Yu dɔn ɛva gɛt bon brok? Lɛ wi lan bɔt (Comminuted Fracture) insay simpul wɔd dɛn!

Sɔm tɛm dɛn de na wi layf we wi kin gɛt fɔ gɛt aksidɛnt ɛn fɔdɔm. Sɔntɛnde wi kin rɔnawe wit smɔl skrach, bɔt ɔda tɛm dɛn wi kin brok wan an ɔ wan leg. We wi se bon dɛn kin brok, sɔm pan dɛn kin jɔs brok na wan ples, bɔt sɔm pat dɛn kin brok usay di bon kin brok bɔku bɔku wan, lɛk se dɛn dɔn krɔs am. Na dat wi kin kɔl `(Comminuted Fracture)` fɔ dis kayn siriɔs bon fraktrɔs. So tide wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl `(Comminuted Fracture)` smɔl mɔ , so dat yu go ɔndastand am.

Wetin na `(Kɔmyuniti Fraktrɔs)`?

Fɔ tɔk am simpul wan, `(Comminuted Fracture)` na we wan pan yu bon dɛm (i.e. wan bon) brok insay tri ɔ mɔ pat dɛm . Tink bɔt am dis we: we yu drɔp plet, sɔntɛnde i kin brok tu, bɔt sɔntɛnde i kin brok ɛn tɔn to bɔku bɔku smɔl smɔl pat dɛn. Dis na di sem tin. Insay simpul fraktrɔs, di bon kin brok tu. bכt insay wan `(Comminuted Fracture)`, di bon de brok insay pis, sכmtεm i kin brok to pauda. Yu fɔ ɔndastand bak se dis na tin we siriɔs smɔl pas we pɔsin kin brok ɔltɛm . Bikɔs we i brok to bɔku bɔku pat dɛn, i kin at fɔ put dɛn bak togɛda fayn fayn wan.

Wetin mek ``Comminuted Fracture'' kin apin? Wetin na di tin dɛn we kin mek i apin?

Fɔ mek bon lɛk dis brok ɛn tɔn to bɔku bɔku pat dɛn, i go nid fɔ bi wan rili strɔng impak, bɔku damej . I nɔ kin izi fɔ mek dis apin jɔs frɔm smɔl fɔdɔm. Na sɔm tin dɛn we go mek i gɛt am:

• Siviɔs motoka aksidɛnt: Dis kin apin we motoka dɛn lɛk motoka ɛn motoka rɔsh ɔ ɔda bad bad aksidɛnt dɛn.
• Fɔdɔm frɔm big ayt: If yu fɔdɔm frɔm big ayt, lɛk frɔm tik ɔ bildin.
• Intɛns spɔt injuri: I kin apin pan sɔm fast-fast, impak spɔt (e.g. rɔgbi).
• siriכs injuri lεk gכn shot wund: Insay kes dεm lεk dis, ``Comminuted Fracture'' kin apin biכs dεn de put bכku fכs pan di bon.

Bɔt, ɔda tin de. As pipul dεn de ol, dεn bon dεm de wik, we wi kin kכl bak `(Osteoporosis)`. fכ pכsin we gεt dis kayn wik bon dεm, chans de fכ ivin sכm sכm fכl, we nכ go mek bכku harm to avrej pכsin, kin rεsult in `(Comminuted Fracture)`. Bɔt wetin dɛn kin si mɔ na di wan dɛn we kin apin bikɔs ɔf di big big impak dɛm we wi bin dɔn tɔk bɔt bifo tɛm.

Wetin na di sayn dɛm fɔ `(Comminuted Fracture)`? Aw yu no?

Yu kin imajin aw i kin mek pɔsin fil pen we bon brok bɔku bɔku wan. Na sɔm pan di men sayn dɛm wae de sho se yu gɛt dis sik:

• Siri pen: Di men tin na bad bad pen. De pen kin so bad dat yu nɔr kin ivin tɔch am.
• Swel ɛn brus kwik kwik wan: Di say we di injuri go bigin fɔ swel kwik kwik wan, ɛn i kin ivin tan lɛk blu/pepul.
• Difɔmiti: Dis min se if na an ɔ leg, in shep kin chenj ɛn i kin tan lɛk se i strɛch.
• Nɔ ebul fɔ muv di limb: Dis kin mek i nɔ ebul fɔ yuz ɔ muv di an ɔ leg we dɔn wund.
• Sɔntɛnde, wan pat pan di bon we brok kin kɔmɔt na di skin: Dis kin denja smɔl. Wi kin kɔl dis bak ``Open Comminuted Fracture``. If dis apin, chans de fɔ mek yu gɛt di sik.
• Fɔ yɛri ɔ fil "krak krak" sawnd di tɛm we di aksidɛnt apin: (`(Crepitus)`) Sɔm pipul kin yɛri ɔ fil sawnd we bon dɛn de bit dɛnsɛf.
• abnכmal muvmεnt we dεn tכch di εria we dεn afekt: (`Abnכmal muvmεnt`) I kin fil lεk di an/leg de bεnd na say we nכ kin bi jכint.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm.

Aw dכkta kin kכrekt fכ no if yu gεt ``Comminuted Fracture''?

We yu go na ɔspitul wit injuri lɛk dis, dɔktɔ go aks yu fɔs wetin apin to yu, chɛk di eria, dɔn du dɛn tɛst ya fɔ no if di frakshɔn na ``comminuted fracture'' ɛn aw i siriɔs:

• X-ray: Dis na di tɛst we dɛn kin du pas ɔl. X-ray kin sho klia wan aw di bon brok, ɔmɔs pat dɛn brok insay, ɛn ɔmɔs pat dɛn skata rawnd.
• CT skan (Computed Tomography scan - CT scan): Sɔntɛnde, mɔ if di fraktrɔs de nia wan jɔyn (e.g. ni, ɛlb), ɔ if yu want fɔ si mɔ ditil bɔt di bon fragmɛnt dɛn, yu dɔktɔ kin ɔda fɔ mek dɛn du CT skan. dis kin prodyuz tri-dimenshכnal (`3D`) imej fכ di bon dεm, we kin εp yu fכ כndastand di situeshכn bεtεh.
• Magnetic Resonance Imaging (MRI): Dɛn nɔ kin yuz MRI fɔ kɔnfɔm se i dɔn brok brok. Bɔt dɛn kin nid fɔ du MRI fɔ si if di sɔft tisu dɛn (lɛk di mɔsul dɛn, di tɛndon dɛn, di nerv dɛn, ɛn di blɔd vesel dɛn) we de rawnd di say we di bɔdi brok dɔn pwɛl.

Na afta dɛn tɛst ya nɔmɔ di dɔktɔ kin disayd wetin rili bad fɔ yu ɛn us kayn tritmɛnt yu nid.

Aw yu kin trit wan `(Comminuted Fracture)`? Aw lɔng i kin tek fɔ mek i wɛl?

wi don se ``Comminuted Fracture'' na sכmtεm komplikayt frakshכn. we di bon brok insay bכku pat dεm, dεn nid fכ put di pat dεm bak togeda εn fiks dεm di we we dεn nכ go muv. If nɔto dat, di bon nɔ go fit fayn.

fכ dat, bכku tεm, ``Comminuted Fracture'' kin nid כpεrayshכn.

Ɔpreshɔn kin min fɔ muv di bon pat dɛn we dɔn brok bak usay dɛn bin de fɔs as dɛn ebul ɛn afta dat dɛn kin put dɛn bak togɛda. Difrɛn we dɛn de fɔ du dis:

• Open Reduction and Internal Fixation (ORIF): Dis na di ɔspitul we dɛn kin yuz mɔ.
• `Open Reduction` min se: di dכkta de kכt di skin, go na di bon we brok, εn afta dat i de ajɔst di bon fragmεnt dεm wit in an.
• `Internal Fixation` min: di prכsεs fכ fiks di bon fragmεnt dεm we dεn pripia tכgeda bay we dεn de put spεshal mεtal plet, skru, rod כ nel frכm insay. Dɛn mek dɛn tin ya wit spɛshal mɛtal dɛn we dɛn mek fɔ fit di bɔdi.
• Ekstanshal Fikseshɔn: Insay sɔm rili siriɔs kɔminɛt fraktrɔs, mɔ we opin frakt ɔ we di wund rili swel, i nɔ kin pɔsibul fɔ du ORIF ɔpreshɔn wantɛm wantɛm. If na so i bi, dɛn kin yuz wan tin we dɛn kɔl ɛksternal fiksatɔ.
• dis involv fכ put sεvεra mεtal pin dεm (`pin` כ `skru`) tru di skin oba εn dכn di say we di bon brok insay di bon, εn tay dεm to wan fכm (`frεm`) we de ausayd di bכdi. Dis kin ɛp fɔ mek di bon pat dɛn kɔntinyu fɔ de na dɛn ples we dɛn nɔ de muf. we di wund dɔn wɛl smɔl ɛn di swɛlin dɔn stɔp, dɛn kin du `(ORIF)` ɔpreshɔn leta. sכmtεm, dεn kin yuz dis `(External Fixator)` te di bon hεl.

Tritmɛnt we dɛn nɔ gɛt ɔpreshɔn:

I nɔ kin izi fɔ trit `(Comminuted Fracture)` we dɛn nɔ du ɔpreshɔn. biכs di bon fragmεnt dεm skata na bכku ples, dεn nכ go fit fayn wit jכs wan `(Plaster Cast)` כ `Splint`. Bɔt nɔto ɔltɛm , if di bon pat dɛn nɔ de fa frɔm dɛnsɛf, di dɔktɔ kin tray fɔ mɛn dɛn we dɛn nɔ gɛt ɔpreshɔn bay we i de put plasta. Bɔt dis nɔ kin wok bɛtɛ.

Kɔntrol di pen:

Bikɔs dis kin rili mek yu fil pen, di dɔktɔ go gi yu di rayt mɛrɛsin fɔ mek yu fil pen .

Taym fɔ mɛn:

di tεm we i tek fכ ``Comminuted Fracture'' fכ hεl de difrεn frכm pכsin to pכsin εn i dipכnt pan di kayn frakshכn. I kin tek lɔng tɛm pas aw i nɔmal fɔ brok.

• I kin tek sɔm mɔnt (bɔku tɛm 3-6 mɔnt ɔ mɔ) fɔ mek di bon pat dɛn jɔyn togɛda ɛn strɔng.
• Ivin afta dat, if yu want fɔ yuz di an/leg we afɛkt bak, yu go mɔs nid fɔ du wan tritmɛnt we dɛn kɔl fisiotɛrapi . Dis kin tek sɔm mɔnt bak.

So, e kin tek wan ia fɔ mek i wɛl ful wan. So i impɔtant fɔ peshɛnt ɛn tek tritmɛnt.

Wetin na di poshubul komplikashכn dεm fכ ``Kכminet Frakshכn''?

Lεk כl injuri, wan ``Comminuted Fracture'' kin gεt sכm kכmplikεshכn dεm. I fayn fɔ no bɔt dɛn tin ya bak:

• Sik we de prɛd:εspεshali insay di kes fכ ``Open Fracture`` (we dεn pכyz di skin εn di bon de kכmכt) כ afta dεn כpεrayshכn, jεm kin go insay di wund εn mek infεkshכn.
• Nav ɔ blɔd vesel dɛn we de pwɛl: We bon brok, di shap bon pat dɛn kin pwɛl di nerv ɔ blɔd vesel dɛn we de nia am.
• Compartment Syndrome: Dis na siriɔs sik. di swel we di mכsul dεm we de rawnd di injuri kin mek di prεshכn insay di kכmכt dεm go bכku, we kin mek di bכdi fכ fכlכ. Dis na wan sik wae nid fɔ gɛt tritmɛnt kwik kwik wan. Di sayn dɛm na fɔ gɛt siriɔs pen, swel, ɛn fɔ swɛla na yu an/leg.
• Malunion ɔ Nonunion: Sɔntɛnde di bon pat dɛn kin kam togɛda di rɔŋ we (lɛk splint). Ɔ dɛn kin de togɛda fɔ lɔng tɛm. If dat apin, yu go nid fɔ du ɔda ɔpreshɔn.
• As tɛm de go, joyn pen (Atraytis): Ɛspɛshali if kɔminut fraktrɛshɔn apin na wan jɔyn, as tɛm de go, da jɔyn de kin gɛt at at, dat na, joyn pen.
• Pen we nɔ de dɔn: Sɔm pipul dɛn kin kɔntinyu fɔ gɛt pen ivin afta di wund dɔn wɛl.
• stiffness εn lכs fכ wok na di an/leg: di an/leg we inju kin stiff εn i nכ kin ebul fכ bεnd כ stret lεk aw i bin de bifo. Dis na di say we fisiotɛrapi kin rili impɔtant.

Tin dɛm lɛk dis nɔ kin apin to ɔlman, bɔt i impɔtant fɔ no se dɛn kin apin ɛn fala di dɔktɔ in instrɔkshɔn gud gud wan.

Wetin yu fɔ du fɔ wɛl kwik afta yu dɔn gɛt `(Comminuted Fracture)`?

If yu gɛt ``Comminuted Fracture'' ɛn yu de du tritmɛnt, tek kia ɔf dɛn tin ya fɔ ɛp yu fɔ wɛl kwik kwik wan:

• Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan: Na dat na di tin we impɔtant pas ɔl. Du ɔltin ɛksaktɔli, lɛk aw fɔ tek yu mɛrɛsin, aw fɔ kia fɔ yu wund, aw yu nid fɔ rɛst, ɛn ustɛm yu fɔ bigin waka bak.
• Tek di mɛrɛsin dɛn we dɛn gi yu di rayt tɛm: Tek di mɛrɛsin dɛn we dɛn gi yu, lɛk mɛrɛsin fɔ mɛn pen ɛn sɔntɛm antibayɔtik (fɔ mek yu nɔ gɛt di sik), lɛk aw dɛn tɛl yu.
• Rɛst impɔtant: I rili impɔtant fɔ rɛst di an/leg we afɛkt te di bon wɛl. Nɔ du ɛni ebi ebi es, rɔn ɔ jomp te yu dɔktɔ tɛl yu fɔ du am.
• Ɛlevɛt di say we di sik afɛkt fɔ ridyus di swel: If na an/leg, fɔ kip am ɛlevɛt wit pilo kin ɛp fɔ ridyus di swel.
• Mek shɔ se yu du fisiotɛrapi: If yu dɔktɔ tɛl yu fɔ du am, atɛnd fisiotɛrapi ɔltɛm. Du di ɛgzampul dɛn na os bak. Dis go ɛp yu fɔ gɛt bak di trɛnk ɛn fleksibiliti fɔ yu an/leg.
• It gud it we gɛt fayn fayn tin dɛn fɔ it:It mɔ it dɛn we gɛt kalsiɔm ɛn vaytamɛn D (lɛk milk, yogɔt, chiz, grɛn vɛjitebul, ɛn fish), we kin ɛp fɔ mek yu bon dɛn wɛl. Fɔ it dɛn we gɛt bɔku prɔtin impɔtant bak.
• If yu de smok, lɛf fɔ smok: Fɔ smok kin mek yu bon dɛn nɔ wɛl bad bad wan. So if yu na pɔsin we de smok, if yu lɛf fɔ smok naw, dat go rili ɛp yu.
• Nɔ skip fɔ chɛk yu mɛrɛsin: Go to dɔktɔ di de dɛn we i tɛl yu fɔ kam bak ɛn chɛk yu kɔndishɔn.

