Nukae nye ʋuʋudedi? Mègatsi dzi o, mina míaƒo nu tso eŋu tsitotsito!

Teƒe aɖewo le míaƒe ŋutilã me siwo wowɔ be míate ŋu abɔbɔ ahaʋuʋu. Bu teƒewo abe wò abɔta, abɔta, klo, kple asibidɛwo ene ŋu kpɔ. Míeyɔa ƒunukpeƒe siawo be . Eyata, èse ŋutinyawo abe, "Oo, nye abɔtaƒu do" alo "Ame aɖe ƒe ƒu do eye wòva hiã be mayi kɔdzi" kpɔa? Ðewohĩ wò ŋutɔ èto nuteƒekpɔkpɔ ma me kpɔ, alo ɖewohĩ ame aɖe si nènya hã to eme. "Ƒe ƒe ʋuʋu" ma nye nusi woyɔna be ``Dislocation'' le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me. Togbɔ be nya sia aɖi vɔvɔ̃ vie ne èsee hã la, ne ènya se nusi tututu wònye, nusita wòdzɔna, kple nusi nàwɔ ne edzɔ gɔme ko la, míate ŋu akpɔ nɔnɔme sia gbɔ nyuie wu.

Nuka tututue nye ʋuʋudedi?

Kpuie ko la, ƒu ƒe ʋuʋu nye ne ƒu ɖeka alo esi wu nenema le ƒunukpeƒe aɖe ʋu tso woƒe nɔƒe si sɔ, si fia be wodzo le teƒe si wòle. Bu ƒunukpeƒe aɖe be enye ʋuƒo si wotsɔ ƒoa ʋuƒoe. Ʋɔtrua wɔa dɔ nyuie nenye be hinge la ƒe akpa eveawo le nɔnɔme nyuitɔ me ko. Ne akpa ɖeka mele teƒe aɖeke o la, ʋɔtrua maʋu alo atu nyuie o, abe alesi ko ƒunukpeƒe ƒe ʋuʋu dzɔna ene.

Míaƒe ƒunukpeƒewo nye ƒu siwo do ƒome kple wo nɔewo kple lãkusi falɛfalɛ siwo ƒo xlã wo, abe ƒunukpeƒetetedɔ, lãkusiwo, lãkusiwo, kple lãmekawo ene. Esiawo katã wɔa dɔ ɖekae be ƒunukpeƒea nali ke eye wòakpe ɖe mía ŋu míaʋuʋu. Ƒumeŋuɖui nye ne ƒu siawo dometɔ ɖeka alo esi wu nenema do le ƒunukpeƒea keŋkeŋ alo eƒe akpa aɖe do go le ƒunukpeƒea.

Vevietɔ: Ʋu ƒe ʋuʋu to vovo na ʋu ƒe gbagbã. Ƒu ƒe gbagbã nye ƒu ƒe gbagbã ɖe eve alo ƒu ƒe mama. Nenema ke ƒunukpeƒetetedɔ nye ʋuka siwo le ƒunukpeƒe ƒe tete. Togbɔ be wo ame etɔ̃awo katã vea ame hã la, nu siwo gbɔ wòtso kple atikewɔwɔ ate ŋu ato vovo.

Nukatae ƒuwo ti kpo alea? Nukawoe nye susu vevi siwo tae?

Susu geɖe ate ŋu anɔ anyi siwo tae ƒu ate ŋu ado. Na míalé ŋku ɖe nu vevi siwo nana esia dzɔna ŋu:

• Afɔkuwo kple abixɔxɔ (Trauma): Esiae nye nusi gbɔ wòtsona wu.
• Anyidzedze: Vevietɔ ne èle gegem tso kɔkɔƒe la, ne abɔa ɖiɖi vodadatɔe la, ƒunukpeƒewo abe abɔta, abɔta, kple asibidɛ ene ate ŋu avuvu. Ame tsitsiwo kple ɖevi suewo ate ŋu adze anyi.
• Kamedefefewo ƒe abixɔxɔ: Ate ŋu adzɔ le kamedefefe siwo me wodoa ka kple wo nɔewo abe rugby kple bɔlƒoƒo ene me, kple le kamedefefe siwo hiã be woatrɔ ɖe nɔnɔmewo ŋu abe kamedede ene me. Le kpɔɖeŋu me, ne èle kriket ƒom la, àte ŋu `aƒu tsi` eye nàyi aɖaxɔ `lé` eye nàgbã wò abɔta.
• Ʋufɔkuwo: Ʋufɔku sesẽ aɖe ate ŋu agbã ƒunukpeƒe gãwo abe akɔta ƒe ƒunukpeƒe ene gɔ̃ hã.
• Ƒuƒoƒo tẽ: Ne woƒo ƒu sesẽ aɖe tẽe la, ate ŋu ana ƒu hã naɖe ɖa.

• Nɔnɔme aɖewo Siwo Wodzina:
• Wodzia ame aɖewo kple ƒunukpeƒewo ƒe ʋuʋu alo ƒunukpeƒewo ƒe ʋuʋu. Esia fia be woƒe lãkusiwo te ŋu trɔna bɔbɔe wu alesi wòle dzɔdzɔmee. Ame siawo te ŋu gbãa ƒuwo bɔbɔe. Esia ate ŋu atso domenyiŋusẽfianu ƒe nɔnɔme aɖewo abe Ehlers-Danlos ƒe dɔléle ene hã gbɔ.

• Nuteɖeamedzi Gbugbɔgagblɔ:
• Ɣeaɖewoɣi ne woʋuʋu ƒunukpeƒe ɖeka ma ke enuenu le mɔ ɖeka nu la, lãkusi siwo ƒo xlã ƒunukpeƒe ma ate ŋu agbɔdzɔ eye ƒuwo ate ŋu adze anyi bɔbɔe. Gake esia ate ŋu ana ƒu ƒe akpa aɖe naʋuʋu, afisi ƒua adzo le teƒe si wòle vie (subluxation), ke menye be wòaʋuʋu keŋkeŋ o.

Nukawoe nye ƒu ƒe ʋuʋu ƒe dzesiwo?

Alesi ƒumeŋuɖui sena le eɖokui me kple alesi wòdzenae ate ŋu ato vovo vie tso ame ɖeka gbɔ yi bubu gbɔ. Gake dzesi ʋɛ aɖewo li siwo bɔ:

• Vevesese sesẽ: Esiae nye dzesi vevitɔ. Vevesesea ate ŋu anye nusi womate ŋu ado dzi atsɔ o, vevietɔ ne èdze agbagba be yeaʋuʋu ƒunukpeƒea. Ate ŋu ase le eɖokui me abe hɛ aɖe le ƒowòm ene.
• Ʋuʋudedi kple ƒoƒoe: Afisi ƒo xlã ƒu si gbã la avuvu kaba. Ɣeaɖewoɣi la, ʋu vi aɖe ate ŋu aƒo ƒu eye wòadze blɔ alo aŋutiɖiɖi, abe ƒoƒoe ene.
• Ƒunukpeƒetetedɔ: Zi geɖe la, esia nyea dzesi si dzena. Ƒunukpeƒea ate ŋu adze abe ɖe mele teƒe aɖeke o, ekeke, ebɔbɔ, alo le dodom le mɔ si mewɔ nuku o nu. Le kpɔɖeŋu me, ne wobɔbɔ abɔta la, ate ŋu adze abe abɔa le ƒoƒom ɖe anyi vie ene.
• Ʋuʋu sesẽ alo ʋuʋu ƒe ŋutetemanɔamesi keŋkeŋ: Ne ƒu aɖe gbã la, ƒunukpeƒea mate ŋu aʋuʋu nyuie o. Ɣeaɖewoɣi la, ate ŋu adzɔ be mate ŋu aʋuʋu kura o.
• Nuveviwɔame alo seselelãme ƒe bu: Ne lãmeka siwo toa ƒunukpeƒea me la miã ne ƒua gbã la, àte ŋu atsi dzodzodzoe, àse le ɖokuiwò me be yeƒe lãme nasẽ, alo màse le ɖokuiwò me kura le teƒe si le ƒunukpeƒea te o.
• Ame aɖewo hã gblɔna be yewosea "tock" gbeɖiɖi aɖe ɣeaɖewoɣi.

Aleke ɖɔkta awɔ anya dɔléle si le ʋuʋum nyuie?

Ne dzesi siawo le ŋuwò la, nu nyuitɔ si nàwɔe nye be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui. Zi geɖe la, ɖɔkta awɔ dɔlélea le mɔ sia nu:

1. Biabia wò tso wò dɔnɔ ƒe ŋutinya ŋu: Aleke esia dzɔe? Nu ka ƒomevie nèwɔ? Aleke vevesesea le? Ðe esia dzɔ kpɔ? Ðɔktaa abia nya siawo tɔgbe be wòase wò nɔnɔmea gɔme nyuie.

2. Ŋutilãmedodokpɔ: Ðɔktaa alé ŋku ɖe wò ƒunukpeƒe si xɔ abi ŋu nyuie. Woalé ŋku ɖe eŋu be eƒe amadede le vuvu, eƒe amadede trɔ, kple eƒe nɔnɔme hã. Woaka asi ƒunukpeƒea ŋu blewuu ahalé ŋku ɖe eŋu be ele ʋuʋum hã. Woalé ŋku ɖe lãmekawo ƒe gbegblẽ kple ʋu ƒe sisi hã ŋu.

3. Nɔnɔmetatawo Dodokpɔwo:

• `### X-ray:` Esiae nye dodokpɔ si wozãna wu. `(X-ray)` ate ŋu akpɔe nyuie ne ƒu aɖe do le ƒunukpeƒe aɖe me, eye ne ele nenema la, mɔ ka dzie wòge ɖo. Ateŋu akpɔe hã be `fracture` aɖe le eŋu hã.
• `### MRI alo CT Scan:` Ɣeaɖewoɣi, vevietɔ ne lãmeka falɛfalɛ siwo ƒo xlã ƒunukpeƒea, abe lãkusiwo kple lãkusiwo ene, gblẽ la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ MRI (Magnetic Resonance Imaging) alo CT (Computed Tomography) Scan.

Nukae nye ƒu gbagbã ƒe atikewɔwɔ? Ðe woate ŋu aɖɔe ɖoa?

Dɔdamɔnu si woatsɔ ada ƒu si vuvu la nɔ te ɖe ƒunukpeƒe si vuvu, alesi ƒu si vuvu la nu sẽe, kple nenye be nu bubu aɖe hã gblẽ le eŋu dzi. Gake taɖodzinu vevitɔe nye be woaɖe vevesese dzi akpɔtɔ, woagbugbɔ ƒu si gbã la aɖo teƒe bubu, eye woagbugbɔ ƒunukpeƒea aɖo eƒe nɔnɔme si sɔ.

• `### Atikewɔwɔ kabakaba: Ƒunukpeƒea gbugbɔgaɖo ɖe teƒea (Ðeɖiteameŋu)`

Esiae nye nu gbãtɔ si wowɔna. `(Ðeɖiteameŋu)` nye ne ɖɔkta tsɔ ŋuɖɔɖɔɖo, zã mɔnu tɔxɛwo, tsɔ ƒu si woɖe ɖa la de ƒunukpeƒea ƒe do me. Esia ate ŋu ase veve vie, eyata ɣeaɖewoɣi la, woate ŋu ana vevesesenutsitikewo, atike si naa alɔ̃dɔdɔ ame le teƒea, alo atike si naa ame ƒe dzi dzea eme .

Vevietɔ ŋutɔ: Mègadze agbagba gbeɖe o, nuka kee ame aɖe ɖagblɔ na wò be nàwɔ o, mègadze agbagba nàɖo ƒu si vuvu la wò ŋutɔ alo kple ame bubu o! Esia wɔwɔ ate ŋu agblẽ nu le ƒunukpeƒea, lãmekawo, kple ʋukawo ŋu geɖe wu. Ðɔkta bibi aɖe koe wòle be wòawɔ esia.

• `### Ƒunukpeƒe ƒe ʋuʋu (Immobilization)`

Ne wogatsɔ ƒua ɖo teƒea vɔ la, ehiã be woana ƒunukpeƒea nagaʋuʋu o vaseɖe esime wòahaya. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã aŋe, aŋe, alo ɖewohĩ aŋe. Ɣeyiɣi didi si wòle be nàna esia nanɔ teƒea nɔ te ɖe ƒunukpeƒe si ƒomevi ʋuʋu kple alesi gbegbe wògblẽe dzi. Zi geɖe la, exɔa kwasiɖa ʋɛ aɖewo.

• ``### Vevesesenutsitike`

Be wò ɖɔkta naɖu vevesesea dzi la, ate ŋu ana paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs) abe ibuprofen ene, alo vevesesenutsitike siwo sesẽ wu gɔ̃ hã wò. Woate ŋu akafu tsikpewo hã be woatsɔ aɖe abi dzi akpɔtɔ.

• `### Gbugbɔgaɖɔɖo le vevie ŋutɔ!`

Ne ƒunukpeƒea ƒe ɣeyiɣia wu enu ko la, exɔa ɣeyiɣi aɖe hafi ƒunukpeƒea gawɔa dɔ nyuie ake. Ema tae gbugbɔgaɖɔɖo nye.

• Lãmesẽnyawo gbɔ kpɔkpɔ:Le esia me la, lãmesẽdɔwɔla aɖe afia kamedede tɔxɛwo wò. Wotrɔ asi le kamedede siawo ŋu be woadzi ƒunukpeƒea ƒe ʋuʋu ɖe edzi vivivi, ado ŋusẽ lãmeka siwo ƒo xlãe, eye wòana ƒunukpeƒea nali ke. Ne womewɔ kamedede sia nyuie o la, ƒunukpeƒea ate ŋu asẽ, agbɔdzɔ, alo avuvu gɔ̃ hã.

• `### Ðe amekoko ahiãa?`

Zi geɖe la, amekoko mehiã o. Gake nɔnɔme aɖewo li siwo me wòhiã be woawɔ dɔ na ame le. Le kpɔɖeŋu me:

• Ne womate ŋu agbugbɔ ƒua aɖo eƒe nɔnɔme gbãtɔ me kple `(Ðeɖekpɔkpɔ)` o.
• Ne ƒu ƒe gbagbã gblẽ nu le ʋukawo alo lãmekawo ŋu vevie.
• Ne lãkusi falɛfalɛwo abe lãkusiwo ene vuvu.
• Ne ƒunukpeƒe ɖeka ma ke ʋuʋu enuenu (`recurrent dislocations`).

Ðe kuxi aɖewo li siwo ate ŋu ado mo ɖa le ƒu ƒe ʋuʋudedi ŋua?

Ne womedae nyuie o, eye ɣeaɖewoɣi ne wowɔ atike nɛ gɔ̃ hã la, kuxi aɖewo ate ŋu ado mo ɖa le ƒu ƒe ʋuʋu megbe.

• Nusiwo gblẽna le lãmekawo alo ʋukawo ŋu: Ne ƒu aɖe gbã la, woate ŋu aƒo lãmeka alo ʋuka siwo te ɖe eŋu alo ahe, si agblẽ nu le eŋu.
• Afɔku si le ƒu ƒe gbagbã me: Ne ƒu aɖe nya gbã ko la, ƒunukpeƒea ate ŋu magate ŋu ali ke vie o, si ana wòagate ŋu agbã ake.
• Ƒunukpeƒetetedɔ: Le ɣeyiɣi didi me la, ƒunukpeƒetetedɔ abe ƒunukpeƒetetedɔ ene ate ŋu adzɔ le ƒunukpeƒe si gblẽ la me.
• Ƒunukpeƒewo ƒe sesẽ kple gbɔdzɔgbɔdzɔ: Ne womewɔ ɖɔɖɔɖodɔwo nyuie o la, ƒunukpeƒetete alo gbɔdzɔgbɔdzɔ ate ŋu anɔ anyi, si ana wòasesẽ be woaʋuʋu ƒunukpeƒea.

Nukae míate ŋu awɔ atsɔ axe mɔ ɖe ƒu ƒe ʋuʋu nu?

Nya aɖe li be "mɔxexe ɖe enu nyo wu edada." Eyata togbɔ be míate ŋu aƒo asa na ƒu ƒe ʋuʋudedi keŋkeŋ o hã la, nanewo li míate ŋu awɔ atsɔ aɖe míaƒe afɔkua dzi akpɔtɔ:

• Ametakpɔnu: Ne èle kamedefefe wɔm, vevietɔ le kamedefefe siwo me wowɔa nu geɖe le me la, do ametakpɔnu (e.g., klodzikpɔlawo, abɔtakpɔnu) siwo sɔ na kamedefefea.
• Lãmetsiwo ƒe ŋusẽdodo: Ne lãmeka siwo ƒo xlã ƒunukpeƒewo nasẽ la nana ƒunukpeƒewo kpena ɖe wo ŋu nyuie. Eya ta, de kame edziedzi.
• Mɔxexe ɖe anyidzedze nu: Kpɔ nyuie le aƒeme, le atrakpuiwo dzi, kple le teƒe siwo glidzaglidza. Kpɔ nyuie le ɖevi suewo kple ame tsitsiwo ŋu vevietɔ.
• Dzoxɔxɔ nyuie: Hafi nàdze kamedefefe alo kamedede ɖesiaɖe gɔme la, wɔ dzoxɔxɔ nyui aɖe. Azɔ hã, wɔ fafa ne èwu enu.
• Mɔnu Nyuiwo: Zã tenɔnɔ kple aɖaŋu nyuitɔ ne èle kpekpemewo kɔm hele kamedefefewo wɔm.

Mina míaɖo ŋku nya siawo dzi (Take-Home Message) .

Enyo, eyata míeƒo nu geɖe tso dislocations ŋu, alo? Mlɔeba la, ele vevie be nu siawo nanɔ susu me na wò:

• Ƒu gbagbã nye atikewɔwɔ kpata. Menye nu bɔbɔe aɖee wònye abe ʋuʋudedi bɔbɔe ene o.
• Ne wò alo ame aɖe si nènya ƒe ƒu gbã alo le dzesi siawo dometɔ aɖe kpɔm la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Yi kɔdzi kaba ale si nàte ŋui.
• Mègadze agbagba be ye ŋutɔ yeagatsɔ ƒua aɖo teƒea le susu aɖeke ta o. Ðeko ema agblẽ nu geɖe wu.
• Wɔ ɖe atikewɔwɔ si ɖɔktaa na wò dzi pɛpɛpɛ. Kpɔ egbɔ be yewɔ ɖe ``Immobilization`` ƒe ɣeyiɣia, atikewo, kple vevietɔ gbugbɔgaɖɔɖo ƒe kamededewo (``Physiotherapy``) dzi.
• Anɔ eme be ƒunukpeƒe aɖewo, le kpɔɖeŋu me, abɔta, agaxɔ abi ake ne woxɔ abi zi ɖeka. Eyata kpɔ nyuie le ema hã ŋu eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.

Ðo ŋku edzi be togbɔ be ƒu gbagbã nye nusi ŋu wòle be woavɔ̃ ɖo hã la, enye nɔnɔme si woate ŋu ada le akpa gãtɔ ne wowɔ atike nɛ nyuie eye wogbugbɔe ɖo. Eyata nu vevitɔ kekeakee nye be màgatsi dzodzodzoe ahawɔ nu le nunya me o.

Mele mɔ kpɔm be nyatakaka sia ɖe vi na wò. Lãmesẽ nyui na amesiame!

` Ƒu ƒe ʋuʋudedi, ƒu ƒe ʋuʋu, ƒunukpeƒewo, ƒunukpeƒeveame, kamedefefe ƒe abixɔxɔ, gbugbɔgaɖɔɖo, kamedede