Ne èle du dzi le fefem, alo nèle atrakpui aɖe dzi yim gɔ̃ hã, eye nèdze anyi hedze anyi hewɔ nuvevi wò alɔ alo afɔ la, èvɔ̃na vie, alo? "Oo, nyemenya ne ƒu aɖe gbã o." Ne èyi ɖɔkta gbɔ , lé ŋku ɖe X-ray ŋu, eye wogblɔ be, "ƒua ƒe gbagbã sue aɖe, eye ehiã be matsɔ aŋe aɖe ade eŋu," vɔvɔ̃ gaɖoa wò wu. Gake susu aɖeke meli si tae wòle be míavɔ̃ o. Cast sia le abe xɔ̃wò vevitɔ si kpɔa wò ƒu gbagbã ta vaseɖe esime wòhaya nyuie ene. Egbea, mina míaƒo nu tso cast sia, alo `(Cast)`, kple nusianu si ku ɖe eŋu ŋu.
Nuka tututue nye cast?
Kpuie ko la, cast nye nutsyɔnu sesẽ aɖe si wozãna tsɔ léa wò ŋutilã ƒe akpa aɖe, vevietɔ ƒu si gbã, ɖe teƒe ɖeka evɔ meʋãna o. Ðɔktawo yɔa esia be ‘immobilization’. Efia be woatɔ te ʋuʋua. Ne wodoe la, ƒu gbagbãawo meʋãna o, ke boŋ wosɔna ɖe wo nɔewo ŋu abe alesi wonɔ ene, eye wòkpena ɖe wo ŋu wodaa gbe nyuie. Màte ŋu aɖee ɖa alo aɖɔe ɖo le wò lɔlɔ̃nu nu o.
Nɔnɔme kawo mee wòhiã be woatsɔ aŋɔ asisi ɖe eŋu?
Zi geɖe la, wotsɔa aŋe ƒoa ƒu ne ƒu gbã, si fia be ne ƒu gbã. Gake ƒã ŋutɔ be ɣeyiɣi aɖewo li siwo me wotsɔa aŋe si wotsɔna ƒoa ƒui tsɔ kpɔa ame ta le afɔku bubuwo me alo le ƒumeŋutinunya aɖewo megbe.
Àte ŋu atsɔ aŋe asisi ɖe wò ŋutilã ƒe akpa siawo ƒe gbagbã ŋu:
- Asi alo abɔta
- Asibidɛ kple asi
- Afɔ alo klo
- Afɔkpodzui
- Gᴐme
Plaster ƒomevi kawoe li?
Plaster ƒomevi vevi evee li. Woawoe nye fiberglass `( fiber glass)` kple plaster si le Paris `( Plaster si le Paris). Le ŋkeke siawo me la, fiberglass ye nye esi wozãna wu. Elabena eƒe kpekpeme le bɔbɔe, ŋusẽ le eŋu, eye wòfa le ŋutilãa ŋu elabena ena ya te ŋu toa eme. Ɣeaɖewoɣi la, àte ŋu atsɔ fiberglass plaster asisi ɖe amadede si nèdi gɔ̃ hã ŋu.
Ƒomevi bubue nye mɔnu xoxotɔ kekeake si mí katã míenya, si nye aŋɔ si wotsɔ ƒoa aŋɔe le Paris. Ele bɔbɔe be woatrɔ asi le esia ŋu wòasɔ ɖe ŋutilãa ƒe nɔnɔme nu. Vevietɔ ne wogbã ƒua tso teƒe ɖeka yi bubu (Displaced Fracture) la, aŋɔ sia ƒomevi sɔ wu ɣeaɖewoɣi be woatsɔe atrɔ ayi teƒe si wònɔ tsã. Gake elolo wu fiberglass eye wòxɔa ɣeyiɣi didi hafi wòƒuna.
| Ŋutinu | Fiberglass si wotsɔa lãgbalẽ wɔe | Paris ƒe Plaster |
|---|---|---|
| Kpekpeme | Kpekpeme si mede ame dzi o | Lolo akpa |
| Ŋusẽ | Ŋusẽtɔ wu | Ŋusẽ si le sue ne wotsɔe sɔ kple wo nɔewo |
| Ɣeyiɣi si woatsɔ aƒu gbe | Eƒuna kabakaba (gaƒoƒo ʋɛ aɖewo) . | Exɔa ŋkeke ɖeka alo eve hafi wòƒuna keŋkeŋ. |
| Yaƒoƒo ƒe dodo | Ya le zɔzɔm nyuie. | Ya ƒe ʋuʋu mesɔ gbɔ o. |
Nukae dzɔna hafi wotsɔa aŋɔa dea aŋɔa me?
