Vevesese le asibidɛwo ƒe gɔme? Ate ŋu anye (Metacarpal Fracture)!

Ðe nèdze anyi heƒo asi ɖe anyigba, alo tsɔ dziku ƒoe ɖe gli ŋu, eye emegbe nèse veve sesẽ aɖe le wò asi me, wòvuvu, eye wòsesẽ be nàʋuʋu wò asibidɛwo kpɔa? Ne nenemae la, ke ɖewohĩ ègbã ƒu aɖe le wò asibidɛwo gɔme. Ðɔktawo yɔa esia be `(Metacarpal Fracture)`. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.

Nukae nye `(Metacarpal Fracture)` sia?

Kpuie ko la, `(Metacarpal Fracture)` nye ƒu si le asiwò ƒe gbagbã. Fifia ɖewohĩ èle eŋu bum be nukae nye `(Metacarpals)` hã. Ƒu didi atɔ̃ le wò asi ŋu siwo doa ka kple wò asibidɛwo ƒe ƒu suewo (si woyɔna hã be `Phalanges`) kple asibidɛ. Woyɔa ƒu mawo be `(Metacarpals).` Ne èka asi wò asi ƒe megbe ŋu la, àte ŋu ase ƒu siawo gɔme.

Nuveviwɔame sia ƒomevi nye abi si bɔ ŋutɔ . Zi geɖe la, edzɔna ne asi la tro alo dze anyi, alo le afɔku aɖe si dzɔ esime wòle kamedefefe wɔm ta. Ɣeaɖewoɣi la, ate ŋu adzɔ le asiƒoƒo sesẽ aɖe megbe hã.

Akpa nyuitɔ kekeakee nye be mehiã be woawɔ dɔ gã aɖeke na abɔta ƒe akpa gãtɔ ƒe gbagbã o. Àte ŋu azã aŋe alo aŋe si wotsɔna ƒoa asi ko atsɔ ana wò asi nagaʋuʋu o eye nàlala be ƒua nahaya. Gake ate ŋu ahiã be woawɔ dɔ na ame ƒe gbagbã sesẽ aɖewo.

Nukae nye `(Metacarpal)` ƒu siwo le míaƒe asiwo me?

Metacarpal ƒu atɔ̃ le mía si le asi ɖesiaɖe me. Esiawo le abe míaƒe asibidɛ atɔ̃awo ƒe gɔmeɖoanyiwo ene. Ðɔktawo yɔa wo to xexlẽdzesiwo dzi. Dze egɔme tso asibidɛ ƒe akpa dzi eye nàʋu ayi asibidɛ suea ƒe akpa dzi:

• Metacarpal Gbãtɔ: Esia do ƒome kple wò asibidɛ.
• Metacarpal Evelia: Ƒu si do ƒome kple asibidɛ.
• Etɔ̃lia `(Metacarpal)` ƒu: Ƒu si do ƒome kple titinasibidɛ.
• Enelia `(Metacarpal)` ƒu: Ƒu si do ƒome kple asibidɛ si wotsɔ fiaa nu (asibidɛ si wotsɔna ƒoa asibidɛ).
• Atɔ̃lia `(Metacarpal)` ƒu: Ƒu si do ƒome kple asibidɛ suea.

Ƒu siawo dometɔ ɖesiaɖe le vevie ŋutɔ na míaƒe asi ƒe dɔwɔwɔ.

Aleke woda `(Metacarpal Fracture)` ɖe hatsotsowo me?

Ne èyi ɖɔkta gbɔ la, woalé ŋku ɖe wò alɔnu ŋu, ɖewohĩ woawɔ X-ray, eye woada alɔnu si gbã la ɖe hatsotsowo me. Wotu ƒu si gbã, ƒu si gbagbã ƒe nɔnɔme, alesi wòdzɔe, kple ne ƒua le dodom to ŋutigbalẽa me dzie woda hatsotso sia ɖo.

