Ðe viwò sue la dze anyi eye "wògbã" alɔ alo afɔ aɖea? Ate ŋu anye (Buckle Fracture)! Mina míaƒo nu tso esia ŋu.

Mese alesi gbegbe wòanɔ vɔvɔ̃m abe dzila ene ne viwò suea dze anyi kpata alo afɔku sue aɖe dzɔ esime wòle fefem la gɔme. Vevietɔ ne viwò suea fa avi be alɔ alo afɔ le veve sem la, esɔ be nàtsi dzi be, "Oo, nyemenya ne ƒu aɖe gbã o." Gake ènya be ƒu gbagbã siwo dzɔna ɖe ɖevi suewo dzi la dometɔ aɖewo (mí ɖɔktawo míeyɔa wo hã be ‘ŋeŋe gbagbã’) to vovo vie tso gbagbã siwo dzɔna ɖe ame tsitsiwo dzi gbɔa? Egbea míele nu ƒom tso gbagbãƒe tɔxɛ aɖe si bɔ ɖe ɖevi suewo me, gake zi geɖe la, ehayana kabakaba kuxi gã aɖeke manɔmee ŋu. Míeyɔa esia be ‘Buckle Fracture’ . Ɣeaɖewoɣi la, wogayɔnɛ be ‘Torus Fracture.’ Eyata, mina míakpɔ nusi wònye, nusita wòdzɔna, kple nukae míawɔ ne edzɔ?

Nukae nye ‘Buckle Fracture’? Nuka tututue dzɔna?

Kpuie ko la, buckle fracture nye gbagbã sue aɖe si mede blibo o si bɔ ɖe ɖevi suewo me. Bu ɖevi sue ƒe ƒu abe ati ƒe alɔ dama si metsi o ene. Nukae dzɔna ne èbɔbɔ alɔ aɖe nenema? Megbãna keŋkeŋ ɖe eve me o ɖe, alo? Ke boŋ eƒe axa ɖeka bɔbɔna ɖe eme vie, eye wòwɔa ƒoƒoe sue aɖe alo ƒunukpeƒetetedɔ. Emae nye nusi dzɔna le buckle ƒe gbagbã me. Ne wotu ƒu sesĩe tso axa ɖeka la, ƒua ƒe gotagome sesẽ si woyɔna be cortex , bɔbɔna ɖe eme vie le axa ɖeka, eye wòwɔa buckle alo torus sue aɖe abe accordion ene. Nu vevitɔe nye be ƒua mamã keŋkeŋ ɖe eve me o. Le go bubu me la, ‘cortex’ ate ŋu anɔ anyi. Esia tae míebua esia be enye gbagbãƒe si li ke vie ɖo. Nya ‘torus’ hã tso Helagbe/Latingbe me, si gɔmee nye nane abe ‘twisting’ alo ‘round bulge’ ene. Eyata ŋkɔa ŋutɔ na míekpɔ alesi gbegbe gbagbã sia le.

Nukatae esia dzɔna ɖe ɖevi suewo dzi wu?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukatae ɖevi suewo koe esia dzɔna ɖe edzi ke menye ame tsitsiwo dzi o?" Nusitae nye be ɖevi suewo, vevietɔ esiwo mexɔ ƒe 10-12 haɖe o ƒe ƒuwo to vovo na ame tsitsiwo tɔ.

• Ƒu falɛfalɛ siwo te ŋu trɔna bɔbɔe : Esi ɖevi suewo ƒe ƒuwo gakpɔtɔ le tsitsim ta la, womesesẽna heli ke abe ame tsitsiwo ƒe ƒuwo ene o. Wofa wu, wo me ʋuʋudedi le wu, eye woate ŋu atrɔ ɖe nɔnɔmewo ŋu. Abe alɔ ƒuƒu ma si ŋu meƒo nu tsoe va yi ene. Eyata ne wotsɔ ŋusẽ gã aɖe de eme la, ƒua ate ŋu "abɔbɔ" alo "aƒo" tsɔ wu be "wòaƒo" keŋkeŋ. Le ame tsitsi gome la, zi geɖe la, ŋusẽ ma ƒomevi ate ŋu agbã ƒu keŋkeŋ, abe ati ƒuƒu ene.
• Periosteum : Periosteum si ƒo xlã ɖeviwo ƒe ƒuwo.Periosteum, alo ƒu ƒe nutsyɔnu, lolona eye wòsẽna wu ame tsitsiwo tɔ. Ele abe akɔtaɖonu sesẽ aɖe si ƒo xlã ƒua ene. Le ‘buckle fracture’ gɔ̃ hã me la, ‘periosteum’ sesẽ sia xea mɔ na ƒu kakɛawo be woagaʋuʋu (ʋuʋu) akpa gãtɔ o. Ema hã nye susu bubu si tae gbagbãƒe siawo li ke ɖo.

