Yu de gɛt smɔl prɔblɛm nia yu an? I kin bi se na skafɔyd frakt!

Yu dɔn ɛva fɔdɔm ɛn nak yu an na grɔn, ɛn mek yu an wund bad bad wan? Ɔ sɔntɛm yu twist yu an di rɔng we we yu de ple, dɔn di eria swel ɛn yu nɔ ebul fɔ muv am? Sɔmtɛm wi kin tink bɔt dɛn tin ya lɛk "jɔs wan sprain," bɔt dɛn kin bi sɔntin we siriɔs pasmak. Na dat kin apin we sɔntin lɛk dis apin, we dɛn kɔl scaphoid fracture. Mek wi tok abaut dis in mo ditel tide, okay?

Wetin na Scaphoid Fracture?

Fɔ tɔk am simpul wan, skafɔyd frakt na we di bon we de na yu an brok. di skafoyd bon de na di bכs pat pan yu big fut, nia yu an. Yu an gɛt sɔm smɔl smɔl bon dɛn we dɛn kɔl kapal bon. Di skafɔyd na wan pan dɛn kapal bon dɛn de.

Bɔku tɛm dis kin apin we wi fɔdɔm ɛn es wi an fɔ kech wi an. Imajin, yu slip ɛn fɔdɔm wantɛm wantɛm, ɛn yu put yu an dɛn na grɔn wantɛm wantɛm fɔ sev yusɛf, nɔto so? Na da tɛm de dis bon kin mɔs pwɛl. Apat frɔm dat, i kin apin bak frɔm motoka aksidɛnt, had impak we yu de ple spɔt, ɛn ɔda tin dɛn Sɔntɛnde dɛn kin nid ɔpreshɔn fɔ fiks dis bon fayn fayn wan. Bɔrku pipul kin tek lɛk tri mɔnt fɔ wɛl wɛl frɔm dis sik.

pat dεm na di skafoyd bon εn usay frakshכn kin apin

Dis skafoyd bon gɛt tri pat bak. Ɛni wan pan dɛn pat ya kin brok.

• Distal pol: dis na di εnd fכ di skafoyd bon we de tכwεd yu an εn finga dεm, dat na fכ fa frכm di fכs an.
• di wεst fכ di skafoyd: Dis na di midul pan di skafoyd bon. כl di tεm dεm, dat na, mכr dan 70% pan di skafoyd frakshכn dεm kin apin na dis midul pat.
• Proksimal pol: Dis na di εnd fכ di skafoyd bon we de tכwεd yu fכs, insay yu bכdi.

Dɛn wɔd ya kin tan lɛk strenj to yu. Bɔt dɔktɔ dɛn kin yuz dɛn fɔ ɛp dɛn fɔ ɔndastand gud gud wan aw yu an brok, usay yu skafɔyd bon dɔn brok, ɛn aw di bon de insay yu bɔdi naw. Bɔt ilɛk uskayn yu kɔl am, di tin we impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan ɛn mek dɛn chɛk am.

Aw kɔmɔn tin dis? Udat kin gɛt am mɔ?

skafoyd frakshכn na di mכst kכmכn tכp f כ frakshכn na di kapal bon dεm na di an, we de mek lεk 15% pan כl di wrist injuri dεm.

Infakt, jɔs lɛk aw ɛnibɔdi kin brok bon, na so ɛnibɔdi kin brok skafɔyd bon. Dis na bikɔs bɔku tɛm i kin apin we pɔsin fɔdɔm ɔ ɔda aksidɛnt. Bɔt i kin apin mɔ pan yɔŋ pipul dɛn we nɔ rich 30 ia yet ɛn pan yɔŋ pipul dɛn.Dis na tin we kɔmɔn smɔl. If yu kin fɔdɔm, yu kin gɛt mɔ risk bak. Dɔn bak, pipul dɛm wae gɛt sik wae de mek dɛn bon tan lɛk ɔstioporosis kin brok dɛn bon izi wan pas ɔda pipul dɛm, so dɛn kin gɛt bɔrku risk fɔ gɛt skafɔyd fraktrɔs.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

If yu gɛt scaphoid fracture, yu kin gɛt sɔm sayn dɛm lɛk:

• Pen: Ɛspɛshali na di say we di big fut de, rayt na di an.
• Swel: Di say we di an afɛkt kin swel.
• Tɛnd: Di say we wi dɔn tɔk bɔt kin at we yu tɔch am ɔ prɛs am.
• Nɔ ebul fɔ muv di an: I nɔ kin izi fɔ tɔn ɔ es di an.
• Brus ɔ di kɔlɔ we de chenj: I kin tan lɛk blu ɔ pepul.
• Wan ɔnusual lump ɔ deformity: Di an kin fil ɔ luk lɛk wan unusual lump.

