Ðe wò ƒunukpeƒewo vuvu kpɔa? (Dislocation) Mègavɔ̃ o, nya nusiawo!

Oo, tsɔe be èdze anyi kasia esime nèle bɔl ƒom alo nɔ aƒemedɔwo wɔm. Ne èdze anyi la, wò alɔ alo afɔ ƒe ƒunukpeƒe aɖe ate ŋu ase le eɖokui me le mɔ wɔnuku aɖe nu be mele teƒe aɖeke o, abe ɖe wohee ene. Àte ŋu ase veve vevie, alo màte ŋu aʋuʋu ƒunukpeƒea o. Esia nye nusi míeyɔna ko be "ƒunukpeƒe si ʋuʋu" alo, le atikewɔwɔ me la, ``ƒunukpeƒe si ʋuʋu''. Esia nye nusi dzi ŋɔ ŋutɔŋutɔ. Gake ele vevie ŋutɔ be nànɔ ŋudzɔ ɖe esia ŋu vɔvɔ̃ manɔmee.

Nukae nye ʋuʋudedi? Mina míase egɔme bɔbɔe!

Kpuie ko la, ƒu ƒe ʋuʋu nye ne ƒu eve siwo le ƒunukpeƒe aɖe le wò ŋutilã me ʋu le teƒe si mele o, alo womele teƒe aɖeke kura o. Ènya be ƒunukpeƒe alafa geɖe le míaƒe ŋutilã me, tso míaƒe ta dzi va se ɖe míaƒe afɔbidɛwo dzia? Ƒunukpeƒe siawo nye míaƒe ƒunukpeƒetetedɔ ƒe akpa aɖe, si kpena ɖe mía ŋu míeléa míaƒe ŋutilã ɖe te eye wònana míete ŋu ʋãna.

Eyata ne ƒunukpeƒe aɖe do alea la, ate ŋu ave ame ŋutɔ . Ate ŋu asesẽ ale gbegbe hã be màte ŋu azã ƒunukpeƒe ma o. Gawu la, ne ƒunukpeƒe aɖe do la, ate ŋu agblẽ nu le lãkusi tsɛ siwo ƒo xlã ƒunukpeƒe ma hã ŋu. Ema fia be:

• Na wò lãmekawo (`Lãmetsiwo`) .
• Lãmetsiŋusẽwo
• Tendons (esiawoe doa ka kple lãmekawo kple ƒuwo) .
• Ʋukawo

Vevietɔ wu: Ne èsusu kpɔ be yeƒe ƒunukpeƒe aɖe vuvu, alo ne èle veve sem ale gbegbe be màte ŋu azã wò ŋutilã ƒe akpa aɖeke o la, taflatse yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake. Mègadze agbagba gbeɖe be yeaɖo ƒunukpeƒe, wò ɖeka alo kple ame bubu o. Ðeko esia wɔwɔ agblẽ nu geɖe wu.

Nukawoe nye ʋuʋudedi ƒomevi veviwo?

Ðɔktawo nɔa te ɖe alesi ƒuawo do le woƒe nɔƒe si sɔ gbɔe dzi ƒoa ƒuwo ƒe ʋuʋu ɖe hatsotsowo me. Wole ƒomevi vevi eve:

1. Ƒuƒu ƒe ʋuʋu keŋkeŋ (si woyɔna hã be luxation): Esiae nye ne ƒu eve siwo le ƒunukpeƒe aɖe me ma keŋkeŋ eye wodo le wo nɔƒe. Ne míagblɔe tututu la, kadodo aɖeke mele ƒu eveawo dome o.

2. Subluxation: Esiae nye nusi woyɔna be ƒunukpeƒe ƒe akpa aɖe ƒe ʋuʋu. Nusi dzɔna le afisia enye be le ŋusẽkpɔɖeamedzi aɖe ta la, wò ƒunukpeƒea ʋuna vie, gake ƒuawo gakpɔtɔ kaa wo nɔewo. Gake, menye le mɔ si sɔ nu o, ke boŋ woɖe asi le eŋu vie.

Aleke gbegbee ƒunukpeƒewo ƒe ʋuʋu bɔe?

Le nyateƒe me la, ƒunukpeƒeveame nye nɔnɔme si bɔ ŋutɔ . Ate ŋu adzɔ ɖe ame sia ame dzi. Ƒunukpeƒe siwo ŋu wògblẽa nu le wue nye:

• Asibidɛwo
• Abɔta ƒe ƒunukpeƒewo (`Abɔta`) .
• Klo ƒe ƒunukpeƒewo (`Klowo`) .
• Abɔtawo
• Gbi
• Aɖuwo ( ẽ, woate ŋu aʋuʋu aɖu ƒe ƒunukpeƒea hã!) .

Nukawoe nye ƒunukpeƒetetedɔ ƒe dzesiwo?

Afɔkpodzi ƒe ŋeŋe ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe ƒunukpeƒe si vuvu kple nenye be ƒunukpeƒetete blibo alo eƒe akpa aɖee dzi. Gake esiawo nye dzesi siwo bɔ dometɔ aɖewo:

• Vevesese sesẽ: Esiae nye dzesi vevitɔ.
• Vuvu: Teƒe si ƒunukpeƒea vuvu le la avuvu.
• Abi: Ɣeaɖewoɣi la, teƒea ate ŋu atrɔ zu blɔ.
• Ƒunukpeƒea dzena abe ɖe mesɔ o ene: Ƒunukpeƒea ate ŋu adze abe ɖe wòkeke ene, abe ɖe wòdze ƒã be mele afisi wònɔ tsã o ene.
• Ƒunukpeƒea ʋuʋu alo eŋudɔwɔwɔ ƒe ŋutetemanɔamesi: abe alesi womate ŋu akɔ alɔ ɖe dzi alo atsɔ afɔ aɖo anyigba o ene.
• Mali ke o: Ðeko ƒunukpeƒea ate ŋu ase le eɖokui me be yegbɔdzɔ, ke mesẽ o.

Nukawo koŋue hea ƒunukpeƒeveame vɛ?

Ƒunukpeƒe ɖesiaɖe ate ŋu aʋuʋu ne ŋusẽ sɔ gbɔ be wòatutui ado goe le eƒe ʋuƒoa me. Nusiwo gbɔ wòtsona zi geɖee nye:

• Ʋufɔkuwo: Le ŋusẽ si ʋuwo ƒe gododo kpɔna ɖe ame dzi ta.
• Nuveviwɔame le kamedefefewo me: Esiawo ate ŋu adzɔ ne èdze anyi, vevietɔ ne èle kamedefefe siwo gblẽa nu le ame ŋu vevie wɔm. Bu anyidzedze esime nèle rugby alo netball ƒom ŋu kpɔ.
• Anyidzedze: Tsitretsitsi tso kɔkɔƒe, glidzaglidza, kple bubuawo Esia ate ŋu adzɔ ne ɖevi suewo le fefem alo ne ame tsitsiwo le zɔzɔm.

Amekawoe le afɔku gã me be ƒunukpeƒewo naʋuʋu?

Abe alesi míegblɔe va yi ene la, togbɔ be ame sia ame ate ŋu aƒo afɔkpodzi hã la, ame aɖewo le afɔku me wu. Esiawo dometɔ aɖewoe nye:

• Ame siwo ƒoa kadodo ƒe kamedefefewo: Na amesiwo ƒoa kamedefefewo abe rugby kple bɔl ene.
• Ame siwo xɔ wu ƒe 65: Elabena lãmeka siwo ƒo xlã ƒunukpeƒewo gbɔdzɔna ne míele tsitsim.
• Ame siwo ŋu lãmesẽkuxi aɖewo le: Le kpɔɖeŋu me, amesiwo ŋu dɔléle siwo gbɔdzɔa kadodoŋusẽwo (i.e., lãkusiwo, lãkusiwo, kple lãmeka siwo ƒo xlã ƒunukpeƒewo), abe Ehlers-Danlos ƒe dɔléle ene, ate ŋu axɔ ƒunukpeƒetetedɔ.

Kuxi kawoe ate ŋu ado tso afɔkpodzi ƒe ʋuʋu me?

Ne ƒunukpeƒe aɖe vuvu la, menye ƒunukpeƒea ŋutɔ koe ate ŋu agblẽ o, ke ate ŋu agblẽ nu le ƒu kple lãkusi siwo ƒo xlãe hã ŋu. Kuxi siwo bɔ wue nye:

• Lãmetsiwo ƒe teteɖeanyi
• Ligament kple tendon ƒe ʋuʋu
• Lãmetsiŋusẽ ƒe gbegblẽ: Ɣeaɖewoɣi la, lãmekawo te ŋu tsia.
• Ʋuka siwo gblẽ
• Ƒu ƒe gbagbã: Ƒu ate ŋu agbã le ƒunukpeƒe ƒe ŋusẽkpɔɖeamedzi ta.

Aleke woawɔ ade dzesi ƒunukpeƒewo ƒe ʋuʋu?

Ne èyi ɖɔkta gbɔ la, nu gbãtɔ si wòwɔnae nye be wòdoa wò kpɔ.Lãmesẽdodokpɔ. Woalé ŋku ɖe wò ƒunukpeƒe kple nuto siwo ƒo xlãe ŋu nyuie. Ahiã be nàgblɔ wò dzesiwo kple nusi wɔm nènɔ hafi xɔ abi la na ɖɔktaa.

Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?

Ɣeaɖewoɣi la, be ɖɔktaa nakpɔ nusiwo tututu gblẽ le ƒunukpeƒe aɖe me le eƒe ŋeŋe vɔ megbe la, ahiã be wòawɔ dodokpɔwo abe esiawo ene hã:

• X-ray: Esia le vevie ŋutɔ be woakpɔe ɖa be ƒu aɖe gbagbã hã.
• Magnetic Resonance Imaging (MRI): Esia kpena ɖe ame ŋu wòkpɔa nusiwo gblẽ le lãmeka falɛfalɛ siwo ƒo xlã ƒunukpeƒea, abe lãkusiwo kple lãkusiwo ene ŋu.
• Computed Tomography (CT) scan: Esia ate ŋu ana woalé ŋku ɖe ƒuwo kple ƒunukpeƒewo ƒe nɔnɔme hã ŋu tsitotsito.
• Ultrasound: Wozãa esia hã tsɔ dea dzesi abi siwo woxɔ le lãmeka falɛfalɛ aɖewo ŋu.

Aleke wowɔa atike na ƒunukpeƒetetedɔ?

Dɔdamɔnu vevitɔ kekeake na ƒunukpeƒe si vuvu enye be woagbugbɔ ƒunukpeƒea aɖo eƒe nɔnɔme nyuitɔ me. Ðɔktawo yɔa esia hã be ``Ʋuʋu'', ``Ame ƒe Asiɖeɖe le Nu Ŋu'', alo ``Closed Reduction''. Ðɔkta aɖe si hea ƒunukpeƒe si vuvu la hetutunɛ nyuie ŋutɔ hetutunɛ wògaɖoa teƒea.

Vevietɔ ŋutɔ: Mègadze agbagba gbeɖe, gbeɖe be yeagatsɔ ƒunukpeƒe si vuvu la aɖo teƒea o, eɖanye wò ɖeka alo ame aɖe si mexɔ hehe o gbɔe nèle o! Esia wɔwɔ agblẽ nu geɖe wu. Eyata ne èɖe ƒunukpeƒe aɖe , yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake. Ne anya wɔ la, anyo wu be woayi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le tsɔ wu be woayi atikewɔƒe bubu. Elabena afima, ne ehiã la, dɔwɔƒewo le wo si be woawɔ dodokpɔwo abe ``(X-ray)'' ene kaba, ana vevesesenutsitikewo, eye woaɖo ƒunukpeƒea.

Ɣeaɖewoɣi hafi woagaɖo ƒunukpeƒea ɖe ɖoɖo nu la, woate ŋu ana atike si naa alɔ̃dɔdɔ wò be wòaɖe vevesesea dzi akpɔtɔ alo atike siwo naa ame ƒe dzi dzea eme be nàse le ɖokuiwò me be yedɔ alɔ̃ vie. Woɖea X-ray do ŋgɔ na ƒunukpeƒea gbugbɔgaɖɔɖo kple emegbe be woatsɔ akpɔe ɖa be ƒunukpeƒea gbã hã eye woakpɔ egbɔ be ƒunukpeƒea le nɔnɔme nyuitɔ me hã.

Ne woɖo ƒunukpeƒea vɔ la, ate ŋu ahiã be woagawɔ atike na wò, le ƒunukpeƒe si vuvu la nu:

• Mɔxexeɖedɔléle nu: Woate ŋu azã aŋenu, aŋenu, alo akɔtaɖonu atsɔ axe mɔ na ƒunukpeƒea vaseɖe esime wòahaya. Le kpɔɖeŋu me, wozãa aŋenu tsɔ léa abɔa ɖe teƒea ne abɔta vuvu.
• Atike: Wò ɖɔkta aŋlɔ atike na wò be wòaɖe vevesese kple abi dzi akpɔtɔ. Mègano vevesesenutsitikewo wu ŋkeke 10 le ɣeyiɣi ɖeka me atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
• Gbɔɖeme: Ele be nàƒo asa na kamedede ɖesiaɖe si ade nyaƒoɖeamenu alo teteɖeanyi ɖe ƒunukpeƒe si xɔ abi dzi.

Amekoko si wowɔna tsɔ ɖea ʋu le lãme na ame

Ɣeaɖewoɣi la, ne nu bubu siwo gblẽ vevie le ƒunukpeƒea me (abe lãkusi siwo vuvu, lãkusi siwo vuvu ene) la, ate ŋu ahiã be woawɔ dɔ na wo be woaɖɔ wo ɖo. Azɔ hã, ne womate ŋu atsɔ asi atrɔ asi le ƒunukpeƒe aɖewo siwo vuvu vevie ŋu o (`Closed Reduction`) la, ate ŋu ahiã be woawɔ dɔ na ƒunukpeƒea be woagaɖo ƒunukpeƒea ɖe teƒe si wòle.

Ɣeyiɣi didi kae wòxɔna hafi ƒunukpeƒe si vuvu la haya?

Ame akpa gãtɔ xɔa kwasiɖa ʋɛ aɖewo ya teti hafi wohayana tso ƒunukpeƒe si vuvu la me. Gake ɣeyiɣi agbɔsɔsɔme si tututu wòxɔ la nɔ te ɖe ƒunukpeƒe si vuvu kple nenye be nu bubu aɖe hã gblẽ dzi.

Le kpɔɖeŋu me, asibidɛ ƒe ƒunukpeƒe si vuvu ate ŋu ahaya le abe kwasiɖa etɔ̃ ene me. Gake ƒunukpeƒe si lolo abe abɔta ene ate ŋu axɔ ɣleti geɖe alo esi wu nenema gɔ̃ hã hafi wòahaya. Wò ɖɔkta aɖe nya sia me na wò.

Bia wò ɖɔkta ɣeyiɣi didi kae wòle be nàƒo asa na kamedede (abe kamedefefe, kpekpeme kɔkɔ ene). Ne ègadze dɔwɔna mawo gɔme hafi ƒunukpeƒea haya keŋkeŋ la, afɔku si li be nàgade abi ƒunukpeƒea ake la lolo wu sã.

Ðe woate ŋu axe mɔ ɖe ƒunukpeƒeveame nua?

Manya wɔ be woaxe mɔ ɖe afɔkpodzi ƒe ʋuʋu nu ɣesiaɣi o. Zi geɖe la, afɔkuwo kple nuveviwɔame siwo míele mɔ kpɔm na o gbɔe abi siawo tsona. Ke hã, nanewo li míate ŋu awɔ atsɔ aɖe afɔkua dzi akpɔtɔ.

Ne èle kamedefefe wɔm alo le kamedede bubuwo wɔm:

• Do ametakpɔnu nyuitɔ (`ametakpɔnu`). Le kpɔɖeŋu me, klonu, abɔtawu.
• Ne ƒunukpeƒewo le veve sem na wò la, mèga "fefe to vevesesea me" ko o. Mègaŋe aɖaba ƒu vevesese dzi o.
• Na ɣeyiɣi wò ŋutilã be wòagbɔ ɖe eme ahahaya le dɔ sesẽ wɔwɔ vɔ megbe.
• Do dzo eye nàkeke ɖokuiwò hafi aƒo kamedefefe alo ade kame.
• Ne èwu wò dɔwɔna nu vɔ la , kpɔ egbɔ be yefa eye yekeke.

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 to nusiwo ate ŋu ana wò alo ame bubu nadze anyi ahadze anyi la ɖeɖeɖa me.
• Ne èle nane fɔm tso dziƒo la, zã dɔwɔnu alo mɔ̃ si sɔ ɣesiaɣi. Mègalia zikpuiwo alo kplɔ̃wo dzi o.
• Ne azɔlizɔzɔ sesẽ na wò alo nèle afɔku gã aɖe me be nàdze anyi la, zã atizɔti alo azɔlizɔmɔ̃.

Nukae nye afɔkpodzi si vuvu ƒe mɔkpɔkpɔ?

Nya nyuiae nye be ʋuʋudedi akpa gãtɔ hayana keŋkeŋ. Ne ènya gaɖo wò ƒunukpeƒea ɖe teƒea ko la, vivivi la, àva nɔ sesem le ɖokuiwò me be yeƒe lãme sẽ.

Gake anɔ eme be ame aɖe si ƒe klo alo abɔta vuvu la agate ŋu avuvu ƒunukpeƒe ma ke le etsɔme. Le ɣeyiɣi mawo tɔgbe me, ne wole kamedede wɔmNane abe akɔtaɖonu ene dodo ate ŋu aɖe afɔku si le eme be wòagadze dɔa ake dzi akpɔtɔ.

Ðewohĩ ahiã hã be nàyi kamededeŋutinunyala gbɔ eye nàwɔ kamededewo atsɔ ado ŋusẽ lãmeka siwo ƒo xlã ƒunukpeƒe si vuvu la. Esia ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe ʋuʋudedi siwo gbugbɔna nu.

Ðe nyemate ŋu ayi dɔme alo suku ne ƒunukpeƒe aɖe vuvu oa?

Negbe ɖe wò dɔ alo sukudɔdasiwo dea nyaƒoɖeamenu si gbɔ eme ɖe ƒunukpeƒe si vuvu la dzi ko hafi la, zi geɖe la, màte ŋu ayi dɔme alo suku le ƒunukpeƒe si vuvu vɔ megbe o. Gake bia wò ɖɔkta ɣekaɣie nàte ŋu adze kamedefefe, aƒemedɔwo wɔwɔ, alo kpekpeme kɔkɔ gɔme.

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

Ne èdze afɔku eye nèsusu be yeƒe ƒunukpeƒe aɖe vuvu la, yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le enumake. Mègadze agbagba be ye ŋutɔ yeagatsɔ ƒunukpeƒea aƒo ƒui o. Mègana ame aɖeke si menye lãmesẽdɔwɔla si wona hehee o naka asi wò ƒunukpeƒe si xɔ abi ŋu alo aʋuʋui o. Dze agbagba nàna ƒunukpeƒe si xɔ abi la nanɔ anyi kpoo alesi nàte ŋui, eye mègazi edzi be wòazãe alo atsɔ kpekpeme aɖo edzi o.

Ne èdze agbagba be yeagbugbɔ ƒunukpeƒea aƒo ƒu ɖekae le ɖokuiwò si la, àte ŋu agblẽ nu geɖe wu esi nègblẽ xoxo, ana abi la nagasẽ ɖe edzi, eye nàgblẽ nu le lãkusi siwo ƒo xlã ƒunukpeƒea ŋu.

Nya kawoe wòle be mabia nye ɖɔkta?

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

• Dislocation ka ƒomevie le ŋunye?
• Atikewɔwɔ ka ƒomevie mahiã?
• Ɣeyiɣi didi kae wòaxɔ hafi ahaya?
• Ɣeyiɣi didi kae wòahiã be nye ƒunukpeƒea nagaʋuʋu o?
• Ðe wòahiã be woawɔ dɔ nam?
• Ɣekaɣie mate ŋu atrɔ ayi kamedefefe alo kamedede dzi?

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ƒunukpeƒewo ƒe ʋuʋu ate ŋu anye nusi dzi ŋɔ, vevietɔ ne edzɔ le afɔku me alo esime wole kamedefefe wɔm. Ate ŋu ado vɔvɔ̃ na wò be nàkpɔ wò ƒunukpeƒea ahase le eɖokui me abe ɖe mele afisi wòle be wòanɔ o ene. Gake mègadze agbagba gbeɖe be ye ŋutɔ yeaɖɔe ɖo o.

Yi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le enumake eye ɖɔkta naɖo ƒunukpeƒea. Mègana wò hehenala, ƒuƒoƒoa me tɔ, alo ƒometɔ aɖe, ne wole agbagba dzem be yewoana kpekpeɖeŋu kple susu nyui gɔ̃ hã, nagbugbɔ ƒunukpeƒea ade eme o. Esia wɔwɔ ate ŋu ana nusiwo gblẽ xoxo la nagagblẽ ɖe edzi eye wòahe kuxi bubuwo vɛ.

Akpa nyuitɔ kekeakee nye be, ame akpa gãtɔ ate ŋu atrɔ ayi woƒe dɔwɔna kple kamedefefe siwo wowɔna ɖaa gbɔ ne woƒe ƒunukpeƒea nya haya ko. Bia wò ɖɔkta ɣeyiɣi didi kae wòle be nàna wò ƒunukpeƒe nate ŋu aʋuʋu. Ne wowɔ atike na wò nyuie eye nègbɔ ɖe eme la, àte ŋu ahaya kaba!

`Ƒunukpeƒewo ƒe ŋeŋe, ƒuwo ƒe ʋuʋu, ƒuwo, ƒunukpeƒedɔlélewo, afɔkuwo, kamedefefe me abixɔxɔ, kpekpeɖeŋunana gbãtɔ