Mek wi lan bɔt Broken Femur? Nɔ fred, lɛ wi tɔk!

Oh, imajin aw i go tan lɛk if da big, strɔng bon de na yu leg, frɔm yu hip to yu ni – di femur – brok! I kin rili mek pɔsin fil pen. di femur na di bon we lɔng pas ɔl, we ebi pas ɔl, ɛn we strɔng pas ɔl na wi bɔdi. So, fɔ mek i brok, i go nid fɔ bi rili big pawa, rili big aksidɛnt. If yu brok yu fut, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Na bikɔs i kin tek sɔm mɔnt fɔ mek i wɛl. So, lɛ wi tɔk bɔt dis smɔl mɔ, nɔto so?

Wetin na di femur? Wetin kin apin we i brok?

Fɔ tɔk am simpul wan, di fim na di wangren bon we de na yu shɔl. As wi bin dɔn tɔk, na di bon we big pas ɔl ɛn we strɔng pas ɔl na wi bɔdi. So, i nɔto tin we nɔ impɔtant fɔ brok am. Bɔku tɛm, i nɔ kin rili izi fɔ brok am we i fɔdɔm smɔl. Bɔku tɛm, i kin brok bay sɔntin lɛk big motoka aksidɛnt, fɔdɔm frɔm ayt, ɔ wund we dɛn shot am.

Bɔt mɔ fɔ pipul dɛn we dɔn pas 65 ia, if dɛn slip ɛn fɔdɔm ivin jɔs we dɛn tinap, dɛn bon dɛn nɔ kin strɔng (espɛshali if dɛn gɛt kɔndishɔn lɛk ɔstioporosis), so di chans fɔ brok dis fimur kin bɔku.

Wetin mek dis femur fracture na so siriɔs injury?

We yu brok yu femur, i nɔ jɔs tan lɛk we yu brok yu an ɔ yu leg. Sɔm tin dɛn de we kin rili siriɔs smɔl. Chek am fɔ si am:

• bכku bכku bכdi kin kכmכt: εspεshali if di bon fragmεnt dεm brok tru di skin (dεn kכl dis ``open fracture''), bכku bכku bכdi kin kכmכt na di bכdi. Sɔntɛnde, blɔd kin ivin kɔmɔt insay pɔsin in bɔdi.
• Shok: Di bɔdi kin go na shɔk bikɔs i de blɔd pasmak ɛn i kin fil pen.
• di hip bon kin brok: If di tכp pat pan di thigh bon, dat na nia di hip joyn, brok, di hip bon kin brok wit am. Dis risk kin pasmak pan pipul dɛm wae gɛt ɔstioporosis.
• Ni damej: If di lכw pat pan di thigh bon, dat na nia di kכn, brok, di kכn kin pwεl bak. Dis kin apin bak pan pipul dɛm wae dɔn gɛt ɔpreshɔn fɔ chenj dɛn ni ɔr pipul dɛm wae gɛt ɔstioporosis.

Aw bɔku pen yu kin fil if yu brok yu shɔl bon?

Oh mi! Dat na tin we rili de mek pɔsin fil pen . I at fɔ tɔk bɔt am wit wɔd dɛn. Bɔt nɔ wɔri, afta dɛn dɔn admit yu na ɔspitul, di dɔktɔ dɛn go mɔs gi yu di mɛrɛsin we yu nid fɔ kɔntrol yu pen.

Wetin na di sayn dɛm we de sho se di fimur brok?

If yu fɔdɔm ɔ wund yu hip pan ɔda aksidɛnt, luk fɔ dɛn sayn ya:

• Di pen we pɔsin kin fil nɔ kin ebul fɔ bia .
• Yu nɔ go ivin ebul fɔ put yu leg we dɔn wund dɔŋ ɔ put wet pan am .
• Sɔntɛnde, di bon dɛn we brok kin pas di skin ɛn kɔmɔt na do, ɛn dis kin mek i blɔd.dis dεn kכl am ``Open fracture''.
• Ɔda tɛm dɛn, bon pat dɛn kin kɔmɔt ɔp di skin ɛn yu kin si am, bɔt dɛn nɔ kin brok di skin . dis dεn kכl am ``klos frakshכn''.
• Di say we di shɔl de blu ɛn yu kin si di brus dɛn .
• Sɔm say dɛn na di shɔl eria kin swel .
• Di leg we wund kin tan lɛk se i shɔt smɔl pas di ɔda leg. Di leg we wund kin tɔn bak na do (we de fa frɔm yu bɔdi) .

Yu kin waka wit yu thigh bon we brok?

Nɔto so i bi atɔl. We yu femur brok, yu nɔ go ebul fɔ put wet pan da leg de ɔ tinap pan am. So nɔ ivin tink bɔt fɔ waka.

Aw dɔktɔ dɛn kin no dis kayn hip fraktrɔs?

We yu go na ɔspitul, di dɔktɔ dɛn go tek tɛm luk yu leg we wund fɔs. Dɔn, dɛn go mɔs du wan `(X-ray)` tɛst. sכmtεm, dεn kin du `(Computed Tomography scan)`, we dεn kכl bak `(CT scan),` bak fכ si di nεchכr fכ di frakshכn mכr klia wan. Na frɔm dɛn tɛst ya di dɔktɔ dɛn kin no uskayn fraktrɔs (`(fracture type)`) yu gɛt.

difrεn tכp dεm de we di fεmur fraktכs:

• transvas frakshכn: di bon de brok insay wan כrizכnal layn kכros am.
• Spiral fracture: Di bon de brok insay wan spiral shep.
• Oblique fracture: Di bon dɔn brok akɔdin to di sayd.
• Comminuted fracture: Di bon dɔn brok to tri ɔ mɔ pat.
• `(Open or compound fracture)` (Open fracture): di bon dכn brok εn di bon fragmεnt dεm dכn pכyz di skin εn kכmכt.

Aw dɛn kin trit pɔsin we in fim brok?

Fɔs, fɔ mek di bon we dɔn brok nɔ go muf, dɔktɔ dɛn kin put splint, we na wan kayn bod, rawnd yu hip, ɛn kɔba bɔku pan yu leg. Dis na tin we dɛn kin du fɔ sɔm tɛm.

Apat frɔm dat, dɛn kin yuz wan tritmɛnt we dɛn kɔl `(traction)` bak. Dis kin ɛp fɔ mek di bon dɛn we dɔn brok de alaynɛd ​​fayn fayn wan. Tu kayn `(Trakshɔn)` de:

• `(Weighted traction splints)`: Dis involv fɔ tay wan strɛp na yu anklɛ, tay wet pan am, ɛn pul am sloslo tru wan freym ɛn pul. dis kin mek di bכdi prεshכn sכmtεm, we de εp fכ mek di bon dεm alayne.
• Skel trakshɔn: Insay dis, di dɔktɔ kin du smɔl ɔpreshɔn ɛn put pin insay yu shɔl bon (femur) ɔ shin bon (tibia). Dɔn, dɛn kin tay wan wet na di pin fɔ mek yu shɔl bon stret.

Yu tink se ɛni hip we brok, dɛn nid fɔ du ɔpreshɔn?

Yɛs, fɔ tru.If yu brok yu shɔl bon, yu go nid fɔ du ɔpreshɔn fɔ mek i wɛl fayn fayn wan. Dɛn kin du dis ɔpreshɔn insay 24 to 48 awa afta yu wund ɛn admit yu na ɔspitul. Dɔktɔ dɛn kin du tu men kayn ɔpreshɔn dɛn:

• `(Open Ridyushɔn ɛn Intanɛt Fikseshɔn - ORIF)`
• `(Ekstanshal fikseshɔn)`

Wetin na dis `(ORIF)` ɔpreshɔn?

Insay dis we aw dɛn de du dis, di dɔktɔ we de du di ɔpreshɔn kin kɔt nia yu hip ɔ yu ni jɔyn ɛn i kin mek di bon pat dɛn we dɔn brok alaynɛd ​​bak. afta dat, dεn kin put wan mεtal divays (e.g., wan rod כ plet) fכ mek di bon stebul.

Us mɛtal inschrumɛnt dɛn de yuz fɔ dis `(ORIF)` ɔpreshɔn?

• Rod: Dɛn kin yuz dɛn tin ya fɔ du ɔpreshɔn we dɛn kɔl intramɛdul nel. di sajin de put dεn rod dεm ya insay yu leg, tru di mεdula kεviti (dis na di say we di bon mכro de).
• Skru: Fɔ mek di stik ɔ mɛtal plet we wi bin dɔn tɔk bɔt nɔ go muf, dɛn kin put skru dɛn ɔp ɛn dɔŋ am.
• Mɛtal plet dɛn: Jɔs lɛk splint, di dɔktɔ we de du ɔpreshɔn kin put dɛn mɛtal plet dɛn ya na di ɔdasay na di bon ɛn mek dɛn tayt wit skru dɛn fɔ mek di bon nɔ tinap tranga wan.

So wetin na ``(External fixation)`` ɔpreshɔn?

Dis na ɔpreshɔn bak fɔ mek di shɔl bon stebul. dis involv fכ put sεvεra mεtal pin dεm (bolt/pin) insay yu thigh bon εn tay dεm pan wan freym (frεm) na di כdasay fכ yu leg. Sɔntɛnde, dɛn kin yuz dis prɔsidyu fɔ mek di bon stebul fɔ sɔm tɛm bifo dɛn du ORIF ɔpreshɔn. Ɔ, dɛn kin yuz am we di injuri tu bad fɔ du ORIF ɔpreshɔn.

dis ``(External fixation)`` כpεrayshכn dεn de du am כnda anεsthεsia. Di dɔktɔ dɛn we de du ɔpreshɔn kin drɔ ol dɛn na di bon we nɔ pwɛl ɔp ɛn dɔŋ di pat we brok na yu shɔl bon ɛn put stik dɛn insay dɛn. Dɛn kin tay dɛn stik dɛn ya to wan freym we de na do na yu leg. di ``(bol-εn-sכket jכyn dεm)`` insay dis fכm de alaw fכ ajɔst di rod dεm so dat di bכn fragmεnt dεm we brok layn op εksakכt.

Yu tink se i nid fɔ gɛt fyzikal tritmɛnt afta dɛn dɔn du di ɔpreshɔn?

Rili! Yu go nid fyzikal tritmɛnt ɔl di tɛm we yu de wɛl. Dis go mek yu leg mɔsul dɛn strɔng, mek yu jɔyn dɛn ebul fɔ muv bak, ɛn ɛp yu fɔ waka nɔmal wan bak.

Yu kin gi yu mɛrɛsin fɔ mek yu fil pen?

Yɛs, yu dɔktɔ go tɔk bɔt yu pen ɛn gi yu di rayt mɛrɛsin fɔ mek yu fil pen.

Wetin na di prɔblɛm ɔ prɔblɛm dɛn we kin apin we dɛn du dɛn ɔpreshɔn ya?

Jɔs lɛk ɛni ɔpreshɔn, ɔpreshɔn fɔ mek pɔsin in hip brok kin gɛt sɔm prɔblɛm dɛn. Dɛn tin ya na:

• Acute compartment syndrome (ACS): Dis na we di prɛshɔn de bɔku na di mɔsul dɛn ɛn di blɔd we de flɔ to di mɔsul ɛn tisu dɛn de ridyus. Dis kin mek di mɔsul ɛn nerv dɛn pwɛl fɔ ɔltɛm.
• di bon fragmεnt dεm we nכ de fit togeda fayn fayn wan: Dis kin mek di bon kכrεkt.
• Diskɔmfɔt we kin kam bikɔs dɛn put nel ɛn skru dɛn insay.
• `(Fat embolism syndrome)`: insay dis, fεt patikyula dεm kin kכmכt na di bכdi. Sɔm kayn sik lɛk wae i nɔr kin izi fɔ blo ɛn nɔr kin no natin kin apin.
• Blɔd we de klɔt.
• Shap ed dɛn we brok brok bon dɛn kin kɔt ɔ pwɛl di blɔd vesel ɔ nerv dɛn.
• Sik we de prɛd.

Aw a fɔ kia fɔ misɛf afta dɛn dɔn du mi ɔpreshɔn?

Fɔ di fɔs tu wiks, i impɔtant fɔ gɛt pɔsin na os fɔ ɛp yu. (Yu dɔktɔ kin ɛp yu fɔ fɛn pɔsin we tren fɔ kia fɔ yu fɔ kam na yu os ɛn ɛp yu.)

