yu don eva yehri di stori boht "broken spine"? Wi go mɔs dɔn yɛri am afta aksidɛnt ɔ we pɔsin fɔdɔm frɔm ay ay ples. Ɛn as wi de ol, sɔntɛm wi dɔn si sɔm grani ɛn granpa dɛn de bɛn fɔ go bifo smɔl, dat na, dɛn de bɛn. dεn tu kכndyushכn dεm ya dεn kכl dεm fכ mεdikal ‘fractured spine’. We yu yɛri dis nem, yu kin mek yu fred smɔl, bɔt nɔ fred. Nɔto ɔl di spayna dɛn we kin brok kin siriɔs. Tide, wi go tɔk bɔt ɔltin, di tin dɛn we kin mek yu gɛt dis sik, di sayn dɛm, ɛn di tritmɛnt dɛm, insay wan rili simpul we we yu go ɔndastand.
Wetin rili na di spayna we brok?
Fɔ tɔk am simpul wan, wi spayna nɔto wan lɔng bon. I tan lεk wan tawa we dεn mek wit 33 sכm sכm bon dεm (we wi kכl ‘vεrbrae’) we dεn stכk pan dεn wan dεm. Dis tawa na in de mek wi ebul fɔ tinap, bɛn, ɛn tɔn. So, we wan ɔ mכr pan dεn vεrbra dεm ya brok כ brok na wetin wi kכl frakshכn spayna . Bɔku tɛm pipul dɛn kin kɔl dis "broken spine" ɔ "broken back."
Di men tin wae kin mek dis sik na ɔstioporosis ɛn trauma, lɛk fɔ fɔdɔm, spɔt injury, ɔr motoka aksidɛnt.
Di bɛst tin na dat bɔku pan dɛn fraktrɔs ya nɔ nid ɔpreshɔn. Yu go nid fɔ wɛr spɛshal bres fɔ sɔm mɔnt. Bɔt if di bɔdi brok we bad bad wan, dɛn kin nid fɔ du ɔpreshɔn fɔ mek dɛn ripɛnt am.
Wetin na di kayn we aw yu spaynal kin brok?
Dɔktɔ go klas yu bon we brok bay sɔm tin dɛn. dat min se usai insay di bon di frakshכn apin, aw di bon brok, εn if di bon fragmεnt dεm we brok nכ de na di ples (stebul כ nכ stebul). Lɛ wi luk dɛn wan ya wan bay wan.
Dipen pan usay di brek bin apin
Wi spayna gɛt tri men pat dɛn. Fraktrɔs kin apin na ɛni wan pan dɛn pat ya.
- sεvikal spayna frakshכn: Dis kin apin na di vεrbra dεm na yu nεk.
- Thoracic spine fracture: Na frakshכn na di כp spayna, we de kכmכt frכm di nεk to di εnd pan di rib dεm.
- Lumbar spine fracture: Na frakshכn na di lכw spayna we de mek bכku pipul dεm bak pen.
Dipen pan aw dɛn brok di bon
Dis impɔtant smɔl. Tri kayn dɛn de we dɛn kin si mɔ.
| Brek tayp | Fɔ ɛksplen am simpul wan |
|---|---|
| Kɔmpreshɔn Fraktrɔs | dis na sכm sכm krak krak כ brεk dεm na di vεrbra. I tan lɛk se spɔnj de shrink we yu swɛt am. Di men tin we kin mek dis apin na ɔstioporosis . Dis kin mek di bon dɛn wik ɛn i kin brok ivin we pɔsin fɔdɔm smɔl. Sɔmtɛm, dis sik kin go fɔ lɔng tɛm ɛn nɔr kin gɛt ɛni sayn, kin mek yu nɔr gɛt sɔm inch ɔr yu kin hunch (kyphosis) . |
| Fraktrɔs we Bɔst | dis kin apin we wan wan, ay fכs impak de pan di spayna. Imajin se sɔmbɔdi de fɔdɔm frɔm wan lɔng tik ɛn land dairekt pan in fut. afta dat, bikoz fכ di hכy prεshכn pan di spayna, di vεrbra dεm kin brok insay pat dεm εn bכn. Dis na sɔntin we siriɔs smɔl. |
| Chans Fraktrɔs | Dis tan lɛk di ɔda say na di Burst Fracture we wi bin dɔn tɔk bɔt. wetin de apin ya na we di vεrbra dεm de pul apat frכm wan an. Di bɛst ɛgzampul fɔ dis na motoka aksidɛnt. If yu wɛr di lap bɛlt nɔmɔ na di sit bɛlt ɛn yu nɔ wɛr di lap bɛlt, ɛn di motoka krash wantɛm wantɛm, di ɔda pat we de dɔŋ na yu bɔdi go stɔp na di bɛlt ɛn di pat we de ɔp go trowe fɔ go bifo kwik kwik wan. afta dat di spayna kin strεch εn dis kayn frakshכn kin apin. Na dat mek i rili impɔtant fɔ wɛr di sit bɛlt kɔrɛkt wan. |
Bay stebiliti fɔ brok (Stebul vs Nɔ stebul) .
Dis na wetin dɔktɔ dɛn kin wɔri mɔ bɔt.
- Stebul Frakshכn: Na ya di bon dεn brok, bכt di pis dεm nכ de muv. Dɛn de na di rayt ples. Dis nid fɔ gɛt tritmɛnt, bɔt i nɔ go izi fɔ mek dɛn du ɔpreshɔn.
- Unstable Fracture: Dis na di kayn frakshɔn we siriɔs pas ɔl. Di bon dɛn we brok dɔn shift frɔm usay dɛn bin de. dis kin mek di spεnal kכd we na wan rili imכtant pat pan di spayna . Dis kayn fraktrɔs go mɔs nid ɔpreshɔn.
Udat kin gɛt dis sik pas ɔlman?
Infakt, ɛnibɔdi kin brok in bon bikɔs ɔf aksidɛnt. Bɔt sɔm pipul dɛn kin de pan big prɔblɛm.
- Uman ɛn pipul dɛn we dɔn pas 50 ia kin gɛt bɔku prɔblɛm.
- Yu gɛt Osteoporosis (di sik we de mek yu bɔdi lɔs).if na so, di risk fכ spεnal frakshכn (especially fכ kכmpreshכn frakshכn) rili hכy. Pɔsin we dɔn gɛt wan kin gɛt ɔda wan lɛk fayv tɛm so.
Apat frɔm dat, pipul dɛn we gɛt dɛn wɛlbɔdi prɔblɛm ya kin gɛt mɔ prɔblɛm bak:
- Kansa (especially if yu de tek kemotɛrapi ɔ redyushɔn tɛrapi) .
- Pipul wae dɔn de yuse kɔtikosterɔyd fɔ lɔng tɛm
- Di sik we dɛn kɔl haypa tayroyd
- Bɔn infɛkshɔn (Osteomyelitis) .
- Kidni sik
- Mental sik wae gɛt fɔ du wit anorexia (Anorexia Nervosa) .
- Vitamin D we nɔ de
- Pipul wae de smok ɛn drink pasmak kin gɛt bɔrku risk bak.
Wetin kin apin to di bɔdi we yu brok yu bak? Yu kin ebul fɔ waka?
We yu brok bon na yu spayna, i kin at fɔ mek yu muv nɔmal wan ɛn du yusful wok. Dis kin bi bikɔs ɔf pen.
Bɔku tɛm, yu dɔktɔ go gi yu spɛshal bres fɔ ɛp fɔ mek yu spayna stret. Dis kin mek yu nɔr fil fayn smɔl fɔ wɛr, bɔt i impɔtant fɔ mek di bon we dɔn brok wɛl fayn fayn wan.
Di kwɛstyɔn we impɔtant pas ɔl na, "Yu kin waka wit yu spayna we dɔn brok?" Di ansa na, yes, bɔku tɛm yu kin ebul. If yu kɔmpreshɔn frakt, mɔ di wan we gɛt ɔstioporosis, yu kin waka, bɔt yu go fil pen. Bɔt if di frakshɔn pwɛl di spɛnal kɔd ɛn mek yu paralayz, yu nɔ go ebul fɔ waka.
Ivin if yu gɛt smɔl smɔl sayn dɛn, if yu bak pen nɔ go dɔn insay sɔm dez, if i wɔs, ɔ if i kam wit swel, yu fɔ rili go to dɔktɔ. If yu dɔn gɛt aksidɛnt, yu fɔ go stret na di ETU (Imergency Treatment Unit).
Wetin na di sayn dɛm we de sho se pɔsin in spaynal brok?
I sɔprayz fɔ no se sɔm kɔmpreshɔn fraktrɔs nɔ kin mek pɔsin gɛt ɛni sayn. Ɔstioporosis, mɔ, nɔ kin mek yu fil pen we yu de waka. Sɔm pipul dɛn kin jɔs no se dɛn gɛt ol fraktrɔs na dɛn spayna we dɛn gɛt ɛkstrem rayt fɔ ɔda sik.
Bɔt if di sayn dɛn kin apin, dɛn kin tan lɛk aw dɛn sho na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Tɔk bɔt | ||
|---|---|---|---|
| Bak pen | Wan shap, bad bad pen we kin kam wantɛm wantɛm. Ɔ wan pen we de go ɔp smɔl smɔl as tɛm de go. Dis pen kin bɔku we yu de waka ɔ tinap. | ||
| I kin swɛl ɔ i kin gɛt sɔri-at | Di say we di frakt kin swel ɛn i kin mek i fil pen we yu tɔch am. | ||
| Di chenj we yu de chenj di we aw yu de tinap | Di chenj we yu de chenj di we aw yu de tinap | Fɔ bɛn yu bak fɔ go bifo di we aw i nɔ bin de bifo, dat min se fɔ bi hunchback. | |
| Yu nɔ de fil fayn ɔ yu nɔ de fil fayn | Tingling ɔr nɔr de fil fayn frɔm di bak to di an ɔr leg. Dis kin bi siriɔs sayn. | ||
| Di ayt we pɔsin kin lɔs | as tεm de go, di kכmpreshכn fכ mכltipכl vεrbra dεm kin ridyus yu ayt bכku bכku wan (sכmtεm i kin rich 6 inch). | ||
| Di pis we dɛn nɔ de kɔntrol | Wan sik wae yu nɔr kin ebul fɔ kɔntrol yu urine ɔr stɔl fɔ rizin wae yu nɔr ɛva gɛt bifo. Dis na rili siriɔs imejensi. Yu fɔ go na ɔspitul wantɛm wantɛm. |
Aw dɔktɔ kin fɛn dis?
We yu go to dɔktɔ, i go aks yu kwɛstyɔn dɛn fɔs ɛn du ɛgzam fɔ yu bɔdi. Dɛn go chɛk yu bak ɛn luk fɔ ɛnitin we tan lɛk yu bak, we de swel, ɔ we yu bak chenj. E fayn fɔ gi ditayli infɔmeshɔn bɔt usai yu fil de pen ɛn ustɛm i bigin.
Dɔn, dɛn go ɔda fɔ du sɔm tɛst fɔ no if dɛn dɔn no di sik.
- X-ray ɛgzamin:Dis kin mek yu si klia wan if di bon brok ɔ if di bon pat dɛn de muv rawnd.
- MRI skan: Dis kin chεk fכ nכto כnli di bon dεm na di spayna, bכt di sכft tisu dεm we de rawnd am, spεshal wan di spaynal kכd.
- CT skan: Dis kin ɛp fɔ gɛt wan rili klia, ditayli pikchɔ bɔt di damej we di bon dɛn gɛt if nid de fɔ ɔpreshɔn.
Apat frɔm dat, dɛn go aks yu fɔ du wan bon dɛnsiti tɛst (Bone Density Test ɔ DEXA scan) . Dis kin sho if yu gɛt ɔstioporosis ɛn aw i bad.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan wetin mek yu brok, di kayn we aw yu brok, ɛn usay i de na yu spayna.
Tritmɛnt dɛn we nɔto ɔpreshɔn
Di gud nyus na dat, bɔku tɛm, i nɔ kin nid fɔ du ɔpreshɔn. Di tritmɛnt dɛn we dɛn kin yuz mɔ na:
- Bracing: Dɛn go gi yu spɛshal bres fɔ mek yu spayna stret te di bon we brok wɛl fayn fayn wan. Dis kin te fɔ sɔm mɔnt.
- Fyzikal tritmɛnt: Dɛn kin gi spɛshal ɛgzampul dɛn fɔ mek di mɔsul dɛn we de rawnd di spayna strɔng. Dis kin mek yu nɔ fil pen ɛn ɛp fɔ mek yu nɔ frakt yu tumara bambay.
- Tritmɛnt fɔ Ɔstioporosis: If yu gɛt ɔstioporosis, yu dɔktɔ kin gi yu mɛrɛsin ɔ sɔpɔtmɛnt lɛk kalsiɔm fɔ mek yu bon dɛn strɔng.
Ɔpreshɔn
If di fraktrɔs de pan denja fɔ pwɛl yu spɛshal kɔd, ɔ if yu pen nɔr de bɛtɛ afta sɔm mɔnt wae yu dɔn du ɔda tritmɛnt, yu kin nid fɔ gɛt ɔpreshɔn. Tu kayn ɔpreshɔn de we dɛn kin du mɔ.
- Vɛrbrɛplasti: Insay dis prɔsidyu, di dɔktɔ we de du di ɔpreshɔn kin injɛkt wan spɛshal likwid siment insay di vɛrbra we dɔn brok fɔ mek di bon strɔng.
- Kyphoplasty: Dis na di sem tin lɛk di wan we bin de bifo, bɔt bifo di dɔktɔ injɛkt di siment, i kin put smɔl balyɔn insay di vayrɔs ɛn inflate am. Dis kin mek di bon we dɛn dɔn kɔmprɛs ɛn we dɔn shrunk kin es bak to di rayt ayt. Na da tɛm de nɔmɔ dɛn kin injɛkt di simen.
Dɛn kin du dɛn tu ɔpreshɔn ya di sem de ɛn yu kin go na os (ɔtpeshɛnt prɔsidyu). Bɔt dɛn go advays yu fɔ rɛst na bed fɔ lɛk 24 awa afta di ɔpreshɔn ɛn fɔ avɔyd fɔ es ebi ebi tin fɔ lɛk 6 wiks.
Aw fɔ ridyus di prɔblɛm?
If pɔsin in spaynal brok na siriɔs injury, so wi ɔl fɔ tray fɔ mek i nɔ apin.
- Ɔltɛm wɛr yu sit bɛlt fayn we yu de rayd motoka. Ɔl tu di lap bɛlt ɛn di sholda bɛlt na mandatory.
- Wear di sef ikwipmɛnt we yu nid we yu de ple spɔt.
- Nɔ put tin dɛn di kayn we we go mek yu slip ɛn fɔdɔm na os ɔ na wokples. Kip tin dɛn nit ɛn klin.
- Nɔ klaym pan chia ɔ tebul fɔ rich ɛnitin we de ɔp. Yuz wan lada we fit yu.
- Mek yu it tin dɛn we go ɛp yu bon ɛn du ɛksɛsayz. It tin dɛn we gɛt bɔku kalsiɔm, vaytamɛn C, ɛn D. Ɛksesaiz lɛk fɔ waka, jok, ɛn fɔ es yu wet, dat kin mek yu bon dɛn strɔng.
- If yu dɔn pas 50 ia ɔ yu gɛt famili histri bɔt ɔstioporosis, tɔk to yu dɔktɔ bɔt fɔ mek dɛn du yu bon dɛnsiti tɛst.
- If yu gɛt prɔblɛm fɔ waka ɔ yu de pan denja fɔ fɔdɔm, nɔ shem fɔ yuz ken ɔ waka.
Mɛsej we dɛn kin kɛr go na os
- "fractured spine" na sɔntin we kin apin bikɔs ɔf aksidɛnt ɔ ɔstioporosis.
- Ɛspɛshali if yu pas 50 ia, nɔ ignore bak pen we nɔ de go insay sɔm dez. Fɔ tru, yu go si dɔktɔ.
- Bɔku pan di spaynal fraktrɔs nɔ nid ɔpreshɔn, bɔt dɛn nid tritmɛnt, lɛk fɔ wɛr bres.
- Siriɔs bak pen afta aksidɛnt ɔ fɔdɔm na sayn fɔ se yu fɔ go na di ETU (Imergency Treatment Unit) wantɛm wantɛm.
- Di sayn dɛm lɛk we yu an ɛn fut nɔ de fil fayn, yu wik, ɔ yu nɔ ebul fɔ kɔntrol yu bɔdi ɛn blad, dɛn fɔ tek am se na imejensi ɛn dɛn fɔ ripɔt am to ɔspitul wantɛm wantɛm.
- If yu it fayn ɛn yu de du ɛksɛsayz ɔltɛm, dat kin mek yu bon dɛn strɔng ɛn i kin mek yu nɔ gɛt dɛn kayn bɔdi dɛn ya tumara bambay.
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