Ðe nègbã ƒu si le wò afɔkpodzi tamea? Mina míaƒo nu tso Talus Fracture sia ŋu!

Ðe nètrɔ wò afɔ zi ɖeka, wò afɔkpodzi vuvu hele veve sem, eye màte ŋu azɔ gɔ̃ hã o kpɔa? Ne nenemae la, ke ɖewohĩ ègbã talus, si nye ƒu vevi aɖe le wò afɔkpodzi. Egbea, míaƒo nu tso nusi talus ƒe gbagbã nye, alesi wòdzɔnae, kple nusi woate ŋu awɔ tso eŋu ŋu.

Nukae nye Talus Ƒu la? Aleke gbegbee wòle vevie?

Kpuie ko la, wò talus nye ƒu sue aɖe si le wò afɔ me gake wòle vevie ŋutɔ si doa ka kple wò afɔkpodzi kple wò afɔ. Bu eŋu kpɔ, ƒu legbe eve siwo le wò afɔ ƒe akpa si le ete (afɔkpodzi kple afɔkpodzi) la ƒoa ƒu wɔa wò afɔkpodzi ƒe ƒunukpeƒe. Ƒunukpeƒe siae nana nète ŋu ʋãa wò afɔ yia dzi kple anyime.

Azɔ hã, talus ƒua nɔa wò afɔkpodziƒu (calcaneus) tame. Ƒu eve siawo va ƒoa ƒu wɔa ƒunukpeƒe si woyɔna be subtalar joint. Ƒunukpeƒe siae nana nète ŋu ʋãa wò afɔ tso axa ɖeka yi axa ke, yia eme kple egodo.

Talus-ƒua wɔa nu vevi bubu aɖe. Eyae nye be ekpena ɖe ŋuwò be wò ŋutilã ƒe kpekpeme toa afɔkpodzi ƒe ƒunukpeƒea dzi yia afɔa gbɔ. Ƒu sia ƒe akpa gãtɔ nyea lãkusi gbadza aɖe si le glidzaglidza si woyɔna be ƒunukpeƒetetedɔ . Ƒunukpeƒe siae nana ƒuawo ʋãna nyuie evɔ wometutua wo nɔewo o. Eyata, ɖewohĩ àte ŋu akpɔ alesi gbegbe talus ƒua le vevie na afɔkpodzia ƒe ʋuʋu kple eƒe liƒo. Esia tae ne talus ƒe ƒu aɖe gbã la, ate ŋu axe mɔ ɖe wò ʋuʋu nu ŋutɔ eye wòana gbesiagbedɔwo wɔwɔ nasesẽ.

Nukawoe nye Talus Fractures ƒomeviwo?

Talus ƒe ƒu ate ŋu agbã le teƒe vovovowo kple le mɔ vovovowo nu. Mina míalé ŋku ɖe ƒomevi vevi aɖewo ŋu:

• Talus ƒe Kɔ ƒe Gbagbã: Esiae nye talus ƒe gbagbã ƒomevi si bɔ wu. Talus ƒe "kɔ" nye ƒu ƒe titina. Etɔxɛe la, kɔ nye teƒe gbadza si le talus ƒe "ŋutilã" dome - akpa si te ɖe afɔkpodzi ƒe ƒunukpeƒe ŋu, le afɔkpodzi te - kple "ta" - akpa si le afɔa ƒe anyime wu.
• Axadzinuwɔna ƒe gbagbã: Axadzinuwɔnae nye talus ƒu ƒe akpa si dona ɖe gota. Zi geɖe la, gbagbã siawo dzɔna ne afɔkpodzia trɔ kpata kabakaba yi gota. Woyɔa wo ɣeaɖewoɣi be "snowboarder fractures" elabena wobɔ ɖe snodzizɔlawo dome.
• Avulsion fractures: Esia dzɔna ne wohe lãkusi (abe ka si blaa ƒuwo ɖekae ene) alo lãkusi (abe ka si doa ka kple lãmeka kple ƒu ene) si lé ɖe talus ƒe ƒu ŋu la zi ɖeka, si wɔnɛ be talus ƒua ƒe akpa sue aɖe do le afisi wòblae ɖo.
• Nuteɖeamedzi ƒe gbagbã: Esiawo nye gbagbã suesuesue siwo le talus ƒua me. Zi geɖe la, wodzɔna le talus ƒua zazã fũ alo nuteɖeamedzi si nɔa ƒua ŋu enuenu ta. Le kpɔɖeŋu me, esia ate ŋu adzɔ ɖe duƒula siwo zɔa mɔ didiwo dzi.

