Ðe nèle veve sem le akɔta hãa? Ðe wòate ŋu anye akɔta ƒe gbagbãa?

Oo, ɖe nèsea veve alo vevesese le wò akɔta alo akɔta hã? Ɣeaɖewoɣi la, anyidzedze si míele mɔ kpɔm na o alo afɔku gã aɖe ate ŋu agblẽ nu le míaƒe akɔta, si nye akɔtaƒuwo kple ƒu siwo do ƒome kplii ŋu. Egbea, míaƒo nu tso nusi akɔta ƒe gbagbã, alo abe alesi ɖɔktawo yɔnae ene, ``Akɔta ƒe gbagbã'', nye, nusi dzɔna ne edzɔ, kple alesi woadae ŋu. Mègavɔ̃ o, ele vevie ŋutɔ be nànya esia.

Nukae nye akɔta ƒe gbagbã? Mina míase egɔme bɔbɔe.

Kpuie ko la, akɔta ƒe gbagbã nye ƒu siwo wɔ wò akɔta dometɔ ɖeka alo esi wu nenema ƒe gbagbã. Wò akɔta le wò ƒodo te, le wò akɔtaƒuwo dome. Akɔta ƒe gbagbã siawo dometɔ aɖewo ate ŋu anye nu suesuesuewo, gake bubuwo ate ŋu anye esiwo nu sẽ ŋutɔ. Enɔ te ɖe alesi abi la dzɔ kple afisi wògbãe dzi.

Ƒu ka ƒomevie wotsɔ wɔa míaƒe akɔta?

Ðewohĩ ànɔ ɖokuiwò biam be ɖe ƒu ɖeka koe akɔta sia nye hã. Ao, ƒu geɖe ƒe ƒuƒoƒoe wònye. Ele abe asigɛ sesẽ aɖe ene. Wogayɔnɛ be ``Pelvic Ring''. Kpɔ ƒu siawo ɖa:

• Sacrum: Esiae nye ƒu gã si le abe dzogoe etɔ̃ ene si le wò akɔta ƒe gɔme.
• Coccyx: Abe alesi mí katã míenyae ene la, wogayɔa esia be "asike ƒe ƒu". Enɔa sacrum la te.
• Akɔtaƒuwo: Akpa vevi etɔ̃e nye esiawo:
• `Ilium` (akɔtaƒu ƒe akpa si le etame, si le gbadzaa) .
• `Ischium` (akɔta ƒe akpa si le anyime kple megbe si tea ɖe anyigba ne míebɔbɔ nɔ anyi)
• `Pubis` (akpa si le akɔta ƒe ŋgɔgbe) .

Ƒu siawo katã va ƒoa ƒu wɔa wò akɔta ƒe asigɛ. Esia nye xɔtuɖoɖo sesẽ ŋutɔ. Azɔ hã, esia mee wokpɔa lãmeka vevi geɖewo, ʋukawo kple vidzidzi ŋutinu ememetɔwo, abe tsinyegoe, si nye nuɖuɖumeŋusẽ ƒe akpa si le ete ene, ta le. Menye ema ɖeɖeko o, ke boŋ wò afɔwo ƒe lãmeka geɖe hã léna ɖe akɔta sia ŋu. Esia tae míate ŋu azɔ, aƒu du ahati kpo ɖo.

Akɔta ƒe gbagbã ƒomevi kawoe li?

Esi wònye be ƒuwo ƒe ƒuƒoƒo nye akɔta ta la, akɔta ƒe gbagbã ƒomevi geɖe li. Tsɔ kpe ɖe eŋu la, zi geɖe la, woate ŋu ama gbagbã ɖesiaɖe ɖe ƒomevi vovovowo me le alesi wòdzɔnae nu. Mina míalé ŋku ɖe nya ma ŋu:

• Ʋuʋudedi si Wotu alo Ʋuʋu/Ƒoƒu: Ne ƒua gbã gake ŋutigbalẽ si ƒo xlãe megblẽ o, si fia be abi aɖeke mele eme si woate ŋu akpɔ o la, woyɔnɛ be ƒu gbagbã si wotu . Ke ne ƒu gbagbã aɖe gbã to ŋutigbalẽa me la, ke enye ƒu gbagbã si le ʋuʋu ɖi (si woyɔna hã be `Compound Fracture`). Esia nye afɔku vie wu, elabena mɔnukpɔkpɔ geɖe wu li be woaxɔ dɔlékuiwo.
• Ƒu ƒe Gbagbã Bliboe: Le go sia me la, ƒua ma keŋkeŋ zua akpa eve.
• Ƒu ƒe Gbagbãƒe Siwo Trɔna: Esiae nye ne ƒua ƒe akpa eveawo dzo le afisi wogbã le, si na dometsotso aɖe susɔ ɖe wo dome.
• Akpa aɖe ƒe Gbagbã: Le go sia me la, ƒua megbãna keŋkeŋ abe alesi wògbã ene o.
• Nuteɖeamedzi ƒe Gbagbãƒe: Esiawo hã nye ƒu ƒe gbagbã suesuesuewo. Woate ŋu adzɔ le kamedefefewɔla siwo le nuteɖeamedzi ƒomevi ɖeka me ɣesiaɣi la dzi.

Tsɔ kpe ɖe gbagbã ƒomevi siawo siwo bɔ ŋu la, wobu akɔta ƒe gbagbã hã be `si li ke` alo `si meli ke o` :

• Stable Pelvic Fracture: Esia nye gbagbã si zi geɖe dzɔna le teƒe ɖeka ko le akɔta, eye ƒu kakɛ siwo gbã la meʋuʋuna (wotrɔna o). Zi geɖe la, nudzɔdzɔ siwo mekpɔa ŋusẽ boo o, abe anyidzedze sue aɖe alo duƒuƒu ƒe afɔku ene gbɔe gbagbã siawo ƒomevi tsona.
• Akɔta ƒe gbagbã si meli ke o: Esia nye akɔta ƒe gbagbã si ate ŋu adzɔ le teƒe eve alo esi wu nenema, eye ƒu gbagbãawo ate ŋu adzo. Zi geɖe la, nudzɔdzɔ siwo gblẽa nu le ame ŋu vevie, abe ʋufɔku gã aɖe ene gbɔe gbagbã siawo tsona. Wosesẽna wu elabena woate ŋu agblẽ nu le ŋutinu siwo le ememe hã ŋu.

Tsɔ kpe ɖe esia ŋu la, ƒomevi tɔxɛ bubu aɖe hã li, si woyɔna be ``Avulsion Fracture`` . Esia dzɔna ne lãkusi alo lãkusi si lé ɖe ƒu ŋu la vuvu, si na ƒu sue aɖe do. Esia ate ŋu adzɔ ne wole kamedefefe wɔm.

Amekae akɔta ƒe gbagbã siawo gblẽa nu le wu?

Le nyateƒe me la, akɔta ate ŋu agbã amesiame si xɔ ƒe ɖesiaɖe. Gake akɔta ƒe gbagbã suesuesuewo bɔ ɖe ame tsitsiwo dome wu. Esia le alea elabena anɔ bɔbɔe be woaxɔ ƒu ƒe gbɔdzɔgbɔdzɔ ƒe nɔnɔmewo, abe ƒumeŋuɖui ene, ne wole tsitsim.

Gake sɔhɛ siwo xɔ tso ƒe 15 va ɖo ƒe 28 domee akɔta ƒe gbagbã sesẽwo bɔ wu . Ŋutsu siwo mexɔ ƒe 35 haɖe o ate ŋu axɔ dɔléle sia, evɔ nyɔnu siwo xɔ wu ƒe 35 ya ate ŋu axɔe.

Aleke gbegbee akɔta ƒe gbagbã bɔe?

Le nyateƒe me la, akɔta ƒe gbagbã mebɔ nenema gbegbe o. Woawoe nyea ame tsitsiwo ƒe gbagbãƒewo katã ƒe 3% lɔƒo. Zi geɖe la, afɔku gã aɖe tae nusiawo dzɔna. Bu eŋu abe ʋufɔku alo anyidzedze tso kɔkɔƒe ene.

Nukae nye akɔta ƒe gbagbã ƒe dzesiwo?

Dzesiawo nɔ te ɖe alesi gbegbe lãmekaa le sue alo wòsẽe dzi. Dzesi siwo bɔ dometɔ aɖewoe nye esi:

• Vevesese le akɔta, akɔta, kple/alo akɔta ƒe akpa si le anyime.
• Vevesesea dzina ɖe edzi ne èle azɔli zɔm alo le afɔwo ʋuʋum.
• Sese le eɖokui me be ʋuʋudedi alo ʋuʋudedi le akɔta alo afɔwo ŋu.
• Ƒodo ƒe vevesese.
• Aɖuɖɔtoe sesẽ.
• Azɔlizɔzɔ alo tsitretsitsi sesẽ.

Vevietɔ: Ne dzesi siawo dometɔ aɖe dze ŋuwò, vevietɔ le afɔku aɖe megbe la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Nukae hea akɔta ƒe gbagbã siawo vɛ?

Susu vevi geɖewo tae akɔta ƒe gbagbã ate ŋu adzɔ ɖo:

1. Nudzɔdzɔ siwo gblẽa nu le ame ŋu vevie: Abe alesi míegblɔe va yi ene la, akɔta nye ƒunukpeƒeŋusẽ si sesẽ ŋutɔ. Eyata anɔ eme be agbã wu ne ŋusẽkpɔɖeamedzi gã aɖe le eŋu. Kpɔɖeŋuwo:

• Ʋu kple dzokeke ƒe afɔkuwo.
• Tsi tso kɔkɔƒe gãwo (abe tso ati dzi, xɔ me ene).

Zi geɖe la, nudzɔdzɔ siawo ƒomevi hea akɔta ƒe gbagbã siwo meli ke o, siwo nu sẽ ŋutɔ vɛ.

2. Dɔléle siwo nana ƒuwo gbɔdzɔna: Ne dɔlélewo abe ƒumeŋuɖui ene le ŋuwò, si nana wò ƒuwo le sue eye wògbɔdzɔna la, nu sue aɖe ŋutɔ gɔ̃ hã ate ŋu ana wò akɔta nagbã. Esia ate ŋu adzɔ ne èle wò dɔ si nèwɔna ɖaa wɔm gɔ̃ hã, alo ne èdze anyi hedze anyi gɔ̃ hã. Zi geɖe la, gbagbãƒe siawo nɔa anyi ɖaa.

3. Kamedefefewo: Esia mebɔ vie o, gake ne èle kamedefefe aɖewo wɔm la, àte ŋu akpɔ `Avulsion Fracture` si míeyɔ va yi. Esiae nye ne lãmeka aɖe ɖe eɖokui ɖa le ƒua ŋu, si wɔnɛ be ƒu kakɛ aɖe dona kplii. Zi geɖe la, esiawo hã nyea gbagbãƒe siwo li ke.

Aleke nàwɔ ake ɖe esia ŋu, ɖɔkta?

Be nànyae kple kakaɖedzi nenye be akɔta gbã la, ahiã godoo be woawɔ X-ray na wò. Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu awɔ dodokpɔ bubuwo hã ne edi be yeanya nu geɖe tso abi si nèxɔ la ƒe nɔnɔme ŋu.

Nukawoe nye dodokpɔ mawo?

• X-ray: Wozãa esia tsɔ ɖea foto ƒuawo. Esia le vevie be nànya afisi akɔta ƒe gbagbãƒea le, alesi gbegbe wòsesẽe, kple alesi wòle be woakpɔ egbɔe.
• CT Scan (Computed Tomography): Esia bia be woaɖe X-ray geɖe tso dzogoe vovovowo dzi eye woazã kɔmpiuta atsɔ awɔ nɔnɔmetata siwo me kɔ nyuie. Esia ate ŋu ana nɔnɔmetata siwo me kɔ wu X-ray si wozãna edziedzi. Wò ɖɔkta ate ŋu aɖe gbe na esia be yeanya nu geɖe tso wò akɔta ƒe gbagbã ŋu eye yeakpɔe ɖa be abi bubu aɖewo hã do ƒome kplii hã.
• MRI (Magnetic Resonance Imaging): Esia zãa magnet gã aɖe, radio ƒe ƒutsotsoewo, kple kɔmpiuta tsɔ wɔa wò ŋutinuwo kple ƒuwo ƒe nɔnɔmetata tsitotsito. Wò ɖɔkta ate ŋu awɔ esia hã ne X-ray alo CT scan mena nyatakaka si sɔ o.

Aleke wowɔa atike nɛ? Ðe wòhiã be woawɔ dɔ na amesiamea?

Atikewɔwɔ na akɔta ƒe gbagbã nɔ te ɖe nu geɖe dzi:

• Aleke gbegbe wò gbagbãƒea le sue alo nu sesẽe nye si.
• Alesi wògbãe kple eƒe ƒomevi.
• Aleke gbegbe ƒu kakɛ siwo gbã la ʋu yi (ɖe woɖe wo ɖaa).
• Wò lãmesẽ bliboa kple ne abi bubu aɖe hã le ŋuwò.

