Ðe viwòa ƒe ƒuwo gbã le afisi woƒe ƒuwo le tsitsim lea? Mina míaƒo nu tso Growth Plate Fractures ŋu!

Ðe viwòa dze anyi kpata esime wònɔ fefem? Alo nègbɔ tso kamedefefewo me kple alɔ alo afɔ si le veve sem? Ðewohĩ èse be ɖevi suewo gbãa woƒe ƒuwo ɣeaɖewoɣi, gake ɖewohĩ mènya nɔnɔme tɔxɛ sia si woyɔna be Growth Plate Fractures . Mègatsi dzi o, esia nye nusi woate ŋu ada dzidzedzetɔe zi geɖe. Mina míaƒo nu tso eŋu tsitotsito.

Nukawoe nye tsitsi ƒe agbalẽvi siawo? Nukatae wole vevie?

Kpuie ko la, tsitsi ƒe agbawo nye ƒunukpeƒe ƒe akpa tɔxɛ siwo le ƒu didiwo (abe esiwo le abɔwo kple afɔwo me ene) ƒe nuwuwu le ɖevi suewo kple ame tsitsiwo me. Bu wo abe alɔ yeye siwo le tsitsim tso ati ƒe alɔ ƒe nuwuwu ene. Esiawoe kpena ɖe ƒuwo ŋu wotsina, wotsina, eye wowɔa wo nyuie. Ne ɖevi tsi bliboe, si fia be womegale kɔkɔm o la, tsitsi ƒe agba siawo trɔna vivivi zua ƒu sesẽwo .

Tsitsi ƒe agbalẽvi siawo le ƒuwo ƒe nuwuwu abe alea ene:

• Humerus - Esia nye ƒu si le abɔta.
• Radius kple Ulna - Esiawo le viwò ƒe alɔnu, le abɔta te tututu.
• Metacarpals - Ƒu sue siwo le asi ƒe akpa si le eme.
• Femur - Ƒu diditɔ kekeake le míaƒe ŋutilã me, si le ata me.

Esiawoe nye vevitɔwo. Eyata ne nane dzɔ ɖe tsitsi ƒe agbalẽvi siawo dzi, si fia be ne gbagbã aɖe li la, emae míeyɔna be tsitsi ƒe agbalẽvi ƒe gbagbã . Ne ɖevi ƒe ƒu le veve sem, vuvu, alo eƒe dzedzeme to vovo na alɔ alo afɔ, alo wòdze abe ɖe wòkeke ene la, ele be nàyi ɖɔkta gbɔ godoo. Esi wònye be gbagbãƒe siawo ƒomevi xɔa kwasiɖa geɖe hafi wohaya ta la, ele vevie ŋutɔ be woakpɔ dɔlélea ahada wo kaba.

Ðe tsitsi ƒe agbalẽvi ƒe gbagbã ƒomevi aɖewo lia?

Ẽ, ɖɔktawo zãa ɖoɖo tɔxɛ aɖe tsɔ dea hatsotso gbagbã siawo me. Woyɔe be Salter-Harris ƒe hatsotso . Wole ƒomevi vevi atɔ̃:

1. Ƒomevi 1: Esiae nye esime ƒunukpeƒe si le tsitsiƒea la ma tso ƒua ƒe nuwuwu, abe ɖe wotsɔ nane blae eye emegbe wòdo ene.

2. Ƒomevi 2: Le ƒomevi sia me la, ƒua ƒe gbagbã dzɔna le tsitsi ƒe agbalẽa me eye wòkekena yia ƒua ƒe asike me. Esia ƒomevi bɔ ɖe ɖeviwo me wu.

3. Ƒomevi 3: Esia nye gbagbãƒe si me tsitsi ƒe agbalẽvi ƒe akpa aɖe kple ƒu si lé ɖe eŋu ƒe nuwuwu gbãna le. Esia lolo vie, si fia be ebɔ ɖe ƒewuiviwo me wu, elabena woƒe tsitsi ƒe agbawo le tɔtrɔm vivivi zu ƒu sesẽwo .

4. Ƒomevi 4 lia:Esia sɔ kple ƒomevi 3, gake esẽ vie wu. Wogbãa tsitsi gbadzɛa ƒe akpa aɖe, ƒua ƒe nuwuwu ƒe akpa aɖe, kple ƒua ƒe akpa si didi la ƒe akpa aɖe.

5. Ƒomevi 5: Esia tsoa nyaƒoɖeamenu si wogbãna ɖe ƒua dzi gbɔ, si wɔnɛ be wògblẽa nu le tsitsi ƒe agbalẽa ŋu. Esiae nye esi mebɔ boo o eye ate ŋu anye nusi me nunya mele o vie.

