Yu dɔn ɛva gɛt big motoka aksidɛnt, ɔ fɔdɔm frɔm ayt, ɛn fil pen we yu nɔ go ebul fɔ bia na yu hip? Sɔntɛnde, di pen kin so bad dat yu nɔ kin ivin ebul fɔ muv yu leg. Bɔku pipul dɛn kin tink se, "O, mi hip dɔn brok." Bɔt sɔntɛnde dis kin kɔmplikt smɔl pas simpul hip fraktrɔs, ɛn i kin bi fraktrɔs we nid fɔ pe atɛnshɔn to bɔku. Dat na wan pan dɛn siriɔs kɔndishɔn we wi de tɔk bɔt tide, di Acetabular Fracture.
Fɔ tɔk am simpul wan, wetin na Acetabular Fracture?
Fɔ ɔndastand dis, lɛ wi fɔs luk aw dɛn mek wi hip bon. Tink bɔt wi hip lɛk bɔl ɛn sɔkɛt jɔyn. dis dεn kכl am "bol-εn-sכkεt" jכyn.
- Bɔl: Dis na di sfɛri pat we de ɔp wi shɔl bon. pan mεdikal tεm, wi kin kכl dis di ``Femoral head``.
- Sɔkɛt: Dis bɔl kin fit insay wan tin we tan lɛk kɔp na wi bɔdi we dɛn kɔl asetabulum .
Dis wɔndaful jɔyn de ɛp wi fɔ du ɔlkayn muvmɛnt, lɛk fɔ waka, rɔn, bɛn, ɛn strɛch wi leg dɛn. So, Acetabular Fracture na frakshכn na di sכkεt (Acetabulum) na di hip. Dis nɔ kin siriɔs pas we di hip bon we de ɔp brok, bɔt i kin rili siriɔs if i apin.
Wetin na di difrɛn patɛns ɛn di kayn we aw dɛn kin brok dɛn yay?
di asetabulum kin brok difrεn we dεm, na difrεn ples dεm. Dɔktɔ dɛn kin klas dɛn fraktrɔs ya bay usay dɛn de ɛn di we aw di fraktrɔs de. Lɛ wi luk di men kayn dɛn.
| Fraktrɔs Tayp | Simpul ɛksplen |
|---|---|
| Frakshכn na di antεriכr wכl | wan frakshכn na di antεriכr wכl כ rim na di hip sכkεt. |
| Fraktrɔs na di wɔl we de biɛn | wan rupchכ na di wכl כ rim fכ di posita aspek fכ di hip sכkεt. |
| Transvas fraktrɔs we pɔsin kin gɛt | di asetabulum de brok כrizכnal, na εksakכt 90 digri. |
| Fraktכs we dεn kכmכt | Dis na tin we kin rili bad smɔl. Dɛn kin brok di bon to pas tu pat. |
| Stress fraktrɔs we pɔsin kin gɛt | wan rili sכm, dilik krak na di bon we de kכmכt bikoz fכ lכng tεm, kכntinyu prεshכn (e.g., insay atlet dεm). |
Aw yu go no aw i at fɔ lɛ pɔsin skata?
Sɔntɛnde dis bon kin brok tu, ɔda tɛm dɛn i kin brok brok. Yu dɔktɔ go tink bɔt sɔm tin dɛn fɔ no aw yu brok brok.
- Nɔmba ɛn saiz fɔ di bon dɛn we brok: Di mɔ fragmɛnt dɛn, na di mɔ di tin kin siriɔs.
- Aw di bon pat dɛn dɔn muf frɔm usay dɛn bin de fɔs: If dɛn dɔn pul bɔku pan di bon pat dɛn, i kin nid fɔ du ɔpreshɔn.
- Damej pan di katilej na di joyn: If di katilej we de ɛp di joyn fɔ wok fayn fayn wan dɔn pwɛl, tin dɛn lɛk at at kin apin tumara bambay.
- Damej pan di mכsul dεm, nerv dεm, εn skin we de rawnd di hip.
Wan tin we yu fɔ mɛmba na we pɔsin brok ɔ we gɛt kɔmpawnd . Dis min se wan pat pan di bon we brok dɔn brok tru di skin ɛn i de kɔmɔt na do. Dis na wan sik we rili siriɔs. Bikɔs chans de fɔ mek smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Wetin mek dɛn kin brok da kayn we de?
di bon dεm na wi bכdi gεrd, inklud di asetabulum, rili strכng. So i tek wan pawa we rili strɔng fɔ mek i brok dɛn. De tin wae kin mek pɔrsin gɛt dis sik na:
- Siriɔs aksidɛnt: Tin dɛn lɛk motoka ɛn motoka aksidɛnt.
- Fɔdɔm frɔm ay ay ples: Fɔdɔm frɔm ay ples, lɛk tik ɔ bildin.
Bɔt i nɔ nid fɔ bi big aksidɛnt ɔltɛm. Dɛn fraktrɔs ya kin apin bak to pipul dɛn we gɛt wik bon , mɔ di wan dɛn we gɛt ɔstioporosis, we na wan sik we kin mek dɛn bon dɛn tan as wi de ol.Wan ol pɔsin we gɛt dis sik kin gɛt siriɔs fraktrɔs lɛk dis ilɛksɛf dɛn slip ɛn fɔdɔm na os.
Wetin na di sayn dɛm fɔ dis?
di men εn di mכst klia simptom fכ acetabular frakshכn na we yu nכ de bia, siriכs pen na di hip εria. Dis pen kin wɔs if yu tray fɔ muv di leg.
Apat frɔm dat, if di frakshɔn dɔn pwɛl di nerv dɛn we de nia yu, yu kin gɛt sɔm sayn dɛn lɛk:
- Yu nɔ gɛt bɛtɛ trɛnk ɔ yu kin fil lɛk se yu gɛt ilɛktrik shɔk dɔŋ di leg.
- Di leg kin swɛ ɔ wik.
If yu gɛt dɛn sik ya, yu fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
Aw dɔktɔ kin no bɔt dis?
Di dɔktɔ we de chɛk yu go tek tɛm luk yu bɛlɛ, yu hip, ɛn yu leg fɔs. Bak,
- Dɛn go aks yu fɔ muv yu anklɛ ɛn fut finga dɛn fɔ chɛk fɔ si if yu nerv dɔn pwɛl.
- Dipen pan di kayn aksidɛnt , dɛn kin chɛk ɔda injuri dɛn bak.
Dɔn, fɔ kɔnfɔm di rayt we aw di fraktrɔs tan ɛn ɔndastand aw i siriɔs, dɛn kin du tɛst dɛn lɛk dɛn wan ya:
- X-ray: Dis kin sho us bon dεm na di hip dεn brok εn aw di pis dεm de posishכn.
- CT skan: Dis kin tek kכros-sekshכnal imej dεm fכ di hip. Dis rili impɔtant fɔ ɔndastand di kayn we aw di fraktrɔs de siriɔs ɛn di kɔmpleks patɛn.
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
Di tritmɛnt we dɛn kin du kin dipen pan di patɛn ɛn aw yu brek ɔut kin tranga.
Kes dɛm we dɛn nɔ nid fɔ du ɔpreshɔn
Sɔntɛnde, if di brok brok nɔ tu bad, we min se di bon fragmɛnt dɛn nɔ muf tu fa frɔm usay dɛn bin de (a stebul frakt), di dɔktɔ kin disayd fɔ trit di brok brok we dɛn nɔ gɛt ɔpreshɔn. If dɛn kayn tin ya apin, dɛn kin advays dɛn fɔ du dɛn tin ya:
- Krɔch ɔ pɔsin we de waka : Dɛn nɔ go alaw yu fɔ put yu leg dɔŋ te di bon wɛl ɔl, we na lɛk 12 wik.
- Divays dɛm fɔ mek di leg nɔ muv: Yuz abdukshɔn pilo ɔ knee immobilizer fɔ stɔp di hip fɔ muv abnɔmal wan.
- Di tin dɛn we de mek yu nɔ fil pen: Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen.
- Anti-coagulants: Bikɔs yu nɔ ebul fɔ waka ɛn de na wan ples, risk de fɔ mek blɔd klɔt na di vein dɛn na yu leg. Dɛn kin gi dɛn mɛrɛsin ya fɔ mek dis nɔ apin.
Kes dɛn we dɛn nid fɔ du ɔpreshɔn
infakt, di mכtalman fכ di asetabular frakshכn dεm nid fכ כpεrayshכn.
Di dɔktɔ we de du di ɔpreshɔn go pik wan pan dɛn we ya dipen pan di kayn we aw di bɔdi brok:
1. Open Reduction and Internal Fixation (ORIF): Fɔ tɔk am simpul wan, dis kin min fɔ mek dɛn du ɔpreshɔn fɔ muv di bon pat dɛn we dɔn brok bak usay dɛn bin de fɔs ɛn afta dat dɛn yuz plet ɛn skru fɔ ol dɛn togɛda. Dɛn tin ya kin de insay di bɔdi te di bon dɛn wɛl.
2. Tɔtɔl Hip Riplesmɛnt: If di asetabulum tu wik ɔ i dɔn pwɛl fɔ mek dɛn ripɛnt am, yu dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn. Dis min se dɛn kin pul di wan ol hip jɔyn ɛn di katilej ɛn put atifishal jɔyn insay in ples .
Us kɔmplikɛshɔn dɛn kin apin we dis rupchɔ?
Bikɔs dis na siriɔs injury, risk de fɔ mek sɔm prɔblɛm dɛn apin. I rili impɔtant fɔ no bɔt dɛn tin ya.
| Kɔmplikɛshɔn | Simpul ɛksplen |
|---|---|
| Arthritis we kin apin afta pɔsin dɔn gɛt di sik | Di fraktrɔs de pwɛl di katilej we de na di jɔyn. Dis kin mek yu gɛt at at as tɛm de go. |
| di bכdi we di bon de lכs (Avascular necrosis) . | Di brok brok kin pwɛl di blɔd vesel dɛn we de gi blɔd to di bon. We di blɔd dɔn lɔs, di bon sɛl dɛn kin day ɛn di bon kin bigin fɔ fɔdɔm. |
| Sik we de prɛd | Infεkshכn kin apin na di sכfa כ dip insay di כpεrayshכn wund. Dip infekshɔn dɛn kin nid fɔ ɔpreshɔn fɔ klin di wund. |
| Blɔd we de klɔt | If yu de na wan ples afta yu dɔn ɔpreshɔn, dat kin mek di blɔd nɔ go na di leg dɛn ɛn i kin mek di blɔd klɔt. |
| Sciatic nerve injuri we pɔsin kin gɛt | Bikɔs dis nɛv de rɔn biɛn di hip jɔyn, i kin pwɛl we i brok ɔ ɔpreshɔn. dis kin mek yu gεt wan kכndyushכn we dεn kכl "fut dכp" (inability fכ es di ankכl εn di tכd dεm we yu de waka). |
| di bon dεm we nכ de gro (Hεterotopik כsifikεshכn) . | wan kכndyushכn we nyu bon de gro insay sכft tisu dεm lεk di mכsul dεm we de rawnd di hip. |
Di we aw pɔsin kin wɛl ɛn aw i kin wɛl
Pen na nɔmal tin afta dɛn dɔn du di ɔpreshɔn. Di dɔktɔ go gi yu di mɛrɛsin dɛn we yu nid fɔ mɛn yu pen.
Yu go mɔs nid krach ɔ pɔsin we de waka we yu bigin fɔ waka bak. Yu go ebul fɔ bia sɔm wet pan yu leg afta lɛk 6-8 wik. Bɔt, i go tek sɔm mɔnt fɔ mek i waka ful wan.
Fyzikal tritmɛnt na wan impɔtant pat pan dis joyn. I nid fɔ du ɛksɛsayz fɔ mek di hip ebul fɔ muv bak ɛn fɔ mek di mɔsul dɛn strɔng. As tɛm de go, yu dɔktɔ go advays yu fɔ muf go du ɛksɛsayz dɛn we nɔ go ambɔg yu, lɛk fɔ swim ɔ fɔ rayd baysikul we nɔ de muv. Bɔt yu go nid fɔ wet fɔ lɛk 6 to 12 mɔnt bifo yu du tin dɛn we go mek yu taya.
Mɛmba se if yu na pɔsin we de smok, di we aw di bon dɛn kin wɛl kin slo pasmak. Ɛn di risk fɔ gɛt prɔblɛm dɛn bak kin bɔku. So, i rili impɔtant fɔ yu wɛlbɔdi fɔ avɔyd fɔ smok ɔltogɛda insay dis tɛm.
Yu fɔ wɛl ɔltogɛda kin dipen pan bɔku tin dɛm, lɛk aw di frakshɔn tranga, yu ej, ɛn yu ɔl wɛl bɔdi. Pan ɔl we sɔm pipul dɛn kin ebul fɔ go bak to di lɛvul we dɛn bin de du trade, ɔda wan dɛn nɔ kin ebul fɔ go bak to di lɛvul we dɛn bin de du trade. So, i impɔtant fɔ peshɛnt ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
Mɛsej we dɛn kin kɛr go na os
- asetabular frakshכn na we di sכkכt we de hכl di bכl na di hip. Dis na siriɔs tin we kin apin bikɔs ɔf siriɔs aksidɛnt.
- Di men sayn na di pen we yu nɔ go ebul fɔ bia na di hip eria.
- If yu gɛt injury lɛk dis, yu fɔ go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm ɛn nɔ de te.
- Bɔku tɛm, dɛn kin nid ɔpreshɔn fɔ mek dɛn frakt dɛn ya fayn, ɛn di we aw dɛn kin wɛl kin tek sɔm mɔnt.
- Fyzikal tritmɛnt na impɔtant pat pan di tɛm we pɔsin kin wɛl.
- Ɔltɛm fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi dɔn gi yu di rayt we. If yu peshɛnt ɛn trit yu, yu go ebul fɔ liv gud layf bak.
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