Ðe ƒu aɖe hã gbã le wò ŋku ŋua? (Orbital Fracture) Mina míaƒo nu tso esia ŋu bɔbɔe!

Tsɔe be bɔl si le zɔzɔm kabakaba la ƒo wò ŋkume esime nèle kriket ƒom, alo ʋufɔku kpata aɖe va xɔ abi wò. Ɣeaɖewoɣi la, nu siawo ate ŋu agbã ƒu ƒuƒu siwo ƒo xlã míaƒe ŋkuwo. Egbea la, míele nu ƒom tso ŋku ƒe gbagbã siawo siwo ƒo xlã ŋkuwo, siwo woyɔna le atikewɔwɔ me be Orbital Fractures . Togbɔ be esia sese dzi ŋɔ vie hã la, ne ènya esia nyuie la, anɔ bɔbɔe be nàdze ŋgɔ nusianu, alo?

Nuka tututue nye ɣletinyigba ƒe gbagbã?

Kpuie ko la, ƒu siwo ƒo xlã wò ŋkua dometɔ ɖeka alo esi wu nenema ƒe gbagbã. Ƒu siawo va ƒoa ƒu wɔa ŋkume, si nye do si kpɔa wò ŋku ta. Wò ŋku, lãmeka siwo ʋãa wò ŋku, ʋukawo, kple lãmeka siwo le vevie ŋutɔ la le do sia me.

Zi geɖe la, gbagbã sia ƒomevi dzɔna ne nane ƒo ŋkua kple ŋusẽ (blunt force trauma) , abe ame aɖe ƒe ƒoƒo alo bɔl ƒoƒo ene.

Ðe gbagbãƒe siawo ƒomevi vovovowo lia?

Ẽ, ƒu ɖesiaɖe si ƒo xlã ŋkua ate ŋu agbã, gake ƒomevi vevi ʋɛ aɖewo li siwo wokpɔna:

1. Yaƒoƒo ƒe Gbagbã

Esiae nye ƒomevi si bɔ wu . Ne míagblɔe tututu la, enye ŋkumeɖonu ƒe gli ememetɔ ƒe gbagbã, alo gli tsɛ si le eme. Bu eŋu abe azigolo ene. Esia ate ŋu adzɔ wu ne nu sesẽ aɖe, abe baseball ene, ƒo wò.

2. Orbital Rim ƒe gbagbã

Esia gblẽa nu le ƒu siwo le ŋkume ƒe gota gome ŋu. Esi ƒu siwo le teƒe sia la le kpekpem ŋutɔ ta la, ebia ŋusẽ geɖe hafi woate ŋu agbã wo . Wokpɔa wo zi geɖe le afɔkuwo abe ʋufɔkuwo ene me. Ne orbital rim fracture le ŋuwò la, anɔ eme be wò mo hã gbagbã bubuwo.

3. Orbital anyigba ƒe gbagbã

Esia nye ne wotu ƒu siwo le ŋkume ƒe nugbɔ ɖe megbe, si wɔnɛ be ƒu siwo le ŋkume ƒe anyigba la bɔbɔna ɖe anyi. Gbagbã siawo ate ŋu agblẽ nu le lãmekawo kple lãmeka siwo ƒo xlã ŋkua ŋu, si ana wòasesẽ be woaʋuʋu ŋkua nyuie. Nusiwo abe ʋufɔku kple anyidzedze ene gbɔe gbagbã siawo ƒomevi tsona wu.

Nukawoe nye ŋkua ƒe gbagbã ƒe dzesiwo?

Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu kura o. Gake zi geɖe la, enyea nuteƒekpɔkpɔ si me vevesese le. Dzesiawo ate ŋu ato vovo le alesi nègbãe kple alesi abi si nèxɔ la nu sẽe nu. Kpɔe ɖa be dzesi siawo ɖi nusi nènya nyuie hã:

• Nukpɔkpɔ si me kɔ o, nukpɔkpɔ zi eve, alo nukpɔkpɔ dzi ɖeɖe kpɔtɔ.
• Ŋku te ƒe vuvu.
• Blu, yevu, alo aŋutiɖiɖi ƒe ƒoƒo ƒo xlã ŋku (ŋku yibɔ).
• Ʋu dzena le ŋkua ƒe akpa si le ɣie la me.
• Akɔta alo ŋgonu ƒe vuvu.
• Sese le eɖokui me be yeƒe lãme gbã.
• Esesẽna be woaʋuʋu ŋkuwo tso axa ɖeka ayi axa ɖeka.
• Akɔta dzena abe ɖe wòle gbadzaa ene.
• Ŋkuʋuʋu siwo nyrɔ alo ŋkumeʋuʋu siwo le dodom.
• Ʋu si dona le ŋɔti me (Epistaxis).