Yu tink se dɛn kin mek yu nɔ gɛt ``Comminuted Fracture''?

Aksidɛnt na tin dɛn we kin apin we wi nɔ de ɛkspɛkt am. Bɔt if yu fala sɔm tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm, dat kin mek yu nɔ gɛt siriɔs injury.

• Fɔ fala di we aw fɔ mek pɔsin nɔ gɛt prɔblɛm:
• Yu fɔ wɛr sitbɛlt ɔltɛm we yu de rayd motoka.
• Wear ɛlmɛt we gɛt di rayt standad we yu de rayd motoka ɔ baysikul.
• Fɔ fala sef ikwipmɛnt ɛn prosidur dɛn na di wokples, mɔ na say dɛn we denja lɛk kɔnstrɔkshɔn.
• We yu de ple spɔt, yuz di sef ikwipmɛnt (e.g., gad, pad) we fit di spɔt.
• Fɔ mek yu nɔ fɔdɔm (espɛshali fɔ di wan dɛn we dɔn ol):
• Yu fɔ no bɔt tin dɛn we kin mek yu slip ɛn fɔdɔm na yu os (e.g., batrum, stɛp). If nid de, instɔl hanrɛl ɛn mat we nɔ de slip.
• Mek shɔ se gud layt de na nɛt.
• If i nɔ izi fɔ yu fɔ waka, yuz stik ɔ waka waka lɛk aw yu dɔktɔ tɛl yu fɔ waka.
• Fɔ mek di bon dɛn strɔng:
• It fayn it we gɛt bɔku kalsiɔm ɛn vaytamɛn D.
• Ɛksesaiz ɔltɛm (we yu de du ɛksɛsayz we yu gɛt wet de mek yu bon dɛn strɔng).
• If yu gɛt wan sik lɛk ɔstioporosis, mek dɛn trit am fayn fayn wan.

We wi tink bɔt dɛn tin ya, i go ɛp wi fɔ protɛkt wisɛf to sɔm mak frɔm siriɔs injury lɛk `(Comminuted Fracture)`.

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

Okay, so wi don tok plenti boht `(Comminuted Fracture)` tide. Na di impɔtant tin dɛn we yu fɔ mɛmba:

• ``Comminuted Fracture`` na siriכs kכndyushכn we bon de brok insay bכku pat dεm.
• Dis kin bi bikɔs ɔf wan rili strɔng impak (lɛk big aksidɛnt, fɔdɔm frɔm ayt).
• If yu gɛt injury lɛk dis , i impɔtant fɔ go to dɔktɔ wantɛm wantɛm.
• Bɔku tɛm, dis sik kin nid ɔpreshɔn fɔ fiks di bon pat dɛn fayn fayn wan.
• I kin tek tɛm fɔ wɛl, ɛn fisiotɛrapi na rili impɔtant pat pan di wɛlbɔdi prɔses.
• If yu fala di dɔktɔ in instrɔkshɔn dɛn di rayt we ɛn trit yusɛf wit peshɛnt, yu kin mek yu wɛl fayn fayn wan.

Nɔ fred, bɔt tek kia ɔf yu sef ɔltɛm. Bikɔs, as dɛn kin se, "Precaution bɛtɛ pas fɔ mɛn." A op se yu go si se dis infɔmeshɔn go ɛp yu!

` Comminuted Fracture, brok bon, krɔs bon, ɔpreshɔn, bon hiling, fizik tɛrapi, aksidɛnt, bon tritmɛnt