Ðe wò vi suea ƒe alɔ alo afɔ vuvua? Mènya nenye be Greenstick Fracture'' ye alo menyee oa? Mina míaƒo nu tso esia ŋu!

Ne ɖevi sue manyatalenu aɖe le asiwò le aƒeme la, esɔ be woadze anyi le afisia kple afima eye woaxɔ abi suesuesuewo. Gake ɣeaɖewoɣi la, anyidzedze sue aɖe gɔ̃ hã ate ŋu agblẽ nu geɖe wu alesi nèsusui. Vevietɔ ne míeƒo nu tso ɖevi suewo ƒe ƒuwo ŋu la, woƒe ƒuwo to vovo vie tso ame tsitsiwo tɔ gbɔ. Egbea, míele nu ƒom tso ƒu ƒe gbagbã si ate ŋu adzɔ ɖe ɖevi sue mawo dzi ŋu.

Nukae nye ``Greenstick Fracture'' sia?

Kpuie ko la, ``Greenstick Fracture'' nye gbagbã ƒomevi aɖe si bɔ ɖe ɖevi suewo me. Kpɔe ɖa le susu me be èɖe alɔ aɖe tso ati yeye si xɔ dzo vie la me eye nèbɔbɔe. Nukae dzɔna? Le esi teƒe be wòagbã keŋkeŋ ɖe eve la, egbã vie le akpa ɖeka eye wògalé ɖe akpa kemɛa? Ðewohĩ anɔ xɔxlɔ̃m abe ka ene gɔ̃ hã. Emae nye nusi ``Greenstick Fracture'' nye. Esiae nye ŋkɔ si wotsɔ na ƒu gbagbã si me ƒua megbãna ɖe eve keŋkeŋ o, ke boŋ eƒe akpa ɖeka gbãna sue aɖe alo wògbãna. Woyɔe be ``Greenstick Fracture'' elabena edze abe "alɔ dama" si le gbagbãm ene.

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 ɖeviwo ƒe ƒuwo, vevietɔ esiwo mexɔ ƒe 10 haɖe o, ƒe ƒuwo mesesẽna eye wote ŋu trɔna bɔbɔe abe ame tsitsiwo tɔ ene o. Wofa vie eye wote ŋu trɔna bɔbɔe wu, abe alɔdze yeye ma si ŋu meƒo nu tsoe va yi ene. Le atikewɔwɔ me la, woƒe ƒuwo me `(Collagen)` sɔ gbɔ wu eye `(Minerals)` mesɔ gbɔ o. Eyata ne ƒua dze anyi abe anyidzedze ene la, anɔ eme be ƒua agbã le axa ɖeka tsɔ wu be wòagbã keŋkeŋ ɖe akpa eve me. Le ame tsitsi gome la, anyidzedze nenema ate ŋu ana ƒua nagbã keŋkeŋ, atso. Gake `(Greenstick Fracture)` sia tsoa ɖeviwo ƒe ƒuwo ƒe asitɔtrɔ tɔxɛ sia gbɔ.

Aleke `(Greenstick Fracture)` sia dzɔnae? Nukawoe gbɔ wòtsona?

Fifia ɖewohĩ èle eŋu bum be, "Oo nye mawu, aleke esia ate ŋu adzɔ ɖe vinye dzi?" Mehiã be wòanye afɔku gã aɖeke o. Nu suesuesuewo abe duƒuƒu kple fefe ene gɔ̃ hã ate ŋu ahe nɔnɔme sia vɛ. Nusiwo gbɔ wòtsona zi geɖee nye:

• Dzedze esime wole fefem : Zi geɖe la, ɖeviwo dzea anyi ɖe asi si wodo ɖa dzi, vaseɖe asibidɛ alo abɔta. Esia ate ŋu adzɔ tso sofa, aba, alo fefenu alo fefewɔƒe ƒe dɔwɔnuwo dzi.
• Nuveviwɔame le Afɔ ŋu : Ne èkli nu hedze anyi esime nèle du ƒum alo le fefem la, àte ŋu axɔ Greenstick Fracture le afɔ si le ete ƒe ƒuwo me (Tibia, Fibula).
• Keke dzi gege : Woate ŋu akpɔ nɔnɔme sia le ɖevi tsitsi siwo dze anyi ne wole keke dom hã ŋu.
• Kamedefefewo ƒe abixɔxɔwo: Nuveviwɔame sia ƒomevi ate ŋu adzɔ ne bɔl ƒo wò esime nèle suku kamedefefewo wɔm, le kpɔɖeŋu me, kriket, alo ne èdo go le kamedefefe bubu aɖe me.
• ƒoƒo tẽ : Ne nane sesẽ ƒo alɔ alo afɔ tẽ la, ate ŋu ahe wowó sia ƒomevi hã vɛ.

Vevietɔ wu la, esia dzɔna zi geɖe le abɔtaƒuwo (`(Abɔtaƒuwo - Radius, Ulna)`) kple afɔkpodzi ƒe ƒuwo (`(Afɔ ƒe ƒuwo - Tibia, Fibula)`). Azɔ hã, woate ŋu akpɔ gbagbã mawo tɔgbe le akɔtaƒu (`(Clavicle alo Collarbone)`).

Nukae nye `(Greenstick Fracture)` ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Enyo, azɔ na míakpɔ alesi nàwɔ ade dzesi abi si nèxɔ abe esia ene ɖa. Esi ɖeviwo nye ɖeviwo ta la, womenya nusi tututu le edzi yim o. Eyata wòe wòle be nànya dzesi siawo.

• Vevesese sesẽ : Ne ɖevia le avi fam alo le veve sem ne woka asi teƒe si wòxɔ abi ŋu alo ne woʋuʋu alɔ/afɔ la, ema nye dzesi vevi aɖe.
• Vuvu : Teƒe si woxɔ abi la ate ŋu avuvu ŋutɔ . Ate ŋu avuvu kaba, alo axɔ ɣeyiɣi aɖe.
• Bluish alo discolored : Ɣeaɖewoɣi la, ate ŋu atrɔ azu blɔ alo dzĩ, abe abi ene.
• Abɔ/afɔ zazã ƒe didi : Ne ɖevia medi be yeazã alɔ/afɔ , abe asi ma metsɔ asi nane o, fefenu mafɔ, alo afɔ ma dada ɖe anyi o ene la, ema hã nye dzesi vevi aɖe.
• Nɔnɔme alo ƒoƒo si mesɔ o (`(Deformity)`) : Ɣeaɖewoɣi la, woate ŋu akpɔ abɔ alo afɔ ƒe ƒoƒo vie alo eƒe ƒoƒo si mele dzɔdzɔme nu o . Gake menye ɣesiaɣie esia dzena gaglãa o. Le `(Greenstick Fracture)` me la, zi geɖe la, nɔnɔmetɔtrɔ gã aɖeke menɔa anyi o.
• Gblɔ be yese 'kadas' gbeɖiɖi : Ɣeaɖewoɣi la, àte ŋu ase gbeɖiɖi sue aɖe ne èdze anyi, gake menye amesiamee wɔa nenema o, eyata màxɔe ase o.

Vevietɔ: Ɣeaɖewoɣi la, dzesi siawo madze nu sesẽ nenema gbegbe o. Ne viwòa le avi fam vie ko eye wòdze abe vevesesea nu fa ene hã la, anyo wu be nàyi ɖɔkta gbɔ ne nu aɖe le fu ɖem na wò. Mègaŋe aɖaba ƒu edzi le esi wònye nya sue aɖe ta ko o.

Aleke ɖɔkta aɖe ɖo kpe esia dzii?

Ne èkplɔ viwòa yi ɖɔkta gbɔ la, abia wò gbã tso alesi abi la dzɔe, dzesi siwo le eŋu, kple alesi ɖevia le edzi yim ŋu. Emegbe, woalé ŋku ɖe ɖevia ŋu nyuie. Woase abi si woxɔ la le wo ɖokui me, anɔ abi alo vevesese ɖesiaɖe dim.

Emegbe, be woaɖo kpe edzi kple kakaɖedzi be esia nye gbagbã la, nu vevitɔe nye be woawɔ ``(X-ray)`` dodokpɔ.`(X-ray)` koe nye mɔ si dzi woato akpɔe tututu nenye be ƒua gbã, ƒu ka ƒomevie wògbã, `(Greenstick Fracture)`, alo ƒu gbagbã keŋkeŋ. Abe alesi megblɔe ene la, anɔ eme be `(X-ray)` aɖe ʋuʋudedi sue aɖe ko afia le ƒua ƒe akpa ɖeka, evɔ akpa kemɛ ya megblẽ o.

Atike kae ɖɔktawo naa ``Greenstick Fracture''?

Enyo, ne X-ray la ɖo kpe edzi be Greenstick Fracture ye la, ɖɔktaa adze atikewɔwɔ gɔme. Nu vevitɔe nye be nàɖo ƒu si gbã la nyuie, agbugbɔe aɖo afisi wònɔ tsã, eye nàɖe mɔ wòahaya. Woyɔa esia be ʋuʋudedi.

• Putting on a cast : Zi geɖe la, wozãa ``Plaster of Paris cast`` alo ``Fiberglass cast``. Nusi wotsɔ ƒu gbe sia nana alɔ/afɔ si xɔ abi la meʋãna o ale be mete ŋu ʋãna o. Esia wɔnɛ be ƒua hayana faa eye wòhayana nyuie. Zi geɖe la, atike sia nɔa anyi abe kwasiɖa 4 va ɖo 6 ene. Ðɔktae ɖoa esia, le alesi ɖevia ƒe gbagbã le, kple ƒe si ɖevia xɔ nu.
• Splint : Le go aɖewo me la, woateŋu azã ``splint'' gbã vaseɖe esime vuvua naɖiɖi vie, eye emegbe woateŋu atsɔ cast asisi ɖe eŋu le ŋkeke ʋee aɖewo megbe. ``Splint'' sɔ kple cast, gake eƒe akpa ɖeka koe le sesẽm eye woateŋu atrɔ asi le eŋu kple ``Velcro'' ka siwo le akpa kemɛ.
• Vevesesenutsitikewo : Be viwòa naɖe vevesese si me tom dzi akpɔtɔ la, wò ɖɔkta ate ŋu aɖo vevesesenutsitikewo abe Paracetamol (Panadol) ene na wò.
• Ɣeyiɣi siwo woawɔ atsɔ akplɔe ɖo : Ne atike si wotsɔ ƒoe la le teƒea, eye ne woɖe atike si wotsɔ ƒoe vɔ gɔ̃ hã la, ele be nàyi ɖɔkta gbɔ zi alesi nèdi. Ate ŋu awɔ X-ray bubu atsɔ akpɔe ɖa be ƒua le hayahayam nyuie eye wòle ɖoɖo nu hã.

Nu kawo ŋue wòle be woabu ne wole ɖevi dzi kpɔm le aƒeme? (Esi wòdo cast) .

Ne èɖo aƒeme tso fefewɔlawo gbɔ vɔ la, agbanɔamedzi gã aɖe le dziwò be nàlé be na viwò suea. Lé be na nu siawo vie:

• Mègana nusi wotsɔ ƒoe la natsi o : Ne èle tsi ƒum alo le nusianu si me tsi le wɔm la, tsɔ `(Plastic bag)` alo nane si me tsi mate ŋu age ɖo o tsyɔ nusi wotsɔ ƒoe la nyuie. Tsidzadza ateŋu agbɔdzɔ cast la eye wòahe ŋutigbalẽ ƒe kuxiwo vɛ (`(Skin irritation)` alo `(Infection)`).
• Mègatsɔ naneke de nusi wotsɔ ƒoe me o : Ɣeaɖewoɣi ne ʋuʋudedi aɖe le eŋu la, ɖevi suewo dzea agbagba be yewoatsɔ nuwo abe nuŋlɔti, pɛnsil, kple ati kakɛwo ene ade nusi wotsɔ ƒoe la me. Mègana woawɔ nenema o. Esia ateŋu agblẽ nu le ŋutigbalẽa ŋu eye wòahe `(Infection)` vɛ. Ne ʋuʋudedi aɖe li la, gblɔe na ɖɔkta , agblɔ egbɔkpɔnu aɖe na wò (ɖewohĩ àte ŋu atsɔ `(Taɖadzraɖoƒe)` ade `(Cool setting)` la dzi eye nàbia tso wo si be woalé ya ƒe sisi aɖe ɖe asi).
• Kpɔ egbɔ be ɖevia le vuvu kple lãmetutudɔ hã : Kpɔe ɖa ɣesiaɣi be asibidɛ siwo le alɔ/afɔ si dzi wotsɔ aŋɔa ɖo la vuvu, wotrɔ zu blɔ, alo ne edze abe ɖevia le ʋuʋum ene hã.Kpɔe ɖa hã be wò asibidɛwo fa alo le ɣie hã. Ne nenemae la, ke atike si wotsɔ ƒoe la ate ŋu asẽ akpa alo ate ŋu anɔ ʋu ƒe sisi nu xem. Ne edzɔ alea , yi ɖɔkta gbɔ enumake.
• Do alɔ/afɔ ɖe dzi : Le gɔmedzedzea me la, na alɔ/afɔ si xɔ abi la nakɔ, alesi nàte ŋui, kple akɔtaɖonu, si wu dzia ƒe kɔkɔme vie. Esia akpe ɖe ame ŋu be wòaɖe abi dzi akpɔtɔ.
• Kpɔe ɖa be aŋea ƒe goawo le abi wɔm hã : Aŋea ƒe goawo ate ŋu aƒo ɖe ŋutigbalẽa ŋu ɣeaɖewoɣi eye wòana ame naxɔ abi hã. Ne edzɔ alea la, gblɔe na wò ɖɔkta .
• Kpɔe ɖa be ʋeʋẽ gbegblẽ aɖe le eme hã : Ne ʋeʋẽ gbegblẽ aɖe le dodom tso nusi wotsɔ ƒoe la me la, ate ŋu anye dɔlékui aɖe ƒe dzesi. Ne nenemae la, ke gblɔe na wò ɖɔkta .

Ðe esia ada gbe le ame ŋu keŋkeŋa? Ðe wòagazu kuxi akea?

Esiae nye nya gãtɔ kekeake si dzila geɖe biana eye wònɔa susu me na wo. Ẽ, ``Greenstick Fracture'' nye abi si zi geɖe la, hayana nyuie eye kuxi gã aɖeke menɔa eŋu o. Ðevi suewo ƒe ƒuwo tsina eye wohayana kabakaba nukutɔe. Ne èwɔ atike na wo nyuie abe alesi ɖɔkta gblɔe ene, eye ne èlé be na wo nyuie esime nèle aŋea dom la, ƒua asẽ abe tsã ene.

Ne woɖe nusi wotsɔ ƒoe la ɖa vɔ la, alɔ/afɔ ate ŋu asẽ vie le gɔmedzedzea me (`(Stiffness)`) eye wòasesẽ be woaʋuʋu. Esia sɔ. Le ŋkeke ʋee aɖewo megbe la, ɖɔkta ate ŋu agblɔ na wò be nàwɔ kamedede fafɛ aɖewo (`(Gentle exercises)`). Le ema megbe la, ɖevia gate ŋu ƒoa fefe, ƒua du, hetia kpo abe alesi wònɔna ɖaa ene.

Gake ne womewɔ atike na ƒua nyuie o, alo ne wometsɔ nusi wotsɔ ƒo ƒui la de eme nyuie o la, ɣeaɖewoɣi la, ƒua ate ŋu azu malunion. Esia fia be ƒua ate ŋu ahaya le mɔ gbegblẽ nu. Eyata ele vevie ŋutɔ be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Gake kuxi siawo tɔgbe mebɔ kura le greenstick ƒe gbagbã gome o.

Ðe nane li míate ŋu awɔ atsɔ axe mɔ ɖe afɔku mawo tɔgbe nua?

Esesẽ be woaxe mɔ ɖe afɔkuwo nu 100%. Enye nusi sɔ be ɖevi suewo nadze anyi eye woaxɔ abi suesuesuewo ne wole fefem alo le tsatsam. Gake míate ŋu abu woƒe dedienɔnɔ ŋu vie ahadze agbagba aɖe afɔkuwo dzi akpɔtɔ.

• Fefewɔƒe si le dedie : Kpɔ egbɔ be nu ɖaɖɛwo alo teƒe siwo glidzaglidza aɖeke mele teƒe siwo ɖeviwo le fefem le o. Anyo ne àte ŋu atsɔ nane abe ``Soft matting`` ene ade fefewɔƒea te.
• Dzikpɔkpɔ : Lé ŋku ɖe ɖevi suewo ŋu ɣesiaɣi, vevietɔ ne wole teƒe kɔkɔwo liam, le du ƒum, le titim, alo le fefem.
• Ametakpɔnu le kamedefefewo me : Ne viwòa le kamedefefe wɔm la, de dzi ƒo nɛ be wòazã ametakpɔnu siwo sɔ, abe gakuku, klonu, abɔta, kple asibidɛwo ene.
• Aƒeme ƒe nɔnɔme ta kpɔkpɔ: Ne vi sue aɖe le asiwò la, àte ŋu aɖe afɔkuwo dzi akpɔtɔ ne ède abadzivɔwo ƒo xlã aba, dedienɔnɔgbowo ɖe atrakpuiwo dzi, kple fesrewo ŋu dzɔlawo ɖe fesrewo dzi.

Ne ɖevi aɖe xɔ abi kpata gɔ̃ hã la, ɖe wòahiã be wòayi ɖɔkta gbɔa?

Ɣeaɖewoɣi la, ne míexɔ abi sue aɖe alo ƒo ɖe mía ŋu la, ɖeko míenoa atike aɖe le aƒeme hegblẽnɛ ɖi. Gake ne dzesi siwo megblɔ va yi, si nye , ne ɖevia yi edzi le avi fam le anyidzedze megbe, ne ele veve sem eye mete ŋu le alɔ alo afɔ ʋuʋum o, ne vuvu alo vevesese le teƒe si wòxɔ abi le la, anyo godoo be nàyi ɖɔkta gbɔ. Mègalala o. Elabena ate ŋu anye be nane si le dzɔdzɔm le ememe wu nusi dzena le egodo. Ne èxɔ atike kaba la, àte ŋu ahaya kaba eye nàxe mɔ ɖe kuxi siwo ate ŋu ado mo ɖa emegbe nu.

Gbedasi si Wotsɔ Yi Aƒeme Kpuie

Eyata, ``Greenstick Fracture`` nye ƒu ƒe abi si bɔ ɖe ɖevi suewo me, abe alɔ yeye si gbã le akpa ɖeka ko ene. Ne woda esia nyuie la, ahaya keŋkeŋ, naneke meli si ŋu woatsi dzi ɖo o. Ne abi sia ƒomevi le viwò suea ŋu la, mègatsi dzodzodzoe o. Kpɔ ɖɔkta kaba ale si nàte ŋui eye nàwɔ atike nɛ abe alesi wòkafui ene. Lé be na viwòa nyuie esime nusi wotsɔ ƒoe la le teƒea. Gbesigbe viwòa agaƒu du ahanɔ fefem ake la medidi o. Nu vevitɔe nye wò susu, dzigbɔɖi, kple ɖɔkta ƒe mɔfiamewo dzi wɔwɔ pɛpɛpɛ.

` Greenstick ƒe gbagbã, Ðevimenɔɣi ƒe gbagbã, Ƒu ƒe gbagbã, Greenstick ƒe gbagbã, Ðeviwo ƒe Lãmesẽ, Ƒu ƒe dɔyɔyɔ, Afɔkuwo le Ðevi Suewo me