We yu de slip, yu fɔ slip stret wit di leg we brok ɔp yu at . If yu slip dis we, dat kin ɛp fɔ mek yu nɔ swel na di leg we dɔn brok.

As yu de wɛl smɔl smɔl, yu go want fɔ muf go na di os fɔ yusɛf. Bɔt aks yu dɔktɔ ɔmɔs wet yu kin put pan yu leg. Yu go nid fɔ yuz tik, stik, ɔ tin fɔ waka. Yu fyzikal tritmɛnt go sho yu aw fɔ yuz dɛn.

Di tin we impɔtant pas ɔl na fɔ tek tɛm mek yu nɔ fɔdɔm igen! If yu fɔdɔm bak, yu kin wund yu femur bak. Fɔ mek yu nɔ fɔdɔm, du dɛn tin ya:

• If yu bedrum ɛn batrum de ɔp, mek ples fɔ slip fɔ sɔm tɛm ɛn wan pɔtabl kɔmod dɔŋ stej. Da we de, yu nɔ go nid fɔ klaym ɔp ɛn dɔŋ di stej.
• Rimov tin dɛn we yu go tandul pan, lɛk waya dɛn we de na grɔn ɔ smɔl smɔl rug dɛn.
• Instɔl hanrɛl na di bafa, ilɛksɛf na di bathtub ɔ shawa, ɔ nia di tɔylɛt.
• Instɔl hanrɛl dɛn na ɔl tu di say dɛn na di stɛp dɛn.
• Layt yu os fayn fayn wan, ilɛksɛf yu ad mɔ layt ɔ yuz bɔl dɛn we brayt.
• Kip di tin dɛn we yu kin yuz bɔku tɛm na kabinɛt dɛn we izi fɔ rich ɛn yu nɔ nid fɔ klaym chia fɔ gɛt dɛn.
• Put mat dɛn we nɔ de slip na di bafa flo.

Aw lɔng i kin tek fɔ mɛn pɔsin we dɔn brok in shɔl?

I kin tek 4 to 6 mɔnt fɔ mek i wɛl ɔl. Sɔntɛnde, i kin tek lɔng tɛm, i kin dipen pan di kayn we aw di bɔdi brok, yu ej, ɛn yu ɔl wɛlbɔdi.

Wetin mek i kin tek lɔng tɛm fɔ mek i wɛl? Bikɔs di femur we brok de go tru wan natura l we fɔ wɛl. I gɛt sɔm stej dɛn:

• Dez 1-5: 1.We yu shɔl bon brok, di blɔd vesel dɛn we de gi am blɔd kin brok bak. dis bכdi bכdi we brok de mek wan ``hεmatoma,'' we na bכdi kכlכt, fכm na di say we di frakshכn de. Dis blɔd we de klɔt de wok lɛk fɔ sɔm tɛm ɛn i de ɛp yu bon fɔ wɛl. yu imyun sistεm de ansa dis injuri bay we i de mek di sεl dεm we de pul di tisu dεm we dεn dכn pwεl εn di sεl dεm we de mek i hεl.
• De 5-11: yu bכdi de bigin fכ bil wan nεtwכk fכ kכtilaj bitwin di bon dεm we brok. I kin bigin fɔ mek nyu bon bak (bɔn we dɛn mek wit wud).
• De 11-28: Da katilej netwok de tik smɔl smɔl. Nyu blɔd vesel dɛn ɛn mɔ nyu bon dɛn de fɔm. As dis prכsεs de kכntinyu, yu bon de bigin fכ rεpair insεf bak, εn leta i de bi nכmal bon. Dis ɔltin kin tek sɔm mɔnt, ivin sɔm ia.

Aw a go mek di fim nɔ brok?

Bɔt i sɔri fɔ no se di tin dɛn we kin apin we kin mek di fim brok (lɛk motoka aksidɛnt, fɔdɔm, wund we dɛn shot am) nɔ kin izi fɔ wi fɔ kɔntrol.

Bɔt pipul dɛm wae gɛt bɔrku risk fɔ fɔdɔm as dɛn de ol (especially wae pas 65 ia) nid fɔ tek tɛm. Dɛn kin fɔdɔm ɛn wund ivin we dɛn jɔs tinap.

