If wan ol mama ɔ papa na wi os slip ɛn fɔdɔm na di bafa, di fred we kin kam na wi maynd wantɛm wantɛm na, ‘O, a nɔ no wetin apin to di hip bon.’ Pan ɔl we wi kin jok bitwin wi se "we wi ol, wi go brok wi hip," dis na rili siriɔs tin we kin afɛkt wi layf. Bɔt nid nɔ de fɔ mek wi fred. If wi no gud gud wan bɔt dis hip fraktrɔs, wi kin ebul fɔ fes ɛni sityueshɔn wit sɛns.
Fɔ tɔk am simpul wan, wetin na hip fraktrɔs?
Hip fraktrɔs na we wi brok na di ɔp pat na wi shɔl bon, nia di hip jɔyn. dis thigh bon dεn kכl am mεdikal ‘femur’. Dis na di bon we lɔng pas ɔl ɛn we strɔng pas ɔl na wi bɔdi. So fɔ mek dis brok, bɔku tɛm i nid fɔ gɛt siriɔs injuri, lɛk we pɔsin fɔdɔm bad bad wan ɔ we i gɛt motoka aksidɛnt.
Bɔt sɔntin spɛshal de we wi nid fɔ ɔndastand ya. Pan ɔl we i kin tek bɔku pawa fɔ brok dis bon pan yɔŋ pɔsin, pan pɔsin we dɔn ol, mɔ pɔsin we gɛt sik lɛk ɔstioporosis , dis bon kin brok ivin wit smɔl slip ɛn fɔdɔm na os.
Bɔku tɛm, dɛn kin nid ɔpreshɔn fɔ mek pɔsin in hip we dɔn brok, so dis nɔto tin we pɔsin fɔ tek am layt.
Difrɛn we dɛn de fɔ brok hip?
Yɛs, dɔktɔ dɛn kin sheb di hip dɛn we kin brok to difrɛn kayn dɛn bay usay di hip brok. Wi hip jɔyn tan lɛk bɔl ɛn sɔkɛt jɔyn. di pat we lεk bכl na di tכp pat pan di tכŋ bon (fεmoral ed) de fit insay wan sכkεt na wi bכdi fכ fכm di hip jכint. So dis klasification de bays pan usay di fraktכs de apin na di tכp pat pan di thigh bon.
Yu kin ɔndastand dis izi wan frɔm di tebul we de dɔŋ ya.
| Fraktrɔs Tayp | Simpul ɛksplen |
|---|---|
| Frakshכn dεm na di Fεmoral Hεd | Dis na we di pat we shep lɛk bɔl we de ɔp di shɔl bon brok. Bɔt, dis nɔ kin apin so ɔltɛm. |
| Fεmoral Nεk Frakshכn | wan frakshכn na di ‘nεk’ fכ di fכs, di brij we de kכnekt di ed we lεk bכl na di fכs to di lכng bon. Dis na di kayn we we pipul dɛn kin gɛt we dɛn de brok hip. |
| Intatrokanterik Frakshכn dεm | wan frakshכn na di εria bitwin tu bon prominεns dεm usay di mכsul dεm de kכnekt, jכs dכn di ‘nεk’ pat. |
Wetin na di sayn dɛm wae de sho se yu hip brok?
Luk fɔ dɛn sayn ya afta yu dɔn fɔdɔm ɔ aksidɛnt. Dis na di men ɛn kɔmɔn sayn dɛm:
- Sivɛri pen we yu nɔ go ebul fɔ bia na di hip eria.
- Nɔ ebul fɔ muv di hip ɔ di leg.
- Lump we yu kin fil na di an ɔ we yu luk chenj.
- I dɔn swel bad bad wan.
- Brus ɛn blu.
- Di hip ɔ di leg dɛn kin tan lɛk se dɛn nɔ strɛch di we aw dɛn kin du am.
Wetin na de tin wae kin mek yu hip frakt ɛn udat kin gɛt bɔrku risk?
Ɛnibɔdi kin brok in hip we aksidɛnt apin, bɔt sɔm pipul dɛn kin gɛt prɔblɛm pas ɔda wan dɛn.
Di men rizin dɛn na:
- Fɔdɔm (especially fɔdɔm frɔm ayt ɔ slip na ol pipul dɛn) .
- Aksidɛnt dɛn we kin apin na motoka
- Spɔt aksidɛnt dɛn
Lɛ wi si udat de pan denja pas ɔl.
| Risk kategori | Tɔk bɔt |
|---|---|
| Pipul dɛn we dɔn pas 65 ia | As wi de ol, di bon dɛn kin wik ɛn balans nɔ kin bɛtɛ, ɛn dis kin mek wi brok ivin if wi fɔdɔm smɔl. |
| Pipul dɛn we gɛt sik dɛn we de mek dɛn bon dɛn wik | Kכndishכn dεm lεk כstioporosis כ כstiopenia kin mek di bon dεm nכ kin dכn bכku εn i kin izi fכ brok. |
| Uman dɛn | uman dεm kin gεt hכy risk, spεshal afta mεnopos, biכs fכ di כmon chenj dεm we de afekt di bon trεnk. |
| Pipul wae gɛt sik wae de afɛkt balans | Kɔndishɔn lɛk Pakinsin sik, vertigo, ɔr epilepsy kin mek yu fɔdɔm. |
Aw dɔktɔ kin no dis kɔrɛkt wan?
