekola kpɔa ƒuwo kple lãkusi siwo ƒo xlãe ƒe nɔnɔmetata tsitotsito wu X-ray si wozãna ɖaa.

Nukawoe nye atike siwo wowɔna na afɔ si gbã?

Atikewɔwɔ nɔ te ɖe ƒu si gbã kple nenye be èxɔ abi bubuwo dzi.

Mɔmaɖemaɖeɖenuŋu

Le ƒu gbagbã siwo womeɖe le teƒe bubu o, afisi ƒu kakɛawo gakpɔtɔ le woƒe dzɔdzɔmenɔnɔme gome la, zi geɖe la, aŋe alo aŋe si wotsɔ blae sɔ gbɔ. Ɣeyiɣi didi si woatsɔ axe mɔ ɖe ʋua nu la nɔ te ɖe alesi wogbãe dzi; dɔnɔ geɖe hiã be woatsɔ atike si wotsɔna ƒoa ƒui kwasiɖa geɖe. Ahiã be woawɔ X-ray siwo woatsɔ akplɔe ɖo be woakpɔ egbɔ be ƒua le hayahayam nyuie.

Amekoko

Amekoko hiã be woawɔ dɔ na ame ƒe gbagbãƒe aɖewo— ɣesiaɣi kloe la, afɔkpodzi (akɔtaƒu) ƒe gbagbã hiã be woawɔ dɔ nɛ.

Dɔwɔwɔ si bɔ wue nye be woaɖee dzi akpɔtɔ le gaglãgbe kple ememe fixation . Kpuie ko la, amekolaa gbugbɔa ƒu gbagbãa ɖoa teƒe bubu eye wòlénɛ ɖe te be wòakpɔ egbɔ be ehaya le teƒe nyuitɔ. Zi geɖe la, wozãa ga gbadzɛwo, gaviwo, alo gavi siwo woda ɖe ƒua me tsɔ wɔa esiae.

Togbɔ be xɔtunu aɖewo ate ŋu anɔ wò ŋutilã me tegbee hã la, ate ŋu ahiã be woawɔ dɔ na dɔnɔ aɖewo zi evelia emegbe be woaɖe wo ɖa.

Kuxi siwo dona tso amekoko me

Togbɔ be kuxi siwo dona tso eme mebɔ o hã la, woate ŋu anye:

• Acute Compartment Syndrome (ACS): Nyaƒoɖeamenu si dzi ɖe edzi le lãmekaa me ate ŋu axe mɔ na ʋu ƒe sisi, si ate ŋu ana lãmeka kple lãmekawo nagblẽ tegbee.
• Malunion: Ne ƒuwo da gbe le nɔnɔme si mesɔ o alo esi mesɔ o me.
• Nonunion: Ne ƒua mete ŋu da gbe le eŋu alo wɔ ɖeka keŋkeŋ o.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ɣeyiɣi si woatsɔ ada dɔe nɔ te ɖe nu geɖe dzi:

• Ƒu si koŋ ŋu wògblẽ nu le.
• Nusi gbɔ wòtso be eƒe lãme gbã.
• Atikewɔwɔ si ƒomevi hiã.
• Abi bubu siwo woxɔna le ɣeyiɣi ɖeka me ƒe anyinɔnɔ.

Afɔ ƒe gbagbã akpa gãtɔ xɔa ɣleti geɖe ya teti hafi wohayana. Kpɔ wò ɖɔkta alo amekola gbɔ hena ɣeyiɣi si nàhaya si sɔ ɖe wò nɔnɔme tɔxɛa nu.

Ɣeyiɣi si wòhaya le afɔ ƒe gbagbã megbe

Ne ƒua haya gɔ̃ hã la, tɔtrɔ yi wò dɔwɔna siwo nèwɔna ɖaa gbɔ xɔa ɣeyiɣi. Ɣeyiɣi si woatsɔ ahaya la nɔ te ɖe afɔ ƒe ƒu si wogbã dzi.

Dɔnɔ akpa gãtɔ hiã na kamedede ɣleti geɖe . Lãmesẽdɔwɔla akpe ɖe ŋuwò be ŋusẽ nagaɖo ŋuwò eye nàte ŋu aʋuʋu. Wò ɖɔkta alo amekola ana mɔfiame tɔxɛwo.