Le susu siawo ta la, wokpɔa abi sia koŋ si woyɔna be ‘buckle fracture’ zi geɖe le ɖevi suewo dome.

Aleke abi si le abe esia ene ate ŋu adzɔ? Aleke wòdzɔna zi geɖe?

Nusi koŋ gbɔ ‘buckle fracture’ sia ƒomevi tsonae nye ŋusẽ si dona kpata ɖe ƒu ƒe axa didi dzi. Ðevi suewo nyea fefewɔlawo, ƒua du, tia kpo, eye wofea fefe. Eyata ebɔ be afɔku suesuesuewo dzɔna le ɣeyiɣi siawo me. Wokpɔa abi sia zi geɖe wu:

• Dzedze le asi si wodo ɖa dzi (FOOSH): Esiae nye nusi gbɔ wòtsona wu. Tsɔe be viwòa le du dzi le fefewɔƒea eye kasia wòƒo woƒe asi. Le nɔnɔme sia tɔgbe me la, ŋutilãa ƒe kpekpeme bliboa ate ŋu ayi alɔnu eye wòana ƒu si le asibidɛ alo abɔta nate ŋu aƒoe. Esiae nye ɣeyiɣi si me ‘buckle fracture’ ate ŋu adzɔ wu.
• Ƒoƒo tẽ: Ɣeaɖewoɣi la, ne nane ƒo alɔ alo afɔ tẽ la, gbagbã sia ƒomevi hã ate ŋu adzɔ le alesi wòƒoe ta.
• Titri kple kamedefefe ƒe afɔkuwo : Abi siawo ƒomevi ate ŋu adzɔ ne wole ti kpo tso kɔkɔƒe alo le afɔku bubuwo me esime wole kamedefefe wɔm.

Wokpɔa ‘buckle fractures’ siawo wu le radius kple ulna , vevietɔ le asibidɛ gbɔ. Woate ŋu akpɔ wo le afɔkpodzi kple afɔkpodzi hã ɣeaɖewoɣi, gake womebɔ o wu asi me.

Aleke mawɔ anya ne ‘akɔta ƒe gbagbã’ le vinye ŋu? Nukawoe nye dzesiawo?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Aleke mawɔ anya kple kakaɖedzi nenye be esia le vinye ŋu?" Ðewohĩ ‘buckle fracture’ ƒe dzesiwo masẽ abe alesi nàsusui ene o. Ke hã, nya nu tso nusiawo ŋu:

• Vevesese le afisi wòxɔ abi le: Ðevia ate ŋu agblɔ be yewoƒe alɔ alo afɔ le veve sem. Vevesesea ate ŋu adzi ɖe edzi ne woka asi teƒea ŋu alo te ɖe eŋu ( vevesese ).
• Vuvu: Àte ŋu ade dzesi abi aɖewo le teƒe si nèxɔ abi le. Ɣeaɖewoɣi la, esia mate ŋu ade dzesii o.
• Agbezazã: Ðewohĩ ɖevia madi be yeazã alɔ alo afɔ si xɔ abi o. Le kpɔɖeŋu me, le asi gome la, ɖewohĩ womate ŋu atsɔ asi ma alé naneke o, alo le afɔ gome la, woahe ɖe megbe le afɔ ma dada ɖe anyi alo azɔ o.
• Nuwɔametɔnyenye: Le ‘buckle fractures’ akpa gãtɔ me la, nɔnɔme madeamedzi ɖedzesi aɖeke menɔa anyi o. Eyata, mègatsɔe be, "Alɔa mebɔbɔ o, eyata megbã o."
• Abi: Ɣeaɖewoɣi la, ŋutigbalẽ si ƒo xlã abi la ate ŋu atrɔ.Etrɔ, eye woate ŋu akpɔ abi si ƒe amadede nye blɔ-aɖabɛ.

Vevietɔ: Ðevi aɖewo sea veve ŋutɔ eye woate ŋu afa avi vevie ne woxɔ abi sue aɖe gɔ̃ hã. Ðewohĩ ame bubuwo matsɔ ɖeke le vevesese me boo o. Eya ta, lé ŋku ɖe viwòa ƒe nuwɔna kple nya si wògblɔ ŋu nyuie. Ne ɖikeke aɖe le mewò la, kpɔ egbɔ be yebia atikewɔlawo ƒe aɖaŋuɖoɖo.

Aleke ɖɔkta awɔ anya esia? Dodokpɔ kawoe wowɔna?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, nu gbãtɔ si ɖɔkta alo dɔnɔdzikpɔla awɔe nye be nàbia ɖevia kple wò nu tso afɔkua ŋu. Emegbe, woalé ŋku ɖe ɖevia ŋu. Woalé ŋku ɖe eŋu nenye be teƒe si xɔ abi la vuvu, ne evee ne woka asi eŋu, eye ne woate ŋu aʋuʋu abɔa. Gake be nàka ɖe edzi nenye be ‘buckle fracture’ aɖe li alo mele eme o la, ele be nàwɔ ‘X-ray’ godoo. ‘X-ray’ nɔnɔmetata la mee nàte ŋu akpɔ ƒua ƒe ƒoƒo alo ‘buckle’ sue si ŋu meƒo nu tsoe va yi la nyuie. Mègavɔ̃ be yeawɔ 'X-ray' o. Le nɔnɔme sia tɔgbe me la, ‘X-ray’ magblẽ nu le ɖevi ŋu o. Nyatakaka siwo wòna la le vevie ŋutɔ be woana atike nyuitɔ ɖevia.

Nukae nèwɔna na ‘buckle fracture’? Aleke wowɔa atike nɛ?

Nya nyuiae nye be zi geɖe la, ‘buckle fracture’ nyea abi si hayana nyuie ŋutɔ eye wòhayana kabakaba, eye kuxi gã aɖeke menɔa eŋu o. Eyata zi geɖe la, atikewɔwɔ menɔa bɔbɔe.

• Mɔmaɖemaɖeɖenuŋu: Atikewɔwɔ vevitɔe nye be woaxe mɔ na ƒu si xɔ abi la to mɔxexe ɖe enu be wòagaʋuʋu o me. Le esia ta la, míezãa:
• Aŋetu: Esia nye ɣeyiɣi kpui aɖe ƒe aŋe, si wotsɔa ka alo aŋɔ wɔe ɣeaɖewoɣi, si wotsɔa alɔ/afɔ ƒe akpa ɖeka eye wotsɔa aŋe blanɛ.
• A ‘Cast’: Esiae nye ‘plaster’ si mí katã míenya. Woxatsae sesĩe wu ‘aŋetu’, eye wònana ƒua meʋãna kura o.

Ðɔktaa atso nya me nenye be yeazã aŋe alo aŋe, le abi si wòxɔ kple ƒe si ɖevia xɔ nu. Nuwɔna sia ɖea vevesese dzi kpɔtɔna, enaa ƒua susɔ si wòhiã be wòahaya nyuie, eye wòxea mɔ na abi bubuwo.

• Ɣeyiɣi Didime: Zi geɖe la, ehiã be woatsɔ ‘aŋe’ alo ‘aŋe’ sia adzra ɖo abe kwasiɖa 3 va ɖo 4 ene . ‘Buckle fractures’ sue aɖewo ate ŋu axɔ ɣeyiɣi ʋɛ aɖewo ko.

• Vevesesenutsitikewo : Ne ɖevia le veve sem la, woate ŋu ana vevesesenutsitike bɔbɔe aɖe abe Paracetamol ene abe alesi ɖɔkta gblɔe ene.

Nu vevitɔe nye be ‘buckle fractures’ siawo nye gbagbã siwo li ke le dzɔdzɔme nu.Esia fia be mɔnukpɔkpɔ boo aɖeke meli be ƒu kakɛawo naʋuʋu le tsatsam o. Eyata amekoko ƒe hiahiã mebɔ kura o.

Ðɔktaa agblɔ ɣeyiɣi si nàtrɔ ava be woado ye kpɔ. Ɣemaɣi la, àte ŋu ayi aɖaɖe nusi wotsɔ ƒoe la ɖa.

Ɣeyiɣi didi kae wòaxɔ hafi abi sia nahaya? Ðe wòada gbe le eŋu keŋkeŋa?

Esiae nye akɔfafa gãtɔ kekeake si nàte ŋu akpɔ abe dzila ene. Ŋutete si le ɖevi suewo si be woada gbe le woƒe ƒuwo ŋu la wɔ nuku ŋutɔ!

• Dɔyɔyɔ kabakaba: ‘Buckle fracture’ hayana keŋkeŋ kloe le kwasiɖa ʋɛ aɖewo me. Ƒua hayana nyuie eye wòsẽna ɖe edzi le ɣeyiɣi si me ‘cast’ la le teƒea.
• Haya keŋkeŋ: Kuxi aɖeke meli si nɔa anyi didi tso abi siawo me o. Ðevia ƒe ƒu agasẽ abe alesi wònɔ ene. Ŋutete wɔnuku aɖe le ɖeviwo ƒe ƒuwo ŋu be ‘woagbugbɔ awɔ’, si fia be woate ŋu atrɔ asi le wo ɖokui ŋu. Eyata, nuto si me ‘buckle’ sue ma nɔ la ava zu ƒu si sɔ mlɔeba.
• Ne woɖe aŋea ɖa vɔ: Ne woɖe aŋea ɖa la, ŋutigbalẽa ate ŋu aƒu vie eye ate ŋu avuvu gɔ̃ hã. Ƒunukpeƒea hã ate ŋu ase le eɖokui me be yesẽ vie eye lãmekawo hã ate ŋu ase le wo ɖokui me be yegbɔdzɔ vie. Esia sɔ. Le ŋkeke ʋɛ aɖewo megbe la, esiawo nu ayi ne ɖevia gazã alɔ/afɔa abe alesi wònɔna ene. Ɣeaɖewoɣi la, ɖɔkta ate ŋu aɖo aɖaŋu na wò be woawɔ lãmesẽdɔ aɖewo , si ate ŋu akpe ɖe ame ŋu wòahaya kabakaba.

Nukae wòle be mawɔ abe dzila ene? Nu kawo ŋue wòle be matsi dzi ɖo?

Ne ɖevi xɔ abi alea la, nu geɖe li nàte ŋu awɔ abe dzila ene.

• Mègatsi dzodzodzoe eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo o: Ne viwòa dze anyi, eƒe alɔ alo afɔ le veve sem, evuvu, alo ne ɖikeke aɖe le mewò la, mègatsi dzodzodzoe eye nàyi ɖɔkta gbɔ enumake o. Mègagblẽ nɔnɔmea ɖe edzi to ami sisi alo etutu geɖe wu le aƒeme me o.
• Kpɔ nyuie le cast alo splint ŋu:
• Na wòaƒu: Mègana nusi wotsɔ ƒoe la natsi o. Tsɔ polythene-gbadzɛ si me tsi mate ŋu age ɖo o tsyɔ edzi ne èle tsi ƒum.
• Na wòanɔ dzadzɛ: Mègana nuwo abe ɖi, ke, alo nuɖuɖu ƒe akpa aɖewo nage ɖe ‘cast’ la me o.
• Mègade naneke eme o: Mègatsɔ naneke de nusi wotsɔ ƒoe me o, abe hɛ, ati, alo nuŋlɔti ene o. Esia ate ŋu agblẽ nu le ŋutigbalẽa ŋu.
• Ne kuxi aɖewo le nusi wotsɔ ƒoe ŋu: Ne edze abe nusi wotsɔ ƒoe la sesẽ akpa, ne wò asibidɛwo le blɔ alo vuvu, ne nusi wotsɔ ƒoe la ʋẽna lilili, alo ne abi aɖe le eŋu la, na ɖɔktaa nanya enumake.
• Wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi:Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ ku ɖe ɣeyiɣi didi si wòle be nànɔ atike si wotsɔna ƒoa ʋuae ŋu, ɣeyiɣi si wòle be nàtrɔ avae, kple dɔwɔna siwo nyo na wò kple esiwo gblẽ na wò ŋu.
• Do alɔ viwòa: Atike si wotsɔa lãfu wɔe dodo ate ŋu ana ɖevi ƒe dzi nadze eme vie. Ðo dze kpli wo lɔlɔ̃tɔe eye nàde dzi ƒo na wo.

Ðe woate ŋu axe mɔ na abi siawo tɔgbe be woagadzɔ akea?

Esesẽ be woaxe mɔ ɖe afɔku suewo nu keŋkeŋ be woagadzɔ ɖe ɖevi suewo dzi ne wole fefem hele fefem o. Enye ɖevi ƒe tsitsi ƒe akpa aɖe. Gake nu aɖewo li míate ŋu awɔ atsɔ aɖe afɔku siwo ate ŋu adze afɔku dzi akpɔtɔ:

• Fefewɔƒe si le dedie: Kpɔ egbɔ be teƒe siwo ɖeviwo ƒoa fefe le la le dedie alesi nàte ŋui. Kpɔ nyuie le nugbɔ ɖaɖɛwo kple nusiwo le glidzaglidza ŋu.
• Dedienɔnɔ ƒe dɔwɔnuwo le kamedefefewɔɣi: Ne viwòa wɔa kamedefefewo (e.g., gasɔdodo, tsikpedzizɔzɔ) la, de dzi ƒo na wo be woazã dedienɔnɔnu siwo sɔ (gakuku, klonu, abɔtawu).
• Nunyiame nyui: Nuɖuɖu siwo me calcium kple vitamin D sɔ gbɔ ɖo nana ɖeviwo kpena ɖe wo ŋu wodoa ŋusẽ woƒe ƒuwo. Togbɔ be esia mexea mɔ na ‘buckle fractures’ tẽ o hã la, ele vevie ŋutɔ na ƒu ƒe lãmesẽ bliboa.

Gake ɖo ŋku edzi be togbɔ be esiawo katã li hã la, afɔku siwo mèle mɔ kpɔm na o ate ŋu adzɔ ɣeaɖewoɣi. Ne edzɔ alea la, ele vevie be nàwɔ nu nyuitɔ evɔ màtsi dzodzodzoe o.

Nu vevitɔ kekeake siwo wòle be wòanɔ susu me na wò (Take-Home Message) .

Enyo, eyata míeƒo nu geɖe tso 'Buckle Fracture' ŋu. Mlɔeba la, nu vevi aɖewo siwo wòle be wòanɔ susu me na wòe nye esi:

• 'Buckle fracture' nye abi si bɔ ɖe ɖevi suewo me (vevietɔ amesiwo mexɔ ƒe 10 haɖe o), si me ƒua megbã keŋkeŋ o, gake edze abe "ele ʋuʋu" vie le axa ɖeka ene.
• Zi geɖe la, esiawo menyea abi gãwo o. Esia le alea elabena ɖeviwo ƒe ƒuwo fa.
• Dzesiawo dometɔ aɖewoe nye vevesese, vuvu, kple didi be yeazã alɔ/afɔ si xɔ abi la o .
• X-ray dodokpɔ koe nye mɔ si dzi woato aɖo kpe edzi.
• Zi geɖe la, atikewɔwɔ bia be woado aŋenu alo aŋetu kwasiɖa 3-4. Ƒã hafi wòhiãna be woawɔ dɔ na ame.
• Abi siawo hayana nyuie ŋutɔ eye wohayana kabakaba, eye zi geɖe la, womegblẽa kuxi aɖeke ɖi ɣeyiɣi didi o.
• Ne èsusu be viwòa xɔ abi alea la, mègatsi dzodzodzoe eye nàkpɔ ɖɔkta enumake o.
• Ele vevie ŋutɔ be woawɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ be ɖevia nahaya kaba.

Eyata, mele mɔ kpɔm be woɖe miaƒe vɔvɔ̃ kple ɖikeke le ‘buckle fracture’ ŋu ɖa. Nyatakaka sia ƒomevi nyanya aɖe vi na wò ŋutɔ le nɔnɔme kpata aɖe me. Medi be viwòwo nanɔ lãmesẽ me eye nu nadze edzi na wo! Buckle Fracture, Ƒu ƒe gbagbã, Ðeviwo ƒe ƒuwo, Torus Fracture, Asi ƒe gbagbã, Afɔ ƒe gbagbã, Ðeviwo ƒe Lãmesẽ, Buckle Fracture, Torus Fracture, ɖeviwo ƒe gbagbã, ƒu ƒe abi, ɖeviwo ƒe ƒumeŋuɖui, splint, cast