Aleke gbegbee míavɔ̃e ne míetrɔ kpata esime míele fefem, míele atrakpuiwo ɖiɖim, alo le afɔku sue aɖe me, eye kasia míese veve vevie eye míaƒe afɔ vuvu? Zi geɖe la, esia nyea afɔ si gbã. Gake ƒu gã si le afɔa me (fibula) koe amesiame bua eŋu. Gake nane li si gbɔ ema ŋu. Egbea míele nu ƒom tso fibula, si nye ƒu tsɛ aɖe si le míaƒe afɔ me ƒe gbagbã ŋu. Esi esia nye nusi bɔ ŋutɔ ta la, ele vevie ŋutɔ be nànya nusi tututu wònye.
Gbã la, mina míakpɔe ɖa be, nukae nye fibula sia?
Kpuie ko la, ƒu eve le wò afɔ me tso klo te va se ɖe afɔkpodzi. Ðekae nye afɔkpodzi, si amesiame nya. Esiae nye ƒu sesẽ si le ɣie. Bubue nye ƒu tsɛ didi si zɔna sɔ kple esia, le afɔa ƒe gota. Emae nye nusi míeyɔna be fibula .
Bu fibula ƒu sia be enye sɔti si léa xɔ aɖe ɖe te. Togbɔ be medoa alɔ míaƒe ŋutilã ƒe kpekpeme tẽ o (míaƒe kpekpeme ƒe 10% koe wòdoa alɔ), enaa míaƒe afɔ nɔa te, ekpena ɖe afɔkpodzi ƒe ƒunukpeƒea ŋu wònɔa teƒe si wòle , eye wòdoa alɔ lãmekawo, lãmekawo, kple lãkusi siwo le afɔa me ŋutɔ. Eyata togbɔ be ƒu sia le sue hã la, enye míaƒe ŋutete be míanɔ tsitre, azɔ, aƒu du, ahati kpo nyuie ƒe akpa vevi aɖe.
Eyata nukae nye Fibular Fracture?
Ele bɔbɔe ŋutɔ. Ƒu sia si woyɔna be fibula ƒe gbagbã, eƒe gbagbã, alo eƒe gbagbãe nye nusi míeyɔna be Fibular Fracture . Susu vevi geɖewo li siwo tae esia ate ŋu adzɔ ɖo:
- Afɔkpodzi ƒe ŋeŋe: Ƒu sia ate ŋu agbã ne kasia afɔkpodzia ʋuʋu yi eme alo yi gota. Esia bɔ ɖe kamedefefewɔɣiwo.
- ƒoƒo tẽ: Nane abe ʋufɔku, dzrewɔwɔ, alo nu sesẽ aɖe si ge ɖe afɔ dzi ate ŋu atso ƒoƒo tẽ ɖe ƒua ŋu gbɔ.
- Anyidzedze: Esia ate ŋu adzɔ ne èdze anyi tso kɔkɔƒe alo nèdze anyi hedze anyi esime nèle zɔzɔm le mɔ si sɔ nu.
- Nuteɖeamedzi: Kamedefefewɔla siwo ƒua du hetia kpo ɣesiaɣi, kpakple amesiwo kɔa agba kpekpewo ate ŋu agbã nuteɖeamedzi le nuteɖeamedzi si nɔa ƒua ŋu ɣeyiɣi didi ta.
- Ƒuwo ƒe gbɔdzɔgbɔdzɔ: Ne míele tsitsim, vevietɔ le nɔnɔmewo abe ƒumeŋuɖui ene me la, míaƒe ƒuwo gbɔdzɔna. Esia nana be ƒu ƒe gbagbã ƒe afɔkua dzina ɖe edzi ne edze anyi vie gɔ̃ hã.
Ðe gbagbãƒe siawo ƒomevi vovovowo lia?
Ẽ, ɖɔktawo nɔa te ɖe afisi wòdzɔna le, alesi wogbãe, kple alesi wòsẽe nu ƒua gbagbã siawo ɖe hatsotsowo me. Be míana susu vi aɖe wò la, mina míalé ŋku ɖe ƒomevi vevi ʋɛ aɖewo ŋu.
| Fracture ƒomevi | Kpuie ko la,... |
|---|---|
| Axadzi Malleolus ƒe Gbagbã | Esiae nye ƒomevi si bɔ wu. Enye ƒu si le wò afɔkpodzi ƒe megbeƒu (fibula ƒe nuwuwu si le ete) ƒe gbagbã. |
| Fibular Ta ƒe Gbagbã | Fibula ƒe akpa si le etame ƒe gbagbã, si te ɖe klo ŋu. Esia mebɔ vie o. |
| Avulsion ƒe gbagbã | Ne wohe lãkusi alo lãkusi aɖe la, ƒu aɖe si ŋu wòku ɖo la dona. |
| Nuteɖeamedzi ƒe Gbagbã | Ƒua ƒe gbagbã suesuesue siwo tso agbagbadzedze fũu akpa gbɔ. Ebɔ ɖe kamedefefewɔlawo me wu. |
| Spiral Fracture ƒe gbagbã | Ƒua ƒe gbagbã si le tsatsam le afɔa ƒe ʋuʋu ta. |
| Ʋuʋu (Compound) Gbagbãƒe | Esia nye nusi ŋu nya ku ɖo vie wu. Ƒu si gbã la dona ɖe gota to ŋutigbalẽa me. Esia hea abi gã aɖe vɛ. |
Aleke mawɔ anya ne Fibular Fracture le ŋunye? Nukawoe nye dzesiawo?
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò le afɔku aɖe megbe la, anɔ eme ŋutɔ be Fibular Fracture ye.
- Vevesese sesẽ: Vevesese sesẽ le afisi wògbã le. Vevesesea nu sẽna ɖe edzi ne èʋuʋu wò afɔ vie gɔ̃ hã.
- Vuvu kple abi:Le afɔkua megbe kpuie la, teƒea adze vuvu gɔme ŋutɔ, ɖewohĩ adze abe ɖe wòle blɔ/aɖabɛ dzĩe ene.
- Vevesese: Ne ètsɔ asibidɛ te teƒe si gbã la gɔ̃ hã la, ena nèsea veve vevie.
- Azɔlizɔzɔ ƒe ŋutetemanɔamesi: Dɔnɔa mete ŋu tsɔa kpekpeme ɖe afɔ dzi o. Vevesesea nye nusi womate ŋu ado dzi atsɔ ne wole agbagba dzem be yewoazɔ o.
- Nuwɔametɔnyenye: Ɣeaɖewoɣi la, afɔa ate ŋu adze abe ɖe wòzu nuwɔametɔ ene, ekeke, alo ƒunukpeƒetetedɔ si mebɔ o le eŋu.
- Afɔku alo vuvɔ: Ne wò afɔbidɛwo se le wo ɖokui me be yevuvu alo vuvɔ wu afɔ kemɛa la, ate ŋu afia be ʋu ƒe sisi alo lãmekawo gblẽ.
- Ƒu ƒe gbagbã ƒe gbeɖiɖi: Ame aɖewo sea "kpakpa" ƒe gbeɖiɖi ne ƒu aɖe gbã.
Vevietɔ: Ɣeaɖewoɣi la, àte ŋu azɔ ne Fibular Fracture le ŋuwò gɔ̃ hã. Esia le alea elabena afɔkpodzie nye ƒu vevitɔ si tsɔa kpekpeme le wò ŋutilã me. Eyata, mègatsɔe ko be, "Mate ŋu azɔ, ale be ƒua nagagbã o." Ne veve alo vuvu le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
Ɣekaɣie wòhiã be nàyi kɔdzi kpata?
Ne ɖikeke suetɔ kekeake gɔ̃ hã le mewò be Fibular Fracture ate ŋu anɔ ye ŋu la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Vevietɔ ne nusiwo gbɔna dometɔ aɖe le asiwò la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) kaba.
- Ne ƒua gbã to ŋutigbalẽa me (Open Fracture).
- Ne afɔa keke nyuie eye eƒe nɔnɔme trɔ.
- Ne ʋu le dodom vevie.
- Ne wò afɔbidɛwo le ʋuʋum, wole ɣie, alo le blɔ.
- Ne vevesese si womate ŋu ado dzi atsɔ o li.
- Ne abi sia dzɔ le afɔku gã aɖe ta (e.g., ʋufɔku).
Le nɔnɔme sia tɔgbe me la, anyo wu be woaƒo ka na dɔnɔdzikpɔƒe (ƒe 1990).
Ðɔkta, aleke nèwɔ ɖo kpe edzi be esia nye gbagbãƒe?
Ne èyi kɔdzi la, ɖɔktaa abia wò tso afɔkua ŋu gbã eye emegbe wòado wò afɔ kpɔ. Alé ŋku ɖe abi, abi, kple nɔnɔme ƒe tɔtrɔ ŋu nyuie.
Emegbe be woaɖo kpe esia dzi la, wowɔa X-ray koŋ . X-ray la ate ŋu akpɔe nyuie ne ƒua gbã, afisi wògbã le, kple ne ƒu kakɛawo le ʋuʋum.
Le ƒunukpeƒetetedɔ sesẽ aɖewo, vevietɔ esiwo te ɖe ƒunukpeƒewo ŋu me la, ɖɔkta ate ŋu abia be woawɔ CT-dɔdamɔnu alo MRI-dɔdamɔnu ne ehiã nyatakaka bubuwo.Woate ŋu adɔ dodokpɔwo. Esiawo ate ŋu adi nusiwo gblẽ le ƒuwo kpakple lãkusi falɛfalɛ siwo ƒo xlã wo ŋu.
Aleke wowɔa atike nɛ? Ɣeyiɣi didi kae wòxɔna hafi wòhayana?
Atikewɔwɔ ƒe mɔnu nɔ te ɖe wò gbagbã ƒe ƒomevi, teƒe si nèle, kple alesi wòsẽe dzi.
- Ƒu ƒe gbagbã si meɖea ƒu o: Ƒu ƒe gbagbã si meɖea ƒu o nye esi me ƒu kakɛawo meɖena le o eye mehiã be woawɔ dɔ nɛ o. Ðɔktaa ate ŋu atso nya me be yeatsɔ afɔkpa , aŋekotoku , alo afɔkpa si wotsɔna zɔa afɔae be wòagaʋuʋu o. Ate ŋu aɖo aɖaŋu hã be nàzã atizɔtiwo atsɔ akpe ɖe ŋuwò nàʋuʋu evɔ màtsɔ agba ɖe edzi o.
- Gbagbãƒe Siwo Trɔna/Gbɔe Sesẽ: Ne ƒu kakɛawo mele teƒe aɖeke o, alo ne ƒu gbagbãa gblẽ nu le afɔkpodzi ƒe ƒunukpeƒe ŋu la, ate ŋu ahiã be woawɔ dɔ nɛ . Esia bia be woagbugbɔ ƒu kakɛawo aɖo wo nɔƒe eye woazã agbalẽviwo kple gaviwo atsɔ alé wo ɖe wo nɔƒe.
- Vevesesenutsitikewo: Wò ɖɔkta aŋlɔ atike siwo hiã be nàtsɔ aɖu vevesesea dzi na wò.
Ɣeyiɣi si woatsɔ ada dɔe la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Gake zi geɖe la, exɔa abe kwasiɖa 6-8 ene hafi ƒua hayana nyuie. Le ɣeyiɣi sia me la, ele vevie ŋutɔ be nàɖi ɖe eme abe alesi wò ɖɔkta gblɔe na wò ene, mègatsɔ kpekpeme ade wò afɔ dzi o, eye nàyi atikewɔƒewo ɖe game dzi.
Ne ƒua haya vɔ la, afɔ ƒe lãmekawo ate ŋu agbɔdzɔ eye ƒunukpeƒewo ate ŋu asẽ. Eyata ɖɔktaa aɖo wò ɖe lãmesẽfefewɔƒe . Ne ède kame le kamededeŋutinunyala ƒe aɖaŋuɖoɖo te la, àte ŋu ahaya kaba eye nàtrɔ ayi dɔ siwo nèwɔna ɖaa dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Fibular fracture nye afɔ ƒe ƒu tsɛ si le gota si le klo te la ƒe gbagbã. Esia bɔ wu alesi nàsusui.
- Aɖuɖɔtoe, anyidzedze, kple kamedefefe me afɔkuwo koŋue hea esia vɛ.
- Vevesese sesẽ, vuvu, kple azɔlizɔzɔ sesẽe nye dzesi vevitɔwo. Mègasusu be "le esi nète ŋu zɔ ta ko la, menye ƒu gbagbãe wònye o."
- Ne ƒua gbã to ŋutigbalẽa me, afɔa ƒe nɔnɔme trɔ, alo asibidɛwo vuvu la, yi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
- Atikewɔwɔ ƒe ɖoɖoa nɔ te ɖe alesi gbegbe ʋua ƒe gbagbã le dzi. Ðɔkta ƒe mɔfiamewo dzi wɔwɔ pɛpɛpɛ le vevie be wòahaya kaba.
- Le hayahaya megbe la, ele vevie ŋutɔ be woado ŋusẽ afɔa to kamedede me.











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