Oo, ɖe wò alo viwòa gbã ƒu aɖea? (Bone Fracture) Mègatsi dzi o, mina míaƒo nu tso esia ŋu!

Ate ŋu ado vɔvɔ̃ na ame ŋutɔŋutɔ eye wòana nàtsi dzimaɖi ne èsusu be ye, viwò, alo ame aɖe si nènya be yeagbã ƒu. Ɣeaɖewoɣi la, ate ŋu adzɔ tso anyidzedze sue aɖe, esime wole fefem, alo afɔku sue aɖe gɔ̃ hã esime míele ʋu me. Eyata egbea, mina míaƒo nu tso nusi ƒu gbagbã nye, alesi woade dzesii, nusi ɖɔktawo wɔna tso eŋu, kple vevietɔ wu la, alesi wòdaa dɔe ŋu.

Nuka tututue wòfia be woagbã ƒu?

Kpuie ko la, ƒu gbagbãe nye ne ƒu sesẽ aɖe si le míaƒe ŋutilã me gbã alo gbã, keŋkeŋ alo eƒe akpa aɖe. Zi geɖe la, mí ɖɔktawo míeyɔa esia be ‘ame ƒe gbagbã’ . Togbɔ be míaƒe ƒuwo sesẽ ŋutɔ hã la, ne wotsɔ ŋusẽ si lolo wu seɖoƒe aɖe, abe anyidzedze alo ƒoƒo sesẽ ene, de wo me la, woate ŋu agbã. Bu eŋu abe atikplɔ ene, àte ŋu abɔbɔe vie, gake ne ènya ɖo seɖoƒea ko la, agbã, alo? Aleae wòle.

Nukatae míegbãa míaƒe ƒuwo alea? Nukawoe nye susu siwo tae?

Susu geɖewo ate ŋu anɔ anyi siwo tae ƒu gbã ɖo. Na míalé ŋku ɖe susu vevi aɖewo ŋu.

• Anyidzedze: Esiae nana ƒuwo gbãna wu, vevietɔ le ɖeviwo kple ame tsitsiwo dome. Ðevi suewo ate ŋu adze anyi ne wole du dzi le tsatsam, le atiwo liam, alo ne wonɔ anyi ɖe aƒeme ko gɔ̃ hã. Ne míele tsitsim la, míaƒe dadasɔ dzi ɖena kpɔtɔna eye míaƒe ƒuwo gbɔdzɔna, si wɔe be anɔ eme be míagbã ƒu aɖe le anyidzedze me.
• Afɔkuwo: Woate ŋu agbã ƒuwo hã le nuwo abe mɔdododzifɔkuwo, anyidzedze tso kɔkɔƒewo, alo afɔku siwo dzɔna le dɔwɔƒe ene ta.
• Kamedefefewo me Nuveviwɔame: Fefewɔlawo ate ŋu agbã ƒuwo ne wole kamedefefe siwo gblẽa nu le ame ŋu ŋutɔ abe kriket, bɔl, rugby, alo duƒuƒu kple titri ene wɔm. Ɣeaɖewoɣi la, esia ate ŋu adzɔ tso anyidzedze si mebɔbɔ o gɔ̃ hã me.
• Nuteɖeamedzi Gbugbɔgadzɔ: Ne èyi edzi le ʋuʋu ma ke wɔm la, nuteɖeamedzi sue aɖe ate ŋu ade ƒu si ŋu wòku ɖo la dzi. Asrafowo kple duƒula didiwo ateŋu axɔ ƒu ƒe gbagbã suewo (`Stress Fractures`) le susu mawo ta.
• Dɔléle ƒe Gbagbãƒe: Nɔnɔme aɖewo, abe ƒumeŋuɖui kple ƒumeŋuɖui ene, ate ŋu ana ƒuwo nagbɔdzɔ eye wòana woagbã kple ŋusẽ suetɔ kekeake gɔ̃ hã.

Ðe lãmekawo ƒe gbagbã ƒomevi vovovowo lia?

