Yu gɛt dis kayn pen na yu bon dɛn? I kin bi wan strɛs fraktrɔs!

Yu no, sɔntɛnde we wi de ple spɔt, du sɔm wok dɛn we de mek wi tranga, ɔ we wi kɔmɔt na wokples, wi kin bigin fɔ fil wan strenj pen na wi leg ɔ an, nɔto so? I tan lɛk se da pen de de wɔs mɔ ɛn mɔ, ɛn i tan lɛk se i nɔ de ɛva go? If na so, wetin a go tɛl yu go rili impɔtant to yu. Tide, wi go tɔk bɔt wan sik we dɛn kɔl strɛs fraktrɔs .

Wetin na strɛs fraktrɔs?

Fɔ tɔk am simpul wan, strɛs frakt na smɔl krak krak na yu bon. Dis na bon we brok, we min se bon de brok. Bɔt nɔto big wan we de brok tu. As di nem sho, dis kכndyushכn kin apin we wan bon strεs pasmak fכ lכng tεm.

Sɔntɛnde, dɔktɔ dɛn kin kɔl dɛn tin ya ‘ɔva yuz injury’ . Yu gɛt am? Dat min se dɛn kin apin mɔ we yu de yuz di sem pat na yu bɔdi bɔku tɛm, ɛn du di sem kayn tin. Yu go dɔn yɛri bak we dɛn kɔl dɛn ‘hairline fractures’ . Dat na bikɔs wan smɔl krak krak de na di bon, lɛk wan strɛch we gɛt ia na yu ed.

Usay strɛs fraktrɔs kin apin mɔ?

Dɛn strɛs fraktrɔs ya kin apin na di bɔdi we gɛt wet , mɔ na yu bɔdi we de dɔŋ. Dis na di bon dɛm we de bia di wet fɔ yu wan ol bɔdi we yu tinap ɛn waka. Dɛn kin kɔmɔn pas ɔl na:

• di lכw pat pan yu leg: dat na di shin bon (`tibia`) εn di tin bon we de na di כda say (`fibula`).
• na yu fut: spεshal wan di ankכl εn di il, εn di bon dεm we de kכnεkt yu fut finga dεm (mεtatarsal dεm).
• Na yu il: Dat min se, na di bon we dεn kכl `kalkaneus`.

Dis na di ples dɛn we pipul dɛn kin go. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, strɛs frakt kin apin bak na ɔda say dɛn. Fɔ ɛgzampul:

• Yu lכw bכk (lumbar spine).
• Na di hip dɛn.
• Na di an ɛn di an dɛn.

Aw kɔmɔn dɛn strɛs fraktrɔs ya kin bi?

Infakt, dɛn bad bad tin ya kin apin to spɔtman dɛn ɛn di wan dɛn we de du tranga wok we dɛn kin du na dɛn bɔdi. Akɔdin to masta sabi pipul dɛm, strɛs fraktrɔs de mek lɛk 20% pan ɔl di injury dɛm we gɛt fɔ du wit spɔt. So imajin aw dɛn kɔmɔn.

Wetin na di sayn dɛm fɔ strɛs frakt? Wetin yu de fil?

Di men sayn dɛm fɔ strɛs fraktrɔs na:

• Pen: Dis na di men tin. Di pen kin bigin we yu du sɔntin fɔ du wit yu bɔdi ɛn smɔl smɔl i kin go ɔp.
• Pen wae nɔr kin stɔp afta yu dɔn stɔp fɔ du tin: Sɔmtɛm de pen kin kɔntinyu ivin afta yu dɔn stɔp fɔ wok.
• Fɔ fil pen ivin we yu de rɛst:Sɔm pipul dɛn kin fil mɔ pen we dɛn de slip ɔ ivin jɔs tinap.
• Tɛnd: Yu kin fil bad bad pen ivin we yu tɔch di bon we dɔn afɛkt jisnɔ.
• Swel: Di say we di pen de apin kin swel bak.

Fɔ bɔku pipul dɛn, di pen kin stɔp afta dɛn dɔn stɔp fɔ du ɛksɛsayz. Bɔt, dipen pan usay di strɛs fraktrɔs de, yu kin fil pen ɔltɛm. Bikɔs dɛn tin ya kin apin mɔ na di leg ɛn fut, di pen kin wɔs we yu de waka, tinap, ɔ put wet pan di bon we gɛt di sik.

