Oo, tsɔe be ènɔ zɔzɔm le mɔ dzi, nèle gegem tso ati dzi, alo nèle kamedefefe wɔm eye kasia wò afɔ "tso" eye wògbã. Vevesese kple vɔvɔ̃ si nèse ɣemaɣi... esesẽ be nàsusui, alo? Gake nu siawo tɔgbi ate ŋu adzɔ ɖe ame sia ame dzi. Eyata nuka tututue wòfia be woagbã afɔ, alo abe alesi ɖɔktawo yɔnɛ ene la, afɔ ƒe gbagbã? Aleke gbegbee esia nye nu vevi aɖee? Míaƒo nu tso nusiawo katã ŋu bɔbɔe ŋutɔ egbea, le mɔ si gɔme nàte ŋu ase nu.

Nukae wòfia be woagbã afɔ? Kpuie ko la,...

Afɔ gbagbã nye ne ƒu aɖe si le wò afɔ me, si nye ƒu aɖe, gbã. Ðɔktawo hã yɔa esia be ``Fracture''. Ƒu vevi etɔ̃e le míaƒe afɔ ŋu. Ðewohĩ èse wo ŋu nya kpɔ:

• Femur: Esiae nye ƒu si didi wu eye wòsẽ wu le ŋutilã me, si le míaƒe ata ƒe akpa si.
• Tibia: Esiae nye ƒu gã si le afɔkpodzi ƒe akpa si le eme, le klo te. Ame geɖe hã yɔnɛ be "afɔkpa ƒe ƒu."
• Fibula: Esia sɔ kple afɔkpodzi, le afɔkpodzi ƒe gota. Eƒe kpekpeme le tsɛ vie wu afɔkpodzi.

Bu eŋu kpɔ, ne `(Trauma)` sesẽ aɖe li abe ʋufɔku gã aɖe ene la, ƒu etɔ̃ siawo katã ate ŋu agbã zi ɖeka. Nenema ke zi geɖe la, àte ŋu akpɔ `(Tibia)` kple `(Fibula)` woagbã ɖekae le afɔku ɖeka me.

Ne ègbã afɔ, vevietɔ ƒu gã aɖe abe wò afɔkpodzi ene la, zi geɖe la, ehiãna be woawɔ dɔ na wò hafi aɖɔe ɖo. Gake ɣeaɖewoɣi la, ne ɖiɖiɖemea mesẽ akpa o la, àte ŋu anɔ agbe amekoko manɔmee kple aŋetu alo aŋetu. Gake ne wò afɔa haya vɔ la, àhiã kamedede godoo be wòasẽ eye wòate ŋu abɔbɔ ahakeke nyuie.

Ðe afɔ ƒe gbagbã ƒomevi bubuwo lia?

Ẽ, tsɔ kpe ɖe ƒu si gbã le wò afɔ ŋu gbɔgblɔ na wò ŋu la, ɖɔktawo bua ƒu si gbã la ɖe hatsotsowo me. Esia kpena ɖe mía ŋu míesea alesi tututu gbagbãƒea le gɔme. Togbɔ be esiawo nye atikewɔwɔ me nyagbɔgblɔwo vie hã la, enyo be nànya nu siawo be wòana susu vi aɖe nasu asiwò:

Ðɔktawo nɔa te ɖe woƒe nɔnɔme alo nɔnɔme nu ƒoa ƒuwo ƒe gbagbãwo ɖe hatsotsowo me:

• Transverse fracture: Ƒua ƒe gbagbã le ŋutilãa ƒe kekeme.
• Oblique fracture: Ƒu ƒe gbagbã le dzogoe aɖe dzi.
• Spiral fracture: Gbagbã si wotro, abe avɔ kakɛ si wole mimim ene.
• Segmental fracture: Ƒu ƒe gbagbã si wu eve le teƒe ɖeka.
• Comminuted fracture: Ƒua gbãna ɖe akpa suesuesue geɖe me, abe ɖe wogbãe ene.
• Buckle / Impacted fracture: Ƒua ƒe akpa ɖeka tua akpa bubu.

