Mina míasrɔ̃ nu tso Hill-Sachs Lesion si dzɔna ne abɔta vuvu ŋu pɛpɛpɛ!

Ðewohĩ èse ame aɖe gblɔ be yewoƒe abɔta vuvu, yewomete ŋu kɔ yewoƒe alɔnu o, eye yewole veve sem vevie, alo? Ðewohĩ nenemae wòdzɔ ɖe dziwò hã. Ne abɔta aɖe vuvu, si fia be abɔta ƒe akpa si le abe bɔl ene la do la, ƒu siwo le míaƒe abɔta hã ate ŋu agblẽ. Emae nye nusi `Hill-Sachs Lesion` sia (si woyɔna hã be Hill-Sachs lesion) nye. Mina míaƒo nu tso esia ŋu bɔbɔe eye eme nakɔ.

Nukae nye `Hill-Sachs Lesion` sia?

Kpuie ko la, Hill-Sachs Lesion nye ƒoƒo alo abi sue aɖe si dzɔna ɖe wò abɔta ƒe ƒu tame (ƒu didi si le abɔta tame si do ƒome kple abɔta - abɔta), vevietɔ le eƒe akpa si le abe bɔl ene (abɔta ƒe ta). Tsɔe be ne èɖiɖi wò abɔta la, akpa sia si le abe bɔl ene la ƒoa asi sesĩe ɖe wò abɔta ƒe ƒunukpeƒe (glenoid socket) ŋu. Ɣemaɣie wogbã ƒu sia ƒe akpa sue aɖe eye wòwɔa do sue aɖe. Ele abe abi sue aɖe ne akɔɖu dze anyigba ene.

Amekae ate ŋu axɔ `Hill-Sachs Lesion` sia wu?

Le nyateƒe me la, amesiame si ateŋu aʋuʋu eƒe abɔta la le afɔku me be `Hill-Sachs Lesion` sia axɔ. Esia le alea elabena edzɔna ne abɔta vuvu le afɔku alo anyidzedze me. Gake le ame aɖewo gome la, afɔku sia lolo vie wu.

• Le kamedefefewɔlawo gome: Vevietɔ amesiwo ƒoa kamedefefewo, le kpɔɖeŋu me, rugby, bɔlƒoƒo, kɔdada.
• Le ŋutsuwo gome: Wogblɔna be ŋutsuwo ƒe abɔta ʋuʋu wu nyɔnuwo zi gbɔ zi eve.
• Le sɔhɛ siwo xɔ tso ƒe 15 va ɖo ƒe 30 gome: Ame siwo le ƒe sia me la ate ŋu akpɔ gome le afɔkuwo me wu elabena wodoa vevie nu ŋutɔ.
• Le amesiwo ƒe abɔta vuvu va yi gome: Ne ènya ɖe wò abɔta ko la, anɔ eme be àgaɖe abɔta ake. Esia ateŋu ahe `Hill-Sachs Lesion` vɛ.

Aleke gbegbee nɔnɔme sia bɔe?

Amerikatɔwo ƒe nyatakakawo ɖee fia be ame siwo ade 10 le ame akpe alafa ɖesiaɖe me ƒe abɔta ʋuʋuna ƒe sia ƒe. Ema fia be medzɔna ɖe amesiame dzi o. Ke hã, ne èɖe wò abɔta la, alesi wòate ŋu adzɔe be `Hill-Sachs Lesion` nadze ŋuwò la ɖe dzesi ŋutɔ. Numekuku aɖewo ɖee fia be amesiwo ƒe abɔta ʋuʋu la dometɔ 40% va ɖo 90% axɔ abi sia. Ema fia be ne èɖe wò abɔta la, ele be nàbu esia hã ŋu.

Aleke `Hill-Sachs Lesion` sia kpɔa ŋusẽ ɖe wò ŋutilã dzii?

Zi geɖe la, `Hill-Sachs Lesion` ɖeɖe mekpɔa ŋusẽ gã aɖeke ɖe ame dzi o. Eyae nye be vevesese si tso abɔta ƒe ʋuʋu kple abɔa ƒe ʋuʋu ƒe ŋutetemanɔamesie nye dzesi vevitɔwo. Gake ne `Hill-Sachs Lesion` sia li la, dzesi mawo ate ŋu asẽ vie wu . Vevesesea ate ŋu asẽ ɖe edzi, eye abɔa ʋuʋu sesẽ ate ŋu adzi ɖe edzi.

Nu bubu enye be `Hill-Sachs Lesion` sia ateŋu axɔ ɣeyiɣi didi vie hafi wò abɔta nahaya. Azɔ hã, zi alesi abi la loloe la, zi nenemae wòate ŋu adzɔ be nàgaɖe wò abɔta le etsɔme. Le ɣeyiɣi aɖe megbe la, ƒunukpeƒetetedɔ ate ŋu adze abɔta ƒe ƒunukpeƒe ma.Ate ŋu adzɔ hã be abɔta ƒe ƒunukpeƒetetedɔ, si fia be ƒunukpeƒea vuvu.

Nukae nye Hill-Sachs Lesion ƒe dzesiwo?

`Hill-Sachs Lesion` ƒe dzesiwo sɔ kple abɔta si ʋuʋu ƒe dzesiwo le nyateƒe me. Ke hã, abe alesi megblɔe va yi ene la, ne `abi` sia le ŋuwò la, dzesiawo ate ŋu asẽ vie wu.

• Vevesese sesẽ ŋutɔ sese .
• Mesena le ɖokuinye me be gbɔdzɔgbɔdzɔ le asinye.
• Nyemate ŋu aʋuʋu nye asi o .
• Abɔta ƒe dzedzeme to vovo , afisi wònɔ tsã manɔmee (abe ɖe wòdo go ene).
• Ʋuʋudedi dzɔna.
• Àte ŋu akpɔ abi alo ŋutigbalẽ ƒe amadede ƒe tɔtrɔ.
• Lãmetsiwo ƒe ʋuʋu .
• Àte ŋu ase le ɖokuiwò me be yeƒe asi, asibidɛ, alo asibidɛwo le ƒoƒom , ƒoƒo, alo gbɔdzɔgbɔdzɔ .

Vevietɔ: Ne èsusu be yeƒe abɔta vuvu, alo ne èdze afɔku gã aɖe le wò abɔta la, yi kɔdzi ƒe xɔ si te ɖe ŋuwò kpata me enumake. Mègahe ɖe megbe o, elabena ele vevie ŋutɔ be nàxɔ atike kaba.

Nukae hea `Hill-Sachs Lesion` sia vɛ?

Nusi koŋ gbɔ wòtsoe nye abɔta ƒe ʋuʋu .

Bu eŋu ale: míaƒe abɔta ƒe ƒunukpeƒe nye `ball-and-socket joint`. Akpa si le abe bɔl ene si le wò abɔta ƒe ƒu (`Humerus`) tame la nɔa `socket` si le abɔtaƒu (`Scapula`) dzi la me zi geɖe.

Fifia, ne wò abɔta do ɖe ŋgɔ (si fia be edo go tso wò ŋutilã ƒe ŋgɔgbe) la, abɔta ƒe ƒu si le etame ƒe akpa si le abe bɔl ene, si nye abɔta, ate ŋu atɔ ɖe abɔta eye wòatutu. Nyaƒoɖeamenu ma nana be akpa si le abe bɔl ene la vuvu eye wòwɔa `dent`. Woyɔa esia be `Hill-Sachs Lesion`.

