Ne viwò sue manyatalenua le fefem eye kasia wòdze avifafa gɔme, lé alɔ alo afɔ ɖe asi la, edoa vɔvɔ̃ na ame, alo? Togbɔ be afɔkuwo bɔ ɖe ɖevi suewo me hã la, ɣeaɖewoɣi ate ŋu anye ƒu gbagbã, alo ‘ƒu gbagbã’. Egbea míele nu ƒom tso ƒu ƒe gbagbã ƒomevi tɔxɛ aɖe si bɔ ɖe ɖevi suewo dome ŋu. Woyɔa esia be ‘Greenstick Fracture’ . Ŋkɔa aɖi nusi wɔ nuku vie, gake mina míaɖe eme bɔbɔe.
Nukae nye ‘Greenstick Fracture’? Ele bɔbɔe ŋutɔ!
Ŋkɔ ‘greenstick’ tso kpɔɖeŋunyagbɔgblɔ dzeani aɖe ŋutɔ me. Tsɔe be ètsɔ ati ƒe alɔ yeye si metsi o eye nèdze agbagba be yeagbãe. Ðe alɔdzedɔwɔƒea gbãna ɖe evea? Ao, alo? Ebɔbɔ ɖe akpa ɖeka, eye fliwo kple lãgbalẽ suesuesuewo dona, gake akpa kemɛa megbãna kura o, alo? Aleae ‘greenstick’ sia gbãnae.
Kpuie ko la, ‘greenstick fracture’ nye nɔnɔme si me ɖevi ƒe ƒu gbã le akpa ɖeka, gake menye akpa kemɛ o. Abe ati ƒuƒu ene la, ƒua megbãna ɖe eve keŋkeŋ o. Ebɔbɔna vie, eye ɖiɖiɖeme sue aɖe le axa ɖeka. Esia to vovo vie tso ame tsitsiwo ƒe gbagbãƒewo gbɔ.
Nukatae esia dzɔna ɖe ɖevi suewo dzi wu?
Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukatae esia dzɔna ɖe ɖeviwo dzi ke menye ame tsitsiwo dzi o?" Nusitae nye be ɖevi suewo, vevietɔ esiwo mexɔ ƒe 10 haɖe o ƒe ƒuwo mesẽna hetsina abe ame tsitsiwo ƒe ƒuwo ene o.
Bu eŋu ale: ɖevi suewo ƒe ƒuwo le abe ati ƒe alɔ ƒuƒlu mawo siwo ŋu míeƒo nu tsoe va yi ene. Lãmenugbagbevi geɖe le wo me siwo gakpɔtɔ le tsitsim, eye protein si woyɔna be collagen hã le wo me. Esia wɔnɛ be wofa vie eye wote ŋu trɔna ɖe nɔnɔmewo ŋu. Ema fia be woate ŋu abɔbɔ bɔbɔe. Eyata ne wotsɔ ŋusẽ aɖe de eme la, anɔ eme be ƒua abɔbɔ ɖe axa ɖeka ahagbã, tsɔ wu be wòagbã keŋkeŋ ɖe eve.
Azɔ hã, lãkusi tsɛ si woyɔna be periosteum si ƒo xlã ɖeviwo ƒe ƒuwo la lolo vie eye wòsẽna wu ame tsitsiwo tɔ. Lãmetsi sia nye ƒu ƒe akpa vevi aɖe si naa ʋu ƒua eye wòwɔa ƒumelãmenugbagbevi yeyewo. Ŋusẽ sia kpena ɖe ƒua hã ŋu wògbãna le axa ɖeka, tsɔ wu be wòagbã keŋkeŋ.
Ame tsitsiwo kple ɖevi siwo tsi vie, siwo le sue wu, ƒe ƒuwo tsi wu, wololona, eye wole abe alɔ ƒuƒu ene vie. Eyata ne wotsɔ ŋusẽ aɖe de ƒu ma tɔgbe dzi la, anɔ eme be wòagbã keŋkeŋ ɖe eve me.
Aleke ‘greenstick’ ƒe gbagbã sia dzɔnae? Nukawoe nye nusiwo gbɔ wòtsona zi geɖe?