We dɛn briŋ yu na ɔspitul afta aksidɛnt, di dɔktɔ we de na di Imejɛnsi Tritmɛnt Yunit (ETU) go fɔs chɛk yu. Dɔn, dɛn go du bɔku tɛst dɛn fɔ no if di bon brok, ɛn if na so i brok, usay ɛn aw i brok.
- Hip X-ray: Bɔku tɛm dis kin sho klia wan se yu dɔn brok.
- MRI (Magnetic Resonance Imaging): Dis kin no ivin fraktכs we rili sכmtεm we nכ de sho pan εks-ray.
- CT scan (Computed Tomography scan): Dis kin ɛp fɔ gɛt mɔ tin dɛn bɔt aw di bon brok.
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
Klosap ɔlman we brok in hip go nid ɔpreshɔn. Di kayn ɔpreshɔn we yu nid go dipen pan di kayn ɔpreshɔn we yu brok, aw i siriɔs, yu ej, ɛn yu ɔl wɛlbɔdi. Tu men kayn ɔpreshɔn dɛn de.
| Di kayn ɔpreshɔn we dɛn kin du | Wetin yu de du? |
|---|---|
| Hip Riplesmɛnt / Hip Atroplasti | Dɛn kin du dis ɔpreshɔn pan pipul dɛn we dɔn pas 65. Insay dis ɔpreshɔn, dɛn kin pul di bon we dɔn brok ɛn put atifishal jɔyn we dɛn mek wit mɛtal, plastic, ɔ sɛramik insay. I kin min fɔ riples am ɔl ɔ fɔ riples sɔm pat pan am. |
| Opin Ridyushɔn ɛn Intanɛt Fikseshɔn (ORIF) . | Na ya, di dɔktɔ we de du di ɔpreshɔn kin muv di bon dɛn we dɔn brok bak na dɛn ples ɛn put skru, pin, plet, ɔ stik fɔ ol dɛn togɛda te dɛn wɛl. Fɔ sɔm pipul dɛn, dɛn kin lɛf dɛn tin ya na dɛn bɔdi fɔ dɛn layf. Fɔ ɔda wan dɛn, dɛn kin pul dɛn na ɔda ɔpreshɔn afta di bon dɔn wɛl. |
Us prɔblɛm dɛn kin apin afta dɛn dɔn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin we dɛn ɔpreshɔn dɛn ya. Sɔm pan di men prɔblɛm dɛn we kin apin na:
- Avascular Necrosis: di bכdi fכ fכlכ to di bon de disrupt, we de mek di bon sεl dεm day.
- Nɔnunion: Na we di bon dɛn we brok nɔ fit togɛda fayn fayn wan bak.
- Malunion: Na di mislaynmɛnt fɔ di bon dɛn we brok.
- Bon Infεkshכn (Osteomyelitis): Sɔntɛnde, mɔ if di bon brok tru di skin (open fracture), baktriyal infεkshɔn kin apin.
- Blɔd Klɔt: Risk de fɔ mek blɔd klɔt na di leg bikɔs i nɔ de muv fɔ lɔng tɛm afta dɛn dɔn du di ɔpreshɔn.
Aw lɔng i kin tek fɔ mek i wɛl?
I kin tek sɔm mɔnt, ɔ ivin wan ia , fɔ mek i wɛl ɔl afta we i dɔn brok in hip. Dis na tin we pɔsin kin du smɔl smɔl. Di tɛm we yu kin tek fɔ wɛl kin dipen pan bɔku tin dɛn:
- Di kayn ɔpreshɔn we yu bin gɛt
- Yu ej ɛn ɔl yu wɛlbɔdi
- If ɛni ɔda injuri bin de na di aksidɛnt
Yu go nid fɔ bigin fɔ tek fizik tritmɛnt (PT) jɔs afta dɛn dɔn du di ɔpreshɔn. Dis tritmɛnt go las fɔ sɔm mɔnt. Wan dɔktɔ we de mɛn yu bɔdi go tich yu ɛksesaiz fɔ mek di mɔsul dɛn we de rawnd yu hip strɔng ɛn ɛp yu fɔ waka bak.
Yu go nid fɔ yuz tin fɔ waka, stik, ɔ tik fɔ waka fɔs. Yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi go tɛl yu aw lɔng yu go nid fɔ yuz dɛn tin ya.
Wetin mek we pɔsin in hip brok, i denja? Ɛspɛshali fɔ di wan dɛn we dɔn ol...
Hip frakt na mεdikal imejensi biכs, apat frכm we i de brok di bon, i kin pwεl imכtant strכkchכ dεm we de rawnd am.
Imajin, insay aksidɛnt we siriɔs fɔ brok di shɔl bon, i pɔsibul se di fimɔral at we de rɔn nia de kin pwɛl. If dat apin, i kin mek bɔku bɔku blɔd kɔmɔt ɛn i kin ivin mek pɔsin in layf de pan denja.
Dis sik kin denja pasmak fɔ pɔrsin wae dɔn pas 65. As wi de ol, di bɔdi in ebul fɔ wɛl nɔr de go. So, big wund lɛk dis kin tek lɔng tɛm fɔ wɛl. Fɔ bia wit di ɔpreshɔn ɛn di we aw i go wɛl afta dat kin at bak fɔ pɔsin we dɔn ol.
Di tin we impɔtant pas ɔl na dat, ivin afta we ol pɔsin dɔn wɛl we in hip brok, dɛn kin stil fred fɔ waka bak, fɔ go na pɔblik, ɔ fɔ du dɛn yon wok. Di rizulεt lεkshכn εn rεdכks aktiviti kin gεt rili nεgεtiv impak pan dεn כvala hεlth.
Wetin wi go du fɔ mek dis kayn aksidɛnt nɔ apin?
Pan ɔl we wi nɔ ebul fɔ kɔntrol di denja dɛn, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Mek yu os sef: Klin yu os ɛn wokples fɔ tin dɛn we nɔ nid ɛn ridyus di prɔblɛm dɛn we kin mek yu trip. Put wan mat we nɔ de slip na di bafa. Mek shɔ se gud layt de de.
- Tek yu bon density test: If yu pas 65 ia, ɔ if sɔmbɔdi na yu famili gɛt ɔstioporosis, tɔk to dɔktɔ bɔt fɔ du bon density test.
- Gud it ɛn ɛksesaiz: It it dɛn we gɛt bɔku kalsiɔm ɛn vaytamɛn D. Ɛksesaiz fɔ bia wet, lɛk fɔ waka, kin ɛp fɔ mek yu bon dɛn strɔng.
- Fɔ fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm: Nɔ klaym pan chia ɔ tebul fɔ mek yu rich ɛnitin we de ɔp. Yuz di kɔrɛkt tin dɛn ɔltɛm. Ɔltɛm wɛr sit bɛlt we yu de rayd motoka.
Ustɛm yu fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) wantɛm wantɛm?
If yu sɔprayz se yu hip dɔn brok, na mɛdikal imejensi. Go na ɔspitul ɔ kɔl ambulans wantɛm wantɛm. Nɔ delay, mɔ if yu gɛt ɛni wan pan dɛn sayn ya afta yu dɔn fɔdɔm ɔ aksidɛnt:
- If yu nɔ ebul fɔ muv yu hip ɔ yu leg.
- If di pen nɔ go ebul fɔ bia.
- If dɛn pul di hip ɔ leg ɛn i tan lɛk se nɔto natin.
- If dɛn kɔt di skin ɛn di bon de sho.
- If di hip dɔn swel bad bad wan.
- If yu si wan bad bad brus wit dɛn sayn ya.
Yu kin waka wit brok hip?
Nɔto so i bi atɔl. Nɔ tray fɔ tinap ɔ waka wit wet pan hip we dɔn brok. If yu du dat, i kin mek di frakshɔn wɔs ɛn mek ɔda prɔblɛm dɛn.
Wi fɔ muv pɔsin we in hip brok?
Nɔ, if yu tink se pɔsin in hip brok, kɔl ambulans wantɛm wantɛm. Ɛp di pɔsin fɔ mek in hip stebul ɛn nɔ ebul fɔ muv te di dɔktɔ dɛn we dɔn tren kam ɛn kɛr am go na ɔspitul. Nɔ put ɛni prɛshɔn pan di leg, tray fɔ tinap pan am, ɔ tray fɔ waka am.
Mɛsej we dɛn kin kɛr go na os
- Hip frakt na wan sik we rili siriɔs, we kin mek pɔsin in layf de pan denja, mɔ fɔ di wan dɛn we dɔn ol.
- If yu gɛt bad bad pen na di hip eria, yu de swel, ɛn yu nɔ ebul fɔ muv yu leg afta yu dɔn fɔdɔm ɔ aksidɛnt, i kin bi se yu hip brok. Go na di ETU wantɛm wantɛm.
- Bɔku tɛm, i kin nid fɔ du ɔpreshɔn, so i rili impɔtant fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ du.
- Di tɛm we pɔsin kin wɛl kin tek lɔng tɛm. Fisiotɛrapi impɔtant fɔ di hiling prɔses insay dis tɛm.
- Dis risk kin ridyus if yu mek yu os sef fɔ mek yu nɔ fɔdɔm ɛn if yu it tin dɛn we gɛt bɔku kalsiɔm ɛn du ɛksɛsayz fɔ mek yu bon dɛn strɔng.
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