Ƒomedodo sia le vevie be ɖɔktawo natso nya me le atike si ƒomevi woawɔ, ɣeyiɣi didi si wòaxɔ hafi ahaya, kple kuxi siwo ate ŋu ado mo ɖa le etsɔme ŋu.

Aleke gbegbee tsitsi ƒe agbalẽvi siawo ƒe gbagbã bɔe?

Le nyateƒe me la, tsitsi ƒe gbagbã nye ƒu ƒe abi siwo bɔ wu le ɖeviwo me la dometɔ ɖeka. Woawoe nye ƒu siwo katã gbãna le ɖeviwo me ƒe akpa etɔ̃lia lɔƒo. Eya ta ele vevie be míanya esia.

Nukae nye tsitsi ƒe agba ƒe gbagbã ƒe dzesiwo?

Ne viwòa ƒe tsitsi ƒe ʋuka gbã la, àte ŋu ade dzesi dzesiwo abe esiawo ene:

• Vevesese: Vevesese sesẽ aɖe ate ŋu anɔ anyi, vevietɔ le ƒu aɖe tame alo le eƒe teƒe.
• Abɔ kple afɔwo ƒe dzedzeme to vovo: Abɔ alo afɔ si xɔ abi la ate ŋu adze abe ɖe wòkeke, bɔbɔ, alo le mɔ bubu aɖe nu ene.
• Ʋuʋu ƒe ŋutetemanɔamesi: Ðewohĩ màte ŋu abɔbɔ, aɖɔe ɖo, alo atsɔ kpekpeme ade teƒe si nèxɔ abi la nyuie o.
• Vuvu: Teƒe si xɔ abi la ate ŋu avuvu.
• Amadede ƒe tɔtrɔ alo ƒoƒo: Ɣeaɖewoɣi la, abi ate ŋu atrɔ azu blɔ alo aŋutiɖiɖi.
• Veviedodonu: Àte ŋu ase veve ne èka asi ɖevia ŋu.

Tsɔe be viwòŋutsua tso kriket ƒoƒo gbɔ va aƒeme eye wògblɔ be yeƒe asibidɛ le veve sem, mete ŋu ʋãnɛ o, eye wòvuvu vie. Le nɔnɔme ma me la, ate ŋu anye tsitsi ƒe agbalẽ ƒe gbagbã.

Ðewohĩ ɖevi sue aɖe mate ŋu agblɔe na wò ne wowɔ nuvevi wo o. Ɣemaɣi la, ɖewohĩ àkpɔ nu siawo tɔgbe:

• Kasia, alɔ alo afɔ zazã dzi ɖena kpɔtɔna.
• Woléa alɔ/afɔ si xɔ abi la ɖe ŋutilãa ŋu tututu eye wokpɔa eta.
• Wofaa avi, doa ɣli, eye wogbea asikaka wo ŋu.
• Ewɔa afɔkpodzi ne ele zɔzɔm.

Ne èkpɔ nane si le abe esia ene la, mègagblẽ ɣeyiɣi aɖakpɔ ɖɔkta o.

Nukawo gbɔe tsitsi ƒe agbalẽvi siawo ƒe gbagbã tsona?

Zi geɖe la, nuveviwɔame kpata tae gbagbã siawo dzɔna . Le kpɔɖeŋu me:

• Tsitretsitsi: Abe alesi wòge tso ati dzi, anyidzedze esime nèle fefem, alo gege tso atrakpui dzi ene.
• Ʋufɔkuwo: Afɔku siwo dzɔna ne wole mɔ dzi.
• Kamedefefewo me afɔkuwo: Afɔku siwo dzɔna ne wole kamedefefewo abe kriket, bɔl, kple netball ene ƒom.

Le kpɔɖeŋu me, kasia Nisal viŋutsua ƒu kplakplakpla hedze anyi esime wònɔ du dzi le fefewɔƒea. Eƒe afɔkpodzi te vevesese vevie. Esi wòyi kɔdzi ko hafi wòva nya be tsitsi ƒe agbalẽvi ƒe gbagbãe.

Eye hã, .Kamedefefe ma ke hehe fũ akpa, vevietɔ hafi ɖevia ƒe ŋutilã natsi bliboe, ate ŋu ana nuteɖeamedzi nanɔ tsitsi ƒe agbawo dzi enuenu, si ate ŋu ana wòagbã alea. Eyata manyo be ɖevi nawɔ kamedefefe ɖeka ma ke le ƒe bliboa me o vaseɖe esime woƒe ŋutilã natsi bliboe. Gbɔɖeme hã le vevie ŋutɔ.

Amekae le afɔku gã me be wòaxɔ tsitsi ƒe agbalẽvi siawo ƒe gbagbã?

Togbɔ be ɖevi ɖesiaɖe ate ŋu anɔ afɔku sia ƒomevi me hã la, ɖevi aɖewo ate ŋu anɔ afɔku me vie:

• Ƒewuiviwo: Ðevi siwo xɔ tso ƒe 13-17 domee wokpɔa ɖiɖiɖeme siawo wu.
• Ŋutsuviwo: Ŋutsuviwo ƒe lãmeka siawo ate ŋu adze nyɔnuviwo tɔ abe zi gbɔ zi eve ene . Esia le alea elabena zi geɖe la, nyɔnuviwo tsina kabakaba vie, eye woƒe ƒuwo sesẽna kabakaba. Ŋutsuviwo hã nɔa ablaɖeɖe me wu eye wowɔa dɔ nyuie wu.
• Kamedefefewɔlawo: Ðevi siwo ƒoa kamedefefe siwo me titri le (e.g., basketball, kamedefefe, tsikpedzifefe, volleyball) le afɔku me wu, abe alesi ɖevi siwo ƒoa kamedefefe siwo me wodoa ka kple wo nɔewo abe bɔl kple hockey ene hã le ene.
• Ðevi siwo le kame dem: Tsɔ kpe ɖe suku kamedefefewo ŋu la, afɔku siawo ate ŋu adzɔ ɖe ɖevi siwo ƒoa wo ɖokui ɖe nuwɔna siwo nye skateboarding, todzizɔzɔ, kple gasɔdodo hã dzi.

Kuxi kawoe ate ŋu ado tso tsitsi ƒe agba si gbã me?

Zi geɖe la, ne wokpɔ dɔlélea le eŋu eye wodae kaba (le kwasiɖa ɖeka me tso esime woxɔ abi) la, tsitsi ƒe gbadzɛ siawo mehea kuxi gãwo vɛ o. Gake ɣeaɖewoɣi la, nusiwo gbɔna ate ŋu adzɔ:

• Malunion: Ƒu kakɛ siwo gbã la mewɔ ɖeka nyuie o, ke boŋ woƒo ƒu ɖekae.
• Nonunion: Ƒu kakɛ siwo gbã ƒe kpododonu be woada gbe le wo ŋu nyuie, alo womeda gbe le wo ŋu kura o.
• Tsitsi si mewɔa dɔ nyuie o: Esia mebɔ kura o . Gake ne ƒu gbã vevie (vevietɔ Ƒomevi 5 lia) la, ate ŋu akpɔ ŋusẽ ɖe ƒu ma ƒe tsitsi le etsɔme dzi. Esia fia be ƒua ate ŋu anɔ kpuie alo anɔ sue wu akpa kemɛa. Ðewohĩ ahiã be woawɔ dɔ na ame be woatsɔ axe mɔ ɖe esia nu.

Esia tae wòle vevie be nàkpɔ ɖɔkta ne ɖikeke suetɔ kekeake le ŋuwò gɔ̃ hã .

Aleke wokpɔa tsitsi ƒe agbalẽvi ƒe gbagbã?

Ðɔkta dea dzesi lãmeka sia ƒomevi to ɖevia dodokpɔ (ŋutilã dodokpɔ) kple dodokpɔ tɔxɛwo wɔwɔ (nɔnɔmetata dodokpɔwo) me.

Gbã la, ɖɔktaa alé ŋku ɖe teƒe si xɔ abi la ŋu nyuie, abia ɖevia tso woƒe dzesiwo ŋu, alé ŋku ɖe afisi abɔa ate ŋu aʋãe ŋu, eye wòatsɔe asɔ kple alɔ/afɔ kemɛ si mexɔ abi o.

Ele vevie ŋutɔ be nàgblɔ nyatakaka siwo katã nènya la na ɖɔkta – nusi ɖevia nɔ wɔwɔm do ŋgɔ na afɔkua, ɣeyiɣi si nèkpɔe zi gbãtɔ be kuxi aɖe li, kple ɣeyiɣi si me ɖevia dze vevesese gɔme.

Dodokpɔ ka ƒomevie wowɔna?

Ðɔktaa azã dodokpɔ siawo dometɔ ɖeka alo esi wu nenema atsɔ alé ŋku ɖe ƒuwo kple lãkusi siwo ƒo xlãe ŋu:

• X-ray: Esiae wozãna wu.
• Magnetic Resonance Imaging (MRI): Ɣeaɖewoɣi la, esia hiãna hafi woate ŋu akpɔ tsitsi ƒe agbalẽvi si tututu wòle.
• Computed Tomography (CT) scans: Wozãa esia hã le nɔnɔme sesẽ aɖewo me.

Aleke wowɔa atike na tsitsi ƒe agbalẽvi ƒe gbagbã?

Wotsɔa nusi wotsɔ ƒoa ƒui, si nye aŋɔ si wotsɔ ƒoa ƒui (immobilization) wɔa dɔ na tsitsi ƒe gbagbãƒe akpa gãtɔ. Nusi wotsɔ ƒu gbe la nana ƒu gbagbãa nɔa teƒe si wòle eye wòkpena ɖe eŋu wòdaa gbe nyuie. Wò ɖɔkta agblɔ cast ƒomevi si viwòa hiã kple alesi nàkpɔ edzii na wò.

Ðe wòhiã be woawɔ dɔ na amea?

Ƒã hafi wòhiãna be woawɔ dɔ na ame ƒe gbagbã sia ƒomevi. Zi geɖe la, ehiãna be woawɔ dɔ na ame ne ƒu gbagbã siwo nu sẽ wu (Ƒomevi 3, 4, alo 5). Ne ehiã be woawɔ dɔ na viwòa la, amekolaa awɔ nane si woyɔna be internal fixation . Esia fia be wotsɔa ƒu gbagbãawo ɖoa wo nɔƒe eye emegbe woazã gavi, gavi, alo ka atsɔ alé ƒua ɖe te tso eme vaseɖe esime wòahaya. Ne ƒua haya vɔ la, ahiã be nàgawɔ dɔ sue aɖe na wò be nàɖe gavi alo kaawo ɖa. Wò ɖɔkta alo amekola aɖe aɖe nusiawo katã me na wò.

Zi geɖe la, ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ahiã be ɖevi akpa gãtɔ nado aŋenu abe ɣleti ɖeka (kwasiɖa ene va ɖo ade) le tsitsi ƒe agba ƒe gbagbã megbe. Ne gbagbãƒea nu sẽ wu alo ne wowɔ dɔ nɛ la, ate ŋu axɔ ɣeyiɣi didi wu.

Wò ɖɔkta ate ŋu agblɔ ɣeyiɣi didi si tututu wòaxɔ hafi wòahaya, le ƒu si viwòa gbã kple alesi gbegbe wògbãe nu.

Ðe woate ŋu axe mɔ ɖe tsitsi ƒe agbalẽ ƒe gbagbã sia ƒomevi nua?

Le nyateƒe me la, afɔkuwo gbɔe gbagbã siawo ƒe akpa gãtɔ tsona, eyata esesẽna be woaxe mɔ ɖe wo nu keŋkeŋ. Gake nanewo li nàte ŋu awɔ be viwòa ƒe abixɔxɔ ƒe afɔkua dzi naɖe akpɔtɔ:

Ne èle kamedefefe wɔm alo le kamedede bubuwo wɔm la, nya nu siawo:

• Kpɔ egbɔ be yedo ametakpɔnu nyuitɔ (e.g. pads, helmets ne èle kriket ƒom).
• Ne nane le veve sem, eɖanye esime nèle fefem alo ne èwu enu o la, gblɔ na viwò be "megafe to vevesesea me o."
• Na wò ŋutilã nagbɔ ɖe eme eye nàhaya le dɔ sesẽ wɔwɔ vɔ megbe.
• Keke eye nàdo dzo hafi nàde kamedefefe alo ade kame.
• Fa dzi na wò eye nàkeke ɖokuiwò ne èwu wò dɔa nu.

Wɔ ɖe aɖaŋuɖoɖo gbogbo siawo dzi be ƒomea me tɔ ɖesiaɖe nanɔ dedie:

• Ɣesiaɣi si meɖo ʋuDo zikpuimeka.
• Kpɔe ɖa be nu aɖewo susɔ ɖe ʋɔtrua nu si ate ŋu ana ame aɖe nadze anyi ahadze anyi hã, eye nàɖe wo ɖa.
• Ne èle nane kɔm tso dzisasrãa dzi , zã dɔwɔnu siwo sɔ (e.g., atrakpui). Mègana ɖeviwo nali zikpuiwo alo kplɔ̃wo dzi gbeɖe o.

Nukae wòle be makpɔ mɔ na ne vinye ƒe tsitsi ƒe agbalẽvi gbã?