Bɔku tɛm yu go fil se di pen de na di say we yu de, nia di say we di pen brok. Fɔ ɛgzampul, if yu gɛt strɛs fraktrɔs na yu fut, di wan ol fut kin at, bɔt di say we de rawnd di bon we dɔn pwɛl go mek yu fil pen pas ɔl ɛn i kin mek yu fil pen tumɔs fɔ tɔch.

Wetin mek dɛn strɛs fraktrɔs ya kin apin?

Bɔrku tɛm, dɛn kin kɔl strɛs fraktrɛshɔn injury wae yu de yuz pasmak , ɔr injury wae yu de yuse pasmak. Fɔ tɔk am simpul wan, dɛn kin apin we di bon strɛs pasmak fɔ lɔng tɛm ɛn i nɔ kin gɛt bɛtɛ tɛm fɔ mek i wɛl afta i dɔn du in bɔdi wok. Stress fracture nɔ kin apin wantɛm wantɛm. Dɛn kin divɛlɔp smɔl smɔl. Dɛn kin apin we yu kɔntinyu fɔ du di sem kayn muvmɛnt (fɔ ɛgzampul, we yu de tren fɔ spɔt ɔ du di sem kayn wok ɔl di de na wokples).

I kin bigin as inflamɛns na di say we di bon de. Dɔktɔ dɛn kin kɔl am ‘stress reaction.’ I tan lɛk se dɛn de brus di bon frɔm insay. If da strɛs riakshɔn de nɔ wɛl, ɛn kɔntinyu prɛshɔn de pan da eria de, di bon kin krak ɛn gɛt strɛs fraktrɔs. As tɛm de go, da tin de we tan lɛk brus kin go dip dip wan insay di bon, ɛn dis kin mek di bon wik te i dɔn brok. Na da tɛm de strɛs riakshɔn kin bi strɛs fraktrɔs.

Na sɔm tin dɛm wae kin mek pɔrsin gɛt strɛs fraktrɛshɔn:

• Kɔntinyu fɔ praktis we yu nɔ rɛst fayn.
• Fɔ stat nyu spɔt ɔ fɔ du bɔdi wok we yu nɔ gɛt di rayt trenin, gayd, ɔ di rayt tin dɛn fɔ du. Imajin, if yu bigin rɔn fɔ mayl dɛn wantɛm wantɛm ɛvride, ɔ if yu bigin fɔ waka bak ɛn du am ɔltɛm we yu nɔ rɛst, yu leg bon dɛn nɔ go ebul fɔ bia di nyu strɛs.
• Wantɛm wantɛm, yu de mek yu aktiviti lɛvɛl go ɔp wantɛm wantɛm (we yu de du ɛksɛsayz, trenin, ɔ ɔda tin dɛn we yu de du fɔ mek yu bɔdi go ɔp wantɛm wantɛm).
• Fɔ chenj di say we yu de tren ɔ wok pan (e.g., pɔsin we de rɔn pan indo trak bigin fɔ rɔn na rod, ɔ muf go na difrɛn wok usay dɛn de wok pan had say lɛk kɔnkrit).
• Fɔ wok ɔ tren we yu nɔ gɛt di rayt ikwipmɛnt tan lɛk we yu de rɔn we yu nɔ gɛt sus.
• Speshal pan wan spɔt we i yɔŋ. Sɔm yɔŋ pikin dɛn kin ple di sem spɔt ɔlsay na di ia, ɛn dɛn nɔ kin tek ɛni brek bitwin dɛn. Dɛn pikin ya kin gɛt strɛs fraktrɔs pas pikin dɛn we de ple difrɛn spɔt dɛn.

Udat de pan big risk fɔ gɛt strɛs fraktrɔs?

Atlet dɛn we de ple spɔt we de put bɔku prɛshɔn pan dɛn bɔdi we de dɔŋ kin gɛt bɔku prɔblɛm dɛn ya. Dɛn tin ya na:

• Rɔnin (distans rɔn ɛn atletiks) .
• Basketbɔl we dɛn kin ple
• Tɛnis we dɛn kɔl
• Jimnastik (jimnastik kin gɛt strɛs fraktrɔs bak na di an ɛn di an) .
• Dans

Apat frɔm dat, sɔm wɛlbɔdi prɔblɛm dɛn kin mek yu gɛt strɛs fraktrɔs:

• Ɔstioporosis: Dis kin mek di bon dɛn wik. Sɔntɛnde, dɔktɔ dɛn kin kɔl di fraktrɔs we dis sik kin mek ‘insufficiency fractures’.
• Bunions: Na wan tin we de mek di big fut nɔ fayn.
• Ay arch fut dɛn.
• Flat fut dɛn.
• Vitamin D we nɔ de.
• We pɔsin wet pasmak ɔ we fat pasmak.
• Di prɔblɛm dɛn we pɔsin kin gɛt we i de it.

