Dɔwɔwɔ Le Dɔwɔwɔ Megbe Dɔwɔnawo Kple Asidɔdamɔnu
Amekoko me tsonu dzidzedzetɔe nɔ te ɖe dɔwɔwɔ vɔ megbe ɖɔɖɔɖo dzi vevie. Ʋuʋu si dzi wokpɔna kaba kpena ɖe ame ŋu be wòaxe mɔ ɖe lãmekawo ƒe sesẽ kple woƒe ƒoƒo ɖe wo nɔewo ŋu nu.
Zi geɖe la, gbugbɔgaɖɔɖo ƒe ɖoɖo si wowɔ ɖe ɖoɖo nu la lɔ:
Amekola kple asidɔdala dome nuwɔwɔ aduadu kplikplikpli le vevie hafi ame nahaya nyuie wu.
Nu Tɔxɛ Siwo Ŋu Woabu le Dɔnɔwo ƒe Ƒuƒoƒo Vovovowo Me
Kamedefefewɔlawo
Zi geɖe la, kamedefefewɔlawo biaa be:
Trɔ yi fefea me kabakaba wu
Fixation si li ke si ɖea mɔ na ʋuʋu kaba
Ametakpɔnu ƒe ka si wotsɔ blaa ame le hayahayaɣi
Asidɔwɔlawo
Le dɔwɔla siwo ɖoa ŋu ɖe asiléle ƒe ŋusẽ ŋu gome la, atikewɔwɔ tsɔa nu vevitɔwo ɖoa nɔƒe gbãtɔ:
Dɔnɔ Tsitsiwo
Ƒu ƒe nyonyome kple dɔléle siwo kpe ɖe eŋu kpɔa ŋusẽ ɖe atikewɔwɔ tiatia kple dɔyɔyɔ ƒe ɣeyiɣiɖoɖo siaa dzi.
Ɣeyiɣi Didi ƒe Emetsonuwo Kple Nyagblɔɖi
Ne wokpɔ dɔa dzi nyuie la:
Dɔnɔ akpa gãtɔ ƒe asi gawɔa dɔ abe alesi wònɔna ɖaa ene kloe
Zi geɖe la, asiléle ƒe ŋusẽ gaɖoa >90% le gɔmedzedzea me
Nuwɔametɔnyenye ɣeyiɣi didi mebɔ o
Zi geɖe la, emetsonu gbegblẽwo do ƒome kple dɔlélea didi ƒe megbetsitsi, tɔtrɔ ƒe nɔnɔme madeamedzi si womeda dɔ na o, alo ɖɔɖɔɖo si mesɔ o.
Nusita Metacarpal Fracture Dzikpɔkpɔ Bia Eŋutinunya Tɔxɛ
Togbɔ be abɔta ƒe gbagbã bɔ hã la, wo dzi kpɔkpɔ bia be woase ŋutilã ƒe wɔwɔme gɔme pɛpɛpɛ eye woabu dɔwɔwɔ ŋu nyuie. Vodada suesuesue siwo wowɔna le alesi wowɔa nu ɖe ɖoɖo nu me ate ŋu akpɔ ŋusẽ gã aɖe ɖe asi ƒe dɔwɔwɔ dzi.
Esia tae egbegbe nuveviwɔame dzi kpɔkpɔ te gbe ɖe edzi be:
Nyabiasewo ƒe Akpa
Gbagbã ƒe nɔnɔme kawoe ɖee fia vevie wu be amekoko naɖo ame ŋu?
Amekoko ƒe nuléle ɖe teƒe ɖeka koŋue woɖena fiana to tɔtrɔ ƒe nɔnɔme madeamedzi, dzogoe si meli ke o, abɔta ƒe akpa geɖe ƒe gomekpɔkpɔ le eme, abɔta ƒe gbagbã si le ʋuʋu ɖi, ƒunukpeƒetetedɔ ƒe kekeɖenudɔwɔwɔ, alo eƒe kpododonu le ʋuka me ɖeɖeɖa si wotu me. Le esiawo dome la, wobua tɔtrɔ ƒe masɔmasɔ be eyae ɖe dzesi wu le dɔwɔwɔ me.
Dzogoe nenie da asi ɖe dɔwɔwɔ dzi le metacarpal fractures me?
Dzogoe si dzi woda asi ɖo la toa vovo le xexlẽdzesiwo nu. Zi geɖe la, woɖea mɔ ɖe dzogoe si lolo wu ŋu le ulnar metacarpals me wu radial metacarpals. Gake womate ŋu alɔ̃ ɖe tɔtrɔ ƒe nɔnɔmetɔtrɔ ɖesiaɖe dzi o, eɖanye dzogoe ƒe mɔɖeɖe ɖe eŋu o.
Nukatae wobua tɔtrɔ ƒe nɔnɔmetɔtrɔ be ele vevie wu dzogoedzidzedze?
Trɔtrɔ ƒe nɔnɔme madeamedzi nana asibidɛwo ƒoa xlã wo nɔewo le wo bɔbɔ me, si gblẽa nu le asiléƒe ƒe mɔ̃ɖaŋununya kple asi ƒe dɔwɔwɔ ŋu vevie. Trɔtrɔ suetɔ kekeake gɔ̃ hã ate ŋu ana dɔwɔwɔ nagblẽ le mɔ si mesɔ o nu eye ƒunukpeƒe siwo te ɖe wo nɔewo ŋu mexea fe ɖe eta nyuie o.
Viɖe vevi kawoe le plate fixation ŋu le metacarpal fractures me?
Plate fixation naa:
Eɖea vi ŋutɔ le abɔta ƒe gbagbã, eƒe nɔnɔme siwo wogbã, kple abɔta ƒe abi geɖe me, togbɔ be ehiã be woawɔ dɔ nyuie le lãkusi falɛfalɛwo ŋu be woaɖe lãkusi ƒe dzikudodo dzi akpɔtɔ hã.
Nɔnɔme kawo mee Kirschner kawo nyo wu le?
Wozãa K-ka ƒe fixation zi geɖe na:
Metacarpal kɔ ƒe gbagbã
Gbagbã ƒe nɔnɔme siwo mesẽ boo o
Ɣeyiɣi kpui aɖe ƒe liƒolili
Ðeviwo ƒe dɔlélewo alo esiwo mehiã boo o
Togbɔ be womewɔa nu boo aɖeke o hã la, zi geɖe la, K-kawo hiãna be woaxe mɔ ɖe wo nu ɣeyiɣi didi ne wotsɔe sɔ kple plate fixation.
Akpa kae intramedullary fixation wɔna le egbegbe metacarpal fracture dada me?
Intramedullary fixation naa dadasɔ le liƒo kple lãmeka falɛfalɛwo ƒe tɔtɔ suetɔ kekeake dome. Eɖea mɔ na ʋuʋu do ŋgɔ wu tomeka ƒoƒo esime wòƒoa asa na kuxi aɖewo siwo do ƒome kple agbalẽvi, si wɔe be wòsɔ na akɔta kple kɔ ƒe gbagbã tiatia aɖewo.
Aleke amewo ƒoƒo ƒu kaba kpɔa ŋusẽ ɖe nusiwo ado tso eme ɣeyiɣi didi dzii?
Nuƒoƒoƒu si dzi wokpɔna kaba ɖea:
Ƒunukpeƒewo ƒe sesẽ
Tendon ƒe adhesions
Lãmetsiwo ƒe gbagbã
Fixation si li ke si ɖea mɔ na ʋuʋu kaba nye nu vevi aɖe si dea dzesi dɔwɔwɔ ƒe hayahaya, vevietɔ le dɔnɔ siwo wobia tso wo si vevie gome.
Dɔwɔwɔ vɔ megbe kuxi kawoe wòle be amekolawo nalé ŋku ɖe wo ŋu nyuie?
Kuxi siwo bɔ dometɔ aɖewoe nye:
Dɔwɔwɔ ƒe gbɔdzɔgbɔdzɔ ɣeyiɣi didi ƒe akpa gãtɔ do ƒome kple alesi womewɔa nu ɖe ɖoɖo nu nyuie o alo gbugbɔgaɖɔɖo si tsi megbe.
Aleke atikewɔwɔmɔnu vovovowo to vovo na kamedefefewɔlawo kple asidɔwɔlawoe?
Le kamedefefewɔlawo kple asidɔwɔlawo gome la, wotsɔa:
Fixation si li ke
Trɔ yi dɔwɔwɔ gbɔ kaba
Ɣeyiɣi didi ƒe anyinɔnɔ
Amekoko ƒe dzidzenuwo ate ŋu anɔ ʋɛ wu le ameha siawo me le dɔwɔwɔ ƒe didi si lolo wu ta.
Nu kawoe kpɔa ŋusẽ ɖe dɔwɔwɔ ƒe nyagblɔɖi si anɔ anyi ɣeyiɣi didi dzi wu?
Nu vevi siwo woate ŋu agblɔ ɖi dometɔ aɖewoe nye:
Ne wowɔ nu siawo wònyo wu la, dɔnɔ akpa gãtɔ kpɔa asi ƒe dɔwɔwɔ si sɔ kloe.