Ẽ, le nyateƒe me la, ƒu ƒe gbagbã ƒomevi vovovowo li, le alesi ƒuawo gbãe kple alesi ƒu kakɛ siwo gbã la le nu. Ðɔktawo zãa hatsotso sia tsɔ nyaa atikewɔmɔnu siwo woate ŋu azã. Mina míalé ŋku ɖe lãmekawo ƒe gbagbã ƒomevi vevi aɖewo ŋu kpuie.

• Greenstick ƒe Gbagbã:Esia le abe aŋgba ƒuƒu si xɔ dzo la ŋeŋe, axa ɖeka gbã eye akpa kemɛ bɔbɔ ene. Ƒua ƒe akpa ɖeka koe gbã keŋkeŋ, evɔ akpa kemɛ ya bɔbɔ ko. Esia bɔ ɖe ɖevi suewo ƒe ƒuwo me wu, elabena woƒe ƒuwo fa vie eye wote ŋu trɔna bɔbɔe.
• Buckle alo Torus Fracture: Esia nye ne ƒua ƒe akpa ɖeka bɔbɔ ɖe gota vie, abe ƒu sue aɖe ene. Akpa kemɛa megbã o. Esia nye abi si bɔ ɖe ɖevi suewo hã ŋu.
• Avulsion Fracture: Lãmetsi siwo woyɔna be lãkusiwoe léa míaƒe lãmekawo ɖe míaƒe ƒuwo ŋu. Ɣeaɖewoɣi la, ne lãkusi aɖe he ɖa le esi wòlé ɖe ƒua ŋu la, ƒu kakɛ aɖe ate ŋu ado le ɣeyiɣi ɖeka me. Woyɔa ema be avulsion fracture.
• Tsitsi ƒe Kplu Gbagbã: Ne ɖeviwo kple sɔhɛ tsitsiwo le tsitsim la, teƒe tɔxɛ aɖewo le woƒe ƒuwo me afisi wotsina didi wu. Míeyɔa teƒe siawo be tsitsi ƒe agbawo. Ne ƒu aɖe gbã le tsitsiƒe siawo dometɔ ɖeka la, woyɔnɛ be tsitsi ƒe gbadzɛ ƒe gbagbã. Esia nye nusi ŋu wòle be woatsi dzi ɖo vevie, elabena ate ŋu akpɔ ŋusẽ ɖe ɖevia ƒe ƒu ƒe tsitsi le etsɔme dzi.
• Nuteɖeamedzi ƒe Gbagbã: Abe alesi míegblɔe va yi ene la, ne ƒu aɖe le nuteɖeamedzi me atraɖii, abe le duƒulawo gome ene la, gbagbã sue aɖe ate ŋu ado ɖe ƒua me. Esia menye gbagbã gã aɖe kpata o, ke boŋ gbagbã sue aɖe si dona vivivi le ɣeyiɣi aɖe megbe le nuteɖeamedzi enuenu ta.
• Comminuted Fracture: Esia nye gbagbã si nu sẽ wu. Esia nye ne ƒua gbã ɖe akpa eve kple edzivɔ me. Zi geɖe la, esia dzɔna le afɔku gã aɖe alo ƒoƒo sesẽ aɖe megbe.
• Compression Fracture: Esiae nye ne womi ƒua, wogbãe, eye eƒe kɔkɔme megale eŋu o. Ele abe ƒumebɔbɔ si wole ʋuʋum ene. Wokpɔa gbagbã sia ƒomevi zi geɖe le akɔtaƒuwo me, vevietɔ le ame tsitsi siwo ŋu nɔnɔmewo abe ƒumeŋuɖui ene le gome.

Esiawo nye ƒomevi veviawo dometɔ ʋɛ aɖewo ko. Tsɔ kpe ɖe eŋu la, gbagbã ƒomevi bubuwo hã li, eye ne ŋkuléle ɖe X-ray ŋu koe ɖɔkta ate ŋu agblɔ gbagbã ƒomevi si tututu wònye na wò.

Aleke míesena le mía ɖokui me ne míegbã ƒu? Nukawoe nye dzesiawo?

