Ðe wò vi suea ƒe alɔ alo afɔ dze abe ɖe wohee enea? Ðe esia nye Greenstick Fracture?

Ðe viwò suea dze anyi kasia esime wònɔ fefem? Alo ɖe wòdze afɔku vie le fefewɔƒea? Le ema megbe la, ɖe wòfaa avi madzudzɔmadzudzɔe le esi eƒe alɔ alo afɔ le veve sem ta? Ðe teƒe si xɔ abi la dze abe ɖe wòvuvu vie eye wòhee enea? Abe dzila ene la, esɔ be vɔvɔ̃ naɖo ŋuwò ŋutɔ le ɣeyiɣi sia tɔgbe me. Gake mègatsi dzi o. Zi geɖe la, esia nyea gbagbãƒe si mebɔ o, si bɔ ɖe ɖevi suewo me. Emae nye nusi ŋu míele nu ƒom tsoe egbea.

Nukae Nye Greenstick Fracture? Mina míase egɔme bɔbɔe

``Greenstick Fracture`` nye ƒu si gbã ƒomevi aɖe. Gake eto vovo vie tso gbagbãƒe siwo míekpɔna zi geɖe gbɔ.

Tsɔe be ètsɔ ati aɖe ƒe alɔ ƒuƒu tsɛ aɖe eye nèbɔbɔe. Megbãna ɖe akpa eve bɔbɔe o, alo? Ke boŋ ebɔbɔna, gake ne èbɔbɔe akpa la, eƒe akpa ɖeka avuvu vie eye wòagbã. Akpa kemɛa aganɔ kadodo me kokoko.

Azɔ tsɔe be ètsɔ alɔ xoxo aɖe si ƒu ŋutɔ eye nèbɔbɔe. E "tuck" eye wògbãna ɖe akpa eve me.

``Greenstick Fracture`` le abe ati dama si míeyɔ va yi ene. Míeyɔa esia be ƒu ƒe gbagbã ne ƒua megbã keŋkeŋ o, gake gbagbã sue aɖe koe dzɔna le axa ɖeka. Ŋkɔa tso gɔmesese si le nya ``ati dama'' ŋu me.

Ameka dzie nusia dzɔna ɖe edzi zi geɖe? Nukatae wòdze abe ɖevi suewo koe wòdzɔna ɖe edzi ene?

Nɔnɔme sia si woyɔna be `Greenstick Fracture` la dzena zi geɖe le ɖevi siwo mexɔ ƒe 10 haɖe o. Ƒã ŋutɔ be ame tsitsiwo naxɔ esia. Susu aɖe koŋ li si tae.

Ðevi suewo ƒe ƒuwo, si fia ƒuwo, le abe alɔ dama mawo ene. Wometsi bliboe haɖe o eye womewɔ calcified haɖe o. Eyata wote ŋu trɔna bɔbɔe eye wofa wu ame tsitsiwo ƒe ƒuwo. Ame tsitsiwo ƒe ƒuwo le abe alɔ ƒuƒu mawo ene; wosesẽ, eyata wogbãna bɔbɔe ne nane abe anyidzedze ene dzɔ.

Azɔ hã, ɖevi suewo nɔa du dzi, tia kpo, henɔa fefem ɣesiaɣi. Eyata woate ŋu adze anyi bɔbɔe. Vevietɔ ne wodze anyi la, enye numame na wo be wodzea agbagba be yewoaɖe yewo ɖokui to yewoƒe abɔwo keke ɖe enu kple wo dada ɖe anyigba me. Emegbe, wotsɔa ŋusẽ geɖe dea abɔa ƒe ƒuwo ŋu, si ateŋu ahe `Greenstick Fracture` abe esia ene vɛ.

Dzesi siwo fia be Greenstick Fracture ate ŋu anɔ viwòa ŋu

Di dzesi siawo ne viwòa dze afɔku vɔ. Ne dzesi siawo dometɔ ɖeka alo esi wu nenema dze la, ate ŋu anye ƒu gbagbã.

Ƒu siwo dzi abi sia gblẽa nu le wue nye:

Zi geɖe la, greenstick ƒe gbagbã gblẽa nu le ƒu didiwo ŋu.

• Abɔta ƒe ƒu (Humerus) .
• Abɔta ƒe ƒuwo (Radius kple Ulna) .
• Asibidɛwo ƒe ƒuwo (`Phalanges`) .
• Femur (akɔtaƒu) .
• Fibula ƒe nɔnɔme

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, abia nya ɖevia kple wò gbã tso afɔkua ŋu. Emegbe woalé ŋku ɖe teƒe si woxɔ abi le ŋu. Woalé ŋku ɖe eŋu nyuie be vuvu, abi, kple abi ƒe dzesi bubuwo hã le wo ŋu.

Emegbe be woatsɔ aɖo kpe edzi nenye be gbagbã aɖe li eye woakpɔ ƒomevi si tututu wònye la, wowɔa X-ray.Ðɔktaa ate ŋu anya kɔte tso X-ray nɔnɔmetata la me nenye be ƒua gbã keŋkeŋ alo nenye be ‘Greenstick’ ƒomevi ƒe gbagbãe.

