Yu an dɔn brok? (Broken Hand) Mek wi tok abaut dis!

Oh, yu bin wund yu an? Sɔntɛm yu fɔdɔm ɛn nak di grɔn. We dat apin, i nɔmal fɔ mek yu an fil pen ɛn swel. Bɔt yu go mɔs nɔ ebul fɔ no if dis na jɔs simpul brus, ɔ if bon na yu an dɔn brok, we dɛn kɔl `(Broken Hand)`, nɔto so? Nɔ wɔri, tide wi go tɔk bɔt dɛn an fraktrɔs ya ditayli.

Lɛ wi lan smɔl bɔt di bon dɛn na di an?

Wi an na wɔndaful tin we Gɔd mek, nɔto so? Na wan kɔlekɛshɔn fɔ smɔl smɔl bon dɛn. Fɔ tɔk di kɔrɛkt tin, 27 bon dɛn de na yu an nɔmɔ. Dɔktɔ dɛn kin sheb dɛn bon ya to tri men grup dɛn bay aw dɛn de ɛn aw dɛn de wok:

• Kapal: Dis na di smɔl smɔl bon dɛn we de kɔnɛkt yu an to yu an.
• Metacarpals: Dis na di bon dεm we de insay yu an we de gi shep to yu an.
• Phalanges: Dis bon dεm de mek di joyn dεm na yu finga dεm εn tכmb.

So, an we brok na jɔs bon we brok na wan ɔ mɔ pan di 27 bon dɛn. Mɛmba se sɔntɛnde dɛn kin fiks dis insay sɔm dez wit splint (we na sɔpɔt we kin mek di an stil) ɔ wan kɔst (plasta kɔst). Bɔt fɔ sɔm siriɔs fraktrɔs, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di bon dɛn we dɔn brok alaynɛd ​​bak.

Wan ɔda impɔtant tin na dat we an brok, ɔda dilik tisu dɛn na di an kin pwɛl bak. Dat min se:

• Ligament (tisu dεm we de kכnεkt di bon dεm togeda) .
• Tεndon dεm (tisu dεm we de kכnεkt mכsul dεm to bon dεm) .
• Mɔsul dɛn
• Nɛv dɛn
• Blɔd vesel dɛn

Ɔl dis kin gɛt impak.

Yu tink se difrɛn kayn an dɛn de we kin brok?

Yɛs, na fɔ tru. We yu brok bon na yu an, dɔktɔ nɔ kin jɔs tɔk bɔt am se "Dis na di bon we brok." Dɛn kin klas am bak bay us kayn fraktrɔs i bi ɛn aw di bon brok.

sכm frakshכn dεm dεn kin klas dεm akɔdin to di shep כ patεn fכ di frakshכn :

• Transvas frakshכn: Na di bon we de brok arawnd di bכdi.
• Oblique fracture: Na we di bon brok na wan angle.
• Spiral fracture: Na fraktrɔs we i tan lɛk se di bon dɔn twist.
• Segmental fracture: Na bon we de brok to sɔm pat dɛn.
• Comminuted fracture: Na frakshכn we di bon kכlכs kכlכs, brok insay bכku pat dεm.
• Buckle/impacted fracture: Dis na we dεn de push di bon insay εn i de bulge sכmtεm na wan say. Dis kin apin mɔ pan yɔŋ pikin dɛn, bikɔs dɛn bon dɛn kin saf.

Ɔda kayn brek de dipen pan aw dɛn kin apin :

• Stress fraktrɔs: .sכm sכm krak krak na di bon we de fכm sכmtεm bikoz fכ kכntinyu fכ prεshכn na di sem ples. Dis kin apin to atlet dɛn.
• Avulsion fracture: Dis kin apin we wan tεndon כ ligament kכmכt wit wan pat pan bon.

fכ egzampl, yu kin gεt `transvas mεtakarpal frakshכn`. Dis min se wan bon na di an dɔn brok krɔs. Sɔm an dɛn we kin brok kin ivin gɛt spɛshal nem dɛn. Yu kin dɔn yɛri bɔt `bɔksa in fraktrɔs` . dis na di ekzak tin we kin apin we pכsin hit in an wit in fist pan sכmtin we at (lεk wכl, fεns) εn brok di `mεtakarpal` bon na di an, spεshal wan na di pinki sayd.

Ɔl dɛn nem ya, ɔl dɛn klas ya, de ɛp di dɔktɔ fɔ ɔndastand kwik ɛn kɔrɛkt wan us bon dɔn brok, wetin apin to am, ɛn gi yu di bɛst tritmɛnt.

Aw kɔmɔn tin kin apin we pɔsin in an brok?

Infakt, di an dɛn we kin brok kin bɔku pas aw wi kin tink. spεshal wan, di frakshכn dεm na di mεtakarpal bon dεm na di an na dεn wan dεm we kכmכn pas כl. Fɔ sho se 1 pan ɛvri 10 pan ɔl di fraktrɔs dɛn na di wɔl na mɛtakapal fraktrɔs! Dɔn bak, pan yɔŋ pipul dɛn we ol bitwin 18 ɛn 34 ia, dis na di wan we dɛn kin ripɔt se dɛn kin wund dɛn an pas ɔl.

Wetin na di sayn dɛm we pɔsin kin gɛt we i brok in an?

Okay, naw lɛ wi si wetin yu go fil ɛn si we yu brok yu an. Yu kin gɛt wan ɔ mɔ pan dɛn sayn ya:

• Siri pen: Dis na di men tin.
• Swel: I kin bi se big big swɛlin de rawnd di say we di frakt.
• Tɛnda we dɛn tɔch am ɔ swɛt am.
• I nɔ izi fɔ muv di an, di finga dɛn, ɛn di big an.
• Blunɛs ɔ skin diskɔlɔreshɔn rawnd di say we di frakt.
• I kin tan lɛk wan lump (difɔmiti) na di an. I kin ivin fil lɛk se wan bon de kɔmɔt na do.
• Sɔm pat dɛn na di an kin tan lɛk se dɛn strɛch, ɔ dɛn kin ivin twist. sכmtεm di finga dεm kin ivin כvalap (`malrotation`).

We yu brok an, yu kin notis difrɛns wantɛm wantɛm. Yu kin notis se yu de swel, yu kɔlɔ de chenj, ɛn yu go gɛt wan 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. Dis swɛlin ɛn di kɔlɔ we de chenj kin kɔmɔt na di say we di an brok to ɔda pat dɛn na di an. if di bon dכn kכmplit wan (a `displaced fracture`), pat dεm pan di bon kin de kכmכt tru di skin. Dat kin mek pɔsin fred smɔl.

Wetin na di men tin dɛn we kin mek di bon dɛn na di an brok?

Bɔku rizin dɛn de we mek bon na di an kin brok. Lɛ wi luk sɔm pan di tin dɛn we kin mek wi gɛt dis sik:

• Fɔdɔm: Dis na di tin we kin mek pɔsin fɔdɔm pas ɔl. Ɛspɛshali we yu fɔdɔm ɛn yu fɔ yuz yu an fɔ sɔpɔt yusɛf. Tink bɔt dis, we yu bin smɔl, yu bin de ple, rɔn, jomp, ɔ fɔdɔm pan baysikul, nɔto so? I kin ivin apin we yu slip ɛn fɔdɔm na di bafa.
• Spɔt aksidɛnt dɛn:Dɛn kayn aksidɛnt ya kin apin we bɔl we de muv fast fast nak in an we i de ple kriket, we i de ple kɔntakt spɔt lɛk rɔgbi ɛn futbɔl, ɔ we i de praktis sɔm martial arts.
• Aksidɛnt na wokples ɔ aksidɛnt we yu de wok wit tul: Tin dɛn lɛk fɔ fɔdɔm we yu de es ebi ebi tin, fɔ kech yu an na mashin, ɛn ɔda tin dɛn.
• Trauma: If big aksidɛnt apin, lɛk motoka aksidɛnt.
• Fɔ nak say we at: Sɔm pipul dɛn kin nak dɛn an pan wɔl ɔ domɔt we dɛn vɛks. Dat kin brok bon dɛn na dɛn an izi wan. So nɔ ɛva du dat.

Apat frɔm dɛn tin ya, sɔm wɛlbɔdi prɔblɛm dɛn kin mek bak di bon dɛn na di an wik ɛn brok izi wan. fכ egzampl, tכmכro dεm de we nכ de kεnsar (benign) we dεn kכl `enchondromas`, we de fכm insay di bon dεm εn wik dεm. כlso, di kכndyushכn dεm we dεn kכl `osteoporosis` (bon lכs sik) εn `osteopenia` (lכw bon dεnsiti) kin mek di bon dεm wik εn brok we dεn nכ bin de εkspεkt, ivin if yu fכl sכmtεm. Bɔrku pipul nɔr kin no se dɛn gɛt `ɔstioporosis` te dɛn brok wan bon. Na bikɔs i nɔ kin gɛt big big sayn dɛn fɔs.

Udat de pan big risk fɔ brok in an?

Ɛnibɔdi kin brok in an, bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl:

• Pipul dɛn we nɔ rich 40 ia yet: Na bikɔs pipul dɛn we gɛt dis ej kin du mɔ.
• Atlet dɛm: Ɛspɛshali di wan dɛm we de ple `kɔntakt spɔt` ɛn di wan dɛm we de praktis martial arts.
• Pipul wae gɛt wɛl bɔdi prɔblɛm wae kin afɛkt di bon dɛm: lɛk ɔstioporosis wae wi bin dɔn tɔk bɔt.

Aw dɔktɔ go no fɔ tru if pɔsin in an brok?

We yu go to dɔktɔ we gɛt pen na in an, i go aks yu fɔs aw i apin. Dɔn dɛn go du wan ɛgzam fɔ yu an. Dɛn go luk fɔ swel, brus, ɛn if yu ebul fɔ muv yu an.

afta dat, fכ mek sכh se εksakכt usay di bon na yu an brok εn aw di frakshכn luk, di dכkta go כda fכ du ``X-ray`` tεst . ``X-ray`` na di mכst kכmכn we fכ si frakshכn klia wan. Yu kin nid fɔ du ``CT scan`` bak, mɔ if yu go gɛt ɔpreshɔn.

Wetin na di tritmɛnt fɔ pɔsin we brok an?

Aw yu go trit yu an we brok dipen pan bɔku tin dɛn, lɛk us bon we brok, us kayn we i brok, ɛn if ɔda tin dɛn de. Di tritmɛnt dɛn we dɛn kin yuz mɔ na:

Immobilizashɔn fɔ di an

if yu an nכ rili siriכs, we min se di bon dεm nכ de tu fa (a `nondisplaced fracture`), yu kin nid fכ wɛr `splint` כ `cast`. Dɛn kin du dis fɔ mek di bon dɛn we dɔn brok nɔ de na di say we dɛn de ɛn ɛp dɛn fɔ kam bak togɛda. Bɔrku pipul dɛn go nid fɔ kip dɛn an nɔr de muv fɔ lɛk 3 to 6 wiks . insay dis tεm, yu kin nid fכ du כda `X-ray` fכ chεk if di bon dεm de hεl fayn fayn wan.

Fɔ pripia fɔ bon (Klos Ridyushɔn) .

If di fraktrɔs bad bad wan, we min se di bon dɛn nɔ de na di say we dɛn de, yu kin nid fɔ du wan tin we dɛn kɔl klos ridɔkshɔn fɔ mek dɛn alaynɛd ​​bak. Dis min se di dɔktɔ de prɛs di ɔdasay na yu an ɛn pul di bon dɛn we dɔn brok bak na dɛn ples. We yu de du dis, yu nɔ go fil pen ɛn yu kin du wan pan dɛn tin ya:

• Dɛn kin gi lokal anestetik fɔ mek di say nɔmɔ we de rawnd di say we di bɔdi brok nɔ gɛt bɛtɛ trɛnk.
• Dɛn kin gi yu mɛrɛsin fɔ mek yu bɔdi rilaks ɛn mek yu fil lɛk se yu dɔn chak smɔl.
• Ɔ dɛn kin du dis bay we dɛn kin mek yu slip ɔl ɛn gi yu jenɛral anestezi.

Afta yu dɔn ridyus yu an, di dɔktɔ go mek yu an nɔ muv wit splint ɔ kast.

Ɔpreshɔn we dɛn kin du fɔ mek dɛn an brok

If yu gɛt ``open fracture`` (we min se di bon dɔn brok tru di skin) ɔ ``comminuted fracture`` (di bon dɔn brok insay bɔku pat), yu dɔktɔ kin se yu fɔ du ɔpreshɔn. Dɔn bak, if ɔda pat dɛn na di an dɔn pwɛl lɛk di ligamɛnt dɛn, di tɛndon dɛn, ɔ di nerv dɛn, i kin nid fɔ du ɔpreshɔn.

we yu de du di כpεrayshכn, yu sכjaman go ``sεt`` yu bon dεm bak na ples, we go alaw dεm fכ hεl εn gro bak tכgeda. Tu we dɛn de fɔ du dis:

• εksternal fiksεshכn: Insay dis, dεn kin put mεtal rod כ waya dεm tru di an fכ fiks di bon dεm.
• insay di bon: insay dis, dεn kin put sכm sכm plet כ ​​skru dεm insay di bon fכ fiks di bon.