Woda ɖiɖiɖeme aɖewo ɖe hatsotsowo me le alesi wodzɔna nu:

• Nuteɖeamedzi ƒe gbagbã:Ƒu gbagbã si dzɔna ne wotsɔ nu suesuesuewo ƒo ƒu enuenu le ɣeyiɣi didi aɖe me. Esia ate ŋu adzɔ ɖe duƒulawo dzi.
• Avulsion fracture: Ƒu sue aɖe vuvu le lãmeka alo lãkusi aɖe si wohe ta.

Le kpɔɖeŋu me, àte ŋu agbã afɔkpodzi si le tsia dzi alo afɔkpodzi ƒe akpa aɖe ƒe gbagbã. Ŋkɔ kple ƒomevi siawo kpena ɖe ɖɔktawo ŋu be wonya ƒu si gbã kple nusi dzɔ ɖe edzi kaba eye wòdea pɛpɛpɛ.

Aleke gbegbee afɔ ƒe gbagbã bɔe?

Abe alesi míegblɔe xoxo ene la, afɔkpodzi ye nye ƒu gãtɔ kple esi sesẽ wu le míaƒe ŋutilã me. Eyata zi geɖe la, ebia afɔku gã ŋutɔŋutɔ hafi woate ŋu agbãe. Le xexeame katã la, wobu akɔnta be ame siwo mede 30 le 1,000 me o ƒe sia ƒe ƒe afɔkpodzi gbãna.

Gake afɔkpodzi kple afɔkpodzi ƒe gbagbã bɔ vie wu. Esiawo nye ƒu didi ƒomevi siwo bɔ wu be woagbã la dometɔ aɖewo. Ƒã ŋutɔ be fibula la ɖeɖe nagbã. Zi geɖe la, fibula la gbãna ɖekae kple tibia.

Dzesi kawoe ɖena fiana ne afɔ gbã?

Zi geɖe la, ne afɔ aɖe gbã la, eƒe dzedzeme to vovo na alesi wònɔna ɖaa. Àte ŋu ade dzesii be ƒu si gbã la vuvu eye eƒe amadede trɔ (blɔ/aɖabɛ). Vuvu kple amadede ƒe tɔtrɔ sia ate ŋu akaka ɖe nuto siwo ƒo xlãe me. Ðewohĩ ƒu aɖe anɔ anyi si nàte ŋu ase le wò asi me, alo ƒu aɖe si woate ŋu akpɔ. Le nɔnɔme siwo nu sẽ ŋutɔ me la, ƒu gbagbã aɖe ate ŋu anɔ dodom to ŋutigbalẽa me gɔ̃ hã. Esia nye afɔku gã aɖe!

Esiawoe nye dzesi siwo bɔ wu le afɔ ƒe gbagbã me:

• Vevesese sesẽ: Vevesesea ate ŋu asẽ ale gbegbe be màte ŋu aʋuʋu gɔ̃ hã o.
• Vuvu: Teƒe si wògbã la vuvu ŋutɔ.
• Vevesese ne wozi edzi: Ne èka asi eŋu alo tsɔ asi te eŋu la, àse veve si màte ŋu ado dzi atsɔ o.
• Afɔa ʋuʋu alo eŋudɔwɔwɔ ƒe ŋutetemanɔamesi: Mète ŋu tsɔa kpekpeme alo ʋuʋua afɔa o.
• Abi alo amadede ƒe tɔtrɔ: teƒe siwo le blɔ, siwo ƒe amadede nye aŋutiɖiɖi.
• A nodule (deformity): Nu yeye si tsi alo eƒe nɔnɔme trɔna, zi geɖe la, menye le afɔ dzi o.

Ne afɔku aɖe dzɔ ɖe dziwò eye nèsusu be yeƒe afɔƒu gbã la, ele be nàyi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake, eye màgahe ɖe megbe o!

Nukawo koŋue nana afɔwo gbãna?

Zi geɖe la, afɔku aɖe ƒomevi (Trauma) gbɔe afɔ gbagbã tsona. Nusiwo gbɔ wòtsona zi geɖee nye:

• Tsitretsitsi: Anyidzedze, vevietɔ tso teƒe kɔkɔ aɖe. Le kpɔɖeŋu me, gege tso atrakpui, ati (abe mango, jackfruit-ti), alo xɔta.
• Ʋufɔkuwo: Afɔku gã aɖe li be afɔwo nagbã le ʋu, gasɔ, kple tasiaɖamfɔ etɔ̃ ƒe afɔkuwo me.
• Kamedefefewo me afɔkuwo:Le kamedefefewo abe bɔlƒoƒo, rugby, kple kriket ene me la, afɔwo ate ŋu agbã le woƒe gododo alo anyidzedze ta.

Amekawoe le afɔku gã me be woƒe afɔwo nagbã?

Ame sia ame ate ŋu agbã afɔ, gake ame aɖewo le afɔku si lolo wu me vie:

• Le amesiwo ƒoa kamedefefe aɖewo gome: Vevietɔ kamedefefewɔla siwo ƒoa kamedefefe siwo me wodoa ka kple wo nɔewo le.
• Le amesiwo xɔ wu ƒe 65 gome la: Afɔku si le eme be woadze anyi la lolona wu le ƒe sia me, eye ƒuwo hã ate ŋu agbɔdzɔ vie.
• Le amesiwo ŋu lãmesẽkuxi siwo gblẽa nu le ƒu ƒe kpekpeme ŋu le gome la: Le kpɔɖeŋu me, dɔlélewo abe `(Metabolic bone diseases)`.
• Amesiwo ŋu ƒumeŋuɖui kple ƒumeŋuɖui le la le afɔku me be woƒe afɔwo nagbã. Ƒumeŋuɖui nye nɔnɔme si me ƒuwo gbɔdzɔna vivivi eye wogbãna. Ne ame geɖe gbã ƒu vɔ ko hafi wova nya be dɔlélea le yewo ŋu. Esia le alea elabena mehea dzesi gã aɖeke vɛ le gɔmedzedzea me o.

Aleke ɖɔktawo awɔ anya kple kakaɖedzi nenye be afɔ aɖe gbã?

Ðɔkta akpɔ afɔ si gbã la to ŋutilã dodokpɔ kple nɔnɔmetatawo dodokpɔ aɖewo wɔwɔ me. Ne èyi xɔ si me wowɔa dɔ kpata le le afɔku aɖe megbe la, ɖɔkta siwo le afima ate ŋu akpɔ ɖiɖiɖemeɣia.

Dodokpɔ ka ƒomevie woawɔ?

Be nàɖe foto afisi wògbã la, ahiã be nàwɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema:

• X-ray: X-ray ate ŋu aɖo kpe ƒu ƒe gbagbã ɖesiaɖe dzi eye wòafia alesi gbegbe wògblẽ nu le ƒuawo ŋu hã.
• Magnetic Resonance Imaging (MRI): Wò ɖɔkta ate ŋu abia be woawɔ MRI. Esia ate ŋu ana woakpɔ nusiwo gblẽ le ƒuwo ŋu, kpakple lãkusi falɛfalɛ siwo ƒo xlãe, ƒunukpeƒetetedɔ, kple lãkusiwo ŋu bliboe.
• Computed Tomography scan (CT scan): CT scan nana ɖɔkta alo amekola kpɔa ƒua kple lãmenugbagbevi siwo ƒo xlãe ƒe nɔnɔmetata tsitotsito wu X-ray.

