Nukae nye transverse fracture? (Transverse Fracture) - Mina míasrɔ̃ nu tso esia ŋu bɔbɔe!

Ðe nèdze anyi hede abi wò alɔ alo afɔ ŋu vevie kpɔa? Alo ɖe nègbã ƒu esime nèle kriket ƒom, bɔl ƒo wò, alo le ʋufɔku mea? Ðewohĩ ɖɔkta aɖe gblɔ " transverse fracture " ŋu nya na wò. Nuka tututue esia fia? Enyo, mina míaƒo nu tso esia ŋu tsitotsito vie , abe ɖe nèle egblɔm na xɔ̃wò aɖe ene.

Nuka tututue nye ‘transverse fracture’?

Kpuie ko la, ƒu ƒe gbagbã le axadzi nye wò ƒu ɖeka ƒe gbagbã . Bu wò ƒu be enye ati legbe aɖe. Gbegblẽa dzɔna le tsitrenu ɖe ​​atikplɔa ƒe didime nu, alo le eƒe go kemɛ dzi. Ðeko wòle abe ame aɖe le ati aɖe ƒom ɖe eve me ene. Wogayɔa esia be ƒu gbagbã keŋkeŋ , elabena ka si gbã la toa ƒua me ke.

Míaƒe ŋutilã ƒe ƒu didiwo mee wokpɔa gbagbã siawo ƒomevi zi geɖe. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Femur (wò afɔ ƒe akpa si le etame) .
• Tibia (ƒu ɣi si le wò afɔ ƒe ŋgɔgbe) .
• Fibula - ƒu tsɛ si le sɔsɔm kple afɔkpodzi
• Abɔta ƒe ƒu (`Humerus` - ƒu si tso wò abɔta va ɖo wò abɔta)
• Abɔtaƒuwo (`Radius` kple `Ulna` - ƒu eve siwo tso abɔta vaseɖe asibidɛ dzi)
• Clavicle (kɔtaƒu) .

Nukawo koŋue hea gbagbãdɔ sia ƒomevi vɛ?

Zi geɖe la, afɔku alo nuveviwɔame ƒe gbagbãƒe siawo, siwo woyɔna be ‘transverse fractures’, dzɔna . Bu nane abe anyidzedze kpata, ʋufɔku, alo ƒoƒo sesẽ aɖe esime nèle fefem ene ŋu kpɔ.

Ɣeaɖewoɣi la, ehiãna be woawɔ dɔ na ame be woatsɔ aɖɔ gbagbãƒe si le abe esia ene ɖo. Gake le ame aɖewo gome la, aŋe alo aŋe si wotsɔ ƒoa ƒui ate ŋu akpe ɖe ƒua ŋu wòanɔ teƒea. Ɣeyiɣi si wòxɔna hafi wòhayana bliboe nɔ te ɖe ƒu si ƒomevi wogbã kple alesi abi la dzɔe dzi. Ame akpa gãtɔ xɔa ɣleti geɖe hafi wohayana tso nɔnɔme sia me keŋkeŋ.

Ðe ‘transverse fracture’ kple ‘transverse process fracture’ nye nu ɖeka?

Afi siae wòate ŋu atɔtɔ vie le. Togbɔ be ŋkɔ siwo nye ‘transverse process fracture’ kple ‘transverse process fracture’ ɖi wo nɔewo hã la, esiawo nye ƒu ƒe gbagbã ƒomevi vovovo eve .

‘Transverse fracture’ si ŋu míeƒo nu tsoe fifia la nye ƒu ƒe didime ƒe gbagbã. Togbɔ be esia ate ŋu adzɔ ɖe ƒu ɖesiaɖe dzi hã la, zi geɖe la, edzɔna ɖe ƒu didiwo dzi, abe le afɔku kpata abe anyidzedze ene me.

Gake ‘transverse process fracture’ nye aklã ƒe gbagbã.Gbagbã bubu. Ƒu suesuesue siwo woyɔna be vertebrae ye le míaƒe akɔta. Ƒu suesuesue siwo dona ɖe akɔta siawo ƒe akpa eveawo, siwo woyɔna be transverse processes. Woyɔa ƒu siawo ƒe gbagbã be transverse process fracture. Esia ate ŋu adzɔ le afɔku me hã. Ɣeaɖewoɣi la, le ƒumeŋuɖui (dɔléle si me ƒuwo gbɔdzɔna eye wogbãna) ta la, ƒu siawo te ŋu gbãna míaƒe manyamanya. Togbɔ be gbagbã siawo ate ŋu adzɔ le akɔta ƒe akpa sia akpa hã la, wobɔ ɖe akɔta ƒe akpa si le anyime (akɔta ƒe akɔta) wu.

Vovototo kae le ‘transverse fracture’ kple ‘oblique fracture’ dome?

Esiawo evea siaa nye ƒu ƒe gbagbã ƒomevi siwo toa ƒua me tẽ. Gake vovototo sue aɖe le wo dome.

• Le ‘transverse fracture’ me la, ƒua ƒe gbagbã le ƒua ƒe go kemɛ dzi, si fia be etsia tre ɖe ƒua ƒe didime nu.
• Le ‘Oblique Fracture ’ me la, gbagbãƒea toa ƒua dzi, si fia be le dzogoe aɖe dzi.

Gake aleke kee nèɖayɔ be wò gbagbãƒea o, nu vevitɔe nye be nàyi ɖɔkta gbɔ kaba ale si nàte ŋui eye nàna woadoe kpɔ .

Aleke gbegbee ‘transverse fracture’ sia bɔe? Amekae ate ŋu axɔe wu?

‘Transverse fractures’ ye nye ƒu ƒe gbagbã ƒomevi si bɔ wu , vevietɔ le ƒu didiwo me. Woate ŋu adzɔ ɖe ame sia ame dzi. Afɔkuwo kple abixɔxɔ koŋ gbɔe wotsona.

Ne èdze anyi bɔbɔe la, anɔ eme be wò lãmeka sia ƒomevi adze dziwò. Azɔ hã, amesiwo ŋu ƒu ƒe gbagbã (ƒu siwo gbɔdzɔ) le la le afɔku gã aɖe me be woagbã ƒu ɖesiaɖe, si me ƒu ƒe gbagbã le axadzi hã le.

Nukae nye ‘transverse fracture’ ƒe nɔnɔmewo?

Ne ègbã alea la, àte ŋu akpɔ dzesiwo abe:

• Vevesese sesẽ: Evea ame le afisi tututu wògbã le.
• Vuvu: Teƒe si xɔ abi la vuvu.
• Vevesese: Vevesesea nu sẽna ɖe edzi ne èka asi teƒe si gbã ŋu alo te ɖe eŋu.
• Mate ŋu aʋuʋu nyuie o: Ne ŋutilã ƒe akpa aɖe, abe alɔ alo afɔ ene, gbã la, esesẽna be woaʋuʋu alo azãe le mɔ si sɔ nu.
• Abi alo amadede ƒe tɔtrɔ: Àte ŋu ade dzesi abi alo amadede blɔ le teƒe si nèxɔ abi le.
• Tɔtɔ alo ƒoƒoe: Ɣeaɖewoɣi la, akpa si gbã la ate ŋu adze abe ɖe wòbɔbɔ, he, alo kɔ ɖe dzi le mɔ si mebɔ o nu ene.

Nukae nye ‘Ʋu’ kple ‘Tutu’ ƒe ɖiɖiɖeme?

Wò ɖɔkta ade gbagbãƒea hatsotso me be ‘woʋu’ alo ‘wotu’.

