As mama, aw yu kin fred we yu naf smɔl pikin bigin fɔ kray wantɛm wantɛm bikɔs in an ɔ in leg kin at afta i dɔn ple? Ivin if i fɔdɔm smɔl ɔ dɛn bit am sɔnsay, na nɔmal tin fɔ wɔri se, "O, a nɔ no if sɔntin siriɔs dɔn apin to mi pikin." Tide wi go tɔk bɔt wan kɔmɔn bon we kin brok pan yɔŋ pikin dɛn, bɔt if dɛn tɛl yu fayn fayn wan, i kin wɛl kwik kwik wan. Wi kɔl dis "Grinstik Fraktrɔ". Di nem kin tan lɛk se i strenj smɔl, bɔt lɛ wi tɔk bɔt am simpul wan.
Wetin na grɛnstik frakt?
Fɔ tɔk am simpul wan, ``Greenstick Fracture'' na bon na pikin (wi kɔl am bon)
we nɔ de brok ɔl tu, bɔt i jɔs de pop kɔmɔt na wan say. I tan lɛk we yu tek raw stik ɔ raw wud stik ɛn tray fɔ bɛn am, wan say pop kɔmɔt, bɔt di ɔda say nɔ brok ɔl, nɔto so? Na so i bi. Na dat mek dɛn kɔl am "grinstik." Imajin se yu pikin de ple na di ples usay dɛn de ple ɛn wantɛm wantɛm dɛn an fɔdɔm. Dɔn, dɛn kin prɛs di bon we de na dɛn an smɔl. Insay big pɔsin, di bon kin brok ɔl tu. Bɔt smɔl pikin dɛn bon dɛn difrɛn smɔl.
Wetin mek dis kin apin mɔ to yɔŋ pikin dɛn?
dis kכndyushכn we dεn kכl ``Greenstick Fracture,''
dεn kin si am bכku tεm pan pikin dεm we nכ rich 10 ia. Na wan patikyula rizin de fכ dis. Dat min se, yɔŋ pikin dɛn bon dɛn
kin saf ɛn dɛn kin ebul fɔ chenj pas di bon dɛn we big pipul dɛn gɛt.
Di kayn we aw pikin dɛn bon dɛn tan
Pikin in bon tan lɛk tik branch we jɔs gro. I kin bɛn smɔl, bɔt i nɔ kin brok, bikɔs i gɛt mɔ mɔstɔ, we min se i de alayv mɔ. di tכn mεmbran (periosteum) we de rawnd di pikin dεm bon dεm tu tik εn strכng pas di wan fכ big pipul dεm. So we dɛn put di bon ɔnda prɛshɔn, instead fɔ brok ɔl, dis periosteum we de ɛp fɔ ol di bon togɛda, de bɛn ɔ bɔs na wan say.
fכ bi prεsis, pikin dεm bon dεm gεt mכr protin we dεn kכl ``kכlagen'' εn sכm pan di ``minral dεm . '' Dis na di rizin we mek dɛn gɛt dis fleksibiliti .
Difrɛns wit big pipul dɛn bon dɛn
Naw, big pipul dɛn bon dɛn nɔ tan lɛk dat. Dɛn dɔn gro as tɛm de go, dɛn kin put dɛn fayn fayn wan wit minral dɛn lɛk kalsiɔm, ɛn dɛn strɔng, bɔt dɛn kin dray smɔl. Lɛk wud stik we dɔn dray fayn fayn wan. If yu tray fɔ bɛn am, i go snɛp insay tu, nɔto jɔs krak na wan say lɛk raw stik. sεm kayn we, if big pɔsin inju, di bon kin brok kכmplit wan (a ``kכmplit frakshכn``). Bɔt bikɔs ɔf dis spɛshal we aw yɔŋ pikin dɛn bon kin chenj, di bon go jɔs bɛn ɔ krak na wan say. Di ɔda say kin stil de.
Aw sɔntin lɛk dis kin apin? Wetin na di kɔmɔn rizin dɛn?
Yɔŋ pikin dɛn kin rili du tin. Dɛn kin rɔn, jomp, klaym tik, ɛn ple. So na nɔmal tin fɔ mek dɛn gɛt smɔl smɔl fɔdɔm ɛn brus we dɛn de du dɛn tin ya. Di men tin we kin mek pɔsin gɛt ``Grinstik Frakchɔ`` na we
pɔsin fɔdɔm . Tink bɔt am dis we:
- Yu smɔl pikin de fɔdɔm we i de ple wit in an we i stret. dis na di men rizin fכ ``Grinstik Frakshכn '' na di an כ fכs an.
- Sɔntɛnde, i kin kam bak we pɔsin kin bit in an ɔ in fut dairekt wan frɔm tɔys ɔ ɔda tin.
- Smɔl aksidɛnt dɛn we kin apin we pɔsin de ple spɔt, fɔ ɛgzampul, we pɔsin de ple sɔk ɔ rayd baysikul.
Insay dis kayn aksidɛnt, di bon kin gɛt wan pawa fɔ bɛn ɔ twis wantɛm wantɛm. Pan ɔl we di pawa nɔ go du fɔ brok di bon kpatakpata, i go du fɔ mek i snɛp na wan say, lɛk raw stik.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu go no dɛn?
Naw yu kin de wɔnda, "Aw a go no fɔ tru if mi pikin gɛt ``Greenstick Fracture''?" Na sɔm sayn dɛn we yu fɔ tek tɛm wit:
- Big pen: If di pikin kɔntinyu fɔ kray ɛn i de fil pen, i nɔ gri fɔ ivin tɔch di say we di aksidɛnt apin, lɛk in an ɔ in leg, dat na big sayn.
- Swel: Di say we yu wund kin swel ɛn sɔntɛm i kin rɛd .
- Nɔ want fɔ yuz an ɛn fut: Fɔ ɛgzampul, we i kam pan di an, di pɔsin nɔ kin want fɔ ol ɔ es ɛnitin wit in an. If na di leg, di pɔsin kin slip ɔ i nɔ kin ebul fɔ waka we i nɔ tray fɔ waka ɔ bia wet.
- Difɔmiti: Sɔntɛnde di bon we brok na di an ɔ leg kin tan lɛk se i bɛn smɔl ɔ i kin gɛt wan ɔda shep . Bɔt nɔto ɔl di grɛnstik fraktrɔs dɛn gɛt dis big difɔmiti. Sɔntɛnde, na smɔl smɔl swɛlin ɛn pen nɔmɔ kin de.
- I kin at we yu tɔch am: Di say we di aksidɛnt apin kin so pen dat yu nɔ go ivin ebul fɔ tɔch am.
Di tin we impɔtant pas ɔl: If pikin fɔdɔm ɛn kɔntinyu fɔ kɔmplen se i de fil pen, i de swel, ɔ i nɔ de yuz di an we i afɛkt igen, nɔ tek am se na jɔs smɔl brus. I bɛtɛ fɔ mek yu go to dɔktɔ fɔ advays yu.
Ustɛm a fɔ go to dɔktɔ?
If yu smɔl pikin dɔn gɛt aksidɛnt ɛn i de sho wan ɔ mɔ pan di sayn dɛn we a bin dɔn tɔk bɔt,
go to dɔktɔ wantɛm wantɛm. Mɔ:
- If di pen nɔ stɔp afta sɔm awa.
- If di swɛlin de wɔs.
- If yu notis ɛni chenj na di shep fɔ yu an ɔ yu fut.
- If di pikin nɔ want fɔ muv ɔ yuz dɛn an/lɛg.
Sɔntɛnde lɛk dis, i impɔtant fɔ go to dɔktɔ kwik kwik wan pas fɔ jɔs put ɔyl na os ɛn wet. Bikɔs if dɛn nɔ trit am fayn, chans de fɔ mek di bon nɔ alaynɛd ɔ i go brok bak izi wan.
Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?
We yu go to dɔktɔ, di fɔs tin we dɛn kin du na fɔ aks yu bɔt di aksidɛnt. Dɔn dɛn kin chɛk di pikin. Dɛn kin luk fɔ pen, swel, ɛn chenj na dɛn shep. Dɔn,
bɔku tɛm dɛn kin ɔda fɔ mek dɛn tek ɛkstrem rayt fɔ si di rayt tin we apin to di bon. Na ɛkstrem rayt na di wangren we fɔ no if di bon brok, bɛn, ɔ brok, ɔ if na grɛnstik brok. X-ray kin sho klia wan di bon, we tan lɛk raw stik, we wan say brok ɛn di ɔda say bɛn.
Wetin na di tritmɛnt? Yu tink se i go bɛtɛ jisnɔ?
If dɛn no se yu gɛt ``Greenstick Fracture'', nɔ panik.
Dɛn tin ya kin bi tin wae kin rili trit, ɛn dɛn kin kɔmɔn pan yɔŋ pikin dɛm. As tritmɛnt, bɔku tɛm di dɔktɔ go put splint pan di bon we dɔn brok fɔ ɛp am fɔ sɛt fayn ɛn mek i nɔ muf igen.