Aleke woda talus ƒe gbagbãwo ɖe hatsotsowo me?

Ðɔktawo nɔa te ɖe alesi gbegbe ƒu kakɛ siwo gbã la ʋuna tso woƒe nɔƒe si sɔ gbɔe dzi daa ƒu gbagbã siawo ɖe hatsotsowo me.

• Ƒu ƒe gbagbã siwo meɖea wo ɖokui ɖa boo o alo esiwo li ke: Le afisia la, togbɔ be talus ƒua gbã hã la, ƒu kakɛawo meʋuʋu boo tso afisi wonɔ tsã o. Woƒe akpa gãtɔ le fli me, pɛpɛpɛ kloe.
• Ƒu ƒe gbagbã siwo woɖe le teƒe bubu: Le esia me la, ƒua gbã eye kakɛawo ʋu le woƒe nɔƒe si sɔ .
• Gbagbãƒe siwo le ʋuʋu ɖi alo esiwo me ʋuʋudedi le: Esia nye nɔnɔme si nu sẽ wu. Le afisia la, ƒu si gbã la gbãa ŋutigbalẽa me hedoa go. Le go sia me la, mɔnukpɔkpɔ geɖe wu li be wòagblẽ nu le lãmeka, lãkusi, kple lãkusi siwo ƒo xlãe ŋu. Azɔ hã, dɔlékuiwo ate ŋu age ɖe eme eye woahe dɔlékuiwo vɛ.

Nukae nye talus ƒu si gbã ƒe dzesiwo?

Azɔ, nukawoe nye dzesiawo ne talus ƒe gbagbã le ŋuwò alea? Nu vevitɔe nye afɔkpodzi ƒe vevesese sesẽ kple eƒe vuvu. Bu eŋu kpɔ, mina míagblɔ be kasia nèdze anyi tso kɔkɔƒe, alo èdze gasɔ afɔku. Emegbe vevesese si dzi màte ŋu ado dzi le o le afɔkpodzi ƒe akpa si nèle, eye wò afɔ vuvu.

Nu bubu kae ate ŋu adzɔ?

• Azɔlizɔzɔ va sesẽna. Ðewohĩ màte ŋu atsɔ wò afɔ aɖo anyigba gɔ̃ hã o.
• Nyemate ŋu atsɔ kpekpeme ade nye afɔ dzi o.
• Ðewohĩ abi ate ŋu adzɔ.
• Ne ètsɔ asi ka asi eŋu , èsea veve.
• Ame aɖewo ate ŋu axɔ nuwo abe ƒu gbagbã ƒe ʋuʋudedi ene . Ne èkpɔ esiawo la, mègatsi dzodzodzoe o, gake anyo wu be nàyi ɖɔkta gbɔ enumake.

Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne èkpɔ dzesi siawo.

Aleke talus ƒe gbagbã siawo dzɔnae?

Zi geɖe la, talus ƒe gbagbã siawo tsoa abi siwo ŋu ŋusẽ geɖe le gbɔ .

• Ʋufɔkuwo, dzokekefɔkuwo.
• Edze anyi tso kɔkɔƒe ɖedzesiwo. Bu eŋu abe ame aɖe si le gegem tso ati dzi, alo tso xɔ kɔkɔ aɖe me ene.
• Esiawo ate ŋu adzɔ le kamedefefewo hã me (kamedefefewo ƒe abixɔxɔ) . Abe alesi míegblɔe va yi ene la, esia bɔ ɖe snodzizɔlawo dome vevietɔ.
• Ɣeaɖewoɣi la, wò afɔkpodzi ʋuʋu koGake kakɛ suesuesuewo ate ŋu agbã tso talus la ƒe goawo dzi. Gake zi geɖe la, esiawo mesẽna abe alesi ʋu gbagbã siwo dzɔna le afɔku gãwo me ene o.

