Yu dɔn ɛva notis se yu pikin in leg dɛn shɔt pas di ɔda wan? Ɔ yu tink se wan sik de we dɛn bɔn wit we dɔn mek wan an ɔ leg nɔ lɔng? Na nɔmal tin fɔ fil bad ɛn wɔri bad bad wan tɛm lɛk dis. Bɔt tide di advans mɛdikal sayɛns gɛt sɔlv fɔ dis bak. Wan pan dɛn kayn sɔlv ya na di bon lɔng ɔpreshɔn we wi de tɔk bɔt tide, we dɛn kɔl ‘Limb Lengthening Surgery’.
Wetin na Ɔpreshɔn fɔ Lɛng Limb?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn we de mek wan bon (dɛn) na yu an ɔ yu leg lɔng. Dɛn nɔ kin du dis wan tɛm, bɔt dɛn kin du am smɔl smɔl, fɔ sɔm mɔnt. Di dɔktɔ dɛn we de du ɔpreshɔn kin du dis ɔpreshɔn mɔ pan dɛn bon ya:
- Di bon we de ɔp di an (Humerus) .
- fכ di bon dεm na di fכs an `(Radius/Ulna)`
- To di thigh bon `(Femur)`
- Shin bon `(Tibia)`
Us kes dɛn kin du dis ɔpreshɔn?
Dɛn kin yuz dis ɔpreshɔn mɔ fɔ kɔrɛkt di difrɛns bitwin di leg ɛn an lɔng, we min se wan an ɔ leg shɔt pas di ɔda wan. Dɛn kin yuz am bak fɔ trit sɔm tin dɛn we kin afɛkt di bon dɛn we de gro.
| Kɔndishɔn | Simpul Ɛksplen |
|---|---|
| Benign bon tumor | di growth retardation de kכz fכ wan kכmכn tכmכro we de fכm na wan pכynt we di bon de lεng (wan plet we de gro). |
| Sɛribra Palsi we de na di bɔdi | fכ dis kכndishכn, di bon dεm we de gro kin afekt sכmtεm bikoz fכ di mכsul dεm we nכ de balans. |
| di fεmoral dεfisit we dεn bכn am | Dɛn bɔn wan shɔl bon shɔt pas di ɔda wan. |
| Na wan say nɔmɔ na di bɔdi de big (Hemihypertrophy) . | wan kכndishכn we nכ kin apin we wan say na di bכdi (e.g., rayt an εn leg) de gro fast pas di כda wan. |
| Skeletal Displasia we pɔsin kin gɛt | di kכndishכn dεm we dεn bכn wit we de intafεr di bon dεm we de gro (e.g., dwarfism). |
| Grɔw plet fraktrɔs | di growth arrest bikoz fכ frakshכn na di εria dεm we pikin in bon dεm de strεch. |
| Infεkshכn na di bon dεm (Osteomyelitis) . | Sɔm bad bad bon infɛkshɔn kin pwɛl di bon dɛn we de gro. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu du di ɔpreshɔn, yu dɔktɔ go tek ɛkstrem rayt fɔ yu bon ɛn mɛzhɔ di rayt lɔng we i lɔng . Dɛn tɛst ya go no ɔmɔs di bon nid fɔ lɔng. Bɔku tɛm, dɛn kin lɔng lɛk 2 inch insay wan ɔpreshɔn.
Yu mɛdikal tim go tɛl yu aw fɔ rɛdi fɔ ɔpreshɔn. Bifo yu du di ɔpreshɔn, aks yu dɔktɔ ustɛm yu de tek, uswan yu fɔ stɔp fɔ tek, ɛn uswan yu fɔ kɔntinyu fɔ tek. Dɛn go advays yu bak bɔt aw lɔng bifo dɛn du di ɔpreshɔn yu fɔ stɔp fɔ it ɛn drink.
Di de we dɛn go du yu ɔpreshɔn, dɛn go gi yu jenɛral anestezi. Dis min se yu go slip ɔl di tɛm we dɛn de du di ɔpreshɔn, so yu nɔ go fil ɛni pen. Yu go nid fɔ de na ɔspitul fɔ lɛk tri dez afta di ɔpreshɔn. We yu go na os, yu go nid fɔ mek yu fambul ɔ padi go wit yu.
I rili impɔtant fɔ gɛt pɔsin fɔ ɛp yu fɔ sɔm wiks afta dɛn dɔn du di ɔpreshɔn. Yu go mɔs nid ɛp wit tin dɛn lɛk fɔ drɛs, fɔ pripia it, ɛn fɔ go na di bafa. If yu leg sprain, yu nɔ go ebul fɔ waka pan da leg de fɔ sɔm tɛm. Yu go nid fɔ yuz wilchia ɔ stik.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Tu men tin dɛn de we dɛn kin du fɔ du dis ɔpreshɔn:
1. Ɔstiɔtɔmi: .Di dɔktɔ we de du di ɔpreshɔn kin kɔt di bon we dɛn de tɔk bɔt to tu pat.
2. Divays Instɔlɛshɔn: Dɔn, dɛn kin instɔl wan divays we de mek di an ɛn fut lɔng bitwin di tu bon dɛn.
Tu men kayn tin dɛn de we dɛn kin yuz fɔ put di tin dɛn we dɛn kin yuz fɔ mek tin dɛn.
| Divays Tayp | Aw I De Wok |
|---|---|
| Fikseta we de na do | Insay dis, di dɔktɔ kin put pin ɔ waya insay di tu bon dɛn ɛn tay wan mɛtal freym pan dɛn frɔm ɔdasay na di bɔdi. Bikɔs dis freym de kɔmɔt sɔm inch frɔm di bɔdi, i kin at fɔ wɛr sɔm klos dɛn. Bɔku pipul dɛn kin wɛr tin dɛn lɛk shɔt. |
| Intanɛt Rod | Dis na nyu we fɔ du tin. Wetin yu de du ya na fɔ put sɔntin we tan lɛk skru insay di bon. Dis nɔ de we pɔsin kin si frɔm di ɔdasay na di bɔdi. |
Aw bon dɛn kin rili lɔng afta dɛn dɔn du dɛn ɔpreshɔn?
Afta yu dɔn wɛl smɔl frɔm di ɔpreshɔn, di pat we de mek yu bon lɔng kin bigin. Wi kin kɔl dis di ‘distrakshɔn faz’. Dis kin tek lɛk tu mɔnt so. Insay dis tɛm, dɛn kin pul di tu bon dɛn we dɛn bin dɔn kɔt smɔl smɔl. As dɛn de muf apat, yu bɔdi de bil nyu bon tisu fɔ ful-ɔp di gap bitwin dɛn.
Wi bɔdi gɛt wɔndaful pawa fɔ bil nyu bon. Dis ɔpreshɔn de kɔntrol da natura l prɔses de ɛn i de mek di bon lɔng te wi nid.
Insay dis tɛm, yu gɛt tri men tin dɛn fɔ du:
- Fɔ ajɔst di divays: Bɔku tɛm insay di de, yu nid fɔ ajɔst di divays yusɛf. Ɛnitɛm, di tu bon dɛn kin muf apat smɔl, we na lɛk wan milimita. If na freym we dɛn dɔn put na do, dɛn kin du dis bay we dɛn tɔn wan nɔb pan am. If na intanɛnt divays, yu de yuz sɔntin lɛk rimot kɔntrol fɔ tɔn am.
- Fizik Tɛrapi: Dis rili impɔtant.. Fɔ mek yu gɛt di bɛst rizɔlt, yu fɔ gɛt fyzikal tritmɛnt. Yu go nid fɔ go sɔm tɛm insay di wik. Dis go mek yu mɔsul dɛn strɔng, yu jɔyn dɛn go ebul fɔ muv fayn fayn wan, ɛn ɛp di nyu bon fɔ gro strɔng.
- Go to yu dɔktɔ ɔltɛm: Yu dɔktɔ go tek ɛkstrem rayt ɔltɛm fɔ chɛk aw di nyu bon de go bifo. If di bon fכmeshכn rεt tu hכy כ tu lכw, dεn kin ajɔst di tritmεnt plan fכ dat.
Wetin yu kin du afta di bon dɔn lɔng?
we di bon dכn gro to di lεngth we yu want, yu nid fכ gi di nyu bon we fכm tεm fכ bi strכng, כ ‘had’. Wi kɔl dis di ‘kɔnsolidɛshɔn faz’. Dis kin tek lɛk tri mɔnt so. Insay dis tɛm:
- Stɔp fɔ ajɔst di divays: Di divays stil de, bɔt yu nɔ de ajɔst am.
- Kɔntinyu fɔ tek fizik tritmɛnt: Dɛn fɔ kɔntinyu fɔ du dis fɔ mek di bon strɔng as i pɔsibul.
- Slow slow stat fɔ put wet pan yu an/leg: Fɔs, yu go bigin fɔ put wet pan yu an/leg wit sɔpɔt lɛk kruk. We dis stej de dɔn, yu dɔktɔ kin advays yu fɔ put wet pan yu we yu nɔ gɛt sɔpɔt. Nɔ ɛva rɔsh fɔ put wet pan yu an/leg te yu dɔktɔ tɛl yu fɔ du dat.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, bɛnifit ɛn prɔblɛm dɛn de, ɛn i impɔtant fɔ tɔk bɔt dɛn tin ya opin wan wit yu dɔktɔ.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk & Kɔmplikɛshɔn dɛn |
|---|---|
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Wetin na di tin dɛn we kin apin we yu fɔ go to dɔktɔ wantɛm wantɛm?
If yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm . Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn ɔ ɔda siriɔs prɔblɛm.
| Risk simptom dɛm - tɛl yu dɔktɔ wantɛm wantɛm! | |
|---|---|
| Fiva | Di bɔdi in tɛmpracha we de go ɔp. |
| Dischaj frɔm di say we dɛn pank am | Blɔd, pus, ɔ ɔda wata we de kɔmɔt na yu bɔdi. |
| Rɛdnɛs na di say we di wund ɔ pankchɔ | Rɛd, swel, ɔ rɛd strɛch rawnd di wund ɔ rawnd di stich dɛn. |
| Big pen ɔ swɛlin | Pen we yu nɔ go ebul fɔ bia ɔ swel we nɔ kɔmɔn na yu an ɔ leg we yu strɛch. |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | Tingling ɔ numbness na yu an ɔ leg we yu strɛch. |
| Chɛst pen ɔ i nɔ kin izi fɔ blo | Dis na imejensi. Go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
Fɔ dɔn, ɔpreshɔn fɔ mek dɛn bon lɔng kin bi sɔntin we kin chenj dɛn layf fɔ pipul dɛn we gɛt prɔblɛm wit dɛn an ɛn fut. Nyu teknɔlɔji, mɔ di tin dɛn we dɛn kin yuz fɔ mek di bɔdi, dɔn mek di we aw dɛn de du am izi ɛn sef pas aw i bin de bifo. We dɔktɔ we sabi du ɔpreshɔn, ɛn we dɛn gi am di rayt instrɔkshɔn, di sakrifays kin rili bɔku. Bɔrku pipul kin go bifo fɔ liv ful, aktif layf afta dis ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Di ɔpreshɔn fɔ mek di bon lɔng na spɛshal ɔpreshɔn we dɛn kin du fɔ kɔrɛkt di chenj dɛn we kin apin na di lɔng we di an ɛn fut dɛn kin lɔng bikɔs ɔf sɔm mɛrɛsin dɛn. Dɛn nɔ de du am fɔ kɔsmɛtik.
- Dis na lɔng tɛm we kin tek sɔm mɔnt. Di peshɛnt kɔmitmɛnt, mɔ di tritmɛnt dɛn we dɛn de gi di fizik tɛrapi ɛn fɔ fala di instrɔkshɔn dɛn we di mɛrɛsin de gi, impɔtant fɔ mek di tin kɔmɔt fayn.
- If yu du tin di rayt we, lɛk fɔ ajɔst di ikwipmɛnt ɛn fɔ kip di say dɛn we dɛn put di stik dɛn klin, dat kin afɛkt yu sakrifays dairekt wan.
- If yu notis ɛni denja sayn (fiva, bad bad pen, swel, dischaj), tɛl yu dɔktɔ wantɛm wantɛm, nɔ fred ɔ delay.
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