Ðe wò ƒu gbagbã la haya masɔmasɔa? Alo ɖe megale dɔyɔyɔm kokoko oa? Mina míaƒo nu tso (Malunion kple Nonunion Fractures) ŋu!

Ebɔ be míagbã ƒu, abe alɔ alo afɔ ene, zi ɖeka ya teti le míaƒe agbe me. Ne edzɔ alea la, míeyia ɖɔkta gbɔ kaba, tsɔa aŋɔ si wotsɔa aŋɔ ƒoa nui la dea eme, eye míelalana be wòahaya. Zi geɖe la, ne wowɔ atike na ƒu gbagbã siawo la, woagahaya nyuie ake. Ke hã, ɣeyiɣi aɖewo li siwo me dɔyɔyɔ sia medzɔna nyuie o. Ɣemaɣie wòle be míaƒo nu tso nɔnɔme siwo woyɔna be `(Malunion)` (masɔmasɔ) kple `(Nonunion)` (do kpo dɔyɔyɔ kura) ŋu . Esiawo ate ŋu ado dziku vie, eyata ele vevie ŋutɔ be nànya nusiawo.

Nukae `(Malunion)` kple `(Nonunion)` siawo fia? Mina míase egɔme bɔbɔe, alo?

Tsɔe be ƒu aɖe gbã le wò alɔnu alo wò afɔ ŋu. Ðɔktaa ɖoe nyuie eye wòtsɔ aŋɔ si wotsɔ ƒoe la de edzi. Fifia, ele be ƒu kakɛ eve siwo gbã la nagatrɔ ava ɖekae eye woasɔ pɛpɛpɛ abe alesi wonɔ ene.

• `(Malunion)` - Nugɔmesese totro:

Kpuie ko la, `(Malunion)` fia be ƒu eve siwo gbã la tsaka ɖekae, gake womewɔ ɖeka nyuie o . Eyae nye be ƒua ate ŋu masɔ o, alo atro vie, alo anɔ kpuie wu alesi wòle be wòanɔ. Ele abe zemela gbagbã eve gbugbɔgaƒo ƒu ɖekae le mɔ si mesɔ o nu ene. Wotsɔe tsaka, gake mesɔ tututu o.

• `(Nonunion)` (Nonunion) - Nusi sɔ ƒe bu:

``(Nonunion)`` nye nɔnɔme si nu sẽ vie wu. Nusi dzɔna le afisiae nye be ƒu kakɛ eve siwo gbã la, le ɣeyiɣi didi aɖe megbe hafi wohaya gɔ̃ hã la, womewɔa ɖeka kura o . Eyae nye be le ɣleti geɖe megbe gɔ̃ hã la, kadodo yeye aɖeke meva le ƒu eveawo dome o. Ne míagblɔe tututu la, ƒua gakpɔtɔ le gbagbãm.

Ne ƒuwo mehaya nyuie o la, ate ŋu akpɔ ŋusẽ gã aɖe ɖe míaƒe ŋutilã ƒe ƒunukpeƒewo ƒe liƒo kple dɔ siwo ƒu mawo wɔna dzi. Bu eŋu kpɔ be ne ƒu aɖe si le wò afɔ me mesɔ o la, àte ŋu aƒu du eye nàse veve ne èle zɔzɔm, alo?

Zi geɖe la, gbagbãƒewo hayana nyuie ne wowɔ atike na wo nyuie. Susu eve tae ɖewohĩ esia madzɔ o. Ðekae nye `mɔ̃ɖaŋunya` . Esia fia be kakɛ eve siwo gbã la mewɔ ɖeka nyuie le dɔyɔɣi o. Bubu nye `nu gbagbewo ƒe nya` . Esia fia be nunyiame kple ʋu si wò ƒuwo hiã be wòahaya la mele wò ŋutilã me o. Ðɔktawo bua nu siawo evea siaa ŋu ne wole nɔnɔme siawo dam.

Nukawoe nye nonunion gbagbã ƒomevi veviwo?

Ne ɖɔktawo do ame aɖe si ƒe nonunion do kpɔ la, wodaae ɖe hatsotso aɖe me. Esia kpena ɖe wo ŋu wosea nusita ƒua mele hayahayam o kple nusiwo le dzɔdzɔm ɖe edzi la gɔme. Ƒomevi vevi etɔ̃e li:

Nukae nye `(Hypertrophic nonunion)`?