Susu vevi siwo tae woɖea abɔta ɖoe nye:

• Kamedefefe me abixɔxɔ - Bu anyidzedze esime nèle rugby ƒom, alo tsi me nɔnɔ esime nèle kriket ƒom ŋu.
• Tsitretsitsi - Esia ateŋu adzɔ ne ège ɖe anyigba alo atrakpuiwo ɖiɖi ko.
• Ʋufɔkuwo - Afɔku siawo ƒomevi ate ŋu ana ame naxɔ abi le abɔta hã.

Aleke ɖɔktawo wɔa dea dzesi `Hill-Sachs Lesion`?

Ne èyi ɖɔkta gbɔ eye wò abɔta vuvu la, woakpɔe ɖa be Hill-Sachs Lesion hã le ŋuwò ne wodo wò kpɔ.

Gbã la, ɖɔktaa ado wò abɔ kple abɔta kpɔ . Woadi teƒe siwo le veve sem le, le vuvu, kple nenye be àte ŋu aʋuʋu wò alɔnu. Emegbe, woate ŋu awɔ nɔnɔmetatawo dodokpɔ aɖewo be woakpɔ nusi tututu le edzi yim le eme.

Woawoe nye:

• X-ray dodokpɔ(`X-rays`): Esia ateŋu akpeɖeŋu be woalé ŋku ɖe ƒuawo ƒe nɔƒe, ƒu ƒe gbagbã, kple bubuawo ŋu.Woateŋu akpɔ `Hill-Sachs Lesion` gɔ̃ hã ɣeaɖewoɣi le `X-ray` dzi.
• MRI (Magnetic Resonance Imaging) scan: Esia ate ŋu ana woate ŋu akpɔ lãkusi falɛfalɛwo, abe lãmekawo, lãkusiwo, lãkusiwo, kple ƒuwo ene nyuie ŋutɔ. MRI le vevie ŋutɔ be woatsɔ anya Hill-Sachs Lesion ƒe lolome kple goglome tututu.
• CT (Computed Tomography) scan: Esia ate ŋu ana nyatakaka tsitotsito ŋutɔ hã tso ƒuawo ŋu. Wozãa CT scan ɣeaɖewoɣi ne wole ɖoɖo wɔm ɖe amekoko ŋu.

Scan siawo te ŋu kpɔa afisi ƒu ƒe abi le kple eƒe lolome nyuie, si kpena ɖe ame ŋu ŋutɔ le ɖoɖowɔwɔ ɖe edada ŋu me.

Aleke wodaa Hill-Sachs ƒe Abi?

Atikewɔwɔ si ƒomevi nèhiã la nɔ te ɖe alesi Hill-Sachs Lesion la loloe dzi, si fia be alesi gbegbe ƒua gblẽe.

Zi geɖe la, ne akɔta ƒe ta si mede 20% o gbã la, mehiã be woawɔ atike tɔxɛ aɖeke nɛ o. Wozãa atike si wozãna zi geɖe na abɔta si vuvu.

Dɔdamɔnu siwo menye amekoko o

1. Ðeɖekpɔkpɔ si wotu:

Esiae nye nu vevitɔ kekeake. Efia be nàgbugbɔ wò abɔta aɖo afisi wònɔ, le socket la me. Esia menye amekoko o. Ðɔktaa alé wò abɔta tso gota, ahee ɖe mɔ nyuitɔ nu, eye wòagbugbɔe aƒo ɖe eme.Ne èle esia wɔm la, woate ŋu ana atike si naa alɔ̃dɔdɔ wò le teƒea (atike si naa teƒea ɖeɖeko tsia dzodzodzoe) wò be wòaɖe vevesese dzi akpɔtɔ, alo woana atike aɖewo siwo naa ame ƒe dzi dzea eme (atike siwo nana nèsena le ɖokuiwò me be yeƒe dzi dze eme vie).

2. Mɔmaɖemaɖeɖenuŋu:

Ne wogbugbɔ abɔta ɖo teƒea vɔ la, ahiã be nàdo aŋetu alo aŋetu be wòanɔ teƒea. Woyɔa esia be ʋuʋudedi. Esia wɔnɛ be abɔta si xɔ abi la gbɔa ɖe eme eye wòkpena ɖe eŋu wòhayana.

