Wi ɔl dɔn yɛri bɔt wan ol grani ɔ granpa we slip ɛn fɔdɔm na di bafa ɛn "brɔk in hip." Sɔntɛnde wi kin jok wit wi padi dɛn se "yu nɔ fɔ brok yu hip jɔs bikɔs yu dɔn ol." Bɔt fɔ tru, fɔ brok hip nɔto sɔntin we pɔsin fɔ tek am layt. Dis na aksidɛnt we rili siriɔs, ɛn sɔntɛnde i kin chenj in layf. So tide, lɛ wi no bɔt dis.
Fɔ tɔk am simpul wan, wetin na hip fraktrɔs?
Dis na we di pat we de ɔp na yu shɔl bon (we wi kin kɔl di mɛrɛsin we dɛn kɔl Femur ), we de nia di hip jɔyn, kin brok. Yu no, di shɔl bon na di bon we lɔng pas ɔl ɛn we strɔng pas ɔl na wi bɔdi. So fɔ mek i brok, bɔku tɛm i kin gɛt fɔ bi wan big big impak, lɛk we pɔsin fɔdɔm tranga wan ɔ we motoka aksidɛnt. We yu brok hip bon, i kin nid fɔ du ɔpreshɔn fɔ mek i fayn.
Wi hip jɔyn tan lɛk bɔl ɛn sɔkɛt jɔyn. di tכp we lεk bכl fכ di tכŋ bon fit insay wan sכkεt na wi bכdi. Eni fraktכs na dis εria dεn kin kכl am hip frakshכn.
Yu tink se kayn dɛn de we de bay di say we di brek de?
Yɛs, dɔktɔ dɛn kin klas dis akɔdin to usay di femur kin brok.
- di fεmoral ed frakshכn: Dis na we di pat pan di tכŋ bon we shep lεk bכl brok. Bɔt, dis nɔ kin apin so ɔltɛm.
- di fεmoral nεk frakshכn: na di pat we lεk brij (nεk) na di fכs we de kכnεkt di ed we shep lεk bכl εn di lכng bon. Dis na di kayn we we pipul dɛn kin gɛt we dɛn de brok hip.
- di intatrochanteric fractures: na di bכdi we de bitwin tu bon prominεns dεm we de rawnd di bon in nεk, usay di mכsul dεm εn di tεndon dεm de atak.
Wetin na di sayn dɛm wae de sho se yu hip brok?
We di hip brok, dɛn kin si wan ɔ mɔ pan dɛn sayn ya. I rili impɔtant fɔ no dɛn tin ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I kin fil pen bad bad wan | Pen we yu nɔ go ebul fɔ bia, we gɛt siriɔs pen na di hip eria. |
| Nɔ ebul fɔ muv | Nɔ ebul fɔ muv, bɛn, ɔ bia wet pan di hip ɔ leg atɔl. |
| Swel ɛn brus | di say we yu wund de swel ɛn di skin de chenj di kɔlɔ we blu/pɔpul. |
| Difɔmiti we nɔ fayn | di hip de luk abnכmal we yu kכmpεr am wit di כda say, di leg dεn tכn aut כ i sכt. |
| Fɔ fil/si wan knot | Fɔ fil ɔ si sɔntin lɛk lump na di say we di frakt. |
Wetin na di men rizin dɛn we mek dis aksidɛnt apin?
Nɔmal wan, strɔng bon lɛk dis nid strɔng impak fɔ brok.
- Fɔl: mɔ frɔm ayt (lada, ruf).
- Kar aksidɛnt: Dis kin apin mɔ pan siriɔs motoka aksidɛnt.
- Spɔt aksidɛnt: Aksidɛnt we kin apin we dɛn de du kɔntakt spɔt.
Bɔt mɛmba se fɔ pɔsin we dɔn pas 65 ia ɔ pɔsin we gɛt sik we de mek in bon dɛn wik (e.g. ɔstioporosis), di risk fɔ brok in hip kin bɔku pasmak, ivin if i slip smɔl ɛn fɔdɔm na os.
Udat dɛn de pan denja pas ɔlman?
Pan ɔl we ɛnibɔdi kin brok in hip we aksidɛnt apin, sɔm pipul dɛn kin gɛt mɔ prɔblɛm.
| Risk factor | Wan shɔt diskripshɔn |
|---|---|
| Bikɔs i dɔn pas 65 ia | Dis na bikɔs di bon dɛn kin wik bay wilful ɛn balans kin go dɔŋ as wi de ol. |
| Sik dɛn we kin mek yu bon wik | Kɔndishɔn dɛn lɛk ɔstioporosis ɔ ɔstiopenia. |
| Fɔ bi uman | bכku tin de fכ mek di bon dεm tכn biכs fכ di כmon dεm we de chenj, spεshal wan afta yu mεnopos. |
| Sik dɛm wae kin afɛkt balans | Sik dɛm lɛk Pakinsin sik, diziz ɔltɛm (Vertigo) ɔr epilepsy. |
Aw dɔktɔ kin no bɔt dis?
Afta dɛn dɔn kɛr yu go na ɔspitul, bɔku tɛm dɔktɔ go chɛk yu na di Imejɛnsi Dipatmɛnt (ETU). Dɛn go chɛk yu hip ɛn yu leg, ɛn chɛk fɔ si if yu de fil pen, yu de swel, ɛn if yu luk chenj. Dɔn dɛn go du wan ɔ mɔ pan dɛn tɛst ya fɔ no if di pɔsin brok ɛn fɔ no di rayt we aw i brok.
- Hip X-ray we dɛn kin du
- MRI skan we dɛn kin du
- CT skan we dɛn kin du
Aw dɛn kin trit am? Yu tink se i nid fɔ du ɔpreshɔn?
Yɛs, na lɛk ɔlman we brok in hip go nid ɔpreshɔn. Di kayn ɔpreshɔn we yu nid go dipen pan di kayn ɔpreshɔn we yu brok, yu ej, ɛn if yu gɛt ɔda wɛlbɔdi prɔblɛm. Tu men kayn ɔpreshɔn dɛn de.
1. Hip Riplesmɛnt / Hip Arthroplasty: Dɛn kin du dis tritmɛnt pan pipul dɛn we dɔn pas 65. I kin nid fɔ riples di wan ol jɔyn (tɔtal riplesmɛnt) ɔ na wan pat pan am nɔmɔ (patial riplesmɛnt).
2. Open Reduction and Internal Fixation (ORIF): Insay dis prosidur, di sajin kin put skru, pin, plet, ɔ mɛtal rod fɔ ol di bon pat dɛn we dɔn brok togɛda te dɛn wɛl. Sɔm pipul dɛn kin gɛt dɛn tin ya fɔ di res ɔf dɛn layf. Ɔda wan dɛn gɛt fɔ pul dɛn afta di bon dɔn wɛl.
Yu tink se prɔblɛm dɛn kin apin afta dɛn dɔn du di ɔpreshɔn?
Jɔs lɛk ɛni ɔpreshɔn, prɔblɛm kin apin.
- Avascular Necrosis: Wan pat pan di bon kin day we dɛn kɔt di blɔd we de go na di bon.
- Nɔn union:Bɔn fragmɛnt dɛn we brok we nɔ de fit bak togɛda fayn fayn wan.
- Malunion: Na we di bon fragmɛnt dɛn nɔ de alaynɛd fayn.
- Bon infεkshכn (Osteomyelitis): If di bon we brok go insay di skin (open fracture), di risk fכ baktri infεkshכn go bכku.
Aw lɔng i kin tek fɔ mek i wɛl?
Hip we brok kin tek at le sɔm mɔnt fɔ mek i wɛl ɔl. I kin tek wan ia fɔ mek yu fil fayn smɔl smɔl. Di tɛm we yu kin tek fɔ wɛl kin dipen pan bɔku tin dɛn:
- Di kayn ɔpreshɔn we dɛn du
- 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. Yu go nid fɔ du PT fɔ sɔm mɔnt. I go ɛp yu fɔ mek di mɔsul dɛn we de rawnd yu hip strɔng ɛn mek yu waka ɛn muv bak. Yu go nid fɔ yuz tin fɔ waka, stik, ɔ tik fɔs.
Wetin mek we pɔsin in hip brok na aksidɛnt we rili denja?
Dis na mɛdikal imejensi bikɔs, apat frɔm we i de brok di bon, i kin pwɛl di impɔtant ɔgan dɛn we de rawnd am.
di tin we impɔtant pas ɔl na dat, pan aksidɛnt we bad bad wan fɔ brok di fim, di fim at we de rɔn nia de kin pwɛl. If dat apin, if pɔsin de blɔd pasmak, dat kin mek i day. Di risk de bak fɔ mek blɔd klɔt.
Dis kin rili siriɔs if di aksidɛnt apin to pɔsin we dɔn ol. As dɛn de ol, di bɔdi kin wɛl sloslo. Di ɔpreshɔn ɛn di tɛm we dɛn kin gɛt fɔ wɛl we kin kam afta dat kin rili tranga fɔ dɛn. Sɔm stɔdi dɔn sho se ol pipul dɛm wae dɔn gɛt hip fraktrɔs nɔr kin ebul fɔ waka ɛn lɛf fɔ du tin wit ɔda pipul dɛm ivin afta dɛn dɔn wɛl. Dis we aw dɛn kin de dɛn wan kin afɛkt dɛn ɔl wɛlbɔdi.
Yu tink se dɛn go ebul fɔ mek aksidɛnt lɛk dis nɔ apin?
Pan ɔl we wi nɔ kin ebul fɔ kɔntrol aksidɛnt, bɔku tin dɛn de we wi kin du fɔ ridyus di prɔblɛm.
- Mek yu os sef: Rimov tin dɛn we slipul, waya dɛn we tandul, ɛn ɔda tin dɛn na di flɔ. Put wan mat we nɔ de slip na di bafa. Mek shɔ se gud layt de de.
- Tek kia ɔf yu bon wɛlbɔdi: It it dɛn we gɛt bɔku kalsiɔm ɛn vaytamɛn D. Tɔk to yu dɔktɔ ɛn du ɛksɛsayz di rayt we.
- Gɛt bon density test: If yu dɔn pas 65 ia ɔ yu gɛt famili histri bɔt ɔstioporosis, tɔk to yu dɔktɔ bɔt fɔ mek yu bon density test.
- Wear tin dɛn fɔ protɛkt yusɛf:Ɔltɛm wɛr yu sit bɛlt we yu de drayv. If yu de ple spɔt, wɛr di rayt tin dɛn fɔ mek yu nɔ gɛt prɔblɛm.
- Tek tɛm we yu de ol tin dɛn frɔm ayt: Nɔ klaym pan chia ɔ tebul fɔ rich fɔ tin dɛn. Yuz wan fayn lada ɔ sɔntin.
Ustɛm yu fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU)?
If yu saspek se yu hip dɔn brok, na imejensi ɔltɛm. Kɔl ambulans wantɛm wantɛm. If pɔsin dɔn fɔdɔm ɛn gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm.
| Situeshɔn dɛm wae yu nid fɔ go na ɔspitul kwik kwik wan | |
|---|---|
| 1. 1. 1. . | If yu nɔ ebul fɔ muv di hip ɔ leg atɔl. |
| 2. 2. . | If pen de we pɔsin nɔ go ebul fɔ bia, we pasmak. |
| 3. 3. . | If di hip ɔ di leg nɔ strɛch fayn ɛn i dɔn chenj in shep. |
| 4. 4. . | If di bon we brok de sho tru di skin. |
| 5. 5. . | If di say we di sik afɛkt dɔn swel pasmak ɛn brus. |
I fayn fɔ shek ɔ es pɔsin we in hip brok?
Nɔto gud atɔl. If yu saspek se pɔsin in hip brok, kɔl ambulans wantɛm wantɛm. Te di mɛdikal pɔshɔnal dɛn we tren kam ɛn transpɔt am go na ɔspitul, ɔl wetin yu kin du na fɔ tray fɔ kip am stil. Nɔ put ɛni wet pan di leg, tray fɔ tinap ɔ waka.
Mɛsej we dɛn kin kɛr go na os
- Hip frakt na wan sik we rili siriɔs ɛn we pɔsin kin gɛt kwik kwik wan. Wi nɔ fɔ tek am as sɔntin we nɔ impɔtant.
- Pan ɔl we dis kin apin mɔ pan ol pipul dɛn, i kin apin we siriɔs aksidɛnt apin to ɛnibɔdi we ol ɛni ej.
- Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn fɔ mek dɛn gɛt tritmɛnt.
- Di tɛm we pɔsin kin wɛl kin tek lɔng tɛm, ɛn i impɔtant fɔ peshɛnt ɛn fɔ trit yu bɔdi fayn.
- Ɛspɛshali na os dɛn we mama ɛn papa dɛn dɔn ol, i rili impɔtant fɔ tek di tin dɛn we dɛn nid fɔ du fɔ mek dɛn nɔ slip ɛn fɔdɔm.
- If yu tink se yu hip dɔn brok, nɔ tray fɔ muv di pɔsin yusɛf, bɔt kɔl ambulans wantɛm wantɛm.
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