Zi geɖe la, mehiã be woawɔ dɔ na ƒu ƒe gbagbã suesuesue siwo li ke, si fia be ƒu kakɛawo meʋuʋuna o. Le nɔnɔme mawo me la, atike siwo gbɔnae nye:

• Gbɔɖeme: Wò ɖɔkta agblɔ na wò be nàgbɔ ɖe eme alesi nàte ŋui. Esia mana nyaƒoɖeamenu bubu aɖeke nanɔ akɔta si gbã la dzi o eye wòakpe ɖe eŋu wòahaya kabakaba.
• Azɔlizɔzɔ ƒe kpekpeɖeŋunuwo: Le afisi wò gbagbãƒe le nu la, woate ŋu agblɔ na wò be nàzã atizɔti, afɔzɔla, alo bunɔkeke. Esiawo nye be woakpe ɖe ŋuwò nàɖe kpekpeme le wò afɔwo dzi. Ahiã be nàzã esiawo abe ɣleti etɔ̃ ene, alo vaseɖe esime wò akɔta nahaya keŋkeŋ.
• Atike: Wò ɖɔkta aŋlɔ atike na wò be wòakpe ɖe ŋuwò nàɖe vevesese dzi akpɔtɔ. Woate ŋu aŋlɔ ʋumenugbagbeviɣitike hã na wò be wòaɖe ʋu ƒe sisi le wò afɔwo kple akɔta ƒe ʋukawo me dzi akpɔtɔ.

Zi geɖe la, akɔta ƒe gbagbã siwo nu sẽ wu alo esiwo meli ke o hiãa amekoko zi ɖeka alo esi wu nenema. Amekoko ƒomevi vovovowo li:

• External Fixation: Le esia me la, woɖea nu suesuesuewo to ŋutigbalẽa kple lãmekawo me be wò akɔta ƒe akpa nali ke, eye wotsɔa ga-tiwo alo gaviwo dea ƒuawo me. Atikplɔ kple gavi siawo dona tso ŋutigbalẽa me eye wotsɔa wo blaa gavi siwo le ŋutilãa godo. Esia wɔa dɔ abe xɔtunu ene, si kpena ɖe ame ŋu be ƒu gbagbãawo nɔa wo nɔƒe vaseɖe esime wohaya.
• Ƒumeŋuɖui ƒe Hehe: Esia nye pulley system si le ŋutilãa godo. Ekpena ɖe ame ŋu be ƒu kakɛ siwo gbã la gaɖɔna ɖo. Amekola aɖe tsɔa gaƒoɖokuiwo dea wò ata ƒe ƒu alo afɔkpodzi ƒe ƒu me. Wotsɔa kpekpemewo dana ɖe pin siawo dzi eye amekolaa hea wò afɔ. Esia nana be akɔtaƒu kakɛ siwo gbã la gatrɔna yia woƒe nɔnɔme si sɔ me.
• Open Reduction and Internal Fixation (ORIF): Le amekoko sia me la, wogbugbɔa akɔta ƒe ƒu kakɛ siwo woɖe ɖa la yia woƒe nɔnɔme si sɔ me gbã. Emegbe, wotsɔa kakɛawo ƒoa ƒu hetsɔa gavi alo ga gbadzɛwo blaa ƒua ƒe gota.

Zi geɖe la, abi bubuwo axɔ amesi ƒe akɔta gbã vevie le afɔku gã aɖe me. Ahiã be woawɔ atike na amesiawo hã. Le nɔnɔme ma me la, akɔta ƒe gbagbã ƒe dɔyɔyɔ anɔ te ɖe alesi abi bubu mawo da dɔ dzidzedzetɔe dzi.

Ðe akɔta ƒe gbagbã ate ŋu ada le eɖokui sia?

Zi geɖe la, akɔta ƒe gbagbã sue siwo li ke la hayana atikewɔlawo ƒe nudede eme manɔmee, abe amekoko ene. Gake ne ègbã vie hã la, ele be nàɖe wò akɔta kple afɔwo ƒe nyaƒoɖeamenu dzi akpɔtɔ eye nàgbɔ ɖe eme geɖe be wòakpe ɖe ŋuwò nàhaya nyuie. Ne èsusu be yeƒe lãme gbã vie la, ele vevie be nàkpɔ ɖɔkta kaba ale si nàte ŋui.

Ɣeyiɣi didi kae wòxɔna hafi akɔta ƒe gbagbã hayana?

Zi geɖe la, exɔa abe kwasiɖa 8 va ɖo 12 ene hafi akɔta ƒe gbagbã hayana keŋkeŋ. Gbagbã si nu sẽ wu, vevietɔ ne abi bubuwo alo atikewɔwɔ me kuxiwo le ŋuwò la, ate ŋu axɔ ɣeyiɣi didi wu.

Nukawoe nye afɔku siwo ate ŋu ana akɔta nagbã?

Afɔku geɖe li siwo ate ŋu ana akɔta nagbã:

• Ƒumeŋuɖui ƒe amesinɔnɔ: Afɔku le afɔku me be amesiwo ŋu dɔléle sia le be woƒe akɔta nagbã.
• Ame tsitsi enuenu: Vevietɔ le ame tsitsiwo gome la, ne wodze anyi enuenu la, woate ŋu agbã woƒe akɔtaƒuwo.
• Kamedefefe aɖewo wɔwɔ: Abe alesi míegblɔe va yi ene la, ame siwo ƒoa kamedefefe aɖewo ate ŋu axɔ `Avulsion Fracture`.

Nukae míate ŋu awɔ atsɔ axe mɔ ɖe akɔta ƒe gbagbã nu?

Le ƒe si nèxɔ kple agbenɔnɔ nu la, nu geɖe li nàte ŋu adze agbagba axe mɔ ɖe akɔta ƒe gbagbã nu:

• Zã azɔlizɔzɔ ƒe kpekpeɖeŋunu ne èle afɔku gã aɖe me be nàdze anyi: Ati alo afɔti zazã ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe anyidzedze nu.
• Ʋua ʋu dedie: Ʋufɔku siwo gblẽa nu le ame ŋu vevie ye nye nu vevitɔ si hea akɔta ƒe gbagbã vɛ. Ku ʋu dedie ɣesiaɣi, wɔ ɖe ʋuɖosewo dzi, eye nàƒo asa na susuhenuwo ne èle ʋu kum.
• Wɔ ɖe dedienɔnɔ ŋuti mɔfiamewo dzi ne èle atrakpui zãm: Ne èle atrakpui zãm la, kpɔ egbɔ be yewɔe nyuie eye wòle dedie. Kpɔe ɖa ɣesiaɣi be atrakpui la le teƒe si li ke hafi nàzãe.
• Ne èle kamedefefewo wɔm la, ke keke wò kame nyuie eye nàwɔ kamedede siwo ana nànɔ lãmesẽ me: Be nàɖe afɔku si le avulsion fractures si lãmekawo ƒe aɖatsi hena vɛ dzi akpɔtɔ la, do dzo na ɖokuiwò nyuie hafi nàwɔ kamededewo eye nàwɔ kamedefefe tɔxɛwo ƒe kamedede.

Nukae nye nusi wogblɔ ɖi na akɔta ƒe gbagbã?

Esia nɔ te ɖe abi si wòxɔ ƒe sesẽme kple eƒe ƒomevi dzi. Zi geɖe la, akɔta ƒe gbagbã suesuesue siwo li ke la hayana nyuie ne wowɔ atike na wo eye wodzona kuxi siwo nɔa anyi didi manɔmee.

Gake akɔta ƒe gbagbã sesẽ siwo meli ke o siwo tsoa nuveviwɔame si gblẽa nu le ame ŋu vevie, abe ʋufɔku ene, ate ŋu ahe kuxiwo abe ʋu dodo fũ, ŋutinu siwo ƒo xlãe ƒe gbegblẽ, kple lãmekawo ƒe gbegblẽ ene vɛ. Ne woda abi siawo siwo do ƒome kplii dzidzedzetɔe la, zi geɖe la, akɔta ƒe gbagbãwo hayana nyuie.

Ðe akɔta ƒe gbagbã ate ŋu ade ame ƒe agbe afɔku mea?

Ẽ, ɣeaɖewoɣi. Akɔta ƒe gbagbã siwo meli ke o, siwo sesẽ, siwo tso nuveviwɔame si gblẽa nu le ame ŋu vevie, abe ʋufɔku alo anyidzedze tso kɔkɔƒe ɖedzesi aɖe ene, ate ŋu agblẽ nu le ŋutinuwo, lãmekawo, kple ʋuka siwo ƒo xlã wò akɔta ƒe nuto ŋu. Nuveviwɔame siawo ate ŋu ana ŋutinuwo nawɔ dɔ nyuie o, ʋu nado fũu akpa, eye dɔlékuiwo naxɔ ame. Esiawo ate ŋu anye nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me. Esia tae wòle vevie be nàdi atikewɔƒe enumake.

