Yu bon brok na tu ples, wit wan pat we separet na di midul? Na segmental fraktrɔs dat? Lɛ wi tɔk bɔt dis!

Wi ɔl dɔn gɛt smɔl smɔl fɔdɔm ɛn brus. Sɔntɛnde yu kin spre yu an ɔ yu leg, sɔm tɛm yu kin gɛt smɔl swel. Bɔt imajin se afta big aksidɛnt, yu bon nɔ brok na wan ples, bɔt i brok at le tu ples , ɛn bitwin dɛn tu say dɛn de we brok, wan pat pan bon kin kɔmɔt kpatakpata frɔm di ɔda pat dɛn. Dat na di kayn siriɔs bon fraktrɔs we wi go tɔk bɔt tide, we dɛn kɔl segmental fracture . Di nem de mek yu fred smɔl, nɔto so? Bɔt nɔ wɔri, wi go tɔk bɔt dis simpul wan, klia wan, ɛn di we we yu go ɔndastand.

Wetin rili na segmental fracture?

Fɔ tɔk am simpul wan, segmental fracture na we yu brok at le tu ples na wan lɔng bon na yu bɔdi. Dɛn tu brɛk ya kin mek wan smɔl pat pan di bon kɔmɔt kpatakpata frɔm di ɔda tu men pat dɛn. Tink bɔt am lɛk se yu brok wan wud na tu ples ɛn wan smɔl wud go kɔmɔt na di midul.

Dɛn kayn fraktrɔs ya kin apin na ɛni lɔng bon na di bɔdi. Di say dɛn we dɛn kin yuz mɔ na:

• Femur (di bon frכm yu bכtכm to yu kכn) .
• Tibia (di tik bon we de insay di leg, frɔm di ni to di anklɛ) .
• Fibula (tin bon na di bak pat pan di leg, paralel to di shin bon) .
• di כp an bon (`Humerus` - di bon frכm di sכlda to di εlbo)
• di tu bon dεm frכm di εlbo to di wrist (`Radius` εn `Ulna` - fכram bon dεm)
• Klavikul (kɔla bon) .

Dis na di men bon dɛm we kin gɛt dɛn kayn siriɔs frakshɔn ya.

Wetin mek dis de apin? Wetin na di rizin dɛn?

dis kכndyushכn we dεn kכl ``Segmental Fracture`` nכ de apin frכm simpul fכl. Dɛn tin ya kin apin bɔku tɛm bikɔs ɔf rili siriɔs aksidɛnt (``siriɔs trauma``) . Tink bɔt:

• Wan siriɔs motoka aksidɛnt: motoka krash, baysikul aksidɛnt.
• Fɔdɔm frɔm ples we rili ay: If yu fɔdɔm frɔm ayt, lɛk frɔm tik, ruf, ɔ skɔf.

Na we dɛn put di bon so big big impak we i kin brok na tu ples, ɛn wan pat kin separet na di midul. Bɔku tɛm, fraktrɔs we kin apin we wi slip ɛn fɔdɔm, ɔ we wi de du os wok, nɔ kin rili tranga dis. Dis na rili siriɔs tin dɛn , ɛn bɔku tɛm dɛn kin nid ɔpreshɔn fɔ mek di bon alaynɛd ​​bak .

Di tɛm we i kin tek fɔ wɛl kin dipen pan us bon dɔn brok ɛn aw di injuri bin rili bad. Bɔku tɛm i kin tek lɛk wan ia so fɔ mek i wɛl .

Wetin na di difrεns bitwin `Segmental` εn `Comminuted` frakshכn?

Dɔktɔ dɛn kin yuz dɛn tu nem ya fɔ tɔk bɔt aw pɔsin kin brok. Dɛn tu na siriɔs kayn fraktrɔs.

• sεgmεnt frakshכn, lεk aw wi jכs dכn tכk bכt, na we di bon brok na tu ples, wit wan pat we separet na di midul.
• Comminuted fracture na fracture we di bon brok na tri ɔ mɔ ples, dat na fɔ brok brok .

Naw yu ɔndastand, nɔto so? sכm sεgmεnt frakshכn dεm kin kכmכt (we min se di brok pat na di midul kin brok to sכm sכm pat dεm), εn sכm nכ kin brok.

Bɔt ilɛk wetin dɛn kɔl am, di tin we impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan afta yu gɛt aksidɛnt .

Udat kin gɛt fraktrɔs lɛk dis? Aw i kɔmɔn?

Lɛk ɔda bon dɛn we brok, sɛgmɛnt brok kin apin to ɛnibɔdi . Bikɔs dɛn injury ya kin apin na tɛm wae wi nɔr kin no, wi nɔr kin ebul fɔ no ustɛm ɔr aw dɛn go apun.

Bɔt dɛn tin ya nɔ kin apin so ɔltɛm . Di rizin fɔ dis na bikɔs nɔto ɔlman kin gɛt di bad bad aksidɛnt we dɛn tin ya kin gɛt na dɛn layf ɛvride. Dat na fɔtunate bak pan wan we.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw yu no am?

If yu gɛt segmental fracture, yu kin gɛt ɔda siriɔs sayn dɛn bak we gɛt fɔ du wit di aksidɛnt we mek i apin. Dɛn sayn ya go difrɛn difrɛn wan fɔ di ɔda injury dɛm wae yu gɛt. Bɔt in jɛnɛral, di sayn dɛm fɔ sɛgmɛnt fraktrɔs kin inklud:

• Intense pain : De pen kin bi wae yu nɔr kin ebul fɔ bia.
• Nɔ ebul fɔ muv bɔdi pat we nɔmal fɔ muv : Yu nɔ kin ivin ebul fɔ muv yu an ɔ yu leg.
• chenj na di we aw wan pat pan di bɔdi de luk ɔ di we aw i de muv : Yu kin si wan an ɔ leg we i strɛch ɔ we i nɔ de na di say we i de.
• di bon dεm we de sho tru di skin : sכmtεm dεn kin si bכn fragmεnt dεm we brok tru di skin. Dis na tin we rili denja.
• Swel : Di say we di injuri kin swel bad bad wan.
• Brus : Di skin na da eria de kin tɔn blu/pɔpul.

Opin ɛn Klos Brek

Di dɔktɔ go klas yu fraktrɔs as ``Open Fracture`` ɔ ``Closed Fracture`` .

• Open fracture na wan we di bon we brok de kɔmɔt na di skin. Dɛn tin ya kin tek lɔng tɛm fɔ wɛl ɛn dɛn kin mek pɔsin gɛt infɛkshɔn ɛn ɔda prɔblɛm dɛn .
• We pɔsin brok brok na siriɔs tin bak, bɔt di bon nɔ dɔn kɔmɔt na di skin.

Aw dɔktɔ kin kɔnfirm dis?

Dɔktɔ go kɔnfɔm if yu gɛt segmental fracture tru wan fyzikal ɛgzam ɛn difrɛn imej tɛst dɛn . Sɔntɛnde, dɛn kin du dɛn tɛst ya rayt de if dɛn admit yu na di imejensi rum (ER) afta aksidɛnt.

If dɛn kɛr yu go na di imejensi rum, wan mɛdikal tim go wok togɛda fɔ mek yu sik stebul ɛn trit yu akɔdin to aw i bad, mɔ if yu injury dɛn de mek yu layf de pan denja. We yu dɔn stebul, dɛn go du imej tɛst fɔ kɔnfɔm di fraktrɔs.

Wetin na di tɛst dɛm wae dɛn kin yuse fɔ no dis sik?

Fɔ mek yu no klia wan bɔt yu frakt, yu go nid fɔ du wan ɔ mɔ pan dɛn tɛst ya:

• εks-ray: εks-ray kin kכnfכm if sεgmεnt כ כda frakshכn dεm de εn aw bכku damej dεn dכn du to di bon dεm.
• Magnetic Resonance Imaging (MRI): Yu dɔktɔ kin yuz MRI fɔ gɛt kɔmplit pikchɔ bɔt di damej we yu bon dɛn ɛn di tisu dɛn we de rawnd yu dɔn pwɛl. Dis kin ɛp yu fɔ si gud gud wan aw di wund dɔn afɛkt di mɔsul dɛm, di kɔnektiv tisu dɛm, ɛn di ɔgan dɛm we de rawnd yu bon dɛm.
• CT skan (Computed Tomography scan): CT skan de mek di dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn ebul fɔ si mɔ ditayli, klia pikchɔ bɔt di bon dɛn ɛn di tisu dɛn we de rawnd pas ɛkstrem rayt.

Aw dɛn kin trit am? Aw lɔng i go tek fɔ mek i wɛl?

Klose to ɔl di segmental fraktrɔs dɛn kin trit wit ɔpreshɔn. Bɔku difrɛn we dɛn de fɔ ɔpreshɔn fɔ mek dɛn bon dɛn ya we dɔn brok alaynɛd ​​bak. Di we aw yu dɔktɔ go yuz go dipen pan di injury dɛn we yu gɛt, us bon dɛn brok, ɛn if yu gɛt ɛni ɔda prɔblɛm afta di aksidɛnt.

Di dɔktɔ we de du di ɔpreshɔn go rialayn (sɛt) yu bon dɛn we dɔn brok ɛn fiks dɛn togɛda . Dis na we dɛn kin bigin fɔ fuz togɛda, gro, ɛn wɛl. Bɔku tɛm dɛn kin du dis bay we dɛn de yuz sɔntin we dɛn kɔl intanɛnt fikseshɔn . Dis min se di dɔktɔ we de du di ɔpreshɔn kin put mɛtal pat dɛn insay yu bon ɛn ol am na in ples te di bon wɛl. Difrɛn kayn intanɛnt fikseshɔn dɛn de:

• Rod: Na mɛtal stik we dɛn kin put tru di midul pan di bon, frɔm ɔp to dɔŋ.
• Plɛt ɛn skru: Mɛtal plet dɛn we dɛn kin put oba di bon ɛn tay am wit skru.
• Pin ɛn waya: Dɛn kin yuz pin ɛn waya fɔ ol smɔl smɔl bon dɛn we ɔda tin dɛn we dɛn kin yuz fɔ mek di bɔdi nɔ ebul fɔ ol togɛda. Bɔku tɛm, dɛn kin yuz dɛn tin ya togɛda wit stik ɔ plet.

Sɔm pipul dɛn kin gɛt dɛn mɛtal pat ya na dɛn bɔdi fɔ di res ɔf dɛn layf, ɛn sɔntɛnde dɛn kin nid fɔ du ɔda ɔpreshɔn fɔ pul dɛn.

Fikseshɔn we de na do

Yu kin nid fɔ gɛt ɛksternal fikseshɔn (`Eksternal Fikseshɔn`) . Bɔku tɛm, dis kin bi sɔlv fɔ sɔm tɛm. Dɛn kin du am fɔ mek di frakt stebul te yu ɔda injury dɛn wɛl. di sajin de put skru insay di bon insay yu bכdi na di tu say dεm na di frakshכn εn i de kכnekt di skru dεm to wan freym (`bres כ braket`) we de na do na yu bכdi.

Sɔntɛnde, di dɔktɔ dɛn we de du ɔpreshɔn kin se dis ɛksternal fikseshɔn na di fɔs tin bifo dɛn du big intanɛnt fikseshɔn. If yu gɛt bɔku ɔda injury, yu kin nid fɔ wet fɔ sɔm tɛm fɔ mek yu bɔdi wɛl fɔ ebul fɔ handle wan internal fixation. Dɛn kin yuz am bak fɔ mek di bon stebul we di swɛlin we de insay di bɔdi de go dɔŋ.

Segmental fraktrɔs ɔpreshɔn na ɔtpeshɛnt prosidyuz . Dis min se yu go ebul fɔ go na os di sem de. Bɔt bikɔs yu go mɔs gɛt ɔda bad bad tin dɛn frɔm di aksidɛnt we mek yu brok dis kayn bɔdi, yu go nid fɔ de na ɔspitul te yu wɛl .

Afta dɛn dɔn du di ɔpreshɔn, di pat na yu bɔdi usay di bon we brok nɔ go ebul fɔ muv. Dipen pan usay i de, yu kin nid fɔ wɛr bres, splint, ɔ kast . Dis go nid fɔ bi bifo yu put wet pan di pat bak ɔ yuz am lɛk aw yu bin de du bifo di aksidɛnt.

Us mɛrɛsin dɛn kin yuz fɔ trit pɔsin?

NSAID (Non-Steroidal Anti-Inflammatory Drugs), we dɛn kin yuz as mɛrɛsin fɔ mek pɔsin fil pen, 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 tɛl yu us mɛrɛsin yu go tek fɔ mek yu nɔ fil pen afta yu dɔn ɔpreshɔn yu.

Ɛni prɔblɛm de wit dɛn ɔpreshɔn ya?

Yes, sɔm kɔmplikɛshɔn kin apin afta dɛn dɔn ɔpreshɔn di segmental fracture. Sɔm pan dɛn na:

• Acute Compartment Syndrome (ACS): we di prεshכn we de insay di mכsul bכku, i kin kכt di bכdi fכ fכlכ to di tisu. Dis kin mek di mɔsul ɛn nerv dɛn pwɛl fɔ ɔltɛm.
• Malunion: Na sik wae de brok bon dɛm nɔr de fit togɛda fayn fayn wan as dɛn de wɛl.
• Nɔnunion: Na tin we di bon dɛn nɔ de ful-ɔp ɔ sɔm pat pan am.
• Bon infεkshכn (`Osteomyelitis`): If yu bin gεt opin fraktכs (wan we di bon dכn kam tru di skin), yu de pan hכy risk fכ gεt baktriyal infεkshכn.
• Ɔda tin dɛn we kin pwɛl insay di bɔdi:Frakshכn kin pwεl bak di mכsul dεm, di nεv dεm, di blɔd vesel dεm, di tεndon dεm, εn di ligament dεm we de rawnd di injury.

Dɔn bak, pɔsibul sayd ɛfɛkt dɛn de fɔ di kayn `NSAID` kayn mɛrɛsin dɛn we wi bin dɔn tɔk bɔt:

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

Wetin a fɔ ɛkspɛkt we a de wɛl?

E kin tek sɔm wiks fɔ mek yu sik nɔr de igen. Dipen pan di kayn ɔpreshɔn we yu bin du ɛn aw di bon dɛn brok, yu kin ebul fɔ bigin muv bak insay sɔm wiks.

Bɔt if yu gɛt bad bad pen we nɔ de stɔp, kɔl yu dɔktɔ wantɛm wantɛm.

We yu de wɛl, yu go nid fɔ gɛt tritmɛnt fɔ yu bɔdi . Dis min se yu go nid fɔ du spɛshal ɛgzampul dɛn fɔ ɛp yu fɔ gɛt trɛnk bak ɛn fɔ muv di say we yu dɔn wund. Dis tritmɛnt go bi pat pan yu ɔl yu wɛl bɔdi plan fɔ yu ɔda injury dɛm.

Mɔs pan di sɛgmɛnt fraktrɔs dɛn kin tek lɛk wan ia fɔ wɛl . Di rayt tɛm we yu bon kin tek fɔ mek yu bon wɛl kin dipen pan aw di bɔdi brok ɛn if yu gɛt ɛni ɔda prɔblɛm.

Sɔntɛm yu nɔ go ebul fɔ go wok ɔ skul insay dis tɛm. Aw lɔng yu go nid fɔ de fa frɔm wok, skul, ɛn ɔda tin dɛn go dipen pan di patikyula injury ɛn brok bon dɛn we yu gɛt. Mek shɔ se yu chɛk wit yu dɔktɔ ɔ dɔktɔ bifo yu du ɛnitin we yu de du te yu wɛl.

Wetin wi go du fɔ mek dɛn kayn aksidɛnt dɛn ya nɔ bɔku?

I nɔ kin izi fɔ mek dɛn nɔ gɛt dɛn kayn siriɔs aksidɛnt dɛn ya kpatakpata. Bikɔs aksidɛnt kin apin di tɛm we wi nɔ de ɛkspɛkt am. Bɔt wi kin du tin dɛn lɛk dis fɔ ridyus di risk fɔ aksidɛnt na wi ɛvride layf:

• Ɔltɛm wɛr sitbɛlt we yu de rayd motoka. Wear ɛlmɛt we yu de rayd baysikul ɛn motoka.
• Wear di rayt tin fɔ protɛkt yusɛf we yu de ple spɔt ɛn ɔda tin dɛn.
• Kip yu os ɛn wokples klin ɛn nɔ gɛt tin dɛn we go mek yu slip ɛn fɔdɔm.
• We yu de ol yu an fɔ sɔntin we de ɔp na yu os, yuz di rayt tul ɔ lada ɔltɛm. Nɔ ɛva klaym pan chia ɔ tebul fɔ ol tin dɛn.
• Fɔ fala wan plan fɔ it ɛn ɛksesaiz we go ɛp fɔ mek yu gɛt gud bon wɛlbɔdi.
• If yu dɔn pas 50 ia, ɔ if pɔsin na yu famili gɛt ɔstioporosis, tɔk to yu dɔktɔ bɔt aw fɔ tɛst yu bon dɛnsiti.

Na dɛn tin ya wi kin du. Bɔt mɛmba se bɔku tɛm, aksidɛnt kin mek di sɛgmɛnt brok brok, so i kin rili at fɔ mek dɛn nɔ gɛt am kpatakpata.

Ustɛm yu fɔ go na ɔspitul wantɛm wantɛm?

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

• Pen we rili bad.
• Nɔ ebul fɔ muv wan pat na di bɔdi we nɔmal fɔ muv.
• Wan chenj na di we aw wan pat na di bɔdi de luk ɔ di we aw i de muv frɔm usay i bin de.
• Bɔn we pɔsin kin si tru di skin.
• De swɛl.
• Apat frɔm dɛn ɔda sayn ya, nyu brus dɛn kin apia.

Ɛspɛshali if yu dɔn gɛt siriɔs aksidɛnt, go na ɔspitul wantɛm wantɛm.

Impɔtant kwɛstyɔn dɛn fɔ aks di dɔktɔ

If yu mit lɛk dis, nɔ fɔgɛt fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Us bon de brok?
• Us kayn ɔpreshɔn a go gɛt fɔ du?
• Yu tink se a go gɛt fɔ du mɔ ɔpreshɔn?
• Aw lɔng i go tek fɔ mek i wɛl?

Fɔ dɔn, mɛsej we yu kin kɛr go na os

Segmental fraktrɔs na rili siriɔs injuri . Di injury wae kin kam wit dɛn kin mek pɔrsin in layf de pan denja. Di tin we denja pas ɔl bɔt dɛn injury ya na dat wi nɔ kin ebul fɔ rɛdi fɔ dɛn bifo tɛm.

Bɔt di gud nyus na dat di sakrifays we dɛn kin gɛt we dɛn kin du ɔpreshɔn fɔ mek di say dɛn we dɔn brok brok pat pan di pat dɛn kin rili bɔku . Pan ɔl we sɔntɛnde i kin tan lɛk se fɔ wɛl frɔm big injuri kin tan lɛk se i nɔ izi fɔ yu, tek yu joyn fɔ wɛl stɛp bay stɛp, ɛn gladi fɔ ɛni smɔl impɔtant tin we yu mek we yu de go. Nɔ ɛva giv ɔp op. Wi de wish yu fɔ wɛl kwik kwik wan!

` Frakshכn, sεgmεnt frakshכn, bon כpεrayshכn, aksidεnt, rεkכvεshכn tεm, כpεrayshכn kכmplikεshכn, fכshal tεrapi