If yu dɔn pas 65 ia ɛn yu de fred fɔ fɔdɔm, aks yu dɔktɔ bɔt yu risk fɔ fɔdɔm. Tɛl am if yu de tek ɛni mɛrɛsin we de mek yu fil slip ɔ yu ed de tɔn. Yu dɔktɔ kin tɛl yu fɔ du tin dɛn fɔ mek yu nɔ gɛt bɔku prɔblɛm. Fɔ ɛgzampul, dɛn kin tɛl yu fɔ du ɛksɛsayz we go mek yu leg dɛn strɔng ɛn mek yu balans fayn.

Ustɛm a fɔ go to mi dɔktɔ?

Dɛn go gi yu fɔl-ap apɔntinmɛnt fɔ go to yu dɔktɔ, fɔ bigin tu wiks afta dɛn du di ɔpreshɔn, ɛn ɛvri sɔm wiks afta dat. Mek shɔ se yu go na ɛni apɔntinmɛnt.

If yu gɛt ɛni kwɛstyɔn bɔt aw yu de wɛl ɔ sɔm patikyula tin dɛn lɛk aw yu de mɛn yu pen, mek shɔ se yu tɔk to yu dɔktɔ bɔt dɛn.

Ustɛm a fɔ kɔl mi dɔktɔ ɔ go to dɔktɔ kwik kwik wan?

We yu de wɛl frɔm yu hip we dɔn brok, if yu gɛt ɛni wan pan dɛn sayn ya , kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu:

• I nɔ izi fɔ blo ɔ yu chɛst de pen we yu de blo.
• Yu kin pis ɔltɛm ɔ yu kin bɔn we yu de pis.
• Rɛd ɔ pen we de bɔku rawnd di wund we dɛn du di ɔpreshɔn.
• Wan wata we tan lɛk pus de lik frɔm di wund.
• Swεla na wan leg (i go rεd εn fil wam pas di כda leg).
• Kalf de pen.
• Fiva pas 101°F (38.3°C).
• Wan pen we yu pen kil nɔ kin ebul fɔ kɔntrol.
• If i nɔ izi fɔ waka wantɛm wantɛm ɔ put wet pan yu leg.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Hip we brok na siriɔs injury we nid fɔ gɛt mɛrɛsin kwik kwik wan. Afta yu dɔn adrɛs yu nid dɛn kwik kwik wan, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• A go nid fɔ du mɔ ɔpreshɔn?
• Ustɛm a fɔ bigin fɔ du fizik tritmɛnt?
• Wetin a fɔ du fɔ kɔntrol di pen we a de fil?
• Ustɛm a go ebul fɔ waka?
• Ustɛm a go ebul fɔ go bak na mi ɔfis ɔ na mi wokples?

Yu tink se pen kin stil apin sɔm ia afta dɛn dɔn trit pɔsin we dɔn brok in fut?

I sɔri fɔ no se, na yɛs. Ivin afta we yu frakt dɔn wɛl, yu kin stil gɛt pen na da say de. Dɛn kɔl dis pen we nɔ de dɔn. Bɔku rizin dɛn kin de fɔ dis:

• Di nerve damej frɔm di ɔrijinal fraktrɔs ɔ tritmɛnt.
• Tisu we gɛt ska.
• Atraytis we pɔsin kin gɛt.
• Nɔnunion na we di bon dɛn nɔ ebul fɔ fit togɛda fayn fayn wan.

Dis pen we nɔ de dɔn kin ridyus ɔ pul am if yu de trit yu bɔdi, yu de du ɛksɛsayz, ɛn yu de tek mɛrɛsin.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht brok femur. Mɛmba se pan ɔl we dis na siriɔs injury, if yu gɛt di rayt mɛrɛsin ɛn yu de gi yu layf to Gɔd, yu kin wɛl fayn fayn wan.

Di sikrit fɔ mek yu wɛl kwik kwik wan na fɔ fala di tin dɛn we di dɔktɔ tɛl yu fɔ du, du ɛksɛsayz fɔ du fizik tɛrapi lɛk aw dɛn tɛl yu fɔ du am, ɛn peshɛnt.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis sik, nɔr shem fɔ tɔk to yu dɔktɔ. Wi de wish yu fɔ wɛl kwik kwik wan!

` femur, brok brok femur, thigh bon, fraktכs, כpεrayshכn, rεkכvεshכn, fyzikal tεrapi