Vevietɔ: Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ enumake.

Nukawo koŋue hea gbagbã siawo vɛ?

Nɔnɔme mawo ate ŋu adzɔ le ame tsitsiwo kpakple ɖeviwo hã gome.

• Le ame tsitsiwo dome: Nusiwo koŋ gbɔ wòtsonae nye ŋutasẽnuwɔwɔ kple ʋufɔkuwo.
• Le ɖeviwo dome: Nusiwo gbɔ wòtsona wue nye ʋufɔkuwo kple nane si le abe bɔl ene ƒoƒo ɖe mo. Bu eŋu kpɔ, ne bɔl si le du dzi sesĩe la ƒo wò ŋkume esime nèle kriket ƒom le suku la, nane si le abe ema ene ate ŋu adzɔ.

Tsɔ kpe ɖe eŋu la, kekefɔkuwo, dzokekefɔkuwo, anyidzedze tso kɔkɔƒewo, kple abi bubu siwo dona tso kamedefefewo me hã ate ŋu ahe esia vɛ.

Kuxi kawoe ate ŋu ado tso gbagbãƒe abe esia ene me?

Ne ŋkua gbã la, ate ŋu ahe kuxi aɖewo vɛ, si fia be kuxia ate ŋu agado gã ɖe edzi.

• Wò mo ƒe akpa aɖe ƒe ʋuʋu alo seselelãme ƒe bu (ne lãmeka alo lãmeka aɖe gblẽ).
• Le afisi aŋea le nu la, gbɔgbɔ, nukpɔkpɔ, nusese, alo nuƒoƒo ate ŋu asesẽ.
• Nuveviwɔame sesẽwo ate ŋu ahe nɔnɔme sesẽwo abe dɔlékuiwo, alɔ̃madɔmadɔ, ʋu si le dodom le wò ahɔhɔ̃ me, kple ahɔhɔ̃ ƒe gbegblẽ gɔ̃ hã vɛ . Esia tae wòle vevie be woayi atikewɔƒe enumake le abixɔxɔ abe esia ene megbe.

Aleke ɖɔktawo wɔa anya dɔléle sia pɛpɛpɛ?

Be ŋkudɔdala nanya nenye be wò ŋku gbã la, ŋkudɔdala aɖe alé ŋku ɖe wò ŋku kple teƒe si ƒo xlãe ŋu nyuie. Alé ŋku ɖe eŋu akpɔe ɖa be wò ŋku le zɔzɔm nyuie hã eye ne nukpɔkpɔ ƒe kuxi aɖewo le eŋu hã. Woate ŋu adzidzee hã nenye be ŋkua le eƒe ʋuƒoa me nyuie.

Tsɔ kpe ɖe eŋu la, ŋkudɔdala abia nya wò tso wò dzesiwo ŋu eye wòaɖe gbe be woawɔ nɔnɔmetatawo dodokpɔ abe X-ray kple CT scan (Computed Tomography scan) ene . Scan siawo ate ŋu akpe ɖe ame ŋu woanya afisi tututu wògbã le kple eƒe nɔnɔme.

Nukae nye esia ƒe atikewɔwɔ?

Atikewɔwɔ na ŋkua ƒe gbagbãƒe nɔ te ɖe wò abi si ƒomevi nèxɔ kple alesi wòsẽe dzi. Menye ɣesiaɣie amekoko mehiãna o .

