Imajin se yu fɔdɔm na lada wantɛm wantɛm ɔ yu gɛt motoka aksidɛnt. Da tɛm de, yu luk ɔp wit pen pasmak ɛn si wan brok bon pat de kɔmɔt na yu an ɔ yu leg in skin. Infakt, ɛnibɔdi we si sɔntin lɛk dis kin rili fred. Dɛn kin wɔri. Insay mɛrɛsin, wi kin kɔl dis sik Kɔmpawnd Fraktrɔs ɔ Open Fraktrɔ . Dis na rili siriɔs kɔndishɔn ɛn yu fɔ go na ɔspitul wantɛm wantɛm.
Fɔ tɔk am simpul wan, wetin na dis Kɔmpawnd Fraktrɔ?
Di men rizin we mek bon brok, ɔ as wi de kɔl am, brok, na we dɛn de yuz pawa pasmak pan am. Dis kin apin frɔm sɔntin lɛk aksidɛnt. Bɔt sɔntɛnde i kin bi bak bikɔs dɛn de kɔntinyu fɔ prɛs di sem ples. Fɔ ɛgzampul, we sojaman de waka ɔltɛm wit ebi ebi bakpak na in bak, we i kɔntinyu fɔ prɛs in leg, dat kin mek in bon krak smɔl.
Naw lɛ wi luk wetin na "Compound" ɔ "Open" Fracture. Fɔ tɔk am simpul wan, dis na we yu kin si di bon we dɔn brok tru yu skin. If yu fɔdɔm pan lada ɛn brok yu an, ɛn yu kin si di bon we brok tru di skin, na Kɔmpawnd Fraktrɔ. כltu if di bon brok bכt di skin intakt, we min se di bon we brok nכ de si, wi kin kכl am "Simple" כ "Closed" Fracture.
Kɔmpawnd fraktrɔs na siriɔs tin we kin mek pɔsin fil pen pasmak ɛn i kin mek pɔsin fred fɔ luk. So, pɔsin fɔ go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia am ɛn nɔ fɔ shem.
Us bon dɛn na di bɔdi kin gɛt dis injury mɔ?
Ɛni bon we de na wi bɔdi kin brok. Bɔt, kɔmpawnd fraktrɔs kin apin mɔ na wi an, leg, an, ɛn fut. Apat frɔm dat, ɔda bon dɛn de we kin afɛkt bak, pan ɔl we i nɔ kin rili afɛkt.
- Rib dɛn
- Kɔla bon
- Ay bon dɛn
- Pelvis we de na di bɔdi
- Skul bon dɛn
- Fes bon dɛn
- Spin ɔ vεrbra
Wetin na di men tin dɛn we kin mek pɔsin gɛt kɔmpawnd frakt?
Fɔ mek siriɔs fraktrɔs lɛk dis apin, i fɔ gɛt big big blo ɔ impak (Severe Trauma) pan di bɔdi. Fɔ ɛgzampul:
- Siriɔs motoka aksidɛnt
- Wan fɔdɔm frɔm wan ay ay ples
- Aksidɛnt we kin apin na kɔntakt spɔt lɛk futbɔl ɔ rɔgbi
Wetin na di sayn dɛm fɔ dis?
di men εn we de sho klia wan na di bon we brok we de kכmכt na di skin. Apat frɔm dat, sɔm ɔda sayn dɛn de we pɔsin kin si. Lɛ wi luk dɛn klia wan na wan tebul.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Di bon we de na do | Dis na di sayn we klia pas ɔl. Di bon we brok de sho tru di skin. |
| Siriɔs, shap pen | Na bad bad pen de we pɔsin nɔ go ebul fɔ bia. |
| Sɛnsitiviti fɔ tɔch | Di say we de rawnd di wund kin pen fɔ tɔch. |
| Swel ɛn brus | Di say we de rawnd di wund kin swel ɛn tɔn blu-pepul kɔlɔ. |
| Blɔd we de kɔmɔt | Di wund de blɔd bikɔs dɛn dɔn chuk di skin. |
| Nɛv dɛn we dɔn pwɛl | Sɔntɛnde, bikɔs ɔf di nerv dɛm we dɔn pwɛl, di pen kin smɔl ɔ pas aw dɛn bin de tink. Ɔ yu kin fil lɛk se yu nɔ ebul fɔ du natin. |
Aw dɔktɔ kin no ɛn trit dis?