Aleke ɖɔktawo wɔa dea dzesi talus ƒe gbagbã?

Ne èkpɔ ɖɔkta si xɔ abi alea la, woalé ŋku ɖe wò afɔkpodzi kple afɔ ŋu nyuie gbã. Woadi abi, abi, kple lãɖeɖe alo abi ɖesiaɖe si le ŋutigbalẽa ŋu. Kpeɖe eŋu la:

• Woabia tso asiwò be nàʋuʋu wò asibidɛwo akpɔe ɖa be lãmeka aɖe gblẽ hã .
• Woalé ŋku ɖe wò ʋu ƒe sisi ŋu ahakpɔ egbɔ be wò ʋu nyo .
• Woalé ŋku ɖe tsi si le wò afɔ ƒe lãmekawo me hã ŋu. Woyɔa esia be compartment syndrome . Esia nye nɔnɔme si me afɔku le elabena ate ŋu ana wò afɔ ƒe seselelãme kple dɔwɔwɔ nabu.
• Le afɔkua ƒe nɔnɔme nu la, woalé ŋku ɖe abi bubu siwo woxɔ hã ŋu.

Emegbe, anɔ eme be ɖɔktaa aɖe gbe be woawɔ nɔnɔmetatawo dodokpɔ abe esiawo ene:

• X-ray: Esia ate ŋu aɖe nu geɖe afia, abe nenye be wò talus gbã, ne ƒu kakɛawo le teƒe siwo sɔ, kakɛ agbɔsɔsɔme si le eme, kple afisi ƒu gbagbãa le.
• CT Scan (Computed Tomography - CT scan): Ɣeaɖewoɣi la, X-ray ɖeɖe dzaa mate ŋu aɖe alesi gbegbe gbagbãƒea keke tae afia o. CT-dɔdamɔnu ate ŋu aɖe wò afɔ ƒe nɔnɔmetata siwo wotso ɖe wo nɔewo ŋu tsitotsito. Esia ate ŋu akpe ɖe ame ŋu ŋutɔ le abi si woxɔ la ƒe sesẽme kple alesi wòsesẽe me dzodzro nyuie me.

Aleke wowɔa atike na talus ƒe gbagbã?

Dɔdamɔnu si wozãna na talus ƒe gbagbã la toa vovo le alesi wògbãe kple alesi gbegbe abi la nu sẽe nu.

Gbã la, woatsɔ aŋe (si wotsɔ léa afɔ na wò hena ɣeyiɣi aɖe) ade wò afɔ kple afɔkpodzi be màgate ŋu aʋuʋui o.

Emegbe ne ƒu gbagbãa li ke eye ƒu kakɛawo sɔ ɖe wo nɔewo nu nyuie la, ɖewohĩ mahiã be woawɔ dɔ na ame o. Le nɔnɔme mawo me la, ɖɔkta ate ŋu aɖo aɖaŋu na wò be:

• Casting: Wotsɔa cast dana ɖe wò afɔ kple afɔkpodzi dzi be wòalée ɖe te vaseɖe esime ƒuawo nahaya. Zi geɖe la , wodoa atike sia abe kwasiɖa 6-8 ene . Le ɣeyiɣi sia me la, ele be nàɖɔ ŋu ɖo ŋutɔ be màgatsɔ kpekpeme geɖe ade wò afɔ dzi o.
• Gbugbɔgaɖɔɖo: Ne woɖe aŋea ɖa vɔ la, woana kamedede tɔxɛwo wò be wòakpe ɖe ŋuwò nàgakpɔ ŋusẽ ake eye wò afɔ kple afɔkpodzi nawɔ dɔ . Woawɔ esiawo le lãmesẽdɔwɔla aɖe ƒe dzikpɔkpɔ te.

