Oh, yu o yu pikin brok bon? (Bone Fracture) Nɔ wɔri, lɛ wi tɔk bɔt dis!

I kin rili mek yu fred ɛn mek yu wɔri we yu tink se yu, yu pikin, ɔ pɔsin we yu sabi go brok in bon. Sɔntɛnde, i kin apin we pɔsin fɔdɔm smɔl, we i de ple, ɔ ivin smɔl aksidɛnt we i de rayd motoka. So tide, lɛ wi tɔk bɔt wetin na bon we brok, aw fɔ no am, wetin dɔktɔ dɛn kin du bɔt am, ɛn di impɔtant tin na aw i kin wɛl.

Wetin i rili min fɔ brok bon?

Fɔ tɔk am simpul wan, bon we brok na we wan strɔng bon na wi bɔdi brok ɔ krak, ilɛksɛf i brok ɔl ɔ sɔm pat pan am. Wi dɔktɔ dɛn kin kɔl dis ‘fracture’ . Pan ɔl we wi bon dɛn rili strɔng, if dɛn put pawa we pas wan patikyula say, lɛk fɔ fɔdɔm ɔ fɔ blo tranga wan, dɛn kin brok. Tink bɔt am lɛk wud stik, yu kin bɛn am smɔl, bɔt we yu rich di say we i dɔn rich, i go brok, nɔto so? Na so i bi.

Wetin mek wi kin brok wi bon dɛn lɛk dis? Wetin na di rizin dɛn?

Bɔku rizin dɛn kin de we mek in bon brok. Lɛ wi luk sɔm pan di men rizin dɛn.

• Fɔdɔm: Dis na di tin we kin mek yu bon brok, mɔ pan pikin ɛn ol pipul dɛn. Yɔŋ pikin dɛn kin fɔdɔm we dɛn de rɔn rawnd, klaym tik, ɔ ivin jɔs sidɔm na os. As wi de ol, wi balans de dכn εn wi bon dεm de wik, we de mek i izi fכ brok wan bon we wi fכl.
• Aksidɛnt: Bɔn kin brok bak bikɔs ɔf tin dɛn lɛk rod trafik aksidɛnt, fɔdɔm frɔm ayt, ɔ aksidɛnt na wokples.
• Spɔt Injuri: Plɛya dɛn kin brok bon dɛn we dɛn de ple spɔt dɛn we gɛt ay impak lɛk kriket, futbɔl, rɔgbi, ɔ rɔn ɛn jomp. Sɔntɛnde, dis kin apin ivin frɔm wan awkward landin.
• Ripit Stress: We yu kɔntinyu fɔ du di sem muvmɛnt, yu kin put smɔl strɛs pan di bon we involv. di sojaman dεm εn di wan dεm we de rɔn fכ lכng distans kin gεt sכm sכm bon frakshכn (`Stress Fractures`) bikoz fכ dεn kayn rizin dεm ya.
• Pathological Fractures: Sɔm tin dɛn lɛk ɔstioporosis ɛn bon kansa kin mek di bon dɛn wik ɛn mek dɛn brok wit ivin smɔl pawa.

Difrɛn kayn frakshɔn dɛn de?

Yɛs, rili difrɛn kayn we dɛn kin brok, i kin dipen pan aw di bon dɛn brok ɛn di kayn we aw di bon dɛn we brok brok. Dɔktɔ dɛn kin yuz dis klasification fɔ no di tritmɛnt opshɔn dɛn. Lɛ wi tek smɔl luk pan sɔm pan di men kayn fraktrɔs.