I nɔ kin at fɔ mek dɔktɔ no se i gɛt kɔmpawnd fraktrɔs. Na bikɔs di bon we dɔn brok, yu kin si am tru di skin. Bɔt dɔktɔ dɛn nɔ kin jɔs no bɔt am ɛn wet. Dɛn go mɔs du ɛkstrem rayt fɔ si di rayt we aw di bon dɔn brok, aw di bon dɔn pwɛl, ɛn aw dɛn nid fɔ mek am bak. Sɔntɛnde, dɛn kin nid fɔ du tɛst lɛk MRI ɔ CT skan fɔ stɔdi di damej mɔ dip wan.
Apat frɔm dat, dɔktɔ dɛn kin chɛk bak fɔ ɔda prɔblɛm dɛn:
- Chek yu skin kɔlɔ ɛn tɛmpracha (lan bɔt blɔd saplai).
- Dɛn kin chɛk blɔd prɛshɔn ɛn puls fɔ si if blɔd de kɔmɔt pasmak.
- Dɛn kin tɛst di sɛns na di say dɛn we de rawnd ɛn dɔŋ di wund fɔ si if ɛni nɛv dɔn pwɛl.
Di we aw dɛn kin trit am
We dɛn kɛr yu go na di Imejɛnsi Dipatmɛnt (ETU), di fɔs tin we dɛn kin du na fɔ kɔntrol di pen. Dɛn kin du dis bay we dɛn de gi yu mɛrɛsin fɔ mɛn pen we yu de it, ɔ mɛrɛsin fɔ mek yu fil pen kwik kwik wan. Sɔntɛnde dɛn kin gi injɛkshɔn to di nɛf dɛn we de rawnd di wund fɔ mek di say nɔ gɛt bɛtɛ trɛnk. Dɛn kɔl dis wan Nɛv Blɔk .
Dipen pan di kayn wund, dɛn kin gi tetanɔs shot ɛn antibayɔtik bak fɔ mek i nɔ gɛt di sik.
Neks, dɛn kin mek di bon alaynɛd bak ɛn dɛn kin du di tin dɛn we dɛn nid fɔ du fɔ mek i wɛl. Dis nid fɔ gɛt ɔpreshɔn. We dɛn de du di ɔpreshɔn, di dɔktɔ go gi dɛn mɛrɛsin fɔ mɛn pen ɛn anestetik, dɔn i go muv di bon pat dɛn we dɔn brok bak usay dɛn de. Wi kɔl dis ridɔkshɔn pan di fraktrɔs .
Fɔ mek di bon dɛn ol di rayt say, dɛn kin yuz difrɛn tin dɛn we dɛn de du ɔpreshɔn:
- Pins dɛn
- Rod dɛn we dɛn kin yuz
- Plɛt dɛn
- Skru dɛn we dɛn kin yuz
Afta dɛn dɔn pripia di bon dɛn dis we, dɛn kin yuz kɔst ɔ ɔda tin fɔ mek di pat nɔ muv fɔ mek i nɔ muv.
Aw bon we brok kin gro bak?
Wi bɔdi gɛt wɔndaful pawa fɔ bil nyu bon tisu. we bon brok, nyu bon tisu kin bigin fכ gro rawnd di bon we brok. Wi kɔl dis Ɛksternal Kalɔs . Fɔs, i kin saf, lɛk jɛlɛ, bɔt as wik ɛn mɔnt, i kin at smɔl smɔl, i kin put kalsiɔm, ɛn i kin bi nɔmal bon.
Dis hiling prכsεs de apin insay tri men stej dεm:
1. Inflameshɔn stej
As di bon brok so, di bɔdi kin bigin fɔ wɛl. di imyun sistεm sεl dεm de rכsh go na di say we di injuri de εn inkrεs di bכdi fכ fכlכ to di εria. Dis na di rizin we mek di say we de rawnd di injuri kin swel ɛn rɛd.
2. Ripa stej
Dis stej kin te frɔm sɔm wiks to sɔm mɔnt. Insay dis tɛm, dɛn kin mek yu bon we dɔn brok nɔ muv wit wan kɔst. Insay dis tɛm, di bɔdi de mek wetin wi kɔl Ɛksternal Kalɔs.Dɛn de mek am. Bikɔs dis na tin we rili dilik, i rili impɔtant fɔ protɛkt am.
3. Stej fɔ rimɔdel
Dis kin tek sɔm mɔnt. insay dis tεm, di nyu bon tisu dεm we dεn fכm (callus) de tik, di kכlsyכm de dכn, εn i de strכng. Smɔl smɔl, di bon kin kam bak to in nɔmal shep ɛn trɛnk.
Us prɔblɛm dɛn dis kin mek?
Kɔmpawnd fraktrɔs na kɔmpleks injuri. So, sɔm tɛm dɛn kin gɛt difrɛn prɔblɛm dɛn. Dɔktɔ dɛn kin no dis ɔltɛm na di ETU, we dɛn de du ɔpreshɔn, ɛn di tɛm we i de wɛl.
| Kɔmplikɛshɔn | Simpul ɛksplen |
|---|---|
| Kɔmplikɛshɔn dɛn we kin apin | |
| Skin de pwɛl | Di skin kin pwɛl we di bon kɔmɔt. Di wund de wɛl as di bon de wɛl. |
| Damej to di jɔyn dɛn | If di fraktכs apin nia wan joyn, di muvmεnt fכ di joyn kin afekt. Di jɔyn kin mek i nɔ ebul fɔ muv. Dis kin kam bak wit fizik tritmɛnt. |
| Nɛv dɛn we dɔn pwɛl | Bɔn we brok kin krɔs, kɔt, ɔ pul di nɛf dɛn. Bɔku tɛm, dɛn tin ya kin wɛl, bɔt i kin tek sɔm mɔnt ɔ sɔm ia. |
| Fɔ mɛn prɔblɛm dɛn | Sɔntɛnde, di bon dɛn nɔ kin kam bak togɛda (nonunion), dɛn kin wɛl smɔl smɔl (delayed union), ɔ dɛn kin wɛl kɔrɛkt wan (malunion). |
| Pikin dɛn nɔ de gro di sem we | Pikin dɛn bon dɛn gɛt plet dɛn we de gro na di ɛnd dɛn. If dɛn tin ya pwɛl, da bon de kin shɔt pas di ɔda say. |
| Mɔ siriɔs (bɔt nɔ kɔmɔn) kɔmplikeshɔn dɛn | |
| Sik we de prɛd | Di wund opin, we de mek jem dɛn go insay. Fiva ɛn bad bad smel we di plasta stil de na sayn na sayn fɔ se yu gɛt di sik. Go to dɔktɔ wantɛm wantɛm. |
| Pɔlmonari Ɛmbolizm | bכdi kin fכm na wan vein nia di frakshכn εn travul go na wan vein na di lכng εn i kin lod. If i nɔ izi fɔ yu fɔ blo wantɛm wantɛm, dis kin mek yu layf de pan denja ɛn yu nid fɔ gɛt tritmɛnt kwik kwik wan. |
| Bɔn day (Osteonecrosis) . | If dɛn kɔt di blɔd we de go na di bon, di bon kin day. |
| Di sik we dɛn kɔl Compartment Syndrome | If di mɔsul dɛn we de rawnd di wund swel pasmak, dat kin mek di blɔd vesel dɛn kɔmprɛs ɛn i kin mek di blɔd nɔ flɔ. Dis na tin we rili denja. If yu si se yu de swel pasmak, yu de fil pen bad bad wan, ɔ yu nɔ de fil fayn, tɛl yu dɔktɔ wantɛm wantɛm. |
Aw lɔng i kin tek fɔ mek i wɛl?