Nukae nye afɔ gbagbã ƒe atikewɔwɔ?

Ne wò ɖɔkta da dɔ na afɔ si gbã la, eléa ŋku ɖe nu ʋɛ aɖewo ŋu, abe ƒu si gbã kple ne abi bubu aɖe le ŋuwò hã.

Mɔmaɖemaɖeɖenuŋu

Ne ƒu ƒe gbagbã mesẽ akpa o, si fia be ƒu ƒe kakɛawo meʋuʋu o (ƒu ƒe gbagbã si meʋuʋu o) la, ɖewohĩ aŋe alo aŋe si woatsɔ aƒo ƒui koe ahiã. Ɣeyiɣi didi si wòahiã be nàdo esiawo anɔ te ɖe alesi nègbãe dzi. Ahiã be ame akpa gãtɔ nado aŋekotoku kwasiɖa geɖe. Ahiã hã be nàwɔ X-ray edziedzi be nàkpɔ egbɔ be ƒua le hayahayam nyuie.

Amekoko

Afɔ aɖewo ƒe gbagbã hiã be woawɔ dɔ na wo - vevietɔ ne ata ƒe ƒu (femur) gbã la, amekoko hiã ɣesiaɣi kloe.

Amekoko si bɔ wue nyeƲuʋu dzi ɖeɖe kpɔtɔ kple ememe fixation. Kpuie ko la, amekolaa agbugbɔ wò ƒu gbagbã la aɖo teƒea, ana wòagaʋuʋu o vaseɖe esime wòahaya eye wòagava ƒo ƒu. Zi geɖe la, esia bia be woatsɔ ga gbadzɛwo, gaviwo, alo gaviwo ade ƒua me.

Ga siawo ate ŋu anɔ wò ŋutilã me tegbee. Ðewohĩ ahiã be woawɔ dɔ na ame aɖewo ake be woaɖe wo ɖa emegbe.

Kuxi siwo dona tso afɔ ƒe gbagbã ƒe amekoko me

Kuxi siwo dona tso amekoko si wowɔ na ame ƒe gbagbã me mebɔ o, gake ɣeaɖewoɣi la, nusiwo gbɔna ate ŋu ado mo ɖa:

• Acute Compartment Syndrome (ACS): Nyaƒoɖeamenu si dzi ɖe edzi le lãmekaa me ate ŋu ana ʋu natso lãmekaa me. Esia ate ŋu agblẽ nu le lãmekawo kple lãmekawo ŋu tegbee.
• Malunion: Ne ƒu kakɛ siwo gbã la haya la, womewɔa ɖeka nyuie o eye womewɔa ɖeka nyuie o.
• Nonunion: Ƒua ƒe kpododonu be wòagaƒo ƒu keŋkeŋ eye wòasɔ o.

Ɣeyiɣi didi kae wòxɔna hafi afɔ si gbã la da gbe le ame ŋu?

Ɣeyiɣi si wò afɔ xɔna hafi wòhaya la nɔ te ɖe nu geɖe dzi:

• Ƒu kae wogbã?
• Nuka gbɔe wo dome gblẽ ɖo?
• Atikewɔwɔ ka ƒomevie nèhiã?
• Ðe abi bubu aɖewo hã le ŋuwòa?

Afɔ ƒe gbagbã akpa gãtɔ xɔa ɣleti geɖe ya teti hafi wohayana. Bia wò ɖɔkta alo amekola tso ɣeyiɣi si sɔ na wò nɔnɔmea ŋu.

Ɣeyiɣi si wòahaya le afɔ si gbã megbe

Ne wò ƒua haya hã la, ate ŋu axɔ ɣeyiɣi aɖe hafi nàhaya keŋkeŋ eye wòagate ŋu adze wò dɔ siwo katã nèwɔna ɖaa gɔme. Ɣeyiɣi si wòxɔ la nɔ te ɖe wò afɔ ƒe ƒu si wogbã dzi.