• ``Open fracture`` nye ne ƒu gbagbã aɖe do to wò ŋutigbalẽ me. Esia nye afɔku vie elabena ate ŋu ahe dɔlékuiwo vɛ.Mɔnukpɔkpɔ si li be ame nadze dɔ sɔ gbɔ, eye exɔa ɣeyiɣi didi hafi wòhayana.
• ‘Closed fracture’ nye ne ƒua gbã gake ŋutigbalẽa megblẽ o eye ƒua medzena o. Esia hã nye nu sesẽ, gake afɔku si le eme be woaxɔ dɔlékuiwo la mesɔ gbɔ o.

Nukae nye gbagbã ‘siwo woɖe le teƒe bubu’ kple esiwo ‘womeɖe wo ɖa o’?

Esiawo nye nya eve bubu siwo ɖɔktawo zãna.

• ‘Ƒe gbagbã si woɖe ɖa’ nye ne wotu ƒu ƒe kakɛ siwo gbã la ɖe wo nɔewo ŋu, si na dometsotso nɔa wo dome. Ne míagblɔe tututu la, wohea ƒu kakɛawo ɖekae . Zi geɖe la, ahiã be woawɔ dɔ na gbagbãƒe siawo ƒomevi be woaɖɔ wo ɖo.
• ‘Gbe gbagbã si metso o’ hã nye ƒu gbagbã si me ƒua gbã, gake kakɛ siwo gbã la meʋuʋu boo o eye womehe wo ɖe wo nɔewo ŋu o. Wogakpɔtɔ le ɖoɖo nu.

Aleke ɖɔktawo wɔa dea dzesii be eƒe akpa aɖe gbã? (Dɔléle ƒe dzesi) .

Ðɔkta awɔ ŋutilãdodokpɔ koŋ be yeakpɔe be lãmeka sia ƒomevi le ame ŋu. Tsɔ kpe ɖe eŋu la, woate ŋu awɔ nɔnɔmetatawo dodokpɔwo abe:

• X-ray: Esia koe nye mɔ si dzi woato anya nenye be ƒu aɖe gbagbã kple alesi gbegbe wògblẽ nu le eŋu.
• MRI (Magnetic Resonance Imaging): Ɣeaɖewoɣi la, ehiãna be ɖɔkta nakpɔ lãmenugbagbevi siwo ƒo xlã ƒua, abe lãmekawo, kadodoŋusẽ, kple ŋutinu bubuwo ene, ƒe nɔnɔmetata bliboe be wòakpɔe ɖa be nu gblẽ le eŋu hã. Le nɔnɔme mawo me la, woate ŋu awɔ MRI.
• CT scan: Ne ehiã be woawɔ dɔ na wò la, ahiã be amekolaa nakpɔ nusiwo gblẽ le ƒuwo ŋu ƒe nɔnɔmetata si me kɔ wu, si me kɔ wu. Woate ŋu awɔ CT-dɔdamɔnu ne X-ray la me mekɔ o eye woawɔ ɖoɖo ɖe amekokoa ŋu.

Aleke wowɔa atike na ame ƒe akpa si le axadzi ƒe gbagbã?

Atikewɔwɔ na wò transverse fracture nɔ te ɖe alesi wòsẽe dzi. Taɖodzinu vevitɔe nye be woakpe ɖe ƒu gbagbãawo ŋu woahaya nyuie. Be ɖɔktawo nate ŋu awɔ esia la, wozãa atikewɔmɔnuwo abe:

Ʋuʋu dzi ɖeɖe kpɔtɔ (Immobilization) .

Ne wò gbagbãƒea mesẽ akpa o, si fia be ƒu kakɛawo medidi tso wo nɔewo gbɔ akpa o (`womeɖe wo ɖa o`), ate ŋu ahiã be nàdo aŋetu alo aŋetu be teƒea nagaʋuʋu o. Zi geɖe la, aŋe si wotsɔ blaa nu la anɔ anyi kwasiɖa etɔ̃ va ɖo atɔ̃. Aɖuɖɔtoe aɖe anɔ anyi eteƒe nadidi vie, anɔ abe kwasiɖa ade va ɖo enyi ene. Gake ahiã be woawɔ X-ray na wò ɣeaɖewoɣi be nàkpɔ egbɔ be ƒua le hayahayam nyuie.

'Ðeɖekpɔkpɔ si Wotu'.

Le ƒu gbagbã siwo nu sẽ wu, afisiwo woɖea ƒu kakɛawo ɖa le la, wozãa ‘nuɖeɖe si wotu’ tsɔ gbugbɔa wo vaa wo nɔƒe.Ele be woawɔe. Esia menye amekoko o. Ðɔktaa alé wò ŋutilã ƒe gota gome, azi edzi, ahahee be wòagaɖo ƒu gbagbã siwo le eme la ɖe ɖoɖo nu. Be wòakpɔ egbɔ be mèse veve aɖeke esime nèle esia wɔm o la, awɔ nu siawo dometɔ ɖeka:

• Wona atike si naa alɔ̃dɔdɔ ame le teƒea be wòana teƒe si wògbã la ɖeɖeko natsi.
• Wona atike siwo naa ame ƒe dzi dzea eme be wòana ŋutilã bliboa naɖe dzi ɖi.
• Alo, woana atike si wua alɔ̃dɔdɔ wò, si ana nàdɔ alɔ̃ keŋkeŋ ale be màse naneke le ɖokuiwò me o.

Ne wodzra ƒuawo ɖo le mɔ sia nu vɔ la, wotsɔa aŋe alo aŋɔ ƒoa ƒui.

Transverse Fracture Surgery - Ememe Nukpɔkpɔ

Le ƒu gbagbã siwo nu sẽ ŋutɔ gome la , ehiã be woawɔ dɔ nɛ . Amekolaa agbugbɔ kakɛ siwo gbã la aɖo woƒe nɔƒe nyuitɔ eye wòazã gatiwo atsɔ alé wo ɖe te vaseɖe esime woahaya. Woyɔa esia be ‘ememe fixation’ . Esi gatiawo le wo nɔƒe la, mele be nàzã wò ŋutilã ƒe akpa ma fũ o vaseɖe esime ƒua nahaya.

Mɔnu vovovowo li siwo dzi woato ‘aɖoe ɖe ememe’:

• Atikplɔwo: Wotsɔa gati aɖe toa ƒua me, tso etame va se ɖe ete.
• Plɛtiwo kple gaviwo: Wotsɔa ga gbadzɛwo dea eme be woalé ƒu kakɛawo ɖe wo nɔewo ŋu eye wotsɔa gaviwo blaa wo ɖe ƒua ŋu.
• Kpe kple ka: Ne ƒu kakɛ aɖewo li siwo le sue akpa be woate ŋu atsɔ mɔ̃ bubu siwo wotsɔna léa nu ɖe ​​te la, wozãa ga kple ka tsɔ léa wo ɖe wo nɔewo ŋu. 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. Le ame bubuwo gome la, ahiã be woawɔ dɔ na wo be woaɖe wo ɖa emegbe.

Zi geɖe la, wowɔa ‘transverse fracture’ amekoko siawo abe kɔdzidɔwo ene , si fia be àte ŋu ayi aƒeme gbemagbe ke. Gake ne wole dɔ wɔm na wò le ƒu gã aɖe abe afɔkpodzi ene ŋu la, ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo.

Le amekoko vɔ megbe la, ahiã be woaxe mɔ na ŋutilãa ƒe akpa si ƒu gbã la. Woate ŋu atsɔ akɔtaɖonu , aŋenu, alo aŋenu aɖo edzi. Ema ko hafi nàte ŋu adze kpekpeme dada ɖe akpaa dzi ahazãe abe tsã ene.

Atike kawoe wozãna le atikewɔwɔ me? Ðe wòle be matsi dzi ɖe NSAID-tikewo ŋua?