Gake wokafui be woawɔ dɔ na talus ƒe gbagbã akpa gãtɔ.Esi wònye be zi geɖe la, ŋusẽ sesẽ ƒe abixɔxɔ gbɔe abi siawo tsona ta la, mɔnukpɔkpɔ gã aɖe li be ƒu kakɛawo adzo. Ne ƒu kakɛawo megale teƒe aɖeke o la, afɔ kple afɔkpodzidɔdala awɔ dɔ na wo be woagaɖo wo nɔƒe.

• Open Reduction and Internal Fixation (ORIF): Ne wogbã ƒua ɖe akpa vovovowo me la, ɖɔkta ate ŋu awɔ dɔ aɖe si woyɔna be ORIF. Le dɔ sia wɔwɔ me la, amekolaa lãa ŋutigbalẽa, tsɔa ƒu kakɛawo trɔna yia woƒe nɔƒe nyuitɔ, eye wòzãa ga gbadzɛwo kple/alo gaviwo tsɔ léa ƒua ɖe te vaseɖe esime wòhaya.
• External fixator: Ɣeaɖewoɣi la, ORIF ƒe amekoko mate ŋu adzɔ enumake o le esi wòvuvu akpa le abi la megbe ta. Le nɔnɔme mawo me la, ɖɔkta ate ŋu azã gotagome nusi wotsɔna léa nu ɖe ​​te. Le go sia me la, ɖɔktaa tsɔa gavi gã aɖewo dea wò ƒuwo me to ŋutigbalẽa me eye wòtsɔa ga tɔxɛwo doa ka kpli wo le gota be ƒu kakɛawo nalé wo nɔƒe hena ɣeyiɣi aɖe. Ne vuvua ɖiɖi vɔ la, ɖɔkta ate ŋu ate ORIF dɔwɔwɔ na amea kpɔ ake.

Kuxi kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o alo womedae nyuie o?

Ne womeda talus ƒe gbagbã nyuie o, alo ne mehaya nyuie o la, kuxiwo ate ŋu ado mo ɖa. Esiawo ate ŋu anye kuxi siwo anɔ anyi ɣeyiɣi didi ɣeaɖewoɣi.

• Ƒunukpeƒetetedɔ si dzɔna le afɔku megbe: Abe alesi míedzro eme va yi ene la, ƒunukpeƒetetedɔ tsyɔ talus ƒua ƒe akpa gãtɔ dzi. Ne talus la xɔ abi la, ƒunukpeƒe siwo ƒo xlãe hã gblẽna. Ne ƒunukpeƒe sia ƒe anyime megale sɔsɔm o eye wòle ƒuƒlu la, ƒunukpeƒea tea vuvu. Le ɣeyiɣi aɖe megbe la, esia ate ŋu ahe ƒunukpeƒetetedɔ vɛ, si ate ŋu ana ame nase veve atraɖii eye wòasẽ.
• Malunion: Esia fia be ƒu si gbã la haya vodadatɔe, le nɔnɔme si mesɔ o me . Ne edzɔ alea la, ate ŋu ahe kuxi siwo anɔ anyi ɣeyiɣi didi abe afɔ ƒe nɔnɔme ƒe tɔtrɔ, azɔlizɔzɔ sesẽ, kple vevesese ene vɛ.
• Nonunion: Esia fia be ƒu si gbã la mehaya nyuie le ɣeyiɣi didi aɖe megbe o, togbɔ be wowɔ atike nɛ hã . Ne edzɔ alea la, ate ŋu ahiã be woagawɔ dɔ na ame bubuwo.
• Avascular necrosis alo osteonecrosis: Ʋu si yia talus la me sesẽ vie. Ne ʋu gbagbã, vevietɔ le kɔ ƒe akpa dzi la, ʋuka siawo ate ŋu agblẽ eye ʋu si yia ƒua me dzi naɖe akpɔtɔ alo atso keŋkeŋ.Ne edzɔ alea la, ƒumelãmenugbagbeviawo makpɔ ɔksidzin kple nunyiame o eye woadze kuku gɔme. Woyɔa esia be avascular necrosis. Esia nana ƒua gbɔdzɔna eye ate ŋu adze anyi mlɔeba. Esia hã nye kuxi sesẽ aɖe ŋutɔ.

Aleke dɔyɔyɔ ƒe ɖoɖoa le? Nukae wòle be makpɔ mɔ na?

Le amekoko vɔ megbe la, àse veve aɖe. Wò ɖɔkta aŋlɔ vevesesenutsitikewo na wò . Esiawo ate ŋu anye opioidwo, atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAIDs), alo atike siwo wua alɔ̃dɔdɔ le teƒea.

Ne wò talus ƒua nya haya ko la, wò ɖɔkta aɖo wò ɖe ɖɔɖɔɖo alo kamedede. Esia le vevie ŋutɔ. Kamedede siawo akpe ɖe ŋuwò be wò afɔkpodzi nagate ŋu aʋuʋu, ali ke, eye ŋusẽ nagaɖo ŋuwò.

Ne ègadze azɔlizɔzɔ gɔme ake la, ɖewohĩ ahiã be nàdo afɔkpa tɔxɛ aɖe alo azã atikplɔ le gɔmedzedzea me. Màte ŋu atsɔ kpekpeme blibo ade wò afɔ dzi enumake o. Ate ŋu axɔ ɣleti geɖe.

Ðɔktaa awɔ X-ray ɣeaɖewoɣi atsɔ akpɔe ɖa be ƒua haya nyuie hã eye nenye be agbalẽvi siwo kpe ɖe eŋu la le teƒea hã.

Nukae nye ɣeyiɣi didi ƒe nyagblɔɖi le talus ƒe gbagbã ŋu?

Woɖawɔ dɔ na wò alo womewɔ dɔ na wò o, wò afɔ anɔ aŋetu alo aŋetu me. Le ɣeyiɣi ma me la, màte ŋu atsɔ agba ɖe edzi alo azɔ edzi o. Le abi si nèxɔ ƒe sesẽ nu la, ahiã be nàdo aŋea kwasiɖa 8 va ɖo 12, alo wòadidi wu gɔ̃ hã .

Zi alesi abi si woxɔ la nu sẽe la, zi nenemae nusi woatsɔ awɔe la adidie. Ne ƒua haya gɔ̃ hã la, ame aɖewo ate ŋu ayi edzi anɔ veve sem, woƒe afɔkpodzi nasẽ, eye woƒe afɔkpodzi navuvu . Gake ne wowɔ atike na wo nyuie eye wowɔ kamedede siwo wotsɔ ɖɔa wo ɖokui ɖo la, ame akpa gãtɔ ate ŋu atrɔ ayi woƒe dɔwɔna siwo wowɔna ɖaa dzi ne woƒe ɖɔkta nya na wo ko.

Ɣekaɣie mate ŋu atrɔ ayi dɔme?

Esia hã ato vovo le alesi gbegbe wò abi la nu sẽe kple wò dɔa ƒe nɔnɔme nu. Zi geɖe la, màte ŋu atrɔ ayi dɔme o kwasiɖa eve ya teti . Ne èwɔa dɔ le wò afɔwo dzi ŋkeke bliboa (e.g., fiase me kpeɖeŋutɔ, nufiala), ɖewohĩ màte ŋu atrɔ ayi dɔme bliboe o vaseɖe ƒe ɖeka .

Ðe nàte ŋu azɔ talus ƒe ƒu si gbã dzia?

Esia nɔ te ɖe talus ƒe gbagbã ƒomevi si le ŋuwò dzi. Zi geɖe la, talus ƒe gbagbã nyea abi gã aɖe. Ate ŋu ana afɔkpodzi kple afɔkpodzi ƒe ƒunukpeƒewo nabu ʋuʋu kple dɔwɔwɔ vevie. Esia ate ŋu akpɔ ŋusẽ ɖe wò azɔlizɔzɔ ƒe ŋutete kple wò ŋutete be nàtsɔ agba ɖe wò afɔ dzi dzi. Eyata mègadze agbagba gbeɖe be yeazɔ afɔ si gbã dzi atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.