Ƒã ŋutɔ la, ne lãmeka siwo ƒo xlãe la sesẽ wu alo wosusu be lãmeka alo ʋuka siwo ƒo xlãe la gblẽ la, woate ŋu akafui hã be woawɔ MRI alo CT scan.

Aleke Wodaa Greenstick ƒe Gbagbãdɔe?

Zi geɖe la, nɔnɔme sia dada le bɔbɔe ŋutɔ.

1. Aŋɔ si wotsɔna ƒoa aŋɔe (Cast Immobilization) .

Atike vevitɔ si wozãna na greenstick ƒe gbagbã akpa gãtɔe nye be woatsɔ aŋe aɖe aɖo ƒua dzi be wòagaʋuʋu o. Ne wotsɔ ƒu si gbã la da ɖe teƒe nyuitɔ eye wotsɔ nusi wotsɔ ƒo ƒui la da ɖe edzi la, mɔnukpɔkpɔ sua ƒua si be wòahaya nyuie kplamatsedonu aɖeke manɔmee.

• Zi geɖe la, ele be nàdo aŋɔ sia abe kwasiɖa 4 va ɖo 6 ene .
• Le ɣeyiɣi sia me la, ɖɔkta la gblɔ be ehiã be míagawɔ X-ray ake be míakpɔe ɖa be ƒua le hayahayam nyuie hã.

2. Amekoko

Ƒã hafi wòhiãna be woawɔ dɔ na ame. Ne dzogoe si dzi ʋuʋudedia le la nu sẽ ŋutɔ , si fia be alɔ alo afɔa bɔbɔ vevie la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò.

Amekoko sia bia be woatsɔ ƒua aɖo/gbugbɔ aɖoe ɖe ɖoɖo nu eye woade gaƒoɖokuiwo eme be wòalé ɖe teƒea . Woyɔa esia be `ememe fixation`. Ne ƒua nya haya keŋkeŋ ko la, woɖea gaviawo le amekoko sue bubu me.

Kuxi siwo ate ŋu ado tso amekoko me

Abe alesi wòle le amekoko ɖesiaɖe gome ene la, ƒã ŋutɔ be kuxiwo ate ŋu ado mo ɖa.

• Malunion: Ƒu si meƒoa ƒu nyuie ne ele dɔ dam o. Nusiwo mesɔ o vie.
• Ðekawɔwɔ manɔmee: Ƒu kakɛ eveawo megatrɔna vaa wo nɔewo gbɔ kura o.
• Acute Compartment Syndrome (ACS): Esia nye dɔléle sesẽ aɖe si hiã kpata. Nyaƒoɖeamenu si le xɔ si ƒo xlã ƒua me dzina ɖe edzi ŋutɔ, si wɔnɛ be ʋu meganɔa sisim o eye wògblẽa nu le lãmekawo kple lãmekawo ŋu tegbee. Ne vevesesea yi edzi le sesẽm ɖe edzi le abi si nèxɔ vɔ megbe, alo ne wò abɔ kple afɔwo le ʋuʋum alo le ʋuʋum la, ele be nàyi ɖɔkta gbɔ enumake.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana? Nukae dzɔna le ema megbe?

Greenstick ƒe gbagbã akpa gãtɔ hayana keŋkeŋ le abe kwasiɖa ade ene me , gake ɣeyiɣi sia ate ŋu ato vovo vie le ɖevia ƒe ƒexɔxɔ, ƒu si ƒomevi gbã, kple ƒu si gbã ƒe nɔnɔme nu.

Ne woɖe aŋɔa ɖa vɔ la, ele be woaɖe ɖevia ɖa tso duƒuƒu kple titri ƒe dɔwɔnawo, vevietɔ kamedefefewo, gbɔ vaseɖe esime ɖɔktaa gblɔ na wo. Le ɣeyiɣi aɖe megbe la, ɖevia ate ŋu awɔ dɔ siwo katã wòwɔna ɖaa kuxi aɖeke manɔmee.

Ðe woate ŋu axe mɔ ɖe afɔku siawo tɔgbe nua?

Togbɔ be womate ŋu axe mɔ ɖe afɔkuwo nu le ɣeyiɣi 100% me o hã la, nu geɖe li míate ŋu awɔ atsɔ akpɔ mía viwo ƒe dedienɔnɔ ta.

• Dedienɔnɔ ƒe dɔwɔnuwo: Do ​​dedienɔnɔ ƒe dɔwɔnu siwo sɔ (gakuku, gakuku) ne èle gasɔ dom alo le kamedefefewo abe kriket ene ƒom.
• Aƒeme nɔnɔme: Mègatsɔ nuwo (fefenuwo, tsi) da ɖe anyigba afisi ɖeviwo ate ŋu aƒu du adze anyi le aƒea me o.
• Fefe dedie: Mègana ɖeviwo nali zikpuiwo, kplɔ̃wo, alo kplɔ̃wo dzi aɖafe o.
• Nunyiame: Na viwòa naɖu nuɖuɖu si da sɔ si me calcium kple vitamin D sɔ gbɔ ɖo. Nunyiame siawo hiã vevie na ƒu sesẽwo.

Ɣekaɣie woakpɔ ɖɔkta enumake eye woayi ETU

Ne ɖevi dze afɔku la, ele vevie ŋutɔ be nànya ɣeyiɣi si wòle be nàyi ɖɔkta gbɔ kple ɣeyiɣi si nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU).