Wetin yu go du if wan pan yu bon dɛn brok brok? Lɛ wi tɔk bɔt wan comminuted fracture!

Oh, wi ol don yehri boht brok an o leg na big aksident. Bɔt sɔm fraktrɔs dɛn de we nɔto jɔs simpul fraktrɔs. Imajin se wan plet fɔdɔm na grɔn ɛn brok brok, di bon brok ɛn tɔn to wan bɔnch smɔl smɔl. Na dat wi kin kɔl ‘comminuted fracture ’ na mɛrɛsin. Dis na rili siriɔs sik, so i impɔtant fɔ no bɔt am.

Wetin rili na comminuted fracture?

Fɔ tɔk am simpul wan, comminuted fracture na we wan pan yu bon dɛn brok na at le tu ɔ mɔ ples dɛn ɛn brok to bɔku pat dɛn. I tan lɛk glas we kin brok brok we i fɔdɔm. Dis kin kɔmplikt smɔl pas we pɔsin kin brok ɔltɛm.

Dɛn kayn fraktrɔs ya kin apin na ɛni big ɔ lɔng bon na di bɔdi. Di ples dɛm we dɛn kin apin mɔ na:

• Femur (bɔn na di shɔl) .
• Di fɔs pat pan di shin bon (Tibia) .
• Di bak, tin pat pan di shin bon (`Fibula`) .
• Di bon we de ɔp di an (Humerus) .
• di bon dεm na di fכs an εn di an tכwεd di finga dεm (`Radius` εn `Ulna`) .
• Klavikul
• Skull we de na di bɔdi

Bɔku tɛm, dis sik we dɛn kɔl comminuted fracture kin apin bikɔs ɔf aksidɛnt we pɔsin nɔ go ebul fɔ imajin. Tink bɔt am lɛk siriɔs motoka aksidɛnt ɔ fɔdɔm frɔm ay ples lɛk ɔp stori. Dɛn tin ya kin rili siriɔs if dɛn apin to big bon dɛn, ɛn bɔku tɛm dɛn kin nid fɔ du ɔpreshɔn fɔ mek di bon sɛt. Bɔt sɔntɛnde, dɛn kayn fraktrɔs ya na smɔl bon dɛn kin wɛl we dɛn nɔ du ɔpreshɔn pan dɛn. Aw lɔng i kin tek fɔ wɛl kin dipen pan us bon yu brok ɛn aw i brok. Fɔ bɔku pipul dɛn, mɔ if yu fɔ gɛt ɔpreshɔn, i kin tek wan ia fɔ mek yu wɛl ɔl.

Wetin na di difrɛns bitwin comminuted ɛn segmental fractures?

Comminuted Fracture εn Segmental Fracture na dεn tu kayn siriכs bon frakshכn dεm . Dɛn nem ya kin tɛl yu dɔktɔ patikyula tin dɛn bɔt aw yu bon dɛn brok, usay dɛn brok, ɛn aw dɛn tan insay yu bɔdi.

If yu gɛt 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 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. In ɔda wɔd, i tan lɛk se dɛn dɔn krɔs am.

na di כda say, sεgmεnt frakshכn na we di bon brok na tu ples, wit wan pat pan bon bitwin bitwin we dεn separet frכm di כda pat dεm. sכm sεgmεnt frakshכn dεm kin kכmכt כ nכ kin kכmכt.

Bɔt ilɛk wetin dɛn kɔl am, di tin we impɔtant pas ɔl na fɔ mek dɔktɔ chɛk yu injury kwik kwik wan. Ɛni wan pan dɛn kayn frakshɔn ya kin bi siriɔs injury, ɛn na afta dɛn dɔn du dɔktɔ chɛk di tritmɛnt we dɛn nid.

Udat kin sɔfa mɔ wit dɛn kayn fraktrɔs ya?

infakt, wan comminuted fracture – lεk εni כda bon frakshכn – kin apin to εnibodi. Bikɔs na bad bad aksidɛnt kin mek dɛn tin ya apin, nɔbɔdi nɔ go ebul fɔ no ustɛm, aw, ɔ udat aksidɛnt go apin. So, ɔlman de pan denja.

Aw dis sik kin kɔmɔn?

Bɔt di gud nyus na dat, dɛn tin ya we dɛn kɔl comminuted fractures nɔ kin bɔku. De rizin fɔ dis na bikɔs, fɔtunate wan, bɔrku pipul nɔr nid fɔ gɛt de kayn bad bad aksidɛnt wae kin kam wit dɛn.

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

If yu gɛt comminuted fracture, yu kin gɛt ɔda siriɔs sayn dɛn bak we di aksidɛnt we mek yu gɛt am. Yu sayn dɛm go dipen pan de ɔda injury dɛm wae yu gɛt. Bɔt bɔku tɛm, di sayn dɛn we de sho se pɔsin brok brok brok bɔdi kin bi:

• Pen we pasmak: Dis nɔto nɔmal pen, na pen we at fɔ bia.
• Nɔ ebul fɔ muv bɔdi pat we nɔmal fɔ muv: Na tin we kin mek yu nɔ ebul fɔ muv ɔ bɛn yu an ɔ yu leg.
• Wan pat na di bɔdi we de luk difrɛn ɔ we de muf kɔmɔt na in ples: I kin tan lɛk se yu an ɔ yu leg strɛch ɔ put am na wan ɔda we.
• Yu bon de stik aut tru yu skin: Dis na sayn we rili siriɔs.
• Swel: Di say we yu wund kin swel bɔku.
• Brus ɛn blɔd stɛyn : Blɔd de siep ɔnda di skin ɛn tɔn blu/pɔpul.

Opin ɛn Klos Kɔminit Fraktrɔs

Yu dɔktɔ go klas yu fraktrɔs as ``Open Fracture`` ɔ ``Closed Fracture``.

• If yu gɛt ``Open Fracture`` (sɔntɛnde dɛn kin kɔl am ``Compound Fracture``), yu bon we brok dɔn brok tru di skin. Dɛn tin ya kin tek lɔng tɛm fɔ wɛl ɛn dɛn kin gɛt di sik mɔ .Risk de bak fɔ gɛt ) ɛn ɔda prɔblɛm dɛn.
• Klos frakshɔn na wan we di bon dɔn brok ɛn di skin nɔ dɔn pwɛl, we min se di bon nɔ kɔmɔt na di skin. Dis na siriɔs tin bak, bɔt i nɔ gɛt bɔku prɔblɛm dɛn pas we pɔsin brok we opin.

Displaced Kɔminɛt Fraktrɔs

‘Displaced’ ɔ ‘Non-displaced’ na di wɔd dɛn we yu dɔktɔ go yuz fɔ tɔk bɔt pɔsin we brok brok .

• Displaced fracture na we di bon brok ɛn push di pis dɛn apat, we de lɛf big gap bitwin dɛn. Bɔku tɛm, dɛn kayn fraktrɔs ya kin nid ɔpreshɔn fɔ mek dɛn sɛt dɛn fayn fayn wan.
• Frakshכn we nכ de displεs na we di bon brok, bכt di pis dεm nכ muf tu fa, εn dεn stil de rεlatεvli intakt.

We di bon brok brok, di bon kin brok to bɔku pat, we kin mek i izi fɔ mek dɛn kɔmɔt na di say we dɛn de pas ɔda kayn fraktrɔs.

Wetin na di tin dɛn we kin mek pɔsin brok brok brok?

Dis kכminεt frakshכn de kכz fכ wan rili siriכs, hεy-impεkt aksidεnt ( Trauma ). Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• Siviɔs motoka aksidɛnt (lɛk motoka ɛn motoka aksidɛnt).
• Fɔdɔm frɔm wan ples we rili ay (fɔ ɛgzampul, frɔm lada, ruf, ɔ ivin wan tik we lɔng).

Ɛni impak we hit yu bon dɛn tranga wan kin mek yu brok brok brok. Bɔt pan ɔl we kɔmɔn tin dɛn lɛk fɔ slip ɛn fɔdɔm kin brok bon, dɛn nɔ kin pwɛl inof fɔ mek pɔsin brok brok brok.

Aw fɔ no se pɔsin dɔn brok brok?

