Ðe viwò suea dzea anyi hewɔa nuvevi eƒe alɔnua? Ðe esia ate ŋu anye buckle ƒe gbagbãa?

Enye nusi sɔ be mía vi suewo natso nu suesuesuewo ahaƒo wo ne wole du dzi le fefem. Gake ɣeaɖewoɣi, vevietɔ le nane abe anyidzedze ene megbe la, ne woyi edzi le nyatoƒoe tom be yewoƒe alɔ alo afɔ le veve sem la, ɖewohĩ menye ƒoƒoe koe wòanye o. Ate ŋu anye ƒu ƒe gbagbã sue aɖe, alo nɔnɔme si woyɔna be ‘buckle fracture’, si bɔ, vevietɔ le ɖevi suewo me, eye míele nu ƒom tso eŋu egbea.

Nukae nye ‘Buckle Fracture’?

Kpuie ko la, ‘buckle fracture’ nye gbagbã si bɔ ɖe ɖevi suewo me, afisi ƒua megbãna ɖe eve keŋkeŋ o, gake ƒua gblẽna. Ne míagblɔe tututu la, esia nye ‘gba si mede blibo o’. Ɣeaɖewoɣi la, ɖɔktawo hã yɔnɛ be ‘impacted fracture’ alo ‘torus fracture’.

Exɔ ŋkɔ tso alesi wòdzɔnae me. Kpɔe ɖa le susu me be nàtsɔ asi agbã aluminum Coke-go ƒuƒlu aɖe. Gaku la megbãna keŋkeŋ ɖe eve me o ɖe, alo? Gake ebɔbɔna ɖe eme le axa ɖeka eye wòdona ɖe gota abe ʋuʋudedi sue aɖe ene. Emae nye nusi dzɔna ɖe mía vi suewo ƒe ƒuwo dzi le ‘buckle fracture’ me. Zi geɖe la, ne wozi ƒua dzi kpata (compression) abe ne wole gegem ene la, nyaƒoɖeamenua nana ƒua ƒe akpa ɖeka bɔbɔna ɖe gota vie, abe alesi woblae ene. Ƒua megbãna keŋkeŋ heɖea eɖokui ɖa o, ke boŋ edona abe ʋuʋudedi sue aɖe ene le teƒe ɖeka.

‘Buckle fracture’ sia dzena le ɖeviwo ƒe abɔtaƒu eve siwo nye radius kple ulna me wu. Eyae nye be, le asi ƒe akpa si tso abɔta va ɖo asibidɛ dzi. Gake ate ŋu adzɔ le ƒu didi ɖesiaɖe me. Le kpɔɖeŋu me:

• Femur (akɔtaƒu) .
• Tibia (afɔkpa ƒe ƒu) .
• Ƒu sue si le afɔkpodzi ƒe gota (Fibula) .
• Abɔta ƒe ƒu (Humerus) .

Zi geɖe la , nɔnɔme sia dzɔna ne ɖevi suewo dze anyi esime wole fefem alo le du ƒum eye wotsɔ woƒe abɔwo do ɖe anyigba . Ebɔ ŋutɔ le ɖevi siwo mexɔ ƒe 12 haɖe o ŋu. Nu nyuitɔ kekeakee nye be zi geɖe la, mehiã be woawɔ dɔ nɛ o. Zi geɖe la, wozãa aŋe, si nye nusi léa alɔnu ɖe ​​te, alo ɣeaɖewoɣi la, wozãa aŋe, si nye aŋɔ si wotsɔ ƒoa ƒu si kpɔa ƒua ta vaseɖe esime wòhaya.

Vovototo kae le ‘Buckle Fracture’ kple ‘Greenstick Fracture’ dome?

Le nyateƒe me la, esiawo nye ‘ƒu ƒe gbagbã si mede blibo o’ ƒomevi eve siwo wokpɔna le ɖevi suewo me. Ŋkɔ siawo kpena ɖe ɖɔktaa ŋu wòsea alesi wogbã ɖevia ƒe ƒu, afisi wogbãe le, kple nusi wogbã.

• Le ‘buckle fracture’ , me la, wotsɔa nyaƒoɖeamenu dea ƒua dzi, si wɔnɛ be ƒua ƒe akpa ɖeka doa go yia gota, si wɔa ƒu, abe aluminum can ma si megblɔ va yi ene.
• ‘Greenstick fracture’ nye ne ɖevi ƒe ƒu bɔbɔ eye wògbã ɖe eve, gake axa ɖeka koe gbã. Ðe nète kpɔ be yeatsɔ yeƒe asi agbã atiti yeye si xɔ dzo (ati dama) aɖe kpɔa? Me "tuck" ɖe eme abe ati ƒuƒu ene eye wògbãna ɖe eve me o, alo? Akpa ɖeka koe gbã, eye akpa kemɛa gakpɔtɔ le kadodo me. Aleae wòle.

Nusitae ‘buckle fractures’ kple ‘greenstick fractures’ siaa dzɔna zi geɖe le ɖeviwo me wu ame tsitsiwoe nye be ɖeviwo ƒe ƒuwo fa eye wote ŋu trɔna bɔbɔe wu ame tsitsiwo ƒe ƒuwo. Womegbãna bɔbɔe abe aŋe alo ahuhɔ̃e ene o. Esia tae ɖeviwo ƒe ƒuwo te ŋu bɔbɔna hegbãna alea tsɔ wu be woagbã keŋkeŋ.

Gake aleke kee nèɖayɔ viwò ƒe ƒu gbagbã o, afɔɖeɖe gbãtɔ si le vevie wue nye be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui.

Ðe asibidɛwo, asibidɛwo, kple asibidɛwo ƒe asibidɛwo ƒe gbagbã dzɔnaa?

Nɔnɔme sia si woyɔna be ‘buckle fracture’ la gblẽa nu le ɖeviwo ƒe ƒu didiwo ŋu zi geɖe. Ƒã hafi ‘buckle fracture’ nadzɔ le asiwo, asibidɛwo, alo asibidɛ ƒe ƒu suewo me. Ne viwòa le nyatoƒoe tom le vevesese le woƒe asiwo alo asibidɛwo me ŋu la, ate ŋu anye asibidɛ si vuvu alo asibidɛ si gbã. Eyata, anyo wu be nàƒo nu kple ɖɔkta ne dzesi yeye aɖewo dze le ŋuwò.

Aleke gbegbee ‘Buckle Fracture’ bɔe?

Esia nye nɔnɔme si bɔ ŋutɔ. Ðevi ene ɖesiaɖe si gbã ƒu (1 le 4 ɖesiaɖe me) dometɔ ɖeka ƒe ‘buckle fracture’. Azɔ hã, asibidɛ ƒe gbagbã siwo katã le ɖevi suewo me ƒe afã (50%) nye asibidɛ ƒe gbagbã sia ƒomevi.

Amekae xɔa ‘Buckle Fracture’?

‘Buckle fractures’ (si woyɔna hã be impact fractures) bɔ ɖe ɖevi siwo mexɔ ƒe 12 haɖe o me wu. Nusitae nye be, abe alesi míedzro eme va yi ene la, ɖeviwo ƒe ŋutilã gakpɔtɔ le tsitsim, eyata woƒe ƒuwo fa eye wote ŋu trɔna bɔbɔe wu ame tsitsiwo tɔ. Ne míele tsitsim la, vivivi la, míaƒe ƒuwo megate ŋu trɔna ɖe nɔnɔmewo ŋu nenema o. Esi ɖeviwo ƒe ƒuwo fa ta la, woate ŋu agbã alea (kple ƒu bubu siwo mede blibo o) wu be woagbã keŋkeŋ.

Togbɔ be ame tsitsiwo ate ŋu axɔ ‘buckle fracture’ sia hã la, ƒã ŋutɔ. Ate ŋu adzɔ le ame tsitsi siwo ƒe ƒuwo le gbadzaa, abe akɔtaƒu ene, dzi ɣeaɖewoɣi. Azɔ hã, amesiwo ŋu ƒu ƒe ʋuʋu ƒe dɔlélewo le, abe ƒumeŋuɖui ene, le afɔku me be woagbã ƒu ƒomevi ɖesiaɖe, si me ‘buckle fractures’ hã le.

Nukae nye ‘Buckle Fracture’ ƒe dzesiwo?

Ne ‘nu me gbagbã’ le viwòa ŋu la, àte ŋu akpɔ dzesiwo abe esiawo ene:

• Vevesese: Àte ŋu ase veve ne èka asi teƒe si abi la ŋu alo nèʋuʋu alɔ/afɔ si ŋu dɔlélea le.
• Vuvu: Teƒe si xɔ abi la ate ŋu avuvu.
• Vevesese: Teƒe si xɔ abi la ate ŋu ase veve ne woka asi eŋu wu teƒe bubuwo.
• Abi alo ŋutigbalẽ ƒe amadede ƒe tɔtrɔ: Ɣeaɖewoɣi la, àte ŋu akpɔ amadede blɔ alo aŋutiɖiɖi le afisi abi la le.
• Nuwɔametɔ alo ƒunukpeƒetetedɔ: Ne nane si woate ŋu akpɔ, abe ƒunukpeƒetetedɔ alo ƒunukpeƒetetedɔ ene, si womekpɔna le ɖevia ƒe ŋutilã ƒe akpa ma zi geɖe o.
• Le ɖevi suewo gome: Ðewohĩ ɖevi sue aɖewo mate ŋu aƒo nu tso vevesese ŋu nyuie o, eyata woate ŋu adze agbagba aƒo asa na asi si xɔ abi la zazã. Le kpɔɖeŋu me, woate ŋu atsɔ asi ɖeka ko alé fefenuwo ɖe asi, alo ne afɔ aɖe xɔ abi la, woate ŋu atsɔ afɔ ma aɖo anyi ahagbe azɔlizɔzɔ.

Nukawoe hea ‘Buckle Fracture’ vɛ?

‘Abɔta ƒe gbagbã’ akpa gãtɔ dzɔna ne ɖevi suewo dze anyi eye wodze agbagba be yewoaɖe yewo ɖokui to yewoƒe abɔwo dodo ɖe wo ŋgɔ kple anyigba ƒoƒo me . Ŋusẽ si le anyidzedzea me dea nyaƒoɖeamenu woƒe ƒuwo dzi, si wɔnɛ be ‘buckle fractures’ siawo. Esia tae nɔnɔme sia gblẽa nu le ƒu siwo le ɖeviwo ƒe abɔta (radius kple ulna) me zi geɖe wu. Tsɔe be viwòŋutsua nɔ fefem le xɔxɔnu eye kasia wòdze anyi, eye wòƒo eƒe asi. Alo míagblɔ be viwònyɔnua yi axadzi vie esime wònɔ eƒe gasɔ dom eye wòva dze anyigba. Ɣemaɣie abi sia ƒomevi ate ŋu adzɔ wu.

Aleke woawɔ ade dzesi ‘Buckle Fracture’?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, woawɔ eƒe ŋutilã dodokpɔ gbã . Eyae nye be woase abi si woxɔ la, akpɔe ɖa be vuvu le eŋu hã, eye woase veve hã. Emegbe, zi geɖe la, woaɖe gbe be woawɔ X-ray atsɔ akpɔe ɖa be ƒu aɖe gbagbã hã eye woakpɔe ɖa be nu ka ƒomevie gblẽ le ƒua ŋu hã.

Aleke wowɔa atike na buckle ƒe gbagbã?

Zi geɖe la, wotsɔa ‘splint’ daa ‘buckle fracture’ (si woyɔna hã be ‘impacted fracture’) . Wogayɔa esia be ‘immobilization’, si fia be woana ƒu si xɔ abi la nagaʋuʋu o. Le ɖevi aɖewo gome la, ɖɔktawo ate ŋu akafu ‘cast’ hã, si nye plaster cast. Wò ɖɔkta agblɔ atike si nyo na viwòa na wò. ‘Splint’ alo ‘cast’ sia ate ŋu akpɔ viwòa ƒe ƒu si xɔ abi la ta tso nusiwo agblẽ ɖe edzi me, akpe ɖe eŋu wòaɖe vevesese dzi akpɔtɔ, eye wòakpe ɖe eŋu wòaɖe dzi ɖi.