Ðe akɔta ƒe gbagbã ate ŋu ahe kuxiwo vɛa?

Akɔta ƒe gbagbã sesẽ siwo meli ke o ate ŋu ahe kuxiwo vɛ wu akɔta ƒe gbagbã suesuesuewo. Zi geɖe la, kuxi siawo dzɔna le lãmekawo kple/alo ŋutinuwo ƒe gbegblẽ si akɔta ƒe gbagbã hena vɛ ta. Kuxi siwo dona tso akɔta ƒe gbagbã me dometɔ aɖewoe nye:

• Vevesese si nɔa anyi didi
• Ʋuʋu ƒe gbɔdzɔgbɔdzɔ
• Gbɔdɔdɔ ƒe dɔmawɔmawɔ nyuie
• Ʋu ƒe sisi le ʋuka gogloawo me (Deep Vein Thrombosis - DVT) .

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne akɔta ƒe gbagbã ƒe dzesiwo le ŋuwò, abe vevesese le akɔta ƒe akpa si nèle kple azɔlizɔzɔ alo tsitretsitsi sesẽ ene la, yɔ wò ɖɔkta enumake, alo yi kɔdzi si te ɖe ŋuwò.

Ne wokpɔe be akɔta ƒe gbagbã le ŋuwò xoxo, eye dzesi yeyewo alo esiwo ɖea fu na wò va dzea dziwò la, kpɔ egbɔ be yeƒo ka na wò ɖɔkta.

Nukae wòle be mabia nye ɖɔkta?

Ne akɔta gbã la, anyo be nàbia nya siawo wò ɖɔkta:

• Gbagbã ka ƒomevie le ŋunye?
• Ƒu kawoe le nye akɔta si ŋu wògblẽa nu le?
• Aleke nye atikewɔwɔ ƒe ɖoɖoa le?
• Ɣeyiɣi didi kae wòaxɔ hafi nye gbagbãƒea nahaya?
• Ɣekaɣie mate ŋu atrɔ ayi dɔ siwo mewɔna ɖaa dzi?

Ðo ŋku edzi be togbɔ be wò akɔta nye ƒu sesẽ aɖe hã la, ate ŋu agbã. Akɔta ƒe gbagbã nyea vevesese, eyata èhiã kpekpeɖeŋu enumake. Esi wònye be wò akɔta kpɔa lãmeka, ʋuka, kple ŋutinu vevi geɖe ta ta la, wò ɖɔkta adi be yeakpɔ egbɔ be abi bubu aɖeke medzɔ le ememe o. Ne ètsi dzi ɖe ƒumeŋuɖui hã ŋu la, ƒo nu tso ema hã ŋu na wò ɖɔkta.

Mlɔeba la, ɖo ŋku esia dzi (Take-Home Message) .

Enyo, eyata míeƒo nu geɖe tso akɔta ƒe gbagbã ŋu egbea, alo? Nu vevi siwo dzi wòle be woaɖo ŋkui dometɔ aɖewoe nye esi:

• Akɔta ƒe gbagbã menye nusi woabu nu tsɛe o. Ate ŋu adzɔ tso anyidzedze sue aɖe me, alo ate ŋu anye afɔku gã aɖe.
• Ne èkpɔ dzesiwo abe vevesese le akɔta, akɔta, alo akɔta, alo azɔlizɔzɔ sesẽ , vevietɔ le afɔku aɖe megbe la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Atikewɔwɔ nɔ te ɖe alesi gbegbe ʋua ƒe gbagbã le dzi. Ate ŋu ada gbe le ɖiɖiɖeme kple kpekpeɖeŋu me, alo ate ŋu abia be woawɔ dɔ nɛ.
• Gbɔɖeme nyuitɔ xɔxɔ kple kamedede abe alesi ɖɔkta gblɔe ene le vevie ŋutɔ be wòahaya kaba.
• Ne afɔku aɖewo li (ƒexɔxɔ, ƒumeŋuɖui, anyidzedze enuenu) la, nunya anɔ eme be nànya wo eye nàwɔ afɔɖeɖe siwo axe mɔ ɖe enu.

Mègavɔ̃ o, gake mègaŋe aɖaba ƒu edzi hã o. Wòe nya wò ŋutilã nyuie wu. Ne èse nane si mebɔ o la, anyo wu ɣesiaɣi be nàyi ɖɔkta gbɔ aɖaɖo aɖaŋu na wò.

` Pelvic Fracture, gbagbã, akɔta, akɔta, afɔkuwo, ƒu ƒe lãmesẽ