Jɛnɛral tritmɛnt we dɛn kin yuz
- Plaster of Paris (POP) cast: Bɔku tɛm dɛn kin du dis. Dɛn kin put ful kas pan di an ɔ leg fɔ mek di bon nɔ muv. Dis go nid fɔ lɛf am fɔ sɔm wiks. Bɔrku tɛm, i go tek lɛk 4-6 wik.
- Splint: Sɔntɛnde, mɔ if bɔku swel de, dɛn kin yuz splint (sɔntin we nɔ rigid lɛk kast ɛn we gɛt sɔpɔt na wan say nɔmɔ), dɔn dɛn kin put kast afta di swel dɔn go dɔŋ. Ɔda we de fɔ du dat, if di frakt nɔ tu bad, dɛn kin lɛf di splint fɔ lɔng tɛm.
We dis kast ɔ splint de na in ples, di bon kin bigin fɔ wɛl frɔm insay.
Wetin yu de du fɔ di pen?
Di dɔktɔ
go gi di pikin wan mɛrɛsin fɔ mek i nɔ fil pen. כltu, dεn kin gi sכmtin lεk ``Paracetamol''. Dɛn fɔ gi am jɔs lɛk aw di dɔktɔ se, ɛn di rayt tɛm. Sɔm pen ɛn diskɔmfɔt kin de insay di fɔs dez afta dɛn dɔn put di kast. Dɛn kayn tɛm ya, if yu kip yu an ɔ yu fut ɔp smɔl, dat kin mek yu nɔ fil pen bak.
Di tɛm fɔ wɛl ɛn tin dɛn we yu fɔ no bɔt
i kin
tek lεk 4 to 6 wik fכ ``Grinstik Frakshכn'' fכ hεl. Bɔt dis kin difrɛn smɔl frɔm wan pikin to di ɔda pikin, i kin dipen pan di kayn we aw di bɔdi brok. Di dɔktɔ go tɛl yu ustɛm fɔ pul di kɔst. We di kast de na in ples, no bɔt dɛn tin ya:
- Nɔ mek di kɔst wet: We yu de was ɔ du ɛnitin we gɛt fɔ du wit wata, kɔba di kɔst tayt wit plastic bag ɔ sɔntin we nɔ de mek wata pas. If yu wet, i kin mek yu gɛt prɔblɛm wit yu skin ɛn i kin mek di kast wik.
- Nɔ put ɛnitin insay di kast: Sɔntɛnde, we dɛn de skrach, yɔŋ pikin dɛn kin tray fɔ put tin dɛn lɛk rula ɛn pen insay di kast. Nɔ du dat. I kin mek yu gɛt injury na yu skin ɛn gɛt infɛkshɔn.
- Chek di skin we de rawnd di kast: Chek di ed dɛm fɔ di kast ɔltɛm fɔ si if i rɛd, i gɛt sɔri, ɔ i gɛt blista. If yu notis ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ .
- Chek di kala ɛn tɛmpracha fɔ di finga dɛn: Chɛk fɔ si if di finga dɛn we yu kin si tru di kɔst na yu an ɔ yu leg blu, dɛn nɔ gɛt bɛtɛ trɛnk, dɛn nɔ gɛt bɛtɛ trɛnk, ɔ dɛn kol bad bad wan. If na so, i min se di kɔst tu tayt ɛn i kin mek di blɔd nɔ flɔ. Yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.
Ivin afta dɛn dɔn pul di kɔst, yu nid fɔ tek tɛm smɔl te di dɔktɔ tɛl yu fɔ du dat. I nɔ fayn fɔ go rɔn, jomp, ɔ es wet wantɛm wantɛm. Yu nid fɔ yus to nɔmal tin dɛn bak. Sɔntɛnde, dɛn go tɛl yu fɔ du sɔm smɔl smɔl ɛksesaiz dɛn fɔ mek yu an ɔ yu leg dɛn muv bak.
Yu tink se dis kin mek wi gɛt ɔda prɔblɛm dɛn?
``Greenstick Fracture`` dεn kin trit am fayn εn kwik,
εn i nכ kin gεt prכblεm we go de fכ lכng tεm. Di bon kin wɛl kpatakpata, ɛn di pikin kin ebul fɔ rɔn ɛn ple lɛk aw i bin de bifo. Bɔt if dɛn nɔ trit dɛn fayn, ɔ if dɛn nɔ fala wetin di dɔktɔ tɛl dɛn fayn, sɔntɛnde sɔm smɔl smɔl prɔblɛm dɛn kin apin. Fɔ ɛgzampul:
- Malunion: If di bon nɔ de muv fayn wit kast ɔ splint, di bon kin nɔ alaynɛd smɔl. Dis kin dɔn afɛkt di we aw di an ɔ di leg de wok.
- Rifrakchɔ: If dɛn pul di kast bifo i wɛl ɛn di sem injuri apin bak, i go mɔs bi se di bon go brok bak.
- sכmtεm, rili sכmtεm, sכm impak kin de pan di growth fכ di bon (`growth plate injury`), spεshal if di frakshכn de apin nia wan pan di εnd dεm we de gro na di bon (growth plate). כltu, dis kin rili rεs insay di kes fכ ``Grinstik Frakshכn``.
Na dat mek i rili impɔtant fɔ go to dɔktɔ ɛn gɛt tritmɛnt lɛk aw dɛn se, ilɛksɛf na smɔl aksidɛnt.
Aw yu kin protɛkt yu pikin frɔm dɛn kayn injury ya?
Wan wɔd de se "prɛvenshɔn na di bɛst mɛrɛsin." So, sɔm tin dɛn de we wi kin du fɔ protɛkt wi smɔl pikin dɛn frɔm dis kayn `(Greenstick Fracture)` as mɔ as wi ebul:
- Mek yu os sef: Put say dɛn we slipul (kapɛt, rug) na say dɛn we yɔŋ pikin dɛn de rɔn ɛn jomp. Nɔ lɛf tin dɛn lɛk tɔys fɔ ledɔm rawnd na grɔn. Dɛn kin tandul insay dɛn ɛn fɔdɔm.
- Tek tɛm we yu de ple: Kip yu yay pan dɛn, mɔ we yu de ple na ples fɔ ple ɛn usay yu de klaym. Tek tɛm na say dɛn we pɔsin kin fɔdɔm.
- Sef tin: Ɛnkɔrej yu pikin fɔ yuz ɛlmɛt, ni pad, ɛn ɛlb pad we i de ple spɔt lɛk baysikul ɛn sket.
- Blɛns it: Gi yu pikin it dɛn we gɛt kalsiɔm ɛn vaytamɛn D (milk, yogɔt, chiz, grɛn vɛjitebul, fish) fɔ mek in bon dɛn strɔng. Dis kin ɛp fɔ mek di bon dɛn gɛt wɛlbɔdi.
- Aw fɔ fɔdɔm kɔrɛkt wan (Protective reflexes): Dis kin at smɔl, bɔt we dɛn alaw pikin dɛn fɔ ple aktif wan frɔm we dɛn yɔŋ, dɛn kin yus fɔ kɔntrol dɛn bɔdi smɔl bay we dɛn de put dɛn an ɛn fut fayn fayn wan we dɛn aksidɛntli fɔdɔm, we kin mek dɛn nɔ gɛt big aksidɛnt.
I nɔ kin pɔsibul fɔ mek aksidɛnt nɔ apin 100% pan di tɛm, bikɔs yɔŋ pikin dɛn kin rili mischievous. Bɔt wi kin ridyus di prɔblɛm bad bad wan.
Tin dɛn fɔ mɛmba fɔ sɔm tɛm
Okay, so a op se yu naw geht gud andastan fo di ``Greenstick Fracture'' we wi tok boht tide. Fɔ dɔn, lɛ wi mɛmba wisɛf bɔt di tin dɛn we impɔtant pas ɔl:
- ``(Greenstick Fracture)`` na wan kכndyushכn na yכŋ pikin dεm we wan bon nכmכ de krak na wan say εn i nכ de brok kכmplit wan. Lɛk grɛnstik.
- dis kin kכmכn pan pikin dεm we nכ rich 10 ia, biכs dεn bon dεm sכft εn fleksibul.
- Fɔdɔm na di men tin we kin mek pɔsin fɔdɔm.
- Di men sayn dɛm na pen, swel, ɛn nɔr want fɔ yuz di an/leg.
- If yu gɛt dawt, go to dɔktɔ wantɛm wantɛm. Na ɛkstrem rayt na di wangren we fɔ kɔnfɔm.
- Di tritmɛnt kin gɛt fɔ du wit kɔst ɔ splint. I kin wɛl insay lɛk 4-6 wik.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan rili impɔtant fɔ mek yu wɛl kwik ɛn fɔ mek yu nɔ gɛt prɔblɛm dɛn.
Mɛmba se if sɔntin lɛk dis apin to yu smɔl pikin, nɔ fred. Dis na wan sik we dɛn kin rili trit. Wit yu pikin, kia, ɛn di advays we di dɔktɔ gi yu, yu pikin go de ple bak insay shɔt tɛm!
If yu gɛt ɛni ɔda kwɛstyɔn, nɔ shem fɔ aks yu famili dɔktɔ. Dɛn kin rɛdi ɔltɛm fɔ ɛp yu.
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