Skip to main content

Ðe nèle veve sem vevie le wò afɔ tamea? Ate ŋu anye Lisfranc ƒe Nuveviwɔame!

Ðe nèle veve sem vevie le wò afɔ tamea? Ate ŋu anye Lisfranc ƒe Nuveviwɔame!

Ɣeaɖewoɣi la, nudzɔdzɔ si dze abe ɖe wòle sue ene gɔ̃ hã ate ŋu atrɔ azu kuxi gã aɖe, alo? Tsɔe be ètsɔ vɔvɔ̃ nɔ atrakpui aɖe dzi tom eye nèto afɔɖeɖe aɖe, alo kasia nèkli nu hetrɔ wò afɔkpodzi esime nèle kriket ƒom kple xɔ̃wòwo. Ne wò afɔ tame, si nye akpa si tso tɔdzisasrãa dzi va ɖo afɔbidɛwo gbɔ, le veve sem ŋutɔ, evuvu, eye ɖewohĩ wòle blɔ gɔ̃ hã la, ke nɔnɔme aɖe si woyɔna be Lisfranc Injury ate ŋu anɔ ŋuwò. Esia nye nusi ŋu wòle be míaɖɔ ŋu ɖo, elabena ne womewɔ atike nɛ nyuie o la, ate ŋu ahe kuxiwo vɛ emegbe. Eyata mina míaƒo nu tso esia ŋu tsitotsito, alo?

Nukae nye Lisfranc ƒe Nuveviwɔame?

Kpuie ko la, le wò afɔ tame, afisi ƒu legbe siwo do ƒome kple wò afɔbidɛwo le (míeyɔa esiawo be ``Metatarsal ƒuwo'' ), ƒunukpeƒe si doa ka kple ƒu mawo kple ƒu sue bubuawo (tarsal ƒuwo) le wò afɔ titina la woyɔna be Lisfranc ƒunukpeƒe . Ele abe tɔdzisasrã sue aɖe ene. Nu ɖesiaɖe si gblẽ le ƒunukpeƒe sia ŋu – eɖanye ƒunukpeƒe ƒe gbagbã, ʋuʋu, alo lãkusi (ka sesẽ siwo léa ƒuwo ɖe wo nɔewo ŋu) siwo ƒo xlã ƒunukpeƒea ƒe vuvu alo tete o – wobua Lisfranc ƒe Nuveviwɔame.

Kpɔe ɖa le susu me be Kandy mɔa nye mɔdodo gã aɖe si dzi woto le mɔ dzi yina Colombo. Ne mɔdodo ma tɔtɔ la, ʋuwo katã atɔtɔ, alo? Le mɔ ma ke nu la, Lisfranc ƒe ƒunukpeƒe sia le vevie ŋutɔ na míaƒe afɔ ƒe dɔwɔwɔ nyuie. Ne teƒe sue sia mele dɔ wɔm nyuie o la, ɖewohĩ menye azɔlizɔzɔ, duƒuƒu, titri ko asesẽ na wò o, ke boŋ tsitretsitsi ko hã ate ŋu asesẽ na wò.

Ðe dɔléle sia ƒomevi vovovowo lia?

Ẽ, woate ŋu ama Lisfranc ƒe ƒunukpeƒe sia ɖe ƒomevi vovovowo me le alesi wògblẽe nu. Eyae nye be wotu hatsotso sia ɖe wò ƒunukpeƒe ƒe akpa si gblẽ kple alesi wògblẽe dzi.

  • Lisfranc ƒe ʋuʋu: Esia nye ne ƒu siwo le ƒunukpeƒea trɔna tso teƒe ɖeka yia bubu, abe ketekemɔ eve siwo le ʋuʋum ene.
  • Lisfranc ƒe gbagbã: Esia nye afɔ gbagbã ƒomevi aɖe koŋ. Ƒu ɖeka alo esi wu nenema le Lisfranc ƒe ƒunukpeƒea ate ŋu agbã. Ɣeaɖewoɣi la, woate ŋu agbã ɖe akpa suewo me.
  • Lisfranc sprain / Ligament tear: Esia nye ne lãkusi siwo ƒo xlã ƒunukpeƒea keke akpa, alo woƒe akpa aɖe alo keŋkeŋ. Ele abe rababa aɖe si le ŋeŋem ne èhee sesĩe akpa ene.

Ɣeaɖewoɣi la, ƒomevi siawo dometɔ ɖeka alo esi wu nenema ate ŋu adzɔ ɖekae. Le kpɔɖeŋu me, lãkusi ate ŋu avuvu kpe ɖe gbagbã ŋu.

Nukae nye esia ƒe dzesiwo? Aleke wòsena le eɖokui me ne edzɔ?

Ne Lisfranc ƒe Nuveviwɔame le ŋuwò la, zi geɖe la, dzesiawo dzena le wò afɔ tame, le afisi te ɖe afisi nèbla wò afɔkpa ƒe ka le ŋu. Kpɔe ɖa be esiawo dometɔ aɖe le asiwò hã:

  • Afɔ ƒe ƒoƒo kple amadede ƒe tɔtrɔ: Afɔa tame ate ŋu atrɔ blɔ alo aŋutiɖiɖi. Vevietɔ ame aɖewo ate ŋu ade dzesii hã be afɔkpodzi ƒe afɔkpodzi ƒo . Esia nye Lisfranc ƒe Nuveviwɔame ƒe nɔnɔme.
  • Afɔveve sesẽ: Vevesesea ate ŋu anye nusi womate ŋu ado dzi atsɔ o, vevietɔ ne èle agbagba dzem be yeatsi tre, azɔ, alo aʋuʋu wò afɔ. Ame aɖewo ate ŋu ase le wo ɖokui me be yewole ƒoƒom alo dzobibi ne yewotsi tre ko gɔ̃ hã.
  • Vuvu: Afɔ tame, kple ɣeaɖewoɣi afɔ bliboa ate ŋu avuvu ŋutɔ, abe alesi woda ʋuƒo si woda ɖe yame ene.
  • Esesẽna be woatsɔ kpekpeme ade afɔ dzi: Tsitretsitsi alo azɔlizɔzɔ kple wò afɔ ɖe anyigba ate ŋu asesẽ ŋutɔ. Ðewohĩ ame aɖewo mate ŋu atsɔ woƒe afɔ aɖo anyigba kura o.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mègaɖee ɖa ko be enye nu bɔbɔe aɖe o, enyoa?

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae wòle alea ɖo?

Zi geɖe la, afɔkuwo gbɔe Lisfranc ƒe abixɔxɔ tsona. Kpuie ko la, ne wote afɔa ƒe ŋgɔgbekpa (afɔbidɛ ƒe akpa) ɖe anyigba la, ne afɔkpodzi ƒe akpaa trɔ alo trɔ zi ɖeka la, Lisfranc ƒe ƒunukpeƒe sia ate ŋu agblẽ.

  • Anyidzedze Kple Anyigbaʋuʋu: Esia ate ŋu adzɔ tso nuwo abe atrakpuiwo dzi dzedze, nane abe ami ene dzi dzedze, do me gege ɖe do me, kple bubuawo me.
  • Kamedefefewo ƒe abi: Ƒunukpeƒe sia ate ŋu axɔ abi ne ame aɖe le mɔ trɔm kpata, le ti kpom, alo le go dom ame bubu, vevietɔ le kamedefefewo abe bɔlƒoƒo, rugby, kple basketball ene me. Anɔ eme be fefewɔla aɖewo ƒe tame natrɔ ne woƒe abɔtawo tsi anyigba.
  • Nuveviwɔame tẽ: Nuwo abe nu kpekpe aɖe ƒe gege ɖe afɔ dzi (e.g., anyikpe, aɖaka kpekpe), afɔ ƒe ʋuʋu le ʋufɔku me, alo gege tso kɔkɔƒe (e.g., tso atrakpui dzi) hã ate ŋu agblẽ nu le ƒunukpeƒe sia ŋu vevie.

Bu eŋu kpɔ, Nilanthi Akka nɔ atrakpuiawo dzi yim le aƒeme eye wòtro eƒe afɔ esi wòto afɔɖeɖe mamlɛtɔa me vɔ megbe. Esusu be enye lãmetutudɔ bɔbɔe aɖe. Gake le ŋkeke eve alo etɔ̃ megbe gɔ̃ hã la, vevesesea kple vuvua nu mefa o. Esi wòtsɔe fia ɖɔktaa ko hafi wòva nya be Lisfranc ƒe Nuveviwɔamee.

Amekae ate ŋu axɔe bɔbɔe wu? Nukawoe nye afɔku siwo le eme?

Ame sia ame, le ƒe ɖesiaɖe me, ate ŋu axɔ Lisfranc ƒe abi. Gake ame aɖewo le afɔku si lolo wu me vie.

  • Ame siwo ŋu nɔnɔme siwo gblẽa nu le afɔwo ŋu alo ɖea seselelãme dzi kpɔtɔna le afɔwo me:Afɔku sia lolo ŋutɔ na amesiwo ŋu suklidɔ le (`(Diabetes Mellitus)`). Elabena suklidɔ ate ŋu ana lãmeka siwo le afɔwo me nagbɔdzɔ (`(diabetes-related neuropathy)`). Emegbe seselelãme si le afɔwo me dzi ɖena kpɔtɔna. Womate ŋu ase abi sue aɖe gɔ̃ hã nyuie o, eyata ate ŋu atsi azu dɔléle si le abe esia ene. Azɔ hã, suklidɔ ateŋu ana ʋu ƒe sisi na afɔwo dzi naɖe akpɔtɔ (`afɔ ƒe nɔnɔme siwo do ƒome kple suklidɔ`).
  • Ame siwo wɔa dɔ sesẽwo: Ame siwo wɔa dɔ le xɔtudɔwɔƒewo, kɔa kpekpemewo, kple amesiwo tsia tre ŋkeke bliboa katã la le afɔku me.
  • Ame siwo ƒoa hoʋiʋli alo kadodo ƒe kamedefefewo: Abe alesi míegblɔe va yi ene la, wokpɔa esia zi geɖe le bɔlƒolawo kple rugby ƒolawo dome.
  • Wogblɔna hã be ame aɖewo ate ŋu anɔ afɔku me vie ne wodzi wo kple afɔ si kɔ.

Nukae adzɔ ne womewɔ atike na esia nyuie o? Ðe afɔku le kuxiawo mea?

Esia nye nusi ŋu wòle be míalé ŋku ɖo nyuie. Lisfranc ƒe abi, ne womedae nyuie o eye womewɔe kaba o la, ate ŋu ahe kuxi sesẽwo vɛ emegbe. Mègatsɔe ko be, "Enye ƒoƒoe ko, ada gbe le eɖokui si."

Ðo ŋku edzi be: Lisfranc ƒe Nuveviwɔame, vevietɔ esi ƒe gbagbã, ate ŋu ana afɔ nase veve ɣeyiɣi didi eye wòagawɔ dɔ nyuie o ne womewɔ atike nɛ nyuie o.

Kuxi vevi siwo ate ŋu ado mo ɖae nye:

  • Ƒunukpeƒetetedɔ: Ne ƒunukpeƒe si ŋu dɔa le ƒe akpa falɛfalɛ si woyɔna be ƒunukpeƒetetedɔ gblẽ la, le ɣeyiɣi aɖe megbe la, ƒunukpeƒetetedɔ ate ŋu adze ame dzi. Ƒunukpeƒea vuvu, sesẽna, eye wòvea ame.
  • Vevesese atraɖii: Togbɔ be wosusu be nɔnɔmea "dae" hã la, ame aɖewo ate ŋu ayi edzi anɔ veve sem. Vevesese sia ate ŋu adzɔ ne èle zɔzɔm alo le dɔ wɔm.
  • Afɔti siwo mu kple afɔ ƒe nɔnɔme bubu siwo gblẽ: Lisfranc ƒe ƒunukpeƒea kpena ɖe afɔa ƒe aɖaka ŋu be wòanɔ anyi. Ne ƒunukpeƒe sia gblẽ la, le ɣeyiɣi aɖe megbe la, afɔa ƒe akɔta ate ŋu agbã eye afɔa ate ŋu azu gbadzaa. Afɔ ƒe nɔnɔme hã ate ŋu atrɔ.
  • Compartment Syndrome: Esia nye dɔléle si mebɔ o gake wòsẽa ŋu ŋutɔ. Nyaƒoɖeamenu si le afɔa ƒe lãkusiwo me ate ŋu adzi ɖe edzi, si ana ʋu natso. Esia bia be woawɔ atike nɛ enumake.

Aleke ɖɔkta awɔ anya esia? Dodokpɔ kawoe wowɔna?

Ne èyi ɖɔkta gbɔ eye afɔ le veve sem la, nu gbãtɔ si wòabia wòe nye alesi wòdzɔe, nusi wɔm nènɔ esime wòte veve, kple alesi nèse le ɖokuiwò me fifia. Ele vevie ŋutɔ be nàgblɔ nusi tututu dzɔ nɛ.

Emegbe ɖɔktaa alé ŋku ɖe wò afɔ ŋu nyuie.

  • Kpɔe ɖa be vuvu kple abi le eŋu hã.
  • Woka asi afɔa ƒe akpa vovovowo ŋu, henɔa agbagba dzem be yewoanya afisi tututu vevesesea le.
  • Woléa ŋku ɖe afɔa ƒe liƒo ŋu. Ɣeaɖewoɣi la, ɖɔktaa aka asi wò afɔ ŋu blewu be yeakpɔe ɖa be ƒuawo le ʋuʋum alo ɖe ʋuʋu si mesɔ o le eme hã.

Le ŋutilãmedodokpɔa megbe la, woate ŋu awɔ nɔnɔmetatawo dodokpɔ ɖeka alo esi wu nenema, abe esiawo ene, atsɔ aɖo kpe nusi tututu gblẽ dzi:

  • Afɔ ƒe X-ray: Esiae nye nu gbãtɔ si woadi. Ate ŋu akpɔe ɖa be ƒuwo gbã, ƒunukpeƒewo vuvu, alo tɔtrɔ siwo le ƒuwo dome dometsotso me hã. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu abia tso asiwò be nàtsi tre kple kpekpeme ɖe wò afɔ dzi (X-ray si tsɔa kpekpeme). Lisfranc ƒe abi aɖewo medzena le X-ray me ne kpekpeme mele afɔ dzi o.
  • MRI (Magnetic Resonance Imaging) scan: Esia ate ŋu akpɔ nusiwo gblẽ le lãkusiwo, ƒunukpeƒewo, kple lãkusi falɛfalɛwo ŋu kɔte. Ate ŋu ade dzesi ƒu ƒe gbagbã suesuesue siwo womekpɔna le X-ray me o hã.
  • CT (Computed Tomography) scan: Esia kpena ɖe ame ŋu wòkpɔa nusiwo gblẽ le ƒuawo ŋu, kple alesi ƒuawo gbãe (vevietɔ ne wogbã wo ɖe akpa vovovowo me), le nukpɔkpɔ si me kɔ wu, si le akpa etɔ̃ (3D) nu. Zi geɖe la, wowɔa esia hafi wowɔa dɔ nɛ.

Aleke wowɔa atike nɛ? Nukae woate ŋu awɔ?

Atikewɔwɔ vovovowo li na Lisfranc ƒe abixɔxɔ. Wò ɖɔkta anɔ te ɖe abi si nèxɔ ƒe sesẽme, afisi ƒuawo ʋuʋu le, kple alesi ƒuawo gblẽe nu atso nya me le atikewɔwɔ si sɔ na wò ŋu.

  • Ice eye nàkɔ afɔa ɖe dzi (BRICE - Gbɔɖeme, Tsikpe, Compression, Elevation): Esiae nye nu gbãtɔ si nàwɔ.
  • Gbɔɖeme: Gbɔ ɖe eme wò afɔ. Ðe azɔlizɔzɔ kple tsitretsitsi dzi kpɔtɔ alesi nàte ŋui.
  • Tsikpe: Dze agbagba nàna wò afɔ nakɔ ɖe dzi wu wò dzi alesi nàte ŋui. Àte ŋu atsɔ akɔtaɖonuwo ana wòakɔ ɖe dzi. Xatsa tsikpegoe aɖe ɖe avɔ tsɛ aɖe me eye nàtsɔe asisi ɖe teƒe si xɔ abi la abe miniti 15-20 ene. Wɔ esia zi geɖe gbesiagbe. Mègasisi tsikpe ɖe ŋutigbalẽa ŋu tẽ o, elabena ate ŋu atɔ dzo ŋutigbalẽa.
  • Nutete: Ðɔkta ate ŋu aɖo aɖaŋu be woatsɔ aŋe si te ŋu trɔna ablae be wòaxe mɔ ɖe abi nu.
  • Kɔkɔme: Na wò afɔwo nakɔ ɖe dzi wu wò dzi ƒe kɔkɔme kple akɔtaɖonuwo. Esia akpe ɖe ame ŋu be wòaɖe abi dzi akpɔtɔ.
  • Afɔa ƒe ʋuʋu:
  • Ne abi si nèxɔ la mesẽ akpa o, si fia be ƒua mele adzɔge boo tso teƒea o la, wò ɖɔkta ate ŋu atsɔ afɔkpa alo afɔkpa aƒu gbe ɖe wò afɔ ŋu. Esia anɔ anyi abe kwasiɖa 6 va ɖo 8 ene. Menyo be nàtsɔ kpekpeme aɖeke ade wò afɔ dzi le ɣeyiɣi sia me o. Ahiã be nàzã atizɔtiwo atsɔ azɔ. Esia akpe ɖe ŋuwò nàɖe wò afɔ ƒe kpekpeme dzi akpɔtɔ, wòana ƒunukpeƒea nanɔ teƒe si wòle, eye wòana màgatsɔ kpekpeme geɖe ade wò afɔ dzi o.
  • Lisfranc ƒe amekoko:
  • Lisfranc ƒe abi geɖe, vevietɔ ne ƒuawo ʋuʋu alo ƒunukpeƒea meli ke o la, hiã be woawɔ dɔ na wo. Amekolaa adzra wò Lisfranc ƒunukpeƒea ɖo, agbugbɔ ƒuawo aɖo wo nɔƒe, eye wòade mɔ̃wo abe agbalẽviwo kple gavi ene wò afɔ me be woalé wo ɖe teƒea.
  • Le amekoko vɔ megbe la, ahiã be nànye ame si metsɔa kpekpeme o abe ɣleti ɖeka alo eve ene. Le ema megbe la, ɖewohĩ ahiã be nàdo afɔkpa alo afɔkpa si wotsɔna ƒoa afɔkpa ɣleti ʋɛ aɖewo.
  • Ne ƒunukpeƒea nya haya nyuie ko, zi geɖe la, le ɣleti 4-6 megbe la, ɖɔkta ate ŋu awɔ dɔ sue bubu aɖe atsɔ aɖe pin kple xɔtunu siwo wotsɔ de eme la ɖa. Menye amesiamee ɖe nusiawo ɖa o, ɖɔkta ŋutɔe atso nya me.
  • Vevesesenutsitikewo: Wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitikewo na wò be wòakpe ɖe ŋuwò nàɖe vevesese kple abi dzi akpɔtɔ. Àte ŋu azã atike siwo mexɔa steroid o siwo wua dɔlékuiwo (NSAIDs) (e.g., ibuprofen, diclofenac) alo acetaminophen (e.g., acetaminophen). Gake bia wò ɖɔkta hafi nàno nusiawo wu ŋkeke 10. Wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitike si nu sẽ wu hã na wò. Wò ɖɔkta agblɔ zi nenie nàno wo kple zi nenie nàno wo.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ate ŋu axɔ ɣleti geɖe, alo ƒe ɖeka gɔ̃ hã hafi Lisfranc ƒe abi aɖe nahaya keŋkeŋ eye nàte ŋu atrɔ ayi dɔwɔna kple kamedefefe siwo nèwɔna ɖaa dzi. Esia toa vovo ŋutɔŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye abi si ƒomevi nèxɔ, alesi wòsẽe, ne wowɔ dɔ na wò, ƒe si nèxɔ, kple wò lãmesẽ bliboa.

Nu vevitɔe nye be ame sia ame ƒe ŋutilã hayana le mɔ vovovowo nu. Eyata ƒo nu tso wò atikewɔwɔ ƒe ɖoɖowɔɖi kple alesi nàhaya ŋu na wò ɖɔkta. Gbɔ ɖe eme, no wò atikewo, eye nàde kame abe alesi wò ɖɔkta gblɔ na wò ene.

  • Atikewɔwɔ siwo menye amekoko o: Zi geɖe la, afɔa maʋã o (le afɔkpa/afɔkpa me) abe kwasiɖa 6 va ɖo 8 ene. Le ema megbe la, ahiã be nàwɔ kamedede (PT) aɖewo . Lãmesẽdɔwɔla akpe ɖe ŋuwò vivivi be nàgate ŋu aʋuʋu, ŋusẽ, kple dadasɔ le wò afɔ ƒe ƒunukpeƒewo.
  • Lisfranc ƒe amekoko: Ahiã be nàdo afɔkpa alo afɔkpa si wotsɔna ƒoa afɔkpa abe ɣleti 3 va ɖo 4 ene le amekokoa megbe. Wò amekola agblɔ ɣeyiɣi si nàte ŋu adze kpekpeme dada ɖe wò afɔ dzi kple ɣeyiɣi si nàte ŋu adze kamedede (PT) gɔme na wò. PT nye esia ƒe akpa vevi aɖe ŋutɔ.

Àte ŋu azɔ kple Lisfranc ƒe Nuveviwɔamea?

Àte ŋu azɔ vie esime Lisfranc ƒe abi le ŋuwò, vevietɔ ne abi la mesẽ akpa o. Gake ne vevesese alo dzesi bubuwo le ŋuwò la, mègazã wò afɔ sesẽe o.Ne èyi edzi le wò afɔ zãm nenema la, mɔnukpɔkpɔ gã aɖe li be abi sue aɖe gɔ̃ hã ava zu nu sesẽ eye wòahiã be woawɔ dɔ nɛ. Ele vevie be nàgbɔ dzi ɖi vaseɖe esime wòahaya nyuie.

Ne èdo afɔkpa alo afɔkpa la, àte ŋu azɔ abe alesi wò ɖɔkta gblɔ na wò ene (ɖewohĩ kple atizɔtiwo). Gake ele be woaƒo asa na kamedede sesẽwo abe duƒuƒu, titri, kple kpekpemewo kɔklɔ ene. Bia wò ɖɔkta alo lãmesẽdɔwɔla be dɔwɔna kawoe wòle be nàƒo asa na kple nu siwo nàte ŋu awɔ vaseɖe esime wò lãme nasẽ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne Lisfranc ƒe abi ƒe dzesiwo le ŋuwò (abe vevesese kple abi si míeyɔ va yi ene) eye womeganyo ɖe edzi le ɖiɖiɖeme kple tsikpe ɖuɖu ŋkeke ʋɛ aɖewo megbe o la, ele be nàkpɔ ɖɔkta kaba godoo. Vevietɔ ne:

  • Ne màte ŋu anɔ tsitrenu kple wò afɔwo kpekpe o.
  • Ne màte ŋu azɔ nyuie o.
  • Ne edze abe afɔa ƒe nɔnɔme trɔ ene.
  • Ne abi aɖe le afɔkpodzi ŋu.

Ne dzesiawo gadze alo gavlo ɖe edzi le ʋuʋu alo amekoko megbe, ne asrã dze dziwò, alo ne ʋuʋudedi le dodom tso abi la me la, gblɔe na wò ɖɔkta enumake.

Gbedasi vevitɔ kekeake si wòle be nàtsɔ ayi aƒemee!

Bu eŋu kpɔ, ɖewohĩ ɖeko nèmli wò afɔ to atrakpui aɖe dzi, alo ɖewohĩ èxɔ abi le afɔku gã aɖe me abe ʋufɔku ene. Nuka kee wòɖatso o, ne vevesese si mebɔ o, vuvu, alo abi le wò afɔ ŋu la, anyo wu be nàyi ɖɔkta gbɔ kaba tsɔ wu be nàgbee be "eƒe afɔ ƒona ko."

Lisfranc ƒe Nuveviwɔame, vevietɔ esi me Lisfranc ƒe gbagbã le, ate ŋu ahe kuxi sesẽwo vɛ (abe vevesese atraɖii kple ƒunukpeƒetetedɔ ene) si ate ŋu agblẽ nu le wò agbe ŋu emegbe ne mèwɔ atike nɛ kaba o.

Eya ta, ne kuxi aɖe le wò afɔwo ŋu la, kpɔ egbɔ. Atikewɔlawo ƒe aɖaŋuɖoɖo didi enumake akpe ɖe ŋuwò nàhaya kaba eye nàxe mɔ ɖe kuxi siwo ado mo ɖa le etsɔme nu. Wò afɔwo le vevie na wò ŋutɔ, eyata lé be na wo!


` Lisfranc Nuveviwɔame, afɔ ƒe vevesese, afɔ ƒe dɔléle, ƒunukpeƒe ƒe ʋuʋu, ƒu ƒe gbagbã, afɔ ƒe vuvu

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.

Tsɔ wò nyaŋuɖoɖo kpee

Taflatse bu akɔnta be: 9 + 2 =
Ðe nèle veve sem vevie le wò afɔ tamea? Ate ŋu anye Lisfranc ƒe Nuveviwɔame!

Ðe nèle veve sem vevie le wò afɔ tamea? Ate ŋu anye Lisfranc ƒe Nuveviwɔame!

Ɣeaɖewoɣi la, nudzɔdzɔ si dze abe ɖe wòle sue ene gɔ̃ hã ate ŋu atrɔ azu kuxi gã aɖe, alo? Tsɔe be ètsɔ vɔvɔ̃ nɔ atrakpui aɖe dzi tom eye nèto afɔɖeɖe aɖe, alo kasia nèkli nu hetrɔ wò afɔkpodzi esime nèle kriket ƒom kple xɔ̃wòwo. Ne wò afɔ tame, si nye akpa si tso tɔdzisasrãa dzi va ɖo afɔbidɛwo gbɔ, le veve sem ŋutɔ, evuvu, eye ɖewohĩ wòle blɔ gɔ̃ hã la, ke nɔnɔme aɖe si woyɔna be Lisfranc Injury ate ŋu anɔ ŋuwò. Esia nye nusi ŋu wòle be míaɖɔ ŋu ɖo, elabena ne womewɔ atike nɛ nyuie o la, ate ŋu ahe kuxiwo vɛ emegbe. Eyata mina míaƒo nu tso esia ŋu tsitotsito, alo?

Nukae nye Lisfranc ƒe Nuveviwɔame?

Kpuie ko la, le wò afɔ tame, afisi ƒu legbe siwo do ƒome kple wò afɔbidɛwo le (míeyɔa esiawo be ``Metatarsal ƒuwo'' ), ƒunukpeƒe si doa ka kple ƒu mawo kple ƒu sue bubuawo (tarsal ƒuwo) le wò afɔ titina la woyɔna be Lisfranc ƒunukpeƒe . Ele abe tɔdzisasrã sue aɖe ene. Nu ɖesiaɖe si gblẽ le ƒunukpeƒe sia ŋu – eɖanye ƒunukpeƒe ƒe gbagbã, ʋuʋu, alo lãkusi (ka sesẽ siwo léa ƒuwo ɖe wo nɔewo ŋu) siwo ƒo xlã ƒunukpeƒea ƒe vuvu alo tete o – wobua Lisfranc ƒe Nuveviwɔame.

Kpɔe ɖa le susu me be Kandy mɔa nye mɔdodo gã aɖe si dzi woto le mɔ dzi yina Colombo. Ne mɔdodo ma tɔtɔ la, ʋuwo katã atɔtɔ, alo? Le mɔ ma ke nu la, Lisfranc ƒe ƒunukpeƒe sia le vevie ŋutɔ na míaƒe afɔ ƒe dɔwɔwɔ nyuie. Ne teƒe sue sia mele dɔ wɔm nyuie o la, ɖewohĩ menye azɔlizɔzɔ, duƒuƒu, titri ko asesẽ na wò o, ke boŋ tsitretsitsi ko hã ate ŋu asesẽ na wò.

Ðe dɔléle sia ƒomevi vovovowo lia?

Ẽ, woate ŋu ama Lisfranc ƒe ƒunukpeƒe sia ɖe ƒomevi vovovowo me le alesi wògblẽe nu. Eyae nye be wotu hatsotso sia ɖe wò ƒunukpeƒe ƒe akpa si gblẽ kple alesi wògblẽe dzi.

  • Lisfranc ƒe ʋuʋu: Esia nye ne ƒu siwo le ƒunukpeƒea trɔna tso teƒe ɖeka yia bubu, abe ketekemɔ eve siwo le ʋuʋum ene.
  • Lisfranc ƒe gbagbã: Esia nye afɔ gbagbã ƒomevi aɖe koŋ. Ƒu ɖeka alo esi wu nenema le Lisfranc ƒe ƒunukpeƒea ate ŋu agbã. Ɣeaɖewoɣi la, woate ŋu agbã ɖe akpa suewo me.
  • Lisfranc sprain / Ligament tear: Esia nye ne lãkusi siwo ƒo xlã ƒunukpeƒea keke akpa, alo woƒe akpa aɖe alo keŋkeŋ. Ele abe rababa aɖe si le ŋeŋem ne èhee sesĩe akpa ene.

Ɣeaɖewoɣi la, ƒomevi siawo dometɔ ɖeka alo esi wu nenema ate ŋu adzɔ ɖekae. Le kpɔɖeŋu me, lãkusi ate ŋu avuvu kpe ɖe gbagbã ŋu.

Nukae nye esia ƒe dzesiwo? Aleke wòsena le eɖokui me ne edzɔ?

Ne Lisfranc ƒe Nuveviwɔame le ŋuwò la, zi geɖe la, dzesiawo dzena le wò afɔ tame, le afisi te ɖe afisi nèbla wò afɔkpa ƒe ka le ŋu. Kpɔe ɖa be esiawo dometɔ aɖe le asiwò hã:

  • Afɔ ƒe ƒoƒo kple amadede ƒe tɔtrɔ: Afɔa tame ate ŋu atrɔ blɔ alo aŋutiɖiɖi. Vevietɔ ame aɖewo ate ŋu ade dzesii hã be afɔkpodzi ƒe afɔkpodzi ƒo . Esia nye Lisfranc ƒe Nuveviwɔame ƒe nɔnɔme.
  • Afɔveve sesẽ: Vevesesea ate ŋu anye nusi womate ŋu ado dzi atsɔ o, vevietɔ ne èle agbagba dzem be yeatsi tre, azɔ, alo aʋuʋu wò afɔ. Ame aɖewo ate ŋu ase le wo ɖokui me be yewole ƒoƒom alo dzobibi ne yewotsi tre ko gɔ̃ hã.
  • Vuvu: Afɔ tame, kple ɣeaɖewoɣi afɔ bliboa ate ŋu avuvu ŋutɔ, abe alesi woda ʋuƒo si woda ɖe yame ene.
  • Esesẽna be woatsɔ kpekpeme ade afɔ dzi: Tsitretsitsi alo azɔlizɔzɔ kple wò afɔ ɖe anyigba ate ŋu asesẽ ŋutɔ. Ðewohĩ ame aɖewo mate ŋu atsɔ woƒe afɔ aɖo anyigba kura o.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mègaɖee ɖa ko be enye nu bɔbɔe aɖe o, enyoa?

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae wòle alea ɖo?

Zi geɖe la, afɔkuwo gbɔe Lisfranc ƒe abixɔxɔ tsona. Kpuie ko la, ne wote afɔa ƒe ŋgɔgbekpa (afɔbidɛ ƒe akpa) ɖe anyigba la, ne afɔkpodzi ƒe akpaa trɔ alo trɔ zi ɖeka la, Lisfranc ƒe ƒunukpeƒe sia ate ŋu agblẽ.

  • Anyidzedze Kple Anyigbaʋuʋu: Esia ate ŋu adzɔ tso nuwo abe atrakpuiwo dzi dzedze, nane abe ami ene dzi dzedze, do me gege ɖe do me, kple bubuawo me.
  • Kamedefefewo ƒe abi: Ƒunukpeƒe sia ate ŋu axɔ abi ne ame aɖe le mɔ trɔm kpata, le ti kpom, alo le go dom ame bubu, vevietɔ le kamedefefewo abe bɔlƒoƒo, rugby, kple basketball ene me. Anɔ eme be fefewɔla aɖewo ƒe tame natrɔ ne woƒe abɔtawo tsi anyigba.
  • Nuveviwɔame tẽ: Nuwo abe nu kpekpe aɖe ƒe gege ɖe afɔ dzi (e.g., anyikpe, aɖaka kpekpe), afɔ ƒe ʋuʋu le ʋufɔku me, alo gege tso kɔkɔƒe (e.g., tso atrakpui dzi) hã ate ŋu agblẽ nu le ƒunukpeƒe sia ŋu vevie.

Bu eŋu kpɔ, Nilanthi Akka nɔ atrakpuiawo dzi yim le aƒeme eye wòtro eƒe afɔ esi wòto afɔɖeɖe mamlɛtɔa me vɔ megbe. Esusu be enye lãmetutudɔ bɔbɔe aɖe. Gake le ŋkeke eve alo etɔ̃ megbe gɔ̃ hã la, vevesesea kple vuvua nu mefa o. Esi wòtsɔe fia ɖɔktaa ko hafi wòva nya be Lisfranc ƒe Nuveviwɔamee.

Amekae ate ŋu axɔe bɔbɔe wu? Nukawoe nye afɔku siwo le eme?

Ame sia ame, le ƒe ɖesiaɖe me, ate ŋu axɔ Lisfranc ƒe abi. Gake ame aɖewo le afɔku si lolo wu me vie.

  • Ame siwo ŋu nɔnɔme siwo gblẽa nu le afɔwo ŋu alo ɖea seselelãme dzi kpɔtɔna le afɔwo me:Afɔku sia lolo ŋutɔ na amesiwo ŋu suklidɔ le (`(Diabetes Mellitus)`). Elabena suklidɔ ate ŋu ana lãmeka siwo le afɔwo me nagbɔdzɔ (`(diabetes-related neuropathy)`). Emegbe seselelãme si le afɔwo me dzi ɖena kpɔtɔna. Womate ŋu ase abi sue aɖe gɔ̃ hã nyuie o, eyata ate ŋu atsi azu dɔléle si le abe esia ene. Azɔ hã, suklidɔ ateŋu ana ʋu ƒe sisi na afɔwo dzi naɖe akpɔtɔ (`afɔ ƒe nɔnɔme siwo do ƒome kple suklidɔ`).
  • Ame siwo wɔa dɔ sesẽwo: Ame siwo wɔa dɔ le xɔtudɔwɔƒewo, kɔa kpekpemewo, kple amesiwo tsia tre ŋkeke bliboa katã la le afɔku me.
  • Ame siwo ƒoa hoʋiʋli alo kadodo ƒe kamedefefewo: Abe alesi míegblɔe va yi ene la, wokpɔa esia zi geɖe le bɔlƒolawo kple rugby ƒolawo dome.
  • Wogblɔna hã be ame aɖewo ate ŋu anɔ afɔku me vie ne wodzi wo kple afɔ si kɔ.

Nukae adzɔ ne womewɔ atike na esia nyuie o? Ðe afɔku le kuxiawo mea?

Esia nye nusi ŋu wòle be míalé ŋku ɖo nyuie. Lisfranc ƒe abi, ne womedae nyuie o eye womewɔe kaba o la, ate ŋu ahe kuxi sesẽwo vɛ emegbe. Mègatsɔe ko be, "Enye ƒoƒoe ko, ada gbe le eɖokui si."

Ðo ŋku edzi be: Lisfranc ƒe Nuveviwɔame, vevietɔ esi ƒe gbagbã, ate ŋu ana afɔ nase veve ɣeyiɣi didi eye wòagawɔ dɔ nyuie o ne womewɔ atike nɛ nyuie o.

Kuxi vevi siwo ate ŋu ado mo ɖae nye:

  • Ƒunukpeƒetetedɔ: Ne ƒunukpeƒe si ŋu dɔa le ƒe akpa falɛfalɛ si woyɔna be ƒunukpeƒetetedɔ gblẽ la, le ɣeyiɣi aɖe megbe la, ƒunukpeƒetetedɔ ate ŋu adze ame dzi. Ƒunukpeƒea vuvu, sesẽna, eye wòvea ame.
  • Vevesese atraɖii: Togbɔ be wosusu be nɔnɔmea "dae" hã la, ame aɖewo ate ŋu ayi edzi anɔ veve sem. Vevesese sia ate ŋu adzɔ ne èle zɔzɔm alo le dɔ wɔm.
  • Afɔti siwo mu kple afɔ ƒe nɔnɔme bubu siwo gblẽ: Lisfranc ƒe ƒunukpeƒea kpena ɖe afɔa ƒe aɖaka ŋu be wòanɔ anyi. Ne ƒunukpeƒe sia gblẽ la, le ɣeyiɣi aɖe megbe la, afɔa ƒe akɔta ate ŋu agbã eye afɔa ate ŋu azu gbadzaa. Afɔ ƒe nɔnɔme hã ate ŋu atrɔ.
  • Compartment Syndrome: Esia nye dɔléle si mebɔ o gake wòsẽa ŋu ŋutɔ. Nyaƒoɖeamenu si le afɔa ƒe lãkusiwo me ate ŋu adzi ɖe edzi, si ana ʋu natso. Esia bia be woawɔ atike nɛ enumake.

Aleke ɖɔkta awɔ anya esia? Dodokpɔ kawoe wowɔna?

Ne èyi ɖɔkta gbɔ eye afɔ le veve sem la, nu gbãtɔ si wòabia wòe nye alesi wòdzɔe, nusi wɔm nènɔ esime wòte veve, kple alesi nèse le ɖokuiwò me fifia. Ele vevie ŋutɔ be nàgblɔ nusi tututu dzɔ nɛ.

Emegbe ɖɔktaa alé ŋku ɖe wò afɔ ŋu nyuie.

  • Kpɔe ɖa be vuvu kple abi le eŋu hã.
  • Woka asi afɔa ƒe akpa vovovowo ŋu, henɔa agbagba dzem be yewoanya afisi tututu vevesesea le.
  • Woléa ŋku ɖe afɔa ƒe liƒo ŋu. Ɣeaɖewoɣi la, ɖɔktaa aka asi wò afɔ ŋu blewu be yeakpɔe ɖa be ƒuawo le ʋuʋum alo ɖe ʋuʋu si mesɔ o le eme hã.

Le ŋutilãmedodokpɔa megbe la, woate ŋu awɔ nɔnɔmetatawo dodokpɔ ɖeka alo esi wu nenema, abe esiawo ene, atsɔ aɖo kpe nusi tututu gblẽ dzi:

  • Afɔ ƒe X-ray: Esiae nye nu gbãtɔ si woadi. Ate ŋu akpɔe ɖa be ƒuwo gbã, ƒunukpeƒewo vuvu, alo tɔtrɔ siwo le ƒuwo dome dometsotso me hã. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu abia tso asiwò be nàtsi tre kple kpekpeme ɖe wò afɔ dzi (X-ray si tsɔa kpekpeme). Lisfranc ƒe abi aɖewo medzena le X-ray me ne kpekpeme mele afɔ dzi o.
  • MRI (Magnetic Resonance Imaging) scan: Esia ate ŋu akpɔ nusiwo gblẽ le lãkusiwo, ƒunukpeƒewo, kple lãkusi falɛfalɛwo ŋu kɔte. Ate ŋu ade dzesi ƒu ƒe gbagbã suesuesue siwo womekpɔna le X-ray me o hã.
  • CT (Computed Tomography) scan: Esia kpena ɖe ame ŋu wòkpɔa nusiwo gblẽ le ƒuawo ŋu, kple alesi ƒuawo gbãe (vevietɔ ne wogbã wo ɖe akpa vovovowo me), le nukpɔkpɔ si me kɔ wu, si le akpa etɔ̃ (3D) nu. Zi geɖe la, wowɔa esia hafi wowɔa dɔ nɛ.

Aleke wowɔa atike nɛ? Nukae woate ŋu awɔ?

Atikewɔwɔ vovovowo li na Lisfranc ƒe abixɔxɔ. Wò ɖɔkta anɔ te ɖe abi si nèxɔ ƒe sesẽme, afisi ƒuawo ʋuʋu le, kple alesi ƒuawo gblẽe nu atso nya me le atikewɔwɔ si sɔ na wò ŋu.

  • Ice eye nàkɔ afɔa ɖe dzi (BRICE - Gbɔɖeme, Tsikpe, Compression, Elevation): Esiae nye nu gbãtɔ si nàwɔ.
  • Gbɔɖeme: Gbɔ ɖe eme wò afɔ. Ðe azɔlizɔzɔ kple tsitretsitsi dzi kpɔtɔ alesi nàte ŋui.
  • Tsikpe: Dze agbagba nàna wò afɔ nakɔ ɖe dzi wu wò dzi alesi nàte ŋui. Àte ŋu atsɔ akɔtaɖonuwo ana wòakɔ ɖe dzi. Xatsa tsikpegoe aɖe ɖe avɔ tsɛ aɖe me eye nàtsɔe asisi ɖe teƒe si xɔ abi la abe miniti 15-20 ene. Wɔ esia zi geɖe gbesiagbe. Mègasisi tsikpe ɖe ŋutigbalẽa ŋu tẽ o, elabena ate ŋu atɔ dzo ŋutigbalẽa.
  • Nutete: Ðɔkta ate ŋu aɖo aɖaŋu be woatsɔ aŋe si te ŋu trɔna ablae be wòaxe mɔ ɖe abi nu.
  • Kɔkɔme: Na wò afɔwo nakɔ ɖe dzi wu wò dzi ƒe kɔkɔme kple akɔtaɖonuwo. Esia akpe ɖe ame ŋu be wòaɖe abi dzi akpɔtɔ.
  • Afɔa ƒe ʋuʋu:
  • Ne abi si nèxɔ la mesẽ akpa o, si fia be ƒua mele adzɔge boo tso teƒea o la, wò ɖɔkta ate ŋu atsɔ afɔkpa alo afɔkpa aƒu gbe ɖe wò afɔ ŋu. Esia anɔ anyi abe kwasiɖa 6 va ɖo 8 ene. Menyo be nàtsɔ kpekpeme aɖeke ade wò afɔ dzi le ɣeyiɣi sia me o. Ahiã be nàzã atizɔtiwo atsɔ azɔ. Esia akpe ɖe ŋuwò nàɖe wò afɔ ƒe kpekpeme dzi akpɔtɔ, wòana ƒunukpeƒea nanɔ teƒe si wòle, eye wòana màgatsɔ kpekpeme geɖe ade wò afɔ dzi o.
  • Lisfranc ƒe amekoko:
  • Lisfranc ƒe abi geɖe, vevietɔ ne ƒuawo ʋuʋu alo ƒunukpeƒea meli ke o la, hiã be woawɔ dɔ na wo. Amekolaa adzra wò Lisfranc ƒunukpeƒea ɖo, agbugbɔ ƒuawo aɖo wo nɔƒe, eye wòade mɔ̃wo abe agbalẽviwo kple gavi ene wò afɔ me be woalé wo ɖe teƒea.
  • Le amekoko vɔ megbe la, ahiã be nànye ame si metsɔa kpekpeme o abe ɣleti ɖeka alo eve ene. Le ema megbe la, ɖewohĩ ahiã be nàdo afɔkpa alo afɔkpa si wotsɔna ƒoa afɔkpa ɣleti ʋɛ aɖewo.
  • Ne ƒunukpeƒea nya haya nyuie ko, zi geɖe la, le ɣleti 4-6 megbe la, ɖɔkta ate ŋu awɔ dɔ sue bubu aɖe atsɔ aɖe pin kple xɔtunu siwo wotsɔ de eme la ɖa. Menye amesiamee ɖe nusiawo ɖa o, ɖɔkta ŋutɔe atso nya me.
  • Vevesesenutsitikewo: Wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitikewo na wò be wòakpe ɖe ŋuwò nàɖe vevesese kple abi dzi akpɔtɔ. Àte ŋu azã atike siwo mexɔa steroid o siwo wua dɔlékuiwo (NSAIDs) (e.g., ibuprofen, diclofenac) alo acetaminophen (e.g., acetaminophen). Gake bia wò ɖɔkta hafi nàno nusiawo wu ŋkeke 10. Wò ɖɔkta ate ŋu aŋlɔ vevesesenutsitike si nu sẽ wu hã na wò. Wò ɖɔkta agblɔ zi nenie nàno wo kple zi nenie nàno wo.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ate ŋu axɔ ɣleti geɖe, alo ƒe ɖeka gɔ̃ hã hafi Lisfranc ƒe abi aɖe nahaya keŋkeŋ eye nàte ŋu atrɔ ayi dɔwɔna kple kamedefefe siwo nèwɔna ɖaa dzi. Esia toa vovo ŋutɔŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye abi si ƒomevi nèxɔ, alesi wòsẽe, ne wowɔ dɔ na wò, ƒe si nèxɔ, kple wò lãmesẽ bliboa.

Nu vevitɔe nye be ame sia ame ƒe ŋutilã hayana le mɔ vovovowo nu. Eyata ƒo nu tso wò atikewɔwɔ ƒe ɖoɖowɔɖi kple alesi nàhaya ŋu na wò ɖɔkta. Gbɔ ɖe eme, no wò atikewo, eye nàde kame abe alesi wò ɖɔkta gblɔ na wò ene.

  • Atikewɔwɔ siwo menye amekoko o: Zi geɖe la, afɔa maʋã o (le afɔkpa/afɔkpa me) abe kwasiɖa 6 va ɖo 8 ene. Le ema megbe la, ahiã be nàwɔ kamedede (PT) aɖewo . Lãmesẽdɔwɔla akpe ɖe ŋuwò vivivi be nàgate ŋu aʋuʋu, ŋusẽ, kple dadasɔ le wò afɔ ƒe ƒunukpeƒewo.
  • Lisfranc ƒe amekoko: Ahiã be nàdo afɔkpa alo afɔkpa si wotsɔna ƒoa afɔkpa abe ɣleti 3 va ɖo 4 ene le amekokoa megbe. Wò amekola agblɔ ɣeyiɣi si nàte ŋu adze kpekpeme dada ɖe wò afɔ dzi kple ɣeyiɣi si nàte ŋu adze kamedede (PT) gɔme na wò. PT nye esia ƒe akpa vevi aɖe ŋutɔ.

Àte ŋu azɔ kple Lisfranc ƒe Nuveviwɔamea?

Àte ŋu azɔ vie esime Lisfranc ƒe abi le ŋuwò, vevietɔ ne abi la mesẽ akpa o. Gake ne vevesese alo dzesi bubuwo le ŋuwò la, mègazã wò afɔ sesẽe o.Ne èyi edzi le wò afɔ zãm nenema la, mɔnukpɔkpɔ gã aɖe li be abi sue aɖe gɔ̃ hã ava zu nu sesẽ eye wòahiã be woawɔ dɔ nɛ. Ele vevie be nàgbɔ dzi ɖi vaseɖe esime wòahaya nyuie.

Ne èdo afɔkpa alo afɔkpa la, àte ŋu azɔ abe alesi wò ɖɔkta gblɔ na wò ene (ɖewohĩ kple atizɔtiwo). Gake ele be woaƒo asa na kamedede sesẽwo abe duƒuƒu, titri, kple kpekpemewo kɔklɔ ene. Bia wò ɖɔkta alo lãmesẽdɔwɔla be dɔwɔna kawoe wòle be nàƒo asa na kple nu siwo nàte ŋu awɔ vaseɖe esime wò lãme nasẽ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne Lisfranc ƒe abi ƒe dzesiwo le ŋuwò (abe vevesese kple abi si míeyɔ va yi ene) eye womeganyo ɖe edzi le ɖiɖiɖeme kple tsikpe ɖuɖu ŋkeke ʋɛ aɖewo megbe o la, ele be nàkpɔ ɖɔkta kaba godoo. Vevietɔ ne:

  • Ne màte ŋu anɔ tsitrenu kple wò afɔwo kpekpe o.
  • Ne màte ŋu azɔ nyuie o.
  • Ne edze abe afɔa ƒe nɔnɔme trɔ ene.
  • Ne abi aɖe le afɔkpodzi ŋu.

Ne dzesiawo gadze alo gavlo ɖe edzi le ʋuʋu alo amekoko megbe, ne asrã dze dziwò, alo ne ʋuʋudedi le dodom tso abi la me la, gblɔe na wò ɖɔkta enumake.

Gbedasi vevitɔ kekeake si wòle be nàtsɔ ayi aƒemee!

Bu eŋu kpɔ, ɖewohĩ ɖeko nèmli wò afɔ to atrakpui aɖe dzi, alo ɖewohĩ èxɔ abi le afɔku gã aɖe me abe ʋufɔku ene. Nuka kee wòɖatso o, ne vevesese si mebɔ o, vuvu, alo abi le wò afɔ ŋu la, anyo wu be nàyi ɖɔkta gbɔ kaba tsɔ wu be nàgbee be "eƒe afɔ ƒona ko."

Lisfranc ƒe Nuveviwɔame, vevietɔ esi me Lisfranc ƒe gbagbã le, ate ŋu ahe kuxi sesẽwo vɛ (abe vevesese atraɖii kple ƒunukpeƒetetedɔ ene) si ate ŋu agblẽ nu le wò agbe ŋu emegbe ne mèwɔ atike nɛ kaba o.

Eya ta, ne kuxi aɖe le wò afɔwo ŋu la, kpɔ egbɔ. Atikewɔlawo ƒe aɖaŋuɖoɖo didi enumake akpe ɖe ŋuwò nàhaya kaba eye nàxe mɔ ɖe kuxi siwo ado mo ɖa le etsɔme nu. Wò afɔwo le vevie na wò ŋutɔ, eyata lé be na wo!


` Lisfranc Nuveviwɔame, afɔ ƒe vevesese, afɔ ƒe dɔléle, ƒunukpeƒe ƒe ʋuʋu, ƒu ƒe gbagbã, afɔ ƒe vuvu

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.

Tsɔ wò nyaŋuɖoɖo kpee

Taflatse bu akɔnta be: 9 + 2 =