Afɔkpodzi ƒe gbagbã ate ŋu axɔ ƒe ɖeka hafi ahaya keŋkeŋ. Zi geɖe la, afɔkpodzi (afɔkpa ƒe ƒu) alo afɔkpodzi ƒe gbagbã mehiãa ɣeyiɣi si me woahaya o.

Bia wò ɖɔkta ɣesiaɣi be ɣekaɣie wòanɔ dedie be nàgadze kamedede gɔme ake. Togbɔ be ele be nàna wò afɔ nanɔ ʋuʋum (le seɖoƒe si woɖo ɖi nu) be wòagasẽ le hayahaya me o hã la, mègaƒo ɖokuiwò ɖe kamedefefe, kamedede sesẽ, alo zazã vevie me o vaseɖe esime atikewɔlawo ƒe mɔɖeɖe tso wò Nirogi Lanka lãmesẽdɔwɔla gbɔ.

Ðe woate ŋu axe mɔ ɖe afɔ ƒe gbagbã nua?

Togbɔ be womate ŋu agblɔ afɔku geɖe ɖi o hã la, àte ŋu aɖe wò afɔkua dzi akpɔtɔ ne èwɔ ɖe dedienɔnɔ ŋuti ɖoɖo siawo siwo wowɔna ɖaa dzi:

• Do wò zikpuimeka ɣesiaɣi ne èle ʋu me.
• Zã ametakpɔnu siwo sɔ na dɔwɔna kple kamedefefe ɖesiaɖe.
• Na wò aƒe kple dɔwɔƒe nanɔ ɖoɖo nu eye nuwo nagagblẽ ɖi madzemadzee o be màgakli nu alo adze anyi na wò alo ame bubuwo o.
• Zã dɔwɔnu alo dɔwɔnu siwo sɔ ɣesiaɣi ne èle asi lém ɖe nuwo ŋu le aƒeme. Mègalia zikpuiwo alo kplɔ̃wo dzi gbeɖe o.
• Wɔ ɖe nuɖuɖu kple kamedede ƒe ɖoɖo si doa alɔ ƒuwo ƒe lãmesẽ nyui eye wòléa wo me ɖe asi dzi.
• Ne èxɔ wu ƒe 65 alo ƒumeŋuɖui le wò ƒomea me la, ƒo nu kple wò ɖɔkta tso ƒu ƒe kpekpeme dodokpɔ ŋu.
• Ne azɔlizɔzɔ sesẽ na wò alo afɔku gã aɖe le eme be nàdze anyi la, zã atizɔti alo afɔti .

Ɣekaɣie wòle be nàyi xɔ si me wowɔa dɔ kpata le?

Ne èsusu be yeƒe afɔ gbã la, di atikewɔla kpata le kɔdzi enumake, vevietɔ ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe:

• Vevesese sesẽ.
• Wò afɔ ʋuʋu ƒe ŋutete manɔamesi.
• Afɔa dzena abe ɖe wògblẽ alo mele teƒe si wòle o ene.
• Ƒu si woɖe ɖe go si do ɖe gota to ŋutigbalẽa me.
• Ʋuʋudedi ɖedzesi aɖe.
• Abi yeye siwo kpe ɖe dzesi siawo ŋu.

Nya kawoe wòle be nàbia wò ɖɔkta?

Nya vevi aɖewo siwo nàte ŋu abia wò lãmesẽdɔwɔlae nye esi:

• Ƒu kae le nye afɔ ŋu gbã?
• Ðe wòahiã be woawɔ dɔ nama?
• Ɣeyiɣi didi kae wòahiã be manɔ cast me?
• Ɣeyiɣi didi kae mahiã kamedede ƒe atikewɔwɔ?
• Ɣekaɣie magate ŋu adze kamedede gɔme ake?

Aleke gbegbee afɔ gbagbã nye nu vevii?

Afɔ si gbã nye abi gã aɖe. Nuveviwɔame si gblẽa nu le ame ŋu vevie si nana afɔ gbãna ate ŋu alɔ kuxi bubu siwo ate ŋu ade ame ƒe agbe afɔku me hã ɖe eme.