Seɖoƒe meli na ɖevi suewo le woƒe nu gbegblẽ wɔwɔ me o. Woƒua du, tia kpo, lia atiwo, hefena. Eyata mebɔ be afɔku suewo dzɔna le ɣeyiɣi siawo tɔgbe me o. Nusi koŋ gbɔ ‘greenstick’ ƒe gbagbã tsoe nye anyidzedze .
- Abati, zikpui, alo sofa dzi dzedze esime nèle fefem.
- Gege tso fefewɔƒe ƒe dɔwɔnuwo (slide, swing).
- Dadasɔ ƒe bubu kple anyidzedze esime nèle du ƒum alo le titim.
- Asi si wodo ɖa – Esia ate ŋu agblẽ nu le ƒu siwo le asibidɛa me ŋu .
To vovo na anyidzedze siawo la, susu bubuwo ate ŋu anɔ anyi:
- Kamedefefewo me afɔkuwo: Wodoa go wo nɔewo hedzea anyi ne ɖevi suewo le kamedefefewo abe bɔl, kriket, kple netball ene ƒom.
- ƒoƒo tẽ: Ne nane ƒo wò sesĩe ɖe wò alɔnu alo afɔ dzi.
- Ɣeaɖewoɣi la, alɔ alo afɔ ƒe tete alo tete ate ŋu ana wòagbã alea.
Zi geɖe la, abɔta ƒe ƒuwo (radius kple ulna) kple afɔkpodzi ƒe ƒuwo (tibia kple fibula) ƒe gbagbã siawo dzɔna . Gake woate ŋu adzɔ ɣeaɖewoɣi le teƒewo abe akɔta alo akɔtaƒu ene.
Aleke mawɔ anya ne ‘greenstick’ ƒe gbagbã le vinye ŋu? Nukawoe nye dzesiawo?
Abe dzila ene la, ne ède dzesi tɔtrɔ aɖewo le viwòa ŋu la, ele vevie be nàlé to ɖe eŋu. Dzesi siwo dzena le ‘greenstick’ ƒe gbagbã ŋu dometɔ aɖewoe nye:
- Vevesese: Esiae nye dzesi vevitɔ. Ðevia ate ŋu afa avi le vevesese ta ne woka asi teƒe si wòxɔ abi ŋu, mimie, alo ʋuʋui.
- Vuvu: Ate ŋu avuvu le teƒe si wògbã le.
- Abi alo abidede: Ɣeaɖewoɣi la, àte ŋu akpɔ abi alo abi le ŋutigbalẽa ŋu.
- Alɔ/afɔ zazã ƒe didi: Ðewohĩ ɖevia madi be yeawɔ dɔ, afe, alo akɔ kpekpemewo kple alɔ alo afɔ ma o le vevesese ta.
- Nuwɔametɔnyenye: Le ‘greenstick’ ƒe gbagbã aɖewo me la, alɔ alo afɔ ƒe nɔnɔme ate ŋu atrɔ vie, adze abe ɖe wòkeke ene. Gake menye ɣesiaɣie esia nyea tɔtrɔ gã aɖe o. Ɣeaɖewoɣi la, esia ate ŋu anye tɔtrɔ si menya kpɔna dzea sii bɔbɔe o.
Vevietɔ: Ɣeaɖewoɣi la, ‘greenstick’ ƒe gbagbã ƒe dzesiwo mate ŋu asẽ nenema gbegbe o. Ðewohĩ ɖevia le veve sem vie gake ate ŋu ayi fefea dzi kokoko. Eyata ne viwòa to nyatoƒoe le vevesese ŋu le afɔku aɖe megbe, alo ɖikeke aɖe le mewò la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo.
Aleke ɖɔkta awɔ anya ‘greenstick fracture’ nyuie?
Ne èkplɔ viwòa yi ɖɔkta gbɔ la, nu gbãtɔ si wòawɔe nye be nàbia ɖevia kple wò alesi afɔkua dzɔe. Emegbe, woalé ŋku ɖe ɖevia ŋu.
- Woléa ŋku ɖe teƒe si vevesese, vuvu, kple abi le ŋu.
- Wole ŋku lém ɖe eŋu be yewoate ŋu aʋuʋu yewoƒe abɔwo/afɔwo kple afisi yewoate ŋu aʋuʋu wo ase ɖo hã.
- Ɣeaɖewoɣi la, woléa ŋku ɖe eŋu hã be nu gblẽ le lãmekawo alo ʋukawo ŋu hã.
Le dodokpɔ gbãtɔ sia megbe la, ne ɖikeke aɖe li be eƒe lãme gbã la, ɖɔktaa abia be woawɔ X-ray godoo.Egblɔ be woawɔe. ‘X-ray’ koe nye mɔ si dzi woato akpɔe ɖa be ƒua gbã tututu, ƒu ka ƒomevie wògbã, kple alesi gbegbe wògblẽ nu le eŋu. ‘Greenstick’ ƒe gbagbã dzena nyuie le ‘X-ray’ me esime ƒua le ƒoƒom hebɔbɔ ɖe axa ɖeka.
Nukae nye esia ƒe atikewɔwɔ? Ðe ɖevia ahaya kabaa?
Ne woɖo kpe ‘greenstick’ ƒe gbagbã dzi la, atikewɔwɔ ƒe taɖodzinu vevitɔe nye be woaɖo ƒu gbagbãa nyuie eye woana nusi hiã be wòagaʋã o be wòahaya abe alesi wònɔ tsã ene.
Wozãa esia zi geɖe wu na:
- Plaster of Paris Cast zazã: Esiae nye nusi mí katã míenya be "plaster cast dede wò alɔ/afɔ ŋu." Esia nana ƒu gbagbã la mete ŋu ʋãna o eye wòkpena ɖe ƒu eveawo ŋu be wohayana nyuie. Zi geɖe la , wogblẽa atike sia ɖe edzi kwasiɖa 4 va ɖo 6 . Ðɔkta lae ɖoa esia.
- Aŋetu: Ɣeaɖewoɣi, vevietɔ ne vuvu geɖe le eŋu la, woate ŋu azã aŋetu gbã, eye emegbe woate ŋu atsɔ aŋe aɖe asisi ɖe eŋu ne vuvua nu fa. Aŋe nye nusi wotsɔ léa ƒua ɖe te bliboe abe alesi wotsɔa ƒua ƒoa ƒui ene o, gake ekpena ɖe ame ŋu be ƒua nɔa teƒe si wòle.
Tsɔ kpe ɖe atikewɔwɔ sia ŋu la, ɖɔktaa aŋlɔ vevesesenutsitikewo abe Paracetamol alo Ibuprofen ene na viwòa be wòaɖe vevesese si me tom viwòa dzi akpɔtɔ. Mègana vevesesenutsitike bubu aɖeke viwòa gbeɖe wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o.
Nya nyuiae nye be ɖeviwo ƒe ƒuwo hayana kabakaba wu ame tsitsiwo tɔ! Woƒe ŋutilã wɔa lãmenugbagbevi yeyewo kabakaba wu. Eyata ne wowɔ atike na ɖevia nyuie la, zi geɖe la, ‘greenstick’ ƒe gbagbã hayana keŋkeŋ, eye ɖevia te ŋu ƒua du, tia kpo, eye wògafena ake.
Nu kawo ŋue wòle be woabu ne wole vidzĩ si le zɔzɔm le aƒeme dzi kpɔm?
Ne ètsɔ viwòa va aƒeme kple cast vɔ la, wò susu le vevie ŋutɔ.
- Mègana nusi wotsɔ ƒoe la natsi o: Tsɔ aŋekotoku alo nane si me tsi mate ŋu age ɖo o tsyɔ nusi wotsɔ ƒoe la dzi ne èle tsi ƒum alo le wò abɔwo kple afɔwo klɔm. Tsidzadza ate ŋu ahe ŋutigbalẽ ƒe kuxiwo vɛ eye wòana nusi wotsɔ ƒoe la nagbɔdzɔ.
- Mègatsɔ naneke de nusi wotsɔ ƒoe me o: Ɣeaɖewoɣi la, ɖeviwo dzea agbagba be yewoatsɔ nuwo abe pɛnsil alo atiwo ene ade nusi wotsɔ ƒoe me ne yewoxɔ ʋuʋudedi. Esia ate ŋu agblẽ nu le ŋutigbalẽa ŋu eye wòahe dɔlékuiwo vɛ. Na viwòa nase egɔme be menye nenemae o.
