Ke ne wò alo viwòa gbã ƒu ɖe? (Bone Fracture) Mina míanɔ ŋudzɔ ɖe esia ŋu!

Ƒu gbagbã nye nu dziŋɔ aɖe, alo? Menye ɖevi suewo ɖeɖeko o, ke na mí ame tsitsiwo hã. Anyidzedze, afɔku, kple ɣeaɖewoɣi ne wole fefem gɔ̃ hã ate ŋu ahe nu siawo ƒomevi vɛ. Gake mègatsi dzi ne nu ma tɔgbe dzɔ o. Egbea, mina míaƒo nu tso nusi dzɔna ne ƒu gbã, alo nusi ɖɔktawo yɔna be `` Fracture '', nusita wòdzɔna, kple nusi woateŋu awɔ tso eŋu.

Nuka tututue wòfia be woagbã ƒu?

Kpuie ko la, ƒu gbagbã nye ƒu siwo le wò ŋutilã me dometɔ ɖeka alo esi wu nenema ƒe gbagbã. Esia ate ŋu atso gbagbãƒe sue aɖe dzi va ɖo gbagbã gã aɖe si me ƒua gbãna ɖe akpa vovovowo me. Esiae nye nusi míeyɔna zi geɖe be "ƒu gbagbã" alo "ƒu gbagbã" . Atikewɔwɔ me nya si wozãna na esia enye ``Fracture''.

Nukatae ƒuwo gbãna alea? Nukawoe gbɔ wòtsona?

Nusi koŋ gbɔ ƒuwo gbãnae nye anyidzedze . Ðevi suewo koŋue te ŋu dzea anyi ne wole fefem, le du ƒum, alo le titim. Bu eŋu kpɔ, ne viwò suea ge tso zikpui alo aba dzi kasia esime wòle fefem la, woate ŋu agbã ƒu aɖe le alɔ alo afɔ aɖe ŋu.

Menye ema ɖeɖeko o, .

• Kamedefefewo ƒe abi: Ƒu ƒe gbagbã ate ŋu adzɔ le kamedefefewo abe kriket kple bɔlƒoƒo ene me. Esia ate ŋu adzɔ ne bɔl ƒo wò sesĩe alo ne èdze anyi vodadatɔe.
• Afɔkuwo : Nuwo abe ʋufɔkuwo kple anyidzedze tso kɔkɔƒewo ene ate ŋu ana ame naxɔ abi vevie eye wòagbã ƒuwo.
• Le dɔléle aɖewo ta: Nɔnɔmewo abe ƒumeŋuɖui ene ate ŋu ana ƒuwo nagbɔdzɔ, si ana wòanɔ bɔbɔe be ƒu aɖe agbã ne edze anyi vie gɔ̃ hã. Gake esia gblẽa nu le ame tsitsiwo ŋu wu.

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èsusu be ƒu aɖe gbã.

Ðe ƒu ƒe gbagbã ƒomevi vovovowo li?

Ẽ, ŋkɔ vovovowo li na gbagbãƒewo, le alesi wòdzɔnae nu. Esiawo nyanya akpe ɖe ŋuwò ne èle nu ƒom kple ɖɔkta.

• Greenstick Fracture: Esia le abe ne èbɔbɔ ati ƒuƒu yeye aɖe, eƒe axa ɖeka gbã eye akpa kemɛ bɔbɔ ene, eyae nye ema. Ƒua megbãna keŋkeŋ ɖe eve me o. Esia nye ƒu gbagbã si bɔ ɖe ɖevi suewo me wu , elabena woƒe ƒuwo fa vie . (De dzesii: ‘Fafɛ’ ye nye nya si sɔ le afisia. ‘ Fafɛ ŋutɔ ’ nye Tamilgbe me nya. Mina míaƒo asa nɛ eye míazã ‘falɛfalɛ’ alo ‘si te ŋu bɔbɔna’.) ... Gbagbã si bɔ ɖe ɖevi suewo me wu , elabena woƒe ƒuwo fa vie eye woate ŋu abɔbɔ .

• Buckle alo Torus Fracture: Esia nye ne wobɔbɔ ƒua ƒe akpa ɖeka ɖe gota vie. Abe sue eneAte ŋu adze abe ƒoƒoe ene . Akpa kemɛa megbãna o. Esia bɔ ɖe ɖeviwo hã dome.

• Avulsion Fracture: Esia nye ne wohe lãkusi alo lãkusi si lé ɖe ƒu ŋu eye wòdo go kpe ɖe ƒu kakɛ aɖe si ŋu wòku ɖo ŋu.

• Tsitsi ƒe Kplu Gbagbã: Esia bɔ ɖe ɖeviwo kple sɔhɛ tsitsiwo koŋ me. Teƒe tɔxɛ aɖe le wo si si woƒe ƒuwo tsina le hedidina, si woyɔna be tsitsi ƒe agba. Esiae woyɔna be ne gbagbãƒe aɖe le teƒe ma. Esiawo le vevie be woalé ŋku ɖe wo ŋu, elabena ɣeaɖewoɣi ne womehaya nyuie o la, woate ŋu akpɔ ŋusẽ ɖe ƒu ƒe tsitsi dzi le etsɔme.

• Stress Fracture : Esia nye ƒu ƒe gbagbã sue aɖe ŋutɔ. Gbagbã siawo ate ŋu adzɔ ne èwɔ nu ɖeka ma ke zi gbɔ zi geɖe (le kpɔɖeŋu me, le duƒula didiwo gome).

• Comminuted Fracture: Esia nye ne ƒua gbã wòzu kakɛ siwo wu eve, alo kakɛ geɖe. Esia nye gbagbãdɔ sesẽ aɖe si dzɔna zi geɖe le afɔku gã aɖe megbe.

• Compression Fracture: Esiae nye esime ƒua va le tetem ɖe eŋu eye wòtena ɖe edzi. Esia bɔ ɖe akɔta ƒe akɔtaƒuwo me wu, vevietɔ le amesiwo ŋu ƒumeŋuɖui le gome .

Fifia ɖewohĩ èse ƒu ƒomevi vovovo geɖe siwo ate ŋu agbã gɔme, alo?

Dzesi kawoe míesena le mía ɖokui me hekpɔna ne ƒu aɖe gbã?

Ne ƒu aɖe gbã la, dzesiawo ate ŋu ato vovo vie le alesi wògbãe kple afisi wògbã le nu. Gake nu vevitɔe nye vevesese . Ne ƒu aɖe gbã la, evea ame godoo. To vovo na ema la, .

• Vuvu kple abi: Teƒe si wògbã la ate ŋu avuvu, eye ɣeaɖewoɣi la, abi si le blɔ alo aŋutiɖiɖi ate ŋu anɔ anyi.
• Ʋuʋu sesẽ: Esesẽna be woaʋuʋu alo azã alɔ alo afɔ si gbã. Màte ŋu akɔ nu kpekpe aɖe o.
• Nuwɔametɔnyenye : Ɣeaɖewoɣi la, akpa si gbã la ate ŋu adze abe ɖe wòkeke ene alo eƒe nɔnɔme to vovo na alesi wònɔna ɖaa. Le kpɔɖeŋu me, ne asi aɖe gbã la, asi ate ŋu adze abe ɖe wògblẽ le mɔ wɔnuku aɖe nu ene.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò alo viwòa ŋu la, yi ɖɔkta gbɔ enumake .

Aleke ɖɔktawo wɔa anya kple kakaɖedzi be ƒu gbagbãe nye esia?

Ne èyi ɖɔkta gbɔ la, abia wò gbã be aleke wòdzɔe , dzesi kawoe nèle sesem le ɖokuiwò me, kple bubuawo.

Ne ɖikeke aɖe li be ƒu aɖe gbã la, ɖɔktaa abia be woawɔ X-ray godoo . Abe alesi mí katã míenyae ene la, X-ray koe nye mɔ si dzi woato akpɔe nyuie ne ƒua gbã, afisi wògbã le, kple gbagbã ka ƒomevie wònye. Le gbagbãƒe sesẽ aɖewo me la, woate ŋu awɔ CT Scan alo MRI Scan hã, eye ɖɔktaa atso nya me le esia ŋu.

Aleke wowɔa atike na ƒu gbagbã? Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Wotsɔa aŋe, aŋe, alo aŋe si wotsɔ blaa nu ƒe akpa gãtɔ daa dɔ na ame ƒe gbagbãƒe . Esia kpena ɖe ƒu gbagbã ŋu be wòahaya nyuie to eléle ɖe teƒea me. Bu eŋu kpɔ, ne ƒu eve gbã la, womawɔ ɖeka nyuie ne wole tsatsam o. Wowɔa esia be woatsɔ atɔ te ema. Ɣeaɖewoɣi la, ne ƒuawo ʋuʋu vie gɔ̃ hã , woate ŋu ahaya nyuie le ɣeyiɣi aɖe megbe, vevietɔ le ɖeviwo gome.

Ke hã, ɣeaɖewoɣi ne ƒu gbagbã la didi tso wo nɔewo gbɔ akpa la, ate ŋu ahiã be ``woaɖe`` ƒu gbagbãa dzi akpɔtɔ be wòagaɖo eƒe nɔƒe hafi atsɔ nusi wotsɔ ƒoe la ade eme. Míeyɔa esia hã be "ƒua ɖoɖo." Mɔ eve li siwo dzi míato awɔ esia:

1. Closed Reduction: Zi geɖe la, wowɔa esia le xɔ si me wowɔa dɔ kpata le alo amekokoxɔ me. Wonaa vevesesenutsitike ɖevia be wòaɖe vevesesea dzi akpɔtɔ. Ðɔktaa alé ƒu kakɛawo tso gota eye wòaʋuʋu wo ɖe wo nɔƒe. Esia mehiã be woalã ŋutigbalẽa o .

2. Open Reduction: Esia nye amekoko si sesẽ wu na ame ƒe gbagbãƒewo. Wowɔa esia le atike si naa alɔ̃dɔdɔ ame katã me, si fia be mèle manyamanya. Amekolaa lãa ŋutigbalẽa, gbugbɔa ƒu kakɛawo ɖoa teƒe bubu, eye ɣeaɖewoɣi la, ezãa amekoko ƒe agba, gavi, alo ka tsɔ léa wo ɖe teƒea.

Eyata aleke ƒu siawo daa gbe le ame ŋui?

Ne ƒu aɖe gbã vɔ la, míaƒe ŋutilã dzea dɔyɔyɔ gɔme le mɔ wɔnukuwo nu.

• Le ŋkeke ʋɛ gbãtɔawo me la, ʋu ƒe sisi (hematoma) ƒoa xlã ƒu si gbã la. Esia kpɔa ƒua ta eye wòhea lãmenugbagbevi siwo hiã hena dɔyɔyɔ vɛ.
• Emegbe la, lãkusi si daa gbe le ame ŋu si woyɔna be ``callus`` dzea wɔwɔ gɔme ƒoa xlã ƒu si gbã la. Esiae léa ƒu gbagbãawo ɖe wo nɔewo ŋu. Gbã la, efa vie, gake le kwasiɖa ʋɛ aɖewo megbe la, vivivi la, esẽna ɖe edzi.
• Ate ŋu axɔ kwasiɖa geɖe va ɖo ɣleti geɖe hafi ƒu yeye natsi, gake ate ŋu axɔ ɣeyiɣi didi hafi wòahaya keŋkeŋ . Enɔ te ɖe ɖiɖiɖemeɣia ƒe nɔnɔme, ƒe si nèxɔ, kple wò lãmesẽ bliboa dzi.

Ðo ŋku edzi be ne èwɔ nusi tututu ɖɔkta la gblɔ, abe aŋɔa sisi, ɖiɖiɖeme, kple kamededeawo wɔwɔ ene la, wò lãme asẽ kaba ŋutɔ. (De dzesii: 'gbɔɖeme' nye Russiagbe me nya. Mina míaƒo asa nɛ eye míazãe abe 'gbɔɖeme' alo 'gbɔɖeme' ene.) ... Ne èwɔ nusi tututu ɖɔkta la gblɔ, abe ɖiɖiɖeme , kple kamededeawo wɔwɔ ene la, àhaya kaba ŋutɔ.

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

Ƒu gbagbã ate ŋu adzɔ ɖe ame sia ame dzi. Nu vevitɔ kekeakee nye be màgavɔ̃ alo atsi dzodzodzoe ne edzɔ o.

• Ne èsusu be ƒu gbã la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake evɔ mègagblẽ ɣeyiɣi o . (De dzesii: ' নাসদি ' nye Bengaligbe me nya. Mina míaƒo asa nɛ eye míazãe abe 'নাসদি' alo 'অপথে' ene.) ... Di atikewɔlawo ƒe aɖaŋuɖoɖo enumake ɣeyiɣi gbegblẽ manɔmee .
• Wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Ɣeyiɣi didi si wogblẽ aŋɔa ɖe edzi, kamedede siwo wogblɔ na wò be nàwɔ, atike siwo wogblɔ na wò be nàno, wɔ nusianu pɛpɛpɛ.
• Kpɔ nyuie vevietɔ le ƒu gbagbãwo ŋu le ɖeviwo me. Ɣeaɖewoɣi la, womenya alesi woaɖe vevesese afia nyuie o.
• Nuɖuɖu si naa lãmesẽ ɖuɖu kple nuɖuɖu siwo me calcium sɔ gbɔ ɖo (notsi, cheese, yogurt, amagbe damawo) ɖuɖu kpena ɖe ame ŋu be ƒuwo sẽna.

Eyata, mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!

` Ƒu ƒe gbagbã, Ƒu ƒe gbagbã, Ƒu ƒe gbagbã, Ƒu ƒe gbagbã le ɖeviwo me, Ƒu ƒe dɔdada, Ƒu ƒe dɔyɔyɔ, X-ray dodokpɔ