I go mɔs bi se wi ɔl go brok wan bon sɔntɛnde na wi layf, nɔto so? I kin apin we wi klaym tik ɛn fɔdɔm, we wi de ple, ɔ ivin we wi gɛt smɔl aksidɛnt. Bɔku tɛm, we wi go to dɔktɔ ɛn put plasta (POP cast), i kin wɛl ɔlsay insay sɔm dez ɛn i kin kam bak to nɔmal. Bɔt... wetin if i nɔ kin apin ɔltɛm? Wetin fɔ du if di bon we dɔn brok nɔ set di rayt we, ɔ if i nɔ sɛt atɔl ilɛksɛf i tek lɔng tɛm? Na dat wi de tok abaut tide. insay mεdikal tεm dεm, dεn kכl dεn tu kכndyushכn ya `(Malunion)` εn `(Nonunion)`.
Fɔ tɔk am simpul wan, wetin na Malunion ɛn Nonunion?
Dis na tin we rili simpul. Lɛ wi tink bɔt am dis we.
Malunion: Dis min se di tu pat pan yu bon we brok de jɔyn togɛda, dat min se dɛn put dɛn togɛda, bɔt na di rɔng we. Dɛn nɔ de jɔs usay dɛn fɔ de. Dɛn kin kruk smɔl, twist, ɔ shɔt smɔl. Imajin se yu de put tu pat pan plet we dɔn brok togɛda wit glu, bɔt di tu pat dɛn nɔ fit togɛda fayn fayn wan, dɛn kruk smɔl. Dɛn kin stɔp di plet togɛda, bɔt naw in shep dɔn difrɛn. Na dat `malunion` bi.
Nɔnunion: Dis na we di tu brok brok bon dɛn nɔ de ɛva kam togɛda, ilɛksɛf bɔku tɛm pas. Gap stil de bitwin di tu pat dɛn. If wi tek di sem ɛgzampul lɛk bifo, i tan lɛk di tu plet dɛn we nɔ de stik togɛda ilɛksɛf yu glu dɛn togɛda.
Tu men rizin dɛn de we mek bon nɔ kin wɛl dis we.
1. mεkanikal εshyu: Dis min se di tu pat dεm na di bon nכ kin ol togeda εn stil we i de hεl. Sɔntɛnde di pat dɛn pan di bon kin shift insay di kɔst.
2. Bayolojikal ishu: dis min se di prכsεs fכ nyu bon fכmeshכn de pwεl bikoz fכ sכm intanεt kכz na yu bכdi. Fɔ ɛgzampul, if pɔsin nɔ gɛt bɛtɛ blɔd na di say we i de, if i nɔ gɛt bɛtɛ tin fɔ it, ɔ ɔda tin dɛn we kin apin to pɔsin we i sik kin afɛkt dis.
Dɔktɔ dɛn kin tink bɔt dɛn tu tin ya we kin mek dɛn gɛt dis sik we dɛn de trit dɛn sik ya.
Yu tink se kayn we dɛn de we nɔ gɛt wanwɔd?
Yɛs, we bon nɔ alaynɛd fayn, dɔktɔ dɛn kin klas am fɔ no di tin we mek i gɛt am. Dat kin mek am izi fɔ trit.
| Nonunion tayp | Fɔ tɔk am simpul wan... |
|---|---|
| Hypertrophic nonunion we nɔ gɛt wanwɔd | If na so i bi, di bɔdi de tray fɔ bil nyu bon. Dat min se di bɔdi gɛt di pawa fɔ bil bon fayn fayn wan. Bɔt di ɛnd dɛn fɔ di tu bon dɛn we dɔn brok nɔ de mit, so dɛn nɔ go ebul fɔ fiks dɛn. Wan mashin prɔblɛm de ya. |
| Atrofik nɔ-yunin | If na so i bi, di bɔdi nɔ de tray fɔ bil nyu bon. Di rizin fɔ dis na bikɔs di blɔd we de go na da say de rili smɔl. Wan bayolojikal prɔblɛm de ya. sכmtεm, dis kin apin ivin if di bon dכn infεkt (septic nonunion). |
| Oligotrofik nɔ-yunin | Dis na wan kɔmbaynshɔn fɔ dɛn tu tin ya. Di bɔdi de tray fɔ bil sɔm nyu bon, bɔt i nɔ kɔmplit. Ɛn di bon pis dɛn nɔ rili rayt. So i kin bi se mɛkanikal ɛn bayolojikal tin dɛn de we de ple ya. |
Wetin na di sayn dɛm we de sho se yu bon nɔ de alaynɛd (malunion)?
We di bon nɔ alaynɛd fayn, di sayn dɛn kin apia na yu yay ɛn di we aw yu nɔ kin fil fayn.
Di we aw i luk frɔm do
- I tan lɛk se yu an ɔ yu leg dɔn swɛt .
- Di an ɔ di leg tan lɛk se i twist .
- Dat an ɔ leg de luk shɔt smɔl we yu kɔmpia am to di ɔda say.
Fɔ fil se yu nɔ de fil fayn
- I kin at we yu yuz da an ɔ leg de.
- Swel de de de.
- If i de na leg, i kin limp we yu de waka.
Imajin se wan bon na yu leg nɔ alaynɛd fayn. We yu de waka, yu bɔdi kin put mɔ wet pan yu hip, ni, ɔ bak fɔ kɔmpɛns. Afta sɔm tɛm, nɔto jɔs yu leg de at, bɔt na yu hip ɛn bak de at.
Sɔntɛnde, di bon pat dɛn we nɔ alaynɛd fayn kin kɔmprɛs wan nɛv. If dis kin apin, yu kin gɛt sɔm kayn sik lɛk:
- Tingling, tingling senseshɔn (paresthesia) .
- Mɔsul wik, west `(atrophy)`
- Sivεr nerv pen wit inflameshn (nyuropathy) .
Wetin na di sayn dɛm we de sho se pɔsin nɔ gɛt wanwɔd?
We bon nɔ wɛl fɔ lɔng tɛm, yu kin gɛt dɛn sayn ya:
- Dip pen we kin de te we pɔsin kin gɛt we i brok bon.
- Na we pɔsin wik ɔ we i nɔ ebul fɔ yuz in an ɔ in fut fayn fayn wan.
- Wan tin we pɔsin kin si , fɔ ɛgzampul, wan lump we tan lɛk tumbu, ɔ wan ol we kin fil lɛk ol.
Apat frɔm dat, if di bon gɛt di sik, sɔm sayn dɛn lɛk:
- De swɛl
- Fiva
- Shivering bikɔs ɔf kol
Wetin mek bon dɛn nɔ kin alaynɛd ɔ nɔ alaynɛd lɛk dis?
Sɔntɛm bɔku rizin dɛn de fɔ dis.
- Nature of di fracture: Sɔm fractures kin rili kɔmpleks. If dɛn krɔs di bon to wan mas pat (comminuted fracture) ɔ twist (spiral fracture), i nɔ kin izi fɔ put dɛn bak togɛda. Dɔn bak, if di blɔd vesel dɛn we de gi di bon blɔd dɔn pwɛl we di aksidɛnt apin, di we aw i de wɛl kin rili slo.
- Tritmɛnt: If dɔktɔ nɔ trit di bon we brok wantɛm wantɛm, di bon go bigin fɔ mislayn. Sɔntɛnde, ivin afta dɛn dɔn put kast, di bon pat dɛn kin kɔmɔt. Delay ɔr nɔr di rayt tritmɛnt na di men tin we kin mek dis apin.
- Mistek we yu mek we yu de wɛl: If yu kɔt ɛn pul di plasta bifo di dɔktɔ se, ɔ if yu put wet pan wan leg we dɛn tɛl yu nɔ fɔ put wet pan, ivin bon we fɔ dɔn sɛt fayn kin sɛt di rayt we ɔ i nɔ kin sɛt atɔl.