Wan kɔmpawnd fraktrɔs kin tek sɔm mɔnt ɔ pas dat fɔ mek i wɛl ɔl. I impɔtant fɔ peshɛnt insay dis tɛm. Di tɛm we pɔsin kin wɛl kin dipen pan bɔku tin dɛn:
- Di kayn we aw di injuri bin rili bad.
- Yu ej (pikin dɛn kin wɛl kwik pas big pipul dɛn).
- Kɔmplikɛshɔn dɛn afta tritmɛnt.
- If yu gɛt ɔda sik dɛn lɛk dayabitis, yu kin delay fɔ wɛl.
Aw fɔ kia fɔ wan kast?
Fɔ kia gud wan fɔ yu kast rili impɔtant fɔ mek i wɛl kwik kwik wan. Na sɔm advays dɛn ya:
- If di dɔktɔ nɔ gi am di rayt fɔ du dat, .Nɔ mek di plasta wet. If i wet, i go at fɔ dray ɛn i kin mek yu gɛt wund na yu skin ɔ yu gɛt infɛkshɔn.
- Chek di skin we de rawnd di plasta ɔltɛm. Tɛl yu dɔktɔ if i rɛd, i de kɔmɔt na wata, ɔ i de mek i fil pen.
- fכ di fכs 24-48 awa, kip yu an/leg εlevεt oba yu at wit pilo as mכch as yu ebul. Dis go ɛp fɔ ridyus di swɛlin.
- If di skin we de insay di plasta it, nɔ put ɛnitin insay fɔ skrach am.
- Fɔ mek yu nɔ swel, i fayn fɔ muv yu finga dɛn if yu dɔktɔ dɔn gi yu rayt.
- If di ed dɛn na di plasta rɔf ɔ shap, put plasta ɔ tep fɔ mek di skin nɔ wund.
We yu gɛt kast pan, ɔnda us sikɔstɛms yu nid fɔ go na di ETU kwik kwik wan?
If yu gɛt kɔst na yu bɔdi, tek tɛm bad bad wan pan dɛn sayn ya we de kam biɛn ya. If yu gɛt ɛni wan pan dɛn tin ya, go na di imejensi rum wantɛm wantɛm.
- If di plasta mek yu an/leg nɔm .
- If yu fil se yu an/leg de wik .
- If di pen kɔntinyu ɔ i go bɔku .
- If di plasta fil se i tayt tumɔs .
- If wan strɔng smel de kɔmɔt na di plasta.
- If yu gɛt fiva .
Mɛsej we dɛn kin kɛr go na os
- Kɔmpawnd fraktrɔs na siriɔs sik we di skin kin brok ɛn di bon kin kɔmɔt na do.
- If aksidɛnt lɛk dis apin, nɔ panik ɛn kɛr di pɔsin go na di ɔspitul we de nia yu Imejɛnsi Tritmɛnt Yunit (ETU) kwik kwik wan.
- Nɔ ɛva tray fɔ push di bon bak insay ɔ klin di wund. Fɔ kɔba di wund wit klin klos na in nɔmɔ go du fɔ yu.
- I rili impɔtant fɔ peshɛnt ɛn fala di advays we di dɔktɔ gi yu, bikɔs di we aw pɔsin kin wɛl kin tek sɔm mɔnt.
- Di rayt kia fɔ di kast ɛn di rayt fyzikal tritmɛnt impɔtant fɔ mek i wɛl kwik kwik wan.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt