Ni an kamankun dimi bɛ an na, an yɛrɛ tɛ se k’an ka don o don baara kɛ ka ɲɛ, tiɲɛ tɛ? Tuma dɔw la, an tɛ se k’an bolow kɔrɔta, a ka gɛlɛn ka fini Changer, walima dimi tɛ se ka muɲu ni an ye fɛn dɔ kɔrɔta. Ni aw taara dɔgɔtɔrɔ dɔ fɛ nin cogo la, a bɛna aw sɛgɛsɛgɛ fɛn suguya caman na walasa ka aw kamankun dimi sababu dɔn. O ye tiɲɛ ye, O’Brien ka sɛgɛsɛgɛli ye sɛgɛsɛgɛli nɔgɔman ye, nka a nafa ka bon kosɛbɛ walasa ka a faamu tigitigi min bɛ i kamankun na.
N’an y’a fɔ cogo nɔgɔman na, O’Brien ka kɔrɔbɔli ye mun ye?
O’Brien ka sɛgɛsɛgɛli ye farikolo sɛgɛsɛgɛli nɔgɔman ye aw ka dɔgɔtɔrɔ bɛ min kɛ walasa ka a dɔn fɛn min bɛ aw kamankun dimi bila mɔgɔ la. O tɛ X-ray walima joli sɛgɛsɛgɛli ye. O ye dɔgɔtɔrɔ ka aw bolo bila yɔrɔ dɔw la, ka degun dɔɔni kɛ a la, ka a lajɛ ni dimi dɔ bɛ aw la. O bɛ wele fana ko ‘sɛgɛsɛgɛli min bɛ kɛ ni degun ye.’
Nin sɛgɛsɛgɛli in bɛ se ka taamasiɲɛw di gɛlɛyaw kan minnu bɛ sɔrɔ kamankun yɔrɔ kɛrɛnkɛrɛnnen fila la, n’o ye:
1. Ɲɛji bɛ bɔ kamankun kolotugudaw la, kɛrɛnkɛrɛnnenya la ɲɛji min bɛ yɔrɔ dɔ la min bɛ wele ko labrum (labral tear).
2. Gɛlɛya dɔ bɛ sɔrɔ acromioclaviculaire (AC) joli la , o min bɛ sɔrɔ kamankun sanfɛla la.
Nin sɛgɛsɛgɛli in bɛ se ka kɛ kɛnɛyabaarakɛla suguya caman fɛ. I n'a fo:
- Ɲɛgɛnɛsiraw furakɛbagaw
- Farikoloɲɛnajɛ furakɛlikɛlaw
- Farikoloɲɛnajɛ degebagaw
- Aw ka denbaya dɔgɔtɔrɔ (Ladonni fɔlɔw) .
Mun na o kɔrɔbɔli bɛ kɛ? A bɛ kamankun yɔrɔ jumɛnw lajɛ?
Walasa k’o faamu, an ka kan ka fɔlɔ ka dɔɔni dɔn an kamankunw ko la. Miiri k’an kamankunw ye masin ye min ka gɛlɛn kosɛbɛ, min bɛ taa sira caman fɛ. Yɔrɔba damadɔ bɛ a la. O’Brien ka sɛgɛsɛgɛli bɛ sinsin nin yɔrɔ fila in kan kɛrɛnkɛrɛnnenya la.
1. AC joli (Acromioclaviculaire joli) .
O yɔrɔ de la an kɔkolo kolo (clavicle) bɛ ɲɔgɔn sɔrɔ an kamankun kolo (scapula) sanfɛla la. N’an y’a fɔ cogo nɔgɔman na, kolo fila bɛ ɲɔgɔn sɔrɔ yɔrɔ min na, o ye kolotuguda ye, i bɛ se ka min ye ni i y’i bolo da i kamankun sanfɛ. O’Brien ka sɛgɛsɛgɛli bɛ dɛmɛ ka gɛlɛyaw dɔn i n’a fɔ kolotugudaw bɔnɛni, kolotugudaw farali, walima kolotuguda in gɛlɛya.
2. Labrum (Labrum) ye
An kamankun ye ‘bolo-ni-sokɛti’ ye. O kɔrɔ ye ko an bolokɔni sanfɛla kolo (humerus) yɔrɔ min bɛ i n’a fɔ bolokuru, o bɛ don an kamankun kolo (scapula) yɔrɔ dɔ la min bɛ i n’a fɔ tasa. Labrum ye kolotuguda ye min ka bon i n’a fɔ lastikuw, a bɛ o tasa in lamini. A bɛ kɛ i n’a fɔ bumper, a bɛ dɛmɛ ka bolokuru sabati ani a kana bɔ tasa kɔnɔ.