Hafi ɖɔktaa natsɔ aŋe abla wò la, alé ŋku ɖe alesi wògbãe ŋu nyuie. Nu vevitɔe nye be nàgbugbɔ ƒu gbagbãawo aɖo woƒe nɔƒe nyuitɔ . Míeyɔa esia be ‘nɔnɔme’. Ne mèwɔ esia o la, ƒua ate ŋu atso eye wòatsi.
Mɔ eve li siwo dzi míato awɔ esia.
1. Closed Reduction: Le afisia la, ɖɔktaa naa atike si naa alɔ̃dɔdɔ (ewɔa nuvevi) dɔnɔa, eye emegbe wòzãa eƒe asiwo tso gota tsɔ tua ƒu kakɛ siwo gbã la hehea wo trɔna yia wo nɔƒe.
. Wowɔa esia esime wodo atike na wò bliboe (wòdɔ alɔ̃).
Ne wotsɔ ƒua ɖo nyuie alea ko hafi wotsɔa aŋɔa dea aŋɔa me.
Aleke nèwɔna tsɔa aŋɔ ƒoa aŋɔe?
Wotsɔa aŋɔ ƒoa aŋɔ ɖe edzi le ƒuƒoƒo vovovowo me.
- Gbã la, wotsɔa avɔ tsɛ aɖe abe kotoklobo ene (Stockine TTE ) ƒoa xlã teƒe si wògbã be wòagaka ŋutilãa o.
- Emegbe, woxatsaa kotoklobo ƒe akpa aɖe ɖe edzi sesĩe. Esia akpe ɖe eŋu be aŋɔa ƒe nyaƒoɖeamenu nagaƒo ŋutigbalẽa o eye wòaɖu abi si le eŋu dzi.
- Eyome, tsɔ fiberglass alo plaster of Paris strips de tsi me eye nàxatsa wo ɖe ƒuƒoƒo vovovowo me ɖe kotoku ma dzi.
- Wowua aŋɔa nu ne woxatsae alea vaseɖe esime wòaɖo titrime si hiã.
Dɔ sia ate ŋu axɔ tso miniti 15 va ɖo gaƒoƒo ɖeka, le aŋɔa ƒe lolome kple afisi wole etsɔm le nu.
Aleke woawɔ akpɔ nyuie ne èle aŋɔ dom?
Ele vevie ŋutɔ be nàlé be na aŋɔa nyuie esime wòle teƒea, ne menye nenema o la, kuxi vovovowo ate ŋu ado mo ɖa.
Nu siwo wòle be woawɔ
- Na wòakɔ: Ɣesiaɣi si wòanya wɔ la, na alɔ/afɔ si wotsɔ ƒu gbe la nakɔ ɖe dzi le akɔtaɖonu dzi be wòaɖe abi dzi akpɔtɔ.
- De tsikpe ɖe eŋu: De tsikpe si wotsɔ ƒoa ƒui be wòaxe mɔ ɖe abi nu. Gake mègatsi aŋɔa gbeɖe o . Xatsa tsikpegoe aɖe ɖe afɔkpa me sesĩe.
- Ʋuʋu wò asibidɛwo: Ne ƒuƒu le wò alɔnu alo afɔ ŋu la, ʋuʋu wò asibidɛwo enuenu be woagaʋuʋu o.
Nusiwo mele be nàwɔ gbeɖe o
- Mègatsi o: Tsɔ aŋekotoku alo nutsyɔnu tɔxɛ aɖe tsyɔ ɖokuiwò dzi nyuie ne èle tsi ƒum. Mèganyrɔe ɖe tsi me o.
- Mègade naneke aŋea me o: Ne èle agbagba dzem be yeatutu ŋutigbalẽa la, mègade naneke abe nuŋlɔti, atikplɔ, alo safui ene aŋɔa me o. Esia ate ŋu agblẽ nu le ŋutigbalẽa ŋu eye wòana ame naxɔ dɔlékuiwo. Ne ʋuʋudedi si womate ŋu ado dzi atsɔ o le ŋuwò la, gblɔe na wò ɖɔkta.
- Mègade atike alo atike si wotsɔna ƒoa aŋɔe o: Mègatsɔ kreme, ami, alo atike aɖeke asisi ɖe aŋɔa me alo ƒo xlãe o.
- Mègadze agbagba be yeaɖe aŋea ɖa le aƒeme o: Mègate kpɔ be yeaɖe aŋea ɖa alo agbãe hafi gbesigbe wò ɖɔkta agblɔ na wò be nàwɔe o.
Ðo ŋku edzi be ɖɔkta koe wòle be wòaɖe aŋɔa ɖa. Wotsɔa aŋe tɔxɛ aɖe wɔa esia dedie. Ne èdze agbagba be yeawɔ esia le aƒeme la, àte ŋu ade abi ɖokuiwò ŋu.
Dzesi kawoe hiã be woayi ɖɔkta gbɔ kpata?
Nu aɖewo li siwo ŋu wòle be nàɖɔ ŋu ɖo vevie ne èle aŋɔa dom. Ne dzesi siwo le ete dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake alo yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU).
| Ŋuɖoɖo! Ne dzesi siawo le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. | |
|---|---|
| Vevesese sesẽ | Ne vevesese si tso aŋɔa me le sesẽm ɖe edzi, ne womate ŋu ado dzi atsɔe o. |
| Nuveviwɔame alo seselelãme ƒe bu | Ne asibidɛ siwo le nusi wotsɔ ƒoe la te la vuvu alo se le wo ɖokui me be yewole ʋuʋum. |
| Amadede ƒe tɔtrɔ | Ne asibidɛawo trɔ zu blɔ alo ɣie. |
| Asibidɛwo ʋuʋu ƒe ŋutete manɔamesi | Ne esesẽ be woaʋuʋu asibidɛawo le aŋɔa te. |
| Ʋeʋẽ gbegblẽ aɖe | Ne ʋeʋẽ gbegblẽ aɖe le dodom tso aŋɔa me (abi ate ŋu anɔ ƒoƒom). |
| Nusiwo gblẽ le aŋɔa ŋu | Ne aŋɔa le gbagbãm, le ʋuʋum, alo wòse le eɖokui me be yefa le teƒe aɖewo. |
Dzesi siawo ɖee fia be plaster la ateŋu abla akpa, axe mɔ na ʋu ƒe sisi eye wòahe nɔnɔme si me afɔku le si woyɔna be ``Compartment Syndrome.'' Eyata mègaŋe aɖaba ƒu dzesi siawo dzi o.
Ƒu gbagbã nye nuteƒekpɔkpɔ dziŋɔ kple nublanuinya. Ate ŋu anye nusi me dziɖeleameƒo le ŋutɔ be woado aŋekotoku kwasiɖa geɖe. Gake ɖo ŋku edzi be esiae nye mɔ nyuitɔ kekeake si le dedie wu si dzi wò ƒu ato ahaya nyuie. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Emegbe àte ŋu ahaya kaba eye nàgadze wò dɔwɔna siwo nèwɔna ɖaa gɔme ake.
Gbedasi si Wotsɔ Yi Aƒeme
- Cast nye ametakpɔnu si nana ƒu si gbã la meʋãna o eye wòkpena ɖe eŋu wòdaa gbe nyuie.
- Mègatsɔ aŋɔa ƒo tsi gbeɖe o. Tsɔ aŋe tsyɔ edzi nyuie ne èle tsi ƒum.
- Mègade naneke aŋɔa me be wòaƒoe o. Esia ate ŋu agblẽ nu le ŋutigbalẽa ŋu eye wòana dɔlékuiwo nadze ame dzi.
- Ne èse veve vevie, wò lãme ʋuʋu, wò amadede trɔ, alo wòsesẽna be nàʋuʋu wò asibidɛwo ɖe nusi wotsɔ ƒoe la te , yi ɖɔkta gbɔ enumake.
- Mègadze agbagba be yeaɖe nusi wotsɔ ƒoe la ɖa le aƒeme o. Ðɔkta koe wòle be wòawɔ esia.

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