• Grinstik Fraktrɔs:Dis tan lɛk we yu brok raw, wet lif, wan say brok ɛn di ɔda say bɛn. Na wan say nɔmɔ na di bon brok ɔl, ɛn di ɔda say jɔs bɛn. Dis kin apin mɔ na yɔŋ pikin dɛn bon, bikɔs dɛn bon dɛn kin sof smɔl ɛn dɛn kin ebul fɔ chenj.
• Buckle or Torus Fracture: Dis na we wan say na di bon de bɛn smɔl na do, lɛk smɔl knot. Di ɔda say nɔ brok. Dis na kɔmɔn injury bak pan yɔŋ pikin dɛm.
• Avulsion Fracture: Wi mכsul dεm de atak wi bon dεm bay tisu dεm we dεn kכl tεndon. Sɔntɛnde, we wan tɛndon pul kɔmɔt nia di say we i tay pan di bon, wan pat pan di bon kin kɔmɔt di sem tɛm. Dɛn kɔl dat wan avulshɔn fraktrɔs.
• Growth Plate Fracture: As pikin ɛn yɔŋ pipul dɛn de gro, spɛshal say dɛn de na dɛn bon usay dɛn de gro fɔ lɔng tɛm. Wi kin kɔl dɛn say dɛn ya di plet dɛn we de gro. If bon brok na wan pan dɛn growth plet ya, dɛn kin kɔl am growth plet fraktrɔs. Dis na sɔntin we wi fɔ wɔri mɔ bɔt, bikɔs i kin afɛkt di pikin in bon dɛn we i go gro tumara bambay.
• Stress Fracture: As wi bin dɔn tɔk, we di bon de kɔntinyu fɔ strɛs, lɛk di wan dɛn we de rɔn, smɔl krak kin fɔm insay di bon. Dis nɔto we pɔsin kin brok wantɛm wantɛm, bɔt na smɔl krak we kin kɔmɔt smɔl smɔl as tɛm de go bikɔs i kin strɛs bɔku tɛm.
• Comminuted Fracture: Dis na fraktrɔs we kin rili bad. Dis na we di bon brok to pas tu pat. Dis kin apin afta big aksidɛnt ɔ bad bad blo.
• Kכmpreshכn Frakshכn: Dis na we dεn kכmprεs di bon, kכmכt, εn i de lכs in ayt. I tan lɛk se dɛn de swɛt spɔnj. dis kayn fraktכs dεn kin si am mכst na di vεrbra, spεshal wan pan ol pipul dεm we gεt kכndyushכn lεk כstioporosis.

Dis na jɔs sɔm pan di men kayn dɛn. Apat frɔm dat, ɔda kayn fraktrɔs dɛn de, ɛn dɔktɔ kin jɔs tɛl yu uskayn frakshɔn i bi bay we i luk ɛkstrem rayt.

Aw i kin fil we wi brok bon? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

We bon brok, i kin sho difrɛn sayn dɛn. Sɔm dɛn kin rili klia, ɛn ɔda wan dɛn kin rili klia.

• Pen: Dis na di men sayn wae na lɛk ɔlman kin fil. Bɔrku pen de na di say we di bɔdi brok. Sɔntɛnde, di pen kin mek i nɔ pɔsibul fɔ muv di say we di sik dɔn afɛkt.
• Swel: Di eria we de rawnd di frakt go bigin fɔ swel. Dis na tin we di bɔdi kin du.
• Brus/Diskoloration: Blɔd de siep ɔnda di skin na di say we di brɛk, we de mek di eria tan lɛk blu, pepul, ɔ yɔlɔ. I tan lɛk se i gɛt bad bad brus.
• I nɔ izi fɔ muv:If yu an, yu fut, ɔ ɔda jɔyn brok, dat kin mek i nɔ izi fɔ muv ɔ yuz am nɔmal wan.
• Difɔmiti: Insay sɔm bad bad fraktrɔs, wan an kin strɛch ɛn i kin tan lɛk se i nɔ shep. Dis na sayn we denja ɛn yu fɔ go to dɔktɔ wantɛm wantɛm.
• Open Fracture: Sɔntɛnde, wan pat pan di bon we brok kin brok di skin ɛn kɔmɔt. dεn kכl dis ‘open fracture’ (כ kכmpawnd frakshכn) . Dis kin rili denja bikɔs i kin gɛt bɔku blɔd ɛn infekshɔn.
• Krepitus: We di bon pat dεm we brok kכlכshכn, yu kin yεri wan strenj sawnd, lεk ‘krak krak’ sawnd, we dεn tכch di εria כ shek .