Tuma dɔw la, nin labrum in bɛ se ka tigɛ ka a sababu kɛ kasaara ye walima farikoloɲɛnajɛ waati. Kɛrɛnkɛrɛnnenya la ni a sanfɛla tigɛra, a bɛ wele ko SLAP tear.A bɛ fɔ fana ko `(Labrum sanfɛla, ɲɛfɛla ka taa kɔfɛ)`. O’Brien ka sɛgɛsɛgɛli fana bɛ se ka taamasiyɛn di ni o ɲɛji sugu bɛ yen.
Ka fara nin koba fila kan, nin sɛgɛsɛgɛli in bɛ dɛmɛ fana ka kamankun gɛlɛya wɛrɛw bɔ kɛnɛ kan, i n’a fɔ rotator cuff tear walima shoulder impingement syndrome, olu de ye dimi sababu ye.
O sɛgɛsɛgɛli bɛ kɛ cogo di? Taabolo kelen-kelen bɛɛ
Nin kɔrɔbɔli in ka nɔgɔn kosɛbɛ. I mago tɛ labɛn kɛrɛnkɛrɛnnen si la o kama. Dɔgɔtɔrɔ bɛna a ɲini aw fɛ aw ka sigi walima ka jɔ ka nin wale ninnu kɛ. A bɛ Kɛ yɔrɔba fla ye.
Taabolo fɔlɔ (bolokɔni duguma) .
1. Aw bɛ aw bolokɔni kɔrɔta : Aw bɛ aw bolokɔni kɔrɔta aw dimi kɛrɛ fɛ ka ɲɛ ka bɔ aw ɲɛfɛ, ka kɛɲɛ ni duguma ye (degere 90). Aw bɛ aw kɔkili to a ka tilennen to pewu.
2. Aw bɛ na ni aw bolo ye kɔnɔna na: Sisan aw bɛ o bolo kɔrɔtalen in lase dɔɔni aw fari fan fɛ (degere 10-15 ɲɔgɔn).
3. Aw bɛ aw bolo wuli : O kɔfɛ, aw bɛ aw bolo wuli ka taa kɔnɔna na, i n’a fɔ aw bɛ ji bɔn ka bɔ jifilen na, aw bolokɔnincinin bɛ duguma ka aw bolokɔfɛla ɲɛsin aw bolo tɔ kelen ma. O bɛ Weele ko ``pronation''.
4. Aw bɛ degun kɛlɛ: Sisan dɔgɔtɔrɔ bɛna aw bolokɔni minɛ a kinin fɛ ka aw bolo digi duguma. Aw ka kan ka min kɛ, o ye ka degun kɛlɛ, o kɔrɔ ye k’a ɲini ka aw bolo kɔrɔta san fɛ sanni aw k’a to a ka jigin.
Dɔgɔtɔrɔ bɛ ɲininkali kɛ ni dimi dɔ bɛ aw kamankun na nin waati in na.
Taabolo filanan (bolokɔni sanfɛ) .
1. Aw bɛ aw bolo jɔcogo Changer: Sisan aw bɛ aw bolo wuli ka taa fan wɛrɛ fɛ. I n’a fɔ i bɛ fɛn dɔ ɲini mɔgɔ dɔ fɛ, i bolokɔnincinin ɲɛsinnen bɛ san fɛ, i bolokɔnincinin ɲɛsinnen bɛ kɛnɛma. O jɔyɔrɔ in bɛ Weele ko `(supination)`. Aw bɛ aw bolo to a ka to duguma, ka a tilennen to.
2. Aw bɛ degun kɛlɛ tuguni: Dɔgɔtɔrɔ bɛna aw bolo digi duguma tuguni i n’a fɔ a tun bɛ kɛ cogo min na fɔlɔ. Aw ka kan k’a ɲini ka aw bolo kɔrɔta ka a to degun ma.
Dɔgɔtɔrɔ bɛ ɲininkali kɛ fana dimi bɛ cogo min na nin waati in na.
‘Ɲɛnajɛ ɲuman’ kɔrɔ ye mun ye?
Sisan de ye a yɔrɔ nafamaba ye. Nin sɛgɛsɛgɛli in bɛ wele ko ‘positif’ dɔrɔn ni nin cogoya fila bɛɛ dafara:
- Aw ka kan ka dimi sɔrɔ aw kamankun na a jɔyɔrɔ fɔlɔ la (ni aw bolokɔnincinin bɛ duguma).
- Ani fana, a jɔyɔrɔ filanan na (ni bolokɔni kɔrɔtalen don san fɛ), dimi min bɛ kɛ ka kɔn o ɲɛ, o ka kan ka dɔgɔya kosɛbɛ walima ka ban pewu.