• Le ʋuʋudedi suesuesuewo gome: Le ŋkudɔ suesuesuewo gome la, wò ŋkudɔdala ate ŋu aɖo aɖaŋu be nàtsɔ tsikpe aɖe asisi ɖe ŋku ŋu be wòaɖe vevesese kple abi dzi akpɔtɔ. Le ɣeyiɣi aɖe megbe la, wò ŋkumeɖonu ate ŋu ahaya le eɖokui si.
• Atikewo: Ðɔktaa ate ŋu aŋlɔ dɔlékuiwutikewo alo atike siwo ɖea ʋu ƒe sisi ɖa .
• Aɖaŋuɖoɖo vevi aɖe: Mègafɔ wò ŋɔti sesĩe o vaseɖe esime abi la nahaya.Eɖo aɖaŋu hã be ne èwɔe nenema la, ya si nèku la ate ŋu aƒo ƒu ɖe ŋutigbalẽ si ƒo xlã ŋkuawo te eye wòana avuvu nadzi ɖe edzi.

Gake ne mète ŋu ʋuʋu wò ŋku nyuie o le esi wògbã ta, alo ne èkpɔ nɔnɔmetata eve zi ɖeka (nukpɔkpɔ zi eve) , ke enye nɔnɔme si nu sẽ wu. Ne edzɔ alea la, wò ŋkudɔdala ate ŋu aɖo wò ɖe ŋkudɔdala , si nye ŋkudɔdala si wona hehee etɔxɛe be wòawɔ amekoko sia ƒomevi gbɔ.

Ne ehiã be woawɔ dɔ na wò la, amekolaa aɖe amekoko ƒomevi si hiã la me na wò le wò dzesiwo kple abi si nèxɔ ƒe sesẽme nu.

Ðewohĩ abi kple vuvu anɔ anyi ŋkeke ʋɛ aɖewo le amekokoa megbe. Àte ŋu akpɔ nu vie hã hena ŋkeke ʋɛ aɖewo. Wò amekola ate ŋu aɖo aɖaŋu na wò be nàzã tsikpe, dɔlékuiwutikewo, alo vevesesenutsitikewo be wòakpe ɖe ŋuwò nàda dɔa.

Nukae mate ŋu akpɔ mɔ na ne nane si le abe esia ene dzɔ?

Wò nukpɔsusu nɔ te ɖe abi si nèxɔ kple alesi wòsẽe dzi.

• Gbɔɖeme bɔbɔe ate ŋu ada gbe le eɖokui si le ɣeyiɣi aɖe megbe.
• Ðewohĩ ahiã be woawɔ dɔ na ame ƒe gbagbã siwo nu sẽ wu.
• Le nɔnɔme sesẽwo me la, nukpɔkpɔ ƒe bu alo ŋku eve ate ŋu adzɔ. Gake lãmeka akpa gãtɔ hayana evɔ womekpɔa ŋusẽ ɖe ame dzi ɣeyiɣi didi o .

Ɣeyiɣi didi kae wòaxɔ hafi esia nahaya?

Ɣeyiɣi si wòda gbe le ŋkua ƒe gbagbã ŋu la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ.

• Gbagbã bɔbɔewo hayana le wo ɖokui si le ɣeyiɣi aɖe megbe.
• Ne abi si wòxɔ la nu sẽ eye wòhiã be woawɔ dɔ na ame la, ate ŋu anye be ɣeyiɣi si woatsɔ ada dɔa adidi wu.
• Ame aɖewo ate ŋu ase veve le lãmekawo me si anɔ anyi ɣleti enyi.
• Ame aɖewo ate ŋu ayi edzi anɔ nɔnɔmetata eve kpɔm zi ɖeka, si ate ŋu abia be woagawɔ dɔ na wo.
• Enophthalmos , si nye ŋku siwo wotsɔ nyrɔ ɖe eme ƒe dzedzeme hã ate ŋu adzi ɖe edzi le ɣeyiɣi aɖe megbe.

Ɣekaɣie mate ŋu atrɔ ayi dɔme/suku?

Ne wowɔ dɔ na ame akpa gãtɔ ɖe aɖuɖɔtoe sia ƒomevi ta la, woate ŋu atrɔ ayi suku alo awɔ dɔ le kwasiɖa ɖeka me . Gake ele be woawɔ seɖoƒe na dɔwɔna sesẽwo, abe yameʋuɖoɖo kple ƒu goglo me tsi me nɔnɔ ene, kwasiɖa geɖe le amekokoa megbe.

Ðe womate ŋu axe mɔ ɖe gbagbãƒe siawo tɔgbe nu oa?