- Ðe abi dzi kpɔtɔ: Le ŋkeke ʋɛ gbãtɔawo me la, na alɔ/afɔ si xɔ abi la nakɔ ɖe dzi kple akɔtaɖonu alesi nàte ŋui. Esia aɖe abi ƒe vuvu dzi akpɔtɔ.
- Lé ŋku ɖe amesiwo awɔe ŋu:
- Ne edze abe nusi wotsɔ ƒoe la sesẽ akpa ene (ne asibidɛawo le blɔ, wole ʋuʋum, alo wovuvu ŋutɔ).
- Ne edze abe nusi wotsɔ wɔe la le gbadzaa akpa ene la .
- Ne ʋeʋẽ gbegblẽ aɖe le dodom tso amesiwo wotsɔ wɔe me.
- Ne ɖevia le nyatoƒoe tom ɣesiaɣi le vevesese ŋu alo asrã le eŋu esime wòle cast la me.
Ne èkpɔ nane si le abe esia ene la, yi ɖɔkta gbɔ enumake.
- Kpɔ ŋutigbalẽa ƒe nɔnɔme ɖa: Kpɔe ɖa be eƒe ŋutigbalẽa biã eye ʋuʋudedi le eŋu hã.
Ðe esia ate ŋu ahe kuxi bubuwo vɛa? Ðe wònye nane si ŋu wòle be woatsi dzi ɖoa?
Zi geɖe la, ‘greenstick’ ƒe gbagbãwo hayana keŋkeŋ kuxi aɖeke manɔmee. Womekpɔa ŋusẽ ɖe ɖevia ƒe ƒu ƒe tsitsi alo abɔ kple afɔ zazã le etsɔme dzi o.
Gake kuxi ʋɛ aɖewo li siwo ate ŋu adzɔ ƒã ŋutɔ. Enyo be nànya amesiawo hã, gake mègavɔ̃ wo madzemadzee o.
- Gbugbɔgagbã: Ne ɖevia wɔ dɔ sesẽ akpa le ƒua ɖeɖe ɖa vɔ megbe, hafi ƒua do ŋusẽ bliboe la, mɔnukpɔkpɔ sue aɖe li be ƒua nagagbã ake. Eya ta abe alesi ɖɔkta la gblɔe ene la, ele vevie be míatrɔ ɖe dɔ siwo míewɔna ɖaa ŋu vivivi.
- Tsitsi ƒe Abi: Ne ƒu ƒe gbagbã dzɔ le ƒunukpeƒe aɖe gbɔ, le ƒua ƒe tsitsi ƒe agbalẽvi gbɔ la, ate ŋu akpɔ ŋusẽ sue aɖe ɖe tsitsi ƒe ƒuƒoƒo sia dzi. Ðɔktawo alé ŋku ɖe esia ŋu eye woate ŋu awɔ X-ray ne ehiã.
- Compartment Syndrome: Esia nye dɔléle si mebɔ o gake wòsẽ ŋutɔ si hiã be woakpɔ egbɔ enumake . Esia dzɔna ne abi la na nyaƒoɖeamenu va le lãmeka siwo ƒo xlã ƒua me, si gblẽa nu le ʋu ƒe sisi kple lãmekawo ŋu. Ne èse veve si womate ŋu ado dzi atsɔ o, wò lãme ʋuʋu, wò ŋutigbalẽ biã, alo vevesese si na wòsesẽ be nàʋuʋu wò alɔ/afɔ la, ele be nàyi atikewɔƒe enumake. Gake le afisia hã la, ƒã hafi wokpɔa esia le ‘greenstick’ ƒe gbagbãwo me.
Mehiã be nàvɔ̃ o, elabena zi geɖe la, ɖɔktawo kpɔa nusiawo katã gbɔ.
Nukae míate ŋu awɔ atsɔ axe mɔ ɖe afɔku mawo tɔgbe nu?
Wogblɔ be: "Mɔxexe ɖe enu nyo wu edada." Togbɔ be míate ŋu atɔ te afɔkuwo keŋkeŋ le ɖevi suewo me o hã la, nanewo li míate ŋu awɔ atsɔ aɖe wo dzi akpɔtɔ:
- Ame tsitsiwo dzi kpɔkpɔ ne ɖeviwo le fefem: Kpɔ nyuie vevietɔ ne ɖevi suewo le fefem le fefewɔƒewo alo teƒe kɔkɔwo.
