Tsɔe be èdze afɔku eye wò alɔ alo afɔ ƒe ƒu gbã. Nuteƒekpɔkpɔ dziŋɔ ka gbegbee nye si! Eyata, ɖɔkta la va gblɔ be, "Esia hiã amekoko kple ememe ka kple agbalẽviwo be woaɖɔe ɖo." Enye nusi sɔ be vɔvɔ̃ naɖo ŋuwò wu le ɣeyiɣi ma me. Gake mègavɔ̃ o. Egbea míele nu ƒom tso ORIF, si nye amekoko tɔxɛ aɖe si wozãna tsɔ gbugbɔa ƒu siwo gbã vevie la ɖoa anyi ŋu.
Nukae nye ORIF ƒe amekoko? Amekae hiãe?
Gɔmesese bliboa si le ORIF ŋue nye Open Reduction and Internal Fixation . Togbɔ be ŋkɔa aɖi nya sesẽ hã la, gɔmesesea le bɔbɔe ŋutɔ.
- Open Reduction: Esia fia be amekolaa lãa ŋutigbalẽa, ʋuae, xɔa ƒu kakɛ siwo gbã la hegbugbɔa wo dana ɖe woƒe nɔƒe nyuitɔ, abe alesi wògbugbɔa glass kakɛ siwo gbã la ƒoa ƒui ene.
- Ememe Kpeɖodzi: Esia fia be woblaa ƒu kakɛ siwo woda ɖe teƒe nyuitɔ la ɖe wo nɔewo ŋu evɔ womeʋãna o, eye wotsɔa ga ƒe akpa aɖewo (le kpɔɖeŋu me, gavi, agbalẽvi, atikplɔ, alo ka) dea eme tso eme me.
Menye amesiame si ƒe ƒu gbã lae hiã be woawɔ dɔ sia o. Ɣeaɖewoɣi la, woate ŋu azã aŋe aɖe atsɔ ada gbe le lãmeka si gbã la ŋu. Gake le ƒu gbagbã sesẽ aɖewo gome la, ehiã be woawɔ dɔ na ame le ORIF.
| Gbagbã ƒomevi | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Nu Gbagbewo/Gbugbɔgaʋu | Ne ƒu gbagbã aɖe do go to ŋutigbalẽa me la, dɔlékuiwo xɔxɔ ƒe afɔkua lolo wu. |
| Gbagbãƒe Siwo Wogblẽ | Ɣeaɖewoɣi la, ƒua gbãna zua kakɛ geɖe, abe aŋɔ ene. Esesẽna be woagatsɔ nusiawo aƒo ƒui ake. |
| Ʋuʋudedi Siwo Trɔna Le Aƒewo Me | Esiawo nye nɔnɔme siwo me ƒu kakɛ eve siwo gbã la ma tso wo nɔewo gbɔ, si wɔnɛ be dometsotso gã aɖe nɔa wo dome. Amesiawo mada gbe le wo ɖokui si o. |
Nukae dzɔna hafi woawɔ dɔ na ame?
Gbagbã akpa gãtɔ dzɔna kpata, abe anyidzedze, ʋufɔku, alo abixɔxɔ le kamedefefe me ene. Eyata ɣeyiɣi aɖeke meli woawɔ ɖoɖo ɖe amekoko siawo ŋu do ŋgɔ o. Ne wokplɔ wò va Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) vɔ la, dɔ gbãtɔ si atikewɔlawo ƒe ƒuƒoƒoa awɔe nye be woada wò nɔnɔme si ate ŋu ade wò agbe afɔku me la akpɔ, akpɔ nɔnɔme mawo gbɔ, eye woana nàli ke.
Emegbe, wowɔa X-ray tsɔ ɖoa kpe gbagbãƒea dzi. Ɣeaɖewoɣi la, ɖɔkta ate ŋu atso nya me hã be yeawɔ CT scan alo MRI scan be yealé ŋku ɖe lãmeka siwo gbã kple nusiwo gblẽ le lãmeka siwo ƒo xlãe ŋu nyuie wu.
Nukae dzɔna le amekokoa wɔɣi?
Hafi amekokoa nadze egɔme la, woana atike si naa alɔ̃dɔdɔ wò ale be màse veve aɖeke o. Le wò nɔnɔmea kple amekokoa ƒe nɔnɔme nu la, atikewɔla si naa alɔ̃dɔdɔ wò katã, si nana nèdɔa alɔ̃ keŋkeŋ, alo atike si naa alɔ̃dɔdɔ wò le nuto aɖe me, si naa teƒe si ƒua gbã le koe wòtsia dzodzodzoe.
Emegbe amekolaa zɔna ɖe afɔɖeɖe siawo dzi:
1. Ŋutilã ƒe lãɖeɖe: Wolãa ŋutigbalẽa ɖe ƒu gbagbãa dzi eye wòɖina yia afisi ƒua le.
