Ðe nègbã ƒu aɖea? Ðe wòle ɖoɖo nu nyuiea? Mina míasrɔ̃ nu tso Malunion & Nonunion Fractures ŋu

Anɔ eme be mí katã míagbã ƒu aɖe le míaƒe agbe ƒe ɣeyiɣi aɖe me, alo? Ate ŋu adzɔ ne míelia ati hedze anyi, esime míele fefem, alo le afɔku sue aɖe gɔ̃ hã me. Zi geɖe la, ne míeyi ɖɔkta gbɔ hetsɔ aŋɔ (POP cast) de eŋu la, ehayana keŋkeŋ le ŋkeke ʋɛ aɖewo megbe eye wògatrɔna va nɔa nɔnɔme nyuitɔ me. Gake... ne menye ɣesiaɣie wòdzɔna o ɖe? Ke ne ƒu si gbã la meɖo nyuie o, alo ne meɖo kura o eɖanye ɣeyiɣi didi ka kee wòxɔ o ɖe? Emae nye nusi ŋu míele nu ƒom tsoe egbea. Le atikewɔwɔ me la, woyɔa nɔnɔme eve siawo be `(Malunion)` kple `(Nonunion)`.

Kpuie ko la, nukae nye Malunion kple Nonunion?

Esia le bɔbɔe ŋutɔ. Mina míabu eŋu ale.

Malunion: Esia fia be wotsɔ wò ƒu gbagbã eveawo ƒo ƒu, si fia be wotsɔ wo ƒo ƒui, gake le mɔ gbegblẽ nu. Menye afisi tututu wòle be woanɔ o. Woate ŋu atɔtɔ vie, woatɔtɔ vie, alo woanɔ kpuie vie. Tsɔe be èle agba gbagbã eve ƒom ɖekae kple aŋe, gake kakɛ eveawo mewɔ ɖeka pɛpɛpɛ o, wotro vie. Woléa agbaa ɖe wo nɔewo ŋu, gake eƒe nɔnɔme ya to vovo fifia. Emae nye nusi `malunion` nye.

Nonunion: Esiae nye esime ƒu kakɛ eve siwo gbã la meva kpena gbeɖe o, eɖanye ɣeyiɣi didi ka kee wòɖava yi o. Dometsotso aɖe gakpɔtɔ le akpa eveawo dome. Ne míetsɔ kpɔɖeŋu ma ke abe tsã ene la, ele abe agba eve siwo meléna ɖe wo nɔewo ŋu o aleke kee nètsɔ aŋe bla woe o ene.

Susu vevi eve tae ƒu mahaya nyuie le mɔ sia nu o.

1. Mɔ̃ɖaŋunya: Esia fia be womate ŋu alé ƒu eveawo ɖe wo nɔewo ŋu eye woanɔ anyi le dɔyɔyɔa me o. Ɣeaɖewoɣi la, ƒu kakɛawo ate ŋu aʋuʋu le ƒu si wotsɔ ƒu gbe la me.

2. Nu gbagbewo ƒe nya: Esia fia be ƒu yeyewo ƒe wɔwɔme ƒe ɖoɖoa gblẽna le ememe nu aɖe si le wò ŋutilã me ta. Le kpɔɖeŋu me, ʋu si mesɔ gbɔ ɖe nutoa me o, nunyiame ƒe veve, alo atikewɔwɔ ƒe nɔnɔme bubuwo ate ŋu akpɔ ŋusẽ ɖe esia dzi.

Ðɔktawo bua nu siawo evea siaa ŋu ne wole nɔnɔme siawo dam.

Ðe ɖekamawɔmawɔ ƒomevi aɖewo lia?

Ẽ, ne ƒu aɖe mesɔ o la, ɖɔktawo daae ɖe hatsotsowo me be yewoake ɖe nusi gbɔ wòtso ŋu. Ema wɔnɛ be edada nɔa bɔbɔe.

Nukae nye ƒu ƒe dɔmawɔmawɔ nyuie (malunion) ƒe dzesiwo?

Ne ƒu aɖe mesɔ o la, dzesiawo ate ŋu adze le ŋkume kple vevesese siaa me.

Ale si wòdzenae tso gota

• Edze abe wò alɔ alo afɔ vuvu ene .
• Alɔ alo afɔa dzena abe ɖe wòtro ene .
• Alɔ alo afɔ ma dzena kpuie vie ne wotsɔe sɔ kple akpa kemɛa.

Seselelãme be yemele dedie o

• Evea ame ne èzã alɔ alo afɔ ma.
• Vuvu le afima .
• Ne afɔ aɖe mee wòle la, eƒua du ne èle zɔzɔm.

Ɣeaɖewoɣi la, ƒu kakɛ siwo mesɔ o ate ŋu aƒo lãmeka aɖe nu ƒu. Ne edzɔ alea la, àte ŋu akpɔ dzesiwo abe:

• Ʋuʋudedi, ʋuʋudedi ƒe seselelãme (paresthesia) .
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ, gbegblẽ `(atrophy)`
• Lãmetsiŋusẽ ƒe vevesese sesẽ kple abi (ahɔhɔ̃mekawo ƒe dɔléle) .

Nukawoe nye ɖekawɔwɔ manɔsenu ƒe dzesiwo?

Ne ƒu mehaya ɣeyiɣi didi o la, àte ŋu akpɔ dzesi siawo:

• Vevesese deto si nɔa anyi didi tso ƒu si gbã gbɔ.
• Enye gbɔdzɔgbɔdzɔ alo ŋutetemanɔamesi be woazã abɔ alo afɔ nyuie o.
• Nuwɔametɔ si wokpɔna , le kpɔɖeŋu me, ƒu si le abe dɔdzẽ ene, alo do si se le eɖokui me abe do ene.

Tsɔ kpe ɖe eŋu la, ne dɔlékui va le ƒua ŋu la, dzesiwo abe:

• Tete
• Asrã
• Ʋuʋudedi le vuvɔ ta

Nukatae ƒuwo mewɔa ɖeka nyuie o alo womewɔa ɖeka nyuie o alea?

Ðewohĩ susu vovovowo tae wòle alea ɖo.

• Alesi wògbãe: Gbagbãƒe aɖewo sesẽna ŋutɔ. Ne wogbã ƒua wòzu kakɛ gã aɖe (si ƒe gbagbã si wogbã) alo wòtroe (si ƒe gbagbã le ʋuʋudedi me) la, asesẽ be woagatsɔ wo aƒo ƒui. Azɔ hã, ne ʋuka siwo naa ʋu ƒua gblẽ le afɔkua me la, dɔyɔyɔa nɔa blewu ŋutɔ.

• Atikewɔwɔ: Ne ɖɔkta mewɔ atike na ƒu si gbã enumake o la, ƒua adze egɔme asɔ. Ɣeaɖewoɣi la, ne wotsɔ aŋe ƒo ƒu gɔ̃ hã la, ƒu kakɛawo ate ŋu avuvu. Dɔdamɔnu si tsi megbe alo esi mesɔ o ye nye nu vevitɔ si gbɔ esia tsona.

• Vodada siwo wowɔ le dɔyɔɣi: Ne ètso aŋɔa heɖee ɖa hafi ɖɔkta gblɔ, alo ne ètsɔ kpekpeme de afɔ aɖe si wogblɔ na wò be mègatsɔ kpekpeme o dzi la, ƒu si wòle be wòaɖo nyuie hafi gɔ̃ hã ate ŋu adze masɔmasɔ alo mate ŋu aɖoe kura o.

• Wò lãmesẽ bliboa: Ƒu ƒe dɔyɔyɔ dzi ɖena kpɔtɔna ne èle tsitsim. Amesiwo ŋu nɔnɔmewo abe suklidɔ, lãkusidɔ, kple nunyiame ƒe veve le hã le afɔku me wu. Sigaretnono kple nicotine zazã nye ƒuwo ƒe dɔyɔyɔ ƒe futɔ veviwo. Woate ŋu aɖe ʋu ƒe sisi yi ƒuawo me dzi akpɔtɔ, si ate ŋu atɔ te dɔyɔyɔa.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èyi ɖɔkta gbɔ la, awɔ ɖe afɔɖeɖe siawo dzi.

1. Nyabiase tsitotsito: Gbã la, woabia nyatakaka tsitotsito tso asiwò. Woabia nusianu si wòle be nànya, abe alesi afɔkua dzɔe, ɣeyiɣi si me wòdzɔ, kuxi siwo me tom nèle fifia, dɔléle bubu siwo le fu ɖem na wò, kple atike siwo zãm nèle ene.

2. Ŋutilãmedodokpɔ: Emegbe, wodoa nutoa me kpɔna nyuie. Woléa ŋku ɖe abi alo nuwɔametɔ aɖeke si woate ŋu akpɔ ŋu, nenye be abɔ kple afɔawo ƒe didime sɔ, eye ne ƒunukpeƒeawo le dɔ wɔm nyuie hã. Woate ŋu abia tso asiwò hã be nàzɔ azɔli.

3. Nɔnɔmetatawo dodokpɔ: Ema ko hafi wowɔa dodokpɔwo.

• X-ray: Zi geɖe la, X-ray ate ŋu aɖe nu geɖe afia. Ate ŋu aɖee afia kɔte ne ƒuawo le ɖoɖo nu, womesɔ ɖe ɖoɖo nu o, alo womewɔ ɖeka kura o.
• CT-dɔdamɔnu alo MRI-dɔdamɔnu:Ɣeaɖewoɣi la, ne ehiã be woagblɔ nya bubuwo tsitotsito, abe be woakpɔ nusiwo gblẽ le lãkusi falɛfalɛ siwo ƒo xlã ƒua ŋu ene la, woate ŋu abia be woawɔ CT-dɔdamɔnu alo MRI-dɔdamɔnu.

Ne X-ray ɖee fia be ƒuawo mesɔ o la, woyɔnɛ be `Malunion`. Ne ƒuawo mewɔ ɖeka le ɣeyiɣi didi aɖe megbe o (le kpɔɖeŋu me, ɣleti 6, 9, 12) la, woyɔnɛ be `Nonunion`.

Ðe woate ŋu aɖɔ nɔnɔme siawo ɖoa? Nukawoe nye atikewɔmɔnuawo?

Ẽ, woate ŋu aɖɔ nusiawo ɖo godoo. Gake menye ɖekawɔwɔ gbegblẽ ɖesiaɖee wòle be woaɖɔ ɖo o. Ne mekpɔ ŋusẽ gã aɖeke ɖe wò gbesiagbegbenɔnɔ dzi o, alo ne mevea ame o la, wò ɖɔkta ate ŋu agblɔ na wò be mègawɔ naneke tso eŋu o. Gake ne ele vevesese alo vevesese hem vɛ na wò la, ke ele be nàxɔ atike.

Woate ŋu ama atikewɔwɔmɔnuawo ɖe hatsotso eve me: esiwo menye amekoko o kple esiwo me amekoko mele o.

Atikewɔwɔ na malunion

Atikewɔwɔ na nonunion

Aleke nɔnɔmea anɔ le atikewɔwɔ vɔ megbe?

Zi geɖe la, amekoko siawo kple dɔdamɔnu bubuwo kpɔa dzidzedze ŋutɔ. Gake exɔa ɣeyiɣi aɖe hafi wòhayana. Ðewohĩ ahiã be nàzã atizɔtiwo ɣleti ʋɛ aɖewo le dɔwɔwɔ nɛ vɔ megbe. Azɔ hã, kamedede le vevie be lãmekawo ƒe ŋusẽ si bu la nagaɖo wo ŋu eye ƒunukpeƒewo nagate ŋu aʋuʋu.

Gake ne womeɖu dɔléle bubuwo abe suklidɔ ene dzi nyuie o, ne womedzudzɔ atamanono o, alo ne ƒu si wotu ɖe teƒe ɖeka la gazu verrucid ake la, mɔnukpɔkpɔ sue aɖe li be atikewɔwɔa ado kpo nu.

Eya ta ɖo ŋku edzi be ne ɖikeke sue aɖe gɔ̃ hã le mewò be ƒu aɖe gbã la, mègahe ɖe megbe le ɖɔkta gbɔ yiyi o. Dɔdamɔnu nyuitɔ xɔxɔ kaba ate ŋu awɔ akpa gã aɖe le mɔxexe ɖe kuxi siawo ƒomevi nu me.