Tsitsi ƒe agbalẽvi ƒe gbagbã akpa gãtɔ hayana nyuie kuxi aɖeke manɔmee alo mekpɔa ŋusẽ ɖe ɖevia ƒe lãmesẽ kple tsitsi dzi ɣeyiɣi didi o. Mɔ nyuitɔ si dzi woato aɖe kuxiwo ƒe afɔkua dzi akpɔtɔe nye be woakpɔ dɔlélea kaba ale si nàte ŋui (le kwasiɖa ɖeka me tso esime woxɔ abi).

Bia wò ɖɔkta ɣekaɣie viwòa ate ŋu adze fefe, duƒuƒu, kple titri gɔme ake. Ne ègatsɔ nyaƒoɖeamenu de tsitsi ƒe agbaa dzi hafi wòhaya keŋkeŋ la, mɔnukpɔkpɔ geɖe wu li be kuxiwo nado mo ɖa (siwo dometɔ aɖewoe nye teƒe ma ke ƒe gbagbã ake).

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne nu dziŋɔ aɖe dzɔ ɖe viwòa dzi, abe anyidzedze sesẽ alo ʋufɔku ene , yi ɖɔkta gbɔ enumake.

Ne èsusu be ƒu gbã le viwòa ŋu, alo ne dzesi siwo gbɔna dometɔ aɖe le eŋu la , yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake:

• Vevesese sesẽ.
• Ŋutete manɔamesi be wòaʋuʋu ŋutilã ƒe akpa aɖe.
• Edze abe ŋutilãa ƒe akpa aɖe ƒe dzedzeme trɔ, ekeke, alo ʋu le teƒe si wòle ene .
• Wotoa ŋutigbalẽa me eye ƒua dzena.
• Ʋuʋudedi sesẽ.
• Dzesi siawo ate ŋu akpe ɖe abi yeyewo alo ŋutigbalẽ ƒe amadede ƒe tɔtrɔ ŋu .

Nya kawoe wòle be mabia ɖɔktaa?

• Ðe vinyea ƒe tsitsi ƒe agba gbã alo abi bubu aɖe le eŋua?
• Tsitsi ƒe agbalẽvi ƒe gbagbã ka ƒomevie le eŋu?
• Ðe wòahiã be woawɔ dɔ na vinyea?
• Ɣeyiɣi didi kae wòahiã be vinye nado aŋekotoku?
• Ɣekaɣie vinyea ate ŋu atrɔ ayi dɔwɔna kple kamedefefe siwo wòwɔna ɖaa dzi?

Enye nusi sɔ be vɔvɔ̃ naɖo ame ne ɖevi dze afɔku, vevietɔ ne enye anyidzedze alo afɔku si mète ŋu xe mɔ na o. Togbɔ be tsitsi ƒe gbagbã ate ŋu anye nu sesẽ ŋutɔ hã la, ɖevi akpa gãtɔ hayana nyuie eye wogate ŋu wɔa woƒe dɔwo ake.

Ɣeyiɣi nye nu vevitɔ ne wole tsitsi ƒe agbalẽ ƒe gbagbã dam. Ne èsusu be viwòa ƒe tsitsi ƒe ʋuka gbã (alo ƒu bubu aɖe xɔ abi) la, yi ɖɔkta gbɔ kaba ale si nàte ŋui. Zi alesi ɖɔktaa kpɔ dɔlélea dze sii kaba eye wòtsɔ atike si wotsɔna ƒoa ƒui de viwòa me la, zi nenemae wòate ŋu ahaya kaba eye wòatrɔ ayi woƒe dɔwɔna siwo wowɔna ɖaa dzi.

Kpuie ko la (Gbedasi si Wotsɔ Yi Aƒeme) .

Mlɔeba la, ɖeviwo ƒe tsitsi ƒe agbawo nye woƒe ƒu ƒe tsitsi ƒe akpa vevi aɖe ŋutɔ. Afɔku siwo le amesiawo ŋu, si nyeTsitsi ƒe Kplu Gbagbã bɔ, gake naneke meli si ŋu nàtsi dzi ɖo o. Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ènya susui be afɔku aɖe dzɔ alo ne ènya de dzesi dɔlélea ƒe dzesiwo ko. Atikewɔwɔ kaba ate ŋu akpe ɖe viwòa ŋu wòahaya evɔ magblẽ nu le eƒe tsitsi le etsɔme ŋu o. Viwòa ƒe dedienɔnɔ ŋu bubu ɣesiaɣi hã akpe ɖe ŋuwò nàɖe afɔkuwo dzi akpɔtɔ.

` tsitsi ƒe agbalẽvi ƒe gbagbã, tsitsi ƒe agbalẽvi ƒe gbagbã, ƒu ƒe gbagbã le ɖeviwo me, Salter-Harris, cast, ɖeviwo ƒe lãmesẽ, ƒu ƒe gbagbã