Ðe wò ƒu gbã ɖe teƒe eve, eye kakɛ aɖe ma ɖe titinaa? Ðe ema nye akpa aɖewo ƒe gbagbãa? Mina míaƒo nu tso esia ŋu!

Mí katã míeto anyidzedze kple abi suesuesuewo me kpɔ. Ɣeaɖewoɣi la, wò alɔ alo afɔ vuvu, ɣeaɖewoɣi la, wò vuvu vie. Gake bu eŋu kpɔ, le afɔku gã aɖe megbe la, menye teƒe ɖeka koe wò ƒu gbã o, ke boŋ le teƒe eve ya teti , eye le teƒe eve mawo siwo gbã dome la, ƒu kakɛ aɖe ma keŋkeŋ tso akpa bubuawo gbɔ. Emae nye ƒu ƒe gbagbã sesẽ si ƒomevi ŋu míaƒo nu tsoe egbea, si woyɔna be ƒu ƒe gbagbã le akpa vovovowo me . Ŋkɔa ɖi vɔvɔ̃ vie, alo? Gake mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, eme nakɔ, eye le mɔ si gɔme nàte ŋu ase nu.

Nuka tututue nye segmental fracture?

Kpuie ko la, akpa aɖe ƒe gbagbã nye ƒu didi aɖe si le wò ŋutilã me ƒe gbagbã le teƒe eve ya teti . Gbagbã eve siawo nana ƒua ƒe akpa sue aɖe ma keŋkeŋ tso akpa vevi eve bubuawo gbɔ. Bu eŋu abe alesi nègbã ati aɖe ɖe teƒe eve eye ati sue aɖe nado le titina ene.

Ƒu ƒe gbagbã siawo ƒomevi ate ŋu adzɔ le ƒu didi ɖesiaɖe si le ŋutilãa me la me. Teƒe siwo bɔ wue nye:

• Femur (ƒu si tso wò akɔta va ɖo wò klo dzi) .
• Tibia (ƒu ɣi si le afɔa ƒe akpa si le eme, tso klo vaseɖe afɔkpodzi) .
• Fibula (ƒu tsɛ si le afɔ ƒe megbe, si sɔ kple afɔkpodziƒu) .
• Abɔta ƒe ƒu (`Humerus` - ƒu si tso abɔta va ɖo abɔta)
• Ƒu eve siwo tso abɔta va ɖo asibidɛ dzi (`Radius` kple `Ulna` - abɔtaƒuwo) .
• Clavicle (kɔtaƒu) .

Esiawoe nye ƒu vevi siwo ate ŋu agbã vevie alea wu.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Nɔnɔme sia si woyɔna be ``Segmental Fracture`` medzɔna tso anyidzedze bɔbɔe me o. Esiawo dzɔna zi geɖe le afɔku sesẽ ŋutɔwo ta (``nuveviwɔame sesẽwo``) . Bu eŋu:

• Ʋufɔku sesẽ aɖe: ʋufɔku, kekefɔku.
• Tsitretsitsi tso teƒe kɔkɔ aɖe ŋutɔ: Ne èdze anyi tso kɔkɔƒe, abe ati, xɔta, alo xɔtaxɔe ene.

Ne woƒo ƒu gã aɖe alea ko hafi wòate ŋu agbã ɖe teƒe eve, eye kakɛ aɖe ma ɖe titina. Zi geɖe la, ƒã hafi gbagbã siwo dzɔna ne míedze anyi hedze anyi, alo ne míele aƒemedɔwo wɔm la nu sẽna alea. Esiawo nye nɔnɔme sesẽwo ŋutɔŋutɔ , eye zi geɖe la , ebiana be woawɔ dɔ na wo be woagbugbɔ ƒua aɖo .

Ɣeyiɣi si wòxɔna hafi wòhaya la nɔ te ɖe ƒu si wogbã kple alesi abi la nu sẽe dzi. Zi geɖe la, ate ŋu axɔ abe ƒe ɖeka ene hafi wòahaya keŋkeŋ .

Vovototo kae le `Segmental` kple `Comminuted` ƒe gbagbãwo dome?

Ðɔktawo zãa ŋkɔ siawo evea siaa tsɔ ɖɔa alesi ame ƒe gbagbã le. Wo ame evea siaa nye lãmekawo ƒe gbagbã ƒomevi sesẽwo.

• Akpa aɖe ƒe gbagbã, abe alesi míeƒo nu tso eŋu fifia ene, nye ne ƒua gbã ɖe teƒe eve, eye kakɛ aɖe ma ɖe titina.
• Comminuted fracture nye ƒu gbagbã si me ƒua gbãna le teƒe etɔ̃ alo esi wu nenema, si fia be wògbãna ɖe akpa vovovowo me .

Fifia èse egɔme, alo? Woate ŋu agbã akpa aɖewo ƒe gbagbã (si fia be woate ŋu agbã akpa si gbã le titina la ɖe akpa suewo me), eye ɖewo ya magbã o.

Gake aleke kee woɖayɔe o, nu vevitɔ kekeakee nye be nàkpɔ ɖɔkta kaba le afɔku aɖe megbe .

Amekae ate ŋu agbãe alea? Aleke gbegbe wòbɔe?

Abe ƒu ƒe gbagbã bubuwo ene la, ƒu ƒe gbagbã le akpa vovovowo me ate ŋu adzɔ ɖe amesiame dzi . Esi wònye be abi siawo dzɔna le ɣeyiɣi siwo womate ŋu agblɔ ɖi o me ta la, míate ŋu agblɔ ɣeyiɣi si me woadzɔ alo alesi woadzɔe o.

Gake nusiawo mebɔ kura o . Nusitae nye be menye amesiamee toa afɔku sesẽ siwo nusiawo hena vɛ le woƒe gbesiagbegbenɔnɔ me o. Ema hã nye dzɔgbenyui le mɔ aɖe nu.

Nukawoe nye dzesiawo? Aleke nèwɔ dea dzesii?

Ne akpa aɖe ƒe gbagbã le ŋuwò la, dzesi sesẽ bubu siwo do ƒome kple afɔku si he wò vɛ hã ate ŋu anɔ ŋuwò. Dzesi siawo ato vovo le abi bubu siwo nèxɔ nu. Gake le goawo katã me la, akpa aɖe ƒe gbagbã ƒe dzesiwo ate ŋu anye:

• Vevesese sesẽ : Vevesesea ate ŋu anye nusi womate ŋu ado dzi atsɔ o.
• Ŋutilã ƒe akpa si te ŋu ʋãna le dzɔdzɔme nu ƒe ŋutetemanɔamesi : Ðewohĩ màte ŋu aʋuʋu alɔ alo afɔ gɔ̃ hã o.
• Tɔtrɔ le ŋutilã ƒe akpa aɖe ƒe dzedzeme alo eƒe ʋuʋu ŋu : Woate ŋu akpɔ alɔ alo afɔ wòakeke alo anɔ teƒe si mele dzɔdzɔme nu o.
• Ƒu ƒe ɖeɖefia to ŋutigbalẽa me : Ɣeaɖewoɣi la, woate ŋu akpɔ ƒu kakɛ siwo gbã to ŋutigbalẽa me. Esia nye afɔku gã aɖe.
• Vuvu : Teƒe si abi la le ate ŋu avuvu ŋutɔ.
• Abi : Ŋutilã si le teƒe ma ate ŋu atrɔ azu blɔ/aɖabɛ.

Gbɔɖeme Siwo Woʋu Kple Wo Tu

Ðɔkta atsɔ wò gbagbãƒea ade hatsotso me be ``Open Fracture`` alo ``Closed Fracture`` .

