I pɔsibul fɔ brok yu an ɔ yu fut we yu de ple, ilɛksɛf na fɔdɔm ɔ smɔl aksidɛnt. We dat apin, di fɔs tin we di dɔktɔ kin se na, "A nid fɔ put kast pan am." Sɔm pipul dɛn kin fred smɔl we dɛn si dis kast. Bɔku kwɛstyɔn dɛn kin kam na yu maynd, lɛk aw yu go wok we yu wɛr am, aw yu go shaw, ɛn i go at? Bɔt i rili tan lɛk yu bɛst padi we de ɛp yu bon dɛn fɔ wɛl. So, wetin na kas? Wetin i de du? Lɛ wi tɔk bɔt dis ditayli, rili simpul wan.
Fɔ tɔk am simpul wan, wetin na kast?
Imajin se yu bon brok, yu bon brok . Fɔ mek i wɛl fayn, dɛn nid fɔ ol di tu bon dɛn we dɔn brok togɛda ɛn nɔ fɔ muv. I tan lɛk we yu put glu pan vays we dɔn brok ɛn ol am na in ples te i dray. Na dat wan kast de du. Na kas we dɛn kin put rawnd wan pat na di bɔdi we wund, lɛk yu an ɔ yu leg, ɛn ol am na in ples so dat i nɔ go muf. insay mεdikal, wi kin kכl dis ``immobilization.'' I min se dεn kin stכp di muvmεnt kכmplit wan.
Nɔto lɛk splint we dɛn kin put sɔntɛnde, dɛn nɔ kin ebul fɔ pul plasta, mek am fayn, ɔ lus am na os. Dɛn mek am fɔ fit yu bɔdi pat jɔs ɛn dɛn put am na in ples fɔ mek i nɔ gɛt wan prɔblɛm te i wɛl ɔl.
Us kes dɛn i nid fɔ put plasta?
Bɔku tɛm dɛn kin put kast we di bon brok . Na dat na di men rizin. Bɔt apat frɔm dat, afta sɔm ɔpreshɔn dɛn fɔ ɔtpidik , dɛn kin put wan kast fɔ mek da pat de na di bɔdi nɔ de muv te i wɛl. Bɔt i nɔ kin bɔku smɔl.
Yu kin nid fɔ wɛr kɔst if yu brok bon na wan pan dɛn pat ya na yu bɔdi:
- An ɔ ɛlb
- Wrist ɛn an
- Leg ɔ ni
- Fut
- Bɔtɔm
Tu kayn plasta de! Lɛ wi si wetin dɛn bi.
Tu men kayn plasta de. Dɛn na fayv glas ɛn plasta we dɛn mek na Paris. Naw, fayv glas na di kayn we we dɛn kin yuz mɔ. Lɛ wi si wetin difrɛns bitwin dɛn tu.
| Tin | Fayba Glas Kast | Plaster di Paris Kast |
|---|---|---|
| We | Layt wet, layt. | I tu ebi. |
| Strɔng ɛn fɔ de te | I rili strɔng ɛn i kin te. | I wik we yu kɔmpia am ɛn i kin brok izi wan. |
| Travul na plen | Bikɔs i gɛt porous, di briz kin pas na di skin, we kin mek di skin nɔ swet. | Eya nɔ de muf, so yu kin swet ɛn it. |
| Taim fo dray. | I kin dray kwik ɛn i kin rili sɔlid insay sɔm awa. | I kin tek wan ɔ tu dez fɔ mek i dray ɔl. |
| Kɔlɔ | I de insay difrɛn kɔlɔ dɛn (pikin dɛn lɛk dis!) | Na wayt nɔmɔ. |
| I izi fɔ shep | I at smɔl. | I rili izi fɔ ajɔst to di shep we yu bɔdi gɛt. |
Sɔntɛnde, if di bon brok ɛn nɔ de na in ples (a displaced fracture) , plasta na Paris kin fayn fɔ mek i kam bak to di say we i bin de fɔs. Na bikɔs i izi fɔ mek di bɔdi shep, bɔt bɔku tɛm, dɛn kin yuz fayv glas.
Wetin kin apin bifo dɛn put di plasta?
Bifo di dɔktɔ put di kɔst, i go nid fɔ mek yu bon we dɔn brok bak na in ples. dis dεn kכl am 'sεt di bon'. Ɔ yu kin jɔs ledɔm ɛn wɛl. Tu we dɛn de fɔ du dis.
Klos Ridyushɔn
Imajin se di tu bon dɛn we brok dɔn kɔmɔt smɔl. Di dɔktɔ go ol yu skin wit in an ɛn muv di tu bon dɛn jisnɔ bak usay dɛn bin de. We yu de du dis, i go gi yu wan tin we de mek yu nɔ fil bad so dat yu nɔ go fil ɛni pen. So yu nɔ go fil ɛni pen.
Kes dɛn we nid fɔ gɛt ɔpreshɔn
Sɔntɛnde, di frakshɔn kin so bad dat dɛn nɔ kin ebul fɔ fiks am frɔm do. Di dɔktɔ go du smɔl ɔpreshɔn ɛn put mɛtal plet ɔ skru/pin insay fɔ fiks di tu pat dɛn pan di bon togɛda. dis dεn kכl am ``intanεt fikseshכn'' . We dɛn de du dis, dɛn go gi yu jenɛral anestezi, so yu nɔ go fil natin.
Dɛn kin put di plasta afta dɛn dɔn pripia di bon fayn fayn wan dis we.
Step by step pan aw fɔ aplay di plasta...
Fɔ put plasta tan lɛk fɔ put bɔku layers.
1. Fɔs, protɛkt yu skin: Fɔs, fɔ protɛkt yu skin, yu kin put lɔng klos we kin strɛch, lɛk sɔk. Dɛn kɔl dis ``stockinette'' .
2. Wan layt kɔtɔn pan tap: Dɔn, dɛn kin rap sɔm layers fɔ bandej we tan lɛk kɔtɔn we rili saf oba dat. Dis kin ɛp fɔ mek di plasta nɔ tayt ɛn i kin mek dɛn ebul fɔ kɔntrol ɛni smɔl smɔl swɛlin.
3. Naw na di tɛm fɔ put di plasta: Sok wan pat pan fayv glas ɔ plasta fɔ Paris insay wata ɛn rap am fayn fayn wan oba di kɔtɔn layt. Ripit dis prɔses te yu gɛt di tik ɛn trɛnk we yu want. Di dɔktɔ go shep am to di shep we yu bɔdi pat shep.
pan ɔl we i kin tek lɛk 15-20 minit fɔ put plasta pan smɔl say lɛk di an, i kin tek lɛk wan awa fɔ put am na big say lɛk di leg.
Aw lɔng i kin tek fɔ mek plasta dray?
Dis go difrɛn difrɛn wan bay di kayn plasta we dɛn gi yu.
- Fayba glas kin bigin fɔ dray wantɛm wantɛm afta dɛn dɔn put am. I kin rili strɔng insay sɔm awa. We i dɔn dray, i kin fil lɛk se i rɔf we yu tɔch am.
- Plaster of Paris kin tek wan ɔ tu dez fɔ ful-ɔp fɔ dray ɛn rich in ful trɛnk. So tek tɛm mek yu nɔ put ɛni wet pan am insay da tɛm de. We i dray, i go luk smol ɛn wayt.
Wetin yu fɔ du insay di fɔs dez afta yu dɔn put di plasta?
I rili impɔtant fɔ du dɛn tin ya fɔ mek yu nɔ swel insay di fɔs tu ɔ tri dez afta yu dɔn put di plasta.
- Ɔltɛm kip am ɔp: Kip di an ɔ leg we yu dɔn kɔt ɔp pas di lɛvɛl na yu at wit tu ɔ tri pilo dɛn as yu ebul. Dis go ridyus di swel bad bad wan.
- Put ays: Put sɔm ays kiub dɛn insay plastic bag we nɔ de mek wata pas, rap am wit tawɛl, ɛn put am pan di plasta. Nɔ ɛva mek di ays wata nak di plasta dairekt wan. Dis go mek bak di swel ɛn pen nɔ bɔku.
- Shek yu finga dɛn: Shek yu finga ɔ fut finga dɛn ɔltɛm we de ausayd yu kas. Dis go mek di blɔd go fayn ɛn i go mek di blɔd nɔ de swɛla ɛn nɔ stif.
Di bɛnifit ɛn di prɔblɛm dɛn we kin apin we yu put plasta kast
Di men bɛnifit we kast gɛt na dat i de gi di bɛst protɛkshɔn fɔ di bon we brok te i wɛl. Na wan we we rili sef ɛn we go wok fayn.
Bɔt sɔm prɔblɛm dɛn de we kin apin we nɔ kin apin so ɔltɛm.
- Prεshכn sכr: Prεshכn sכr kin apin bikoz fכ kכntinyu fכ prεshכn pan di sem εria frכm insay di plasta.
- Compartment Syndrome: Dis na siriɔs, imejensi kɔndishɔn. Di swɛlin we de insay di kɔst kin pasmak, ɛn i kin kɔmprɛs di blɔd vesel ɛn nerv dɛn. If yu fil pen we yu nɔ go ebul fɔ bia, yu finga dɛn de swɛt, ɔ yu finga dɛn de shayn , yu fɔ go to dɔktɔ wantɛm wantɛm.
- bכdi kכlכt (Dip Vein Thrombosis - DVT): bכdi kin fכm na di dip vein dεm, spεshal wan we di lεg nכ de muv wit kכst.
- Infɛkshɔn: Infɛkshɔn kin apin if wund de na di skin bifo dɛn put di plasta ɔ if dɛn put sɔntin insay di plasta ɛn skrach di skin.
Aw fɔ tek kia ɔf yu plasta? - Di tin dɛn we yu fɔ du ɛn wetin yu nɔ fɔ du
Na yu wok fɔ tek kia gud wan pan yu kast we i de insay. Na sɔm advays dɛn ya fɔ du dat.
| Tin dɛn fɔ du (Do’s) ✅ | Nɔto fɔ du am ❌ |
|---|---|
| Kip di plasta klin ɛn dray as yu ebul. | Nɔ ɛva mek di plasta wet. Kɔba am tayt wit plastic bag we yu de was fɔ mek wata nɔ go insay. |
| Chek di plasta ɔltɛm fɔ si if i krak ɔ if i lɔs. | Ivin if yu fil se yu want fɔ skrach, nɔ ɛva put ɛnitin insay di plasta, lɛk stik, pen, ɔ waya. Dis kin brok di skin ɛn mek yu gɛt denja infɛkshɔn. |
| Du finga ɛksesaiz lɛk aw yu dɔktɔ tɛl yu fɔ du. | Nɔ put loshan ɔ paoda pan di skin we de insay ɔ nia di plasta. |
| If yu gɛt ɛni pen, swel, ɔ smel we nɔ kɔmɔn, tɛl yu dɔktɔ. | Nɔ ɛva tray fɔ pul, brok, ɔ kɔt di plasta na os yu wan. |
Aw yu kin pul di plasta? Yu tink se i de mek pɔsin fil bad?
Dis na sɔntin we bɔku pipul dɛn kin fred. "Dem go kot mi an/leg wen a kot di plasta?" Bɔt no rizin nɔ de fɔ mek wi fred am.
Di dɔktɔ kin yuz spɛshal saw (cast saw) fɔ pul di plasta. Di bled nɔ de rɔta, i jɔs de shek shek wit ay spid. So we i de pan di had plasta, i kin kɔt, bɔt we i de pan yu saf skin, i nɔ kin kɔt. I kin fil lɛk se i de tik smɔl ɛn mek nɔys, bɔt i nɔ kin at.
Di dɔktɔ kɔt di plasta na di tu say dɛn, spre am, ɛn pul am. Dɔn, dɛn kin kɔt di kɔtɔn layt ɛn di klos we de insay wit siza.
If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm!
Yu fɔ no dɛn tin ya we yu de wɛr di plasta. If yu gɛt ɛni wan pan dɛn tin ya, tɔk to yu dɔktɔ ɛn nɔ de te.
- Wan pen we pɔsin nɔ go ebul fɔ bia, we de mek i fil pen mɔ ɛn mɔ.
- di finga dεm we yu kin si tru di kכst kin blu, pale, כ swεla pasmak.
- Sivɛri tingling ɔr nɔr de fil fayn na di finga dɛm.
- Wan bad smel we de kɔmɔt insay di plasta.
- Di plasta brok, krak, ɔ lɔs na wan ples.
- I kin tan lɛk se di skin de bɔn frɔm insay di plasta.
Na patikyula, if pen de we yu nɔ go ebul fɔ bia wit tingling ɔ paleness na di finga dɛm, i kin bi wan simptom fɔ ``Compartment Syndrome`` we wi bin dɔn tɔk bɔt bifo tɛm. If na so i bi, yu fɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm ɛn yu nɔ fɔ wet de ɔ nɛt.
We yu brok bon, fɔ wɛr kɔst kin mek yu vɛks smɔl ɛn i nɔ kin izi fɔ bia. Bɔt na di bɛst tin fɔ protɛkt yu ɛn ɛp yu bɔdi fɔ wɛl fayn fayn wan. Fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we. Dɔn yu go wɛl kwik kwik wan ɛn yu go ebul fɔ du tin dɛn we yu nɔ bin de du.
Mɛsej we dɛn kin kɛr go na os
- Di men wok we di kast de du na fɔ mek di bon we dɔn brok nɔ muv ɛn ɛp am fɔ wɛl fayn fayn wan.
- Nɔ mek yu kɔst wet. Kɔba am fayn wit plastic we yu de was.
- Ivin if yu fil se yu want fɔ skrach, nɔ chuk ɛnitin insay di plasta. Dis kin mek pɔsin gɛt siriɔs infɛkshɔn.
- If yu fil pen we yu nɔ go ebul fɔ bia, yu finga dɛn de swɛt, ɔ yu gɛt ɛnitin we de chenj in kɔlɔ, tɛl yu dɔktɔ wantɛm wantɛm.
- Nɔ ɛva tray fɔ pul wan kast na os yusɛf. Na pɔsin we tren fɔ mɛn pipul dɛn nɔmɔ fɔ du dis.
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