Ɣeyiɣi didi kae wòxɔna hafi talus ƒe gbagbã hayana?

Le alesi afɔkua sesẽe nu la, àte ŋu akpɔ ɣleti etɔ̃ alo esi wu nenema gɔ̃ hã.Ðewohĩ ahiã be nàdo aŋenu. Vevesese, vuvu, kple sesẽ ate ŋu anɔ anyi ne woɖe nusi wotsɔ ƒoe la ɖa vɔ gɔ̃ hã. Ate ŋu axɔ ɣeyiɣi didi hafi wòahaya keŋkeŋ eye wòagatrɔ ava nɔ nɔnɔme si sɔ me.

Aleke vevesese si le talus ƒe gbagbã me sena le eɖokui me?

Talus ƒe gbagbã nye abi si gblẽa nu le ame ŋu ŋutɔ. Amesiwo to eme kpɔ gblɔ be etena ɖe ame dzi ŋutɔ .

Aleke nàwɔ aɖɔ talus ƒe ƒu si gbã ɖo?

Woate ŋu atsɔ aŋe ada talus ƒe gbagbã sue aɖewo eye emegbe woawɔ kamedede siwo ana woagbugbɔ aɖɔ wo ɖo. Gake talus ƒe gbagbã akpa gãtɔ hiã be woawɔ dɔ na ƒu kakɛawo ake.

Talus ƒe gbagbã nye abi si vea ame si dzɔna zi geɖe le nudzɔdzɔ aɖe si gblẽa nu le ame ŋu vevie, abe ʋufɔku alo anyidzedze tso kɔkɔƒe ene ta. Ne talus ƒe gbagbã le ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake. Zi geɖe la, esia bia be woawɔ dɔ na ame. Le abi si nèxɔ ƒe sesẽ nu la, ahiã be nàdo aŋetu hena ɣeyiɣi ɖesiaɖe tso kwasiɖa eve (na abi sue aɖe) va ɖo kwasiɖa 12 alo esi wu nenema. Togbɔ be talus ƒe gbagbã ate ŋu ase veve hã la, atikewɔwɔ nyuie ate ŋu akpe ɖe dɔyɔyɔ ŋu eye wòana nàtrɔ ayi wò agbenɔnɔ si sɔ me kaba ale si nàte ŋui.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe nu la, nu vevi siawoe wòle be nàɖo ŋkui:

• Talus ƒe gbagbã ate ŋu anye abi gã aɖe , eyata ne dzesiwo le ŋuwò la , di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Zi geɖe la, esia bia be woawɔ dɔ na ame.
• Dɔyɔɣia ate ŋu axɔ ɣleti geɖe , eye ele be nàkpɔ nyuie be màgatsɔ kpekpeme ade afɔa dzi le ɣeyiɣi ma me o.
• Gbugbɔgaɖɔɖo ƒe kamededewo nye dɔyɔyɔ ƒe akpa vevi aɖe. Ne wowɔ wo nyuie ko hafi nàte ŋu agawɔ dɔ bliboe le wò afɔ me.
• Ne womedae o la, kuxi sesẽwo abe ƒunukpeƒetetedɔ, ƒunukpeƒetetedɔ, alo ʋukawo ƒe kuku ene ate ŋu ado mo ɖa.
• Togbɔ be esia ate ŋu anye nuteƒekpɔkpɔ sesẽ kple vevesese hã la, ne wowɔ atike na wo nyuie eye wogbugbɔ wo ɖo la, ame geɖe ate ŋu ahaya nyuie. Eya ta ele vevie be míanɔ te sesĩe.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Nɔ lãmesẽ me!

` Talus, gbagbã, afɔkpodzi, afɔ, vevesese, vuvu, amekoko, plaster, gbugbɔgaɖɔɖo