- Yu ɔl wɛl bɔdi: Bɔn wɛl kin slo as yu de ol. Pipul wae gɛt sik lɛk dayabitis, tayroyd sik, ɛn wae nɔr de it fayn fayn wan kin gɛt bɔrku risk bak. Smok ɛn yuz nikotin na di men ɛnimi dɛn we de mek di bon dɛn wɛl. Dɛn kin mek di blɔd nɔ go na di bon dɛn, ɛn dis kin mek di bon dɛn nɔ de wɛl.
Aw yu go fɛn dis, Dɔktɔ?
We yu go si di dɔktɔ, i go fala dɛn tin ya.
1. Aks fɔ di ditel dɛn: Fɔs, dɛn go aks yu fɔ di ditel infɔmeshɔn. Dɛn go aks yu ɔl wetin yu nid fɔ no, lɛk aw di aksidɛnt apin, ustɛm i apin, us prɔblɛm yu de gɛt naw, us ɔda sik yu gɛt, ɛn us mɛrɛsin yu de tek.
2. Fɔ chɛk yu bɔdi: Dɔn, dɛn kin chɛk di say gud gud wan. Dɛn kin chɛk fɔ ɛni swel ɔ difɔmiti we pɔsin kin si, if di an ɛn fut dɛn lɔng ikwal, ɛn if di jɔyn dɛn de wok fayn. Dɛn kin aks yu bak fɔ waka rawnd.
3. Imej tɛst: Na da tɛm de nɔmɔ dɛn kin du tɛst.
- X-ray: Bɔku tɛm, ɛkstrem rayt kin sho bɔku tin. I kin sho klia wan if di bon dɛn nɔ alaynɛd, nɔ alaynɛd fayn, ɔ nɔ alaynɛd atɔl.
- CT skan ɔ MRI skan:Sɔntɛnde, if dɛn nid fɔ no mɔ, lɛk fɔ si di damej we di sɔft tisu dɛn we de rawnd di bon dɔn pwɛl, dɛn kin ɔda fɔ mek dɛn du CT skan ɔ MRI skan.
if di εks-ray sho se di bon dεm nכ alaynd, dεn kכl am `Malunion`. if di bon dεm nכ alayne afta lכng tεm (fכ egzampl, 6, 9, 12 mכnt), dεn kכl am `Nonunion`.
Yu tink se dɛn go ebul fɔ fiks dɛn kɔndishɔn ya? Wetin na di tritmɛnt dɛn?
Yɛs, dɛn kin rili fiks dɛn tin ya. Bɔt nɔto ɔl malunion nid fɔ fiks. If e nɔr gɛt big impak pan yu ɛvride layf, ɔr if e nɔr de pen, yu dɔktɔ kin tɛl yu nɔr fɔ du ɛnitin bɔt am. Bɔt if i de mek yu fil pen ɔ nɔ fil fayn, yu nid fɔ gɛt tritmɛnt.
Dɛn kin sheb di we aw dɛn kin trit am to tu kayn we: nɔto ɔspitul ɛn ɔspitul.