Aw dɔktɔ dɛn kin no if pɔsin gɛt strɛs we i brok?

Dɔktɔ go no se pɔsin gɛt strɛs fraktrɔs mɔ bay we i de chɛk in bɔdi . Dɛn kin yuz imej tɛst bak fɔ kɔnfirm di diagnosis ɛn tek pikchɔ fɔ di frakt.

Di dɔktɔ go chɛk di say we yu de fil pen. Mek shɔ se yu tɔk bɔt wetin yu bin de du we yu bin fɔs fil di pen ɛn ɔda sayn dɛn.

Di dɔktɔ kin aks yu fɔ tinap pan wan leg ɛn afta dat di ɔda wan, ɔ fɔ jomp smɔl. Dis go ɛp am fɔ ɔndastand usay yu kin gɛt strɛs fraktrɔs ɛn aw i kin afɛkt yu nɔmal muvmɛnt.

Us tɛst dɛn kin ɛp fɔ no if pɔsin gɛt di sik?

Yu dɔktɔ kin yuz dɛn tɛst ya fɔ tek pikchɔ fɔ yu bon dɛn:

• X-ray: Bɔt mɛmba se sɔntɛnde, yu nɔ go si klia wan pan di strɛs fraktrɔs pan ɛkstrem rayt if na nyu tin.
• MRI (Magnetic Resonance Imaging - MRI): Bɔku tɛm dis kin si klia wan strɛs fraktrɔs, ivin smɔl krak krak na di bon.
• CT skan (Computed Tomography - CT scan): Dis kin tek ditayla pikchɔ bak fɔ di bon.
• Skan fɔ di wan ol bɔdi bon:Dis na spɛshal tɛst we de ɛp fɔ fɛn say dɛn we gɛt prɔblɛm na di bon dɛn.

Aw dɛn kin trit strɛs fraktrɔs?

Yu dɔktɔ go tɛl yu fɔ trit yu bay usay di pɔsin we brok ɛn aw yu sik bad bad wan. Di tritmɛnt dɛn we dɛn kin yuz mɔ na:

• Rɛst: Dis na di tin we impɔtant pas ɔl. Yu fɔ stɔp fɔ du fyzikal aktiviti – mɔ di spɔt ɔ aktiviti we mek di frakt.
• Aysin: Put ays ɔ kol pak pan di bon we wund. Rap di ays pak wit tin tawɛl fɔ mek i nɔ kɔntakt di skin dairekt wan. Yu dɔktɔ go tɛl yu aw lɔng fɔ put di ays ɛn ɔmɔs tɛm insay di de fɔ put am.
• Di tin dɛn we de mek pɔsin nɔ fil pen: Di mɛrɛsin dɛn we dɛn kin bay we dɛn kin bay tin dɛn we nɔ gɛt sterɔyd anti-inflammatory drugs (NSAID) (e.g., ibuprofen) ɛn acetaminophen (e.g., Panadol) kin ɛp fɔ ridyus di pen ɛn swɛlin. Yu dɔktɔ kin tɛl yu bak fɔ yuz lidokɛyn pat fɔ mek di say we de rawnd di say we di bɔdi brok nɔ gɛt bɛtɛ trɛnk. Mɛmba se nɔ tek mɛrɛsin fɔ mek yu nɔ fil pen fɔ pas 10 dez we yu nɔ gɛt dɔktɔ advays.
• Fɔ ɛlevɛt yu injuri: Tray fɔ kip di bon we wund ɔp di lɛvɛl na yu at as yu ebul. Fɔ ɛgzampul, if di strɛs fraktrɔs de na yu leg ɔ fut, yu kin rɛst yu leg pan pilo we yu de ledɔm.
• Kɔmpreshɔn: Dis kin ɛp fɔ ridyus di swɛlin bay we i de mek di blɔd nɔ flɔ to di bon we wund. Put kɔmpreshɔn bandej ɔ rap rawnd di frakt.
• Immobilization: Yu kin nid fɔ wɛr plasta of Paris (cast), spɛshal but ɔ shuz, fɔ sɔpɔt di injuri ɛn ridyus prɛshɔn pan am.
• Krɔch: Yu dɔktɔ kin se yu fɔ yuz krach fɔ ridyus di wet pan di bon we wund.