Fraktrɔs we dɛn dɔn displeys ɛn we nɔ de displeys

Dis na tu ɔda wɔd dɛn we di dɔktɔ go yuz fɔ tɔk bɔt yu frakshɔn. ``Displaced fracture'' min se afta di bon brok, di tu brok brok pat dεm dכn muv bכku, we de lεf big gap bitwin dεm. insay ``Non-displaced fracture'', di bon stil brok, bכt di tu pis dεm nכ muv bכku, εn stil de nia usay dεn bin de. ``Displaced fracture'' bכku tεm kin nid כpεrayshכn fכ fiks.

Wetin mek dis de apin?

eni fos impak pan di wrist kin mek di skafoyd bon brok. Di men tin dɛn we kin mek i apin na:

• Fɔdɔm: I es in an wit in tu an dɛn ɛn es in an fɔ go na grɔn.
• Spɔt aksidɛnt: Lɛk we yu de ple kriket ɔ futbɔl.
• Aksidɛnt dɛn we kin apin na motoka.

Aw dɔktɔ dɛn kin no dis?

Dɔktɔ go no if yu gɛt skafɔyd fraktrɔs bay we i go chɛk yu ɛn du sɔm imej tɛst dɛn.

Us tɛst dɛn de du?

Afta dɛn dɔn chɛk yu, yu kin du wan ɔ mɔ pan dɛn imej tɛst ya:

• X-ray: X-ray kin sho if di skafoyd ɔ ɔda bon brok ɛn aw bɔku damej dɔn apin.
• Magnetic resonance imaging (MRI): Sɔntɛnde, yu dɔktɔ go ɔda fɔ mek dɛn du MRI skan. Dis kin ɛp fɔ no gud gud wan di damej we di bon dɛn ɛn di mɔsul ɛn tisu dɛn we de rawnd am dɔn pwɛl.
• CT skan: If yu nid fɔ du ɔpreshɔn, yu dɔktɔ go nid fɔ si klia wan bɔt di damej we yu bon dɛn dɔn pwɛl. CT skan kin sho di bon dɛn ɛn di tisu dɛn we de rawnd am mɔ ditayli pas ɛkstrem rayt.

Okult skafɔyd fraktrɔs

Sɔmtɛm di skafɔyd fraktrɔs nɔ kin sho pan ɛkstrem rayt, ɛn sɔm tɛm dɛn nɔ kin sho atɔl. Dɛn kɔl dis wan ɔkult skafɔyd fraktrɔs. If dis apin, yu dɔktɔ kin ɔda fɔ mek dɛn du MRI ɔ CT skan. Yu dɔktɔ go tɛl yu us ɔda tɛst dɛn we yu go nid.

Impɔtant: Tɛl yu dɔktɔ di rayt say usay yu de fil bad ɛn wetin de at we yu prɛs pan am. If yu pen de na di skafoyd bon, ɛn i nɔ go dɔn afta wan ɔ tu dez, yu kin gɛt wan fraktrɔs we ayd. Dɛn fraktrɔs ya we ayd nɔ nid ɛni spɛshal tritmɛnt, ɛn dɛn nɔ kin briŋ ɛni spɛshal risk.

Wetin na di tritmɛnt dɛn?

Di tritmɛnt fɔ yu skafoyd fraktrɔs dipen pan aw i siriɔs. Yu bon we brok nid fɔ put bak togɛda ɛn wɛl. Dipen pan aw i dɔn pwɛl ɛn aw i brok, yu dɔktɔ kin yuz wan ɔ mɔ pan dɛn tritmɛnt ya.

Immobilizεshכn כf di an/wrist

if yu fraktכs nכ tu big, we min se di skafoyd bon nכ muv tu fa frכm usay i bin de (`non-displaced`), yu kin כnli nid fכ wɛr splint כ plasta we dεn kכl Paris kast. Bɔku tɛm, wan splint kin las fɔ lɛk tri to fayv wiks. Wan kast kin las smɔl, bɔku tɛm na siks to et wiks. Insay dɛn tu kes ya, yu go nid fɔ du ɔda ɛkstrem rayt fɔ mek shɔ se yu bon de wɛl fayn fayn wan.

Bon ridyushɔn we dɛn nɔ du ɔpreshɔn (Klos ridyushɔn) .

fכ mכr siriכs frakshכn, dεn kin du wan prכsidכm we dεn kכl klos rεdukshכn fכ rialayn di skafoyd bon. Dis nɔto ɔpreshɔn. Di dɔktɔ go pres ɛn pul di ɔdasay na yu bɔdi fɔ mek di bon we dɔn brok insay yu bɔdi fayn bak. We i de du dis, i go du wan pan dɛn tin ya fɔ ɛp yu fɔ lɛ yu nɔ fil pen:

• Dɛn kin injɛkt di lokal anestetik fɔ mek di say we de rawnd di bon we dɔn brok nɔ gɛt bɛtɛ trɛnk.
• Dɛn kin gi di mɛrɛsin dɛn we de mek di wan ol bɔdi rilaks.
• Dɛn go anestez yu ɔl bɔdi ɛn dɛn go put yu na slip (`Jɛnɛral anestesia`).

Afta yu dɔn du dis ``(Closed reduction)``, di dɔktɔ go put splint ɔ plasta pan yu.

Ɔpreshɔn we dɛn kin du fɔ mek pɔsin brok skafɔyd

Bɔku pan di siriɔs fraktrɔs dɛn kin nid ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn go layn yu skafɔyd bon bak ɛn fiks am na in ples, so dat i go kam bak togɛda ɛn wɛl. כltu, dεn go du sכmtin we dεn kכl ``Internal fixation.'' Dis min se di sכjaman go put mεtal pat dεm insay yu bon fכ ol am in ples te i hεl. Dɛn ``Intanɛnt fikseshɔn'' we ya na:

• Plɛt ɛn skru: Mɛtal plet ɛn skru dɛn we dɛn kin put insay di bon fɔ ol di bon pat dɛn togɛda.
• Pin ɛn waya dɛn:Dɛn kin yuz pin ɛn waya fɔ ol smɔl smɔl bon dɛn togɛda pas ɔda tin dɛn we dɛn kin yuz fɔ fiks. Dɛn kin yuz dɛn tin ya togɛda wit plet ɔ ɔda tin dɛn lɛk stik.

Sɔm pipul dɛn kin gɛt dɛn mɛtal dɛn ya na dɛn bɔdi sote go. Sɔm pipul dɛn kin gɛt ɔpreshɔn bak fɔ pul dɛn.

Fɔ graft bon dɛn

if yu skafoyd frakshכn rili ``displace,'' we min se di pis dεm de fa apat, כ if yu bon nכ de hεl fayn, yu kin nid fכ du wan prכsidכs we dεn kכl ``bon graftin.'' Di sכjaman go put כda bon tisu fכ εp yu bon we brok fכ kam bak togeda. afta dat, dεn go כlwayz du ``intanεt fiksεshכn,'' fכ ol di pis dεm tכgeda te di bon hεl. difrεn ples dεm de we dεn kin tek bon fכ dεn bon graf dεm ya:

• Frɔm ɔdasay na yu yon bɔdi – bɔku tɛm na di tap pan yu hip bon.
• Frɔm ɔda pɔsin (external donor).
• Wan tin we dɛn mek wit atifishal wan.

Bɔku tɛm dɛn kin du ɔpreshɔn fɔ skafɔyd fraktrɔs as ɔtpeshɛnt prɔsidyu.

Afta dɛn dɔn du yu ɔpreshɔn, dɛn go nid fɔ mek yu an nɔ ebul fɔ muv. Yu kin nid fɔ wɛr splint ɔ kast bifo yu yuz yu an bak lɛk aw yu bin du bifo i brok.

Us mɛrɛsin dɛn kin yuz fɔ skafɔyd fraktrɔs?

Di mɛrɛsin dɛn we dɛn kin kɔl ``NSAID'', lɛk aspirin ɔ ibuprofen, kin mek pɔsin blɔd ɛn ɔda prɔblɛm dɛn afta dɛn dɔn du di ɔpreshɔn. So, yu dɔktɔ we de du ɔpreshɔn go tɔk to yu bɔt di mɛrɛsin dɛn we yu kin tek fɔ mek yu nɔ fil pen afta dɛn dɔn du yu ɔpreshɔn.

Sɔm sayd ɛfɛkt dɛn we NSAID kin gɛt:

• Blɔd we de kɔmɔt.
• Ɔlsa na di bɛlɛ.
• Bɛlɛ de pen.
• Intestinal kɔmplikɛshɔn dɛn.

Yu tink se wan skafɔyd fraktrɛshɔn go wɛl fɔ insɛf?

Nɔ ɛva ignore di sayn dɛm lɛk pen, swel, ɔr tender. Ilɛksɛf yu sik nɔr tranga, yu stil nid tritmɛnt. If yu nɔ gɛt tritmɛnt fɔ wan skafɔyd frakshɔn, yu kin dɔn wit siriɔs prɔblɛm dɛn leta, lɛk:

• Acute compartment syndrome (ACS): Prɛshɔn insay di mɔsul de go ɔp, di blɔd we de flɔ to di tisu dɛn kin kɔt, ɛn di mɔsul ɛn nɛv dɛn kin pwɛl fɔ ɔltɛm.
• `(Malunion)`: We yu brok bon dɛm nɔ fit togɛda fayn we dɛn wɛl.
• Nɔnunion: Yu bon dɛn nɔ jɔyn bak togɛda ɔ sɔm pat pan am.
• `(Avascular necrosis (osteonecrosis))`: Dis na bon sik we de mek yu fil pen we de wɔs as tɛm de go. I kin afɛkt di we aw yu ebul fɔ muv. I kin apin we dɛn kɔt di blɔd we de flɔ to wan bon.
• At at sik na di an: di kכndyushכn dεm we dεn kכl ``Nonunion'' εn ``Avascular necrosis'' kin mek at at sik na di an εn di an. Atraytis na di an kin mek i fil pen, swel, i kin stif, ɛn i kin mek i nɔ fayn.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

E kin tek sɔm wiks fɔ mek yu sik nɔr de igen. Dipen pan di kayn ɔpreshɔn we yu bin gɛt fɔ mek yu skafɔyd frakshɔn, yu kin ebul fɔ muv yu an bak insay sɔm wiks.

Bɔt if yu gɛt pen we yu nɔ go ebul fɔ bia we nɔ de stɔp, go to dɔktɔ wantɛm wantɛm.

Aw dɛn go ebul fɔ ridyus dis prɔblɛm?

Fɔ fala dɛn jenɛral sefty tips ya fɔ ridyus di risk fɔ injuri:

• Ɔltɛm wɛr yu sit bɛlt we yu de rayd motoka.
• Wear di rayt sef ikwipmɛnt fɔ ɛni aktiviti ɛn spɔt.
• Kip yu os ɛn wokples klin bay we yu pul tin dɛn we go mek yu ɔ ɔda pɔsin slip ɛn fɔdɔm.
• We yu de pik ɛnitin frɔm ɔp, yuz di rayt tul ɔ ikwipmɛnt ɔltɛm. Nɔ ɛva klaym pan chia ɔ tebul.
• Fɔ fala wan plan fɔ it ɛn ɛksesaiz we go ɛp fɔ mek yu bon dɛn gɛt wɛlbɔdi.
• If yu dɔn pas 50 ia, ɔ if pɔsin na yu famili gɛt ɔstioporosis, tɔk to yu dɔktɔ bɔt fɔ mek dɛn du tɛst fɔ no if yu gɛt bɔdi.
• If yu de yuz ken ɔ waka fɔ waka, yuz am ɔltɛm, ɛn tek tɛm pan say dɛn we nɔ ivin.

A kin mek a nɔ gɛt skafɔyd frakshɔn?

Skafoyd fraktrɛshɔn kin kam mɔs bikɔs ɔf fɔdɔm ɔ ɔda aksidɛnt, so nɔto bɔku tin de we dɛn kin du fɔ mek i nɔ apin, ɔda pas fɔ tek tɛm we yu de waka (yuz ken/waka if yu gɛt wan) ɛn tek tɛm pan say dɛn we nɔ ivin.

Wetin a kin ɛkspɛkt if a gɛt skafɔyd fraktrɔs?

If yu gɛt skafɔyd frakshɔn, yu kin ɛkspɛkt fɔ wɛl ful wan.

Yu go nid fɔ gɛt fizik tɛrapi fɔ mek yu gɛt trɛnk bak ɛn fɔ mek yu ebul fɔ muv difrɛn say dɛn na yu an.

Aw lɔŋ i kin tek fɔ mek di skafɔyd frakshɔn wɛl?

Di tɛm we yu go tek fɔ mek yu wɛl go dipen pan aw yu brok brok ɛn di tritmɛnt we yu nid. Bɔrku pipul kin tek lɛk tri mɔnt fɔ wɛl frɔm wan skafoyd fraktrɔs.

Bɔku ɔda tin dɛn de we kin afɛkt aw lɔng i kin tek fɔ mek yu bɔdi wɛl. Tɔk to yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn bɔt wan tɛm we go fayn fɔ yu.

A nɔ go ebul fɔ go wok ɔ skul?

If yu stil ebul fɔ du yu wok ɔ skul wok we yu nɔ muv yu an, yu nɔ go ebul fɔ go wok ɔ skul.

We yu de wɛl, tɔk to yu dɔktɔ ɔ dɔktɔ bifo yu bigin fɔ du bɔku tin dɛn bak.

Outlook fɔ wan scaphoid fraktrɔs

Di luk fɔ scaphoid fraktrɔs fayn. Ivin if dɛn du yu ɔpreshɔn, yu fɔ mek yu wɛl ful wan, bikɔs yu frakt nɔ go gɛt ɛfɛkt fɔ lɔng tɛm.

Ustɛm yu nid fɔ go na ɔspitul kwik kwik wan?

If yu tink se yu gɛt skafɔyd fraktrɔs – ɔ ɛni ɔda bon frakshɔn – yu fɔ go to dɔktɔ kwik kwik wan. Go na di imejensi rum wantɛm wantɛm if yu gɛt ɛni wan pan dɛn sayn ya:

• Siri pen we pɔsin nɔ go ebul fɔ bia.
• If yu nɔ ebul fɔ muv wan pat pan yu bɔdi we yu kin muv nɔmal wan.
• If wan pat na yu bɔdi luk difrɛn pas aw i kin luk, if i tan lɛk se i dɔn jomp kɔmɔt na in ples.
• If yu bon de sho tru yu skin.
• De swɛl.
• If nyu brus de apia wit dɛn ɔda sayn ya.

If yu dɔn gɛt big aksidɛnt (trauma), go na di imejensi rum wantɛm wantɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

• A gɛt scaphoid fracture, ɔ ɔda kayn fracture?
• Us pat pan mi skafɔyd bon dɔn brok?
• Yu tink se a go nid ɔpreshɔn?
• Aw lɔng i go tek fɔ mek i wɛl?
• Ustɛm a go bigin fɔ du bɔdi wok bak?

Fɔ brok bon kin mek yu fred ɔltɛm, mɔ if i apin wantɛm wantɛm, lɛk we yu slip ɛn fɔdɔm. Skafoyd fraktrɔs kin ansa fayn to tritmɛnt, ɛn bɔku tin dɛn de fɔ ɛp yu bon ɛn bɔdi fɔ wɛl fayn fayn wan. Tɔk to yu dɔktɔ bɔt aw fɔ mek yu bon dɛn strɔng ɛn gɛt wɛlbɔdi, ɛn du tɛst ɔltɛm fɔ no if yu pas 50 ia ɔ if pɔsin na yu famili gɛt ɔstioporosis.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

So, yu si, ivin if yu gɛt smɔl prɔblɛm wit yu an, i nɔ fayn fɔ jɔs ignore am. Scaphoid fracture na sɔntin we kin wɛl ɔl if dɛn trit am fayn.

De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt sɔm kayn sik. Da we de, dɛn kin no di rayt tin we de apin ɛn bigin di tritmɛnt we dɛn nid.

Mɛmba se i rili impɔtant fɔ tek kia ɔf yu bon wɛlbɔdi. If yu it fayn fayn tin dɛn, yu de du ɛksɛsayz fayn fayn wan, ɛn yu fɔ tek tɛm fɔ protɛkt yusɛf frɔm aksidɛnt, dat kin ɛp fɔ mek yu nɔ gɛt dɛn tin ya te to sɔm mak. If yu gɛt ɛni kwɛstyɔn, nɔ shek fɔ aks yu dɔktɔ. Dɔn yu kin shɔ.

` Scaphoid fraktכs, wrist fraktכs, an pen, bon frakshכn, X-ray, MRI, bon כpεrayshכn