Ðe viwò suea le avi fam le vevesese ta le eƒe gege ɖe anyi megbe esime wòle fefem? Alo ɖe ƒomea me tɔ tsitsi aɖe ƒu du yi tsileƒe heto nyatoƒoe le akɔtave ŋua? Le ɣeyiɣi siawo me la, míaƒe vɔvɔ̃ gãtɔe nye be, "Ðe ƒu aɖe ate ŋu agbãa?" Le atikewɔwɔ me la, míeyɔa ƒu si gbã be " Fracture ." Kpuie ko la, ƒu ƒe gbagbã nye atikewɔwɔ me ŋkɔ si wotsɔ na ƒu ƒe gbagbã alo gbagbã ɖesiaɖe.
Nukatae ƒuwo gbãna? Ðe ƒexɔxɔ le veviea?
Ele bɔbɔe ŋutɔ: ne wozã ŋusẽ si sesẽ wu esi ƒu ate ŋu anɔ te ɖe enu la, ƒua gbãna. Bu eŋu abe alɔ ƒuƒu aɖe ƒoƒo ene. Esia ate ŋu adzɔ le susu geɖe ta, siwo dometɔ aɖewoe nye afɔkuwo, anyidzedze, alo abixɔxɔ le kamedefefewo ta.
Afɔku si le ƒu ƒe gbagbã me do ƒome kple ƒe si nèxɔ tẽ.
- Ðeviwo: Ðeviwo doa vevie nu—woƒua du, tia kpo, helia atiwo. Le esia ta la, gbagbãƒewo bɔ le ɖevimenɔɣi. Ke hã, mègatsi dzi o; ɖeviwo ƒe ƒuwo le abe alɔ yeye siwo le amadede dzẽ me ene—wote ŋu trɔna bɔbɔe wu eye wohayana kaba ŋutɔ. Ne wotsɔe sɔ kple ame tsitsiwo ƒe gbagbã sesẽwo la, zi geɖe la, ɖeviwo ƒe gbagbã mesesẽna o.
- Ame tsitsiwo: Ne míele tsitsim la, vivivi la, míaƒe ƒuwo va nɔa gbɔdzɔgbɔdzɔm henɔa gbagbãm. Ne wodze anyi vie si makpɔ ŋusẽ ɖe sɔhɛ dzi o la, ate ŋu ana ame tsitsi aɖe ƒe alɔ, afɔ, alo akɔta nagbã bɔbɔe.
Nu vevitɔ si dzi wòle be míaɖo ŋkui enye be ame ƒe gbagbã ate ŋu adzɔ le ƒe ɖesiaɖe me, eyata gɔmesese vevi aɖe ƒe amesinɔnɔ le vevie na amesiame.
Nukawoe nye lãmekawo ƒe gbagbã ƒomevi veviwo?
Menye gbagbãƒewo katãe sɔ o. Woɖoa wo ɖe hatsotsowo me le alesi wodzɔnae nu. Na míalé ŋku ɖe wo ŋu.
1. Wotue ɖe ƒu ƒe ʋuʋu dzi (Displaced vs. Non-displaced) .
Esia fia nenye be ƒu gbagbãawo anɔ woƒe nɔƒe gbãtɔ alo wodzo le wo nɔƒe le gbagbã vɔ megbe.
- Ʋuʋudedi si Trɔna: Bu alɔ aɖe si nàgbã le afisi kakɛawo le ʋuʋum le ŋu kpɔ. Le go sia me la, ƒua gbãna zua kakɛ eve alo esi wu nenema siwo trɔna le mɔ si mesɔ o nu. Ɣeaɖewoɣi la, ƒu ate ŋu agbã azu kakɛ geɖe, si míeyɔna be (Comminuted Fracture) .
- Non-displaced Fracture: Le afisia la, ne ƒua gbã alo gbã gɔ̃ hã la, kakɛawo meʋuna le teƒe si wole o eye wonɔa woƒe ɖoɖo nyuitɔ nu. Ele abe ahuhɔ̃e ƒe gbagbãƒe ene—xɔtunua gblẽ, gake kakɛawo gakpɔtɔ le ɖeka.
2. Wotue ɖe ŋutigbalẽ ƒe blibonyenye dzi (Open vs. Closed) .
Esia nye hatsotso vevi aɖe elabena eyae afia abi si woxɔ la ƒe sesẽme.
- Ʋuʋudedi si Wotu: Ƒua gbãna le ŋutilãa me, gake ŋutigbalẽa ya nɔa anyi. Abi alo teƒe aɖeke meli si woate ŋu akpɔ le ʋuʋu ɖi o.
- Gbagbãƒe: Esia nye nɔnɔme sesẽ aɖe si hiã be woakpɔ egbɔ kpata . Le afisia la, ƒu si gbã la ƒe nugbɔ ɖaɖɛ aɖe toa ŋutigbalẽa me. Ne ƒua trɔ yi ŋutilãa me ake hã la, ŋutigbalẽa ƒe abi la gakpɔtɔ nɔa anyi. Esia nye afɔku sã wu ƒu ƒe gbagbã si wotu elabena dɔlékui siwo le ŋutigbalẽa dzi ate ŋu age ɖe abi la me tẽ, si ana ƒumeŋuɖui (Osteomyelitis) kple kuxi sesẽ bubuwo ƒe afɔkua dzina ɖe edzi ŋutɔ .Eyata ne ʋu le dodom le ŋutigbalẽa ŋu alo do aɖe le ŋutigbalẽa me le teƒe si te ɖe afisi nèxɔ abi le ŋu la, yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ le mia gbɔ enumake.
Gbagbãƒe Ƒomevi Bubu Siwo Bɔ
Kaka ƒomevi bubu geɖewo li siwo nyea ɖeviwo koŋ tɔ alo esiwo bɔ ɖe ame tsitsiwo kple ɖeviwo siaa dzi.
| Fracture Ƒomevi | Numeɖeɖe Blewu |
|---|---|
| Ðeviwo ƒe Gbagbãƒe Tɔxɛwo | |
| Greenstick ƒe Gbagbãƒe | Abe agbagbadzedze be woagbã alɔ dama ene—ƒua bɔbɔna ɖe axa ɖeka gake megbãna keŋkeŋ o. Esia bɔ ɖe ɖeviwo me ŋutɔ. |
| Buckle/Torus ƒe gbagbã | Ƒua tena ɖe edzi, si wɔnɛ be ƒua ƒuna alo "buckle" sue aɖe le eƒe gowo dzi. Ebɔ ɖe ɖeviwo hã me. |
| Tsitsi ƒe Kplu ƒe Gbagbã | Edzɔna le ɖeviwo ƒe ƒuwo ƒe nuwuwu afisi tsitsi dzɔna le. Ne egblẽ la, ate ŋu akpɔ ŋusẽ ɖe ƒu ƒe tsitsi le etsɔme dzi, eyata ehiã be woalé ŋku ɖe eŋu nyuie. |
| Gbagbãƒe Siwo Bɔ Ðe Wo Ame Evea Siwo Me | |
| Comminuted Fracture ƒe gbagbã | Ƒua gbãna zua kakɛ geɖe. Wokpɔnɛ le nuveviwɔame si gblẽa nu le ame ŋu vevie me. |
| Transverse Fracture ƒe Ʋuʋudedi | Gbedadaƒo si le tsia dzi tẽe le ƒua dzi. |
| Oblique Fracture ƒe gbagbã | Akɔta ƒe gbagbã le ƒua dzi. |
| Dɔlélewo ƒe Gbagbãƒe | Gbegblẽ si dɔlélewo abe kansa alo ƒumeŋuɖui sesẽ si nana ƒua gbɔdzɔna, si mehiãa ŋusẽ boo aɖeke o, hena vɛ. |
| Nuteɖeamedzi ƒe Gbagbã | Taɖa ƒe gbagbã si tsoa nuteɖeamedzi si nɔa ƒua dzi enuenu gbɔ. Ebɔ ɖe kamedefefewɔlawo dome. |
Sesẽme Kple Dɔyɔɣi
Alesi wòsẽe nɔ te ɖe alesi wògbãe kple afisi wòle dzi. Le kpɔɖeŋu me, akɔta ƒe gbagbã sesẽ kura wu asibidɛ sue aɖe ƒe gbagbã.
Ne womeda dɔ na ƒu gbagbã sesẽwo kaba o la, kuxi siwo me afɔku le ate ŋu ado mo ɖa, siwo dometɔ aɖewoe nye ʋukawo alo lãmekawo ƒe gbegblẽ, alo dɔlékuiwo xɔxɔ le ƒu alo lãkusi siwo ƒo xlãe me.
Ɣeyiɣi si woatsɔ ada dɔe la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, le ƒe si woxɔ, lãmesẽ bliboa, kple alesi wògbãe nu. Ðevi ƒe gbagbã sue aɖe ate ŋu ahaya le kwasiɖa ʋɛ aɖewo megbe, evɔ ame tsitsi ƒe gbagbã sesẽ ate ŋu axɔ ɣleti geɖe hafi wòahaya keŋkeŋ.
Vevietɔ wu la, ne èsusu be ƒu aɖe gbã la, mègadze agbagba gbeɖe be ye ŋutɔ yeatsɔ aƒeme atikewo alo gbetikewo adae o. Taflatse yi ɖɔkta bibi gbɔ , wɔ X-ray ne ehiã, eye nàkpɔ egbɔ be wokpɔ dɔlélea nyuie eye wowɔ atike na ye nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Ƒu gbagbã dzɔna ne ƒu aɖe gbã le ŋusẽ aɖe si mate ŋu anɔ te ɖe enu o ta.
- Togbɔ be ɖeviwo ƒe gbagbã bɔ hã la, zi geɖe la, wohayana kabakaba eye wònɔa bɔbɔe wu ame tsitsiwo.
- Gbagbãƒe si le ʋuʋu ɖi (afisi ƒua gbãa ŋutigbalẽa le) nye nudzɔdzɔ kpata aɖe si hiã be woakpɔ atikewɔƒe enumake le afɔku si le dɔlékuiwo xɔxɔ ta.
- Gbagbãƒe ƒomevi geɖewo li, eye atikewɔwɔ kple ɣeyiɣi si woatsɔ ada dɔe nɔ te ɖe dɔnɔa ƒe ƒomevi, teƒe si wòle, kple ƒe si wòxɔ dzi.
- Ne èsusu be lãmeka aɖe ƒe gbagbã la, di atikewɔla bibi aɖe enumake hafi nàte afɔɖeɖe bubu aɖe kpɔ.
Bone Fracture , ƒu gbagbã, ƒu, ƒu gbagbã, ƒu gbagbã ƒomeviwo, kpekpeɖeŋu gbãtɔ , ƒu gbagbã