Togbɔ be míate ŋu axe mɔ ɖe nusiawo nu ɣesiaɣi o hã la, nu ʋɛ aɖewo li míate ŋu awɔ atsɔ aɖe afɔkua dzi akpɔtɔ:

• Kamedefefe aɖewo bia be woado dedienɔnɔnu , abe gakuku alo modzakaɖenu ene. Le kpɔɖeŋu me, ele vevie ŋutɔ be nàdo gakuku ne èle kriket ƒom, vevietɔ ne èdze ŋgɔ bɔlƒola siwo ƒua du sesĩe.
• Gakuku dodo ne èle dzokeke alo gasɔ dom.
• Zikpuimeka dodo ne èle ʋu dom alo le ʋu kum.

Aleke malé be na ɖokuinye?

Ne wò ŋku gbã la, wò ŋkudɔdala ate ŋu aɖo aɖaŋu na wò be nàzã tsikpe alo vuvɔ atsɔ aɖe vevesese kple abi dzi akpɔtɔ. Anyo hã be nàna wò ta nasɔ gbɔ wu wò dzi be wòagavuvu geɖe o (le kpɔɖeŋu me, to akɔtaɖonu bubu zazã ne èle alɔ̃ dɔm me). Àte ŋu ano vevesesenutsitikewo ɖe vevesese ta. Be nàxe mɔ ɖe ʋu si dona le ŋɔti me nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàƒu gbe ɖe ŋɔti me ŋkeke eve va ɖo etɔ̃ be ʋukawo naxe.

Ɣekaɣie wòle be magakpɔ nye ɖɔkta ake?

Ne wowɔ atike na wò be wò ŋku gbã vɔ la, yi ɖɔkta gbɔ ake ne dzesi siawo dometɔ aɖe dze ŋuwò:

• Aɖuɖɔtoe alo ʋuʋudedi.
• Taɖuame si nɔa anyi ɖaa.
• Asrã.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne èkpɔ dzesi siawo dometɔ aɖe la, yi xɔ si me wowɔa dɔ kpata le si te ɖe ŋuwò enumake alo nàƒo ka na 1990 :

• Taɖuame si nu sẽ kpata.
• Alɔ̃madɔmadɔ .
• Azɔlizɔzɔ, nuƒoƒo, alo nukpɔkpɔ sesẽ.
• Ŋutilã ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ.
• Ʋu alo tsi bubu aɖe si dona le ŋɔti alo to me.
• Alɔ̃madɔmadɔ.

Nya kawoe wòle be mabia nye ɖɔkta?

Nya aɖewo siwo nàte ŋu abia wò ɖɔktae nye esi:

• Ðe anyigba ƒe gbagbã le ɣletinyigba dzi nye nu sesẽa?
• Nye ŋku ƒe gbagbã ka ƒomevie le ŋunye?
• Ðe lãmekawo ƒe gbagbã abe esia ene daa gbe le wo ɖokui sia?
• Ðe wòhiã be woawɔ dɔ nam?
• Ðe mahiã be woawɔ atike na makplɔe ɖoa?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ŋkua ƒe gbagbã ate ŋu adzɔ kpata. Ate ŋu atso kriket-bɔl si ƒo ŋku dzi, alo ate ŋu atso ʋufɔku gbɔ. Gake gbagbã sia ƒomevi ate ŋu ahe dzesi sesẽwo abe vevesese, abi, kple ŋku ƒe kuxiwo ene vɛ.

Mègatsi dzodzodzoe o! Ɣeaɖewoɣi la, ŋku ƒe gbagbã abe esia ene ate ŋu ahaya le eɖokui si, gake anyo wu ɣesiaɣi be nàyi ŋkudɔdala gbɔ be woadoe kpɔ. Ɣemaɣie nàte ŋu atso nya me kple kakaɖedzi nenye be ehiã be woawɔ dɔ na ye alo ne àte ŋu atsɔ aƒeme atikewo abe tsikpe ene adae. Wò ŋutega xɔ asi ŋutɔ, eyata lé be nɛ.

` Orbital Fracture, Ŋku ƒe Abixɔxɔ, Ŋkudɔléle, Mo ƒe Gbagbã, Ŋku ƒe Amekoko, Ŋkuŋutinunyala