I kin fil lɛk se yu bon dɔn brus? (Bone Contusion) Mek wi tok abaut dis!

Yu no, na nɔmal tin fɔ gɛt smɔl brus ɔ skrap we wi de wok ɔ ple ɛvride. Ilɛksɛf na fɔ nak tebul ɔ fɔ ple wit yu pikin dɛn, sɔntɛnde yu go gɛt blu ɔ pepul spat na yu skin. Bɔt tide wi go tɔk bɔt wan brus we dip smɔl ɛn nid fɔ pe atɛnshɔn smɔl. Dɛn kɔl dat bon kɔntushɔn .

Wetin na Bɔn Kɔntushɔn?

Fɔ tɔk am simpul wan, we yu bon brus, dat kin wund yu bon. I jɔs tan lɛk brus na yu skin. Bɔt, i siriɔs smɔl pas fɔ gɛt brus na di say we di skin de. Sɔntɛnde dɔktɔ dɛn kin kɔl am ‘bon kɔntushɔn’. Kɔntushɔn na di mɛrɛsin we dɛn kin yuz fɔ tɔk bɔt brus.

Brus na we blɔd gɛda ɔnda yu bon afta yu dɔn blo am tranga wan. Yu bon dɛn bak na tisu we gɛt layf. Jɔs lɛk aw yu skin kin brus, na so yu bon dɛn kin brus bak. Bɔt bon kin brok we dɛn nak yu wit bɔku pawa pas fɔ jɔs brok yu skin. Di bon kin blɔd kɔmɔt insay we i nɔ brok.

Imajin, if yu fɔdɔm ɔ gɛt motoka aksidɛnt, ɛn yu fil shap shap pen lɛk se i kɔmɔt na bon, yu rili nid fɔ go to dɔktɔ ɔ go na ɔspitul.

Ɛni kayn brus de?

Naw lɛ wi luk di kayn bon dɛn we kin brok. Dɔktɔ kin sheb dɛn fraktrɔs ya bay usay dɛn de:

• Periosteal contusion: di periosteum na wan tin we de rawnd bɔku pan yu bon dɛm ɛn i gɛt blɔd vesel ɛn nerv dɛm. Dis na brus to dis mɛmbran.
• sכbkכndral lεshכn: dis kin apin na wan jכint, dat na di bon we de dכn di kכtilaj na di jכint dεm. Tink bɔt am lɛk di ni.
• Intraosseous contusion: Insay dis kes, di brus de insay di bon.

Usay dɛn kin si am mɔ?

I kɔmɔn fɔ mek dɛn bon brus ya kin apin afta big aksidɛnt ɔ bad bad injuri. fכ egzampl, akɔdin to masta sabi pipul dεm, lεk 80% pan di pipul dεm we de te di ACL (Anterior Cruciate Ligament) na di kכn gεt bon brus na di kכn jכint bak.

Fɔ tru, dɛn brus ya kin apin na ɛni bon na di bɔdi. Bɔt dɛn kin bɔku mɔ na di lɔng bon dɛn, mɔ di wan dɛn we de na yu leg dɛn:

• Femur we de na di bɔdi
• Shin bon (Tibia) .
• Fibula (smɔl bon biɛn di tibia) .

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Wetin yu de fil?

Okay, naw lɛ wi luk di simptom dɛm fɔ bon brus. Yu kin fil tin dɛn lɛk dis:

• Bon pen: Na shap, dip pen.
• Tɛnd: I kin at bad bad wan we yu tɔch di say .
• Swel: Di say we yu brus kin swel.
• Brus ɔ di kɔlɔ we de chenj na di skin: Sɔntɛnde di say we di skin de ɔp kin tɔn blu/pɔpul bak.

Aw dis kin fil?

Bɔn brus kin fil lɛk se yu de fil pen smɔl, dip pas di nɔmal skin brus. Brus na di skin ɔ wan pat pan di bɔdi kin at we yu tɔch am. Bɔn brus kin fil lɛk dɔl, pen pen we kin kɔmɔt dip insay di bɔdi. Sɔntɛnde, i kin dipen pan di bon we wund, di pen kin wɔs we yu de muv, tinap, ɔ ol sɔm pozishɔn dɛn.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Wetin mek bon brus kin apin? Fɔ tɔk am simpul wan, dis sik kin apin if yu nak sɔntin tranga wan fɔ pwɛl yu bon dɛn.

Bɔku tɛm dis kin mek pɔsin gɛt siriɔs aksidɛnt ɛn wund:

• Spɔt aksidɛnt: Imajin se bɔl bit yu bad bad wan we yu de ple kriket, ɔ fɔdɔm we yu de ple futbɔl.
• Fɔl: Na fɔdɔm frɔm ay, lɛk we pɔsin fɔdɔm dɔŋ wan stej.
• Aksidɛnt dɛn we kin apin na motoka.

Injury we gɛt fɔ du wit fɔ twis yu jɔyn ɔ bɔdi kin mek yu bon brok mɔ. fכ egzampl, if yu ankכl כ in kכn sכmtεm sכmtεm, i kin mek yu bon brok bikoz fכ di prεshכn we i de put pan di bon dεm.

Udat dɛn de pan big risk?

Ɛnibɔdi kin gɛt bon we brok, bɔt sɔm pipul dɛn kin gɛt smɔl prɔblɛm:

• Plɛya dɛn we de ple kɔntakt spɔt: lɛk rɔgbi ɛn bɔksin.
• Pipul dɛn we gɛt wok ɔ tin dɛn we dɛn kin lɛk fɔ du we nɔ izi fɔ dɛn bɔdi.
• Pipul dɛn we gɛt sɔm kayn blɔd dizayd.
• Pipul wae gɛt joyn sik lɛk at at sik.

Wetin kin apin if dɛn nɔ gi dɛn tritmɛnt? (Kɔmplikeshɔn dɛn) .

If dɛn nɔ trit dis bon brus kwik kwik wan, i kin mek yu bon dɛn wik ɛn ivin mek yu bon brok . Bɔku tɛm, di sem aksidɛnt dɛn we kin mek yu bon brus kin mek yu bon brok bak.

Imajin, yu bon dɔn brus, bɔt if yu nɔ pe atɛnshɔn to am ɛn kɔntinyu fɔ yuz am, put prɛshɔn pan am, di damej kin bɔku ɛn di bon kin krak ɔ brok.

Aw dɔktɔ kin no dis?

Naw lɛ wi si aw dɔktɔ go ebul fɔ no kɔrɛkt wan se in bon dɔn brok. Dɔktɔ go chɛk yu ɛn du sɔm imej tɛst fɔ kɔnfirm dis.

Yu dɔktɔ go tek tɛm luk yu bon we wund ɛn di say we de rawnd am. Yu fɔ tɛl yu dɔktɔ bak we yu fɔs bigin fɔ gɛt sɔm sayn dɛn lɛk pen ɛn swel, ɛn if yu no wetin mek i apin (lɛk fɔdɔm ɔ spɔt aksidɛnt). Dɔn bak, tɛl am if dɛn sik ya kin bɔku (ɔ kin stɔp) wit sɔm tin dɛn we i de du, we i de muv, ɔ we i de tinap.

Us kayn tɛst dɛn kin du?

Yu dɔktɔ kin yuz difrɛn difrɛn tɛst dɛn fɔ tek pikchɔ fɔ yu bon dɛn ɛn di say dɛn we de rawnd yu:

• MRI (Magnetic Resonance Imaging) scan: Dis na di we we yu kin si klia wan se yu bon brok.
• Ultrasound egzamin.
• CT (Kɔmpyuta Tomografi) skan.

X-ray nɔ kin sho se yu bon dɔn brus. Bɔt dɔktɔ kin tek ɛkstrem rayt fɔ chɛk if in bon dɔn brok.

Wetin na di tritmɛnt dɛn? Wetin a go du fɔ mek a wɛl?

Okay, naw mek wi si wetin na di tritmɛnt fɔ dis. Di dɔktɔ go advays yu fɔ ridyus di prɛshɔn we de pan di bon we wund ɛn trit am di we we go ɛp am fɔ wɛl.

Bɔku pipul dɛn kin ebul fɔ mɛn dɛn sik ya na os bay we dɛn de yuz di RICE we :

• R (Rɛst): Nɔ du tin tranga wan fɔ du yu bɔdi. Tray fɔ avɔyd fɔ yuz di pat we wund as yu ebul te i wɛl.
• I (Ays): Put ays pak na di say we yu wund fɔ lɛk 15 minit bɔku tɛm insay di de. Mɛmba fɔ rap di ays pak wit tin klos so dat i nɔ go tɔch di skin dairekt wan.
• C (Kכmpreshכn): Rap wan εlastik bεndεj rawnd di bon we inju fכ ridyus di swεl. Yu dɔktɔ go sho yu aw fɔ du dis fayn fayn wan.
• E (Elevation): Kip di bon we inju pas di lεvεl na yu at εni tεm we i pכsibul.