Ame geɖe siwo ƒe afɔwo gbã la ahiã be woawɔ kamedede na wo ɣleti geɖe. Lãmesẽdɔwɔla akpe ɖe ŋuwò be ŋusẽ nagaɖo ŋuwò eye nàte ŋu aʋuʋu (afisi nàte ŋu aʋuʋu wò afɔ ase ɖo). Wò ɖɔkta alo amekola agblɔ nya geɖe tso esia ŋu na wò.

Afɔkpodzi ƒe gbagbã ate ŋu axɔ ƒe ɖeka hafi wòahaya. Zi geɖe la, afɔkpodzi kple/alo afɔkpodzi ƒe gbagbã mexɔa ɣeyiɣi boo aɖeke hafi wòhayana o.

Bia wò ɖɔkta ɣekaɣie nàte ŋu adze kamedede gɔme ake. Ele be nàʋuʋu wò afɔ vie be wòagasẽ ne èle dɔ dam o, gake mègadze kamedefefe, kamedede, alo nusianu si abia afɔdɔ geɖe wɔwɔ gɔme o vaseɖe esime wò ɖɔkta nagblɔ be àte ŋui.

Ðe nàte ŋu axe mɔ ɖe afɔ si gbã nua?

Ðewohĩ màte ŋu axe mɔ na afɔ si gbã o, elabena zi geɖe la, afɔku siawo nyea afɔku siwo ŋu mèɖoe ɖo o. Gake àte ŋu aɖe nusiwo afɔkuwo gblẽna le ame ŋu dzi akpɔtɔ ne èwɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo siwo bɔ dzi:

• Do wò zikpuimeka ɣesiaɣi ne èle ʋu kum.
• Do dedienɔnɔ ƒe dɔwɔnu siwo sɔ na dɔwɔna kple kamedefefe ɖesiaɖe.
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ eye nu siwo mehiã o siwo ate ŋu ana wò alo ame bubuwo nadze anyi o.
• Zã dɔwɔnu alo dɔwɔnu nyuitɔwo ɣesiaɣi nàtsɔ aɖo nusiwo le dziƒo le wò aƒeme gbɔ. Mègalia zikpuiwo alo kplɔ̃wo dzi gbeɖe o.
• Wɔ ɖe nuɖuɖu kple kamedede ƒe ɖoɖo si akpe ɖe ŋuwò nàlé ƒuwo ƒe lãmesẽ nyui 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 mayi xɔ si me wowɔa dɔ kpata le?

Ne èsusu be yeƒe afɔ gbã, vevietɔ ne dzesi siawo dometɔ aɖe le ye ŋu la, yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ kaba:

• Vevesese sesẽ ŋutɔ.
• Ne màte ŋu aʋuʋu wò afɔ o.
• Ne wò afɔ ƒe dzedzeme trɔ, alo ne edze abe edzo le teƒe si wòle ene.
• Ne èto wò ŋutigbalẽ me eye nèkpɔ ƒu aɖe do go.
• Tete.
• Ne abi yeyewo do kpe ɖe dzesi siawo ŋu.

Nya kawoe wòle be mabia nye ɖɔkta?

Nya aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• Ƒu kae le nye afɔ ŋu gbã?
• Ðe wòahiã 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 kamedede gɔme ake?

Aleke gbegbee afɔ gbagbã nye nu vevii?

Ƒu aɖe si gbã le wò afɔ ŋu nye abi gã aɖe. Afɔku si nu sẽ ale gbegbe be afɔ gbã ate ŋu ana ame bubuwo naxɔ abi, si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.

Ne èsusu be yeƒe afɔ gbã la, ele vevie ŋutɔ be nàyi xɔ si me wowɔa dɔ kpata le enumake. Zi alesi wokpɔ wò abi la kaba hedae la, zi nenemae mɔnukpɔkpɔ asu be wòahaya nyuie wu. Bia wò ɖɔkta alo amekola si nàkpɔ mɔ na hã.