Ne ƒu aɖe gbã la, ate ŋu aɖe dzesi vovovowo afia. Wo dometɔ aɖewo dzena gaglãa ŋutɔ, evɔ bubuwo ya menya kpɔna dzea sii bɔbɔe o.

• Vevesese: Esiae nye dzesi vevitɔ si ame sia ame kloe sena le eɖokui me. Vevesese sesẽ le afisi wògbã le. Ɣeaɖewoɣi la, vevesesea wɔnɛ be womate ŋu aʋuʋu teƒe si dɔlélea le o.
• Vuvu: Teƒe si ƒo xlã gbagbãƒea adze vuvu gɔme. Esia nye dzɔdzɔmenu si ŋutilãa wɔa nui.
• Abi/Amadede ƒe Tɔtrɔ: Ʋu gena ɖe ŋutigbalẽa te le afisi wòtso, si wɔnɛ be teƒea dzena blɔ, aŋutiɖiɖi, alo ɣie. Edze abe abi sesẽ aɖee wònye ene.
• Ʋuʋu Sesẽna:Abɔ, afɔ, alo ƒunukpeƒe bubu si gbã ate ŋu ana wòasesẽ be woaʋuʋui alo azãe le mɔ si sɔ nu.
• Nuwɔametɔnyenye: Le gbagbã sesẽ aɖewo me la, abɔ kple afɔ ate ŋu akeke eye wòadze abe ɖe eƒe nɔnɔme mele dzɔdzɔme nu o ene. Esia nye dzesi si me afɔku le eye ele be nàyi ɖɔkta gbɔ enumake.
• Ʋuʋudedi: Ɣeaɖewoɣi la, ƒu gbagbã aɖe ate ŋu agbã ŋutigbalẽa eye wòado go. Woyɔa esia be ‘ʋuʋudedi si le ʋuʋu ɖi’ (alo gbagbã si wotsɔ ƒo ƒui) . Esia nye afɔku gã aɖe elabena ʋudodo kple dɔlékuiwo xɔxɔ ƒe afɔku gã aɖe le eme.
• Crepitus: Ne ƒu gbagbãawo va dze wo nɔewo dzi la, woate ŋu ase gbeɖiɖi wɔnuku aɖe, abe gbeɖiɖi ‘si le ʋuʋum’ ene, ne woka asi teƒea ŋu alo ʋuʋui .

Vevietɔ: Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò alo viwòa ŋu la, mègaŋe aɖaba ƒu edzi be enye abi ko o. Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Aleke ɖɔktawo wɔa akpɔe ɖa be ƒu aɖe gbã hã?

Ne èyi ɖɔkta gbɔ eye ƒu gbã la, woabia wò gbã tso alesi wòdzɔe kple alesi gbegbe wòvee ŋu. Emegbe, woalé ŋku ɖe ƒu si wosusu be egbã la ŋu nyuie. Woadi be woavuvu, woƒe nɔnɔme natrɔ, woƒe ʋuʋu, eye woase veve ne woka asi wo ŋu.

Emegbe, woɖea gbe be woawɔ X-ray be woatsɔ anya ne ƒu aɖe gbã, afisi wòle, kple alesi wògbãe. X-ray ate ŋu aɖe nu geɖe afia nyuie, abe alesi ƒua gbãe, afisi wògbãe le, kple nenye be ƒu kakɛawo ʋu le teƒe bubu ene. Le gbagbãƒe sesẽ aɖewo me la, woate ŋu awɔ CT-dɔdamɔnu alo MRI-dɔdamɔnu hã.

Aleke nèwɔna da gbe le ƒu gbagbãwo ŋu? Nukawoe nye atikewɔmɔnuawo?

Taɖodzinu vevitɔ si le ƒu gbagbã dada ŋue nye be woagatsɔ ƒu gbagbãawo aƒo ƒu nyuie eye woanɔ teƒe si wole. Ema ko hafi ƒua ate ŋu ahaya nyuie. Mɔnu vovovowo li na esia.

• Casting: Esiae nye mɔnu si wozãna wu. Wotsɔa aŋe sesẽ aɖe dana ɖe alɔ, afɔ, alo ŋutilã ƒe akpa bubu si gbã dzi. Esia kpena ɖe ƒu gbagbãa ŋu wòdaa gbe nyuie to ewɔwɔ be wòagaʋã o me. Ɣeyiɣi didi si wòle be woado aŋea nɔ te ɖe afisi wògbãe, alesi wògbãe, kple ƒe si amea xɔ dzi.
• Splint alo Brace: Ɣeaɖewoɣi, vevietɔ ne vuvu geɖe le gɔmedzedzea me la, wozãa kpeɖeŋutɔ si woate ŋu aɖe (`splint` alo `brace`) si mesẽ abe cast ene o. Woate ŋu atsɔ aŋe asisi ɖe eŋu ne vuvua nu fa vɔ.
• Ðeɖekpɔkpɔ: Ɣeaɖewoɣi la, ƒu si gbã la ate ŋu adzo, eye kakɛ eveawo nanɔ ʋuʋum yi ŋgɔ kple megbe. Ne edzɔ alea la, ɖɔktaa agatsɔ kakɛawo aƒo ƒui.Wotsɔa aŋɔa ƒoa aŋɔa ne ‘woɖoe’ vɔ. Míeyɔa esia be 'nɔnɔme', eye le atikewɔwɔ me la, woyɔnɛ be `(Ðeɖekpɔkpɔ)'.
• Closed Reduction: Le esia me la, wotrɔa asi le ƒu kakɛawo ŋu tso gota evɔ wometsoa ŋutigbalẽa o. Ɣeaɖewoɣi la, wowɔa esia le atike si naa alɔ̃dɔdɔ si mesẽ o (anaesthesia) te, elabena ate ŋu ave ame vie.
• Open Reduction and Internal Fixation (ORIF): Le ƒu gbagbã sesẽ aɖewo me, alo ne Closed Reduction mete ŋu ɖo nyuie o la, wowɔa dɔ tsɔ ɖea ƒu kakɛ siwo gbã la ɖa eye wotsɔa ka, agbalẽviwo, gavi, kple gaviwo ɖɔa wo ɖo le ememe.
• Gomegome Nuléle: Le ƒu gbagbã siwo nu sẽ ŋutɔ, siwo wogbã me la, wozãa ga si wotsɔ léa ƒu kakɛawo ɖe wo nɔƒe ɣeaɖewoɣi.

Tsɔ kpe ɖe eŋu la, ɖɔktaa aŋlɔ atikewo abe vevesesenutsitikewo kple ɖewohĩ dɔlékuiwutikewo ene hã na ame (ne ʋu gbagbã le ʋuʋu ɖi gome).

Ðe mewɔ nuku oa? Aleke ƒu aɖe si le míaƒe ŋutilã me daa dɔe?

Ƒu ƒe dɔyɔyɔ nye nusi wɔ nuku eye wòsesẽ le míaƒe ŋutilã me vavã. Na míalé ŋku ɖe alesi wòdzɔnae ŋu afɔɖeɖe ɖesiaɖe.

1. Hematoma Formation: Gbã la, ne ƒu aɖe gbã ko la, ʋu dzea ƒoƒo ɖe teƒe si wògbã le, si wɔnɛ be ʋu ƒe sisi (alo hematoma). Esia kpɔa teƒe si wògbã la ta eye wòdzea lãmenugbagbevi tɔxɛ siwo hiã be woada gbe le eŋu la xɔxɔ gɔme.

2. Callus ƒe Ƒuƒoƒo: Emegbe le ŋkeke ʋee aɖewo megbe la, lãkusi yeye falɛfalɛ (`soft callus`) dzea wɔwɔ gɔme ƒoa xlã ƒu kakɛ eve siwo gbã le afisi ʋu ƒe sisi nɔ. Esia le abe aŋɔ ene, eye wòtsɔa ƒu kakɛ eve siwo gbã la doa ka kple wo nɔewo. Le ɣeyiɣi aɖe megbe (le kwasiɖa ʋee aɖewo me) la, ``callus`` falɛfalɛ sia ƒoa calcium nu ƒu vivivi eye wòzua ``ƒu ƒe callus`` (``hard callus``) sesẽ, sesẽ. Esia tae wogblɔna be wogblẽa aŋɔa ɖe edzi ɣeyiɣi didi aɖe ɖo. Takpɔ ``callus`` sia ta vaseɖe esime wòawɔ nyuie eye ƒua nasẽ.

3. Ƒu ƒe Gbugbɔgaɖɔɖo: Ƒu ƒe ƒuƒu sesẽ si wowɔ yeyee ate ŋu alolo vie le gɔmedzedzea me eye wòato vovo tso ƒua ƒe nɔnɔme gbãtɔ gbɔ. Gake le ɣeyiɣi aɖe megbe (ɣleti ʋɛ aɖewo, ɖewohĩ ƒe ɖeka alo eve) la, lãmenugbagbevi tɔxɛ siwo le míaƒe ŋutilã me (ƒumeŋuɖuiwo kple ƒumeŋuɖuiwo) gbãa ƒu yeye sia, gbugbɔa tu, eye wogbugbɔa ƒua ƒe nɔnɔme trɔna ɖe eƒe nɔnɔme gbãtɔ nu. Woyɔa esia be Ƒuwo ƒe Gbugbɔgaɖɔɖo.

Eyata àte ŋu akpɔe, nuwɔna wɔnuku ka gbegbee nye si wònye be ƒu aɖe hayana. Dzigbɔɖi kple ɣeyiɣi le vevie ŋutɔ na esia.

Eyata, mina esia nanɔ susu me na mí! (Gbedasi si Wotsɔ Yi Aƒeme)

Ƒu gbagbã nye nuteƒekpɔkpɔ dziŋɔ kple vevesese na amesiame. Gake ne mètsi dzodzodzoe, se egɔme nyuie, eye nèxɔ atike nyuitɔ o la, zi geɖe la, ate ŋu ada gbe le eŋu keŋkeŋ.

• Ne ɖikeke suetɔ kekeake do mo ɖa be yewo dome gblẽ ko la, .Mègatsɔe ko be abi alo ʋuʋudedie o, yi ɖɔkta gbɔ enumake. Zi alesi nèlala ɣeyiɣi didi la, zi nenemae wòaxɔ ɣeyiɣi didi hafi wòahaya eye kuxi geɖe ate ŋu ado mo ɖa.
• Wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ, vevietɔ le ɣeyiɣi didi si wòle be nàdzra aŋɔ (cast), atikewo, kple kamededewo ɖo gome. Esia le vevie ŋutɔ be wòahaya kaba.
• Kpɔ nyuie le ƒu ƒe gbagbã le ɖeviwo ŋu vevietɔ, vevietɔ esiwo ku ɖe ƒunukpeƒewo (tsitsi ƒe agbalẽvi) ŋu, elabena ate ŋu akpɔ ŋusẽ ɖe woƒe tsitsi le etsɔme dzi.
• Exɔa ɣeyiɣi hafi ƒu aɖe hayana. Gbɔ dzi ɖi nɛ. Na ɣeyiɣi wò ŋutilã wòhiã be wòawɔ eƒe dɔ nyuie.
• Ne woɖe aŋɔa ɖa vɔ gɔ̃ hã la, kamedede siwo wotsɔ wɔa kamedede abe alesi ɖɔktaa kafui ene akpe ɖe ŋuwò ŋutɔ le ƒunukpeƒe ma ƒe ʋuʋu kple ŋusẽ gbugbɔgaɖoanyi me.
• Ne nyabiase alo ɖikeke aɖe le mewò la, mègavɔ̃ alo nàhe ɖe megbe gbeɖe be yeagabia wò ɖɔkta ake o. Gome le asiwò be woana nànya nu tso wò lãmesẽ ŋu.

Eyata, kpɔ nyuie! Ne afɔku aɖe dzɔ la, mègatsi dzodzodzoe o, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

` Ƒu gbagbãwo, ƒu gbagbã, ƒu gbagbã, aŋɔ dada, ƒu gbagbã ƒe dɔyɔyɔ, ƒu gbagbã le ɖeviwo me, ƒu ƒe dɔyɔyɔ ƒe ɖoɖo