Yu tink se we pɔsin strɛs frakt, i nid fɔ ɔpreshɔn?

Bɔrku pipul nɔr nid ɔpreshɔn fɔ strɛs fraktrɔs. Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn if di frakt nɔ de wɛl ɔ if yu gɛt siriɔs sik dɛn we rili bad. Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn if di bɔdi brok na bon we kin mek ɔda prɔblɛm dɛn (lɛk di hip jɔyn).

wan dɔktɔ we de du ɔpreshɔn go du wan ɔpreshɔn we dɛn kɔl ‘internal fixation’ . We dɛn de du dis ɔpreshɔn, dɛn go put pin, skru, ɔ mɛtal plet fɔ ol yu bon togɛda te i wɛl. Yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go ɛksplen to yu wetin fɔ ɛkspɛkt ɛn aw lɔng i go tek fɔ mek i wɛl.

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

Yu go bigin fɔ fil fayn jɔs lɛk aw yu stɔp fɔ put prɛshɔn pan di bon we wund ɛn bigin fɔ trit di sayn dɛm.Bɔt ilɛksɛf yu fil fayn, nɔ bigin fɔ tren, ɛksesaiz, ɔ wok bak te yu dɔktɔ tɛl yu fɔ du dat. I go tek at le sɔm wiks fɔ mek yu bon wɛl ɛn yu kin go bak fɔ du bɔku tin dɛn. If yu bigin fɔ wok tumɔs kwik, di frakshɔn kin kam bak ɔ i kin wɔs.

Aw yu go mek yu nɔ gɛt strɛs frakt?

If yu fala dɛn step ya, dat kin ɛp fɔ mek yu nɔ gɛt strɛs fraktrɔs:

• Stɔp fɔ du ɛksɛsayz ɔ trenin jɔs afta yu fil pen. Nɔ ɛva "play tru pen."
• Wom yusɛf bifo yu du yu bɔdi wok ɛn kol afta yu dɔn.
• Yuz di rayt ikwipmɛnt fɔ ɛni spɔt ɛn fɔ du fizik aktiviti (e.g., wan pe fɔ gud sus).
• Yu fɔ fala wan fayn it ɛn ɛksesaiz plan.
• Si dɔktɔ jɔs afta yu fil pen ɔ ɔda sayn dɛn.

Aw lɔng i kin tek fɔ wɛl frɔm strɛs fraktrɔs?

Bɔrku pipul dɛn go nid fɔ rɛst fɔ at le sɔm wiks afta dɛn dɔn sɔfa wit strɛs fraktrɔs, ɛn dɛn kin nid fɔ avɔyd spɔt ɛn ɔda bɔdi fɔ sɔm mɔnt.

As lɔng as yu fil pen, di bon stil wik na da say de ɛn i kin brok bak na di sem ples. Wan strɛs fraktrɔs kin tek lɛk 6 to 8 wiks fɔ wɛl. Stɔp di aktiviti dɛm wae mek di strɛs frakt te i wɛl.

Di dɔktɔ go tɛl yu aw lɔng yu nid fɔ rɛst frɔm spɔt ɛn ɛksesaiz.

Aw a kin tek kia ɔf misɛf afta a gɛt strɛs frakt?

Nɔ bigin fɔ du yu bɔdi bak te yu dɔktɔ tɛl yu fɔ du dat. If yu put prɛshɔn pan yu bon bak bifo i gɛt tɛm fɔ wɛl, i go mɔs bi se yu go wund bak.

• Aks yu dɔktɔ we i sef fɔ inkrisayz yu aktiviti lɛvɛl bak.
• Tɔk to dɔktɔ bifo yu bigin fɔ du nyu ɛksɛsayz program ɔ yu fɔ du wok we nid fɔ du bɔku tin dɛn pas aw yu dɔn yus fɔ du.
• If yu na pɔsin we de rɔn, wɛr sus we fit yu fɔ rɔn. Yu fɔ chenj yu rɔn sus ɛvri 300 mayl (lɛk 480 kilomita).
• Tray fɔ du tin dɛn we nɔ gɛt bɔku impak (e.g. fɔ swim, fɔ rayd baysikul).

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ jɔs afta yu notis ɛni nyu sayn, lɛk pen ɔ swɛlin. Ivin if yu nɔ gɛt strɛs fraktrɔs, yu dɔktɔ kin chɛk yu injury ɛn tɛl yu fɔ tek tritmɛnt fɔ mek yu nɔ gɛt mɔ siriɔs prɔblɛm dɛn.

Lisin to yu bɔdi if yu fil pen we yu de du yu bɔdi ɛn afta yu dɔn du yu bɔdi. Pen na di fɔs sayn we de sho se yu nid fɔ stɔp ɛn rɛst.If yu stɔp fɔ du yu bɔdi ɛn go to dɔktɔ jɔs lɛk aw yu fil pen ɛn ɔda sayn dɛn, yu go mek yu nɔ gɛt strɛs fraktrɔs.

A nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

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

If yu tink se yu bon brok, yu fɔ go to dɔktɔ kwik kwik wan. Go na di imejensi rum if yu gɛt ɛni wan pan dɛn sayn ya:

• Pen we rili bad.
• If yu nɔ ebul fɔ muv wan pat pan yu bɔdi.
• If wan pat na di bɔdi luk lɛk se i nɔ kɔmɔn ɔ i tan lɛk se i dɔn muf kɔmɔt na in ples.
• If yu kin si yu bon tru yu skin.
• De swɛl.
• If nyu brus de apia wit dɛn sayn ya.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Na sɔm gud kwɛstyɔn dɛn ya:

• A gɛt strɛs frakt ɔ ɔda injuri?
• Us kayn tritmɛnt a nid?
• Yu tink se a go nid ɔpreshɔn?
• Aw lɔng a fɔ avɔyd fɔ spɔt ɔ fɔ du bɔku tin dɛn?
• Aw a fɔ inkrisayz mi aktiviti lɛvɛl smɔl smɔl we i sef fɔ bigin tren bak?

Yu kin waka wit strɛs frakt? Yu tink se i go wɛl fɔ insɛf?

Yu kin ebul ɔ nɔr kin ebul fɔ waka nɔrmal wit strɛs fraktrɔs. I dipen pan us bon dɔn brok ɛn aw yu sik bad bad wan. Yu dɔktɔ go tɛl yu us kayn muvmɛnt we sef te yu wɛl. Nɔ rɔn, jomp, ɛksesaiz, ɔ du ɛnitin we de mek yu strɛs we yu nɔ tɔk to yu dɔktɔ.

Ɔl di strɛs fraktrɔs fɔ gɛt dɔktɔ fɔ no ɛn trit am. Pan ɔl we rɛst ɛn tɛm fɔ wɛl na di tritmɛnt dɛn we dɛn kin yuz mɔ, yu fɔ stil mek dɔktɔ chɛk yu injuri ɛn no if yu wund bifo yu go bak fɔ spɔt ɔ ɔda tin dɛn fɔ du.

If yu si sayn dɛm fɔ strɛs fraktrɔs, go to dɔktɔ. Di kwik we yu gɛt diagnosis, na di mɔ yu bon go bigin fɔ wɛl kwik kwik wan. Yu dɔktɔ go ɛksplen wetin mek di strɛs frakshɔn apin ɛn aw fɔ mek yu nɔ gɛt injury tumara bambay.

Fɔ dɔn, di mɛsej we impɔtant pas ɔl (Take-Home Message) .

Stress fracture na wan pan di injury wae kin kam pan atlet ɛn pipul dɛm wae de du wɛl bɔdi. Wi kin ɔndastand se yu fil bad we yu no se di spɔt we yu lɛk, ɔ ivin di we aw yu de tren, go dɔn mek yu gɛt dis injuri. Bɔt, nɔ rɔsh fɔ mek yu wɛl. Yu bon ɛn bɔdi nid tɛm fɔ wɛl.

Si dɔktɔ jɔs afta yu fil ɛni sayn fɔ strɛs fraktrɔs. I kin no se yu wund ɛn tɛl yu fɔ gi yu tritmɛnt we go mek yu go bak na di fil, kɔt, ɔ trak kwik ɛn sef wan. Di tin we impɔtant pas ɔl na fɔ lisin to yu bɔdi.

` Stress Fracture, Bon Fracture, Spɔt Injuri, Fut Pen, Leg Pen, Ova yuz Injuri, Bon Wɛlbɔdi