Imajin se yu gɛt aksidɛnt ɛn brok bon na yu an ɔ yu leg. Dis na tin we bin rili mek a fred! So, di dɔktɔ kam ɛn se, "Dis nid ɔpreshɔn ɛn intanɛnt waya ɛn plet fɔ fiks am." Na nɔmal tin fɔ fil mɔ fred da tɛm de. Bɔt nɔ fred. Tide wi de tɔk bɔt ORIF, we na spɛshal ɔpreshɔn we dɛn kin yuz fɔ mek bon dɛn we dɔn brok bad bad wan kam bak.
Wetin na ORIF ɔpreshɔn? Udat nid am?
Di ful minin fɔ ORIF na Opin Ridyushɔn ɛn Intanɛt Fikseshɔn . Pan ɔl we di nem kin tan lɛk se i kɔmplikt, di minin rili simpul.
- Open Reduction: Dis min se di ɔspitul de kɔt di skin, opin am, tek di bon fragmɛnt dɛn we dɔn brok ɛn put dɛn bak na dɛn rayt ples, jɔs lɛk aw i de put brok brok glas bak togɛda.
- Intanɛt Fikseshɔn: Dis min se di bon pat dɛn we dɛn dɔn put na di rayt ples, dɛn kin fiks dɛn togɛda we dɛn nɔ de muv, ɛn dɛn kin fiks dɛn bay we dɛn put mɛtal pat dɛn (fɔ ɛgzampul, skru, plet, stik, ɔ waya) frɔm insay.
Nɔto ɔlman we gɛt brok bon nid dis ɔpreshɔn. Sɔntɛnde, dɛn kin yuz kɔst fɔ mɛn di frakt. Bɔt fɔ sɔm siriɔs fraktrɔs, ORIF ɔpreshɔn nid fɔ de.
| Tayp fɔ fraktrɛshɔn | Wan simpul ɛksplen |
|---|---|
| Kɔmpawnd/Open Fraktrɔs | We bon we brok kɔmɔt na di skin, i kin izi fɔ mek i gɛt di sik. |
| Fraktrɔs dɛn we dɛn dɔn kɔmit | Sɔntɛnde, di bon kin brok to bɔku bɔku pat dɛn, lɛk paoda. I nɔ izi fɔ put dɛn tin ya togɛda bak. |
| Fraktrɔs dɛn we dɛn dɔn displeys | Dis na kes dɛm we di tu bon pat dɛm we brok kin separet frɔm dɛnsɛf, we kin mek big gap bitwin dɛn. Dɛn wan ya nɔ go wɛl fɔ dɛnsɛf. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bɔku pan di wan dɛn we kin brok kin apin wantɛm wantɛm, lɛk we pɔsin fɔdɔm, aksidɛnt wit motoka, ɔ we i wund we i de spɔt. So tɛm nɔ de fɔ plan dɛn ɔpreshɔn ya bifo tɛm. Afta dɛn dɔn kɛr yu go na di Imejɛnsi Dipatmɛnt (ETU), di fɔs wok we di mɛdikal tim fɔ du na fɔ asɛs yu layf we de pan denja, manej dɛn kɔndishɔn dɛn de, ɛn mek yu stebul.
Dɔn, dɛn kin du ɛkstrem rayt fɔ no if di bɔdi brok. Sɔntɛnde, di dɔktɔ kin disayd bak fɔ du CT skan ɔ MRI skan fɔ luk gud wan pan di bɔdi we brok ɛn ɛnitin we dɔn pwɛl di mɔsul dɛn we de rawnd am.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bifo di ɔpreshɔn bigin, dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dipen pan yu kɔndishɔn ɛn di kayn ɔpreshɔn we dɛn du, di dɔktɔ we de mɛn yu go gi yu jenɛral anestezi, we de mek yu slip ɔl, ɔ rijinol anestezi, we de mek di say nɔmɔ we di bon brok nɔ gɛt bɛtɛ trɛnk.
Dɔn di dɔktɔ we de du di ɔpreshɔn kin fala dɛn tin ya:
1. Skin incision: Dɛn kin kɔt di skin oba di bon we dɔn brok ɛn go dɔŋ usay di bon de.
2. Ridyus: Dɛn kin tek tɛm pul di bon pat dɛn we brok ɛn we dɔn kɔmɔt na di say we dɛn de ɛn put dɛn bak akɔdin to di say we dɛn bin de fɔs.
3. Internal Fixation: Naw, fɔ mek di bon fragmɛnt dɛn nɔ shift bak, dɛn kin fix dɛn togɛda wit mɛtal skru, plet, ɔ stik. fכ egzampl, if di tibia brok, dεn kin put wan lכng taytaniכm stik tru di midul pan di bon. If di anklɛ brok, dɛn kin put mɛtal plet dɛn na ɔl tu di say dɛn ɛn fiks dɛn wit skru dɛn.
4. Stich di wund: We di bon dɔn fiks, dɛn kin stich di wund we dɛn kɔt bak togɛda.
5. Immobilizεshכn: fכ finish, dεn kin put kכst כ splint pan di an כ leg we dεn כpεret fכ mek i nכ muv.
Dis ɔpreshɔn kin tek sɔm awa, i kin dipen pan di kayn bon we brok ɛn aw di bon brok.
Wetin kin apin afta di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn kin wɛl. Na de, di mɛdikal tim go tek kia ɔf yu gud gud wan te yu dɔn wɛl frɔm di anestezi ɛn dɛn shɔ se no ɔda prɔblɛm nɔ de. Pan ɔl we sɔm pipul dɛn kin ebul fɔ go na os di sem de, bɔku pipul dɛn go nid fɔ de na ɔspitul fɔ wan ɔ tu dez. Na yu dɔktɔ go disayd dis bay aw yu sik.
di men advantej fכ ORIF כpεrayshכn na dat di bon we brok bad bad wan de shep bak εn riposishכn to di kכrekt shep εn posishכn.Ri-alaynmɛnt. Bɔn we nɔ alaynɛd fayn kin gɛt mɔ risk fɔ brok bak tumara bambay.
ORIF ɔpreshɔn kin jɔs rili fayn, ivin pan rare, kɔmpleks fraktrɔs.
Wetin na di prɔblɛm dɛn we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, ORIF ɔpreshɔn nɔ kin rili mek prɔblɛm. Natin nɔ de fɔ fred, bɔt i impɔtant fɔ no bɔt dis.
| Kɔmplikɛshɔn | Simpul ɛksplen |
|---|---|
| Sik we de prɛd | Baktri infεkshכn kin apin, spεshal wan we di skin brok εn di bon de kכmכt (wan opin frakshכn). |
| Malunion | di bon fragmεnt dεm we de kam togεda kכrekt we dεn de hεl. |
| Nɔn union | Di bon pat dɛn nɔ kin fit togɛda ɔl. |
| Blɔd we De Klɔt | If yu nɔ de du natin afta yu dɔn ɔpreshɔn, dat kin mek yu blɔd klɔt mɔ ɛn mɔ na di blɔd vesel dɛn na di leg. |
| Akyu Kɔmpatmɛnt Sindrom | di prɛshɔn we de go ɔp na di mɔsul dɛn ɛn di blɔd nɔ de wok fayn. Dis na imejensi. |
Aw lɔng i kin tek fɔ mek i wɛl?
Di tɛm we yu go tek fɔ wɛl ful wan go difrɛn difrɛn wan bay di kayn we aw yu frakt. Sɔm frakshɔn dɛn kin wɛl insay sɔm wiks, bɔt di frakt dɛn we kin tranga pasmak kin tek mɔnt ɔ ivin wan ia fɔ wɛl.I kin tek sɔm tɛm. Yu go nid fɔ wɛr kas fɔ sɔm wiks. Tek kia ɔf dɛn tin ya we yu de mɛn.
- εlevεt di an/leg: εni tεm we i pכsibul, kip di כpεrayt an/leg εlevεt pas di lεvεl fכ di at wit pilo. Dis go mek di swel nɔ bɔku.