Walasa ka nin jaabi in faamuya ka ɲɛ, aw ye ja lajɛ min bɛ duguma.
| Dimi bɛ yɔrɔ min na | A bɛ se ka kɛ min ye (Kɔrɔ min bɛ se ka kɛ) . |
|---|---|
| Dimi jugumanba min bɛ mɔgɔ sɔgɔ, o bɛ kɛ kamankun kolotuguda kɔnɔ | o bɛ a jira tuma caman na ko ɲɛda ɲɛji bɛ se ka kɛ . Tuma dɔw la, o dimi in bɛ taa ni ‘klik’ mankan ye. |
| Dimi min bɛ kɛ sanfɛla la kamankun sanfɛ | o bɛ a jira tuma caman na ko gɛlɛya bɛ se ka sɔrɔ AC joli la . |
Yala nin sɛgɛsɛgɛli in bɛ tiɲɛ 100% wa? Mun bɛ kɛ o kɔfɛ?
Nin ye fɛn ye an bɛɛ ka kan ka min dɔn. O’Brien ka sɛgɛsɛgɛli ye baarakɛminɛn nafamaba ye min bɛ se ka taamasiyɛn di aw ma kamankun gɛlɛya dɔ kan. Nka, a tɛ sɛgɛsɛgɛli ye min bɛ tiɲɛ 100%, min bɛ dafa. Tuma dɔw la, mɔgɔ min kamankun kɛnɛman don, o tigi bɛ se ka sɛgɛsɛgɛli in sɔrɔ hali ni gɛlɛya foyi t’a la.
O la, dɔgɔtɔrɔ tɛ a jigi da nin sɛgɛsɛgɛli kelen in jaabiw dɔrɔn kan abada. O bɛ i n’a fɔ puzzle belebeleba dɔ yɔrɔ kelen.
Dɔgɔtɔrɔ bɛ na ni dantigɛli laban ye a kɛlen kɔ ka nin sɛgɛsɛgɛli in jaabiw jateminɛ, ka fara ninnu kan:
- Aw bɛ kunnafoni minnu di: Dimi daminɛna cogo min, a kɛra waati min na, a kɛra cogo min na, a ɲɔgɔnnaw.
- Farikolo sɛgɛsɛgɛli wɛrɛw : Sɛgɛsɛgɛli wɛrɛw minnu bɛ fɛnw lajɛ i n’a fɔ kamankun lamagacogo ani fanga.
Tuma dɔw la, dɔgɔtɔrɔ bɛ se ka sɛgɛsɛgɛli caman wɛrɛw kɛ walasa ka bana in sɛgɛsɛgɛ ka taa a fɛ.
- X-ray, CT scan, walima MRI: Olu bɛ se ka kolo, kolotugudaw ani farikolo yɔrɔw ye ka jɛya kamankun kolotugudaw kɔnɔ.
- Joli sɛgɛsɛgɛliw : Aw bɛ a lajɛ ni dimi sababu bɔra bana wɛrɛw la, i n’a fɔ gosi walima sɔgɔsɔgɔninjɛ.
- Sɔgɔsɔgɔninjɛ : Nin ye opereli fitinin ye. Kamera fitininba dɔ bɛ don joli la walasa k’a dɔn gɛlɛya min bɛ a kɔnɔ.
Take-Home cikan
- O’Brien ka sɛgɛsɛgɛli ye farikolo sɛgɛsɛgɛli nɔgɔman ye, dimi tɛ min na, walasa ka kamankun dimi sababu dɔn.
- O bɛ se ka kɛ sababu ye ka ɲɛjibɔ jira kɛrɛnkɛrɛnnenya la kamankun kolotugudaw la (kɛrɛnkɛrɛnnenya la labrum) walima gɛlɛya dɔ bɛ AC joli la.
- Walasa sɛgɛsɛgɛli ka kɛ ‘positif’ ye, dimi ka kan ka ye ni bolokɔnincinin wulila ka jigin, ani dimi ka kan ka dɔgɔya ni bolokɔnincinin wulila san fɛ.
- Nin sɛgɛsɛgɛli in dɔrɔn tɛ se ka bana sɛgɛsɛgɛli kɛ. O ye jateminɛ dafalen yɔrɔ kelen dɔrɔn de ye, dɔgɔtɔrɔ bɛna min kɛ.
- Ni aw kamankun dimi bɛ to sen na, aw kana aw ɲɛmajɔ o la, nka aw bɛ taa dɔgɔtɔrɔso la min bɛ se kosɛbɛ walasa ka sɛgɛsɛgɛli kɛ ka ɲɛ.

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