Sɔntɛnde, we in an ɔ fut brok pan aksidɛnt, i nɔ kin wɛl ɛn i kin mek pɔsin fil pen bɔku, nɔto so? Ɔ, yu nid fɔ mek di jawbon strɔng bifo yu gɛt tut transplant. Na insay kes dɛm lɛk dis we dɔktɔ dɛn kin tɔk bɔt ' bon grafting'. Sɔm pipul kin fred we dɛn yɛri dis nem, bɔt tide wi go tɔk rili simpul wan bɔt wetin i rili bi, aw dɛn kin du am, ɛn wetin yu nid fɔ no.
Fɔ tɔk am simpul wan, wetin na bon graft?
Dis na ɔpreshɔn we dɛn kin du. I min fɔ ɛp yu bɔdi fɔ mek yu bon we wik, we dɔn brok, ɔ we dɔn pwɛl. Imajin, we wi gɛt ol na di wɔl na wi os, wi kin ful-ɔp am wit plasta, nɔto so? Dis na di sem tin. Insay dis ɔpreshɔn, di dɔktɔ kin put spɛshal tin pan di ol ɔ wik say na di bon.
Dis gɛt tu men tin dɛn we wi want fɔ du:
1. fכ gi כda trεnk: di mεtirial we dεn put na di gap de gi sכpכt εn trεnk to di bon.
2. fכ εp fכ fכm nyu bon: di tin we dεn injεkt de sεnd signal to di bכdi fכ "bil nyu bon tisu ya." Dɔn di bɔdi insɛf kin ful-ɔp di say we nɔ de ɛn i kin mek di bon strɔng bak.
Udat nid fɔ gɛt dis kayn ɔpreshɔn?
Bɔku rizin dɛn de we mek dɛn kin nid fɔ graft bon. Sɔntɛnde i kin bi afta aksidɛnt, ɔda tɛm i kin bi bikɔs ɔf ɔda mɛrɛsin. Lɛ wi tek tɛm luk di men tin dɛn we kin apin we dɛn nid dis.
| Rizin | Simpul Ɛksplen |
|---|---|
| Fraktrɔs we nɔ de wɛl fayn | Dis ɔpreshɔn nid fɔ du we di bon we brok de wɛl sloslo pas aw dɛn bin de tink (delay union), i nɔ alaynɛd (malunion), ɔ i nɔ wɛl atɔl (nonunion). |
| Bifo dɛn put Dental Implant | Bifo dɛn put atifishal tut insay di jaw, if di jaw bon wik, dɛn kin du bon graft fɔ mek i strɔng. |
| Jɔyn Riplesmɛnt | Dɛn kin yuz dis we we dɛn de chenj di jɔyn, lɛk di hip ɔ di ni, ɛn dɛn nid fɔ mek di bon gro fɔ mek shɔ se di atifishal jɔyn fayn fayn wan. |
| Spinal fusion ɔpreshɔn we dɛn kin du | insay spεnal fכshכn כpεrayshכn, dεn kin yuz bon graft fכ εp fכ mek di vεrbra dεm stebul. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Dɛn kin yuz am bak fɔ bil bak di bon dɛn we sik dɛn lɛk ɔstionekrɔsis, bon kansa, ɛn bon infɛkshɔn (osteomyelitis) dɔn pwɛl. |
| Prɔblɛm dɛn frɔm we dɛn bɔn am | dis mεtכd kin yus bak fכ kכrekt kכndishכn dεm lεk difrεns bitwin di limb lεngth we dεn bכn wit. |
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 di kayn we aw yu sik ɛn di bon we yu nid fɔ transplant. Bɔku men we dɛn de fɔ du am.
- Autograft: Dis min se yu fɔ tek wan smɔl bon frɔm ɔda pat na yu bɔdi , bɔku tɛm na di iliak kres. Dɛn kin tek dis as di we we go wok fayn pas ɔl. Bikɔs na yu yon tisu, yu bɔdi nɔ de rijek am, ɛn di risk fɔ gɛt di sik nɔ bɔku. Bɔt bikɔs dɛn kin kɔt di bon difrɛn say usay dɛn tek di bon, sɔm pen kin de na da say de. Di bon we dɛn kin tek bak nɔ bɔku.
- Allograft: Dis de yuz bon tisu frɔm ɔda pɔsin (wan pɔsin we dɔn day) . Dɛn kin tek dɛn tin ya frɔm spɛshal tisu bank dɛn, klin dɛn, sterilayz dɛn, ɛn kip dɛn ɔnda rili strikt wɛlbɔdi lɔ dɛn. So, di risk fɔ gɛt di sik kin rili smɔl. Wan bɛnifit fɔ dis na dat, nɔ ɔda pat na yu bɔdi nɔ nid fɔ kɔt. Dɛn kin yuz dis we bɔku pipul dɛn fɔ du ɔpreshɔn pan dɛn spɛnal.
- Sintetik Bon Graft: Dis na tin dεm we dεn mek wit atifishal wan na labכtכri.. Dɛn kin mek dɛn tin ya wit di sem tin dɛn we de na di bon dɛn lɛk di kalsiɔm. Dɛn nɔ gɛt jem ɛn dɛn kin tek dɛn bɔku bɔku wan we dɛn nid. Dɛn kin rili yus fɔ ful-ɔp big bon gap dɛn. Sɔm atifishal implant dɛn gɛt prɔtin dɛn bak we de mek di bon dɛn gro.
- Bone Marrow Aspirate: Dis min se yu fɔ tek smɔl bon marrow frɔm big bon, lɛk yu hip bon, yuz nidul. dis bon mכro gεt spεshal sεl dεm (stεm sεl dεm) we kin mek bon. we dεn yuz dis bon mכro wit כda transplant mεtכd dεm, di bon hεlin prכsεs de aksεlεrayt.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Lɛ wi luk aw dis kin apin stɛp bay stɛp.
1. Anestezi: Fɔs, dɛn go anestez yu kɔmplit wan (dɛn gi yu anestezi ). So yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn, yu go de slip.
2. Fɔ mek di say we dɛn kɔt am: Dɔn di dɔktɔ kin kɔt di skin usay dɛn fɔ put di bon graft fɔ mek i go ebul fɔ go insay di bon.
3. Fɔ pripia di bon: Dɔn dɛn kin klin di bon fayn fayn wan, pul ɛni tisu we dɔn pwɛl ɔ we gɛt sik, ɛn pripia di bon fɔ di graft.
4. Fɔ fiks di graft: Naw dɛn kin put di bon graft we dɛn bin dɔn pripia bifo tɛm (wan pat pan yu yon bon, wan bon we yu dɔn gi, ɔ wan atifishal tin) na di gap, sɔntɛm dɛn kin fiks am wit smɔl plet ɔ skru fɔ mek i nɔ muf.
5. Klos di say we dɛn kɔt: Fɔ dɔn, dɛn kin stich di say we dɛn kɔt ɛn lɔk am fayn fayn wan.
Ɛni risk de we dis kin apin?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt dɔktɔ dɛn kin du ɔl wetin dɛn ebul fɔ stɔp dɛn tin ya as dɛn ebul. I impɔtant fɔ mek yu no bɔt dɛn tin ya bifo tɛm.
Sɔm pan di prɔblɛm dɛn we kin apin we dis kin apin na:
- Blɔd we de kɔmɔt
- Infεkshכn dεm
- Prɔblɛm dɛn we kin mek di bon dɛn wɛl
- Pen we nɔ de dɔn
- Di hadwɔd we nɔ wok, lɛk we di divays dɛn we dɛn yuz fɔ fiks di implant, lɛk plet ɛn skru, lɔs ɔ brok
- Nɛv dɛn we dɔn pwɛl
- Skaring we de mek pɔsin gɛt skata
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, yu bɔdi kin bigin fɔ jɔyn wit di tin we dɛn dɔn graft smɔl smɔl, ɛn i kin trit am lɛk in yon bon. Dis prɔses kin tek ɛnisay frɔm sɔm wiks to sɔm mɔnt ɔ ivin wan ia .
di tεm we yu de hεl dipכnt pan tin dεm lεk yu ej, כl hεlth, εn di sayz εn di say we di bon graft de.
I rili impɔtant: If yu na pɔsin we de smok, if yu lɛf fɔ smok, dat go ɛp fɔ mek yu wɛl bad bad wan. Smok kin mek di blɔd vesel dɛn stɔp ɛn i kin mek di blɔd nɔ go na di bon dɛn. Dis kin mek di bon dɛn nɔ wɛl.
If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm.
I rili impɔtant fɔ wach yu kɔndishɔn afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm.
| Di sayn we de sho se di sik de | Wetin fɔ luk fɔ |
|---|---|
| Blɔd ɔ swel frɔm di say we dɛn kɔt am | If blɔd de kɔmɔt we nɔ kɔmɔn ɔ ɔda wata de kɔmɔt na di say we dɛn kɔt am, ɔ if di say dɔn swel bad bad wan. |
| Fiva | If yu fil fiva na yu bɔdi, i kin bi sayn fɔ se yu gɛt infekshɔn. |
| Nɔbɔdi (Nyuropathy) . | Wan tingling senseshɔn rawnd di eria usay dɛn put di implant, ɔ nɔ sɛns at ɔl. |
| Pen we pɔsin nɔ ebul fɔ kɔntrol | Ivin if yu tek di pen kil we di dɔktɔ gi yu, di pen nɔ de stɔp. |
Mɛsej we dɛn kin kɛr go na os
- Bon grafting na wan saksesful ɔpreshɔn we dɛn kin du fɔ mek di bon dɛn we wik ɔ we dɔn brok strɔng. No nid fɔ fred dis.
- Yu kin yuz yu yon bon, ɔda pɔsin in bon, ɔ atifishal tin dɛn fɔ dis. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ tin dɛn lɛk fɔ avɔyd fɔ smok.
- If yu gɛt ɛnitin we nɔ kɔmɔn (fiva, pen pasmak, swɛlin, swɛla) afta yu dɔn du di ɔpreshɔn, nɔ shem fɔ tɛl yu dɔktɔ wantɛm wantɛm.
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