Wi kin gɛt fɔ gɛt aksidɛnt di tɛm we wi nɔ bin de ɛkspɛkt. Na dis kayn tɛm, chans de fɔ mek siriɔs injuri tɔn wi wan ol layf ɔpsayd. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dɛn kayn injuri ya `(Traumatic Injury)`. Dis na wan sik we rili siriɔs ɛn we kin mek pɔsin in layf de pan denja. So, i rili impɔtant fɔ mek ɔlman no bɔt dis fayn fayn wan .
Fɔ tɔk am simpul wan, wetin na bad bad injury?
Fɔ tɔk am simpul wan, ``Traumatic Injury'' na ɛni bɔdi injuri we kin apin bikɔs ɔf aksidɛnt ɛn we kin mek di bɔdi pwɛl bad bad wan, sɔm tɛm dɛn kin ivin mek pɔsin in layf de pan denja. Fɔ ɛgzampul, wan injuri we mek pɔsin blɔd pasmak ɔ pɔsin we gɛt siriɔs injuri na in ed kin fɔdɔm insay dis kategori.
Infakt, dɛn kayn injury ya kin rili bɔku na Sri Lanka. Bɔku pan di pasɛnt dɛn we dɛn admit na ɔspitul imejensi dipatmɛnt (ETU) ɛni de dɔn gɛt dɛn kayn injuri ya. Dɛn injury ya kin apin na os, na wokples, ɔ we yu de drayv ɔ waka na rod.
Bɔku tɛm , na fɔdɔm ɛn motoka aksidɛnt na di men tin dɛn we kin mek dɛn gɛt dɛn siriɔs injury ya. I kin kam bak bikɔs ɔf fɛt-fɛt lɛk fɔ bit pɔsin, fɔ chuk pɔsin wit sɔd, ɔ fɔ shot am.
Di tin we impɔtant pas ɔl na dat siriɔs injuri lɛk dis na mɛdikal imejensi . If yu tink se yu ɔ ɔda pɔsin dɔn gɛt siriɔs injury, kɛr dɛn go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Aksidɛnt lɛk dis na tin we kin chenj in layf. Nɔto yu nɔmɔ i de afɛkt, bɔt i de afɛkt yu famili mɛmba dɛn bak we de kia fɔ yu. I kin tek tɛm fɔ mek pɔsin wɛl frɔm injuri lɛk dis. Di we aw pɔsin kin wɛl kin sloslo. So, i rili impɔtant fɔ mek yu peshɛnt wit yusɛf ɛn di wan dɛn we de arawnd yu.
Ɛni siriɔs kayn injury de?
Yɛs, dɔktɔ dɛn kin klas dɛn injury ya bay aw dɛn apin ɛn di ifɛkt we dɛn gɛt pan di bɔdi. Tri men kayn dɛn de. Lɛ wi luk dis fɔ mek i izi fɔ ɔndastand.
| Tayp fɔ injuri | Wan simpul ɛksplen |
|---|---|
| Blunt fos trauma we yu kin gɛt | Dis na di kayn we we pipul dɛn kin gɛt mɔ. I kin apin we sɔntin nak di bɔdi bad bad wan. Fɔ ɛgzampul, we pɔsin fɔdɔm frɔm ay ay ples, we motoka bang am, ɔ sɔntin nak am bad bad wan. Dis kin mek yu bon dɛn brok, blɔd de kɔmɔt insay yu bɔdi, dip wund dɛn, ɛn yu ed kin wund bad bad wan (we yu kin kɔnkyushɔn bad bad wan). |
| Injury we pɔsin kin gɛt we i de stɔp fɔ du sɔntin wantɛm wantɛm (Deceleration trauma) . | Imajin se yu de insay motoka we de muv wit ay spid ɛn i krash pan sɔntin wantɛm wantɛm. Yu bɔdi bak de go bifo wit di sem spid ɛn dɛn de bit yu. If yu ed nak di stiarin, di bren we de insay yu ed kin bounce bak ɛn go bifo pan yu skel. Dis kin mek yu bren pwɛl bad bad wan. |
| Trauma we de go insay pɔsin in bɔdi | Dis kin apin we sɔntin we shap go insay di skin ɛn go insay di bɔdi. Sɔm ɛgzampul dɛn na we pɔsin chuk am wit nɛf ɔ we i wund wit gɔn. Dis kayn injuri kin apin bak we dɛn pul shap tin (lɛk waya) dɔŋ ɔ fɔdɔm pan, ɔ we shrapnel brok am we i bɔn. |
Aw dɔktɔ kin disayd se dis na "big siriɔs injuri"?
Jɛnɛral wan, if bɔku bɔku injuri dɛn we de mek pɔsin in layf de pan denja apin wan tɛm na bɔku say dɛn na di bɔdi, dɛn kin tek am se na "big siriɔs injuri." Dɔktɔ dɛn kin yuz wan standad we fɔ no aw dɛn injury ya kin tranga. Dɛn kɔl am di Injury Severity Score (ISS) .
Dis sistɛm de ɛp dɔktɔ dɛn fɔ disayd fɔ du tritmɛnt bay we dɛn de luk ɔl di sikman dɛn di sem we. Fɔ ɛgzampul, dis skɔring sistɛm de ɛp dɛn fɔ disayd if dɛn fɔ kip pɔsin we sik na ɔspitul ɔ transfa am to ɔda ɔspitul fɔ spɛshal tritmɛnt.
Aw yu kin gi dɛn mak ya?
Dɔktɔ dɛn kin tink bɔt tu men tin dɛn:
- di nɔmba fɔ di wund dɛn: Rɛkɔd ɔmɔs wund dɛn de na sɔm men pat dɛn na di bɔdi (ed ɛn nɛk, fes, trot, bɛlɛ ɛn bɛlɛ, an ɛn fut, ɛn skin).
- Di kayn bad bad injuri: Dɛn kin asɛs di injuri as smɔl, smɔl, siriɔs, rili siriɔs, krichɔ, ɔ nɔ go ebul fɔ mɛn. Di mɔ di injuri siriɔs, na di mɔ di mak go ay.
bay dεn tin ya, dεn kin no di tri men εria dεm na di bכdi we gεt di mכst siriכs injuri, dεn kin skכ, εn las las dεn kin kכl wan ISS skכ. If yu gɛt ISS mak we na 15 ɔ pas dat, dɛn kin tek am se na big big injuri.
Us ɔda mɛrɛsin kin kam wae pɔrsin gɛt injury lɛk dis?
Wan siriɔs injury kin mek i gɛt difrɛn kayn mɛrɛsin. Sɔm pan dɛn na:
- Bɔn dɛn we brok , ivin we yu spɛnal brok.
- Di lɔng we dɔn fɔdɔm.
- Dip dip kɔt dɛn.
- Ilɛktrik shɔk.
- Flail di chɛst.
- Traumatik bren injuri (TBI) na siriɔs injury na di ed, lɛk we di skel brok ɔ we blɔd de kɔmɔt na di bren.
- Blɔd we de kɔmɔt pasmak (Ɛmoraji).
- Hypovolemic shock na wan sik wae de kam wae yu blɔd prɛshɔn go dɔŋ.
- Spinal kɔd injuri dɛn .
- di bכdi we de bכn insay di bכdi bikoz fכ di damej pan di intanεt כgan dεm (e.g. pankrias, splin).
- Traumatik amputeshɔn na we pɔsin lɔs in an, lɛk in an ɔ in leg, bikɔs ɔf aksidɛnt.
- Aorta, we na wan big blɔd vesel, kin brok.
Aw dɛn kin gi tritmɛnt na di Imejɛnsi Tritmɛnt Yunit (ETU)?
We dɛn dɔn kɛr pɔsin we sik go na di imejensi rum, di mɛdikal tim kin tek akshɔn kwik kwik wan ɛn du di men tin dɛn we dɛn nid fɔ sev layf. dis prכsεs dεn kכl am di ABCDE mεtכd.
| Step dɛn we yu fɔ du | Wetin dɛn de du |
|---|---|
| A - Di we aw di briz de blo | Di fɔs tin we yu fɔ du na fɔ chɛk if di pɔsin kin ebul fɔ blo fayn ɛn if di say we di briz de blo dɔn blok. |
| B - Fɔ blo | Dɛn kin chɛk aw pɔsin de blo. Dɛn kin chɛk wan kɔndishɔn lɛk we di lɔng we dɔn fɔdɔm (nyumothorax). dεn de chεk di εndotrakial tכb fכ mek sכh se i de insay in ples fayn fayn wan. |
| C - Sirkuleshɔn | If wund dɛn de we de blɔd na do, dɛn kin trit dɛn wantɛm wantɛm. Dɛn kin chɛk dɛn bak fɔ si sayn dɛn we de sho se di pɔsin de blɔd insay di bɔdi ɛn if di pɔsin de go na shɔk. |
| D - Disabiliti (Nɛvɔs Disɔda) . | Dɛn de du di tɛst dɛn we dɛn nid fɔ no if di nervɔs sistɛm ɔ di spɛshal kɔd dɔn pwɛl. |
| E - Eksposhɔn (ful tɛst) . | Rimov ɔl di pɔsin in klos ɛn tek tɛm chɛk di wan ol bɔdi fɔ mek shɔ se dɛn nɔ mis ɛni wund we yu nɔ go si. |
Dɔktɔ dɛn kin trit di bad bad tin dɛn we kin mek pɔsin in layf de pan denja fɔs fɔs ɔltɛm. Bɔku tɛm, spɛshal dɔktɔ kin du ɔpreshɔn kwik kwik wan fɔ mek i ebul fɔ kɔntrol di bad bad tin dɛn we kin apin to pɔsin ɔ di tin dɛn we kin mek i day.
Di tritmɛnt we yu go gɛt go dipen pan di kayn injury dɛn we yu gɛt. Yu kin nid bak fɔ aks fɔ ɛp frɔm ɔtpidik spɛshal pipul dɛn ɛn nyurosɔjɛn dɛn.
Dɛn fɔ kɔntinyu fɔ gi di tritmɛnt ɔl di tɛm we pɔsin de wɛl. Fɔ ɛgzampul:
- Fizik tɛrapi
- Ɔkupeshɔn tɛrapi
- Fɔ gi saykilɔjik sɔpɔt - fɔ ɛp wit kɔndishɔn lɛk pwɛl hat, wɔri, ɛn pɔst-traumatik strɛs disɔda (PTSD).
Yu nɔ tink se dɛn go ebul fɔ stɔp aksidɛnt dɛn lɛk dis?
Aksidɛnt nɔ kin ebul fɔ stɔp 100% pan di tɛm. Bɔt tin dɛn de we wi kin du fɔ mek wi nɔ gɛt bɔku aksidɛnt. Fɔ ɛgzampul, motoka aksidɛnt na di men tin we kin mek pipul dɛn wund bad bad wan.
Ɔltɛm wɛr sit bɛlt we yu de rayd motoka. Nɔ ɛva drayv we yu dɔn drink rɔm ɔ tek drɔgs, ɔ we yu tek ɛni mɛrɛsin we go mek yu slip, ilɛksɛf dɔktɔ tɛl yu. Dɛn simpul tin ya kin sev yu layf.
Siriɔs injuri kin apin wantɛm wantɛm. Bɔt i kin tek sɔm mɔnt, ivin sɔm ia fɔ mek i wɛl. Pan ɔl we di wund dɛn we pɔsin kin gɛt na in bɔdi kin wɛl, di wund dɛn we pɔsin kin gɛt we i de fil kin tek tɛm fɔ wɛl. If yu wan de strɛs wit di ifɛkt dɛm we aksidɛnt lɛk dis kin gɛt, duya go to yu dɔktɔ fɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
- Traumatic Injury de tɔk bɔt siriɔs injury wae kin mek pɔrsin in layf de pan denja ɔr kin ivin kil am.
- Fɔdɔm ɛn motoka aksidɛnt na di men tin dɛn we kin mek dɛn tin ya apin.
- Injuri lɛk dis na mɛdikal imejensi. Tek di pɔsin go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Di we aw pɔsin kin wɛl kin tek tɛm. Mental wɛlbɔdi impɔtant jɔs lɛk aw bɔdi wɛlbɔdi impɔtant.
- If yu fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm (e.g. fɔ wɛr sit bɛlt, nɔ fɔ drink ɛn drayv), yu kin ridyus di risk fɔ aksidɛnt.
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