- Kip di wund klin: Fɔ mek yu nɔ gɛt infekshɔn, kip di wund klin ɛn kɔba am lɛk aw yu dɔktɔ tɛl yu. Lisin gud wan to di instrɔkshɔn dɛn bɔt aw fɔ chenj di wund in bandej ɛn ustɛm yu kin shaw.
- Fizik Tɛrapi: As di bon de wɛl, fyzikal tritmɛnt impɔtant fɔ mek di mɔsul ɛn jɔyn dɛn we de rawnd am strɔng. Yu kin nid fɔ yuz tin dɛn we go ɛp yu lɛk stik.
Aw fɔ kɔntrol di pen?
I nɔmal fɔ fil sɔm pen afta dɛn dɔn du di ɔpreshɔn, mɔ insay di fɔs wik. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen fɔ ɛp yu fɔ kɔntrol di pen. I impɔtant fɔ tek di mɛrɛsin di rayt doz ɛn di rayt tɛm. If yu nɔ ebul fɔ bia di pen, mek yu dɔktɔ no wantɛm wantɛm.
Dɛn kin put di mɛtal pat dɛn (skru, plet) insay fɔ ɔltɛm?
Dis na prɔblɛm fɔ bɔku pipul dɛn. Fɔ sɔm pipul dɛn, dɛn mɛtal pat ya kin de na dɛn bɔdi ɔlsay na dɛn layf. Plɛt ɛn skru dɛn, mɔ di wan dɛn we dɛn put na jɔyn dɛn lɛk di anklɛ, dɛn nɔ kin pul bikɔs dɛn kin gi ɛkstra trɛnk ivin afta di bon dɔn wɛl. Bɔt sɔm tɛm dɛn (fɔ ɛgzampul, if dɛn mek dɛn nɔ fil fayn ɔ dɛn put dɛn na di bon dɛn we de gro na pikin dɛn), dɛn kin pul dɛn leta wit smɔl ɔpreshɔn. I bɛtɛ fɔ aks yu dɔktɔ bɔt dis ɛn ɛksplen am to am.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
If yu gɛt ɛni wan pan dɛn sik ya we yu de wɛl, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu.
- Bɔrku pen na yu chɛst.
- I nɔ izi fɔ blo (Dyspnea).
- Fiva we pas 38° Sɛlshiɔs (101° Fahrenheit).
- Blɔd we de kɔmɔt pasmak frɔm di wund we dɛn du di ɔpreshɔn.
- Sayn dεm fכ infεkshכn na di say we di wund de (pus we de kכmכt, swεla pasmak, kכla de chenj, smel, כ fכ fil fכ wam pasmak).
- Bɔrku pen wae nɔr kin ebul fɔ kɔntrol ivin wit mɛrɛsin wae de mek pɔrsin fil pen.
We pɔsin brok bon na tin we kin mek pɔsin fil bad. Na nɔmal tin fɔ mek yu fred we yu yɛri bɔt ɔpreshɔn ɛn dɛn de put mɛtal pat dɛn na yu bɔdi. Bɔt mɛmba se, ORIF ɔpreshɔn na di bɛst ɛn sef we fɔ mɛn pɔsin we gɛt siriɔs frakshɔn fayn fayn wan. Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- ORIF ɔpreshɔn na fɔ opin ɛn mek bak di bon dɛn we dɔn brok bad bad wan, di skin, ɛn put mɛtal pat dɛn frɔm insay.
- Dis ɔpreshɔn de ɛp di bon fɔ wɛl strɔng ɛn fɔ de na di rayt pozishɔn.
- Di tɛm ɛn di we aw pɔsin kin wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin, ɛn i nid fɔ peshɛnt ɛn gi in layf to Gɔd.
- Kɔntrol di pen, kia fɔ wund, ɛn fyzikal tritmɛnt na impɔtant tin dɛn fɔ mek di wund wɛl.
- If yu gɛt ɛni dawt ɔ fred, ɔ if ɛni sayn we de wɔn yu, go to yu dɔktɔ wantɛm wantɛm.
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