- Dzra wò aƒe ƒe nɔnɔme ta: Kpɔ nyuie le anyigba glidzaglidza ŋu, kpɔ egbɔ be xɔmenuwo meli ke si dzi ɖeviwo ate ŋu ali o, eye nàde dedienɔnɔ ƒe ɖɔwo fesrewo.
- Dedienɔnɔ ƒe dɔwɔnuwo le kamedefefewo me: Ne viwòa ƒoa kamedefefe la, de dzi ƒo nɛ be wòazã dedienɔnɔ ƒe nuzazãwo (gakuku, gakuku) siwo sɔ na kamedefefe ma.
- Fefewɔƒe siwo le dedie: Tia teƒe siwo le dedie, siwo fa (e.g. gbe, rababa-fɔtiwo) na ɖeviwo be woafe le wo me.
- Nunyiame na ƒu siwo le lãmesẽ me: Be viwò ƒe ƒuwo nasẽ ŋu la, na nuɖuɖu siwo me calcium kple vitamin D sɔ gbɔ ɖo (notsi, yogurt, cheese, amagbe damawo, tɔmelã) wo. Ne ehiã la, na nunyiametikewo abe alesi wò ɖɔkta gblɔe ene.
Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ kpata?
Kpɔ egbɔ be yeyi ɖɔkta gbɔ enumake ne:
- Ne ɖevia le veve sem vevie, evuvu, alo eƒe nɔnɔme trɔ le alɔ/afɔ me le afɔku aɖe megbe.
- Ne ɖevia medi be yeazã alɔ/afɔ ma o alo mate ŋu aʋuʋui o.
- Ne esime nèle aŋetu dom la, asibidɛ siwo le akɔtaɖonua te la trɔ zu blɔ, wozu ɣie, wovuvu ŋutɔ, woƒe lãme vuvu, alo vuvɔ le wo ɖokui me vevie .
- Ne nusi wotsɔ ƒoe la ʋẽna lilili alo asrã le ɖevia ŋu .
- Ne nusi wotsɔ ƒoe la gbã alo wòɖe asi le eŋu.
Gbedasi si Wotsɔ Yi Aƒeme
Togbɔ be ‘Greenstick Fracture’ nye nusi bɔ ɖe ɖevi suewo dome hã la, ne wona nyanya wò nyuie tso eŋu la, àte ŋu akpɔ egbɔ vɔvɔ̃ madzemadzee.
Ɖo ŋku edzi:
* ‘Greenstick’ ƒe gbagbã nye ƒu si le ɖeviwo ŋu si wobɔbɔ ɖe axa ɖeka hegbãe. Megbãna keŋkeŋ ɖe eve me o.
* Esia bɔ ɖe ɖevi siwo mexɔ ƒe 10 haɖe o dzi, elabena woƒe ƒuwo fa eye wote ŋu trɔna bɔbɔe.
* Tsitsetsea koŋue hea esia vɛ.
* Vevesese, vuvu, kple didi be yeazã alɔ/afɔ ye nye dzesi vevitɔwo.
* Mɔ ɖeka kolia si dzi nàto anyae kple kakaɖedzie nye be woawɔ X-ray.
* Atikewɔwɔ vevitɔe nye be woatsɔ aŋɔ si wotsɔ ƒoe ana wòagaʋã o.
* Ðeviwo ƒe ƒuwo hayana kaba.
* Ele vevie ŋutɔ be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
Ne nane si le abe esia ene dzɔ ɖe viwòa dzi la, mègatsi dzodzodzoe o, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ne wowɔ atike na viwòa nyuie la, ahaya kaba eye wòagadze dɔ siwo wòwɔna ɖaa gɔme!
` Ðeviwo ƒe gbagbã, Greenstick gbagbã, Greenstick ƒe gbagbã, Ðeviwo ƒe afɔkuwo, Ƒu ƒe lãmesẽ, Ðeviwo ƒe lãmesẽ, Ƒu ƒe atikewɔwɔ











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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee