We yu brok yu an ɔ yu leg, di dɔktɔ dɛn kin put plasta pan am, nɔto so? Bɔku tɛm, afta sɔm tɛm, di bon dɛn go wɛl ɛn kam bak togɛda fayn fayn wan. Bɔt sɔntɛnde, ilɛk ɔmɔs tɛm pas, di bon dɛn nɔ go fit togɛda fayn fayn wan. Ɔ if dɛn krɔs bon pan siriɔs aksidɛnt, di bɔdi insɛf nɔ go ebul fɔ ful-ɔp di say we nɔ de. Na da tɛm de dɔktɔ dɛn kin tɔk bɔt ‘ bon grafting’. Pan ɔl we i kin tan lɛk se i de mek wi fred, fɔ tru, dis na ɔpreshɔn we rili impɔtant we kin ɛp wi bɔdi. Lɛ wi tɔk bɔt am simpul wan.
Fɔ tɔk am simpul wan, wetin na bon graft?
Imajin se big ol de na di wɔl na yu os. Wi kin yuz tin dɛn lɛk simen ɛn brik fɔ ful-ɔp da ol de, nɔto so? Dat na di sem tin wit dis. Bon graft na ɔpreshɔn we dɛn kin du fɔ chenj di bon we brok, we wik, ɔ we nɔ de wit ɔda bon ɔ wan atifishal tin we de wok lɛk da bon de fɔ ɛp am fɔ wɛl.
Dis gɛt tu men tin dɛn we wi want fɔ du:
1. fכ gi εkstra trεnk εn sכpכt: we dεn put dis graft insay di gap na di bon we wik, i de gi am nyu trεnk. I tan lɛk se yu put prɔp na bon we dɔn brok.
2. I de mek nyu bon sεl dεm gro: Dis graft de wok lεk sכfכl. Dɔn di sɛl dɛn we de bil bon na di bɔdi kin gro along di skɔf, ful-ɔp di gap, ɛn bigin fɔ mek nyu bon. As tɛm de go, di graft ɛn di bon we yu dɔn gɛt kin jɔyn togɛda, ɛn mek wan strɔng bon.
Us kayn ɔpreshɔn dɛn nid fɔ du dis kayn ɔpreshɔn?
Bɔku rizin dɛn de we mek dɛn kin nid fɔ graft bon. Di men rizin na bikɔs di fraktrɔs nɔ kin wɛl fayn.
Prɔblɛm dɛn we kin apin we pɔsin gɛt frakshɔn
Sɔntɛnde we bon brok, i nɔ kin wɛl lɛk aw dɛn bin de tink. Dis kin apin tri men we dɛn:
- Dilay union: We di bon tek lɔng tɛm pas aw i kin bi fɔ wɛl.
- Malunion: Dɛn kin briŋ di tu pat dɛn na di bon togɛda na say we nɔ alaynɛd ɔ we nɔ kɔrɛkt.
- Nɔnunion: We di tu pat dɛn na di bon nɔ wɛl togɛda, ilɛksɛf i lɔng, i de lɛf gap bitwin dɛn.
insay kes dεm lεk dis, dεn nid fכ graft fכ fulכp di gap εn mek di bon dεm gro.
Ɔda rizin dɛn
Apat frɔm we pɔsin brok brok, i kin nid fɔ du dis ɔpreshɔn pan bɔku ɔda kes dɛn:
- Sɔm bon sik dɛm: Na sik dɛm lɛk ɔstionekrɔsis, usay di blɔd we de go na di bon dɛn kin lɔs ɛn di bon dɛm kin day, ɛn pan kes dɛm lɛk bon kansa.
- Bon Infεkshכn (Osteomyelitis): We wan pat pan di bon dεn dכn pwεl bikoz fכ wan bad bad infεkshכn, dεn kin pul da pat de εn di spεs fulכp.
- Prɔblɛm dɛn we dɛn kin bɔn wit: Sɔm pipul dɛn kin bɔn wit difrɛns pan dɛn an ɛn fut. dis mכt dεn kin yus bak fכ kכrekt kכndishכn dεm lεk wan rili sכm chin bon.
- Fɔ mek di jawbon strɔng bifo dɛn put dɛn tit: Bifo dɛn put pɔsin in tit, if dɛn jawbon nɔ strɔng fɔ sɔpɔt am, dɛn kin du smɔl bon graft fɔ mek i strɔng.
- Ɔpreshɔn fɔ chenj di jɔyn dɛn: We dɛn put atifishal jɔyn dɛn lɛk di hip jɔyn ɔ di ni jɔyn, dɛn nid fɔ mek di bon dɛn gro mɔ fɔ mek shɔ se dɛn fit fayn fayn wan insay di bɔdi in bon dɛn.
- di spεnal fכs: Insay di spεnal fכshכn כpεrayshכn, dεn kin yus dεn implant dεm ya fכ fכs εn mek di bon dεm strכng.
- Big big aksidɛnt: We bon brok brok brok pan big aksidɛnt, dis impɔtant fɔ bil bak di pat dɛn we dɔn lɔs.
Wetin na di men we dɛn fɔ graft bon?
Di dɔktɔ go pik di we we go fayn fɔ yu bay bɔku tin dɛn lɛk aw yu sik ɛn di sayz we di say we yu nid fɔ put di bɔdi gɛt. Bɔku men we dɛn de fɔ du am.
| Di Tayp fɔ Graft | Wetin de apin na ya? (Simply) |
|---|---|
| Autograft (na graft we yu kin gɛt frɔm yusɛf) . | Dis na di we we go wok fayn pas ɔl. I min fɔ tek wan smɔl bon frɔm ɔda pat na yu bɔdi, bɔku tɛm na di iliak kres, ɛn transplant am na di say we yu want. Di bɔdi kin gri wit dis izi wan bikɔs na in yon pat. Bɔt i nid fɔ kɔt am mɔ, ɛn sɔm pen kin de fɔ sɔm tɛm usay dɛn tek di bon. |
| Allograft (na transplant frɔm ɔda pɔsin) . | Dis involv fɔ yuz bon graft frɔm pɔsin we dɔn day. Dɛn kin klin dɛn tin ya, sterilayz, ɛn kip dɛn fayn fayn wan na bon bank dɛn ɔnda strikt lɔ dɛn bɔt wɛlbɔdi biznɛs ɛn sef. Di bɛnifit fɔ dis we na dat yu nɔ nid fɔ kɔt ɛni ɔda say na yu bɔdi. Dɛn kin yuz dis we fɔ du ɔpreshɔn pan di spɛnal. |
| Bone Marrow Aspirate fɔ di bɔdi | di bon mכro we de insay wi bon dεm gεt spεshal stεm sεl dεm we de εp di bon fכ gro. insay dis prosidur, dεn de tek sכm bon mכro frכm yu hip bon we dεn de yuz nidul εn yuz am in wan כ miks wit כda graft fכ mek di bon dεm hεl kwik kwik wan. |
| Sintetik Bɔn Graft we dɛn kin yuz | Dis na sintetik matirial dɛn we dɛn kin pripia spɛshal wan na lɛbɔretri. Dɛn mek dɛn wit difrɛn tin dɛn, ɛn sɔm dɔn ad prɔtin dɛn we de ɛp di bon dɛn fɔ gro. Bikɔs dɛn kin gɛt bɔku bɔku wan, dɛn kin rili yus fɔ ful-ɔp big bon gap dɛn. Ɛn no risk nɔ de fɔ mek pɔsin gɛt di sik. |
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis na ɔpreshɔn we dɛn kin du ɔnda jenɛral anestezi. So yu nɔ go fil ɛni pen. Na dis na wetin kin apin we dɛn de du di ɔpreshɔn:
1. Anestesia: Di dɔktɔ we de mɛn yu go mek yu slip ɔl.
2. Insishכn: Di sכjaman de kכt di skin usay di bon we nid di graft de, i de rich di bon.
3. Aw fɔ pripia: Dɔn dɛn kin klin di bon fayn fayn wan, pul ɛni tisu we dɔn pwɛl ɔ we gɛt sik, ɛn rɛdi am fɔ gɛt di graft.
4. Aw fɔ put di implant: Dɔn, dɛn kin put di kayn implant we dɛn dɔn pik insay di gap we fit am ɛn tay am wit mɛtal plet ɔ skru fɔ mek i nɔ muf.
5. Suturing: Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich.
Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm. Yu mɛdikal tim go du dɛn bɛst fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn.
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Di apɛndiks nɔ de wɛl fayn fayn wan.
- Pen we kin de fɔ lɔng tɛm
- Fraktrɔs na di bon we de rawnd di implant
- Hadwɔd fayl fɔ di mɛtal plet ɔ skru dɛn we dɛn dɔn instɔl
- Skaring we de mek pɔsin gɛt skata
Di tin we impɔtant pas ɔl: If yu na pɔsin we de smok, na big tin we de ambɔg di bon dɛn we de wɛl. Nikotin de mek di blɔd we de go na di bon dɛn nɔ bɔku. So, fɔ mek shɔ se dɛn du di ɔpreshɔn fayn, i impɔtant fɔ lɛ wi nɔ smok. Mek shɔ se yu tɔk to yu dɔktɔ bɔt dis.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go de na di ɔspitul fɔ sɔm dez. Dɛn go gi yu mɛrɛsin fɔ kɔntrol di pen. As tɛm de go, yu bɔdi go bigin fɔ gro nyu bon rawnd ɛn tru di pat we dɛn transplant. Dis prɔses kin tek ɛnisay frɔm sɔm wik to sɔm mɔnt, ɔ ivin wan ia.
Di tɛm we yu go wɛl go difrɛn difrɛn wan bay yu ej, ɔl yu wɛlbɔdi, ɛn di sayz ɛn usay di implant de. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan di tɛm we yu fɔ rɛst ɛn ustɛm fɔ bigin fɔ du ɛksɛsayz.
Bɔku tɛm, dɛn ɔpreshɔn ya kin wok fayn. Bɔt nɔto ɔltɛm, prɔblɛm dɛn lɛk we dɛn nɔ gri fɔ tek di transplant, infɛkshɔn, ɔ we di nerv dɛn pwɛl kin apin.
Wetin na di sayn dɛm wae kin mek yu go to dɔktɔ kwik kwik wan?
We yu rich na os afta dɛn dɔn ɔpreshɔn yu, wach fɔ dɛn sayn ya. If yu gɛt ɛni wan pan dɛn tin ya, kɔl yu dɔktɔ wantɛm wantɛm.
- Blɔd we de kɔmɔt pasmak, swel pasmak, ɔ wata we nɔ kɔmɔn we tan lɛk pus we de kɔmɔt na di say we dɛn du di ɔpreshɔn.
- Fiva .
- If yu fil se yu de fil lɛk yu de swɛt ɔ yu de swɛt rawnd di penis (Neuropathy).
- If yu gɛt siriɔs pen we yu nɔ ebul fɔ kɔntrol ivin afta yu dɔn tek di mɛrɛsin dɛn we di dɔktɔ gi yu fɔ mɛn yu pen.
Bone grafting na wan rili impɔtant mɛrɛsin we de ɛp fɔ mek yu bon dɛn we dɔn pwɛl bak ɛn mek yu kam bak to nɔmal. No nid fɔ fred am. Wan tim de we gɛt dɔktɔ dɛn we sabi du di wok, we go pik di we we go fayn fɔ yu ɛn kia fɔ yu gud gud wan. Di tin we impɔtant pas ɔl na fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn peshɛnt we yu de wɛl.
Mɛsej we dɛn kin kɛr go na os
- Bon graftin na ɔspitul we de ɛp di bɔdi fɔ mek nyu bon bay we i de ful-ɔp di bon gap dɛn we nɔ go ebul fɔ wɛl fɔ dɛnsɛf.
- Dis kin bi bay we yu yuz bon frɔm yu yon bɔdi (ɔtograft), bon frɔm ɔda pɔsin we gi yu (allograft), ɔ sintetik graft. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- Peshɛnt impɔtant as di hiling prɔses de tek tɛm. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Fɔ mek di ɔpreshɔn go bifo, i impɔtant fɔ lɛ yu stɔp fɔ smok kpatakpata .
- If yu gɛt sayn dɛn we de wɔn yu lɛk fiva, pen pasmak, swel, ɔ pus afta yu dɔn ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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