Ðe kuxi vi aɖe le fu ɖem na wò le wò asibidɛ gbɔa? Ate ŋu anye scaphoid ƒe gbagbã!

Ðe nèdze anyi heƒo wò asi ɖe anyigba, si na wò asibidɛ xɔ abi vevie kpɔa? Alo ɖewohĩ ètrɔ asi le mɔ gbegblẽ nu esime nènɔ fefem, eye emegbe teƒea vuvu eye mète ŋu ʋãe oa? Ɣeaɖewoɣi la, míebua nusiawo be wonye "nutete ko," gake woate ŋu anye nusi ŋu nu sesẽ wu. Emae nye nusi ate ŋu adzɔ ne nane si le abe esia ene dzɔ, si woyɔna be scaphoid fracture. Mina míaƒo nu tso esia ŋu tsitotsito egbea, enyoa?

Nukae Nye Scaphoid Fracture?

Kpuie ko la, scaphoid ƒe gbagbã nye ƒu si le wò asibidɛ me ƒe gbagbã. Scaphoid ƒua le wò afɔbidɛ gã la ƒe gɔme, le wò asibidɛ gbɔ. Ƒu sue geɖe siwo woyɔna be carpal bones ye nye wò asibidɛ. Scaphoid nye abɔtaƒu mawo dometɔ ɖeka.

Esia dzɔna zi geɖe ne míedze anyi hedo asi ɖa be míalé míaƒe asiwo. Bu eŋu kpɔ, kasia nèdze anyi hedze anyi, eye nètsɔ wò asiwo da ɖe anyigba enumake be yeaɖe ye ɖokui, alo? Ɣemaɣie ƒu sia ate ŋu agblẽ wu. Tsɔ kpe ɖe eŋu la, ate ŋu adzɔ tso ʋufɔkuwo, ʋu ƒe ƒoƒo sesẽwo ne wole kamedefefe wɔm, kple bubuawo hã me.Ɣeaɖewoɣi la, ehiãna be woawɔ dɔ na ame be woaɖɔ ƒu sia ɖo nyuie. Ame akpa gãtɔ xɔa abe ɣleti etɔ̃ ene hafi wohayana tso nɔnɔme sia me keŋkeŋ.

Scaphoid ƒu ƒe akpa aɖewo kple afisiwo wògbãna le

Akpa etɔ̃ le ƒu sia si woyɔna be scaphoid hã ŋu. Akpa siawo dometɔ ɖesiaɖe ate ŋu agbã.

• Distal pole: Esia nye ƒu si woyɔna be scaphoid ƒe nuwuwu si le wò asi kple asibidɛwo gbɔ, si fia be ele adzɔge tso abɔta gbɔ.
• Scaphoid ƒe akɔta: Esia nye scaphoid ƒu ƒe titina. Zi geɖe la, si fia be scaphoid ƒe gbagbã siwo wu 70% dzɔna le titina ƒe akpa sia.
• Kpo si te ɖe ŋuwò: Esiae nye ƒu si woyɔna be scaphoid si le wò ŋgonu, si le wò ŋutilã me la ƒe nuwuwu.

Nya siawo ate ŋu aɖi nu wɔnuku aɖe na wò. Gake ɖɔktawo zãa wo tsɔ kpena ɖe wo ŋu wosea alesi tututu wò asibidɛ gbã, afisi wò scaphoid ƒu gbã le, kple alesi ƒua le wò ŋutilã me fifia gɔme. Gake aleke kee nèɖayɔe o, nu vevitɔ kekeakee nye be nàkpɔ ɖɔkta kaba ale si nàte ŋui eye nàna woadoe kpɔ.

Aleke gbegbee esia bɔe? Amekae xɔae zi geɖe wu?

Scaphoid fractures nye asibidɛ ƒe asibidɛ ƒe ƒuwo ƒe gbagbã ƒomevi si bɔ wu , eye wònye asibidɛ ƒe abi siwo katã woxɔna ƒe 15% lɔƒo.

Le nyateƒe me la, abe alesi ame sia ame ate ŋu agbã ƒu ene la, nenema ke ame sia ame ate ŋu agbã ƒu si woyɔna be scaphoid. Esia le alea elabena zi geɖe la, edzɔna tso amedzidzedze alo afɔku bubuwo me. Gake ebɔ ɖe sɔhɛ siwo mexɔ ƒe 30 haɖe o kple ƒewuiviwo dzi wu.Esia bɔ vie wu. Ne èdzea anyi bɔbɔe la, ke èle afɔku gã aɖe hã me. Azɔ hã, amesiwo ŋu ƒu ƒe ʋuʋu ƒe dɔlélewo abe ƒumeŋuɖui ene le la te ŋu gbãa woƒe ƒuwo bɔbɔe wu ame bubuwo, eyata wole afɔku gã aɖe me be woƒe ƒuwo nagbã.

Nukawoe nye dzesiawo?

Ne scaphoid fracture le ŋuwò la, àte ŋu akpɔ dzesiwo abe:

• Vevesese: Vevietɔ le afɔbidɛ gã la ƒe gɔme, le asibidɛ tututu.
• Vuvu: Asi ƒe akpa si ŋu dɔlélea le ate ŋu avuvu.
• Fatu: Teƒe si míeyɔ ɖe etame la vea ame ne woka asi eŋu alo te ɖe eŋu.
• Asibidɛa ʋuʋu ƒe ŋutetemanɔamesi: Asi tɔtrɔ alo kɔ dzi sesẽ.
• Abi alo amadede ƒe tɔtrɔ: Ate ŋu adze blɔ alo aŋutiɖiɖi.
• Kpe alo nɔnɔme madeamedzi si mebɔ o: Asibidɛ ate ŋu ase le eɖokui me alo adze abe ƒunukpeƒetetedɔ si mebɔ o ene.

Gbagbãƒe siwo woɖe le teƒe bubu kple esiwo womeɖe le teƒe bubu o

Esiawo nye nya eve bubu siwo ɖɔktaa azã atsɔ aɖɔ wò gbagbãƒea. ``Displaced fracture'' fia be le ƒua ƒe gbagbã megbe la, kakɛ eve siwo gbã la ʋã ŋutɔ, si na dometsotso gã aɖe le wo dome. Le ``Non-displaced fracture'' me la, ƒua gakpɔtɔ gbã, gake ka eveawo meʋuʋu boo o, eye wogate ɖe afisi wonɔ ŋu. Zi geɖe la, ``Displaced fracture'' bia amekoko be woaɖɔe ɖo.

Nukatae esia le dzɔdzɔm?

Nu ɖesiaɖe si woaƒo sesĩe ɖe asibidɛa ŋu ate ŋu ana ƒu si woyɔna be scaphoid la nagbã. Nu vevi siwo gbɔ wòtsonae nye:

• Tsitretsitsi: Do asi ɖa eye wòdo eƒe abɔ eveawo eye wòdo asi ɖe anyigba.
• Kamedefefewo me afɔkuwo: Abe ne wole kriket alo bɔl ƒom ene.
• Ʋufɔkuwo.

Aleke ɖɔktawo dea dzesi esia?

Ðɔkta aɖe akpɔe ɖa be scaphoid fracture le ŋuwò hã to wò dodokpɔ kple nɔnɔmetata dodokpɔ geɖe wɔwɔ me.

Dodokpɔ kawoe wole wɔwɔm?

Ne wodo wò kpɔ vɔ la, woate ŋu awɔ nɔnɔmetatawo dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• X-ray: X-ray ate ŋu aɖee afia ne ƒu alo ƒu bubu aɖe gbã kple alesi gbegbe wògblẽ nu le eŋu.
• Magnetic resonance imaging (MRI): Ɣeaɖewoɣi la, wò ɖɔkta aɖe gbe be woawɔ MRI scan. Esia ate ŋu akpe ɖe ame ŋu be woada nusiwo gblẽ le ƒuwo kple lãmeka kple lãkusi siwo ƒo xlãe ŋu la akpɔ bliboe.
• CT scan: Ne ehiã be woawɔ dɔ na wò la, ahiã be wò ɖɔkta nakpɔ alesi wò ƒuwo gblẽe la nyuie ŋutɔ. CT scan ate ŋu aɖe ƒuwo kple lãmenugbagbevi siwo ƒo xlãe afia tsitotsito wu X-ray.

Scaphoid ƒe gbagbã siwo le vivime

Ɣeaɖewoɣi la, scaphoid ƒe gbagbãwo medzena le X-ray me o, eye ɣeaɖewoɣi la, womedzena kura o. Woyɔa esia be occult scaphoid fracture. Ne edzɔ alea la, wò ɖɔkta ate ŋu abia be woawɔ MRI alo CT scan. Wò ɖɔkta agblɔ dodokpɔ bubu siwo nàhiã na wò.

Vevietɔ: Gblɔ afisi tututu nèle veve sem le kple nusi le veve sem ne èzi edzi la na wò ɖɔkta. Ne wò vevesesea le ƒu si woyɔna be scaphoid me, eye medzo le ŋkeke ɖeka alo eve megbe o la, ke ate ŋu anye be ƒu aɖe si ɣla la agbã wò. Mehiã be woawɔ atike tɔxɛ aɖeke na ƒu gbagbã siawo siwo woɣla o, eye womehea afɔku tɔxɛ aɖeke vɛ o.

Nukawoe nye atikewɔmɔnuawo?

Atikewɔwɔ na wò scaphoid ƒe gbagbã nɔ te ɖe alesi gbegbe wòsesẽe dzi. Ele be woagbugbɔ wò ƒu si gbã la aƒo ƒu ahada gbe le eŋu. Le alesi wògblẽe kple alesi wògbãe nu la, wò ɖɔkta ate ŋu azã atike siawo dometɔ ɖeka alo esi wu nenema.

Asi/asibidɛ ƒe ʋuʋu

Ne wò gbagbãƒea melolo akpa o, si fia be ƒu si nye scaphoid la meʋu boo tso afisi wònɔ o (`meɖee le teƒe bubu o`) la, ɖewohĩ ahiã be nàdo aŋe alo Paris ƒe aŋɔ si wotsɔ ƒo ƒui ko. Zi geɖe la, aŋe si wotsɔ blaa nu la nɔa anyi abe kwasiɖa etɔ̃ va ɖo atɔ̃ ene. Nusi wotsɔ ƒoa ƒui nɔa anyi didi vie, zi geɖe la, exɔa kwasiɖa ade va ɖo enyi. Le go evea siaa me la, ahiã be nàgawɔ X-ray bubu be nàkpɔ egbɔ be wò ƒu le hayahayam nyuie.

Ƒu dzi ɖeɖe kpɔtɔ amekoko manɔmee (Closed reduction) .

Le ƒu gbagbã siwo nu sẽ wu gome la, wowɔa dɔ aɖe si woyɔna be closed reduction be woagbugbɔ aɖɔ ƒu si woyɔna be scaphoid la ɖo. Esia menye amekoko o. Ðɔktaa ami wò ŋutilã ƒe gota gome ahahee be wòagbugbɔ ƒu gbagbã si le eme la aɖoe. Ne ele esia wɔm la, awɔ nu siwo gbɔna la dometɔ ɖeka be wòakpe ɖe ŋuwò nàgase veve boo o:

• Wodoa atike si naa alɔ̃dɔdɔ ame le teƒea be wòana teƒe si ƒo xlã ƒu si gbã la natsi.
• Wona atike siwo naa ame ƒe dzi dzea eme be wòana ŋutilã bliboa naɖe dzi ɖi.
• Woatsɔ atike na wò ŋutilã bliboa eye woadɔ alɔ̃ (`General anesthesia`).

Ne èwɔ ``(Closed reduction)`` sia vɔ la, ɖɔkta la atsɔ aŋe alo aŋɔ aɖo ŋuwò.

Scaphoid ƒe gbagbã ƒe amekoko

Gbagbãƒe sesẽ akpa gãtɔ hiã be woawɔ dɔ na wo. Amekolaa agbugbɔ wò ƒu si woyɔna be scaphoid la aɖo eteƒe eye wòaɖɔe ɖo, ale be wòate ŋu atrɔ ava ƒo ƒu ahahaya. Zi geɖe la, woawɔ nane si woyɔna be ``Internal fixation.'' Esia fia be amekola la ade ga kakɛwo wò ƒu me be wòalé ɖe teƒea vaseɖe esime wòahaya. ``Ememe fixation'' mɔnu siawoe nye:

• Plɛtiwo kple gaviwo: Ga gbadzɛwo kple gavi siwo wotsɔ dea ƒua me be woalé ƒu kakɛawo ɖe wo nɔewo ŋu.
• Pin kple kaƒomɔ̃wo:Wozãa pin kple ka tsɔ léa ƒu kakɛ suewo ɖe wo nɔewo ŋu wu mɔ̃ bubu siwo wotsɔ léa ƒu ɖe wo nɔewo ŋu. Zi geɖe la, wozãa esiawo kpe ɖe agbalẽviwo alo mɔ̃ bubuwo abe atikplɔwo ene ŋu.

Ga kakɛ siawo nɔa ame aɖewo ƒe ŋutilã me tegbee. Ele be woagawɔ dɔ na ame aɖewo be woaɖe wo ɖa.

Ƒu ƒe ʋuʋu

Ne wò scaphoid ƒe gbagbã ``ʋuʋu,'' si fia be kakɛawo dome didi tso wo nɔewo gbɔ, alo ne wò ƒu mele hayahayam nyuie o la, ahiã be nàwɔ dɔ aɖe si woyɔna be ``ƒu ƒe dodo.'' Amekola la ade ƒu ƒe lãkusi bubuwo eme be wòakpe ɖe wò ƒu gbagbã ŋu be wòagava kpe ɖe wo nɔewo ŋu. Emegbe la, zi geɖe la, woawɔ ``ememe fixation,'' alé kakɛawo ɖe wo nɔewo ŋu vaseɖe esime ƒua nahaya. Teƒe geɖewo li siwo woate ŋu atsɔ ƒu awɔ ƒu siawo ƒe dodo le:

• Tso teƒe bubu le wò ŋutɔ wò ŋutilã dzi – zi geɖe la, le wò akɔtaƒu tame.
• Tso ame bubu gbɔ (gotagome nunala).
• Nusi wotsɔ asi wɔe.

Zi geɖe la, wowɔa dɔ na amekoko siwo me woɖea aɖuɖɔtoe ƒe gbagbã le abe dɔnɔ siwo le kɔdzi ene.

Ne wowɔ dɔ na wò vɔ la, ahiã be nàna wò asibidɛ nagaʋã o. Ðewohĩ ahiã be nàdo aŋenu alo aŋekotoku hafi agate ŋu azã wò asi abe alesi nèwɔe hafi wògbã ene.

Atike kawoe wozãna na scaphoid ƒe gbagbã?

Vevesesenutsitike siwo woyɔna be ``NSAIDs'', abe aspirin alo ibuprofen ene, ateŋu ahe ʋu kple kuxi bubuwo vɛ le amekoko megbe. Eyata wò amekola aƒo nu tso atike siwo nàte ŋu ano atsɔ aɖe vevesese dzi akpɔtɔ le amekoko vɔ megbe ŋu na wò.

NSAID-tikewo ƒe nugbegblẽ le ame ŋu siwo ate ŋu ado tso eme:

• Ʋu si le dodom.
• Dɔgbo me abi.
• Dɔgbo ƒe vevesese.
• Dɔgbo ƒe kuxiwo.

Ðe scaphoid ƒe gbagbã ada le eɖokui sia?

Mègaŋe aɖaba ƒu dzesiwo abe vevesese, abi, alo vevesese ene dzi gbeɖe o. Ne wò dzesiawo mesẽ o hã la, ehiã be woawɔ atike na wò kokoko . Ne mèkpɔ atike na scaphoid ƒe gbagbã o la, àte ŋu ava do go kuxi sesẽwo emegbe, abe:

• Acute compartment syndrome (ACS): Nyaƒoɖeamenu si le lãmekaa me dzina ɖe edzi, ʋu ƒe sisi yia lãmekawo me nu tsona, eye lãmekawo kple lãmekawo ate ŋu agblẽ tegbee.
• `(Malunion)`: Ne wò ƒu gbagbãwo mewɔ ɖeka nyuie o ne wohaya.
• Nonunion: Wò ƒuwo megaƒo ƒu ɖe wo nɔewo ŋu keŋkeŋ alo woƒe akpa aɖe o.
• `(Avascular necrosis (osteonecrosis))`: Esia nye ƒumeŋuɖui veve si nu sẽna ɖe edzi le ɣeyiɣi aɖe megbe. Ate ŋu akpɔ ŋusẽ ɖe wò ʋuʋu ƒe ŋutete dzi. Edzɔna ne wotso ʋu ƒe sisi yi ƒu aɖe me.
• Asi ƒe ƒunukpeƒetetedɔ: Nɔnɔme siwo woyɔna be ``Nonunion'' kple ``Avascular necrosis'' ateŋu ahe ƒunukpeƒetetedɔ vɛ le asi kple asibidɛ me. Asi ƒe ƒunukpeƒetetedɔ ate ŋu ana ame nase veve, avuvu, asẽ, eye wòazu nuwɔametɔ.

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Ate ŋu axɔ kwasiɖa geɖe hafi wò dzesiawo nu nafa. Le amekoko si ƒomevi wòle be nàwɔ be nàdzra wò scaphoid ƒe gbagbã ɖo nu la, àte ŋu agaʋuʋu wò alɔnu le kwasiɖa ʋɛ aɖewo megbe.

Ke hã, ne vevesese si dzi màte ŋu ado dzi atsɔ o si nu metsina o le ŋuwò la, yi ɖɔkta gbɔ enumake.

Aleke woate ŋu aɖe afɔku sia dzi akpɔtɔ?

Wɔ ɖe dedienɔnɔ ŋuti aɖaŋuɖoɖo siawo siwo wozãna le mɔ gbadza nu dzi be nàɖe abixɔxɔ ƒe afɔkua dzi akpɔtɔ:

• Do wò zikpuimeka ɣesiaɣi ne èle ʋu me.
• Do dedienɔnɔ ƒe dɔwɔnu siwo sɔ na dɔwɔna kple kamedefefe ɖesiaɖe.
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ to nusiwo ate ŋu ana wò alo ame bubu nadze anyi ahadze anyi la ɖeɖeɖa me.
• Ne èle nusianu fɔm tso dziƒo la, zã dɔwɔnu alo dɔwɔnu siwo sɔ ɣesiaɣi. Mègalia zikpuiwo alo kplɔ̃wo dzi gbeɖe o.
• Wɔ ɖe nuɖuɖu kple kamedede ƒe ɖoɖo si akpe ɖe ŋuwò nàlé wò ƒuwo ƒe lãmesẽ me ɖe asi dzi.
• Ne èxɔ wu ƒe 50, alo ne ƒumeŋuɖui le wò ƒomea me la, ƒo nu kple wò ɖɔkta tso ƒu ƒe kpekpeme dodokpɔ wɔwɔ ŋu.
• Ne èzãa atizɔti alo afɔti tsɔ zɔa afɔ la, zãe ɣesiaɣi, eye nàkpɔ nyuie le teƒe siwo mesɔ o.

Ðe mate ŋu axe mɔ ɖe scaphoid ƒe gbagbã nua?

Zi geɖe la, anyidzedze alo afɔku bubuwo gbɔe scaphoid ƒe gbagbã tsona, eyata nu geɖe meli woate ŋu awɔ atsɔ axe mɔ ɖe enu o, negbe beléle ne èle azɔli zɔm (zã atizɔti/azɔlizɔla ne ɖe le asiwò) kple ŋuɖɔɖɔɖo le teƒe siwo mesɔ o.

Nukae mate ŋu akpɔ mɔ na ne scaphoid fracture le ŋunye?

Ne scaphoid ƒe gbagbã le ŋuwò la, àte ŋu akpɔ mɔ be yehaya bliboe.

Àhiã kamedede be ŋusẽ nagaɖo ŋuwò eye nàte ŋu aʋuʋu wò asibidɛ.

Ɣeyiɣi didi kae wòxɔna hafi scaphoid ƒe gbagbã hayana?

Ɣeyiɣi si wòaxɔ hafi nàhaya la anɔ te ɖe alesi wò gbagbãƒea ƒe sesẽme kple atikewɔwɔ si nèhiã dzi. Ame akpa gãtɔ xɔa abe ɣleti etɔ̃ ene hafi wohayana tso scaphoid ƒe gbagbã me.

Nu bubu geɖewo hã li siwo ate ŋu akpɔ ŋusẽ ɖe ɣeyiɣi didi si wò ŋutilã xɔna hafi wòhayana. Ðo dze kple wò ɖɔkta alo amekola tso ɣeyiɣi si sɔ na wò nɔnɔmea ŋu.

Ðe nyemate ŋu ayi dɔme alo suku oa?

Ne ègate ŋu wɔa wò dɔ alo sukudɔdasiwo evɔ màʋuʋu wò asibidɛ o la, màte ŋu ayi dɔme alo suku o.

Esi nèle dɔ dam la, ƒo nu kple wò amekola alo ɖɔkta hafi nàgadze kamedede gɔme ake.

Mɔkpɔkpɔ na scaphoid ƒe gbagbã

Mɔkpɔkpɔ le scaphoid ƒe gbagbã ŋu nyo. Ne wowɔ dɔ na wò gɔ̃ hã la, ele be nàhaya bliboe, elabena anɔ eme be wò gbagbãƒea makpɔ ŋusẽ ɖe dziwò ɣeyiɣi didi o.

Ɣekaɣie wòhiã be nàyi kɔdzi kpata?

Ne èsusu be scaphoid fracture le ye ŋu – alo ƒu bubu ɖesiaɖe si gbã – ele be nàkpɔ ɖɔkta kaba ale si nàte ŋui. Yi xɔ si me wowɔa dɔ kpata le enumake ne dzesi siawo dometɔ aɖe dze ŋuwò:

• Vevesese sesẽ si womate ŋu ado dzi atsɔ o.
• Ne màte ŋu aʋuʋu wò ŋutilã ƒe akpa aɖe si nàte ŋu aʋuʋu le dzɔdzɔme nu o.
• Ne wò ŋutilã ƒe akpa aɖe ƒe dzedzeme to vovo na alesi wònɔna ɖaa, ne edze abe ɖe wòti kpo do le teƒe si wòle ene.
• Ne wò ƒu dzena to wò ŋutigbalẽ dzi.
• Tete.
• Ne abi yeyewo do kpe ɖe dzesi bubu siawo ŋu.

Ne afɔku gã aɖe (nuveviwɔame) dzɔ ɖe dziwò la, yi xɔ si me wowɔa dɔ kpata le enumake.

Nya kawoe wòle be nàbia ɖɔktaa?

• Ðe scaphoid fracture, alo scaphoid ƒe gbagbã ƒomevi bubu aɖe le ŋunyea?
• Nye ƒu si woyɔna be scaphoid ƒe akpa kae gbã?
• Ðe wòahiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòaxɔ hafi wòada gbe le ame ŋu?
• Ɣekaɣie mate ŋu adze kamedede gɔme ake?

Ƒu gbagbã doa vɔvɔ̃ na ame ɣesiaɣi, vevietɔ ne edzɔ kpata, abe ne èdze anyi hedze anyi ene. Scaphoid ƒe gbagbã wɔa dɔ nyuie ne wowɔ atike nɛ, eye tiatia geɖe li siwo akpe ɖe wò ƒuwo kple wò ŋutilã ŋu woahaya nyuie. Ƒo nu kple wò ɖɔkta tso mɔ siwo dzi nàto ana wò ƒuwo nasẽ ahanɔ lãmesẽ me ŋu, eye nàdo wò ƒuwo ƒe kpekpeme kpɔ edziedzi ne èxɔ wu ƒe 50 alo ne ƒumeŋuɖui le wò ƒomea me.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata, èkpɔe, ne wò asibidɛ ŋu kuxi vi aɖe le ŋuwò gɔ̃ hã la, manyo be nàŋe aɖaba aƒu edzi ko o. Scaphoid ƒe gbagbã nye nusi woate ŋu ada keŋkeŋ ne wodae nyuie.

Nu vevitɔe nye be nàyi ɖɔkta gbɔ kaba ne dzesiwo dze le ŋuwò. To mɔ sia dzi la, woate ŋu anya nusi tututu le edzi yim eye woadze atikewɔwɔ si hiã la gɔme.

Ðo ŋku edzi be ele vevie ŋutɔ be nàlé be na wò ƒuwo ƒe lãmesẽ. Nuɖuɖu si da sɔ, kamedede nyuie, kple afɔɖeɖewo wɔwɔ be nàkpɔ ɖokuiwò ta tso afɔkuwo me ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe nɔnɔme siawo nu vaseɖe afi aɖe. Ne nya aɖe le asiwò la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Ekema àte ŋu aka ɖe edzi.

` Scaphoid ƒe gbagbã, asibidɛ ƒe gbagbã, asi ƒe vevesese, ƒu ƒe gbagbã, X-ray, MRI, ƒu ƒe dɔwɔwɔ