Afta di bon dɔn wɛl, yu go nid fɔ du ɔda smɔl ɔpreshɔn fɔ pul di stik dɛn, di plet dɛn, ɛn di skru dɛn we dɛn bin dɔn put insay.

Yu tink se prɔblɛm dɛn kin apin afta dɛn dɔn du di ɔpreshɔn?

Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn pan dɛn an nɔ kin bɔku, bɔt sɔm tin dɛn de we kin apin sɔntɛnde:

• ` Malunion` : Dis na we yu brok bon dεm nכ de fit tכgeda fayn fayn wan, i de bi sכmtεm mislayn as dεn de hεl.
• ` Nonunion `: Yu bon dεm nכ kכmplit wan jכyn כ nכ jכyn atכl.
• Bon infεkshכn (Osteomyelitis) : If yu gεt opin fraktכs (wan we di bon dכn kכmכt na di skin), yu de pan hכy risk fכ baktri dεm fכ go insay di wund εn mek infεkshכn.
• Stif na di an : Pipul dεm we dεn brok dεn an kin stif arawnd di bon we brok εn na di joyn dεm na di an, we kin mek i at fכ muv. Simpul eksasaiz fɔ du na os ɛn ɔkupeshɔn tɛrapi kin ɛp fɔ ridyus dis stiffness.
• Acute Compartment Syndrome (ACS) : Dis na siriɔs sik. If yu swel insay yu mɔsul dɛn, dat kin mek yu prɛshɔn go ɔp ɛn i kin mek di blɔd nɔ go na di tisu dɛn. Dis kin mek di mɔsul ɛn nerv dɛn pwɛl fɔ ɔltɛm. Na dat mek dɔktɔ dɛnsɛf kin wɔri bɔt swel.

Aw lɔng i kin tek fɔ mek an wɛl?

Aw lɔng i kin tek fɔ mek yu an wɛl kin dipen pan bɔku tin dɛn:

• Us bon dɛn bin brok?
• Wetin mek di brek (lɛk fɔdɔm ɔ aksidɛnt)?
• Us kayn tritmɛnt yu bin nid?
• If ɛni ɔda injuri de na di an (e.g. wan ligament we dɔn rɔtin).

Bɔrku pan di kes dɛm wae dɛn kin brok an kin tek lɛk wan ɔr tu mɔnt fɔ wɛl. Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I bɛtɛ fɔ aks yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn bɔt di tɛm we go wok fayn fɔ yu sityueshɔn.

Aw lɔng i go tek fɔ mek i wɛl ɛn bigin fɔ wok?

Ivin afta di bon dɔn wɛl, i go stil tek sɔm tɛm fɔ mek yu wɛl ɔl ɛn go bak to yu nɔmal tin dɛn. Di stiffness na yu an fɔ go dɔŋ ɛn yu trɛnk fɔ kam bak. Bɔrku pipul kin bigin fɔ du bɔdi wok bak, lɛk fɔ ple spɔt, afta lɛk 8 wiks (ɔ lɛk tu mɔnt) .

Bɔt i rili impɔtant fɔ go to yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn bifo yu bigin fɔ du ɛnitin bak. I impɔtant mɔ fɔ go to dɔktɔ bifo yu bigin fɔ du ɛnitin ɔ spɔt bak, mɔ if yu brok yu bon we yu de du wan patikyula tin ɔ spɔt.

Yu go ebul fɔ mek yu an nɔ brok?

I nɔ go pɔsibul fɔ mek yu nɔ brok an 100% pan di tɛm, bikɔs aksidɛnt kin apin we wi nɔr de ɛkspɛkt am. Bɔt yu kin ridyus di risk fɔ injuri bay we yu fala dɛn jenɛral sefty advays ya:

• Nɔ ɛva nak wɔl, domɔt, ɔ ɔda tin dɛn we at we yu vɛks ɔ yu at pwɛl. Dis go jɔs pwɛl yu yon an.
• Ɔltɛm wɛr yu sit bɛlt fayn we yu de rayd motoka.
• Wear di rayt tin fɔ protɛkt yusɛf (e.g. glɔv) fɔ ɛvri aktiviti ɔ spɔt we yu de du.
• Fɔ fala di it we gɛt bɔku kalsiɔm ɛn vaytamɛn D ɛn ɛksɛsayz plan fɔ ɛp fɔ mek yu bon dɛn gɛt gud wɛlbɔdi.
• If yu dɔn pas 50 ia, ɔ if ɛnibɔdi na yu famili (mama, papa, brɔda ɛn sista dɛn) gɛt ɔstioporosis, tɔk to yu dɔktɔ bɔt fɔ mek dɛn du yu bon dɛnsiti tɛst .

Ustɛm yu fɔ go na imejensi rum?

If yu tink se yu an brok, yu fɔ go to dɔktɔ kwik kwik wan. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya , go na di ɔspitul imejensi dipatmɛnt wantɛm wantɛm:

• Di pen we pɔsin kin fil nɔ kin ebul fɔ bia.
• If yu nɔ ebul fɔ muv yu an ɔ yu finga dɛn.
• If di we aw yu an de luk dɔn chenj bad bad wan (lɛk se i dɔn strɛch, i dɔn gɛt lumpy).
• If yu kin si bon we de kɔmɔt na di skin.
• I de swel bad bad wan.
• If nyu blunɛs apin wantɛm wantɛm wit dɛn ɔda sayn ya.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to yu dɔktɔ, yu kin aks dɛn kwɛstyɔn ya fɔ ɔndastand yu sik klia wan:

• Us kayn fraktrɔs a gɛt? (Uswan pan di kayn dɛn we wi dɔn tɔk bɔt?)
• Yu tink se a nid fɔ du ɔpreshɔn?
• Aw lɔng a go gɛt fɔ wɛr splint ɔ kast?
• Aw lɔng a go nid ɔkupeshɔn tɛrapi?
• Ustɛm i sef fɔ bigin fɔ du tin dɛn bak lɛk fɔ ple spɔt?

Yu kin shek yu an ivin if i brok?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Dipen pan us bon na yu an we brok ɛn aw di brok brok, yu kin ebul fɔ muv ɛn yuz yu an smɔl. Bɔt ivin if yu ebul fɔ muv yu an, nɔ fos am - mɔ if i de at bɔku we yu de yuz am. If yu du dat, dat kin mek di sik wɔs.

If yu ivin tink se yu gɛt brok bon na yu an, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm. Di kwik we dɔktɔ no ɛn trit di sik, na di mɔ i go wɛl kwik ɛn i nɔ go gɛt prɔblɛm dɛn.

Dis na brok an ɔ na jɔs sprain?

pan ɔl we bon brok ɛn sprein na tu difrɛn kayn injuri, dɛn ɔl tu kin apin frɔm di sem kayn aksidɛnt (e.g., fɔdɔm).

• Bɔn frakt kin apin we bon dɔn pwɛl ɛn split, brok, ɔ krɔs.
• Sprain kin apin we wan pan yu ligamɛnt dɛn (di tisu we de kɔnɛkt bon dɛn to dɛnsɛf) strɛch ɔ rɔtin. bon we brok na yu an kin mek bak yu an ɔ finga swɛt (a "jam finga").

Sɔntɛnde, di sayn dɛm fɔ dɛn tu kin fiba, so dɛn kin nid fɔ tek ɛkstrem rayt fɔ no di rayt tin we nɔ fayn.

Wi kin laf we pɔsin fɔdɔm ɛn brok in an ɔ dɛn bit am na in an wit hama na katun fim dɛn. Bɔt insay rial layf, we pɔsin wund in an nɔto jok. Tink bɔt aw wi an dɛn impɔtant we wi de intarakt wit di wɔl we de rawnd wi ɛn du wi wok dɛn ɛvride. We yu brok bon na yu an, dat min se yu fɔ lan fɔ du yu ɛvride difrɛn we fɔ sɔm wiks, sɔntɛm fɔ lɔng tɛm pas dat. Dat kin bi big prɔblɛm.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

So, if yu wund yu an, nɔr ignore sayn dɛm lɛk pen ɛn swel, tink se, "Na jɔs smɔl tin." Si dɔktɔ kwik kwik wan ɛn mek dɛn chɛk yu. Di kwik we dɔktɔ no se yu an brok ɛn bigin fɔ trit yu di rayt we, na di mɔ chans de fɔ mek yu bon dɛn wɛl fayn ɛn kwik. Dɔn yu kin go bak to yu nɔmal tin dɛn kwik kwik wan. Stay wit wɛlbɔdi!

` An frakt, bon frakt, an pen, an swel, an tritmɛnt, bɔksa in frakt, kast, splint