Yu dɔktɔ go no se yu gɛt smɔl smɔl fraktrɔs wit yu bɔdi ɛgzam ɛn difrɛn tɛst dɛn fɔ tek pikchɔ. Sɔntɛnde, if dɛn admit yu na di imejensi rum afta yu gɛt siriɔs aksidɛnt, dɛn kin du dɛn tɛst ya de.

If dɛn kɛr yu go na di imejensi rum, wan mɛdikal tim go mek yu stebul ɛn trit yu akɔdin to aw i siriɔs. Ɛspɛshali if yu gɛt injuri dɛn we de mek yu layf de pan denja, dɛn go put dɛn fɔs. Afta yu dɔn stebul, dɛn go nid fɔ du imej tɛst fɔ kɔnfɔm di fraktrɔs.

Us kayn tɛst dɛn kin du?

Fɔ mek yu no klia wan bɔt yu frakt, yu go nid fɔ du wan ɔ mɔ pan dɛn imej tɛst ya:

• X-ray `(X-ray)`: 1.We yu tek ɛkstrem rayt, yu go ebul fɔ no if yu bon dɛn dɔn brok ɔ ɔda tin dɛn we dɔn brok ɛn yu go si aw dɛn dɔn pwɛl yu bon dɛn.
• Magnetic Resonance Imaging (MRI): Yu dɔktɔ kin yuz MRI fɔ gɛt kɔmplit pikchɔ bɔt di damej we di bon dɛn ɛn di say we de rawnd am dɔn pwɛl. i kin luk bak fכ damej pan di sכft tisu dεm (mכsul dεm, kכnektiv tisu dεm, כgan dεm) we de rawnd di bon dεm. Dis impɔtant fɔ no aw di aksidɛnt dɔn afɛkt dɛn wan ya.
• CT Scan (Computed Tomography scan): CT skan de mek yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn ebul fɔ no mɔ bɔt yu bon dɛn ɛn di tisu dɛn we de rawnd yu pas ɛkstrem rayt.

Aw dɛn kin trit pɔsin we dɔn brok brok?

If yu dɔn brok wan lɔng ɔ big bon ɛn i dɔn tɔn to smɔl smɔl, yu go nid fɔ du ɔpreshɔn fɔ fiks am. Bɔku ɔspitul tɛknik dɛn de we dɛn kin yuz fɔ kɔrɛkt di wan dɛn we dɔn brok brok. Di we aw yu dɔktɔ go yuz go dipen pan di injury dɛn we yu gɛt, di bon we brok, ɛn ɛni prɔblɛm we dɔn apin frɔm we di aksidɛnt apin.

di sajin go muv yu bon dεm we brok bak na dεn kכrekt posishכn (wi kכl dεm ‘sεt’) εn fiks dεm na ples. Dis na we dɛn kin wɛl fayn ɛn fit togɛda. Bɔku tɛm, dɛn kin kɔl dis internal fixation . Dis min se di dɔktɔ we de du di ɔpreshɔn go put mɛtal pat dɛn (lɛk stik ɔ plet) insay yu bon fɔ ol am te di bon wɛl. Difrɛn kayn intanɛnt fikseshɔn dɛn de:

• Rod: Dɛn kin put wan stik tru di midul pan di bon, frɔm ɔp to dɔŋ.
• Plɛt ɛn Skru: Dɛn kin put mɛtal plet dɛn insay di bon ɛn tay dɛn wit skru, ɛn ol di bon pat dɛn togɛda.
• Pin ɛn Waya: If bon pat dɛn de we smɔl pas ɔda fikseshɔn dɛn, dɛn kin yuz pin ɛn waya fɔ ol dɛn togɛda. Bɔku tɛm, dɛn kin yuz dɛn tin ya togɛda wit stik ɔ plet. Yu kin nid pin ɛn waya fɔ ol di pis dɛn togɛda afta yu brok brok brok.

Sɔm pipul dɛn kin liv wit dɛn mɛtal pat dɛn ya na dɛn bɔdi. Sɔm pipul dɛn kin ivin gɛt ɔpreshɔn fɔ pul dɛn leta.