Ƒomeviwo le alesi wogbãe ƒe nɔnɔme nu

Woda ƒu gbagbã aɖewo ɖe hatsotso siwo me ƒua gbã ƒe nɔnɔme nu:

• `(Transverse fracture)`: Ƒu ƒe gbagbã le ƒu me.
• Oblique fracture: Ƒu ƒe gbagbã si dzɔna le dzogoe aɖe dzi.
• Spiral fracture: Ƒu ƒe gbagbã si me ƒua gbãna le spiral me, abe gavi ene.
• Segmental fracture: Ƒu si gbãna ɖe teƒe eve, eye kakɛ aɖe si le titina la mã.
• `(Comminuted fracture)`: Gbagbã si me wogbãa ƒua wòzua kakɛ geɖe.
• Buckle fracture: Ebɔ ɖe ɖevi suewo me, edzena abe ƒua ƒe akpa ɖeka vuvu vie ene, gake megbãna keŋkeŋ o.
• `(Taɖa ƒe gbagbã)`: Edze abe ƒua gbã vie ene.

Ƒomeviwo le alesi ɖiɖiɖemea dzɔe nu

• `(Compound fracture)`: Esia nye nusi ŋu míeƒo nu tsoe va yi, afisi ƒua gbãna eye wòdona to do aɖe si le ŋutigbalẽa me me. Esia nye afɔku vie, elabena mɔnukpɔkpɔ geɖe wu li be dɔlékuiwo nage ɖe eme.
• `(Stress fracture)`: Nenema ke ne wotsɔ ƒu aɖe de nuteɖeamedzi alo nyaƒoɖeamenu me ɣeyiɣi didi aɖe la, abi suesuesuewo dona.
• Avulsion fracture: Aɖatsi si le lãkusi alo lãkusi si lé ɖe ƒu ŋu me, si wɔnɛ be ƒu kakɛ aɖe dona kplii.

Ðe ƒua le dodom to ŋutigbalẽa mea? (`Ʋuʋu vs. Ʋuʋudedi Siwo Wotu`)

Esia hã le vevie ŋutɔ.

• `(Open fracture)` (Open fracture): Le afisia la , ƒu si gbã la dzena to ŋutigbalẽa me . Le nɔnɔme mawo me la, ele be woadi atikewɔmɔnu enumake. Elabena mɔnukpɔkpɔ gã aɖe li be dɔlékuiwo nage ɖe abi la me eye woahe dɔlékuiwo vɛ (`dɔlékuiwo`). Exɔa ɣeyiɣi didi wu hã hafi wòhayana.
• `(Closed fracture)`: Le afisia la, ƒua gbã, gake ŋutigbalẽa megbã o, eye ƒua medo go o. Esia ateŋu anye nu sesẽ hã, gake afɔku si le dɔlékuiwo xɔxɔ me le sue wu `(Open fracture)`.

Ðe ƒuawo ʋuʋua? (`Metacarpal Fractures siwo woɖe le teƒe bubuwo`)

Ðɔktawo ayɔ wò gbagbãƒea be "si woɖe le teƒe bubu" alo "si womeɖe le teƒe bubu o."

• `(Displaced fracture)`: Esia fia be ne ƒu aɖe gbã vɔ la, woɖea kakɛ eve siwo gbã la ɖa tso wo nɔewo gbɔ, si wɔnɛ be dometsotso aɖe nɔa wo dome. Ele abe agbalẽvi gbagbã eve siwo wole tutum yi ŋgɔ kple megbe ene. Zi geɖe la , ehiãna be woawɔ dɔ na gbagbãƒe siawo ƒomevi be woaɖɔ wo ɖo .
• `(Nondisplaced fracture)`: Le afisia la, ƒua gakpɔtɔ gbã, gake kakɛ siwo gbã la medidi tso wo nɔewo gbɔ nenema gbegbe o, woƒe akpa gãtɔ le fli ɖeka dzi.

Afisi Metacarpal Ƒu Ate Ŋu Agbã

`(Metacarpal)` ƒu sia ƒe akpa ɖesiaɖe ateŋu agbã. Akpa vevi enee li:

• Gɔmeɖoanyi: Esiae nye ƒu si didi wu tso asibidɛwo gbɔ ƒe nuwuwu, afisi wòdoa ka kple asibidɛ ƒe ƒuwo le.
• Shaft: Akpa didi si le ƒua titina.
• Kɔ: Teƒe si ke kple ta do ƒome le.
• Ta: Ƒu si do ƒome kple asibidɛwo ƒe nuwuwu. Esiae nye nusi wɔa "abɔta" siwo dona ɖe ŋgɔ ne míebla míaƒe asibidɛwo.

Metacarpal Fracture Ƒomevi Tɔxɛwo

Kɔdala ƒe Gbagbãƒe

Esiae nye abɔta ƒe gbagbã ƒomevi si bɔ wu . Metacarpal gbagbã ene ɖesiaɖe dometɔ ɖeka nye esia ƒomevi. Esia nye metacarpal bone (ƒu atɔ̃lia) si do ƒome kple asibidɛ suea ƒe kɔ ƒe gbagbã.

Abe alesi ŋkɔa ɖee fia ene la, edzɔna zi geɖe ne wotsɔ nu sesẽ aɖe ƒo asi . Le kpɔɖeŋu me, ate ŋu adzɔ ne ètsɔ dziku ƒo gli, alo ne kɔdala aɖe da atam si mesɔ o. Esia tae woyɔnɛ be ``Boxer ƒe gbagbã''.

Bennett kple Rolando ƒe Gbagbãƒewo

Esiawo nye ƒunukpeƒetetedɔ siwo gblẽa nu le ƒunukpeƒe si le asibidɛ ƒe metacarpal bone (gbãtɔ) ƒe gɔme. Esiawo sesẽ vie eye anɔ eme be ahiã be woawɔ dɔ na wo .

Amekae ate ŋu axɔ `(Metacarpal Fractures)` siawo wu?

Ame sia ame ate ŋu agbã ƒu le eƒe asi me alea. Gake ƒuƒoƒo aɖewo le afɔku gã aɖe me:

• Ame siwo xɔ tso ƒe 10 va ɖo ƒe 40: Esi ƒe sia me tɔwo doa vevie nu ta la, woate ŋu adze afɔku le kamedefefewo me eye woadze anyi.
• Ŋutsuwo: Esia ate ŋu atso esi zi geɖe la, ŋutsuwo dea kame heƒoa wo ɖokui ɖe nuwɔna siwo me afɔku le me wu nyɔnuwo ta.
• Nyɔnu siwo xɔ wu ƒe 50: Le ƒe sia me, vevietɔ le dzinukpɔkpɔ megbe la, afɔku si li be woaxɔ ƒumeŋuɖui (ƒu ƒe gbagbãdɔ) lolo wu, si wɔnɛ be ƒuwo gbɔdzɔna eye wogbãna bɔbɔe.

Aleke gbegbee `(Metacarpal Fractures)` bɔe?

Esiawo bɔ ŋutɔ . Le nyateƒe me la, woawoe nye etɔ̃lia si bɔ wu. Metacarpal Fractures nye 10% le fractures katã me!

Asi ƒe gbagbãe nye abi si bɔ wu, vevietɔ le sɔhɛ siwo xɔ tso ƒe 18 va ɖo ƒe 34 gome.

Aleke `(Metacarpal Fracture)` kpɔa ŋusẽ ɖe nye ŋutilã dzii?

Tsɔ kpe ɖe dzesiwo abe vevesese kple abi ene ŋu la, abɔta ƒe gbagbã ate ŋu ana wòasesẽ ŋutɔ, ne menye nenema o la, manya wɔ o hã, be nàzã wò asi le mɔ si sɔ nu.

Ele be nàƒo asa na wò asi zazã alesi nàte ŋui vaseɖe esime wòahaya. Ðo dze kple wò ɖɔkta tso nusiwo wòle be nàƒo asa na kple ɣeyiɣi didi si wòle be nàɖɔ ŋu ɖo ŋu. Ne ètsɔ kpekpeme ɖo asi dzi hafi ƒua nahaya nyuie la, ate ŋu agblẽ nu le ƒua ŋu ake eye wòahe kuxi bubuwo vɛ.

Nukae nye `(Metacarpal Fracture)` ƒe dzesiwo?

Dzesi siawo dometɔ ɖeka alo esi wu nenema ate ŋu anɔ ŋuwò:

• Vevesese sesẽ: Vevietɔ ne èka asi asi ŋu alo le asi ʋuʋum.
• Vuvu: Asi ƒe akpa si gbã la vuvu.
• Vevienyenye: Teƒe si gbã la vea ame ne woka asi eŋu .
• Asi ʋuʋu alo eŋudɔwɔwɔ sesẽ.
• Abi: Ɣeaɖewoɣi la, ʋu ƒe sisi ate ŋu ana ŋutigbalẽa nazu blɔ.
• Asi ƒe nɔnɔme ƒe tɔtrɔ alo nane si le abe ƒunukpeƒetetedɔ ene: Ate ŋu adze ƒuƒu alo ƒoƒo si mebɔ o le asi ŋu.

Ne metacarpal ƒu aɖe gbã la, lãkusi bubu siwo ƒo xlãe hã ate ŋu agblẽ. Esiawo dometɔ aɖewoe nye:

• Lãmetsiŋusẽ ƒe lãkusiwo
• Lãmetsiŋusẽwo
• Lãmetsiwo

Nukae nye nusiwo gbɔ `(Metacarpal Fractures)` tsona?

Zi geɖe la, esia gbɔe wòtsona be:

• Tsitretsitsi: Nu vevi aɖe si hea ame ƒe anyidzedze vɛ enye glidzaglidza ɖe anyigba.
• Kamedefefewo me afɔkuwo: Afɔku siwo dzɔna ne wole kriket, rugby, alo kamedefefe bubu ɖesiaɖe ƒom.
• Nudzɔdzɔ kpata bubuwo: Nuwo abe ʋufɔkuwo ene.
• Afɔku siwo dzɔna le dɔwɔƒe:Le teƒe siwo wowɔa dɔ le, abe xɔtutu ene.

Ɣeaɖewoɣi la, metacarpal fracture ate ŋu adzɔ wu le lãmesẽkuxi bubu siwo gblẽa nu le asibidɛwo ŋu ta. Le kpɔɖeŋu me, dɔdzẽ ƒomevi aɖe si menye kansa o si woyɔna be enchondroma ate ŋu ana ƒua nagbɔdzɔ eye wòana wòagbã.

Ƒumeŋuɖui kple ƒu ƒe gbagbã

Ne wò ƒuwo gbɔdzɔ le nɔnɔme aɖe si woyɔna be ƒumeŋuɖui ta la, ke èle afɔku gã aɖe me be ƒu nagbã.

Ƒumeŋuɖui nana ƒuwo tsina, gbɔdzɔna, eye woate ŋu agbã kpata le vome. Ame geɖe menya be ƒumeŋuɖui le yewo ŋu o vaseɖe esime wogbã ƒu! Esia le alea elabena meɖea dzesi siwo dze ƒã fiana le gɔmedzedzea me o.

Nyɔnu siwo xɔ wu ƒe 50 le afɔku me be woaxɔ ƒumeŋuɖui. Anyo be nàƒo nu kple wò ɖɔkta eye nàdo ƒu ƒe kpekpeme kpɔ. Esia ate ŋu akpe ɖe ame ŋu wòade dzesi nɔnɔme sia hafi ƒu aɖe nagbã.

Aleke woawɔ ade dzesi `(Metacarpal Fracture)`?

Wò ɖɔkta ado wò asi kpɔ eye ate ŋu awɔ nɔnɔmetatawo dodokpɔ geɖe hã.

Zi geɖe la, ɖɔkta ate ŋu anya ne asi gbagbã aɖe le asi me to ŋkuléle ɖe asi ŋu ko. Gake ehiã be woawɔ nɔnɔmetatawo dodokpɔ atsɔ aɖo kpe ƒu si tututu gbã kple ƒu ƒomevi si wògbã dzi.

Dodokpɔ ka ƒomevie wowɔna?

Zi geɖe la, wowɔa dodokpɔ siawo dometɔ ɖeka alo esi wu nenema:

• `(X-ray)` (X-ray dodokpɔ): Wozãa esia koŋ tsɔ léa ŋku ɖe ƒua ƒe gbagbã ŋu hã kple alesi gbegbe ƒua gblẽe.
• `(Computed Tomography) (CT) scan` (CT scan): Esia ateŋu awɔ nɔnɔmetata si me kɔ, si le akpa etɔ̃ (`3D`) wu `(X-ray)`. Ðɔkta /amekola ate ŋu akpɔ susu nyuitɔ le menye ƒuwo ɖeɖeko ŋu o, ke boŋ lãkusi siwo ƒo xlãe hã ŋu.
• Ƒumeŋuɖui Dodokpɔ: Woyɔnae ɣeaɖewoɣi be DEXA scan, esia kpena ɖe ame ŋu be nànya ne ƒumeŋuɖui le ŋuwò.

Aleke woawɔ ada `(Metacarpal Fracture)`?

Atike si woawɔ na wò anɔ te ɖe ƒu si ƒomevi wògbã, alesi wòdzɔe, kple alesi gbegbe wògblẽ nu le ƒuwo ŋui dzi.

Asi ƒe ʋuʋu madzudzɔmadzudzɔe

Ne wò gbagbãƒea mesẽ akpa o, si fia be ƒuawo dome didi akpa (`nondisplaced fracture`), ahiã be nàɖi ɖe eme le `splint` alo `cast` me ŋkeke ʋee aɖewo . Ahiã be ame akpa gãtɔ nana woƒe alɔ nagaʋuʋu o kwasiɖa etɔ̃ va ɖo ade. Le ɣeyiɣi sia me la, woawɔ X-ray be woakpɔ egbɔ be ƒuawo le hayahayam nyuie.

`(Ðeɖekpɔkpɔ si Wotu)` (Ðeɖekpɔkpɔ si Wotu)

Le ƒu gbagbã sesẽwo gome, afisi ƒuawo dome didi tso wo nɔewo gbɔ le la, ahiã be ɖɔktaa nazã eƒe asiwo eye wòatsɔ gotagome nyaƒoɖeamenu atsɔ ``aɖo`` ƒu gbagbã la ɖe teƒe si wòle . Woyɔa esia be ``closed reduction``. Be wòaƒo asa na vevesese esime wòle esia wɔm la, ate ŋu azã mɔnu siawo dometɔ ɖeka:

• Wona atike si naa alɔ̃dɔdɔ ame le teƒea be wòana teƒe si wògbã la ɖeɖeko natsi.
• Wona atike siwo naa ame ƒe dzi dzea eme be wòana ŋutilã bliboa naɖe dzi ɖi.
• Ne menye nenema o la, woana atike si wua alɔ̃dɔdɔ wò be wòadɔ alɔ̃ keŋkeŋ.

Ne woɖe asi le eŋu wòtu vɔ la, woatsɔ wò asi ade aŋetu alo aŋetu me.

`(Metacarpal Fracture)` Amekoko (`Amekoko`) .

Metacarpal gbagbã aɖewo hiã be woawɔ dɔ na wo . Le ƒu ƒe gbagbã ƒomevi kple alesi gbegbe ƒuawo gblẽe nu la, wò amekola ate ŋu azã mɔnu vovovowo.

Ememe Fixation

Nusi dzɔna le esia me enye be amekola la `ɖoa` wò ƒu ƒe akpa siwo gbã la eye wòɖɔa wo ɖo ɖe wo nɔƒe. Ɣemaɣie ƒu kakɛawo ƒoa ƒu nyuie eye wohayana. Zi geɖe la, wowɔa esia to nane si woyɔna be ``internal fixation.`` Eyae nye be amekola la tsɔa ganuwo dea wò ƒu me eye wòɖɔa ƒua ɖo.

Nusiwo wozãna na esia:

• Kpluwo kple gaviwo: Wotsɔa ga gbadzɛwo dana ɖe ƒua dzi, wotsɔa gaviwo blaa woe, eye woléa kakɛ siwo gbã la ɖe wo nɔewo ŋu.
• Pin (alo K-ka): Wozãa pin sue siwo wotsɔ gakpo si mexɔ dzo o wɔ tsɔ léa ƒu suewo (siwo le sue akpa be woate ŋu atsɔ mɔnu bubuwo aɖɔ wo ɖo) ɖe wo nɔƒe.

Zi geɖe la, ga siawo nɔa ŋutilãa me le eƒe agbemeŋkekewo katã me. Gake ɣeaɖewoɣi, vevietɔ ne wotsɔ gaviwo de eme la, ahiã be woagawɔ dɔ sue aɖe na wò be woaɖe gaviawo ɖa ne ƒua haya vɔ.

Ƒunukpeƒewo ɖɔliɖɔli (`Arthroplasty`) .

Ne ƒunukpeƒe aɖe gbã alo gblẽ vevie le asi me la, ahiã be woawɔ ƒunukpeƒetetedɔ (ƒunukpeƒe ɖɔliɖɔli) na wò. Esia bia be woaɖe ƒunukpeƒe si gblẽ la ɖa eye woatsɔ ƒunukpeƒe si wowɔ kple asi aɖo eteƒe. Gake ƒã hafi esia hiã na abɔta ƒe gbagbã.

Ƒuwo Dodo Ðe Ame Ŋu

Ne wò abɔta ƒe gbagbãƒea ʋuʋu vevie, wògbã, alo kuxiwo le eŋu be ƒua megale hayahayam nyuie o la, ahiã be woado ƒu na wò. Esia bia be amekolaa naxɔ ƒu ƒe lãkusi bubuwo ahatsɔe ade teƒe si gbã la be wòakpe ɖe ƒua ŋu wòahaya. Emegbe, zi geɖe la, wowɔa ememe nuléle be woatsɔ alé kakɛawo ɖe wo nɔewo ŋu vaseɖe esime ƒu yeye natsi.

Mɔ vovovowo li siwo dzi woato akpɔ lãkusi na ƒu sia si woatsɔ ado ƒu sia:

• Tso teƒe bubu le wò ŋutɔ wò ŋutilã dzi – zi geɖe la, le akɔtaƒu dzi.
• Tso nunala bubu gbɔ (`gotagome nunala`).
• Nusi wotsɔ asi wɔe si wotsɔ ɖɔliae.

Le amekoko vɔ megbe la, womagate ŋu aʋuʋu wò alɔ o. Woana aŋe alo aŋe wò, eye ema ko hafi nàgate ŋu adze wò alɔnu zazã gɔme ake. Ðewohĩ ahiã hã be nàwɔ dɔ na wò be nàgate ŋu aʋuʋu le mɔ si sɔ nu.

Atike kae wozãna na `(Metacarpal Fracture)`?

Be nàɖe vevesese dzi akpɔtɔ la, zi geɖe la, àte ŋu axɔ atike siwo womeƒlena o abe ``NSAIDs'' (e.g. ``Aspirin'', ``Ibuprofen'') kple ``(Acetaminophen)'' (e.g. ``Paracetamol'') siwo ateŋu ana ʋu nado le amekoko megbe. Eyata wò amekola agblɔ vevesesenutsitike siwo tututu sɔ na wò na wò. Ele vevie ŋutɔ be nàno atikeawo abe alesi tututu wògblɔe na wò ene.

Metacarpal Fracture Kple Eƒe Atikewɔwɔ ƒe Kuxiwo

Woɖawɔ amekoko alo womewɔe o, kuxiwo ate ŋu ado mo ɖa ɣeaɖewoɣi. Wo dometɔ aɖewoe nye:

• `(Malunion)`: Esia nye ne ƒu gbagbãwo sɔ ɖe wo nɔewo nu vodadatɔe (abe asibidɛ ene).
• `(Nonunion)`: Ƒu siwo mewɔ ɖeka nyuie o, alo womewɔ ɖeka kura o.
• Ƒumeŋuɖui (Osteomyelitis): Ne ƒu gbagbã le ʋuʋu ɖi (si me ƒua do le ŋutigbalẽa me) la, ke èle afɔku gã aɖe me be dɔlékuiwo naxɔ wò.
• Asi ƒe sesẽ: Zi geɖe la, amesiwo ƒe abɔta gbã la sena le wo ɖokui me be asi ƒe sesẽ ƒo xlã teƒe si wogbã. Woate ŋu aɖe sesẽme sia dzi akpɔtɔ ne wowɔ kamedede le aƒeme kple dɔdamɔnu.
• Acute Compartment Syndrome (ACS): Esia nye dɔléle sesẽ aɖe. Nyaƒoɖeamenu si le lãmekaa me dzina ɖe edzi, ʋu meganɔa sisim o, eye lãmekawo ate ŋu agblẽ. Esia ate ŋu ana lãmekawo kple lãmekawo nagblẽ tegbee.

Vevietɔ: Ne èse veve si dzi màte ŋu ado dzi atsɔ o, avuvu, alɔ̃madɔmadɔ, alo wò asi ƒe amadede trɔ la, yi ɖɔkta gbɔ enumake.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Ate ŋu axɔ kwasiɖa geɖe hafi wò dzesiawo nu nafa. Vevesesea adze egɔme aɖiɖi le ŋkeke ʋɛ aɖewo megbe. Gake axɔ abe kwasiɖa ade ene hafi ƒua nahaya keŋkeŋ.

Le atikewɔwɔ si ƒomevi wowɔ na wò (si wotsɔ aŋe wɔe, aŋe si wotsɔ bla wò, alo amekoko) nu la, ɣeyiɣi si wòaxɔ hafi nàgadze wò abɔ ʋuʋu gɔme ake la ato vovo. Zi geɖe la, exɔa kwasiɖa ʋɛ aɖewo.

Ne èyi edzi le veve sem vevie si màte ŋu ado dzi atsɔ o la, na wò ɖɔkta nanya enumake.

Aleke woawɔ aɖe afɔku si le `(Metacarpal Fracture)` me dzi akpɔtɔ?

Wɔ ɖe aɖaŋuɖoɖo gbogbo siawo dzi nàtsɔ akpɔ ɖokuiwò ta tso afɔkuwo me:

• Do wò zikpuimeka ɣesiaɣi ne èle ʋuwo me.
• Do dedienɔnɔdɔwɔnu nyuiwo ne èle kamedefefe wɔm alo nèle dɔ siwo me afɔku le wɔm.
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ to nusiwo ate ŋu ana nàdze anyi, adze anyi, alo akli nu la ɖeɖe ɖa me.
• Ne èle nane fɔm tso dziƒo la, zã mɔ̃ si sɔ (abe atrakpui ene) tsɔ wu be nàlia zikpuiwo alo kplɔ̃wo.
• Wɔ ɖe nuɖuɖu kple kamedede ƒe ɖoɖo si akpe ɖe ŋuwò nàlé ƒuwo ƒe lãmesẽ nyui me ɖe asi dzi.
• Ne èxɔ wu ƒe 50, alo ne ƒumeŋuɖui le wò ƒomea me la, ƒo nu kple wò ɖɔkta tso ƒu ƒe kpekpeme dodokpɔ ŋu.
• Ne azɔlizɔzɔ sesẽ na wò alo nèle afɔku gã aɖe me be nàdze anyi la, zã atizɔti alo azɔlizɔmɔ̃.

Nukae mate ŋu akpɔ mɔ na ne `(Metacarpal Fracture)` le ŋunye?

Ne ègbã `(Metacarpal)` ƒu hã la, anɔ eme godoo be àte ŋu ahaya bliboe.

Ahiã be nàwɔ dɔdamɔnu na wò be ŋusẽ nagaɖo ŋuwò eye nàgaʋuʋu le asi me. Esia akpe ɖe ŋuwò ŋutɔ be nàyi dɔa dzi abe ale si wòle ene.

Ɣeyiɣi didi kae wòxɔna hafi `(Metacarpal Fracture)` hayana?

Ɣeyiɣi si nàhaya la ato vovo le alesi wò gbagbãƒea nu sẽe kple atike si wowɔ na wò nu. Ame akpa gãtɔ ate ŋu ahaya le ɣleti ɖeka alo eve me.

Ke hã, ame sia ame ƒe ŋutilã ƒe dɔyɔyɔ le mɔ vovovowo nu. Bia wò ɖɔkta alo amekola ɣeyiɣi didi si wòaxɔ hafi wòahaya, le wò nɔnɔmea nu.

Ðe nyemate ŋu ayi dɔme/suku oa?

Ðewohĩ màte ŋu ayi dɔme alo suku o vaseɖe esime wò asi nahaya, vevietɔ ne wò asi si ɖua dzi (abe asi si nèzãna zi geɖe ene) ye.

Ame akpa gãtɔ ate ŋu atrɔ ayi kamedede abe kamedefefewo ene dzi le abe kwasiɖa enyi ene megbe. Gake ele be nàbia wò ɖɔkta ɣesiaɣi hafi nàgadze dɔwɔna mawo gɔme ake.

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

Ne èsusu be metacarpal fracture alo ƒu bubu aɖe si gbã le asi me la, ele be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui. Yi xɔ si me wowɔa dɔ kpata le enumake, vevietɔ ne dzesi siawo dometɔ aɖe le ŋuwò:

• Vevesese sesẽ ŋutɔ.
• Ne màte ŋu aʋuʋu wò asi alo asibidɛwo le mɔ si sɔ nu o.
• Ne wò asi ƒe dzedzeme trɔ ŋutɔ (abe alesi wòkeke alo ƒu aɖe le eŋu ene).
• Ne àte ŋu akpɔ ƒua to ŋutigbalẽa me.
• Ne wò asi trɔ zu blɔ nyitsɔ laa kpe ɖe dzesi siawo ŋu.

Ne afɔku gã aɖe (nuveviwɔame) dzɔ ɖe dziwò la, yi kɔdzi enumake.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, anyo be nàbia nya siawo:

• Gbagbã ka ƒomevie le ŋunye?
• Ðe wòahiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòaxɔ hafi wòada gbe le ame ŋu?
• Ɣekaɣie magate ŋu awɔ kamedefefe ahaƒo ɖokuinye ɖe kamedede me ake?

Ƒu gbagbã le asi me ate ŋu ate ɖe dziwò ŋutɔŋutɔ, vevietɔ ne edo kplamatse wò gbesiagbedɔwo (abe nuŋɔŋlɔ alo wò telefon léle ɖe asi ene). Gake ɖo ŋku edzi be ne ehiã be woawɔ dɔ na wò hã la, àte ŋu ahaya bliboe tso `(Metacarpal Fracture)` me.

Mlɔeba la, ɖo ŋku esia dzi (Take-Home Message) .

Metacarpal fracture, si wogayɔna be ƒu gbagbã le asibidɛ ƒe gɔme, ate ŋu adzɔ ɖe amesiame dzi. Ate ŋu atso anyidzedze, kamedefefe ƒe afɔku, alo ƒoƒo kpata gbɔ.

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èsusu be abi sia ƒomevi le ye ŋu. Ðɔktaa ado wò kpɔ, awɔ X-ray ne ehiã, eye wòana atike si sɔ wu wò. Esia ate ŋu alɔ amekoko alo amekoko sue aɖe ɖe eme.

Ðo ŋku edzi be ne wowɔ atike na ame akpa gãtɔ heɖi ɖe eme nyuie la, wohayana bliboe eye wogate ŋu zãa woƒe asi abe alesi wòle ene. Eyata, mègatsi dzodzodzoe o. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

Ne èsusu be ɖewohĩ ƒumeŋuɖui ate ŋu adze ye dzi (vevietɔ ne wò ƒomea me tɔ aɖe le eŋu) la, ƒo nu tso eŋu na wò ɖɔkta. Ƒu ƒe kpekpeme dodokpɔ wɔwɔ ate ŋu akpe ɖe ŋuwò nànya nɔnɔmea hafi ƒu aɖe nagbã.

` metacarpal fracture, asi ƒe gbagbã, ƒu ƒe gbagbã, asi ƒe dɔléle, kɔdala ƒe gbagbã, asi ƒe dɔwɔwɔ, ƒu ƒe dɔyɔyɔ