Le ƒomevi sia me la, dzesiwo li be ƒumelãmenugbagbevi yeyewo le dzɔdzɔm. Eyae nye be, ŋutilãa le agbagba dzem be yeada gbe le ƒua ŋu. Gake ƒu kakɛ eve siwo gbã la ƒe nugbɔwo mewɔ ɖeka nyuie o. Esia fia be nugbagbewo ƒe nunɔamesiwo le ŋutilãa si, gake womeléa kakɛ eve siwo gbã la ɖe wo nɔewo ŋu nyuie o eye womegbãna le dɔyɔyɔa me o. Ðeko wòle abe siminti li ene, gake womebla aŋɔa nyuie o.

Nukae nye `(Atrophic nonunion)`?

Le go sia me la, dzesi aɖeke meli be ƒu yeyewo le dzɔdzɔm o. Azɔ hã, ʋu menɔa ƒua me nyuie o. Esia fia be nugbagbeviwo le mɔ xem na ƒua be megate ŋu le dɔyɔyɔm o. Ɣeaɖewoɣi la, dɔlékui aɖe ate ŋu adzɔ le ƒua me, si ate ŋu agblẽ ʋu ƒe sisi me. Wogayɔa ``Nonunion`` si ŋu dɔléle sia tɔgbe le be ``Septic nonunion`` .

Nukae nye `(Oligotrophic nonunion)`?

Le ƒomevi sia me la, ƒu yeye aɖewo do, gake mede blibo o. Ƒu kakɛ eveawo mele teƒe si sɔ tututu o. Ðewohĩ womeɖo ƒua nyuie esime woɖoe zi gbãtɔ o, alo emegbe woɖiɖie hetrɔe. Ðewohĩ nusiwo naa li ke kple nugbagbeviwo siaa le afisia.

Aleke nàwɔ anya ne `(Malunion)` le asiwò? Nukawoe nye dzesiawo?

Ne ƒu aɖe mesɔ o, si woyɔna be ``malunion,'' àte ŋu akpɔ alo ase nusiwo le abe esia ene:

• Tɔtrɔ siwo woate ŋu akpɔ le gota:
• Wò ƒu dzena abe ɖe wòkeke alo wòtro ene .
• Ƒua dze abe ɖe wòtro ene , alo abe ɖe wòle tsatsam ene .
• Ðewohĩ ƒua ase le eɖokui me be ele kpuie wu alesi wònɔ tsã . Le kpɔɖeŋu me, afɔ ɖeka ate ŋu anɔ kpuie vie wu evelia.

• Maseɖeamedzi siwo doa mo ɖa ne wole ƒu ma zãm:
• Vevesese le ƒua me.
• Vuvu le afima .
• Afɔkpodzi ne èle zɔzɔm (ne afɔe).

Ƒu siwo katã le míaƒe ŋutilã me la do ƒome kple wo nɔewo. Eyata ne ƒu aɖe gbɔdzɔ le teƒe ɖeka la, ate ŋu ana ƒu bubuwo nate ŋu aƒoe ɖe enu geɖe wu. Eyata ne vevesese aɖeke mele teƒe si ``malunion'' le o hã la, ne wozã ƒu ma la, ateŋu ahe vevesese vɛ le ŋutilã ƒe akpa bubu.

• Kuxi siwo do ƒome kple lãmekawo:

Ɣeaɖewoɣi la, ƒu siwo mesɔ o la ate ŋu aƒo lãmeka aɖe si te ɖe eŋu la nu ƒu alo aƒoe. Ne edzɔ alea la, àte ŋu akpɔ dzesiwo abe:

• Ʋuʋudedi alo ʋuʋudedi (`(Paresthesia)`) le teƒe ma.
• Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ , alo ne míagblɔe tututu la, lãmekawo ƒe gbagbã.
• Lãmetsiŋusẽ ƒe vevesese (Neuropathy).

Nukae nye `(Nonunion)` ƒe dzesiwo?

Ne ƒu aɖe mewɔ ɖeka o, si fia be ``nonunion'' li la, àte ŋu akpɔ dzesiwo abe esiawo ene:

• Vevesese deto si nɔa anyi didi le afisi ƒua gbã le. Vevesese sia ate ŋu ayi edzi ne woɖe nusi wotsɔ ƒoe la ɖa vɔ gɔ̃ hã.
• Ne èle ƒu ma zãm la, èsena le ɖokuiwò me be yegbɔdzɔ alo yeƒe ʋuʋu seɖoƒe li na .
• Tɔtrɔ si wokpɔna , le kpɔɖeŋu me, ʋuʋudedi alo dometsotso, ate ŋu adze le gota, abe ɖe ƒua do ɖe gota ene.

