Abɔta si Ʋu? Mègatsi dzodzodzoe o, nusianu si wòle be nànyae nye esi!

Ðe nèdze anyi kasia esime nènɔ fefem? Alo ɖe nège ɖe tsileƒe hewɔ nuvevi wò abɔtaa? Kasia, mète ŋu ʋã wò alɔ gɔ̃ hã o le vevesese si womate ŋu ado dzi atsɔ o ta? Ɣeaɖewoɣi la, àde dzesii be wò abɔta ƒe nɔnɔme trɔ. Ne nane si le abe esia ene dzɔ la, ate ŋu anye wò abɔta si vuvu. Togbɔ be esia doa vɔvɔ̃ na ame vie hã la, enye nɔnɔme si woate ŋu ada keŋkeŋ ne wozã atike nyuitɔ . Eyata mina míadi nu geɖe tso esia ŋu.

Nukae abɔta ʋuʋu sia fia?

Kpuie ko la, abɔta si vuvu fia be ƒu siwo le wò abɔta ƒe ƒunukpeƒewo ʋãna yia ŋgɔ kple megbe tso afisi wòle be woanɔ, eye wo dome klã tso wo nɔewo gbɔ.

Mina míagaɖe nya sia me vie. Míaƒe ŋutilã ƒe ƒunukpeƒee nye afisi ƒu eve doa go le. Wò abɔta ƒe ƒunukpeƒee nye wò abɔta ƒe bɔl (humerus) kple wò abɔta ƒe socket alo glenoid (scapula). Ele abe bɔl si ge ɖe socket me ene. Míeyɔa esia be ``bɔl-kple-socket ƒe ƒuƒoƒo''. Esiae nye ƒunukpeƒe si nana míete ŋu ʋãa míaƒe alɔnu yia goawo katã me.

Abɔta si vuvu nye ne ƒu si le abe bɔl ene la do le ʋuƒoa me keŋkeŋ. Ne edzɔ alea la, lãkusi tsɛ siwo ƒo xlã ƒunukpeƒea hã ate ŋu agblẽ.

Ema fia be:

• Lãmetsiwo
• Lãmetsiŋusẽwo
• Lãmetsiŋusẽwo
• Lãmetsiŋusẽ ƒe lãkusiwo
• Ʋukawo

Ðe abɔta ʋuʋu ƒomevi vovovowo lia?

Ẽ, ɖɔktawo da esia ɖe hatsotso vevi eve me. Ðeka nɔ te ɖe afisi ƒuawo ʋuʋu le dzi.

1. Complete Dislocation alo Luxation: Esiae nye esime ƒu eve siwo le abɔta ƒe ƒunukpeƒea ma keŋkeŋ tso wo nɔewo gbɔ eye wodo go. Esiae míeyɔna zi geɖe ne míegblɔ be "abɔta si ʋuʋu."

2. Subluxation: Esia nye ne ƒuawo mema keŋkeŋ o, ke boŋ woʋãna vie, eye woʋãna ɖe afã me. Ƒuawo gakpɔtɔ kaa wo nɔewo, gake menye le mɔ si sɔ nu o. Togbɔ be vevesese le eme hã la, ate ŋu anye be masẽ abe ʋuʋudedi keŋkeŋ ene o.

Dzesi kawoe nye abɔta ƒe ʋuʋu?

Zi geɖe la, abɔta si ʋuʋu hea dzesi siawo dometɔ ɖeka alo esi wu nenema vɛ.

Nukatae abɔta ti kpo? Amekawoe le afɔku me?

Esia ate ŋu adzɔ ne ŋusẽ si sɔ le abɔta ƒe ƒunukpeƒea be wòado go. Zi geɖe la, nusiwo abe:

• Tsitretsitsi: Nuwo abe anyidzedze tso kɔkɔƒe, glidzaglidza, kple bubuawo ene.
• Ʋufɔkuwo: Ŋusẽ si wòkpɔna ɖe abɔta le ʋufɔku me.
• Kamedefefewo me afɔkuwo:Abɔta ate ŋu aʋuʋu, vevietɔ le kamedefefe siwo me wodoa ka kple wo nɔewo abe rugby kple bɔlƒoƒo ene me, kpakple ne wole tsi ƒum le kriket me hele volleyball ƒom.

Amekae le afɔku me wu?

Togbɔ be ame sia ame ate ŋu adze abɔta hã la, ame aɖewo le afɔku me wu.

• Fefewɔlawo: Vevietɔ amesiwo ƒoa fefe siwo me woƒoa wo nɔewo le.
• Ŋutsuwo: Ŋutsuwo ƒe abɔta ʋuʋu wu nyɔnuwo zi gbɔ zi eve.
• Sɔhɛ siwo xɔ tso ƒe 15-30: Anɔ bɔbɔe be afɔku nadze ame siwo le ƒe sia me le esi wodoa vevie nu ta.
• Ame siwo ƒe abɔta vuvu do ŋgɔ: Ne ènya ɖe wò abɔta ko la, lãkusi siwo ƒo xlã ƒunukpeƒe ma gbɔdzɔna vie. Eyata mɔnukpɔkpɔ si li be wòagaɖee ake la lolo wu sã.

Kuxi kawoe ate ŋu ado tso abɔta si vuvu me?

Menye ƒu si le ʋuʋum yi megbe kple megbe koe abɔta ƒe ʋuʋu nye o. Alesi wòdze edzi ate ŋu agblẽ nu le lãkusi siwo ƒo xlã abɔta hã ŋu.

• Ƒu ƒe gbagbã: Ƒu ƒe akpa suesuesuewo ate ŋu agbã ne abɔta vuvu.
• Lãmetsi kple lãkusi ƒe ʋuʋu: Lãmetsi siawo siwo léa ƒunukpeƒea ɖe te la ate ŋu akeke alo avuvu.
• Lãmetsiŋusẽ ƒe gbegblẽ: Woate ŋu aƒo lãmeka siwo ƒo xlã abɔta alo aƒo wo nu ƒu.
• Ʋuka siwo gblẽ: Togbɔ be mebɔ o hã la, ʋukawo ate ŋu agblẽ.

Ame aɖewo va xɔa nɔnɔme aɖe si woyɔna be Hill-Sachs lesion ne woƒe abɔta vuvu. Esiae nye esime humerus (ƒu si le abe bɔl ene le abɔta) ƒe bɔl la gblẽ. Nusiwo gblẽ le eŋu sia ƒomevi ate ŋu adzɔ ne abɔta vuvu eye ƒu si le abe bɔl ene la va dze socket la dzi.

Aleke ɖɔkta wɔa dea dzesi esia ahadae?

Ne èyi ETU la, nu gbãtɔ si ɖɔktaa wɔnae nye be wòdoa wò abɔta kpɔ. Ebiaa wò be aleke wòdzɔe kple dzesi kawoe nèle totom fifia hã.

Le ema megbe la, woate ŋu awɔ dodokpɔ siawo tɔgbe atsɔ akpɔe ɖa be nusiwo gblẽ le ememe hã:

• X-ray: Esia le vevie be woakpɔe ɖa be ƒua vuvu alo gbã hã.
• MRI scan (Magnetic resonance imaging): Esia kpena ɖe ame ŋu wòdea dzesi nusiwo gblẽ le lãmeka siwo le bɔbɔe abe lãkusiwo kple lãkusiwo ene ŋu.
• CT scan (Computed tomography scan): Wowɔa esia be woakpɔ nusiwo gblẽ le ƒuwo ŋu la nyuie wu.

Dɔdamɔnu siwo wozãna

Woyɔa esia be ‘Closed Reduction’.Esia menye amekoko o. Ðɔktaa alé wò ŋutilã tso gota eye wòahe wò alɔnu blewuu agbugbɔ aɖo teƒea. Ne ele esia wɔm la, ate ŋu ado atike si naa alɔ̃dɔdɔ wò le teƒea ɖe wò abɔta be wòaɖe vevesese dzi akpɔtɔ alo ana atike siwo naa ame ƒe dzi dzea eme be nàse le ɖokuiwò me be yedɔ alɔ̃ vie.

Vevietɔ ŋutɔ:

• Mègadze agbagba be ye ŋutɔ yeaɖɔ yeƒe abɔta ɖo o.
• Mègana ame aɖeke si menye ɖɔkta o naka asi wò abɔta alo aɖɔe ɖo o.

Esia wɔwɔ ate ŋu agblẽ nu le lãmekawo, ʋukawo, kple lãmeka bubuwo ŋu vevie, si ana nɔnɔmea nagagblẽ ɖe edzi.

Ne ɖɔktaa gbugbɔ ɖo abɔta ɖe ɖoɖo nu vɔ la, aɖo aɖaŋu le atikewɔwɔ siwo gbɔna ŋu:

• Mɔmaɖemaɖeɖenuŋu: Ne abɔta le nɔnɔme nyuitɔ me vɔ la, wotsɔa aŋe alo aŋetu dana ɖe alɔnu be wòagaʋuʋu o. Esia nye be wòana abɔta nagbɔ ɖe eme eye wòana lãkusi si gblẽ la nahaya. Zi geɖe la, wotsɔa alɔa nɔa nɔnɔme sia me kwasiɖa geɖe.
• Atike: Ðɔktaa aŋlɔ vevesesenutsitikewo na ame be wòaɖe vevesese kple abi dzi akpɔtɔ.
• Gbɔɖeme: Ele be nàƒo asa na nusianu si ana wò abɔta nate ɖe dziwò alo ana ɖeɖi nate ŋuwò la wɔwɔ.
• Lãmesẽfefewɔwɔ: Esia le vevie ŋutɔ. Ne wò abɔta nya dze hayahaya gɔme ko la, ele be nàdze kamedede gɔme le kamededeŋutinunyala ƒe mɔfiafia te. Àdze egɔme kple kamedede bɔbɔewo gbã be wòaɖe wò abɔta ƒe sesẽ dzi akpɔtɔ, emegbe nàyi kamedede siwo ado ŋusẽ lãmeka siwo ƒo xlã wò abɔta dzi. Ne mèwɔ esia nyuie o la, anɔ eme be wò abɔta agavuvu ake.

Ðe wòahiã be woawɔ dɔ na amea?

Zi geɖe la, mehiã be woawɔ dɔ na abɔta si vuvu o. Gake ate ŋu ahiã be woawɔ dɔ na ame le nɔnɔme siwo gbɔna me:

• Ne abɔta ƒe lãkusiwo kple lãkusiwo gblẽ vevie le anyidzedze me.
• Ne ‘closed reduction’ mɔnu mate ŋu agbugbɔ abɔta aɖo teƒe nyuitɔ o.
• Ne wò abɔta dona enuenu la, ke esi lãkusiawo gbɔdzɔ akpa tae. Woate ŋu awɔ dɔ na ame be wòana lãkusi mawo nasẽ.

Ɣeyiɣi didi kae wòaxɔ hafi wòada gbe le ame ŋu?

Abɔta si vuvu xɔa ɣleti geɖe hafi wòhayana keŋkeŋ. Ele be woaxe mɔ na alɔnu le kwasiɖa ʋɛ gbãtɔawo me. Le ema megbe la, ahiã be nàwɔ kamedede ƒe atikewɔwɔ ɣleti geɖe.

Ne kamedefefewɔlae nènye la, ele be nàbia wò ɖɔkta godoo hafi nàgadze fefea gɔme ake. Ne èwɔ dɔ sesẽ alo nèfe hafi wò abɔta haya keŋkeŋ la, mɔnukpɔkpɔ gã aɖe li be nàgaɖe wò abɔta ake eye abi si nèxɔ la nagado gã ɖe edzi.

Ame akpa gãtɔ hayana bliboe ne wowɔ atike na wo nyuie eye wowɔ kamedede na wo. Woate ŋu atrɔ ayi woƒe dɔwɔna kple kamedefefe siwo wowɔna ɖaa gbɔ.