Wetin na traumatik injuri?
Fɔ tɔk am simpul wan, dis min ɛni siriɔs injuri na in bɔdi . Dis injury kin mek yu blɔd bɔku ɔ yu kin gɛt siriɔs injury na yu ed. Dɛn kayn injury ya kin rili bɔku na kɔntri dɛn lɛk Amɛrika. Insay Sri Lanka, bɔku tɛm wi kin si aksidɛnt na nyuspepa ɛn na TV, nɔto so? Dɛn kayn injury ya kin apin na os, na wokples, na rod, we yu de drayv motoka, ɔ ivin we yu de waka. Bɔku pan dɛn injury ya kin bi bikɔs pɔsin fɔdɔm ɛn trafik aksidɛnt . Bɔt siriɔs injury kin apin bak we dɛn pan pɔsin, chuk am, shot am, ɔ bit am wit ebi tin. Dis na mɛdikal imejensi dɛn . If yu tink se yu ɔ ɔda pɔsin dɔn gɛt siriɔs injuri lɛk dis, yu fɔ kɔl 119 wantɛm wantɛm ɛn kɔl ambulans . Dis kayn injuri kin chenj in layf. I kin rili afɛkt yu layf ɛn di wan dɛn we de kia fɔ yu in layf. I kin tek tɛm fɔ mek i wɛl. Sɔntɛnde, i kin tek lɔng tɛm fɔ mek i wɛl. So, i rili impɔtant fɔ peshɛnt , wit yusɛf ɛn wit di wan dɛn we de arawnd yu.Wetin na di men kayn injury lɛk dis?
Dɔktɔ dɛn kin klas dɛn bad bad injury ya bay aw dɛn kin apin ɛn di ifɛkt we dɛn kin gɛt pan di bɔdi. Tri men kayn dɛn de:1. Blunt fos traumatik injuri
Dis na di kayn injuri we kin apin pas ɔl . I kin apin we sɔntin nak yu bɔdi wit pawa. Tink bɔt am lɛk we yu fɔdɔm frɔm ay ay ples, pɔsin bit yu we yu de fɛt. Dis kin mek yu bon dɛn brok, blɔd kin kɔmɔt insay yu bɔdi, blɔd kin kɔmɔt frɔm dip wund dɛn, ɔ yu kin kɔnkyushɔn bad bad wan.2. Injuri we pɔsin kin gɛt we i de spid wantɛm wantɛm (Deceleration traumatic injury) .
Dis kin apin we yu de muv wit ay spid ɛn afta dat yu stɔp wantɛm wantɛm. Fɔ ɛgzampul, if yu de drayv motoka wit ay spid ɛn nak sɔntin wantɛm wantɛm, yu ed kin go bifo ɛn nak di stiarin. Dis kin mek yu bren de bounce bak ɛn go insay yu skel, ɛn dis kin mek yu bren pwɛl .3. Penɛtret traumatik injuri
Dis na we sɔntin we shap de chuk di skin ɛn go insay di bɔdi. Fɔ ɛgzampul, if yu wund wit gɔn, yu chuk yu wit nɛf, ɔ shap tin we fɔdɔm pan yu, ɔ shrapnel we bɔm bɔm kin mek yu gɛt dis kayn injury.Wetin na big big injury we kin mek pɔsin fil bad?
Jɛnɛral wan, dɛn kin difayn ‘big big traumatik injuri’ as bɔku, layf-threating injury to bɔku pat dɛn na yu bɔdi di sem tɛm. Dɔktɔ dɛn kin yuz wan standad we fɔ no dis. Dɛn kɔl am di Injury Severity Score (ISS) .Aw dɛn kin no aw pɔsin kin wund? (Injuri Sivirit Skɔ - ISS)
Dis `ISS` sistεm de alaw dכkta dεm fכ disayd bכt εvri injuri di sem we, we dεn nכ de trit εvri wan difrεnt. Fɔ ɛgzampul, if yu gɛt traumatik injuri, dɛn kin yuz dis skɔring sistɛm fɔ disayd if dɛn fɔ kip yu na ɔspitul ɔ transfa yu to spɛshal `trauma sɛnta`. Insay dis, dɔktɔ dɛn kin luk pan dɛn tin ya:- Nɔmba fɔ di wund dɛn : Chɛk ɔmɔs wund yu gɛt pan dɛn pat ya na yu bɔdi:
- Hed ɛn nɛk
- Fes
- Trot
- Bεlε εn di bεlε
- An ɛn fut
- Kanda
- Di bad bad injury: Injury kin bi smɔl, smɔl, siriɔs, rili siriɔs, krichɔ, ɛn maksimal ɔ nɔ kin trit am. Di mɔ di injuri bad, na di mɔ di mak go ay. Fɔ ɛgzampul, dɛn kin skor smɔl injuri as wan. If yu gɛt siks mak, dat min se di injuri so siriɔs dat no tritmɛnt nɔ de we go mek pɔsin nɔ day.