Ne èsusu be afɔ gbã la, ele vevie ŋutɔ be nàyi dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ enumake. Zi alesi wokpɔ abi si nèxɔ la dze sii kaba hedae la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàhaya bliboe. Bia wò ɖɔkta alo amekola be nukae nàte ŋu akpɔ mɔ na le dɔyɔyɔa me hã.

Àte ŋu azɔ afɔ si gbã dzia?

Ne wò afɔkpodzi (akɔtaƒu) alo afɔkpodzi (afɔdziƒu) gbã la, màte ŋu anɔ tsitre, azɔ, alo atsɔ kpekpeme ade afɔa dzi o.

Ame aɖewo ate ŋu ase le wo ɖokui me be yewoate ŋu azɔ kple fibula ƒe gbagbã elabena menye ƒu vevitɔ si tsɔa kpekpeme o. Gake esi wònye be ƒã hafi fibula gbãna le eɖokui si ta la, mele be nàdze agbagba gbeɖe be yeazɔ edzi alo azãe o.

Wò ɖɔkta alo amekola ana mɔfiame tɔxɛwo le alesi nàtsi tre, aʋuʋu, ahazɔ dedie ne èdo aŋetu alo nèle hayahayam tso amekoko me.

Afɔ ƒe gbagbã ate ŋu ado vɔvɔ̃ na ame eye wòasẽ ŋutɔ. Le wò hayahaya me la, ahiã be nàtrɔ ɖe ʋuʋu ƒe mɔ vovovowo ŋu ɣleti geɖe ya teti. Ɣeyiɣi sia le vevie. Afɔ ƒe gbagbã akpa gãtɔ hayana nyuie kuxi aɖeke manɔmee ɣeyiɣi didi o.

Lãmesẽfefewɔwɔ nye dɔ didi aɖe si me kuxiwo le. Di ɣeyiɣi nàɖu azã eye nàda akpe ɖe ŋgɔyiyi si nèwɔ le wò hayahaya mɔzɔzɔa ƒe afɔɖeɖe ɖesiaɖe me ta.

Ne èhiã be woawɔ atike na wò la, bia wò ɖɔkta alo amekola tso beléle nyuitɔ ŋu. Woana mɔfiame tɔxɛ wò le gbesiagbedɔwo abe tsilele kple awudodo ene dzi kpɔkpɔ ŋu.

Nu Vevi Siwo Wotsɔna Yia Nu (Nirogi Lanka) .

Ne míagblɔe kpuie la, nya vevi siwo dzi wòle be míaɖo ŋkui lae nye esi:

• Afɔ si gbã nye wò afɔ ƒe ƒuwo dometɔ ɖeka ƒe gbagbã.
• Dzesiwo abe vevesese sesẽ, abi, kple afɔdzimaʋãmaʋã ene fia be afɔa gbã. Di atikewɔƒe kaba.
• Amewo ƒe anyidzedze, ʋufɔkuwo, kple kamedefefewo me nuveviwɔamewo koŋ gbɔe wòtsona.
• Dɔdamɔnuawo tso amekoko dzi va ɖo amekoko dzi, abe alesi wò ɖɔkta ɖoe ene.
• Exɔa ɣleti geɖe hafi wòhayana, eye kamedede hiã vevie.
• Dedienɔnɔ ŋuti ɖoɖowo dzi wɔwɔ ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe afɔkuwo nu.
• Nɔnɔmewo abe ƒumeŋuɖui ene ate ŋu ana ƒuwo nagbã bɔbɔe, eyata yi edzi nànɔ ŋgɔ yim le wò lãmesẽnyawo ŋu.

Ðo ŋku edzi be nàɖe dzi ɖi, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èsusu be yegbɔ ɖe eme. Ne wowɔ atike na wò nyuie la, àte ŋu agate ŋu aʋuʋu eye nàtrɔ ayi wò ɖoɖowɔɖia dzi. Míele didim be nàhaya kaba!

Nirogi Lanka: Afɔ ƒe gbagbã, ƒu ƒe gbagbã, afɔ ƒe gbagbã, afɔ ƒe vevesese, vuvu, ƒumeŋuɖui, lãmesẽnyawo gbɔ kpɔkpɔ