2. Ðeɖekpɔkpɔ: Woɖea ƒu kakɛ siwo gbã kple esiwo vuvu la ɖa nyuie eye wogbugbɔa wo ɖona ɖe woƒe nɔƒe gbãtɔ nu.
3. Ememe Kpekpeɖeŋunana: Fifia, be ƒu kakɛawo nagaʋuʋu ake o la, wotsɔa gaviwo, agbawo, alo atikplɔwo blaa wo ɖekae. Le kpɔɖeŋu me, ne afɔkpodzia gbã la, woate ŋu atsɔ titanium-ti didi aɖe ato ƒua titina. Ne afɔkpodzia gbã la, woate ŋu atsɔ ga gbadzɛwo ade axa eveawo eye woatsɔ gavi aɖɔ wo ɖo.
4. Abi la ƒoƒo: Ne wonya ɖɔ ƒua ɖo ko la, wogatsɔa abi si wotso la ƒoa ƒui.
5. Mɔxexeɖedɔléle nu: Mlɔeba la, wotsɔa aŋe alo aŋe si wotsɔ blaa alɔ alo afɔ si wowɔ dɔ na la dzi be wòagaʋuʋu o.
Zi geɖe la, amekoko sia ate ŋu axɔ gaƒoƒo geɖe, le alesi ƒu gbagbãa le kple alesi ƒu gbagbãa nu sẽe nu.
Nukae dzɔna le amekokoa megbe?
Ne wowɔ dɔ na wò vɔ la, woakplɔ wò ayi xɔ si me woahaya le. Afimae atikewɔlawo ƒe ƒuƒoƒoa alé be na wò nyuie vaseɖe esime nàhaya keŋkeŋ tso atike si wua alɔ̃dɔdɔa me eye woaka ɖe edzi be kuxi bubu aɖeke meli o. Togbɔ be ame aɖewo te ŋu yia aƒeme gbemagbe ke hã la, ahiã be ame akpa gãtɔ nanɔ kɔdzi ŋkeke ɖeka alo eve. Wò ɖɔkta anɔ te ɖe wò nɔnɔmea dzi atso nya me le esia ŋu.
Viɖe vevitɔ si le ORIF amekoko ŋue nye be wogbugbɔa ƒu si gbã vevie la ƒe nɔnɔme trɔna eye wogbugbɔa eƒe nɔnɔme kple teƒe si sɔ.Gbugbɔgawɔ ɖe ɖoɖo nu. Ƒu si mesɔ nyuie o la ate ŋu agbã ake le etsɔme.
Zi geɖe la, ORIF ƒe amekoko kpɔa dzidzedze ŋutɔ, le ƒu gbagbã siwo mebɔ o, siwo sesẽ gɔ̃ hã me.
Nukawoe nye kuxi siwo ate ŋu ado tso eme?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, ƒã hafi ORIF ƒe amekoko ate ŋu ahe kuxiwo vɛ. Ɖoɖowɔɖia, gake ele vevie be míanya nu tso esia ŋu.
| Kuxi si dona tso eme | Numeɖeɖe bɔbɔe |
|---|---|
| Dɔdzedze | Dɔlékuiwo ƒe dɔléle ate ŋu adze ame dzi, vevietɔ le nɔnɔme siwo me ŋutigbalẽa gbã eye ƒua do (si ƒe gbagbã le ʋuʋu ɖi). |
| Malunion ƒe ŋkɔ | Ƒu kakɛwo ƒe ƒoƒo ƒu ɖekae le mɔ gbegblẽ nu le dɔyɔɣi. |
| Ðekawɔwɔ manɔmee | Ƒu kakɛawo mewɔ ɖeka bliboe o. |
| Ʋu ƒe Ʋuʋudedi | Dɔmawɔmawɔ le amekoko megbe nana ʋu ƒe sisi ƒe afɔkua dzina ɖe edzi, vevietɔ le afɔwo ƒe ʋukawo me. |
| Dɔléle si nye Acute Compartment Syndrome | Lãmetsiŋusẽ ƒe nyaƒoɖeamenu si dzi ɖe edzi kple ʋu ƒe sisi ƒe gbegblẽ. Esia nye nudzɔdzɔ kpata aɖe. |
Ɣeyiɣi didi kae wòxɔna hafi wòhayana?
Ɣeyiɣi si wòaxɔ hafi nàda gbe le ame ŋu bliboe la ato vovo le alesi wò gbagbãƒea le nu. Gbagbãƒe aɖewo hayana le kwasiɖa ʋɛ aɖewo megbe, gake gbagbã siwo nu sẽ wu ate ŋu axɔ ɣleti geɖe alo ƒe ɖeka gɔ̃ hã hafi woahaya.Ate ŋu axɔ ɣeyiɣi aɖe. Ahiã be nàdo aŋekotoku kwasiɖa ʋɛ aɖewo. Lé be na nu siawo esime nèle dɔ dam.
- Do alɔ/afɔ ɖe dzi: Ɣesiaɣi si wòanya wɔ la, na alɔ/afɔ si wowɔ dɔ na la nakɔ dzi wu dzia ƒe kɔkɔme kple akɔtaɖonuwo. Esia aɖe abi ƒe vuvu dzi akpɔtɔ.
- Na abi la nanɔ dzadzɛ: Be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu la, na abi la nanɔ dzadzɛ eye nàtsyɔ edzi abe alesi wò ɖɔkta gblɔe ene. Se mɔfiame siwo ku ɖe alesi nàtrɔ abi ƒe aŋekotokua kple ɣeyiɣi si nàte ŋu aklɔ tsi ŋu nyuie.
- Lãmesẽnyawo Gbɔkpɔkpɔ: Ne ƒua le hayahayam la, kamedede hiã vevie be wòado ŋusẽ lãmeka kple ƒunukpeƒe siwo ƒo xlãe. Ðewohĩ ahiã be nàzã kpekpeɖeŋunu siwo le abe atizɔti ene.
Aleke woawɔ aɖu vevesese dzi?
Esɔ be nàse veve aɖe le amekoko vɔ megbe, vevietɔ le kwasiɖa ʋɛ gbãtɔwo me. Wò ɖɔkta aŋlɔ vevesesenutsitikewo na wò be wòakpe ɖe ŋuwò nàɖu vevesesea dzi. Ele vevie be woano atikeawo le agbɔsɔsɔ nyuitɔ me kple le ɣeyiɣi nyuitɔ dzi. Ne vevesesea mate ŋu ado dzi o la, na wò ɖɔkta nanya enumake.
Ðe wotsɔa ga ƒe akpaawo (screws, plates) dea eme tegbeea?
Esia nye kuxi na ame geɖe. Le ame aɖewo gome la, ga ƒe akpa siawo nɔa woƒe ŋutilã me le woƒe agbemeŋkekewo katã me. Womeɖea agba kple gavi, vevietɔ esiwo woda ɖe ƒunukpeƒewo abe afɔkpodzi ene, ɖa o elabena wonaa ŋusẽ geɖe wu ne ƒua haya gɔ̃ hã. Gake le go aɖewo me (le kpɔɖeŋu me, ne wohe vevesese vɛ alo wotsɔ wo de ƒu siwo le tsitsim me le ɖeviwo me) la, woɖea wo ɖa emegbe to amekoko sue aɖe me. Anyo wu be nàbia wò amekola tso esia ŋu eye nàɖe eme nɛ.
Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake
Ne dzesi siwo gbɔna dometɔ aɖe dze ŋuwò le wò hayahayaɣi la, yɔ wò ɖɔkta enumake alo yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) si te ɖe ŋuwò.
- Akɔtave sesẽ.
- Yagbɔgbɔ sesẽ (Dyspnea).
- Dzoxɔxɔ si wu Celsius 38° (101° Fahrenheit).
- Ʋu si dona fũu akpa tso abi si wowɔ dɔ na la me.
- Dzesi siwo fia be dɔlékui le ame ŋu le abixɔa teƒe (aɖuɖɔtoe, vuvu fũ, amadede ƒe tɔtrɔ, ʋeʋẽ, alo dzoxɔxɔ si gbɔ eme ƒe seselelãme).
- Vevesese sesẽ si dzi womate ŋu aɖu kple vevesesenutsitikewo gɔ̃ hã o.
Ƒu gbagbã nye nuteƒekpɔkpɔ dziŋɔ aɖe. Enye dzɔdzɔme nu be nàvɔ̃ ne èse amekoko kple ga kakɛwo tsɔtsɔ de wò ŋutilã me. Gake ɖo ŋku edzi be ORIF ƒe amekokoe nye mɔ nyuitɔ kekeake si le dedie wu si dzi woato ada gbe le ame ƒe gbagbã sesẽ ŋu nyuie. Ðo dze kple wò ɖɔkta gaglãa tso nyabiase alo nu siwo ŋu nètsi dzi ɖo ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- ORIF ƒe amekoko bia be woaʋu ƒu, ŋutigbalẽ siwo gbã vevie ahagbugbɔ wo awɔ, eye woatsɔ ga ƒe akpa aɖewo ade eme tso eme.
- Amekoko sia kpena ɖe ƒua ŋu wòhayana sesĩe eye wònɔa nɔnɔme nyuitɔ me.
- Ɣeyiɣi kple alesi wodaa gbe le ame ŋu toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye ebia dzigbɔɖi kple ɖokuitsɔtsɔna.
- Vevesese dzi ɖuɖu, abi dzi kpɔkpɔ, kple kamedede nye dɔyɔyɔ ƒe akpa veviwo.
- Ne ɖikeke alo vɔvɔ̃ aɖe le mewò, alo ne nuxlɔ̃amedzesi aɖewo do mo ɖa la, yi ɖɔkta gbɔ enumake.
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