Ðɔktaa ate ŋu agblɔ na wò be nàtsɔ tsikpe asisi ɖe eŋu zi geɖe gbesiagbe. Ate ŋu agblɔ na wò hã be nàwɔ kamedede aɖewo be wò abɔta nagasẽ alo axɔ tsikpe o (tsikpe o). Bia wò ɖɔkta ɣeyiɣi didi si wòle be nàdo aŋea kple kamedede agbɔsɔsɔme si wòle be nàwɔ. Ele be ame akpa gãtɔ nana woƒe abɔta nanɔ ʋuʋum kwasiɖa ʋɛ aɖewo.

3. Lãmesẽfefewɔwɔ:

Ne wò abɔta le hayahayam vivivi la, ŋusẽ gaɖo eŋu eye nàte ŋu aʋuʋui nyuie.Lãmesẽfefewɔwɔ adze egɔme. Gbã la, àkeke nu suesuesuewo be wò abɔta naɖe dzi ɖi eye wòagasẽ o. Emegbe, wò ɖɔkta alo kamededeŋutinunyala atsɔ ŋusẽdodo kamededewo akpe ɖe eŋu be wòado ŋusẽ wò lãmekawo kple wò lãkusiwo. Esia akpe ɖe ŋuwò hã be woaɖe afɔku si le ʋu ƒe ʋuʋu le etsɔme me dzi akpɔtɔ. Ahiã be ame geɖe nawɔ kamedede ɣleti geɖe le ʋu si woɖe le lãme na ame megbe.

Amekoko na Hill-Sachs Lesion

Ne `Hill-Sachs Lesion`, si nye ƒu ƒe ƒoƒo, tsyɔ abɔta ƒe ƒu ƒe akpa si le abe bɔl ene (`humerus ta`) ƒe akpa si wu 20% , si fia be abi la lolo la, ateŋu ahiã be woawɔ dɔ nɛ be woaɖɔe ɖo.

Amekokomɔnu geɖe li siwo wowɔna zi geɖe:

• Remplissage procedure: Esia bia be woatsɔ lãkusi falɛfalɛ si te ɖe eŋu ayɔ teƒe si le abe do ene si Hill-Sachs ƒe abi aɖe gblẽ ɖi la me. Zi geɖe la, wozãa atikekui kple lãkusi si te ɖe abɔta ƒe abixɔƒea ŋu hena esia wɔwɔ.
• Ƒu ƒe dodo: Le dɔ sia wɔwɔ me la, ɖɔktaa xɔa ƒu ƒe lãkusi bubuwo hedoa wo ɖe ƒunukpeƒea ƒe akpa si gblẽ la me be wòadzrae ɖo. Woyɔa esia ɣeaɖewoɣi be ƒu ƒe dzidziɖedzi.
• Abɔta ɖɔliɖɔli: Ne nu gblẽ le abɔta ƒe abɔta, abɔtaƒu (abɔta ƒe asike), kple lãkusi bubu siwo le abɔta ŋu vevie la, ate ŋu ahiã be woaɖɔli abɔta. Le go sia me la, amekolaa ɖea abɔta ƒe akpa siwo gblẽ la ɖa eye wòtsɔa ametia ƒe akpa aɖewo ɖɔlia wo.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Zi geɖe la, exɔa ɣleti geɖe hafi wòhayana tso Hill-Sachs Lesion me. Ahiã be nàna wò abɔta nagaʋã o kwasiɖa geɖe, eye nàwɔ kamedede nɛ ɣleti geɖe.