Fikseshɔn we de na do

Yu kin nid bak fɔ fiks am na do. Bɔku tɛm, dis kin bi sɔlv fɔ sɔm tɛm. I kin ɛp fɔ mek di frakt stebul te yu ɔda injury dɛn wɛl. Di dɔktɔ we de du di ɔpreshɔn kin put skru dɛn insay yu bɔdi, na di tu say dɛn we di say we yu brok, ɛn kɔnɛkt dɛn to sɔpɔt (brɛs ɔ brakɛt) we de na do na yu bɔdi.

Sɔntɛnde, dɔktɔ dɛn we de du ɔpreshɔn kin se yu fɔ fiks yu na do as di fɔs tin bifo yu du big ɔpreshɔn fɔ trit yu smɔl smɔl fraktrɔs. If yu gɛt bɔku ɔda injuri dɛn, i kin tek sɔm tɛm fɔ mek yu bɔdi wɛl fɔ mek dɛn du ɔpreshɔn fɔ mek yu bɔdi fayn.

Bone Grafting we dɛn kin yuz fɔ mek di bɔdi

If yu kɔmɔn fraktrɔs dɔn rili bad, ɔ if yu bon nɔ de wɛl lɛk aw yu bin de tink, yu go nid fɔ gɛt bon graft . Di dɔktɔ we de du di ɔpreshɔn go tek ɛkstra bon tisu ɛn put am fɔ put yu bon we dɔn brok bak togɛda. Dɔn, dɛn kin ol di pis dɛn togɛda, bɔku tɛm dɛn kin yuz sɔntin we dɛn kin put insay, te di bon gro bak. difrεn we dεm de fכ gεt tisu fכ bon graft:

• Frɔm ɔdasay na yu yon bɔdi – bɔku tɛm na di tap pat pan yu hip bon.
• Frɔm wan kɔntribyushɔn we kɔmɔt na do.
• Wit wan artificially kriet riplesment pies.

Comminuted Fracture surgery na ɔutpatient prosidur, we min se yu kin go na os di sem de. Bɔt yu kin gɛt ɔda injuri dɛn frɔm di aksidɛnt we mek di smɔl smɔl brok brok, so yu kin nid fɔ de na ɔspitul te yu wɛl.

Afta dɛn dɔn du di ɔpreshɔn, di pat na yu bɔdi usay di bon we brok nɔ go ebul fɔ muv. Dipen pan usay i de, yu kin nid fɔ wɛr bres, splint, ɔ kas. Na da tɛm de nɔmɔ yu go ebul fɔ put wet pan am smɔl smɔl ɔ bigin fɔ yuz am lɛk aw yu bin de yuz am bifo di aksidɛnt.

Us mɛrɛsin dɛn kin yuz fɔ kɔminit fraktrɔs?

Nɔn-stɛroyd anti-inflammatory drugs (NSAID) lɛk aspirin ɔ ibuprofen kin mek pɔsin blɔd ɛn ɔda prɔblɛm dɛn if dɛn yuz am afta dɛn dɔn ɔpreshɔn am. So, yu dɔktɔ we de du ɔpreshɔn go advays yu bɔt di mɛrɛsin dɛn we yu kin tek fɔ mek yu nɔ fil pen afta dɛn dɔn du yu ɔpreshɔn.

Kɔmplikɛshɔn dɛn we kin kam pan Kɔminɛt Fraktrɔs Tritmɛnt

Comminuted Fracture ``(Comminuted Fracture)`` Di prɔblɛm dɛn we kin apin afta dɛn du di ɔpreshɔn na:

• Acute Compartment Syndrome (ACS): di prεshכn we de insay di mכsul de go כp, di bכdi fכ fכlכ to di tisu dεm de kכt, εn di mכsul εn nεv dεm kin pwεl fכ כltεm.
• Malunion: We yu brok bon nɔ fit togɛda fayn fayn wan as i de wɛl.
• Nɔnunion: We yu bon dɛn nɔ fit togɛda ɔl ɔ sɔm pat pan am.
• Bon infεkshכn (Osteomyelitis): If yu bin gεt opin fraktכs (wan we di bon dכn kam tru di skin), yu de pan hכy risk fכ gεt baktriyal infεkshכn.
• Ɔda tin dɛn we kin pwɛl insay di bɔdi:Frakshכn kin pwεl di mכsul dεm, di nerv dεm, di blɔd vesel dεm, di tεndon dεm, εn di ligament dεm we de rawnd di injury.

Dɔn bak, if dɛn nɔ yuz drɔgs lɛk ``NSAID'' di rɔŋ we, dɛn kin mek dɛn gɛt sayd ɛfɛkt lɛk:

• Blɔd we de kɔmɔt
• Ɔlsa (ɔlsa na bɛlɛ) .
• Bɛlɛ de pen
• Di prɔblɛm dɛn we kin apin na di dijestiv trakt

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

E kin tek sɔm wiks fɔ mek yu sik nɔr de igen. Dipen pan di kayn ɔpreshɔn we yu bin gɛt fɔ mek yu brok brok ɛn di bon we brok, yu kin ebul fɔ muv bak insay sɔm wiks.

Bɔt if yu kɔntinyu fɔ fil pen we yu nɔ go ebul fɔ bia, mek shɔ se yu go to yu dɔktɔ.

Aw a go ridyus di risk fɔ mek a brok smɔl smɔl?

Fɔ fala dɛn step ya fɔ ridyus di risk fɔ aksidɛnt na yu ɛvride layf:

• Ɔltɛm wɛr sitbɛlt we yu de rayd motoka.
• Wear di kɔrɛkt sefty ikwipmɛnt we yu de du ɔl di aktiviti ɛn spɔt dɛn.
• Kip yu os ɛn wokples klin ɛn nɔ gɛt tin dɛn we go mek yu ɔ ɔda pipul dɛn trip.
• Yuz di rayt tul dɛn ɔltɛm fɔ rich to tin dɛn frɔm ɔp. Nɔ ɛva klaym pan chia ɔ tebul.
• Fɔ fala wan plan fɔ it ɛn ɛksesaiz we go ɛp fɔ mek yu gɛt gud bon wɛlbɔdi.
• If yu dɔn pas 50 ia, ɔ if sɔmbɔdi na yu famili gɛt ɔstioporosis (bone thinning disease), tɔk to yu dɔktɔ bɔt aw fɔ tɛst yu bon density.

Yu tink se dɛn kin mek pɔsin nɔ brok we i brok?

Bɔku tɛm, dɛn kin ebul fɔ avɔyd di fraktrɔs we dɛn kin brok ɔl bikɔs i kin apin wantɛm wantɛm. Bikɔs yu nɔ go ebul fɔ tɔk ustɛm aksidɛnt go apin, natin nɔ de we yu go du fɔ mek yu nɔ brok brok brok pas fɔ fala di bɛsis tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm. If yu de yuz waka ɔ tik, nɔ ɛva waka witout dɛn, ɛn tek tɛm bad bad wan na grɔn we nɔ ivin.

Wetin a go ɛkspɛkt if a gɛt smɔl smɔl fraktrɔs?

If yu gɛt smɔl smɔl fraktrɔs, yu go tek lɔng tɛm fɔ mek yu wɛl pas ɔda kayn fraktrɔs. I kin tek wan ia fɔ wɛl, mɔ if yu gɛt ɔda injuri dɛn frɔm di fɔs aksidɛnt.

Yu go nid fyzikal tritmɛnt fɔ ɛp yu fɔ gɛt trɛnk bak ɛn fɔ muv di say we yu dɔn wund. Dis tritmɛnt go bi pat pan wan big plan fɔ wɛl frɔm yu ɔda injury dɛm.

Aw lɔng i kin tek fɔ mek di fraktrɔs we dɛn dɔn kɔt kɔt fɔ wɛl?

Frakshכn dεm we dεn kכmכt kin tek lכng tεm fכ hεl pas כda kayn frakshכn dεm εn i kin gεt kכmplikεshכn.

Bɔku pan di fraktrɔs dɛn we dɛn kin kɔt kin tek wan ia ɔ mɔ fɔ mek dɛn wɛl. Di rayt tɛm we yu kin tek fɔ mek yu bon (ɔ bon dɛn) wɛl kin dipen pan aw yu brok brok ɛn if yu gɛt ɛni prɔblɛm.

A nɔ go ebul fɔ go wok ɔ skul?

If yu gɛt siriɔs aksidɛnt, yu nɔ go ebul fɔ go wok ɔ skul te yu wɛl. Di patikyula injury ɛn brok bon dɛm we yu gɛt go afɛkt aw lɔng yu go de fa frɔm wok, skul, ɛn ɔda tin dɛm.

Tɔk to yu dɔktɔ ɔ dɔktɔ bifo yu bigin fɔ du ɛnitin bak we yu de du wɛl.

Wetin na di luk fɔ wan comminuted fracture?

Comminuted fractures na rili siriɔs injury. If yu bin gɛt ɔda injuri dɛn na di fɔs aksidɛnt, yu layf kin afɛkt sote go. Bikɔs bɔku tɛm, di wan dɛn we de brok brok kin bi injury we kin mek pɔsin in layf de pan denja, i kin at fɔ no wan frɔm di ɔda wan. Tɔk to yu dɔktɔ bɔt wan patikyula plan fɔ wɛl fɔ yu ɛn wetin fɔ ɛkspɛkt as yu de wɛl frɔm yu aksidɛnt.

Ustɛm a fɔ go na di Imejɛnsi Rum?

If yu tink se yu gɛt comminuted fracture – ɔ ɛni ɔda bon fracture – yu fɔ go to dɔktɔ kwik kwik wan. Go na di imejensi rum if yu gɛt ɛni wan pan dɛn sayn ya:

• Pen we rili bad.
• Nɔr ebul fɔ muv bɔdi pat wae yu kin muv nɔrmal wan.
• Wan pat pan di bɔdi kin luk difrɛn ɔ i kin muf frɔm usay i bin de.
• Yu kin si yu bon de kɔmɔt na yu skin.
• De swɛl.
• Apat frɔm dɛn ɔda sayn ya, nyu brus ɛn blɔd spat dɛn kin apia.

Go na di imejensi rum wantɛm wantɛm afta ɛni siriɔs aksidɛnt.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Nɔ fɔgɛt fɔ aks dɛn kwɛstyɔn ya we yu go si yu dɔktɔ:

• Us bon dɔn brok?
• Us kayn ɔpreshɔn a nid fɔ du?
• A go nid ɔda ɔpreshɔn (Fɔl-ap Ɔpreshɔn)?
• Aw lɔng i go tek fɔ mek i wɛl?

If pɔsin brok brok brok, na wan bad bad injuri. Yu nɔ go no se yu gɛt wan te yu de gɛt tritmɛnt fɔ wan injury we dɔn apin. Wae i nɔrmal fɔ fil frayd wae yu kam fɔ no se yu gɛt brok bon – mɔr wan siriɔs wan – di sakrifays rεt fɔ trit kɔminut fraktrɔs rili ay.Yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go gayd yu fɔ go na di rod fɔ mek yu wɛl.

Faynal Mɛsej fɔ Tek-Hom

Bay naw yu go dɔn ɔndastand se we pɔsin brok brok na siriɔs tin usay bon kin brok bɔku bɔku wan. Bɔku tɛm, dɛn tin ya kin apin bikɔs ɔf big big aksidɛnt dɛn. Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn, ɛn i kin tek tɛm fɔ mek i wɛl ɔl.

Bɔt di tin we impɔtant pas ɔl fɔ mɛmba na dat , if yu trit yu fayn fayn wan ɛn yu de trit yu bɔdi fayn, i go lɛf smɔl fɔ lɛ yu wɛl frɔm dis sik. So, i rili impɔtant fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ du, ɛn du rihabiliteshɔn ɛgzampul dɛn fayn fayn wan. I impɔtant bak fɔ tek ɔl di tin dɛn we yu fɔ du fɔ protɛkt yusɛf frɔm aksidɛnt. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ.

` Comminuted Fracture, bon fracture, comminuted fracture, bon ɔpreshɔn, aksidɛnt, bon hiling, bon wɛlbɔdi