Ɣeaɖewoɣi la, ne dɔlékui aɖe le ƒua me la, dzesi siawo ate ŋu adze ɖekae alo ɖe vovo:

• Tete
• Asrã
• Vuvɔ ƒe seselelãme kple vuvɔ (dzoxɔxɔ) .

Nukatae gbagbãƒewo mehayana nyuie o eye wòhea ``malunion`` alo ``nonunion`` vɛ? Nukawoe gbɔ wòtsona?

Susu geɖewo li siwo tae ƒu mahaya nyuie o. Míate ŋu aɖu ɖewo dzi, eye míate ŋu aɖu ɖewo dzi o. Wo dometɔ aɖewoe nye esi:

• Alesi gbagbãƒea ƒe nɔnɔme kple eƒe sesẽme:

Kaka aɖewo li siwo dada sesẽna vie. Le kpɔɖeŋu me, spiral fractures (esiwo gbãna le mɔ si trɔna nu) alo comminuted fractures (esiwo gbãna zua kakɛ geɖe) , menɔa anyi nyuie o. Azɔ hã, ne ʋu si yia ƒua me me gblẽ le afɔku gã aɖe ta la, ema hã ate ŋu akpɔ ŋusẽ ɖe dɔyɔyɔ dzi.

• Alesi wowɔ atikewɔwɔa kabakaba eye wowɔe nyuie:

Ne womewɔ atike na ƒu kaba le eƒe gbagbã megbe o la, ate ŋu adze hayahaya gɔme le mɔ si mesɔ o nu. Azɔ hã, ne wotsɔ ƒua ɖo nyuie eye wotsɔ aŋe ƒoe gɔ̃ hã la, ate ŋu adzo le teƒe si wòle kokoko. Esia ate ŋu adzɔ wu ne wohe atikewɔwɔ ɖe megbe alo mɔnu si wozã (e.g., ŋusẽ si le nusi wotsɔ ƒoe ŋu) mesɔ gbɔ o.

• Ne ègbɔ ɖe eme nyuie eye nèkpɔ ɖokuiwò ta le wò hayahayaɣia:

Le dɔyɔyɔa me la, ele vevie ŋutɔ be woana ƒu si gbã la nagaʋuʋu o eye woatsɔe aɖo teƒe nyuitɔ. Ɣeaɖewoɣi la, ate ŋu axɔ ɣeyiɣi didi wu alesi wònɔna hafi wòahaya. Le nɔnɔme mawo me la, kuxiwo ate ŋu ado mo ɖa ne ɖɔktaa ɖe ƒua ɖa kaba akpa alo ne èdze ƒua zazã gɔme kaba akpa.

• Wò lãmesẽ bliboa kple ŋutilã ƒe ŋusẽ si hiã be nàhaya:

Ne dɔyɔyɔa le blewu la, mɔnukpɔkpɔ geɖe li be woawɔ ɖeka kple wo nɔewo alo mawɔ ɖeka o. Ƒu ƒe dɔyɔyɔ ate ŋu ahe ɖe megbe alo made blibo o le amesiwo tsi , nunyiame ƒe veve (vevietɔ calcium kple vitamin D), kple lãmenugbagbeviwo ƒe dɔwɔwɔ abe suklidɔ kple lãkusidɔ ene . Atama kple nicotine zazã hã nye nu vevi siwo nana ƒuwo gbɔdzɔna eye wòhea dɔyɔyɔ ɖe megbe.

Aleke ɖɔktawo wɔa dea dzesi `(Malunion)` kple `(Nonunion)` nɔnɔme siawo pɛpɛpɛ?

Ne èsusu be kuxi aɖe le ye ŋu abe esia ene la, ɖɔkta aɖe abia wò tso afɔkua kple atikewɔwɔ ƒe nɔnɔme bubu ɖesiaɖe si ate ŋu anɔ ŋuwò ŋu gbã. Emegbe, woawɔ ŋutilãmedɔ na ƒua. Woadi tɔtrɔ ɖesiaɖe si ate ŋu adze le gota, eye woabia wò be aleke nèsena le ɖokuiwò me to ƒua ʋuʋu me hã. Woate ŋu abia tso asiwò be nàzɔ, alo woate ŋu adzidze ƒua ƒe didime.

Le ema megbe la, zi geɖe la, wowɔa ƒua ƒe nɔnɔmetatawo dodokpɔ . Esiawo ate ŋu anye:

• `(X-rays)` (X-ray): Zi geɖe la, esiae nye nu gbãtɔ si nàkpɔ.
• `(CT scan)` (CT scan): Ate ŋu akpɔ ƒua ƒe nɔnɔmetata siwo me kɔ wu, siwo wotso ɖe wo nɔewo ŋu.
• `(MRI)` (MRI scan): Esia kpena ɖe ame ŋu be woakpɔe ɖa be nu gblẽ le lãkusi falɛfalɛ siwo ƒo xlã ƒuwo abe lãmekawo ene ŋu hã.

Ne ɖɔkta kpɔe be ƒua haya le nɔnɔme si menye ŋutilã ƒe wɔwɔme o me la, aƒo nya ta be enye ``malunion.`` Ne ƒua medze dɔyɔyɔ gɔme o alo mehaya bliboe le dɔyɔɣi si sɔ megbe o la, wonyae be ``delayed union`` alo ``nonunion.`` Ɣeyiɣi si woatsɔ ada dɔa ateŋu ato vovo le abi la ƒe nɔnɔme, ƒu si le eme, kple wò lãmesẽ nu. Zi geɖe la, woyɔnɛ be ``nonunion`` ne mehaya le ɣleti ade, enyi, alo wuieve megbe o.

Ðe woate ŋu ada `(Malunion)` kple `(Nonunion)` nɔnɔme siawoa? Nukawoe nye atikewɔmɔnuawo?

Nya nyuiae nye be menye ɖekawɔwɔ gbegblẽ alo dɔmawɔmawɔmawɔ ɖesiaɖee wòle be "woaɖɔ" ɖo o. Enɔ te ɖe ƒu si le eme, alesi gbegbe nèzãnɛ, kple alesi gbegbe wòkpɔa ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzii dzi. Gake nonunion aɖewo ate ŋu axe mɔ na wò ʋuʋu, ana nàse veve, alo ahe kuxi bubuwo vɛ. Le nɔnɔme mawo me la, ate ŋu ahiã be woawɔ dɔ na ame be woatsɔ aɖɔ kuxia ɖo. Ðɔktawo ate atike siwo menye amekoko o kpɔ gbã eye emegbe woato amekoko dzi ne womewɔ dɔ o.

Atikewɔwɔ na `(Malunion)` (Ƒu Siwo Womeɖo Ðe Ðoɖo Nu O) .

• Atikewɔwɔ siwo menye amekoko o:
• Kpekpeɖeŋunana: Woate ŋu abia tso asiwò be nàdo akɔtaɖonu be wòakpe ɖe ŋuwò be ƒua nanɔ nɔnɔme nyuitɔ me ne èle ezãm.
• Atsyɔ̃ɖoɖo: Ne afɔ ɖeka le kpuie wu la, àte ŋu azã afɔkpa tɔxɛ aɖe si wotsɔ dea afɔkpa me atsɔ aɖo vovototoa teƒe.
• Lãmesẽfefewɔwɔ: Esia bia kamedede tɔxɛ siwo ate ŋu ado ŋusẽ lãmeka siwo sɔ eye wòaɖe ƒua ƒe nyaƒoɖeamenu dzi akpɔtɔ.
• Vevesesenutsitikewo: NSAID (atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu) be woatsɔ aɖe vevesese si nɔa ame ŋu ɣeaɖewoɣi dzi akpɔtɔÀte ŋu azã vevesesenutsitike dzrowo abe.

• Atikewɔwɔ to amekoko me:
• Ƒumeŋuɖui: Amekola ate ŋu atso ƒua eye wòatrɔ asi le eƒe nɔƒe ŋu.
• Amekoko na abɔ alo afɔ didi: Ne woɖe alɔ alo afɔ kpuie vevie la, woate ŋu awɔ dɔ nɛ atsɔ adidie to mɔ̃ tɔxɛ aɖe zazã me.

Atikewɔwɔ na `(Nonunion)` (ƒu siwo mewɔ ɖeka kple wo nɔewo o) .

• Atikewɔwɔ siwo menye amekoko o:
• Atikewɔwɔ: Ne dɔléle aɖe li si gblẽa nu le ametia katã ŋu (e.g. suklidɔ), dɔlékui aɖe, alo nunyuimakpɔɖui la, ele be woadae gbã.
• Orthoses: Wozãa akɔtaɖonu, aŋenu, alo nusi wotsɔna ƒoa ƒui tsɔ kpena ɖe ƒua ŋu be wòahaya eye wòana wòagage o.
• Ƒu ƒe ʋuʋu: Esiawo nye mɔ̃ tɔxɛ siwo zãa ultrasonic waves alo electromagnetic waves tsɔ doa ŋusẽ ƒu ƒe dɔyɔyɔ.
• Dɔlékuiwo dodo: Woate ŋu ado lãmenugbagbeviwo alo ʋumenugbagbevi dzĩwo ɖe ƒua me be wòana wòahaya ahatsi.

• Atikewɔwɔ to amekoko me:
• Debridement: Amekolaa ɖea lãkusi kuku siwo meda gbe le ƒua ŋu o la ɖa le ƒua me.
• Ʋukawo ƒe dɔwɔwɔ: Ne ʋua me gblẽ la, woate ŋu awɔ ʋukawo ƒe dɔwɔwɔ be wòagaɖoe.
• Ƒu ƒe dodo: Amekolaa xɔa ƒu aɖe tso wò ŋutilã ƒe akpa bubu (abe wò akɔtaƒu ene) alo tso ƒu si wotsɔ na wò me eye wòdea akpa si bu la me. Esia naa ƒu yeyewo ƒe tsitsi dzea egɔme nyuie.
• Ʋuʋudedi kple ememe léle ɖe te: Amekolaa gbugbɔa ƒu kakɛawo ɖoa teƒe bubu eye wòzãa amekoko ƒe gavi, agba, alo ɖa tsɔ léa wo ɖe wo nɔewo ŋu.

Aleke hayahaya le le atikewɔwɔ vɔ megbe?

Dɔdamɔnu siwo menye amekoko o kple esiwo womewɔna o siaa kpɔa dzidzedze gã aɖe le dɔdamɔnu siwo mewɔ ɖeka kple wo nɔewo o kple esiwo me womewɔa dɔ le o dada me. Nya nyui aɖee nye ema. Gake ate ŋu axɔ ɣeyiɣi aɖe hafi wòahaya keŋkeŋ eye wòagatrɔ ava nɔ nɔnɔme si sɔ me (gbugbɔgaɖɔɖo). Ðewohĩ ahiã be nàzã atizɔti alo afɔti atsɔ azɔ vaseɖe esime nàhaya. Ðewohĩ ahiã be woawɔ kamedede hã.

Ɣeaɖewoɣi la, atikewɔwɔ ate ŋu ado kpo nu. Esia ate ŋu adzɔ ne womate ŋu alé ƒua ɖe teƒe nyuitɔ o, alo ne ɖɔktawo mete ŋu ɖu nugbagbevi siwo ŋu míeƒo nu tsoe (abe ʋu ƒe agbɔsɔsɔ kple nunyiame ene) dzi o.

Nu vevitɔ kekeake siwo dzi wòle be míaɖo ŋkui (Take-Home Message) .

Ƒu gbagbã ate ŋu adzɔ ɖe ame sia ame dzi. Ɣeaɖewoɣi la, míekpɔnɛ dzea sii enumake gɔ̃ hã be míegbã ƒu o. Gake ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò si ate ŋu anɔ ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ enumake eye nàdoe kpɔ.

• Amesiwo ƒe gbagbãwo hayana nyuie wu ne wokpɔ beléle si sɔ kaba .
• Wò ɖɔkta alé ŋku ɖe wò abi ŋu eye wòade dzesi nu ɖe ​​sia ɖe si ate ŋu anɔ mɔ xem na eƒe dɔyɔyɔ.
• Woaɖo aɖaŋu na wò le mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò dzi be nàxe mɔ ɖe `(Malunion)` alo `(Nonunion) nu. Ele vevie ŋutɔ be míawɔ ɖe mɔfiame mawo dzi nyuie.

Eyata, mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Ne ƒu gbã la, mègatsi dzodzodzoe o eye mègaŋlɔ be nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo nyuiwo dzi o. Zi geɖe la, esia ate ŋu axe mɔ na kuxi siawo tɔgbe be woagadzɔ o.

` Ƒu ƒe gbagbã, malunion, nonunion, malunion, ƒu ƒe atikewɔwɔ, ƒu ƒe dɔwɔwɔ