Ɣeyiɣi didi si wòxɔna hafi wò abi la hayana nɔ te ɖe nu geɖe dzi:

• Alesi abi la dzɔe (abe anyidzedze alo kamedefefe ƒe afɔku ene).
• Eɖanye abi bubuwo alo nusiwo gblẽ le abɔta ŋu (abe lãkusi siwo vuvu alo lãkusi ƒe gbegblẽ ene).
• Atikewɔwɔ ka ƒomevie nèhiã, alo ne ele be woawɔ dɔ na wò ?

Wò ɖɔkta alo amekola ana ɣeyiɣi aɖe koŋ si nàhaya le wò abi si nèxɔ la ta, eyata mègatsi dzi o.

Ðe woate ŋu axe mɔ ɖe `Hill-Sachs Lesion` sia nua?

Esi wònye be nudzɔdzɔ kpatawo abe anyidzedze kple kamedefefe ƒe afɔkuwo gbɔe abɔta ƒe ʋuʋu akpa gãtɔ tsona ta la, le nyateƒe me la, naneke meli si woate ŋu awɔ koŋ atsɔ axe mɔ ɖe `Hill-Sachs Lesion` sia nu o.

Gake anyo be nàwɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo siwo wozãna le mɔ gbadza nu dzi be nàɖe afɔku siwo ate ŋu adze afɔku dzi akpɔtɔ:

• Do zikpuimeka ɣesiaɣi ne èle ʋu me.
• Do dedienɔnɔ ƒe dɔwɔnu siwo sɔ le dɔwɔna kple kamedefefe ɖesiaɖe me.(e.g. gakuku, abɔtaɖonuwo).
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ eye nu siwo ate ŋu ana wò alo ame bubuwo nadze anyi la maganɔ eme o. Kpɔ nyuie le teƒe siwo glidzaglidza ŋu.
• Ne èle nane fɔm tso dziƒo la, zã dɔwɔnu alo mɔ̃ aɖe si wowɔ koŋ na taɖodzinua ɣesiaɣi. Mègalia zikpuiwo alo kplɔ̃wo dzi gbeɖe o.
• Ne azɔlizɔzɔ sesẽ na wò alo nèle afɔku gã aɖe me be nàdze anyi la, zã atizɔti alo azɔlizɔmɔ̃.

Nukae woakpɔ mɔ na kple `Hill-Sachs Lesion`?

Ame akpa gãtɔ hayana keŋkeŋ tso abi si woxɔ me. Ne wowɔ dɔ na wò gɔ̃ hã la, ele be nàte ŋu atrɔ ɖe wò dɔwɔna kple kamedefefe siwo nèwɔna ɖaa ƒe akpa gãtɔ ŋu ne wò abɔta nya haya ko.

Gake ne ènya vuvu wò abɔta ko la, anɔ eme be àgaxɔ abi ake. Numekuku aɖewo ɖee fia be kamedefefewɔla siwo mexɔ ƒe 25 haɖe o siwo ƒe abɔta ʋuʋu le kamedefefe si me wodoa ka kple wo nɔewo me la dometɔ siwo wu 90% agade abi abɔta ma ke ŋu le etsɔme.

Eyata hafi nàgadze kamedede ɖesiaɖe gɔme ake – vevietɔ kadodo kple kamedefefewo – ƒo nu kple wò ɖɔkta alo amekola. Woate ŋu aɖe nusi woakpɔ mɔ na kple alesi woawɔ axe mɔ ɖe ʋuʋu le etsɔme nu me. Kamedede nyuie hã ate ŋu aɖe afɔku sia dzi akpɔtɔ.

Ðe nyemate ŋu ayi dɔme alo suku o vaseɖe esime nye lãme nasẽa?

Ne màte ŋu awɔ wò dɔ alo sukudɔdasiwo evɔ mèʋuʋu wò abɔ o esime wò abɔta meʋã o la, ɖewohĩ màte ŋu ayi dɔme alo suku o. Wò ɖɔkta agblɔ ʋuʋu kple nɔnɔme siwo wòle be nàƒo asa na vaseɖe esime nàhaya. Wɔ ɖe mɔfiame mawo dzi nyuie.

Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?

Ne afɔku gã aɖe (nuveviwɔame) dzɔ ɖe dziwò la , yi xɔ si me wowɔa dɔ kpata le enumake.

Ne èsusu be yeƒe abɔta vuvu la:

• Yi xɔ si me wowɔa dɔ kpata le alo nàƒo ka na 1990.
• Mègaʋuʋu wò asi o. Na wòate ɖe wò ŋutilã ŋu.
• Mègadze agbagba be ye ŋutɔ yeagbugbɔ yeƒe abɔta aɖo teƒe bubu o. Mègana ame bubu aɖeke nawɔe negbe ɖɔkta ko o. Ne ame aɖe si menye eŋutinunyala bibi o dze agbagba be yeatrɔ wò abɔta la, àte ŋu agblẽ nu le ʋukawo, lãmekawo, lãkusiwo, kple lãmekawo ŋu.
• Da tsikpe aɖe ɖe teƒe si xɔ abi la. Esia aɖe abi kple vevesese dzi akpɔtɔ.
• Vevesesenutsitikewo (e.g. paracetamol, alo `NSAIDs` - Nonsteroidal anti-inflammatory drugs, abe alesi wò ɖɔkta ŋlɔe ene) ateŋu akpeɖeŋu be woaɖe vevesese kple dzesi bubuwo dzi akpɔtɔ. Gake mèganoe wòagbɔ atike si wokafu ŋu o.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne nɔnɔme sia tɔgbe le ŋuwò la, anyo be nàbia wò ɖɔkta tso nya siwo gbɔna ŋu:

• Ðe wòhiã be woawɔ dɔ nam atsɔ aɖɔ nye Hill-Sachs Lesion ɖoa? Ne nenemae la, ke ka ƒomevie?
• Ɣeyiɣi didi kae wòhiã be nye alɔ nagaʋuʋu o?
• Ɣekaɣie wòle be madze kamedede gɔme? Ɣeyiɣi didi kae wòaxɔ?
• Ɣekaɣie magate ŋu awɔ kamedefefe alo ade kame ake? Nu kawo ƒomevie mate ŋu awɔ gbã?
• Nukae mate ŋu awɔ be nye abɔta nagaʋuʋu ake o?

Vovototo kae le `Hill-Sachs Lesion` kple `Reverse Hill-Sachs Lesion` dome?

`Hill-Sachs Lesion` kple `Reverse Hill-Sachs Lesion` nye abi ƒomevi ɖeka. Vovototo si le wo dome koe nye wò abɔtaƒu ƒe akpa si le abe bɔl ene (`Humerus`) ƒe akpa si dzi abi la le .

• `Hill-Sachs Lesion` nye ƒoƒo si dzɔna le abɔta ƒe akpa si le abe bɔl ene ƒe megbe gome (le atikewɔwɔ me la, `posterolateral aspect`) ne wotue yi ŋgɔ tso `ŋgɔgbe gome`.
• `Reverse Hill-Sachs Lesion` nye ʋuʋudedi si dzɔna le abɔta ƒe akpa si le abe bɔl ene ƒe ŋgɔgbe gome (le atikewɔwɔ me la, `anteromedial aspect`) ne wotsɔe ƒu gbe tso `megbe gome`.

Wokpɔa dɔlélea le wo ame evea siaa ŋu hewɔa atike na wo le mɔ ɖeka kloe nu.

Vovototo kae le `Hill-Sachs Lesion` kple `Bankart Lesion` dome?

`Hill-Sachs Lesion` kple `Bankart Lesion` nye abi ƒomevi eve siwo do ƒome kple abɔta ƒe ʋuʋu. Ke hã, woto vovo.

• `Hill-Sachs Lesion` nye ƒu ƒe ʋuʋu si dzɔna ne wò abɔta ƒu du yi ŋgɔ tso axa ɖeka yi axa ke (anterior glenohumeral dislocation), si wɔnɛ be abɔta ƒe ƒu si le etame (`humerus`) ƒe ta tsia, si wɔnɛ be ƒu ƒe ʋuʋudedi nɔa abɔta ƒe ʋuƒoa me. Esia fia be esia nye nusiwo gblẽ le ƒua ŋu.
• `Bankart Lesion` nye abi si woxɔna le ƒunukpeƒe ƒe asigɛ si kpɔa ame ta si ƒo xlã abɔta ƒe ƒunukpeƒe (si woyɔna be `Labrum`). `Bankart Lesion` nye aɖatsi le `Labrum` sia me. Esia ateŋu adzɔ tso ʋuʋu alo ʋuʋu vie (`subluxation`). Ne abɔta nya vuvu ko la, anɔ eme be wòagadzɔ ake. Ne abɔta yi edzi le ʋuʋum alo `subluxate` la, `Labrum` ateŋu agblẽ ɖe edzi (abe `SLAP tear` ene).

Abɔta si vuvu ate ŋu anye nuteƒekpɔkpɔ si me vevesese le ŋutɔ eye wòado vɔvɔ̃ na ame. Kasia esi màte ŋu aʋuʋu wò alɔ o, ne èse le ɖokuiwò me be yeƒe abɔta megale afisi wònɔ tsã o la, nye nusi wɔa nuku ŋutɔ. Mègadze agbagba gbeɖe be yea "tock" yeƒe abɔta eye yeagatsɔe aƒo ƒui o. Yi xɔ si me wowɔa dɔ kpata le enumake eye nàdi atikewɔla kaba ale si nàte ŋui.

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Ne èɖe wò abɔta zi ɖeka, eɖanye Hill-Sachs Lesion le ŋuwò alo mèxɔe o la, ke èle afɔku gã aɖe me be nàgade abi eŋu le etsɔme. Eyata, ƒo nu kple wò ɖɔkta le wò hayahayaɣi. To mɔ sia dzi la, àte ŋu akpɔ nusi nàkpɔ mɔ na kple alesi nàkpɔ wò abɔta tae nyuie wu.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata mina míagbugbɔ aƒo nu tso nu vevitɔ kekeake siwo ŋu míeƒo nu tsoe le `Hill-Sachs Lesion` sia me ŋu:

• Esia dzɔna ne abɔta aɖe ʋu , eye abɔta ƒe ƒu ƒe akpa si le abe bɔl ene (`humerus`) ƒo abɔta ƒe asike, si na be abi sue aɖe si le abe ʋuʋudedi ene va do ɖe ƒua dzi.
• Dzesi siwo le eŋu abe abɔta si vuvu ene, abe vevesese sesẽ, alɔnu maʋãmaʋã, kple vuvu , gake ate ŋu asẽ vie wu.
• Zi geɖe la, woate ŋu agbugbɔ abɔta aɖo teƒe bubu, ana wòagaʋã o, eye woatsɔ kamedede awɔ dɔe amekoko manɔmee .
• Ne abi la lolo (wu 20% le ƒua me) la, ate ŋu ahiã be woawɔ dɔ nɛ .
• Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne wò abɔta vuvu. Mègadze agbagba be ye ŋutɔ yeaɖɔe ɖo o.
• Ne èɖe wò abɔta zi ɖeka la, anɔ eme be àgaɖee ake. Eyata ele vevie ŋutɔ be nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖowo dzi eye nàna wò abɔta nasẽ.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ɖɔkta alo vixela biabia me o. Nɔ lãmesẽ me!

` Abɔta ƒe ʋuʋu, Hill-Sachs Lesion, Hill-Sachs ƒe abi, abɔta ƒe vevesese, ƒu ƒe ƒoƒo, abɔta ƒe atikewɔwɔ, kamedede