• Ƒu gbagbã si le ʋuʋu ɖi nye esi me ƒu si gbã la dona to ŋutigbalẽa me. Esiawo xɔa ɣeyiɣi didi hafi wohayana eye woate ŋu ahe dɔlékuiwo kple kuxi bubuwo vɛ .
• Ƒu ƒe gbagbã si wotu hã nye dɔléle sesẽ aɖe, gake ƒua medo le ŋutigbalẽa me o.

Aleke ɖɔkta aɖe ɖo kpe esia dzii?

Ðɔkta aɖe aɖo kpe edzi nenye be akpa aɖe ƒe gbagbã le ŋuwò to ŋutilãmedɔdada kple nɔnɔmetatawo dodokpɔ vovovowo me . Ɣeaɖewoɣi la, wowɔa dodokpɔ siawo le afima tututu ne woxɔ wò ɖe xɔ si me wowɔa dɔ kpata le (ER) me le afɔku aɖe megbe.

Ne wokplɔ wò va xɔ si me wowɔa dɔ kpata le la, atikewɔlawo ƒe ƒuƒoƒo aɖe awɔ dɔ aduadu atsɔ ana wò nɔnɔmea nali ke eye woawɔ atike na wò le ɖoɖo si nu wòsesẽe nu, vevietɔ ne wò abi siwo nèxɔ la ate ŋu ade wò agbe afɔku me. Ne ènya li ke ko la, woawɔ nɔnɔmetatawo dodokpɔwo atsɔ aɖo kpe edzi be wò gbagbã.

Dodokpɔ kawoe wozãna tsɔ dea dzesi dɔléle sia?

Be nàkpɔ wò gbagbãƒea ƒe nɔnɔmetata si me kɔ la, ahiã be nàwɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema:

• X-ray: X-ray ate ŋu aɖo kpe edzi nenye be ƒuwo ƒe akpa aɖewo alo bubuwo gbagbã kple alesi gbegbe wògblẽ nu le ƒuawo ŋui dzi.
• Magnetic Resonance Imaging (MRI): Wò ɖɔkta ate ŋu azã MRI atsɔ akpɔ nusiwo gblẽ le wò ƒuwo kple lãkusi siwo ƒo xlãe ŋu bliboe. Esia ate ŋu akpe ɖe ŋuwò nàkpɔ alesi tututu abi la gblẽ nu le lãmekawo, kadodoŋusẽwo, kple ŋutinu siwo ƒo xlã wò ƒuwo ŋui.
• CT scan (Computed Tomography scan): CT scan na ɖɔkta alo amekola te ŋu kpɔa ƒuwo kple lãmenugbagbevi siwo ƒo xlãe ƒe nɔnɔmetata si me kɔ nyuie wu X-ray.

Aleke wowɔa atike nɛ? Ɣeyiɣi didi kae wòaxɔ hafi ahaya?

Wotsɔa amekoko daa akpa aɖewo ƒe gbagbãwo katã kloe. Amekokomɔnu vovovo geɖe li siwo dzi woato agbugbɔ ƒu gbagbã siawo aɖɔ ɖo. Mɔnu si wò amekola azã la anɔ te ɖe abi siwo nèxɔ, ƒu siwo gbã, kple nenye be kuxi bubu aɖewo do mo ɖa le afɔkua megbe dzi.

Amekolaa agbugbɔ aɖo wò ƒu gbagbãwo ɖe ɖoɖo nu (aɖo) eye wòaɖɔ wo ɖo ɖekae . Esiae nye esime wodzea ƒoƒo ɖekae, tsina, eye wodaa gbe le wo ŋu. Zi geɖe la, wozãa nane si woyɔna be ememe nuléle . Esia fia be amekolaa dea ga kakɛwo wò ƒu me eye wòlénɛ ɖe teƒea vaseɖe esime ƒua haya. Ememe ƒe nuléle ƒomevi vovovowo li:

• Atikplɔwo: Gati si wotsɔ dea ƒua titina, tso etame va se ɖe ete.
• Plɛtiwo kple gaviwo: Ga gbadzɛ siwo wotsɔ dana ɖe ƒua dzi eye wotsɔa gaviwo blaa woe.
• Kplu kple ka: Wozãa gaƒoɖokui kple ka tsɔ léa ƒu suesuesue siwo mɔ̃ bubu siwo wotsɔna léa nu ɖe ​​te mate ŋu alé ɖe wo nɔewo ŋu o. Zi geɖe la, wozãa esiawo kpe ɖe atikplɔ alo agbawo ŋu.

Ga kakɛ siawo nɔa ame aɖewo ƒe ŋutilã me le woƒe agbemeŋkekewo katã me, eye ɣeaɖewoɣi la, ahiã be woawɔ dɔ na wo ake hafi aɖe wo ɖa.

Gomegome Fixation

Àte ŋu ahiã gotagome fixation (`External Fixation`) . Zi geɖe la, esia nyea egbɔkpɔnu si nɔa anyi ɣeyiɣi kpui aɖe. Wowɔa esia be wòana abi si nègbã la nali ke vaseɖe esime wò abi bubuawo nahaya. Amekola la dea gavi siwo le wò ŋutilã me le ƒu si gbã la ƒe akpa eveawo eye wòtsɔa gaviawo doa ka kple xɔtunu (`brace alo bracket`) si le wò ŋutilã godo.

Ɣeaɖewoɣi la, amekolawo kafua gotagome nu sia be wòanye afɔɖeɖe gbãtɔ hafi woawɔ ememe nu gã aɖe. Ne abi bubu geɖe le ŋuwò la, ɖewohĩ ahiã be nàlala vie hafi wò ŋutilã nahaya ale gbegbe be nàte ŋu akpɔ ememe nusi wotsɔ bla wòe gbɔ. Wozãnɛ hã tsɔ naa ƒua li ke esime abi si le ŋutilãa me la le ɖiɖim.

Amekoko siwo wowɔna le akpa vovovowo me nye dɔdamɔnu siwo wowɔna le kɔdzi . Esia fia be ɖewohĩ àte ŋu ayi aƒeme gbemagbe ke. Gake esi wònye be anɔ eme be abi bubuwo hã le ŋuwò le afɔku si na nègbã alea ta la, anɔ eme be ahiã be nànɔ kɔdzi vaseɖe esime nàhaya .

Le amekoko vɔ megbe la, womagate ŋu aʋuʋu wò ŋutilã ƒe akpa si ƒu gbagbãa le o. Le afisi wòle nu la, ahiã be nàdo akɔtaɖonu, aŋenu, alo aŋetu . Esia ahiã hafi nàgate ŋu atsɔ kpekpeme ade akpaa dzi ake alo azãe abe alesi nèzãe do ŋgɔ na afɔkua ene.

Atike kawoe wozãna tsɔ daa dɔe?

NSAID (Non-Steroidal Anti-Inflammatory Drugs), siwo wozãna zi geɖe abe vevesesenutsitikewo ene, abe aspirin alo ibuprofen ene, ate ŋu ana ʋu nado le ame ŋu eye wòahe kuxi bubuwo vɛ le amekoko megbe. Eyata wò amekola agblɔ atike siwo nàte ŋu ano atsɔ aɖe vevesese dzi akpɔtɔ le amekoko vɔ megbe na wò.

Ðe kuxi aɖewo doa mo ɖa le amekoko siawo mea?