Tritmɛnt fɔ wan malunion
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Tritmɛnt dɛn we nɔto ɔpreshɔn | |
| Bracing we dɛn kin yuz fɔ mek tin dɛn | We yu wɛr bres fɔ ɛp fɔ mek di bon kɔntinyu fɔ de fayn fayn wan. |
| Ɔtotiks fɔ mɛn pipul dɛn | If wan leg shɔt, spɛshal tin de we dɛn kin put insay di sus fɔ kɔmpɛns am. |
| Fizik tɛrapi | Ɛksesaiz we de mek di mɔsul dɛn we de rawnd di bon strɔng ɛn ridyus di lod we de pan di bon. |
| Ɔspitul tritmɛnt | |
| Osteotomy we dɛn kin du | Di dɔktɔ we de du di ɔpreshɔn kin kɔt di bon we nɔ alaynɛd bak, stret am, ɛn fiks am wit plet ɛn skru. |
| Ɔpreshɔn fɔ mek di an ɛn fut lɔng | If dɛn shɔt wan an ɔ leg, dɛn kin fit spɛshal tin ɛn smɔl smɔl dɛn kin mek di bon lɔng. |
Tritmɛnt fɔ wan nonunion
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Tritmɛnt dɛn we nɔto ɔpreshɔn | |
| Mɛdikal tɛrapi | Fɔ trit wan ɔndalayn mɛdikal kɔndishɔn, lɛk dayabitis, nɔr gɛt bɛtɛ tin fɔ it, ɔr infɛkshɔn. |
| Bone stimulator we de mek pɔsin gɛt bɔdi | Wan tin we de na do we de mek di bon dɛn wɛl bay we dɛn de yuz ɔltrasɔnik ɔ ilɛktromagnetik wev dɛn. |
| Ɔspitul tritmɛnt | |
| Fɔ pul di bɔdi we dɛn kɔl debridement | כpεrayshכn fכ pul di dεd tisu frכm di εnd dεm fכ tu bon fragmεnt dεm, fכ mek wan fresh bon sεf. |
| Fɔ graft bon dɛn | wan pat pan bon we dεn tek frכm כda pat na yu bכdi (e.g., yu hip bon) כ wan pat pan bon frכm wan dכna dεn de transplant am insay di gap. Dis kin mek nyu bon dɛn bigin fɔ gro. |
| Intanɛt fikseshɔn | Fɔ fiks am min fɔ mek di tu pat dɛn na di bon alaynɛd bak ɛn ol dɛn togɛda wit waya, plet, pin, ɔ stik. |
Aw di tin go tan lɛk afta dɛn dɔn trit am?
Bɔku tɛm, dɛn ɔpreshɔn ya ɛn ɔda tritmɛnt dɛn ya kin rili wok fayn. Bɔt i kin tek sɔm tɛm fɔ mek i wɛl. Yu kin nid fɔ yuz kruk fɔ sɔm mɔnt afta di ɔpreshɔn. Dɔn bak, fyzikal tritmɛnt impɔtant fɔ mek di mɔsul dɛn we dɔn lɔs gɛt trɛnk bak ɛn fɔ mek di jɔyn dɛn ebul fɔ muv bak.
Bɔt if dɛn nɔ kɔntrol ɔda sik dɛn lɛk dayabitis fayn fayn wan, if dɛn nɔ stɔp fɔ smok, ɔ if di bon we nɔ de chenj kin bi verrucid bak, chans de fɔ mek di tritmɛnt nɔ wok.
So mɛmba se if yu ivin tink se yu bon brok, nɔ shem fɔ go to dɔktɔ. If yu gɛt di rayt tritmɛnt kwik kwik wan, dat kin go fa fɔ mek yu nɔ gɛt dɛn kayn prɔblɛm ya.
Mɛsej we dɛn kin kɛr go na os
- If yu bon brok ɛn di pen ɛn swel de kɔntinyu fɔ lɔng tɛm, ɔ if i tan lɛk se yu an stif, nɔ tek am layt. Bak, tɔk to yu dɔktɔ bɔt am.
- `Malunion` na we di bon we brok nכ alaynd fayn fayn wan. `Nonunion` na we i nɔ de alaynɛd atɔl.
- Tin dɛn lɛk dayabitis ɛn smok kin bi big tin we kin mek yu bon dɛn nɔ wɛl. Fɔ tɔk to yu dɔktɔ bɔt dɛn tin ya ɛn fɔ kɔntrol dɛn rili impɔtant fɔ mek di tritmɛnt go bifo.
- Di tritmɛnt dɛn de we nɔ gɛt ɔpreshɔn ɛn we dɛn nɔ de du ɔpreshɔn. Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
- Fɔ fala di dɔktɔ in instrɔkshɔn afta tritmɛnt, mɔ di ɛksesaiz we yu de du fɔ mɛn yu bɔdi, rili impɔtant fɔ mek yu wɛl kwik kwik wan.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt