Ðe wò abɔta do zi ɖekaa? (Dislocated Elbow) - Mina míaƒo nu tso esia ŋu tsitotsito!

Èkpɔ ame aɖe si ƒe abɔta vuvu kpɔa? Alo, ʋuu, ɖe wòdzɔ ɖe dziwòa? Enye vevesese si womate ŋu asusu o. Màte ŋu aʋuʋu wò alɔ gɔ̃ hã o, eye ɣeaɖewoɣi la, edzena abe abɔta gɔ̃ hã megale teƒe aɖeke o ene. Eyata egbea míele nu ƒom tso nɔnɔme sia si woyɔna be dislocated elbow, alo `(Dislocated Elbow)` ŋu.

Nukae abɔta titri fia?

Kpuie ko la, abɔta si vuvu nye ne ƒu siwo le wò abɔta ƒe ƒunukpeƒewo le yiyim kple megbe eye wole ʋuʋum le teƒe si mele o . Bu eŋu kpɔ, wò abɔta nye ƒunukpeƒe vevi aɖe ŋutɔ si me ƒu etɔ̃ do go le: ƒu gã si le wò abɔta (`(Humerus)`), ƒu didi si le wò abɔta ƒe eme (`(Ulna)`), kple ƒu kpui si le wò abɔta ƒe gota (`(Radius)`). Esia dzɔna ne wotu ƒu siawo dometɔ ɖeka, eve, alo etɔ̃awo katã sesĩe alo ƒo wo.

Ne esia dzɔ la, ehea vevesese sesẽ vɛ eye nu vevitɔe nye be màte ŋu aʋuʋu wò abɔta o, alo eva sesẽna ŋutɔ.

Vevietɔ: Ne ètro wò abɔta la, àte ŋu agblẽ nu le lãkusi tsɛ siwo ƒo xlã ƒunukpeƒea hã ŋu. Esia fia be:

- Wò lãmekawo

- Lãmetsiŋusẽwo

- Tendons (esiawoe doa ka kple lãmekawo kple ƒuwo) .

- Ligaments (esiawoe léa ƒuwo ɖe wo nɔewo ŋu) .

- Ate ŋu adzɔ hã be ʋukawo nagblẽ.

Eyata, ne èsusu be yeƒe abɔta vuvu, alo ne màte ŋu aʋuʋu wò abɔta o la, ele be nàyi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le enumake. Mègadze agbagba gbeɖe, gbeɖe be yeagbugbɔ yeƒe abɔta aɖo teƒea le ye ɖokui si o! Ðeko ema ana nɔnɔmea nagagblẽ ɖe edzi.

Ðe abɔta titri ƒomevi vovovowo lia?

Ẽ, ɖɔktawo bua esia ɖe hatsotsowo me le alesi ƒuawo do go le ƒunukpeƒea nu.

• Complete dislocation / Luxation: Esiae nye esime ƒu siwo le ƒunukpeƒea me ma keŋkeŋ eye wodo le wo nɔƒe. Ne míagblɔe tututu la, kadodo aɖeke mele ƒu eveawo dome o.
• Subluxation: Esiae nye nusi ɖɔktawo yɔna be “ʋuʋudedi sue aɖe .” Esia nye ne wohe ƒunukpeƒea eye ƒuawo le ʋuʋum vie, gake menye keŋkeŋ o. Kakaɖedzi aɖe gakpɔtɔ le ƒuawo dome, gake menye alesi wòanɔ le dzɔdzɔme nu o.

Ðɔktawo hã nɔa te ɖe nusiwo gblẽ le abɔta ƒe ƒunukpeƒe kple lãmenugbagbevi siwo ƒo xlãe ŋu nu be:

• Abɔta ƒe ʋuʋu bɔbɔe: Esia bia be lãkusi siwo doa alɔ abɔta ƒe ƒunukpeƒea koe gblẽ. Ƒu siwo wɔ abɔta la megbã o.
• Abɔta ƒe ʋuʋu sesẽ: Esia nye nɔnɔme si me lãkusiwo kple lãkusiwo gblẽna vevie, eye abɔta ƒe ƒuwo ate ŋu agbã.
• Abɔta ƒe ʋuʋu vevie: Esia ate ŋu agblẽ nu le lãmekawo kple ʋuka siwo ƒo xlã abɔta hã ŋu. Esia nye nɔnɔme si me afɔku le vie wu.

Aleke gbegbee abɔta ƒe ƒoƒo sia bɔe?

Le nyateƒe me la, abɔta nye ƒunukpeƒe siwo vuvu wu le ƒe ɖeka me la dometɔ ɖeka . Le abɔta kple asibidɛwo megbe la, abɔtae nye ƒunukpeƒe si kplɔe ɖo si vuvu wu.

Nukae nye abɔta ƒe ʋuʋu ƒe dzesiwo?

Dzesi aɖewo li siwo bɔ ɖe abɔta ƒe ʋuʋu ŋu. Kpɔe ɖa be esiawo ɖi nusiwo nènya nyuie hã:

• Abi: Abi siwo le blɔ/aɖabɛ ate ŋu adze le abɔta ŋu.
• Tɔtrɔ siwo va le abɔta ƒe dzedzeme ŋu: Ate ŋu adze abe abɔta mele teƒe aɖeke o ene, eye ate ŋu anye be eƒe nɔnɔme wɔ nuku.
• Vevesese sesẽ: Esiae nye nu vevitɔ. Vevesesea ate ŋu anye nusi womate ŋu ado dzi atsɔ o.
• Vuvu: Abɔta dzena abe ɖe vuvu eye wòlolo ene.
• Abɔta ƒe ŋutetemanɔamesi: Esesẽna ŋutɔ, ɣeaɖewoɣi la, manya wɔ be woabɔbɔ alɔ alo aɖɔe ɖo o.
• Seselelãme be abɔta meli ke o: Ewɔna nam abe abɔta gbɔdzɔ eye wòɖe asi le eŋu ene.

Nukae nana abɔta sia ti kpo?

Kpuie ko la, nusianu si awɔ ŋusẽ si sɔ be wòatutu wò abɔta ƒe ƒunukpeƒea wòadzo le teƒea ate ŋu ahee vɛ. Nusiwo gbɔ wòtsona zi geɖee nye:

• Anyidzedze: Vevietɔ ne èle agbagba dzem be yeatɔ te anyidzedze to asidodo kple abɔ eveawo me, alo ne wò asi le mɔ xem na anyidzedzea. Bu eŋu abe ne èle kriket ƒom eye nèle tsi ƒum be yealé bɔl adze anyi ene.
• Ʋufɔkuwo: Esia ate ŋu adzɔ le nuwo abe ʋufɔkuwo ene hã me.
• Kamedefefe me afɔkuwo: Woate ŋu adzɔ le kamedefefe siwo kpɔa ŋusẽ ɖe ame dzi ŋutɔ abe rugby kple bɔlƒoƒo ene me, alo le kamedefefewo abe kamedede ene me.

Mɔnukpɔkpɔ li be ɖevi ƒe abɔta, vevietɔ ɖevi sue, ate ŋu ado. Emae nye esime wofɔ ɖevi ƒe asi alo hee kabakaba . Woyɔa esia ɣeaɖewoɣi be ``Dɔnɔdzikpɔla ƒe Abɔta''. Esia nye pop ƒe akpa aɖe. Eyata ele be nàɖɔ ŋu ɖo ŋutɔ ne èle fefem kple ɖevi suewo kple ne èle wo fɔm.

Amekae le afɔku me wu be abɔta naʋuʋu?

Togbɔ be amesiame ate ŋu axɔ afɔkpodzi ƒe ʋuʋu hã la, ame aɖewo le afɔku me vie:

• Fefewɔla siwo ƒoa kamedefefe siwo kpɔa ŋusẽ ɖe ame dzi ŋutɔ (e.g. rugby, kɔdada).
• Ame siwo xɔ wu ƒe 65: Elabena ƒuwo kple ƒunukpeƒewo gbɔdzɔna ne míele tsitsim.
• Ðevi siwo mexɔ ƒe 16 haɖe o: Elabena woƒe ƒuwo kple lãkusiwo metsi bliboe haɖe o.
• Ame siwo ŋu lãmesẽkuxi siwo nana ƒunukpeƒewo gbɔdzɔna: Le kpɔɖeŋu me, nɔnɔmewo abe `(Ehlers-Danlos syndrome)` alo `(joint hypermobility syndrome)`. Le nɔnɔme siawo me la, ƒunukpeƒeawo va nɔa gbadzaa wu alesi wòle dzɔdzɔmee.
• Ame siwo zãa woƒe abɔta wògbɔa eme: Vevietɔ amesiwo wɔa ʋuʋu ɖeka ma ke ɣesiaɣi hena dɔwɔwɔ, alo amesiwo daa bɔl ɣesiaɣi hena kamedefefewo.

Kuxi kawoe ate ŋu ado tso abɔta ƒe ʋuʋu me?

Kuxi vevi siwo ate ŋu ado mo ɖa le abɔta ƒe ŋeŋe megbee nye ƒuwo kple lãkusi siwo ƒo xlã abɔta ƒe gbegblẽ. Esiawo dometɔ aɖewoe nye:

• Ƒu ƒe gbagbã
• Ligament kple tendon ƒe ʋuʋu/aɖatsiwo
• Lãmetsiŋusẽ ƒe gbegblẽ
• Ʋuka siwo gblẽ
• Lãmetsiwo ƒe teteɖeanyi

Aleke ɖɔktawo wɔa dea dzesi abɔta si vuvu?

Ðɔkta aɖe akpɔe ɖa be wò abɔta vuvu to ŋutilãmedɔdada me . Alé ŋku ɖe wò abɔta kple wò abɔ bliboa ŋu nyuie. Ahiã be nàgblɔ wò dzesiwo kple nusi wɔm nènɔ hafi abi la na ɖɔktaa .

Dodokpɔ kawoe wowɔna?

Be ɖɔkta nanya nusi tututu gblẽ le wò ŋutilã me la, ahiã be ɖɔkta nawɔ ``nɔnɔmetata dodokpɔ`` aɖewo hã, abe:

• X-ray: Be woatsɔ akpɔe ɖa be ƒuawo gblẽ alo gbã hã.
• MRI (Magnetic Resonance Imaging - MRI): Be woakpɔ nusiwo gblẽ le lãmeka siwo le bɔbɔe abe lãkusiwo kple lãkusiwo ene ŋu.
• CT scan (Computed Tomography - CT scan): Be woalé ŋku ɖe ƒuawo ƒe gbagbã sesẽwo ŋu hã.
• Ultrasound: Wozãa esia ɣeaɖewoɣi tsɔ dia lãmenugbagbeviwo ƒe gbegblẽ.

Nukawoe nye abɔta ƒe ʋuʋu ƒe atikewɔwɔ?

Atikewɔwɔ vevitɔ kekeake na abɔta si vuvu enye be nàgbugbɔ wò ƒunukpeƒea aɖo eƒe nɔnɔme gbãtɔ me . Wò ɖɔkta ateŋu ayɔ esia be ``manipulation'' alo ``closed reduction.'' Ne èsusu be yeƒe abɔta vuvu la , yi xɔ si me wowɔa dɔ kpata le enumake .

Le afisia hã la, mègadze agbagba gbeɖe be ye ŋutɔ yeaɖo ƒunukpeƒea o. Mègana ame aɖeke naka asi wò abɔta si xɔ abi ŋu alo aʋuʋui gbeɖe o negbe dɔwɔla bibi aɖe si wona hehee (abe ɖɔkta ene) ko. Na wò abɔta nanɔ anyi kpoo alesi nàte ŋui, eye mègadze agbagba be yeazi edzi o.

Ne èdze agbagba be yeagbugbɔ yeƒe abɔta aɖo teƒea le ye ɖokui si la, àte ŋu ana wò abi la nagagblẽ ɖe edzi eye wòagblẽ nu le lãkusi siwo ƒo xlãe ŋu.

Ne ɖɔktaa gaɖo wò ƒunukpeƒea ɖe teƒea vɔ la, àte ŋu ahiã atike bubuwo hã, abe:

• Mɔmaɖemaɖeɖenuŋu: Ðewohĩ ahiã be nàdo aŋetu (abe aŋetu ene) alo aŋetu (ka si léa wò abɔ ɖe teƒea) be wò abɔta nagaʋuʋu o vaseɖe esime wòahaya.
• Atike: Wò ɖɔkta aŋlɔ atike na wò be wòakpe ɖe ŋuwò nàɖe vevesese kple abi dzi akpɔtɔ. Mègano vevesesenutsitikewo wu ŋkeke 10 le ɣeyiɣi ɖeka me wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
• Gbɔɖeme: Ele be nàƒo asa na kamedede ɖesiaɖe si ana wò abɔta nate ɖe ŋuwò alo azã wò abɔta. Bia wò ɖɔkta be dɔwɔna kawoe wòle be nàƒo asa na vaseɖe esime nàhaya.

Ðe wòhiã be woawɔ dɔ nam le abɔta si vuvu ta?

Mehiã be woawɔ dɔ na ame akpa gãtɔ le abɔta si vuvu vɔ megbe o. Gake ate ŋu ahiã be woawɔ dɔ na wò le nɔnɔme siwo gbɔna me:

• Ne abi gã bubuwo le wò ŋutilã me (e.g., ƒu ƒe gbagbã gã aɖe, ʋukawo ƒe gbegblẽ) esime wò afɔkpodzi vuvu.
• Ne ɖɔkta dze agbagba gake mete ŋu gbugbɔ abɔta la ɖo teƒea o, ``(closed reduction doesn't work)``, ekema ehiã be woawɔ dɔ nɛ be woagbugbɔ ƒunukpeƒea aɖo teƒea.
• Ne abɔta ƒe ʋuʋu sesẽ alo sesẽ aɖe le ŋuwò.

Ɣeyiɣi didi kae wòxɔna hafi abɔta si vuvu la hayana?

Zi geɖe la , abɔta ƒe ʋuʋu bɔbɔe xɔa kwasiɖa ʋɛ aɖewo hafi wòhayana . Woaxe mɔ na wò kwasiɖa ɖeka alo eve. Ne wò abɔta nya haya ale gbegbe be nàte ŋu azãe ko la, ahiã be nàwɔ kamedede kwasiɖa ʋɛ aɖewo. Wò ŋutilãmedɔdala akpe ɖe ŋuwò be nàgate ŋu aʋuʋu.

Abɔta ƒe tete sesẽ kple sesẽ xɔa ɣeyiɣi didi hafi wohayana. Wò ɖɔkta aɖe esia me na wò tsitotsito.

Vevietɔ: Bia wò ɖɔkta ɣeyiɣi didi si tututu wòle be nàlala hafi adze kamedefefe alo dɔ sesẽ wɔwɔ gɔme ake. Ne èwɔ nusiawo hafi wò abɔta haya keŋkeŋ la, ke èle afɔku gã aɖe me be nàgaxɔ abi ake – eye àte ŋu agavuvu wò abɔta gɔ̃ hã.

Ðe mɔ aɖewo li siwo dzi woato axe mɔ na abɔta be woagadze oa?

Menye ɣesiaɣie wòanya wɔ be woaxe mɔ ɖe abɔta ƒe ʋuʋu nu o. Zi geɖe la, afɔku alo ƒoƒo kpata gbɔe wòtsona. Ke hã, nu aɖewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ.

Ne èle kamedefefe wɔm alo le kamedede bubuwo wɔm:

• Do dedienɔnɔnu nyuiwo (e.g. abɔtadzikpɔlawo).
• Ne wò abɔta le veve sem le kamedefefe wɔwɔ me alo le ewɔwɔ vɔ megbe la, "mègafe to vevesesea me o."
• Na ɣeyiɣi wò ŋutilã be wòagbɔ ɖe eme ahahaya le dɔ sesẽ wɔwɔ vɔ megbe.
• Hafi nàde kamedefefe alo ade kame la , do dzo eye nàkeke ɖokuiwò .
• Ne èwu dɔwɔna la nu vɔ la, fa miamiamia eye nàkeke ɖokuiwò.

Wɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo siwo wozãna le mɔ gbadza nu dzi be nàɖe abixɔxɔ ƒe afɔkua dzi akpɔtɔ:

• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ eye nu siwo mehiã o naganɔ eme o . Esia aɖe mɔnukpɔkpɔ si li be wò alo ame bubuwo nakli nu dzi akpɔtɔ.
• Ne èle nane fɔm tso dziƒo la , zã dɔwɔnu siwo sɔ ɣesiaɣi . Mègalia zikpuiwo, kplɔ̃wo, alo kplɔ̃wo dzi gbeɖe o.
• Ne azɔlizɔzɔ sesẽ na wò alo afɔku gã aɖe le eme be nàdze anyi la, zã atizɔti alo afɔti .

Aleke nɔnɔmea le le abɔta ƒe abixɔxɔ vɔ megbe?

Zi geɖe la, abɔta si vuvu la ahaya keŋkeŋ . Àdze egɔme ase le ɖokuiwò me be yeƒe lãme sẽ ne wonya gaɖo wò ƒunukpeƒea ɖe teƒea ko. Ðewohĩ màte ŋu akeke wò abɔta bliboe abe tsã ene o, gake esia makpɔ ŋusẽ ɖe wò gbesiagbedɔwo wɔwɔ ƒe ŋutete dzi o.

Ðe nyemate ŋu ayi dɔme alo suku ne nye abɔta vuvu oa?

Negbe ɖe wò dɔ alo sukudɔdasiwo na wò abɔta nate ɖe dziwò geɖe wu hafi la, mele be màte ŋu ayi dɔme alo suku o. Gake mele be nàku ʋu esime nèdo akɔtaɖonu alo aŋekotoku o . Bia wò ɖɔkta ɣekaɣie nàte ŋu adze kamedefefe, aƒemedɔwo wɔwɔ, alo kpekpeme kɔkɔ gɔme ake.

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

Ne nuveviwɔame aɖe le ŋuwò alo nèsusu be yeƒe abɔta vuvu la, yi xɔ si me wowɔa dɔ kpata le enumake .

Mègadze agbagba gbeɖe, gbeɖe be yeagbugbɔ abɔta si vuvu la aɖo teƒea le ɖokuiwò si o. Mègadze agbagba gbeɖe be yeagbugbɔ ƒunukpeƒea aɖo teƒea ɖɔkta ƒe kpekpeɖeŋu manɔmee o.

Nya kawoe wòle be mabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo tɔgbe:

• Dislocation ka ƒomevie le ŋunye?
• Dɔdamɔnu kawoe mahiã?
• Nuka ƒomevie mehiã be mawɔe be nyemagate ŋu aʋuʋu o? (abe aŋenu alo aŋenu ene) .
• Ðe wòahiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòaxɔ hafi ahaya?
• Ɣekaɣie mate ŋu atrɔ ayi kamedefefe alo kamedede dzi?

Ðe abɔta si vuvu la ada gbe le eɖokui sia?

Ao, gbeɖe o. Abɔta si vuvu la mahaya le eɖokui si o. Eye, negbe ɖe ɖɔkta kpɔ dɔlélea dze sii nyuie eye wòdae nyuie o la, mahaya nyuie o. Eyata ne abɔta ƒe ŋeŋe ƒe dzesiwo le ŋuwò le anyidzedze, kamedefefe ƒe afɔku, alo afɔku bubu megbe la, yi xɔ si me wokpɔa nudzɔdzɔ kpatawo gbɔ le enumake .

Aleke gbegbee abɔta ƒe ʋuʋu nye nu sesẽe?

Abɔta ƒe ʋuʋu ƒomevi ɖesiaɖe nye abi gã aɖe si hiã be woawɔ atike nɛ enumake. Togbɔ be ame akpa gãtɔ hayana le kwasiɖa ʋɛ aɖewo megbe hã la, abɔta ƒe ŋeŋe nye nusi dzɔ kpata eye ele be woadae. Ne èsusu be yeƒe abɔta vuvu la, yi kɔdzi enumake. Mègate kpɔ be yeazã wò abɔta o vaseɖe esime ɖɔkta nado wò kpɔ ahada dɔ na wò hafi.

Abɔta si ʋuʋu nye ne abɔta ƒe ƒunukpeƒe ƒe akpa aɖewo do le woƒe nɔnɔme si sɔ me. Esia ate ŋu anye abi si dzi ŋɔ ŋutɔŋutɔ, vevietɔ esi màte ŋu azã wò alɔnu o ta.

Mlɔeba la, medi be magaɖo ŋku edzi na wò ake be: mègadze agbagba gbeɖe be ye ŋutɔ yeagatsɔ ƒunukpeƒea aɖo teƒea o. Mègana ame bubu aɖeke si mexɔ hehe o nawɔe nenema o.Ne hehenala aɖe alo xɔ̃wò aɖe dze agbagba be yeana kpekpeɖeŋu kple susu nyui gɔ̃ hã la, ne wodze agbagba be yewoagatsɔ ƒunukpeƒea ablae la, nɔnɔmea ate ŋu agblẽ ɖe edzi alo kuxi bubuwo ate ŋu ado mo ɖa.

Ne èsusu be yeƒe abɔta vuvu la , yi xɔ si me wowɔa dɔ kpata le enumake .

Ðo ŋku nu vevitɔ kekeake dzi! (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, eyata míeƒo nu geɖe tso abɔta siwo vuvu ŋu, alo? Mlɔeba la, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui lae nye esi:

• Abɔta si vuvu nye abi gã aɖe . Mègabu eŋu nu tsɛe o.
• Ne èsusu be nane si le abe esia ene dzɔ ɖe dziwò la, yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake .
• Mègadze agbagba gbeɖe be yeagbugbɔ yeƒe abɔta aɖo teƒea o, eɖanye wò ɖeka alo ame aɖe si mexɔ hehe le atikewɔwɔ me o gbɔ o. Ðeko ema agblẽ nu geɖe wu.
• Wɔ ɖe atikewɔwɔ si wò ɖɔkta na wò dzi pɛpɛpɛ . Ne èwɔ nuwo abe ɖiɖiɖeme, atike, kple kamedede ene nyuie la, àte ŋu ahaya kaba.
• Mègatsɔ agba geɖe de wò abɔta o vaseɖe esime wòhaya keŋkeŋ.

Eyata, mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Kpɔ nyuie ɣesiaɣi!

` Abɔta ƒe ʋuʋu, abɔta ƒe dɔléle, ƒunukpeƒetete, abɔta ƒe vevesese, abɔta ƒe atikewɔwɔ, abɔta ƒe hayahaya, atikewɔwɔ kpata