Impɔtant: If yu ɔ yu pikin gɛt wan ɔ mɔ pan dɛn sik ya, nɔ ignore am as jɔs brus. Go to dɔktɔ wantɛm wantɛm.

Aw dɔktɔ dɛn kin chɛk if wan bon dɔn brok?

We yu go to dɔktɔ we yu bon brok, dɛn go aks yu fɔs bɔt aw i apin ɛn aw i de at. Dɔn, dɛn go tek tɛm luk di bon we dɛn tink se dɔn brok. Dɛn go luk fɔ swel, chenj in shep, muvmɛnt, ɛn pen we dɛn tɔch dɛn.

Dɔn, dɛn kin ɔda fɔ mek dɛn tek ɛkstrem rayt fɔ no if di bon brok, usay i de, ɛn aw i brok. X-ray kin sho bɔku tin dɛn klia wan, lɛk aw di bon brok, usay i brok, ɛn if di bon pat dɛn dɔn kɔmɔt na di say we dɛn de. Insay sɔm kɔmpleks fraktrɔs, dɛn kin du CT skan ɔ MRI skan bak.

Aw yu kin mɛn bon dɛn we dɔn brok? Wetin na di tritmɛnt dɛn?

Di men gol fɔ trit bon we brok na fɔ put di brok brok pat dɛn bak togɛda fayn fayn wan ɛn kip dɛn na dɛn ples. Na da tɛm de nɔmɔ di bon go wɛl fayn fayn wan. Difrɛn we dɛn de fɔ du dis.

• Casting: Dis na di we we dɛn kin yuz mɔ. Dɛn kin put rigid kas pan wan an, leg, ɔ ɔda pat na di bɔdi we brok. Dis kin ɛp di bon we dɔn brok fɔ wɛl fayn fayn wan bay we i nɔ de muv. Di lɔng tɛm we dɛn fɔ wɛr di kɔst kin dipen pan usay di pɔsin brok, di kayn we aw i brok, ɛn di ej we di pɔsin gɛt.
• Splint ɔ Brace: Sɔntɛnde, mɔ we bɔku swel de fɔs, dɛn kin yuz sɔpɔt we dɛn kin pul (we na `splint` ɔ `brace`) we nɔ tayt lɛk kast. Dɛn kin put kast afta di swɛlin dɔn stɔp.
• Ridyus: Sɔntɛnde, di bon we dɔn brok kin kɔmɔt na di say we i de, ɛn di tu pat dɛn kin muf go bifo ɛn biɛn. If dat apin, di dɔktɔ go put di pis dɛn bak togɛda.Dɛn kin put di plasta afta dɛn dɔn ‘sɛt’ am. Wi kin kɔl dis ‘sɛtin’, ɛn insay mɛdikal langwej dɛn kɔl am `(Ridyushɔn)`.
• Klos Ridukshכn: Insay dis, dεn de ajɔst di bon fragmεnt dεm frכm di כdasay we dεn nכ de kכt di skin. Sɔntɛnde dɛn kin du dis ɔnda layt anestetik (anaesthesia), bikɔs i kin mek yu fil pen smɔl.
• Open Reduction and Internal Fixation (ORIF): Insay sɔm bad bad fraktrɔs, ɔ if Klos Ridyushɔn nɔ sɛt fayn, dɛn kin du ɔpreshɔn fɔ pul di bon fragmɛnt dɛn we dɔn brok ɛn fiks dɛn insay bay we dɛn de yuz waya, plet, skru, ɛn pin.
• Eksternal Fikseshɔn: Insay di fraktrɔs we rili siriɔs, we dɔn brok, sɔm tɛm dɛn kin yuz mɛtal freym fɔ ol di bon fragmɛnt dɛn na dɛn ples.

Apat frɔm dat, di dɔktɔ go gi am mɛrɛsin dɛn bak lɛk tin dɛn we de mek pɔsin fil pen ɛn sɔntɛm i go gi am antibayɔtik (if di pɔsin we opin in bɔdi brok).

Yu nɔ tink se i wɔndaful? Aw bon na wi bɔdi kin wɛl?

Fɔ tru, fɔ wɛl bɔdi na wɔndaful ɛn kɔmpleks tin we de apin na wi bɔdi. Lɛ wi tek tɛm luk aw i kin apin stɛp bay stɛp.

1. εmatoma fכmeshכn: fכs, as soon as bon brok, bכdi de bigin fכ kכl rawnd di say we i brok, fכ fכm wan bכdi kכlכt (כ εmatoma). dis de protεkt di say we di frakshכn de εn bigin fכ rikrut spεshal sεl dεm we nid fכ hεl am.

. Dis tan lɛk gɔm, we de kɔnɛkt di tu bon pat dɛn we dɔn brok togɛda. ova tεm (ova fכ wik), dis sכft ``kalכs`` de kכmכt sכmtεm kalsiכm εn i de bi wan had, strכng ``bכni kכlכs`` (``had kכlכs``) . Na dat mek dɛn se dɛn kin lɛf di plasta fɔ lɔng tɛm. protεkt dis ``calus`` te i fכm fayn fayn wan εn di bon strכng.

3. Bon Rimodεlin: di nyu fכm, strכng kכlכs kin fכs big sכm εn difrεn frכm di כrijinal shep fכ di bon. Bɔt as tɛm de go (sɔm mɔnt, sɔntɛm wan ɔ tu ia), spɛshal sɛl dɛn na wi bɔdi (ɔstioklast ɛn ɔstioblast) de brok dis nyu bon, bil am bak, ɛn shep di bon bak lɛk aw i bin de fɔs. Dɛn kɔl dis Bone Remodeling.

So yu kin si, aw i rili wɔndaful fɔ mek bon wɛl. Peshɛnt ɛn tɛm rili impɔtant fɔ dis.

So, lɛ wi mɛmba dis! (Mɛsej we dɛn kin tek go na os)

Fɔ brok bon na tin we kin mek ɛnibɔdi fred ɛn i kin mek i fil pen. Bɔt if yu nɔ panik, ɔndastand am fayn, ɛn gɛt di rayt tritmɛnt, bɔku tɛm i kin wɛl kpatakpata.

• As soon as pipul de saspek smɔl se pɔsin dɔn brok, .Nɔ jɔs tink se na brus ɔ sprain, go to dɔktɔ wantɛm wantɛm. Di mɔ yu wet, na di mɔ i go tek fɔ wɛl ɛn na di mɔ prɔblɛm dɛn we yu go gɛt.
• Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan, mɔ we i kam pan aw lɔng yu fɔ kip di plasta (kas), mɛrɛsin dɛn, ɛn ɛksesaiz. Dis rili impɔtant fɔ mek yu wɛl kwik kwik wan.
• Tek tɛm mɔ bɔt di bon dɛn we de brok na pikin dɛn, mɔ di wan dɛn we gɛt fɔ du wit di jɔyn dɛn (grɔw plet), bikɔs i kin afɛkt dɛn growth tumara bambay.
• I kin tek tɛm fɔ mek bon wɛl. Peshɛnt wit am. Gi yu bɔdi di tɛm we i nid fɔ du in wok fayn fayn wan.
• Ivin afta dɛn dɔn pul di plasta, fɔ du fisiotɛrapi ɛgzampul dɛn lɛk aw di dɔktɔ tɛl am, dat go ɛp bɔku fɔ mek da jɔyn de muv bak ɛn gɛt trɛnk.
• If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ ɛva fred ɔ shem fɔ aks yu dɔktɔ igen. Yu gɛt ɔl di rayt fɔ mek dɛn no bɔt yu wɛlbɔdi biznɛs.

So, tek tɛm! If aksidɛnt apin, nɔ panik, go to dɔktɔ wantɛm wantɛm.

` Bכn dεm we brok, frakshכn, fraktכs, plasta tritmεnt, frakshכn hεl, frakshכn na pikin dεm, bon hεlin prכsεs