Ahiã be ɖevi akpa gãtɔ nado aŋenu abe kwasiɖa eve va ɖo etɔ̃ ene. Ɣeyiɣi didi si wòle be woadoe nɔ te ɖe alesi ɖevia ƒe dzesiwo (abe vevesese kple vuvu ene) nyona ɖe edzi kabakaba dzi.

Be nàɖe vevesese dzi akpɔtɔ la, zi geɖe la, àte ŋu ano NSAID (Non-Steroidal Anti-Inflammatory Drugs) abe Aspirin alo Ibuprofen ene, abe alesi wò ɖɔkta gblɔe ene. Gake la,Ele be nàɖɔ ŋu ɖo ŋutɔ ne èle aspirin nam ɖeviwo, elabena ate ŋu ahe nɔnɔme sesẽwo abe Reye ƒe dɔléle ene vɛ, eyata mèganae atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o. Wò ɖɔkta aɖe atike siwo nàte ŋu ana viwò kple agbɔsɔsɔme si nàna me na wò.

Ðe Buckle Fracture Ada Le Le Eɖokui Sia? Nukae Dzɔna Ne Womedae O?

Togbɔ be ‘nu me ƒe gbagbã’ mesẽna abe aɖuɖɔtoe bubu aɖewo ene o hã la, mègaŋe aɖaba ƒu dzesiwo abe vevesese, abi, kple vevesese ene dzi gbeɖe o. Ne ‘buccal fracture’ le viwòa ŋu eye womewɔ atike nɛ nyuie o la, ate ŋu ahe kuxiwo abe:

• Malunion: Ðewohĩ ƒu kakɛ siwo gbã la mawɔ ɖeka nyuie ne wohaya o.
• Nonunion: Ðewohĩ ƒu kakɛ siwo gbã la mawɔ ɖeka keŋkeŋ o, alo womate ŋu awɔ ɖeka kura o.
• Dzesiawo ƒe gbegblẽ: Ne womewɔ atike na ɖevia o la, dzesiwo abe vevesese le ɖevia ŋu ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe, si ana ɣeyiɣi si wòxɔna hafi wòhayana nadzi ɖe edzi.

Eyata nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ɖikeke aɖe le mewò, ne abi sue aɖee wònye gɔ̃ hã.

Kuxi kawoe ate ŋu ado mo ɖa le atikewɔwɔ me?

Ne wole ‘buckle fracture’ dam la, nusiwo gbɔna ate ŋu adzɔ ɣeaɖewoɣi:

• Nuveviwɔame ake: Ne ɖevia kpɔ gome le kamedede abe kamedefefewo ene me kaba akpa (hafi wòhaya) la, ƒua ate ŋu agaxɔ abi ake alo agbã vevie wu.
• Nuveviwɔame bubuwo le ememe: Ne lãmekawo ƒe gbagbã ate ŋu agblẽ nu le lãmeka siwo ƒo xlãe, lãmekawo, ʋukawo, lãkusiwo, kple lãkusiwo hã ŋu.
• NSAID-tikewo ƒe nugbegblẽ le ame ŋu: Vevesesenutsitike siawo ate ŋu ana ʋu nado le ame aɖewo ŋu, dɔgbo natsi, dɔgbo natsi, eye dɔgbo me kuxiwo nado mo ɖa le ame aɖewo ŋu. Esia tae wòle be nàzã atikeawo abe alesi wò ɖɔkta gblɔe ene ko.

Ɣekaɣie ɖevia ƒe lãme asẽ ne edze atikewɔwɔ gɔme kaba?

Ðevi geɖe kpɔa gbɔdzɔe enumake eye woƒe vevesesea nyona ɖe edzi ne wodo aŋea vɔ. Gake zi geɖe la, exɔa kwasiɖa geɖe hafi dzesiawo nu tsona keŋkeŋ. Esi wònye be aŋea nana ƒua nɔa teƒea ta la, ate ŋu aɖe vevesese dzi akpɔtɔ ŋutɔ.

Ne viwòa le veve sem si womate ŋu ado dzi atsɔ o eye mefa o la, yi ɖɔkta gbɔ enumake.

Aleke mawɔ aɖe afɔku si le vinye ƒe abɔta ƒe gbagbã me dzi akpɔtɔ?

Togbɔ be mɔ aɖeke meli si dzi nàto axe mɔ ɖe viwòa ƒe gbagbã nu 100% o hã la, àte ŋu aɖe viwò ƒe abixɔxɔ ƒe afɔkua dzi akpɔtɔ ne èwɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo siwo wozãna le mɔ gbadza nu dzi:

• Do zikpuimeka ɣesiaɣi ne èle ʋuwo me.
• Do ametakpɔnu siwo sɔ ne èle kamedefefe wɔm alo le kame dem.(e.g. gakuku, klonu ƒe afɔtiwo).
• Ðe nusiwo ate ŋu ahe afɔku vɛ le wò aƒeme kple fefewɔƒewo ɖa eye nàdzra wo ɖo ɖe ɖoɖo nu.
• Ne èle asi lém ɖe nane si le dziƒo le aƒea me ŋu , zã nane si sɔ, abe atrakpui ene. Fia ɖeviwo be woagali zikpuiwo kple kplɔ̃wo o.
• De dzi ƒo na viwòa be wòawɔ ɖe nuɖuɖu si da sɔ kple kamedede ƒe ɖoɖo si kpena ɖe eŋu be ƒuwo nanɔ lãmesẽ nyui me la dzi.

Zi geɖe la, afɔkuwo abe anyidzedze kpata ene gbɔe ‘buckle fractures’ tsona, eyata esesẽna be woaxe mɔ ɖe enu keŋkeŋ. Ke hã, ele vevie be nàlé ŋku ɖe ɖevi suewo ŋu vie ne wole fefem eye nàwɔ nɔnɔme si me dedienɔnɔ le na wo.

Ne ètsi wu, èxɔ wu ƒe 50, alo ƒumeŋuɖui le wò ƒomea me la, anyo be nàƒo nu kple ɖɔkta tso ƒu ƒe kpekpeme dodokpɔ wɔwɔ ŋu.

Nukae mate ŋu akpɔ mɔ na ne ‘Buckle Fracture’ le vinye ŋu?

Àte ŋu akpɔ mɔ be viwòa ahaya bliboe. ‘Nu ƒe gbagbã’ nye kuxi si nɔa anyi ɣeyiɣi kpui aɖe. Ðevia mase veve alo nu bubu aɖeke si anɔ anyi eteƒe nadidi le esia megbe o.

Gbagbãƒe siwo ŋu wògblẽ nu le la hayana kabakaba ŋutɔ ne wotsɔe sɔ kple gbagbã bubuwo. Zi geɖe la, kwasiɖa 2-3 koe wòhiãna be woado aŋetu na ɖeviwo. Ne dzesiwo abe vevesese kple vevesese ene nya nu tso ko la, dɔléle akpa gãtɔ mehiã be woawɔ atike bubuwo na wo alo woava srã wo kpɔ o.

Ðe vinye mate ŋu ayi suku alo akpɔ gome le dɔwɔnawo me oa?

‘Buckle fracture’ mefia be ele be ɖevi nadzudzɔ sukudede o. Gake ele be woaƒo asa na kamedede sesẽwo abe kamedefefewo ene vaseɖe esime dzesiawo nu tso keŋkeŋ eye kwasiɖa eve bubu.

Ðevi akpa gãtɔ te ŋu trɔna yia woƒe kamedefefewo kple dɔwɔna bubuwo katã me le abe ɣleti ɖeka ene megbe. Wò ɖɔkta agblɔ ɣeyiɣi didi si tututu wòle be nàƒo asa na dɔwɔna aɖewo na wò.

Nukae nye mɔkpɔkpɔ na buckle gbagbã?

Mɔkpɔkpɔ na ‘buckle fracture’ nyo ŋutɔ. Viwòa ahaya bliboe eye wòanɔ agbe vevesese alo dzesi bubu aɖeke manɔmee ɣeyiɣi didi aɖe.

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ?

Ne èsusu be ‘buckle fracture’ – alo ƒu bubu aɖe si gbã la – le viwòa ŋu la, ele be nàkpɔ ɖɔkta kaba ale si nàte ŋui. Ne dzesi siwo gbɔna dometɔ aɖe le wo ŋu la, yi xɔ si me wowɔa dɔ kpata le enumake:

• Vevesese sesẽ ŋutɔ.
• Ŋutilã ƒe akpa aɖe si woate ŋu aʋuʋu le dzɔdzɔme nu ƒe ŋutete manɔamesi.
• Ŋutilã ƒe akpa aɖe ƒe dzedzeme to vovo na esi sɔ, alo edzena abe ɖe mele teƒe si wòle o ene.
• Ne ŋutigbalẽa gbã eye ƒua dzena.
• Tete.
• Dzesi siawo kpena ɖe abi yeyewo ƒe dzedzeme ŋu.

Ne wò alo viwòa dze afɔku gã aɖe (nuveviwɔame) dzi la, yi xɔ si me wowɔa dɔ kpata le enumake.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia nya siawo abe esiawo ene ɖɔktaa tso viwòa ƒe nɔnɔmea ŋu:

• Ƒu kae wogbã?
• Ðe ‘buckle fracture’ alo gbagbã ƒomevi bubu aɖe le vinyea ŋua?
• Ɣeyiɣi didi kae wòahiã be vinye nado aŋekotoku?
• Ɣeyiɣi didi kae wòaxɔ hafi wòada gbe le ame ŋu?
• Ɣekaɣie wòagate ŋu adze kamedede (abe fefe ene) gɔme ake?

Enye nusi sɔ be dzila ɖesiaɖe navɔ̃ ne wo vi xɔ abi, vevietɔ ne ese be ƒu gbã. Gake ɖo ŋku edzi be ‘buckle fracture’ nye abi si woate ŋu ada ŋutɔ, eye wòbɔ ɖe ɖevi suewo me. Ema fia be wò ɖɔkta ate ŋu anya dɔlélea ahadae kaba. Ðe nu me na viwòa tso abi si wòxɔ ŋu, nusita wòado ‘aŋetu’ kple ɣeyiɣi didi si wòado. Ðe eme nɛ be abi sia nye ɣeyiɣi kpui aɖe ko eye be ate ŋu aƒo fefe ahakpɔ gome le nuwɔna siwo katã dzɔa dzi nɛ ne eƒe ŋutilã nya haya ko.

Ðo ŋku nu vevitɔwo dzi (Take-Home Message) .

• ‘Buckle fracture’ nye ƒu gbagbã si me ƒu megbãna keŋkeŋ o, eye wòbɔ ɖe ɖevi suewo me.
• Esia dzɔna zi geɖe le anyidzedze ta, vevietɔ ne asi la lé ɖe anyigba.
• Di atikewɔlawo ƒe aɖaŋuɖoɖo ne èkpɔ dzesiwo abe vevesese, vuvu, alo wò alɔ/afɔ zazã megale dɔ wɔm o.
• Zi geɖe la, esia hayana le kwasiɖa 2-3 me ne wotsɔ aŋe blae. Mehiã be woawɔ dɔ na ame o.
• Ðevia haya keŋkeŋ eye mekpɔa ŋusẽ aɖeke ɖe edzi ɣeyiɣi didi o.
• Ƒo asa na kamedede sesẽ vaseɖe esime wò ɖɔkta nagblɔ na wò.

Didi be viwòa nahaya kaba!

` buckle fracture, impacted fracture, torus fracture, ɖeviwo ƒe gbagbã, ƒu ƒe gbagbã, ɖeviwo ƒe gbagbã, ɖeviwo ƒe lãmesẽ