Ẽ, kuxi aɖewo ate ŋu ado mo ɖa le amekoko le akpa aɖewo ƒe gbagbã megbe. Wo dometɔ aɖewoe nye:

• Acute Compartment Syndrome (ACS): Nyaƒoɖeamenu si dzi ɖe edzi le lãmekaa me ate ŋu atso ʋu ƒe sisi yi lãmekaa me. Esia ate ŋu ana lãmekawo kple lãmekawo nagblẽ tegbee.
• Malunion: Nɔnɔme si me ƒu gbagbãwo mewɔ ɖeka nyuie ne wole dɔ dam o.
• Nonunion: Nɔnɔme si me ƒuwo mewɔa ɖeka bliboe alo woƒe akpa aɖe o.
• Ƒu ƒe dɔléle (`Osteomyelitis`): Ne ƒu ƒe gbagbã si le ʋuʋu ɖi (si me ƒua to ŋutigbalẽ me va) la, èle afɔku gã aɖe me be dɔlékui ƒe dɔléle nadze dziwò.
• Nu bubu siwo gblẽ le ememe:Gbagbã ate ŋu agblẽ nu le lãmekawo, lãmekawo, ʋukawo, lãkusiwo, kple lãkusi siwo ƒo xlã abi la hã ŋu.

Azɔ hã, vevesesenutsitike ƒomevi si míeyɔ va yi ƒe nugbegblẽ le ame ŋu ate ŋu anɔ anyi:

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

Nukae wòle be makpɔ mɔ na esime mele hayahayam?

Ate ŋu axɔ kwasiɖa geɖe hafi wò dzesiawo nu nafa. Le amekoko si ƒomevi wowɔ na wò kple alesi ƒu gbagbãawo keke tae nu la, àte ŋu agadze ʋuʋu gɔme le kwasiɖa ʋɛ aɖewo megbe.

Gake ne èle veve sem vevie si nu mefa o la, yɔ wò ɖɔkta enumake.

Le wò hayahaya me la, ahiã be woawɔ kamedede na wò . Esia fia be ahiã be nàwɔ kamedede tɔxɛwo be wòakpe ɖe ŋuwò nàgakpɔ ŋusẽ eye nàte ŋu aʋuʋu le ŋutilã ƒe akpa si xɔ abi la me. Atikewɔwɔ sia anye wò hayahaya ƒe ɖoɖo bliboa ƒe akpa aɖe na wò abi bubuawo.

Akpa aɖewo ƒe gbagbã akpa gãtɔ xɔa abe ƒe ɖeka ene hafi wohayana . Ɣeyiɣi si tututu wòaxɔ hafi wò ƒua haya la nɔ te ɖe alesi gbegbe ƒua gbagbãe kple nenye be kuxi bubu aɖewo le ŋuwò dzi.

Ðewohĩ màte ŋu ayi dɔme alo suku le ɣeyiɣi sia me o . Ɣeyiɣi didi si wòahiã be nànɔ adzɔge tso dɔme, suku, kple dɔwɔna bubuwo gbɔ anɔ te ɖe abi siwo koŋ nèxɔ kple ƒu gbagbã siwo le ŋuwò dzi. Kpɔ egbɔ be yebia wò amekola alo ɖɔkta hafi nàƒo ɖokuiwò ɖe kamedede ɖesiaɖe me vaseɖe esime wò hayahaya.

Nukae míate ŋu awɔ atsɔ aɖe afɔku mawo dzi akpɔtɔ?

Esesẽna be woaxe mɔ ɖe afɔku gã mawo nu keŋkeŋ. Elabena afɔkuwo dzɔna le ɣeyiɣi si me míele mɔ kpɔm na wo kura o. Ke hã, míate ŋu awɔ nu siawo tɔgbi be míaɖe afɔku siwo ate ŋu adzɔ le míaƒe gbesiagbegbenɔnɔ me dzi akpɔtɔ:

• Do zikpuimeka ɣesiaɣi ne èle ʋuwo me. Do gakuku ne èle keke kple dzokeke dom.
• Do ametakpɔnu siwo sɔ ne èle kamedefefe kple nu bubuwo wɔm.
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ eye nusiwo ate ŋu ana nàdze anyi ahadze anyi la naganɔ eme o.
• Ne èle asi lém ɖe nane si le dziƒoxɔ dzi le wò aƒea me ŋu la, zã dɔwɔnu alo atrakpui siwo sɔ ɣesiaɣi. Mègalia zikpuiwo alo kplɔ̃wo gbeɖe be yeatsɔ asi aɖo nuwo gbɔ o.
• Wɔ ɖe nuɖuɖu kple kamedede ƒe ɖoɖo si akpe ɖe ŋuwò nàlé ƒuwo ƒe lãmesẽ nyui 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 ŋu.

Nu siawoe míate ŋu awɔ. Gake ɖo ŋku edzi be zi geɖe la, afɔkuwo gbɔe akpa aɖewo ƒe gbagbã tsona, eyata esesẽna ŋutɔ be woaxe mɔ ɖe enu keŋkeŋ.

Ɣekaɣie wòle be nàyi kɔdzi enumake?

Ne èsusu be akpa aɖe ƒe gbagbã le ye ŋu – alo ƒu ƒe gbagbã bubu ɖesiaɖe – ele be nàkpɔ ɖɔkta kaba ale si nàte ŋui. Yi xɔ si me wowɔa dɔ kpata le enumake ne dzesi siwo gbɔna la dometɔ aɖe dze ŋuwò:

• Vevesese sesẽ ŋutɔ.
• Ŋutilã ƒe akpa aɖe si woate ŋu aʋuʋu le dzɔdzɔme nu ƒe ŋutete manɔamesi.
• Tɔtrɔ le ŋutilã ƒe akpa aɖe ƒe dzedzeme alo eƒe ʋuʋu tso afisi wònɔ ŋu.
• Ƒu si wokpɔna to ŋutigbalẽa me.
• Tete.
• Tsɔ kpe ɖe dzesi bubu siawo ŋu la, abi yeyewo dona.

Vevietɔ ne afɔku gã aɖe dzɔ ɖe dziwò kpɔ la, yi kɔdzi enumake.

Nya vevi siwo wòle be nàbia ɖɔktaa

Ne èdo go nɔnɔme sia tɔgbe la, mègaŋlɔ be be yeabia nya siawo wò ɖɔkta o:

• Ƒu kae wogbã?
• Amekoko ka ƒomevie wòle be woawɔ nam?
• Ðe wòahiã be woawɔ dɔ nam geɖe wua?
• Ɣeyiɣi didi kae wòaxɔ hafi wòada gbe le ame ŋu?

Mlɔeba la, gbedasi si woatsɔ ayi aƒemee

Segmental fractures nye abi siwo nu sẽ ŋutɔ . Nuveviwɔame siwo hea wo vɛ ate ŋu ade ame ƒe agbe afɔku me. Nusi me afɔku le wu le abi siawo ŋue nye be míate ŋu adzra ɖo ɖe wo ŋu do ŋgɔ o.

Gake nya nyuiae nye be amekoko siwo wowɔna tsɔ dzraa akpa aɖewo ƒe gbagbã ɖo ƒe dzidzedzekpɔkpɔ sɔ gbɔ ŋutɔ . Togbɔ be hayahaya tso abi gã aɖe me ate ŋu adze nu sesẽ ŋutɔ ɣeaɖewoɣi hã la, tsɔ wò hayahaya ƒe mɔzɔzɔa afɔɖeɖe ɖesiaɖe, eye nàkpɔ dzidzɔ ɖe ŋgɔyiyi sue ɖesiaɖe si nàwɔ le mɔa dzi ŋu. Mègana mɔkpɔkpɔ gbeɖe o. Míele didim be nàhaya kaba!

` Ƒu ƒe gbagbã, akpa aɖewo ƒe gbagbã, ƒu ƒe dɔwɔwɔ, afɔkuwo, hayahayaɣi, amekoko ƒe kuxiwo, kamedede