Ðe viwò suea dzea anyi zi ɖeka ne ele fefem hefaa avi le esi wòve eƒe alɔnu ta? Alo ɖe ame tsitsi aɖe si le aƒeme ƒua du vie le tsileƒe hewɔa nuvevi eƒe akɔta? Vɔvɔ̃ gãtɔ si vaa susu me na mí le nɔnɔme mawo me enye be míenya ne ƒu aɖe gbã o. Le atikewɔwɔ me la, míeyɔa ƒu ƒe gbagbã sia be “ Fracture ”. Kpuie ko la, Fracture menye naneke wu ƒu ƒe gbagbã alo ƒu ƒe gbagbã o.
Nukatae ƒu gbãna? Ðe esia trɔna ne ame tsia?
Ele bɔbɔe ŋutɔ. Ne wotsɔ ŋusẽ si lolo wu eƒe ŋusẽ de ƒu aɖe me la, agbã. Ðeko wòle abe ati ƒuƒu kakɛ aɖe ƒoƒo ɖe eve me hegbãe ene. Susu geɖewo li siwo tae esia ate ŋu adzɔ ɖo. Ate ŋu atso afɔku, anyidzedze, alo abi si wòxɔ le kamedefefe me gbɔ.
Afɔku si le ƒu ƒe gbagbã me do ƒome kple ƒe si nèxɔ tẽ.
- Ðevi suewo: Ðevi suewo doa vevie nu. Woƒua du, tia kpo, helia atiwo. Eyata, gbagbãƒewo bɔ ŋutɔ le ɖevime. Gake mègatsi dzi o, ɖeviwo ƒe ƒuwo le abe alɔ yeyewo ene, wote ŋu trɔna vie, eye wohayana kaba. Ne wotsɔe sɔ kple ame tsitsiwo ƒe gbagbã sesẽwo la, zi geɖe la, ɖeviwo ƒe gbagbã mesesẽna nenema gbegbe o.
- Ame tsitsiwo: Ne míele tsitsim la, vivivi la, míaƒe ƒuwo va nɔa gbɔdzɔgbɔdzɔm henɔa gbagbãm. Ne èdze anyi vie le sɔhɛmenɔɣi gɔ̃ hã la, ate ŋu agbã alɔ, afɔ, alo akɔta .
Nu vevitɔ kekeakee nye be lãmeka ate ŋu adzɔ le ƒe ɖesiaɖe me, eyata ele vevie be amesiame nase egɔme tso eŋu.
Nukawoe nye lãmekawo ƒe gbagbã ƒomevi veviwo?
Menye nu ɖeka siwo katã le gbagbãƒewo nyea nu ɖeka o. Woate ŋu ama wo ɖe hatsotso vevi eve me le alesi wodzɔnae nu. Na míalé ŋku ɖe nusiwo wonye ŋu.
1. Le ƒu kakɛwo ƒe ʋuʋu nu (Displaced vs. Non-displaced) .
Esia fia nenye be kakɛ eve siwo gbã la gakpɔtɔ le teƒe ɖeka le ƒua ƒe gbagbã vɔ megbe loo alo ɖe wotrɔna yia teƒe bubu.
- Displaced Fracture: Tsɔe be ègbã ati aɖe eye wohe kakɛ eveawo yi ŋgɔ kple megbe, alo? Aleae wòle. Le afisia la, ƒua gbãna ɖe akpa eve alo esi wu nenema me, eye kakɛ mawo ti kpo doa go le fli dzɔdzɔea dzi. Ɣeaɖewoɣi la, ƒua te ŋu gbãna gɔ̃ hã wòzua kakɛwo ƒe ƒuƒoƒo. Míeyɔa ema be (Comminuted Fracture) .
- Non-displaced Fracture: Anyigba ƒe gbagbãƒe:Nusi dzɔna le afisiae nye be togbɔ be ƒua gbã keŋkeŋ alo eƒe akpa aɖe hã la, kakɛ siwo gbã la gakpɔtɔ le woƒe ɖoɖo gbãtɔ nu, eye womeʋãna o. Ele abe ahuhɔ̃e si gbã ene, gake kakɛawo mema o.
2. Le nusiwo gblẽ le ŋutigbalẽa ŋu nu (Open vs. Closed) .
Esia nye hatsotso vevi aɖe ŋutɔ elabena eyae afia alesi gbegbe kaklãa nu sẽe.
- Ƒu ƒe Gbagbã si Wotu: Le go sia me la, ƒua gbãna le ememe, gake megblẽa nu le ŋutigbalẽa ŋu o. Esia fia be abi alo do aɖeke mele ŋutigbalẽa ƒe akpa si woate ŋu akpɔ o.
- Gbagbãƒe: Esia nye nɔnɔme sesẽ aɖe si hiã be woawɔ atike na ame kpata . Nusi dzɔna le afisiae nye be ƒu gbagbãa ƒe akpa ɖaɖɛa toa ŋutigbalẽa me hedoa go. Ɣeaɖewoɣi la, ƒu ƒe ʋuʋudedi ate ŋu ado eye wòagatrɔ ayi eme, gake ŋutigbalẽa ƒe abi la gakpɔtɔ nɔa anyi. Esia nye afɔku sã wu gbagbãƒe si wotu. Esia le alea elabena dɔlékui siwo le ŋutigbalẽa dzi ate ŋu age ɖe ƒu si gbã la me tẽ, si ana kuxi sesẽwo abe ƒumeŋuɖui (osteomyelitis) ene ƒe afɔkua dzina ɖe edzi . Eyata , ne ʋu le dodom le ŋutigbalẽa ƒe gbagbã ta alo ŋutigbalẽa gbã la, ele vevie ŋutɔ be woayi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Gbagbã ƒomevi bubu siwo bɔ
Kaka ƒomevi bubu geɖe li siwo nyea ɖeviwo koŋ tɔ eye wòbɔ ɖe ame tsitsiwo kple ɖeviwo siaa gome. Esiawo hã le vevie be míanɔ ŋudzɔ.
| Fracture Ƒomevi | Numeɖeɖe bɔbɔe |
|---|---|
| Gbɔɖeme tɔxɛwo na ɖeviwo | |
| Greenstick ƒe Gbagbãƒe | Ne èdze agbagba be yeagbã ati ƒe alɔ yeye dama aɖe la, ebɔbɔna ɖe axa ɖeka evɔ megbãna keŋkeŋ o, alo? Aleae wòle. Ƒua bɔbɔna ɖe axa ɖeka, gake megbãna keŋkeŋ o. Esia bɔ ɖe ɖeviwo me ŋutɔ. |
| Buckle/Torus ƒe gbagbã | Nusi do ɖe ƒua tame abe gogloeƒe ene dzena le ƒua tame esime ƒu eve le wo nɔewo ƒom. Esia bɔ ɖe ɖeviwo hã dome. |
| Tsitsi ƒe Kplu ƒe Gbagbã | Tsitsi ƒe agbawo le ɖeviwo ƒe ƒuwo ƒe nuwuwu, afisi ƒuawo tsina le. Ne teƒe siawo gbã la, ate ŋu akpɔ ŋusẽ ɖe ƒu ma ƒe tsitsi dzi le etsɔme eye wòana ƒua nagbã. Eyata esia nye gbagbãƒe si ŋu wòle be woatsi dzi ɖo. |
| Kakaɖeɖe bɔ ɖe ɖeviwo kple ame tsitsiwo siaa me. | |
| Comminuted Fracture ƒe gbagbã | Ƒua gbãna zua kakɛ geɖe, abe ɖe wogbãe ene. Woate ŋu akpɔ nusiawo le afɔku sesẽwo me. |
| Transverse Fracture ƒe Ʋuʋudedi | Ƒu ƒe gbagbã si dzɔna le didime nu, abe fli dzɔdzɔe ene. |
| Oblique Fracture ƒe gbagbã | To ƒua me yi ɖe tɔdzisasrãa me, si fia be ƒu si le tsia dzi. |
| Dɔlélewo ƒe Gbagbãƒe | Ƒu si gbɔdzɔ le kansa alo dɔléle bubu, abe ƒumeŋuɖui sesẽ ene ta, eye wòte ŋu gbãa ŋusẽ sue aɖe ko. |
| Nuteɖeamedzi ƒe Gbagbã | Kpekpe sue aɖe si le abe taɖa ene si dzɔna ne woƒo ƒu aɖe nu ƒu enuenu nenema ke. Nɔnɔme sia bɔ ɖe kamedefefewɔlawo me. |
Alesi wògbãe kple ɣeyiɣi si wòda gbe le eŋu
Alesi gbagbãƒe ƒe sesẽme nɔ te ɖe eƒe ƒomevi kple afisi wòle dzi. Le kpɔɖeŋu me, akɔta ƒe gbagbã sesẽ wu asibidɛ ƒe gbagbã sue aɖe.
Ne womeda abi sesẽwo kaba o la, ate ŋu ahe kuxi siwo me afɔku le vɛ. Esiawo dometɔ aɖewoe nye ʋukawo alo lãmekawo ƒe gbegblẽ, kple dɔlékuiwo ƒe gege ɖe ƒu alo lãmenugbagbevi siwo ƒo xlãe me.
Ɣeyiɣi si wòxɔna hafi wodaa gbe le ame ŋu la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe ƒe si dɔnɔa xɔ, eƒe lãmesẽ bliboa, kple eƒe gbagbã ƒomevi dzi. Ðevi sue aɖe ƒe gbagbã sue aɖe ate ŋu ahaya keŋkeŋ le kwasiɖa ʋɛ aɖewo megbe. Gake ne ame tsitsi aɖe gbã vevie la, ate ŋu axɔ ɣleti geɖe hafi wòahaya.
Nu vevitɔ kekeakee nye be, ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò be ƒu aɖe gbã la, mègaƒu du gbeɖe be ye ŋutɔ yeadae o, alo awɔ kɔƒea me atike alo ami hehe ŋudɔ o. Ele vevie ŋutɔ be nàkpɔ ɖɔkta bibi , awɔ X-ray ne ehiã, atsɔ ade dzesi nusiwo tututu gblẽ, eye woawɔ atike nyuitɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Ƒu ƒe gbagbã nye ƒu ƒe gbagbã si ŋusẽ si womate ŋu ado dzi atsɔ o hena vɛ.
- Togbɔ be ɖeviwo ƒe gbagbã bɔ hã la, wohayana kabakaba eye wònɔa bɔbɔe wu ame tsitsiwo ƒe gbagbã.
- Ƒu gbagbã si le ʋuʋu ɖi, afisi ƒu gbagbãa dona to ŋutigbalẽa me nyea nudzɔdzɔ kpata aɖe si hiã be woawɔ atike nɛ enumake le afɔku si li be wòaxɔ dɔlékuiwo ta.
- Gbagbãƒe ƒomevi geɖewo li, eye atikewɔwɔ kple ɣeyiɣi si woatsɔ ahaya la nɔ te ɖe gbagbãƒe ƒomevi, afisi wòle, kple ƒe si dɔnɔa xɔ dzi.
- Ne èsusu be ƒu gbã la, kpɔ egbɔ be yeyi ɖɔkta bibi gbɔ be woakpɔ dɔlélea nyuie ahadae hafi adi atike bubuwo.
fracture , ƒu, ƒu gbagbã, ƒu gbagbã ƒomeviwo, kpekpeɖeŋunana gbãtɔ , ƒu gbagbã
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