Yu dɔn wund bak ɛn yu bin gɛt fɔ gɛt stich? (Stitches) - Mek wi tok abaut dis ditail!

Wi ɔl kin gɛt sɔm kayn injuri frɔm we wi smɔl. Sɔntɛnde, i kin bi smɔl skrach, bɔt sɔntɛnde i kin siriɔs smɔl. Imajin, yu fɔdɔm pan yu bayk we yu de ple, ɔ yu slip we yu de klaym tik... Da tɛm de, yu chin ɔ yu ni kin krak smɔl. na da tεm de sכm pikin dεm, εn sכmtεm big pipul dεm, spεshal wan na di fes, chin, an, כ leg, fכ gεt 'stich'. Wetin na dɛn stich ya, wetin mek dɛn kin put dɛn insay, aw yu kin kia fɔ dɛn, ɛn dɛn kin at? Tide wi go tok abaut di ansa to ol yu kweshon, okay?

Wetin na stich? Wetin mek wi nid dɛn?

Fɔ tɔk am simpul wan, stich na spɛshal kayn trɛd we dɛn kin yuz fɔ ol di tu say dɛn na wund na yu skin togɛda. I tan lɛk se yu de siŋ klos, bɔt na dɔktɔ de du dis. Dɛn nɔ kin stich smɔl smɔl skrat dɛn. Bɔt if na wund we big ɛn dip, i nɔ go wɛl fɔ insɛf, so dɛn kin yuz stich fɔ mek di tu say dɛn na di wund kam togɛda. Imajin if yu fɔdɔm we yu de ple ɛn nak yu ed, ɔ step pan sɔntin we shap... we de at, nɔto so? Na da tɛm de dɛn nid fɔ stich. Sɔntɛnde, ivin afta dɛn dɔn ɔpreshɔn am, dat na ``Ɔpreshɔn'', di dɔktɔ kin yuz stich fɔ lɔk di wund. Wi kin kɔl dis kayn kɔt we dɔktɔ mek bay wilful, ``Incision''.

So, di men tin we mek dɛn stich ya na fɔ ol di tu say dɛn na di wund togɛda, ɛp am fɔ wɛl kwik ɛn fayn, ɛn fɔ mek i nɔ gɛt big skata.

Dɛn kin briŋ di tu say dɛn na di wund togɛda, ɛn di dɔktɔ kin tay wan knot wit di trɛd. Dɔn i kin de da we de te di skin wɛl. Bɔku kayn trɛd ya de we dɔktɔ dɛn kin yuz. Wi de kɔl dɛn tin ya ``Sutures``. Sɔm dɛn mek am wit ``Nylon``, sɔm dɛn mek am wit ``Silk``, ɛn sɔm dɛn mek am wit tin dɛn we pɔsin kin sɔlv lɛk ``Vicryl``. stich dεm de we kin sכlv lεk ``Vicryl``, we de abzכp insay di skin. So dɛn nɔ nid fɔ kɔt dɛn igen. Bɔku tɛm dɛn kin yuz dɛn tin ya fɔ wund na di lip, fes, ɔ insay di mɔt.

Na stich nɔmɔ de? Us ɔda we dɛn de fɔ lɔk wund?

Nɔto ɔl wund dɛn nid fɔ stich. Sɔntɛnde, dɔktɔ dɛn kin yuz ɔda we dɛn fɔ lɔk di wund. Lɛ wi si wetin dɛn bi.

• Skin Glu: Imajin se yu gɛt flat wund, we nɔ tu dip ɔ wayd, na yu fɔɛd. Yu dɔktɔ go mɔs yuz wan spɛshal kayn glu we dɛn kɔl Skin Glue fɔ sial di wund. Dis na spɛshal kayn glu we kin ol di ed dɛn na di wund togɛda. Dis go sɔlv insɛf bak afta 7-10 dez. I rili izi, nɔto so? Yu nɔ ivin nid fɔ gɛt stich.

• Bɔtaflay Bandej / Steri-strip dɛn:Fɔ sɔm smɔl wund dɛn we nɔ shayn, dɔktɔ dɛn kin yuz wan kayn smɔl bɛnd we dɛn kin adhesive. Dɛn kɔl dɛn tin ya bɔtaflay bandej ɔ steri-strip. Dɛn kin yuz dɛn bandej ya fɔ ol di tu say dɛn na di wund togɛda fɔ sɔm dez. Bɔku tɛm, dɛn tin ya kin kɔmɔt fɔ dɛnsɛf, lɛk we yu de shaw. Dɛn kin yuz dɛn tin ya fɔ wund dɛn we rili smɔl.

Aw dɔktɔ kin put stich insay? Yu nɔ no if i de at, nɔto so?

If yu nid fɔ stich, nɔs ɔ pɔsin we de ɛp yu go fɔs put wan jel we de mek yu nɔ fil fayn na yu wund. Afta sɔm tɛm, we di say dɔn swɛt, dɛn go bigin fɔ klin yu wund. Dɛn kin yuz wata we nɔ gɛt wan sik. Dɛn kin put di wata insay di wund fɔ pul ɛni jem ɛn dɔti. Yu kin de tink se, "O, a nɔ no if dis go at." Bɔt fɔ tru, yu nɔ go fil bɔku pen we yu de klin ɛn stich di wund.

sכmtεm, dεn kin yuz sכmכl nidul fכ injεkt wan likwid nכmbing mεdisin we dεn kכl ``Local Anesthetic'' insay di skin. Wi kin kɔl dis ``Anaesthetics''. Dis mɛrɛsin kin mek di say nɔ gɛt bɛtɛ trɛnk, so yu nɔ kin fil ɛni pen. I tan lɛk se dɛntist de numb yu mɔt fɔ ful-ɔp yu tut. So i izi pas aw yu tink, nɔto so? Dɔktɔ dɛn rili sabi dis, so nid nɔ de fɔ fred.

Dɔn di dɔktɔ go chɛk fɔ si if di tin we mek di wund – tink bɔt sɔntin lɛk glas – stil de insay di wund. If ɛnitin de we tan lɛk dat, dɛn go pul am bak. Bikɔs if i de insay, di wund kin gɛt di sik.

Neks, di dɔktɔ kin yuz wan rili smɔl nidul ɛn stich yu wund wit di sutura dɛn. Pan ɔl we di say we yu de, yu kin fil lɛk se yu de pul smɔl we di dɔktɔ de pul di stich dɛn. Bɔt no pen nɔ de. Dis na aw dɛn kin put stich dɛn afta dɛn dɔn du ɔpreshɔn. Bɔt afta dat, yu nɔ de fil natin, bikɔs yu nɔ no natin! Yu ɔndastand?

Aw yu kin kia fɔ yu stich dɛn fayn fayn wan afta dɛn dɔn put dɛn?

Afta dɛn dɔn stich yu wund, yu dɔktɔ go tɛl yu aw fɔ kia fɔ am. I rili impɔtant fɔ fala dɛn instrɔkshɔn ya kɔrɛkt wan, wit di ɛp we big pɔsin de ɛp yu. di instrכkshכn dεm fכ kia fכ εvri kayn stich – i.e. sutura, skin glu, bכtaflai bεndεj – kin difrεn.

Bɔku tɛm, di dɔktɔ go tɛl yu fɔ kip yu wund wet fɔ wan ɔ tu dez. I nɔ fayn fɔ lɛ wata go insay bɔku pan di stich dɛn. Yu no wetin mek? If di wund wet, chans de fɔ mek di smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. I kin mek bak di wund nɔ wɛl. So, i rili impɔtant fɔ mek di wund wet te yu dɔktɔ tɛl yu fɔ du dat.

Fɔ sɔm wund dɛn we dɛn sutura, i fayn fɔ put antiseptik krim ɔ antibayɔtik ɔntmɛnt ɛn kɔba am wit bandej fɔ mek i nɔ gɛt di sik. Bɔt, skin glu de na di skin, so i nɔ fayn fɔ put ɔnt pan am. Wan ɔda impɔtant tin na dat ilɛksɛf di stich dɛn brok, nɔ pul ɔ tɔch dɛn.Yu nɔ fɔ ɛva tray fɔ pul stich yusɛf, nɔto so? If yu du dat, i go mek di wund opin bak ɔ i go gɛt di sik.

Sayn dɛn we de sho se denja de! If yu si dɛn tin ya, tɛl di dɔktɔ wantɛm wantɛm

If yu fil ɔ si ɛnitin lɛk dis, yu ɛn yu mama ɛn papa fɔ rili go to dɔktɔ wantɛm wantɛm:

• If i tan lɛk se wan stich dɔn brok ɔ i dɔn lɔs.
• If di say we di wund de wam, rɛd, ɔ swɛlin.
• If tik, yɔlɔ ɔ grɛn wata, we dɛn kɔl pus, de kɔmɔt na di wund, i kin bi sayn fɔ se yu gɛt infekshɔn.
• If pen de we yu nɔ go ebul fɔ bia na di say we di wund de, ɔ if di pen de wɔs.
• If di skin we de rawnd di wund dɔn rɛd ɛn gɛt streak.
• If yu gɛt fiva.

Simptom dɛm lɛk dis kin sho se di wund gɛt infɛkshɔn. If dat apin, yu nid fɔ go to tritmɛnt wantɛm wantɛm. If nɔto dat, di sik kin rili siriɔs.

Lɛ wi lan bɔt aw fɔ siŋ.

Dɛn kayn stich dɛn de we dɛn kɔl ``Dissolving Stitches'', ``Skin Glue'', ɛn ``Butterfly Bandage'', we kin sɔlv ɔ fɔdɔm fɔ dɛnsɛf. Natin nɔ de fɔ wɔri bɔt. Bɔt ɔda kayn stich dɛn nid fɔ kɔmɔt frɔm dɔktɔ ɔ nɔs.

If yu luk aw fɔ pul dɛn tin ya, di dɔktɔ go kɔt smɔl frɔm usay di stich dɛn de ɛn pul di smɔl trɛd kɔmɔt. Yu go fil se yu de pul yu smɔl, bɔt i nɔ go at. Nɔ wɔri. I nɔ kin tek bɔku tɛm fɔ pul di stich dɛn pas fɔ put dɛn insay.Yu skin go bɛtɛ afta dɛn dɔn pul di stich dɛn! Sɔntɛnde, di dɔktɔ go tɛl yu ɔmɔs dez fɔ kam bak fɔ mek dɛn pul di stich dɛn. I bɛtɛ fɔ go di de we dɛn tɛl yu.

Aw yu kin tek kia ɔf yu skin afta yu dɔn stich? Yu tink se di skata go smɔl?

Yu dɔktɔ go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yu skin afta dɛn dɔn pul di stich dɛn. Yu fɔ mɛmba dɛn tin ya:

• I fayn fɔ mek yu nɔ put di san dairekt na di say we yu wund fɔ sɔm tɛm. di nyu skin we dεn fכm kin rili sεnsitiv εn i kin izi fכ bכn di san.
• I fayn fɔ yuz tin fɔ protɛkt yusɛf frɔm di san ɛvri tɛm we yu de go na do. Dis rili impɔtant, bikɔs di san layt kin mek di skata dɛn dak, ɛn dis kin mek pɔsin si dɛn mɔ. I bɛtɛ fɔ yuz sanskrin we gɛt at le SPF 30.
• Yu dɔktɔ kin gi yu spɛshal krim bak we dɛn kɔl ``Scar Cream'' fɔ ɛp fɔ ridyus di skata. We yu de yuz dɛn tin ya, fala wetin yu dɔktɔ tɛl yu.
• Dɔn bak, ivin afta di wund dɔn wɛl, di skin we de na da say de kin fil smɔl. So tek tɛm bifo yu put sop ɛn loshan we yu nɔ sabi wantɛm wantɛm. If yu gɛt ɛnitin we de mɔna yu, tɛl yu dɔktɔ.
• Yu kin skrach di wund smɔl we i de wɛl. Bɔt nɔ skrach. If yu skrach, i kin pwɛl di nyu skin ɛn mek di skata big.

If yu tek kia ɔf am fayn, afta sɔm tɛm i go at fɔ fɛn usay yu wund bin de. Di tin we impɔtant pas ɔl na fɔ mek yu skin wɛl kpatakpata! Nɔto ɔl di skata dɛn go dɔn kpatakpata, bɔt dɛn go dɔn bɔku bɔku wan as tɛm de go.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht stich tide. Yu fɔ mɛmba dis:

• Sutura de ɛp bɔku fɔ mɛn big wund dɛn kwik kwik wan, fɔ wɛl fayn fayn wan, ɛn fɔ ridyus di fɔmɛshɔn fɔ big big skata.
• Afta dɛn dɔn put di stich dɛn , i rili, rili impɔtant fɔ tek kia ɔf di wund jɔs lɛk aw di dɔktɔ tɛl yu. Dis kin ɛp fɔ mek yu nɔ gɛt di sik ɛn ɛp am fɔ wɛl kwik kwik wan.
• If di wund rɛd, swel, fil wam, ɔ pul pus, dat kin bi sayn fɔ se yu gɛt infekshɔn. If dis apin , yu fɔ go to dɔktɔ wantɛm wantɛm .
• Na dɔktɔ nɔmɔ fɔ pul ɔda stich dɛn we nɔto stich dɛn we dɛn kin sɔlv. Nɔ ɛva tray fɔ pul dɛn yusɛf.
• If yu tek kia ɔf yu skin gud gud wan afta dɛn dɔn pul di stich dɛn, mɔ if yu protɛkt am frɔm di san, di skata dɛn go dɔn smɔl smɔl.

Nɔ wɔri, stich na jɔs we fɔ ɛp yu fɔ wɛl kwik ɛn protɛkt yu skin! So, di nɛks tɛm we yu nid fɔ stich, yu dɔn no naw wetin fɔ ɛkspɛkt.

` Sutura, wund, skin protɛkshɔn, fɔs ɛd, sutura we kin sɔlv, wund kia, ska