Us kayn sik kin kam pan dɛn kayn injury ya?
Traumatik injury kin mek yu gɛt difrɛn kayn sik. Sɔm pan dɛn na:- Bɔn dɛn we brok , spaynal brok
- Lɔng we dɔn fɔdɔmNyumotɔraks) .
- Compartment syndrome: Dis kin apin we di prɛshɔn we de insay di tisu dɛn na sɔm pat dɛn na di bɔdi de go ɔp pasmak, ɛn dis kin mek di blɔd nɔ flɔ tru dɛn.
- Dip dip kɔt dɛn
- Ilɛktrik shɔk
- Flail chεst: insay dis, sεvεra rib dεm na di chεst de brok insay wan rכw, we de mek i at fכ brith bikoz fכ di paradoksal muvmεnt fכ da pat de na di chεst we yu de brith.
- Di injury na di ed: Sɔm ɛgzampul dɛn na di epidural hematoma, di skel frakt, di subarachnoid hemorrhage, subdural hematoma, ɔ traumatic brain injury (TBI) .
- Ɛmoraji we de kɔmɔt na di bɔdi
- Mayokardial kɔntushɔn
- Siriɔs kɔnkyushɔn
- Sivεr haypovolemia / Hypovolemic shock: Dis na shok kכndyushכn we de kכz fכ lכs bכku bכku bכdi כ wata we de kכmכt na di bכdi.
- Spinal kɔd injuri dɛn
- Traumatik abdominal injuries: Fɔ ɛgzampul, blɔd kin kɔmɔt insay di bɔdi bikɔs ɔf di damej pan di ɔgan dɛm lɛk di duodenum, pankrias, ɔ splin.
- Traumatik amputeshɔn na we pɔsin lɔs in an, lɛk in an ɔ in leg, bikɔs ɔf aksidɛnt.
- Aorta rupchɔ `(Aorta we dɔn brok)`
Wetin na di sayn dɛm fɔ dɛn injury ya?
Di sayn dɛm kin difrɛn bad bad wan dipen pan aw di injuri apin ɛn di impak we i gɛt pan di bɔdi . Fɔ ɛgzampul, if dip kɔt de afta motoka aksidɛnt, yu go si blɔd de kɔmɔt. Sɔntɛnde, yu kin si wan bon we brok tru di skin (wan kɔmpawnd fraktrɔs) . pan wan kכndishכn we dεn kכl ``flail chεst``, di chεst de at we yu de brith εn i at fכ brith. If yu gɛt wund na yu ed, yu nɔ go no natin, yu go vɔmit, ɔ yu nɔ go ebul fɔ tɔk.Aw yu kin trit injury lɛk dis?
Bɔku men tin dɛn de we dɛn kin du fɔ trit pɔsin. Sɔntɛnde dɛn kin kɔl am di ABCDE we . Di tin dɛn we yu fɔ du na:- A - Aywe: Fɔs, dɔktɔ dɛn go chɛk fɔ si if ɛnitin de we de blok yu aywe (respiratory tract) ɔ if ɛni rizin de we mek yu nɔ ebul fɔ blo .
- B - Fɔ blo: .Neks, dεn go chεk f כ si if yu de brith fayn, if yu gεt lכng we kכlaps (nyumothorax), εn if yu endotracheal tube de in ples.
- C - Sakulayshɔn: If ɛni wund de we de blɔd na do, dɛn kin trit am wantɛm wantɛm. Dɛn kin chɛk bak fɔ blɔd we de insay ɛn sayn dɛn fɔ shok.
- D - Disabiliti (nervous system disorder): Nεks, dεn de tεst fכ si if eni prכblεm de wit di nervous system כ if eni damej de pan di spεnal kכd.
