Imajin se bɔl nak yu na yu chɛst we yu de ple kriket, ɔ yu slip ɛn fɔdɔm na yu bayk. Afta dat, we yu de blo, kɔf, ɔ muv yu bɔdi, yu kin fil pen we yu nɔ go ebul fɔ bia na di sayd na yu chɛst... Sɔntɛm wan pan yu rib dɛn dɔn brok ɔ krak. Dis na rili tin we kin mek bɔku pipul dɛn fred ɛn we kin rili mek dɛn fil pen. So tide, lɛ wi tɔk bɔt dis rib fraktrɔs, ɔ `(Rib Fracture)`, insay simpul wɔd dɛn.
Wetin i min fɔ brok rib?
Fɔ tɔk am simpul wan, we yu rib brok na wan sik we yu kin gɛt we wan rib na yu chɛst kin pwɛl ɛn brok. Dis kin apin afta big big impak (trauma) na di chɛst, lɛk motoka aksidɛnt, spɔt injuri, ɔ fɔdɔm frɔm ayt. Bɔt sɔntɛnde, di rib kin brok ɛn nɔ gɛt ɛni big trauma. Fɔ ɛgzampul, i kin apin we yu kɔf tumɔs , ɔ ivin we yu jɔs fɔdɔm pan pɔsin we gɛt ɔstioporosis, we na sik we kin mek yu bon dɛn tan.
di bεst pat na dat mכst rib frakshכn nכ nid כpεrayshכn. Dɛn nɔ kin ebul fɔ fiks dɛn wit kas lɛk ɔda bon dɛn we dɔn brok. Na dat mek bɔku pipul dɛn kin wɛl wit rɛst, mɛrɛsin fɔ mek dɛn fil pen, ɛn ɛksesaiz fɔ blo. Bɔt dis nɔto sɔntin we wi fɔ tek am layt. Sɔntɛnde, siriɔs prɔblɛm kin apin. So if yu chɛst de pen ɔ i nɔ izi fɔ yu fɔ blo, yu fɔ go to yu dɔktɔ wantɛm wantɛm .
Lɛ wi lan smɔl bɔt di kayn brɛk dɛn.
Dɔktɔ go klas yu frakshɔn bay aw i apin. Bɔt ɔda klas de we impɔtant fɔ mek yu ɔndastand am simpul wan. Dat na `Displaced` ɛn `Non-displaced`.
- Nɔn-displaced fracture: Tink bɔt am lɛk stik we brok. insay dis kayn frakshכn, di tu pat dεm we brok stil de nia togeda εn dεn de alaynd di sem. Bɔku tɛm, dɛn tin ya kin wɛl fɔ dɛnsɛf.
- Displaced fracture: Dis na we di tu pat dεm na di bon de separet frכm wan an εn nכ de insay di sem alayns afta frakshכn. di shap ed dεm fכ dεn brok brok pat dεm kin mek di כgan dεm we de insay, lεk di lכng dεm εn di at pwɛl. Dɛn kayn fraktrɔs ya kin nid fɔ gɛt ɔpreshɔn.
Udat kin gɛt dis sik mɔ?
Ɛnibɔdi kin gɛt brok brok rib, bikɔs bɔku tɛm na aksidɛnt kin mek dɛn tin ya. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl.
- Fɔ pipul dɛn we gɛt sik dɛn we de mek dɛn bon dɛn wik, lɛk ɔstioporosis .
- Fɔ atlet dɛn we de ple bɔku kɔntakt spɔt.
- Fɔ di ol pipul dɛm (bikɔs ɔf di risk fɔ fɔdɔm we de go ɔp).
I sɔprayz fɔ no se pikin dɛn nɔ kin brok dɛn rib pas big pipul dɛn. Dis na bikɔs dɛn bon dɛn kin chenj mɔ.
Wetin na di men sayn dɛm ɛn di tin dɛm wae kin mek pɔrsin gɛt dis sik?
Lɛ wi luk di sayn dɛm ɛn di tin dɛm we kin mek pɔsin brok rib na tebul lɛk dis. Dis go ɛp yu fɔ ɔndastand am izi wan.
| Sayn dɛn | Di tin dɛn we kin mek i apin |
|---|---|
| Bɔrku pen: De pen kin pasmak wae yu de blo dip, kɔf, laf, ɔr de muv yu bɔdi. | Trauma to di chɛst: motoka aksidɛnt, fɔdɔm, spɔt aksidɛnt. |
| Tɛnd: If yu tɔch ɔ pres pan di say we brok, yu go fil pen we yu nɔ go ebul fɔ bia. | Kɔf bad bad wan: If yu kɔntinyu fɔ kɔf bad bad wan, dat kin mek yu gɛt prɛshɔn bak pan di rib dɛn ɛn mek dɛn brok. |
| Brus ɛn blu: Di skin we de na di say we di wund kin chenj in kɔlɔ ɛn tɔn blu. | Sik dɛm we gɛt fɔ du wit bon dɛm: Ɔstioporosis ɔ kansa we dɔn skata to di bon dɛm. |
Dis kin mek yu gɛt siriɔs prɔblɛm dɛn.
Rib frakt nɔto jɔs bon we brok. Wi rib kech de protɛkt sɔm pan di impɔtant pat dɛn na wi bɔdi. So, we pɔsin brok, dɛn ɔgan dɛn ya kin pwɛl.
1. Damej to di intanεt כgan dεm (Organ Damage) .
Wi rib dɛn de protɛkt wi frɔm:
- At
- Lɔng
- Liva
- Kidni dɛn
- Spleen we de na di bɔdi
Imajin, di shap ed we brok rib we aksidɛnt apin kin pank, swɛt, ɔ krɔs dis ɔgan. Dis na tin we rili siriɔs.
2. I nɔ kin izi fɔ blo (Pulmonary Complications) .
We wan rib brok, wi kin fil bad bad wan we wi de blo, so wi nɔ no se wi kin blo smɔl smɔl.
We yu nɔ ebul fɔ blo dip bikɔs ɔf pen, chans de fɔ mek di mכkus gɛda na yu lכng εn mek yu lכng infεkshכn lεk nyumonia.
Dɔn bak, if wan pat pan di rib we brok stɔp na di lɔng, di lɔng kin pank ɛn di briz kin lik insay di chɛst. dis dεn kכl am `(Pneumothorax)` כ kכlaps lכng. Dis na sik bak we nid fɔ gɛt tritmɛnt kwik kwik wan.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, di fɔs tin we dɛn go du na fɔ aks yu bɔt aw yu wund ɛn chɛk yu chɛst. Dɔn, dɛn kin du sɔm tɛst fɔ no if di bɔdi brok ɛn si if ɛnitin dɔn pwɛl di ɔgan dɛn we de insay di bɔdi.
| Tɛst | Wetin yu si pan dat? |
|---|---|
| X-ray we dɛn kin du | Yu kin kɔnfɔm if di rib dɛn dɔn brok, usay dɛn brok, ɛn if di bon pat dɛn dɔn separet. |
| CT Skan we dɛn kin du | I kin mek pikchɔ dɛn we klia ɛn we gɛt bɔku tin dɛn fɔ du pas ɛkstrem rayt. Dis kin ɛp fɔ si ustɛm di bon dɛn dɔn pwɛl ɛn if ɛnitin dɔn pwɛl di tisu dɛn we de rawnd am. |
| MRI Skan we dɛn kin du | dis kin mεntal luk fכ damej pan di mכsul dεm, tisu dεm, εn כgan dεm we de rawnd di bon dεm. |
Aw dɛn kin trit am?
Di tritmɛnt fɔ di rib we brok de dipen pan di kayn we aw di fraktrɔs de ɛn if ɔda prɔblɛm dɛn de.
Jɛnɛral tritmɛnt
Bɔku tɛm, i nɔ kin nid fɔ du ɔpreshɔn. Yu dɔktɔ go advays yu bɔt dɛn tin ya:
- Rɛst:Nɔ du ebi ebi wok ɛn spɔt.
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Dɛn go gi am mɛrɛsin fɔ mɛn di pen lɛk NSAID fɔ kɔntrol di pen.
- Ays: Fɔ mek yu nɔ fil pen ɛn swel, put ays pak fɔ lɛk 20 minit bɔku tɛm insay di de.
- Ɛksesaiz fɔ blo: Dis rili impɔtant . Ivin if yu de fil pen, if yu tek dip briz ɛn kɔf bay wilful ɛvri sɔm awa, dat kin ɛp fɔ mek yu nɔ gɛt nyumonia. We yu de kɔf, if yu prɛs pilo pan yu chɛst, dat kin ɛp fɔ mek yu nɔ fil pen smɔl.
Ɔpreshɔn
I nɔ kin rili nid fɔ du ɔpreshɔn. Dɛn tin ya na:
- If bad bad damej de pan di insay ɔgan dɛm frɔm di brok brok rib fragmɛnt dɛm.
- If di rib fragmɛnt dɛn tu fa frɔm dɛnsɛf ɛn dɛn nɔ ebul fɔ wɛl fɔ dɛnsɛf.
- If di rib kech insɛf dɔn pwɛl bad bad wan ɛn i nɔ stebul.
Dis ɔpreshɔn kin min fɔ mek di bon dɛn we dɔn brok alaynɛd bak ɛn fɔ mek dɛn tay dɛn wit smɔl smɔl mɛtal plet dɛn ɛn skru dɛn fɔ mek dɛn nɔ muf.
Ustɛm yu nid fɔ go na ɔspitul (ETU) wantɛm wantɛm?
If yu tink se yu rib brok, yu fɔ rili go to dɔktɔ. Bɔt if yu gɛt ɛni wan pan dɛn sayn ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te.
| Imejɛnsi Sayn dɛn! | |
|---|---|
| ⚠️ Nɔbɔdi nɔ ebul fɔ bia, i de mek yu chɛst pen mɔ ɛn mɔ. | |
| ⚠️ I at fɔ blo, shɔt briz. | |
| ⚠️ If i tan lɛk se di shep fɔ yu chɛst dɔn chenj. | |
| ⚠️ If yu kɔf ɛn blɔd. | |
| ⚠️ If yu si wan pat pan bon tru di skin. | |
| ⚠️ I de swel pasmak ɔ nyu brus. | |
Mɛsej we dɛn kin kɛr go na os
- Rib we brok na tin we kin rili mek pɔsin fil pen. I kin kam bikɔs aksidɛnt ɔ ivin kɔf bad bad wan.
- Di men sayn na wae yu de fil bad bad wan wae yu de blo ɛn kɔf.
- Bɔrku tɛm, dɛn kin mɛn am wit rɛst ɛn mɛrɛsin wae de mek pɔrsin fil pen. Bɔt lɛk aw di dɔktɔ se, i rili impɔtant fɔ du ɛksashɔn fɔ blo.
- If i nɔ izi fɔ yu fɔ blo ɔ yu de fil pen we yu nɔ go ebul fɔ bia, na imejensi. Go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Nɔ ɛva ignore di chɛst pen. Ɔltɛm, go to dɔktɔ fɔ advays yu.
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