Ɔda tritmɛnt dɛn de:

• Mεdikeshכn dεm: fכ ridyus di swεl εn pen, yu dכkta kin gi yu pen kεl dεm lεk NSAID (Nonsteroidal Anti-inflammatory Drugs) (e.g. ibuprofen) כ asetaminophen (e.g. Panadol). Yu dɔktɔ go tɛl yu ustɛm yu fɔ tek dɛn mɛrɛsin ya ɛn aw ɔltɛm yu fɔ tek. Nɔ tek mɛrɛsin fɔ mɛn pen ɔltɛm fɔ pas 10 dez we yu nɔ go to yu dɔktɔ.
• Fizik tritmɛnt: Wan dɔktɔ we de mɛn yu go tich yu fɔ du ɛksɛsayz ɛn fɔ strɛch fɔ ɛp fɔ mek yu mɔsul dɛn strɔng, fɔ mek yu ebul fɔ chenj, ɛn fɔ mek yu ebul fɔ muv bak na wan pat na yu bɔdi. Dis kin ɛp mɔ if di sprain de insay ɔ nia wan jɔyn.
• Immobilization: Yu dɔktɔ kin tɛl yu fɔ wɛr splint , bres , ɔ kast (lɛk plasta na Paris). Dɛn tin ya kin ol yu bon na in ples, dɛn kin ridyus di prɛshɔn pan am, ɛn ɛp am fɔ wɛl. Yu dɔktɔ go tɛl yu bak aw lɔng yu fɔ kip am na in ples.

Aw kwik i go wɛl?

As yu bigin fɔ kɔntrol yu sayn dɛm, yu go bigin fɔ fil fayn smɔl smɔl. As yu bigin fɔ tek mɛrɛsin fɔ mek yu fil pen ɛn nɔ yuz di bon we wund, di pen ɛn swɛlin fɔ stɔp smɔl smɔl.

Bɔt nɔ bigin fɔ du ɛnitin bak te yu dɔktɔ tɛl yu fɔ du dat. I kin tek tɛm fɔ mek yu bon gɛt in trɛnk bak ful wan ɛn wɛl ɔltogɛda.

If yu put prɛshɔn pan bon we brok bifo i wɛl (bay we yu de ple spɔt, go wok, ɔ du ɛksɛsayz we yu de du tranga wan), di risk fɔ mek yu brok na di wik ples nia di brus go bɔku.

Wetin wi fɔ ɛkspɛkt?

Yu kin op se yu bon we brok go wɛl. Bɔt i kin tek tɛm, ɛn sɔntɛnde i kin mek wi at pwɛl smɔl.

Brus na di skin nɔ kin wɔs (pan ɔl we i kin at if yu fɔgɛt fɔ pik am). Bɔt bon brus kin difrɛn. Bikɔs na injury na di bon, i impɔtant fɔ gi yu bɔdi tɛm fɔ wɛl. Dipen pan usay di brus de, yu kin nid fɔ de fa frɔm sɔm tin dɛn fɔ sɔm tɛm. I kin mek yu at pwɛl mɔ if yu fɔ stɔp fɔ ple spɔt, gem, ɔ sɔntin we yu lɛk fɔ du fɔ sɔm tɛm.

Tɔk to yu dɔktɔ bɔt aw lɔng yu fɔ avɔyd fɔ du bɔku bɔku bɔdi ɔ fɔ du ɛksɛsayz. Da we de, yu go gɛt klia aidia bɔt wetin fɔ ɛkspɛkt.

Aw lɔng i kin tek fɔ mek i wɛl?

Bɔn brus kin tek tɛm fɔ wɛl. Bɔku pan di bon brus dɛn kin wɛl insay sɔm wiks. Bɔt, wan brus we rili bad kin tek mɔnt (ɔ ivin lɔng pas dat) fɔ mek i wɛl ɔl.

Aw lɔng i kin tek fɔ mek bon brus wɛl, i kin dipen pan us kayn brus i bi, us bon i de pan, ɛn if ɔda injuri dɛn bin de di sem tɛm.

Aw yu go avɔyd dis? (Aw fɔ avɔyd am?)

Sɔntɛm yu nɔ go ebul fɔ mek yu nɔ brok bon. Bɔrku tɛm, dɛn injury ya kin kam bikɔs ɔf aksidɛnt wae yu nɔr kin ebul fɔ kɔntrol. Bɔt bɔku tɛm yu kin ridyus di prɔblɛm we yu gɛt fɔ wund bay we yu fala dɛn advays ya fɔ mek yu nɔ gɛt prɔblɛm:

• Ɔltɛm wɛr sitbɛlt we yu de rayd motoka.
• Wear di rayt tin fɔ protɛkt yusɛf fɔ ɛni spɔt, wok, ɔ fɔ du ɛnitin we yu de du.
• Kip yu os ɛn wokples klin ɛn nɔ gɛt tin dɛn we go mek yu slip ɛn fɔdɔm.
• We yu de pik sɔntin frɔm ɔp, yuz fayn tul ɔ lada ɔltɛm. Nɔ ɛva klaym pan chia ɔ tebul.
• If i nɔ izi fɔ yu fɔ waka ɔ yu de pan big risk fɔ fɔdɔm, yuz ken ɔ tin fɔ waka .

Yu nid fɔ go to dɔktɔ?

Yɛs, na fɔ tru. If yu tink se yu gɛt bon brus, yu fɔ go to dɔktɔ ɔltɛm. Pan ɔl we yu nɔ nid fɔ go to dɔktɔ fɔ nɔmal brus, yu fɔ rili go to dɔktɔ fɔ bon brus.

If yu gɛt bon pen fɔ pas sɔm dez, ɔ if yu gɛt ɔda sayn dɛn lɛk fɔ swel, i nɔ izi fɔ muv wan pat na yu bɔdi, ɔ yu de fil pen we yu de yuz am, go to dɔktɔ.

If yu gɛt siriɔs aksidɛnt, lɛk we yu fɔdɔm bad bad wan ɔ yu motoka aksidɛnt, go na di ɔspitul in imejensi dipatmɛnt wantɛm wantɛm.

Wetin yu fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk:

• A gɛt bon kɔntushɔn ɔ ɔda injuri?
• Us bon dɔn wund we a wund? Us kayn brus i bi?
• Us kayn tritmɛnt a nid?
• Ustɛm a go bigin fɔ ple spɔt, ɛksesaiz, ɔ du ɔda tin dɛn we de mek a tranga bak?

Wetin na di stej dɛm wae pɔrsin kin wɛl?

Brus dɛn we de ɔnda yu skin kin chenj in kɔlɔ as i de wɛl. Dɛn kin luk rɛd ɔ pepul fɔs. If yu gɛt dak skin, di brus kin luk pepul, dak brawn, ɔ blak. As di brus de wɛl, i kin tɔn layt brawn, grɛn, ɔ yɔlɔ.

Bɔn brus kin go bak tru stej dɛn we i kin wɛl. Bɔt bikɔs di brus de insay di bɔdi, yu nɔ go ebul fɔ si ɛni chenj we yu go si na do. I bɛtɛ fɔ aks yu dɔktɔ we i sef fɔ put prɛshɔn pan yu bon we dɔn wund bak ɛn bigin ɔl di nɔmal tin dɛn bak.

Aw yu go no if bon brok ɔ sprain?

Bɔn brok ɛn bon kɔntushɔn na ɔl tu injury dɛn we kin mek pɔsin fil pen we pɔsin blo tranga wan na in bɔdi (bɔku tɛm na fɔdɔm, motoka aksidɛnt, ɔ spɔt aksidɛnt). Di difrɛns na aw yu bon dɔn pwɛl.

Bɔn kɔntushɔn kin apin we sɔntin at at nak bon ɛn mek blɔd kɔmɔt, bɔt di bon nɔ kin brok ɔ brok.

Bɔn frakt kin apin we dɛn hit di bon tranga wan fɔ brok am na wan ples. Fraktrɔs na siriɔs injury pas brus. Dɛn kin tek lɔng tɛm bak fɔ wɛl pas brus.

If yu dɔn gɛt siriɔs aksidɛnt ɛn yu gɛt pen nia ɔ na yu bon, go na di ɔspitul imejensi dipatmɛnt wantɛm wantɛm. Ilɛk uskayn injuri yu gɛt, i rili impɔtant fɔ mek dɛn chɛk yu bon wantɛm wantɛm.

Tink bɔt am, ilɛksɛf yu bɔmp yu leg pan kɔfi tebul ɔ yu tu at smɔl we yu de ple baskɛtbɔl wit yu kɔmpin na yu tim, yu gɛt brus. Bɔn brus tan lɛk blu ɔ blak spat na yu skin. Bɔt dɛn tin ya na injury dɛn we dip, we siriɔs smɔl.

Fɔ dɔn, mɛmba (Take-Home Message) .

Yu dɔktɔ go ɛksplen klia wan usay yu bon we dɔn brok de ɛn wetin yu go du fɔ ɛp am fɔ wɛl. Nɔ rɔsh di hiling prɔses. I kin tek tɛm, bɔt i fayn fɔ du am. Wet te yu dɔktɔ tɛl yu fɔ bigin fɔ du bɔku bɔku tin dɛn bak. We yu bon dɔn wɛl, yu kin bigin fɔ du yu nɔmal tin dɛn bak. Nɔ panik, ɛn fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Dɔn yu kin wɛl kwik kwik wan!

` Bon kɔntushɔn, bon pen, swel, spɔt injuri, RICE mɛtɔd