Èkpɔ alesi míetsɔa míaƒe ta kple kɔ ƒua gbe ɖe megbe ne ʋu aɖe tsɔ brek sesẽ kpata, alo ne míedze anyi ɖe afi aɖea? Alo ɖe míedze afɔku le kɔ me esime míenɔ kamedefefe wɔm kpɔa? Egbea míele nu ƒom tso afɔku sesẽtɔ kekeake siwo ate ŋu adzɔ ɖe kɔ dzi le nɔnɔme sia tɔgbe me la dometɔ ɖeka ŋu. Togbɔ be esia ƒe ŋkɔ doa vɔvɔ̃ na ame vie hã la, ele vevie ŋutɔ be nànya esia nyuie.
Nukae Nye Hangman’s Fracture?
Kpuie ko la, esia nye ƒu si le míaƒe kɔ me ƒe gbagbã. Mina míase míaƒe kɔ ƒe wɔwɔme gɔme vie gbã. Míaƒe
akɔta nye ƒu suesuesue siwo woƒo ƒu ɖe wo nɔewo dzi. Míeyɔa esiawo be ‘akɔtaƒu’. Akɔtaƒu mawo tɔgbe 7 ye le kɔa me. Míeyɔa esiawo be vidzidɔ ƒe akɔtaƒuwo. Esiawoe kpɔa lãmeka vevi ŋutɔ si ɖiɖina tso míaƒe ahɔhɔ̃ me si woyɔna be aklã ƒe ka la ta. Hangman’s Fracture nye akɔta evelia ƒe gbagbã le kɔ me (C2 alo axis) le akpa eveawo. C2 ƒu sia ƒe nɔnɔme le abe asigɛ ene, eye aklãa toa asigɛ ma me. Eyata ƒu sia gbagbã ate ŋu anye nu sesẽ ŋutɔ. Togbɔ be ŋkɔa ɖi vɔvɔ̃ hã la, nɔnɔme sia bɔ ɖe susu bubuwo ta wu be woahe ame ɖe ati ŋu, abe alesi ŋkɔa ɖee fia ene.
Nukae hea nɔnɔme sia vɛ?
Gbagbã sia dzɔna ne wotsɔ ta la ƒu gbe zi ɖeka, kabakaba ŋutɔ eye wotsɔ ŋusẽ ƒu gbe ɖe megbe kple dzi. Le atikewɔwɔ me la, míeyɔa esia be abixɔxɔ si gbɔ eme. Esia fia be kɔa bɔbɔna ɖe megbe wu alesi wòle dzɔdzɔmee. Bu nɔnɔme siawo ŋu kpɔ:
- Ʋufɔkuwo: Vevietɔ ne ʋu aɖe ƒo mí sesĩe tso ŋgɔgbe la, zikpuimeka la tɔa míaƒe ŋutilã , gake wotsɔa míaƒe ta ƒua gbe yia ŋgɔ eye wògatrɔna yia megbe. Le ɣeyiɣi sia me la, wotsɔa ŋusẽ geɖe dea kɔa ŋu.
- Tsi me nɔnɔ: Ne èti kpo kple ta ɖe tsi si me goglo o me.
- Kamedefefe me afɔkuwo: Le kamedefefe siwo gblẽa nu le ame ŋu ŋutɔ abe rugby kple bɔlƒoƒo ene me.
- Tsitretsitsi tso kɔkɔƒe: Vevietɔ ne èdze anyi eye nètsɔ wò ta ƒu gbe ɖe megbe.
Nu vevitɔ kekeakee nye be ne kɔ gbã la, mí katã míevɔ̃na be aklãa agblẽ. Gake zi geɖe la, le amehehe sia ƒe gbagbã me la, aklãa megblẽna le afɔkua ƒe ɣeyiɣia me o.
Gake esia ate ŋu anye gbagbã si meli ke o. Esia fia be ne womewɔ atike na wo nyuie o la, ƒu kakɛ siwo gbã la ate ŋu atrɔ eye woagblẽ nu le aklãa ŋu mlɔeba. Ne esia dzɔ la, vevesese,
lãmetutudɔ, kple..., alo ku gɔ̃ hã ate ŋu adzɔ. Eyata ele vevie be woayi ɖɔkta gbɔ enumake le afɔku ɖesiaɖe si ana woatsɔ ta aƒu gbe ɖe megbe megbe.
Afɔku siwo le ame tsitsiwo ŋu
Esi ƒuwo gbɔdzɔna ne míele tsitsim ta la, anyidzedze sue aɖe gɔ̃ hã ate ŋu ana míagbã vevie abe esia ene ɣeaɖewoɣi. Afɔku sia lolo ŋutɔ le amesiwo ŋu ƒumeŋuɖui (dɔléle si nana ƒuwo tsina), kansa si kaka ɖe ƒuwo me, alo
vitamin D ƒe anyimanɔmanɔ le wo ŋu.
Nukae nye esia ƒe dzesiwo?
Ne gbagbãdɔ sia tɔgbe dzɔ le afɔku aɖe me la, dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema ate ŋu ado mo ɖa. Gake nenɔ susu me na wò be ne abi bubuwo le afɔkua me la, ɖewohĩ womase kɔmeve le gɔmedzedzea me o.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|
| Kɔ ƒe vevesese sesẽ | Vevesese geɖe ale gbegbe be màte ŋu aʋuʋu wò kɔ o. |
| Gbɔdzɔgbɔdzɔ alo gbɔdzɔgbɔdzɔ | Abɔwo, afɔwo, alo ŋutilã ƒe akpa bubuwo ƒe ʋuʋu alo gbɔdzɔgbɔdzɔ ƒe seselelãme. Esia ate ŋu anye dzesi be dɔlélea le aklã ŋu. |
| Abi siwo le kɔ ŋu | Blu/aɖabɛ dzẽ le kɔ ƒe ŋutigbalẽ te le afɔkua ƒe ŋusẽkpɔɖeamedzi ta. |
| Yagbɔgbɔ sesẽ | Esia nye dzesi sesẽ aɖe ŋutɔ. Ne nu gblẽ le aklã ŋu la, ate ŋu akpɔ ŋusẽ ɖe lãmeka siwo kpena ɖe ame ŋu le gbɔgbɔ me la dzi. |
Le afɔku sia tɔgbe megbe la, nu nyuitɔ si woawɔe nye be nàna dɔnɔa ƒe kɔ nabɔbɔ alesi nàte ŋui eye nàkplɔ wo ayi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
Aleke ɖɔktawo wɔna kpɔa esia?
Ne wokplɔ wò va kɔdzi la, ɖɔktaa ado wò ŋutilã kpɔ gbã. Woalé ŋku ɖe vevesese alo abi aɖeke ŋu hã. Woalé ŋku ɖe wò abɔwo kple afɔwo hã ŋu be wole ʋuʋum alo gbɔdzɔe hã be woakpɔe ɖa be nane gblẽ le wò aklã ŋu hã. Le ema megbe la, woawɔ nɔnɔmetatawo ŋuti numekuku aɖewo godoo.
- X - ray: Woɖea X-ray tsɔ léa ŋku ɖe eŋu koŋ be eƒe lãme gbã hã.
- CT Scan: Esiae nye mɔ nyuitɔ si dzi woato anya dɔléle sia ƒomevi. CT scan ate ŋu aɖe alesi gbegbe gbagbãƒea sesẽe , nenye be kakɛ siwo gbã la ʋu, kple nenye be kadodo si le wo kple akɔtaƒu siwo le ete dome gblẽ le nɔnɔmetata si me kɔ, si le akpa etɔ̃ (3D) me.
- MRI Scan: Le go aɖewo me la, ahiã be woawɔ MRI scan. MRI ate ŋu alé ŋku ɖe menye ƒuwo ɖeɖeko ŋu tsitotsito o, ke ate ŋu alé ŋku ɖe lãkusi falɛfalɛwo, abe aklã ƒe ka kple disk siwo le akɔtaƒuwo dome ene hã ŋu be woakpɔe ɖa be nu gblẽ le wo ŋu hã.
Wò ɖɔkta anɔ te ɖe nyatakaka siwo tso dodokpɔ siawo me dzi ada wò gbagbãƒea ɖe hatsotsowo me. Eyae nye be woadae ɖe hatsotsowo me le alesi ƒu gbagbãa le kple alesi gbegbe ƒu kakɛawo ʋuʋui nu. Ƒomedodo siae afia atikewɔwɔ nyuitɔ kekeake na wò.
Aleke wowɔa atike nɛ?
Atikewɔwɔ nɔ te ɖe alesi gbegbe lãmekaa gblẽe dzi, nenye be gbagbãƒea li ke alo meli ke o, nenye be disk siwo le akɔtaƒuawo dome gblẽ, kple nenye be aklãa gblẽ. Atikewɔwɔ ƒe mɔnu vevi eve li.
1. Dɔdamɔnu si menye amekoko o (External Fixation) 2. Amekoko (Ememe Fixation) .
| Atikewɔwɔ ƒe mɔnu | Nuɖᴐɖᴐ |
|---|
| Vidzidɔ ƒe Akɔtaɖonu | Ne kɔa ƒe gbagbã mesẽ akpa o la, woate ŋu ado kɔmewu sesẽ si wotsɔ aŋe wɔe ɣleti geɖe be kɔa nagaʋuʋu o. |
| Halo Vest ƒe awudziwui | Esia nye mɔ̃ si sesẽ vie wu. Ne kɔa meli ke o la, wozãnɛ tsɔ naa kɔa nɔa anyi kpoo keŋkeŋ. Wotsɔa ga ƒe asigɛ ƒoa xlã ta eye wotsɔa ga suesuesuewo blanɛ ɖe taɖua ŋu. Emegbe wotsɔa asigɛa doa ka kple vest si wodona ɖe akɔta kple atikplɔwo. Esia adze nu dziŋɔ vie, gake ele vevie ŋutɔ be ƒua nahaya nyuie. Míeyɔa atikewɔwɔ sia be mɔxexeɖedɔléle nu . |
| Amekoko na ame | Ne ƒu gbagbãa nu sẽ ŋutɔ, ne ƒu si gbã la vuvu ŋutɔ, alo ne wote ɖe aklãa ŋu la, ate ŋu ahiã be woawɔ dɔ nɛ. Le amekoko me la, wogbugbɔa ƒu gbagbãawo yia wo nɔƒe eye wotsɔa gavi, atikplɔ, alo agbawo ɖɔa wo ɖo. Ɣeaɖewoɣi la, ehiãna be woawɔ dɔ na ƒua ne womete ŋu ʋãna o. |
Nya nyuiae nye be woate ŋu ada hangman ƒe gbagbã siwo ade 90% keŋkeŋ amekoko manɔmee, kple atike siwo naa ame ƒe ʋuʋu meʋãna o abe Halo Vest ene.
Aleke hayahaya ƒe nɔnɔmea le?
Ne èxɔ atike nyuitɔ le ɣeyiɣi nyuitɔ dzi la, mɔnukpɔkpɔ nyui aɖe ŋutɔ asu asiwò be nàhaya keŋkeŋ tso nɔnɔme sia me. Numekuku si wowɔ le numekuku ƒe nyatakaka 32 ŋu ɖee fia be woate ŋu ada hangman ƒe gbagbã ƒomevi si nu mesẽ boo o la 100% ne womeɖe mɔ ɖe eŋu o ɖeɖeko. Le numekuku bubu me la, dɔnɔ 30 siwo ŋu dɔléle sia le dometɔ 85% haya bliboe le ƒe ɖeka me. Eya ta nu vevitɔ kekeakee nye be màŋe aɖaba aƒu afɔkua dzi o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ekema wò ɖɔkta ana atike si sɔ wu la wò eye wòawɔ dɔ be nàhaya kpuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Hangman’s Fracture nye vidzidɔ ƒe akɔta evelia (C2) ƒe gbagbã. Esia nye nɔnɔme sesẽ aɖe.
- Zi geɖe la, nɔnɔme sia dzɔna le ta kple kɔ tsɔtsɔ ƒu gbe kabakaba le ʋufɔkuwo, gege tso teƒe kɔkɔwo, alo kamedefefe ƒe afɔkuwo ta.
- Dzesiawo ate ŋu anye kɔ ƒe vevesese sesẽ, lãmetutudɔ , gbɔdzɔgbɔdzɔ, alo gbɔgbɔ sesẽ .
- Mègadze agbagba gbeɖe be yeaʋuʋu yeƒe kɔ le afɔku sia tɔgbe megbe o. Yi kɔdzi aɖe ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake.
- Ne wowɔ atike nyuitɔ (kɔtaɖonu, halo vest, alo amekoko) le ɣeyiɣi nyuitɔ dzi la, mɔnukpɔkpɔ si li be nàhaya bliboe tso nɔnɔme sia me la lolo ŋutɔ. Eyata mègatsi dzodzodzoe o eye nàwɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi.
Hangman ƒe gbagbã, Hangman ƒe gbagbã, Kɔ ƒe gbagbã, C2 Vertebra, Kɔ ƒe abi, aklã, Ʋufɔku, Kɔ ƒe vevesese
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