- E - Exposure (Full Examination): Fɔ dɔn, dɛn kin pul ɔl yu klos ɛn dɛn kin chɛk ɔl di nook ɛn cranny na yu bɔdi gud gud wan, luk fɔ ɛni ɔda injury ɛn mek shɔ se natin nɔ mis .
Dɔktɔ dɛn kin trit di bad bad tin dɛn we kin mek pɔsin in layf de pan denja fɔs. Bɔku tɛm, dat kin min se dɔktɔ we de mɛn pipul dɛn we gɛt trauma kin du ɔpreshɔn kwik kwik wan fɔ trit injury ɔ kɔndishɔn dɛn we kin mek pɔsin in layf de pan denja.Di tritmɛnt we yu go gɛt go dipen pan di patikyula injury dɛn we yu dɔn gɛt. Yu trauma surgeon kin aks ɔda spɛshal pipul dɛn bak fɔ ɛp yu if nid de. Fɔ ɛgzampul:
- If di blɔd vesel dɛn wund, dɛn go kɔl vaskul ɔspitul dɛn (sɔjɔn dɛn we spɛshal pan blɔd vesel dɛn) .
- If di bon dɛn wund, dɛn go go to ɔtpidik ɔspitul dɛn (sɔjɔn dɛn we spɛshal pan bon sik dɛn) .
- If pɔsin gɛt injury na in bren , dɛn go kɔl nyurosɔjɔn dɛn (sɔjɔn dɛn we spɛshal pan di nervɔs sistɛm) .
- Fizik tritmɛnt: Fɔ mek di bɔdi wok fayn bak.
- Occupational therapy: Praktis fɔ du di wok dɛn we yu de du ɛvride fɔ yusɛf.
- Mental hεlth sכpכt: E kin tranga fכ bia afta big aksidεnt lεk dis. E fayn fɔ gɛt ɛp fɔ mental wɛl bɔdi prɔblɛm lɛk pwɛl hat, wɔri, ɛn post-traumatic stress disorder (PTSD) .
Yu nɔ tink se dɛn go ebul fɔ stɔp aksidɛnt dɛn lɛk dis?
Na tru se nɔto ɔl di bad bad injury dɛn we dɛn kin gɛt, dɛn kin ebul fɔ avɔyd. Bɔt, tin dɛn de we wi kin du fɔ mek wi nɔ gɛt bɔku prɔblɛm. Fɔ ɛgzampul, trafik aksidɛnt na di men tin we kin mek dɛn wund dɛn ya. So, if yu wɛr sitbɛlt ɔltɛm ɛn nɔ de drayv ɔnda rɔm ɔ drɔgs (ɛn sɔntɛnde ivin mɛrɛsin dɛn we dɛn kin gi yu), yu kin ridyus di risk fɔ wund we aksidɛnt apin. Smɔl tin dɛn lɛk fɔ tek tɛm na rod ɛn tink bɔt sef we yu de du os wok kin mek big difrɛns.Fɔ dɔn, tin dɛn we yu fɔ mɛmba
Wan bad bad injury kin apin wantɛm wantɛm. Bɔt i kin tek sɔm mɔnt, ivin sɔm ia, fɔ kɔntinyu fɔ gɛt mɛrɛsin ɛn sɔpɔt fɔ mek i wɛl. Apat frɔm di tritmɛnt we dɛn kin gi kwik kwik wan, lɛk fɔ du ɔpreshɔn pan am kwik kwik wan, ɔda ɔpreshɔn ɔ ɔda tritmɛnt dɛn kin nid fɔ du leta.We sɔntin lɛk dis kin apin, pan ɔl we di wund dɛn we de na di bɔdi kin wɛl, di skata dɛn we pɔsin kin fil kin tek tɛm fɔ wɛl, ɛn i kin las fɔ ɔl yu layf. If yu de strɛs wit di bad tin dɛn we go apin to yu we yu gɛt da kayn siriɔs injury de, ɔ if yu de fil se yu gɛt bɔku prɔblɛm, duya go to dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd . Nɔto yu wan de, ɛn nɔ ɛva shem fɔ aks fɔ ɛp.
` Injuri, aksidɛnt, imejensi tritmɛnt, fɔs ɛd, ɔpreshɔn, wɛlbɔdi, sef
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