NSAID (abe aspirin kple ibuprofen ene), siwo wozãna zi geɖe abe vevesesenutsitike 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.

NSAID ƒe nugbegblẽ le ame ŋu:

* Ʋu si le dodom

* Dɔgbo ƒe abi (`Abi`) .

• Dɔgbo ƒe vevesese

* Dɔgbo me kuxiwo

Nukawoe nye kuxi siwo ate ŋu ado tso transverse fracture treatment me?

Kuxi siwo gbɔna ate ŋu ado mo ɖa le amekoko vɔ megbe:

• Acute Compartment Syndrome (ACS): Nyaƒoɖeamenu si dzina ɖe edzi le lãmekaa me, ʋu ƒe sisi ƒe gbegblẽ, kple lãmeka kple lãmekawo ƒe gbegblẽ tegbee ate ŋu adzɔ.
• ``Malunion``: Nɔnɔme si me ƒu si gbã la mehayana nyuie o, ke boŋ ekekena hehena ɖekae.
• Nonunion: Ƒuawo mehayana ɖekae nyuie o, alo medaa gbe kura o.
• Ƒu ƒe dɔléle (Osteomyelitis): Ne ƒua gbã to ŋutigbalẽa me, abe alesi wòle le ‘ƒu ƒe gbagbã si le ʋuʋu ɖi’ me ene la, dɔlékuiwo ƒe dɔléle ƒe afɔku le eme.
• Nuveviwɔame bubuwo le ememe: Ƒu gbagbã ate ŋu agblẽ nu le lãmeka siwo ƒo xlãe, lãmekawo, ʋukawo, lãkusiwo, kple lãkusiwo hã ŋu.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Ate ŋu axɔ kwasiɖa ʋɛ aɖewo hafi wò dzesiawo nu nafa. Le amekoko si wowɔ na wò kple ƒu si wogbã nu la, àte ŋu agadze ʋuʋu gɔme le kwasiɖa ʋɛ aɖewo megbe.

Gake ne vevesese si dzi màte ŋu ado dzi atsɔ o si nu metsina o la, yi ɖɔkta gbɔ enumake.

Aleke woawɔ aɖe afɔku si le transverse fracture me dzi akpɔtɔ?

Wɔ ɖe afɔɖeɖe bɔbɔe siawo dzi be nàɖe afɔku sia ƒomevi ƒe afɔkua dzi akpɔtɔ:

• Do wò zikpuimeka ɣesiaɣi ne èle ʋu me.
• Do ametakpɔnu siwo hiã ne èle kamedefefe wɔm alo le dɔ bubuwo wɔm.
• Na wò aƒe kple dɔwɔƒe nanɔ dzadzɛ to nusiwo ate ŋu ana nàdze anyi ahadze anyi, kple nusiwo ate ŋu ana nàkli nu la ɖeɖe ɖa me.
• Ne èle nane fɔm tso dziƒo la, zã dɔwɔnu si sɔ tsɔ wu be nàli zikpuiwo, kplɔ̃wo, alo kplɔ̃wo dzi.
• 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 wɔwɔ ŋu .
• Ne azɔlizɔzɔ sesẽ na wò alo àte ŋu adze anyi wu la, zã atizɔti (`atikplɔ` alo `azɔlizɔla`) .

Ðe woate ŋu axe mɔ ɖe gbagbãƒe si le tsia dzi nua?

Zi geɖe la, nusiwo nu sesẽna be woaxe mɔ na, ​​abe anyidzedze kple afɔkuwo ene gbɔe gbagbã siawo ƒomevi tsona. Gake ne azɔlizɔzɔ sesẽ na wò la, atizɔtiwo zazã ate ŋu akpe ɖe ŋuwò be màgadze anyi o.

Nyɔnuwo ate ŋu axɔ ƒumeŋuɖui le ƒe 50 xɔxɔ vɔ megbe.

Nukae nàte ŋu akpɔ mɔ na ne wò lãme gbã?

Ne wò lãme gbã la, àte ŋu akpɔ mɔ be yehaya bliboe . Gake ahiã be nàzã kamedede be wòakpe ɖe ŋuwò nàgakpɔ ŋusẽ eye nàte ŋu aʋuʋu le wò ŋutilã ƒe akpa si xɔ abi la. Ame akpa gãtɔ mekpɔa ŋusẽ ɖe ame dzi ɣeyiɣi didi le ƒu gbagbã abe esia ene megbe o.

Ɣeyiɣi didi kae wòxɔna hafi aŋe si le axadzi la hayana?

Ɣeyiɣi si wòxɔna hafi wòhaya la nɔ te ɖe alesi wò gbagbãƒea ƒe sesẽme kple atike si wowɔ na wò dzi. Ame akpa gãtɔ xɔa ɣleti geɖe hafi wohayana keŋkeŋ.

Nu geɖe li siwo kpɔa ŋusẽ ɖe ɣeyiɣi didi si wò ŋutilã xɔna hafi wòhayana, eyata ƒo nu kple wò ɖɔkta alo amekola tso ɣeyiɣi si awɔ dɔ nyuie wu na wò abi la ŋu.

Ðe nyemate ŋu ayi dɔme/suku oa?

Ɣeyiɣi didi si màte ŋu ayi dɔme, suku, alo wɔna bubuwo o la anɔ te ɖe ƒu si wogbã kple ne abi bubuwo le ŋuwò dzi.

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

Ɣekaɣie wòhiã be nàyi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ?

Ne èsusu be ƒu ƒe gbagbã le ye ŋu – alo ƒu bubu ɖesiaɖe si gbã – la, 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 ŋutɔ.
• Ne màte ŋu aʋuʋu wò ŋutilã ƒe akpa aɖe si nàte ŋu aʋuʋu le dzɔdzɔme nu o.
• Ne wò ŋutilã ƒe akpa aɖe dze abe ɖe mebɔ o alo edze abe etrɔ tso afisi wònɔ ene.
• Ne àte ŋu akpɔ ƒua to wò ŋutigbalẽ me.
• Tete.
• Ne abi yeyewo do kpe ɖe dzesi bubu siawo ŋu.

Vevietɔ ne nuveviwɔame aɖe dzɔ ɖe dziwò la, yi xɔ si me wowɔa dɔ kpata le enumake.

Nya vevi kawoe wòle be míabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo o:

• Ƒu kae wogbã?
• Ðe ‘transverse fracture’ alo gbagbã ƒomevi bubu aɖe le ŋunyea?
• Ðe wòhiã be woawɔ dɔ nam?
• Ɣeyiɣi didi kae wòaxɔ hafi ahaya?
• Ɣekaɣie mate ŋu agadze kamedede si sɔ gɔme?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Àte ŋu ahaya bliboe le eƒe gbagbãƒe si le tsia dzi megbe., ne amekokoe wònye gɔ̃ hã. Nu vevitɔe nye be nànoe blewu eye nànɔ teƒe ɖeka le hayahayaɣia, eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ . Ne ètsi dzimaɖi eye nèyi dɔme evɔ mèna wò ŋutilã nagbɔ ɖe eme o la, mɔnukpɔkpɔ li be kuxiwo ado mo ɖa eye ƒu si gbã la nagagblẽ ɖe edzi.

Bia wò ɖɔkta alesi nàwɔ ana wò ƒuwo nasẽ eye woanɔ lãmesẽ me. Ne èxɔ wu ƒe 50 alo ƒumeŋuɖui le wò ƒomea me la, ele vevie hã be woado ƒu ƒe kpekpeme kpɔ edziedzi.

` Ƒu ƒe gbagbã, ƒu ƒe gbagbã, ƒu ƒe gbagbã, ƒu gbagbã ƒe atikewɔwɔ, ƒu ƒe dɔwɔwɔ, ƒu ƒe lãmesẽ, afɔkuwo