Àte ŋu azɔ ne wò afɔ gbã gɔ̃ hã?

Ne wò akɔtaƒu ``Femur`` alo afɔkpodzi ƒu ``Tibia`` gbã la, màte ŋu anɔ tsitre, azɔ, alo atsɔ kpekpeme ade wò afɔ dzi o.

Ame aɖewo ate ŋu azɔ le woƒe fibula ƒe gbagbã vɔ megbe, elabena menye ƒu si tsɔa kpekpeme o (si fia be meléa wò ŋutilã ƒe kpekpeme ɖe te ne ètsi tre alo le ʋuʋum o). Gake ƒã ŋutɔ be fibula nagbã le eɖokui si, eyata mele be nàdze agbagba azɔ alo azãe o.

Wò ɖɔkta alo amekola afia alesi nàtsi tre, azɔ, ahaʋuʋu dedie ne èdo aŋetu alo le amekoko vɔ megbe wò.

Afɔ si gbã ate ŋu anye abi si dzi ŋɔ ŋutɔ. Esi nèle dɔ dam la, ahiã be nàzu numame na wò be nànɔ tsitrenu ahanɔ ʋuʋum le mɔ bubu nu hena ɣleti ʋɛ aɖewo ya teti. Ɣeyiɣi ma sɔ ŋutɔ. Afɔ siwo gbã akpa gãtɔ hayana nyuie kuxi aɖeke manɔmee ɣeyiɣi didi o.

Lãmesẽfefewɔwɔ nye dɔ sesẽ aɖe si xɔa ɣeyiɣi didi. Di ɣeyiɣi nàtsɔ akpɔ dzidzɔ eye nàda akpe ɖe ŋgɔyiyi si nèwɔ le wò dɔyɔyɔ mɔzɔzɔa ƒe afɔɖeɖe ɖesiaɖe me ta.

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

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Enyo, eyata mina míagaɖo ŋku nya vevi siwo le nusiwo ŋu míeƒo nu tsoe me dzi na wò ake:

• Afɔ si gbã nye ƒu ƒe gbagbã le afɔ me. Wogayɔa esia be ``Fracture``.
• Ne èkpɔ dzesiwo abe vevesese sesẽ, vuvu, alo màte ŋu aʋuʋu wò afɔ o la, ate ŋu anye afɔ gbagbã. Ne nenemae la, yi ɖɔkta gbɔ enumake.
• Amewo ƒe anyidzedze, ʋufɔkuwo, kple kamedefefewo ƒe afɔkuwo koŋ gbɔe wòtsona.
• Atikewɔwɔ ƒe tiatia ate ŋu atso aŋɔsisi si wotsɔna ƒoa aŋɔe dzi va ɖo amekoko dzi. Ðɔktae wɔa nyametsotsoa.
• Exɔa ɣleti geɖe hafi wòhayana, eye ŋutilãmedɔdada nye nusi wòle be woawɔ.
• Woate ŋu aɖe afɔkuwo dzi akpɔtɔ ne wowɔ ɖe dedienɔnɔ ƒe ɖoɖo aɖewo dzi.
• Ƒuwo hã ate ŋu agbã bɔbɔe le nɔnɔmewo abe ƒumeŋuɖui ene ta, eyata kpɔ nyuie le ema hã ŋu.

Ðo ŋku edzi be nu vevitɔ kekeake ne ègbã afɔe nye be màgatsi dzodzodzoe o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ne wowɔ atike na wò nyuie la, àte ŋu atrɔ ava nɔ ale si nènɔ tsã la me. Míele didim be nàhaya kaba!

` Afɔ gbagbã, ƒu gbagbã, afɔ ƒe gbagbã, afɔ ƒe vevesese, afɔ ƒe vuvu, ƒu ƒe atikewɔwɔ, kamedede