Mo ƒe Gbagbã? Mègavɔ̃ o, mina míanɔ ŋudzɔ ɖe esia ŋu!

Tsɔe be èle kriket ƒom kple xɔ̃wòwo eye bɔl aɖe va le dzodzom heƒo wò mo, alo nège tso wò keke dzi... Le ɣeyiɣi aɖe megbe la, wò mo trɔ zu blɔ, wòvuvu ŋutɔ, eye wòve wò ale gbegbe be màte ŋu aka asi eŋu gɔ̃ hã o. Le ɣeyiɣi sia tɔgbe me la, èvɔ̃na ŋutɔ be abi aɖe koe esia nye alo ƒu aɖe gbã le ememe, alo? Le nyateƒe me la, esia nye nusi dzɔna ɖe ame geɖe dzi. Emae nye nusi ŋu míele nu ƒom tsoe le nyati sia me bɔbɔe ŋutɔ le nyati sia me.

Nukawoe nye mo ƒe gbagbã siawo?

Kpuie ko la, mo ƒe gbagbã nye wò mo ƒe ƒu ƒe gbagbã alo eƒe gbagbã. Míeyɔa nɔnɔme sia hã be ``Maxillofacial trauma''. Ènya be ne míetsɔe sɔ kple ƒu siwo le míaƒe ŋutilã ƒe akpa bubuwo, le kpɔɖeŋu me, afɔƒu aɖe la, ƒu siwo le míaƒe mo la le tsɛ vie eye wole bɔbɔe wu. Eyata afɔku sue aɖe gɔ̃ hã ate ŋu agblẽ nu le ƒu siawo ŋu.

Susu vevi geɖewo li siwo tae afɔku siawo tɔgbe dzɔna ɖo.

• Ŋutilãmedzidzedze: Nublanuitɔe la, mo ƒe gbagbã bɔ ɖe dzrewɔwɔ kple amedzidzedze me.
• Ʋufɔkuwo: Afɔku gã aɖe li be woaxɔ abi le mo, vevietɔ le tasiaɖamfɔ etɔ̃ kple dzokeke ƒe afɔkuwo me, siwo bɔ ɖe míaƒe dukɔa me.
• Anyidzedze: Nɔnɔme sia ate ŋu ado mo ɖa ne èƒo mo, eɖanye tso anyidzedze tso kɔkɔƒe alo anyidzedze si sɔ gbɔ o.
• Kamedefefe me afɔkuwo: Afɔku siwo dzɔna ne wole kamedefefewo abe kriket kple rugby ene ƒom.
• Afɔku siwo dzɔna le dɔwɔƒe: Le agblewo abe xɔtutu ene me la, afɔku ate ŋu adzɔ ne nane dze mo na wò tso dziƒo.

Mo ƒe gbagbã ƒomevi siwo bɔ wu

Esi wònye be ƒu vovovowo le mo ta la, woate ŋu ama ƒu gbagbãwo ɖe ƒomevi vovovowo me le afisi wòdzɔna le nu. Na míakpɔ nusiwo wonye ɖa.

Ðe nɔnɔme siawo le asiwò hãa?

Mo ƒe gbagbã ƒe dzesiwo ate ŋu ato vovo le afisi abi la dzɔ le nu. Gake dzesi aɖewo li siwo bɔ kpakple esiwo ku ɖe teƒe ɖesiaɖe koŋ ŋu.

Dzesi siwo bɔ

• Abi kple blɔ: Ŋutilã si ƒo xlã afisi afɔkua dzɔ le ƒe amadede ƒe tɔtrɔ blɔ.
• Vuvu: Mo ƒe akpa si ŋu dɔlélea le la vuvu.
• Vevesese: Sese le eɖokui me be yemate ŋu ado dzi atsɔe o alo vevesese sesẽ aɖe le ye ŋu.
• Nutete: Seselelãme abe ɖe mo ƒe akpa aɖe vuvu ene.
• Mo ƒe nɔnɔme trɔna: Mo ƒe nɔnɔme megasɔna o, enyrɔna ɖe eme le axa ɖeka, alo eƒe nɔnɔme to vovo.

Ne ŋɔti gbã (Nasal Fracture) .

• Gbɔgbɔ sesẽ to ŋɔti me.
• Ʋu si dona le ŋɔti me.
• Tɔtrɔ le ŋɔti ƒe nɔnɔme ŋu, si le ɖiɖim.

Ne ŋku ƒe ʋuƒoa gbã (Orbital Fracture) .

• Nukpɔkpɔ si me mekɔ o.
• Nukpɔkpɔ eve.
• Ŋku siwo do ɖe gota alo le nyɔnyrɔm ɖe eme.
• Esesẽna be woaʋuʋu ŋkuwo ayi dzi, ayi anyime, kple axawo dzi.

Ne aɖua gbã (Aɖu ƒe gbagbã) .

• Aɖuɖɔtoe.
• Nuɖuɖu ɖuɖu alo nuƒoƒo sesẽ.
• Vevesese sesẽ sese ne èle nu ʋum.
• Aɖu siwo le gbadzaa, siwo gbã, alo esiwo le gegem.

Ðe esia ada gbe le ame ŋu ko? Alo ɖe kuxiwo ate ŋu ado mo ɖaa?

Esia menye kuxi si gblẽa nu le wò dzedzeme ŋu ko o. Mo ƒe gbagbã hã ate ŋu ado kplamatse wò dɔwɔna siwo nèwɔna ɖaa. Bu alesi wòsesẽna na amesi ƒe aɖu gbã be wòaɖu nu ahaƒo nu ŋu kpɔ? Ame si ƒe ŋɔti gbã la mate ŋu agbɔ ya nyuie o.

Kuxi siwo me afɔku le wu gɔ̃ hã ate ŋu ado mo ɖa.

• Dɔlékuiwo: Dɔlékuiwo ate ŋu ato ƒu gbagbãwo me age ɖe eme eye woahe dɔlékuiwo vɛ.
• Ʋu si le dodom le ememe: Ʋu ate ŋu ado le ememe.
• Lãmetsiŋusẽ ƒe gbegblẽ: Ɣeaɖewoɣi, vevietɔ le taɖu ƒe gbagbã sesẽwo me la, tsi vevi si ƒo xlã ahɔhɔ̃a (ahɔhɔ̃ me tsi - CSF) ate ŋu ado le ŋɔti me. Esia nye nɔnɔme si me afɔku le ŋutɔ si hiã be woawɔ atike nɛ kpata.

Eyata ele vevie ŋutɔ be nàyi ɖɔkta gbɔ enumake ne afɔku aɖe dzɔ ɖe wò mo dzi.

Aleke ɖɔktaa wɔa anya esia? (Dɔléle ƒe dzesi) .

Ne èyi ɖɔkta gbɔ la, alé ŋku ɖe eŋu gbã be yeakpɔe ɖa be yeƒe agbe ɖo afɔku me hã. Le kpɔɖeŋu me, ne gbɔgbɔ le sesẽm na wò alo ʋu le dodom le ŋuwò vevie. Emegbe alé ŋku ɖe nu siwo gbɔna ŋu:

• Woléa ŋku ɖe wò ŋɔti kple yaƒoƒomɔ̃ ŋu be mɔxenu aɖeke mele wo ŋu o.
• Woléa ŋku ɖe ŋkuwo ƒe dɔwɔwɔ kple nukpɔkpɔ ƒe dɔwɔwɔ ŋu.
• Wole ŋku lém ɖe eŋu be nane gblẽ le ahɔhɔ̃ alo aklã (Central nervous system) ŋu hã.
• Woabia nya wò tso alesi afɔkua dzɔe kple wò dzesiwo ŋu tsitotsito.
• Míeléa ŋku ɖe wò mo ƒe nɔnɔme ŋu nyuie be míakpɔe ɖa be tɔtrɔ aɖe alo esi mesɔ o hã.
• Wokpɔa alesi gbegbe nusiwo gblẽ le eŋu to asikaka mo ƒe ƒuwo ŋu nyuie me.

Le dodokpɔ gbãtɔ sia megbe la, zi geɖe la, ɖɔktaa aɖo wò ɖe nɔnɔmetatawo dodokpɔ be woatsɔ aɖo kpe gbagbãƒea dzi ahanya alesi gbegbe wòsẽe. Dodokpɔ si wozãna wu eye wòdea pɛpɛpɛ wu le esia ŋue nye Computed Tomography (CT) scan .

Nukawoe nye atikewɔmɔnuawo?

Atikewɔwɔ nɔ te ɖe abi si nèxɔ ƒe nɔnɔme, afisi ƒu gbagbãa le, kple alesi wòsesẽe dzi.

Gbã la, wò ɖɔkta ana vevesesenutsitikewo kple atike siwo ana nàɖe abi dzi akpɔtɔ, abe corticosteroids ene, wò. Ne dɔlékuiwo xɔxɔ ƒe afɔku li la , woate ŋu aŋlɔ dɔlékuiwutikewo hã na ame.

Atikewɔwɔmɔnu vevitɔa nye akpa eve:

1. Ðeɖekpɔkpɔ (ƒu gbugbɔgatu): Esia bia be woagbugbɔ ƒu kakɛ siwo gbã kple esiwo woɖe ɖa la ade woƒe nɔƒe nyuitɔ, abe alesi wogbugbɔa ze gbagbã ƒe kakɛwo ƒoa ƒui ene.

2. 2. .Fixation: Alesi woléa ƒu si sɔ nyuie ɖe teƒea vaseɖe esime wòahaya. Esia ate ŋu abia be woawɔ dɔ na ame eye woazã agbalẽvi suewo, gavi suewo, alo kaƒomɔ̃wo.

Woateŋu awɔ mɔnu eve siawo, `Reduction` kple `Fixation`, le mɔ vevi eve nu:

• Closed Reduction: Esia nye amekoko si bia be woagbugbɔ ƒuawo aɖo wo nɔewo ŋu tso gota evɔ womatso ŋutigbalẽa o. Woate ŋu awɔ esia na ƒu gbagbã bɔbɔe siwo mesesẽ o ko.
• Open Reduction: Le esia me la, woʋua teƒea to amekoko me, wotsɔa ƒu kakɛawo ɖoa wo nɔewo nu nyuie, eye emegbe wotsɔa agbalẽviwo kple gaviwo ɖɔa wo ɖo. Mɔnu sia le vevie na ƒu gbagbã sesẽwo.

Ne wò mo gblẽ vevie eye ƒu geɖe gbã la, ahiã be woawɔ dɔ na wò atsɔ agbugbɔ mo atu . Taɖodzinu vevi eve li: Ðekae nye be woagawɔ dɔ nyuie abe nukpɔkpɔ, nuɖuɖu, kple gbɔgbɔ ene ake. Taɖodzinu eveliae nye be nàgbugbɔ wò mo ƒe dzedzeme aɖo alesi nàte ŋui.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Esesẽ be woagblɔ ɣeyiɣi si tututu woawɔ esia, elabena eto vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye alesi wò abi la nu sẽe, atike si ƒomevi wowɔ na wò, kple alesi wò ŋutilã ate ŋu ada gbe le eŋu.

Zi geɖe la, abi kple abi si dona le amekoko megbe la adze egɔme aɖiɖi le abe kwasiɖa eve ene megbe. Ke hã, ate ŋu axɔ ɣleti geɖe hafi wòahaya keŋkeŋ. Le ɣeyiɣi sia me la, ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi, vevietɔ ne wò aɖu gbã, abe tsi ƒe agbɔsɔsɔ kple nuɖuɖu falɛfalɛwo ɖuɖu ene.

Yi ɖɔkta gbɔ enumake ɣesiaɣi!

Esiae nye nyati sia ƒe akpa vevitɔ kekeake. Ne afɔku aɖe dze mo dzi la, mègaŋe aɖaba ƒu edzi ko agblɔ be, "Nu sue aɖe koe wònye o." Ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Aleke nàwɔ asi le afɔku sia tɔgbe nu?

Togbɔ be womate ŋu axe mɔ ɖe afɔkuwo nu 100% o hã la, nanewo li míate ŋu awɔ atsɔ aɖe afɔkua dzi akpɔtɔ.

• Do zikpuimeka ɣesiaɣi si nèle ʋu me.
• Ne èdoa dzokeke la, kpɔ egbɔ be yedo gakuku nyui aɖe .
• Ne èle kamedefefe wɔm la, do ametakpɔnu (motsyɔnu, gakuku) si sɔ na kamedefefe ma nyuie.
• Ne afɔku le wò dɔa me la, ke dedienɔnɔ ŋuti mɔfiamewo kple dɔwɔnu siwo habɔbɔa na wòZãe pɛpɛpɛ.