Yu bon dɛn nɔ de gɛt inof blɔd? Dɛn kɔl dis Avaskul Nɛkrɔsis ɔ Ɔstiɔnɛkrɔsis!

Yu dɔn ɛva yɛri bɔt wetin kin apin we yu bon dɛn nɔ gɛt blɔd? I de mek pɔsin fred smɔl, nɔto so? Bɔt na sɔntin we wi nid fɔ no. Fɔ tɔk am simpul wan, we wi bon dɛn nɔ gɛt di blɔd we dɛn nid, di bon tisu kin bigin fɔ day smɔl smɔl. Na dat wi kin kɔl avaskul nɛkrɔsis ɔ ɔstiɔnɛkrɔsis. Wi go tɔk mɔ bɔt dis?

Wetin mek dis kin apin to wi bon dɛn? Wetin na Avaskul Nɛkrɔsis?

Tink bɔt am, lɛk ɔl di sɛl dɛn na wi bɔdi, wi bon dɛn nid ɔksijɛn ɛn tin dɛn we go ɛp wi fɔ liv ɛn kɔntinyu fɔ strɔng. Udat de kɛr dɛn tin ya? Blɔd. Wi bon dɛn nɔto jɔs smɔl smɔl ston dɛn. na layf tisu dεm we de nyu כltεm, wit ol sεl dεm we de day εn nyu sεl dεm we de fכm. Jɔs lɛk aw dɛn de mek os, dɛn de pwɛl ol wɔl dɛn ɛn bil nyu wan dɛn, ɛn na dat kin apin insay bon dɛn. Wi kɔl dis bon rimɔdelin . Naw tink bɔt am, wetin go apin if fɔ sɔm rizin di blɔd we de gi dɛn bon ya blok ɔ stɔp? Jɔs lɛk aw plant kin dray we i nɔ gɛt wata, na so di bon dɛn nɔ kin gɛt di it ɛn ɔksijɛn we dɛn nid. Dɔn di we aw dɛn kin mek nyu bon sɛl dɛn kin stɔp, bɔt di ol sɛl dɛn kin kɔntinyu fɔ day. Afta sɔm tɛm, di pat pan di bon we nɔ gɛt blɔd kin wik, i kin brok, ɛn leta i kin krɔs. Lɛk wud we tɛmti dɔn it. Na dat wi kin kɔl (Avascular Necrosis).

Aw dis sik kin kɔmɔn? Udat dɛn kin gɛt am mɔ?

Fɔ tru, dis nɔ kin rili kɔmɔn, bɔt i nɔ de bak. Fɔ ɛgzampul, na kɔntri lɛk Amɛrika, dɛn kin ripɔt se na lɛk 10,000 to 20,000 pipul dɛn kin gɛt dis sik ɛvri ia. Dis kin apin to ɛnibɔdi we ol ɛni ej, ilɛksɛf na man ɔ uman. Bɔt pipul dɛn we ol bitwin 30 ɛn 40 ia kin gɛt di prɔblɛm smɔl. Dis min se yɔŋ pipul dɛn we dɔn ol fɔ wok, dɛnsɛf nid fɔ wɔri bɔt dis.

Usay Avaskul Nɛkrɔsis kin apin mɔs?

Pan ɔl we dis sik kin afɛkt ɛni jɔyn na di bɔdi, bɔku tɛm dɛn kin si am na di hip jɔyn . Dis na di say we yu leg de jɔyn yu shɔl. Apat frɔm dat, i kin afɛkt sɔm ɔda ples dɛn. Dɛn tin ya na:

• Ankles dɛn
• Jawbone we dɛn kɔl jawbone
• Ni dɛn
• di כp an - di humerus εn di sכlda dεm

Tink bɔt am, di hip na wan pan di men jɔyn dɛn we de mek wi bɔdi gɛt wet. So if prɔblɛm lɛk dis de de, i kin at fɔ waka ɔ ivin tinap.

Wetin mek dis (Avascular Necrosis) kin apin? Wetin na di tin dɛn we kin mek i apin?

Fɔ tɔk am simpul wan, ɛnitin we de stɔp di blɔd fɔ go na di bon dɛn kin mek dis apin. Sɔntɛnde, lɛk 20% pan di kes dɛm, dɛn nɔ kin no klia kɔz . Bɔt dɛn kin sheb di men tin dɛn we kin mek i apin to tu grup: 1. Traumatic Avascular Necrosis: Dis kin apin we wan bon brok ɔ wan joyn kɔmɔt na aksidɛnt. Dɔn di blɔd vesel dɛn we de gi di bon kin pwɛl. 2. Nɔn-traumatik Avaskul Nɛkrɔsis:Dis kin apin we di blɔd we de go na di bon dɛn nɔ de wok fayn, bikɔs ɔf ɔda sik ɔ bikɔs ɔf wan mɛrɛsin we yu de tek. Wetin spɛshal ya na dat we dis kin apin, bɔku tɛm i kin afɛkt di sem jɔyn dɛn na di tu say dɛn na di bɔdi . Fɔ ɛgzampul, if yu gɛt avascular necrosis na yu rayt sholda, chans de fɔ mek i apin bak na yu lɛft sholda.

Us kayn fraktrɔs kin mek yu gɛt Traumatic Avascular Necrosis?

Dis nɔ kin apin wit ɛvri frakshɔn, bɔt sɔm fraktrɔs kin gɛt ay risk.

• di hip fraktכs εn dislokeshכn : dεn se lεk 20% pan pipul dεm kin gεt avaskulεr nεkrכsis, spεshal wan we di hip jכint dכn sכmtεm. dis na biכs di men bכdi we de gi bכdi to di hip bon de na say dεm we rili sεnsitiv.

Us sik ɛn ɔda prɔblɛm dɛn kin mek pɔsin gɛt Nontraumatic Avascular Necrosis?

Bɔku tin dɛn de we kin mek dis apin:

• Osteoporosis : Na sik we de mek di bon dɛn brok. εspεshali pan ol uman dεm (εn sכm man dεm), avascular nεkrכsis kin divεlכp wan wan na di kכn. dis dεn kכl am bak `(SPONK - Spontaneous Osteonecrosis of the Knee)`.
• Blɔd prɔblɛm: Fɔ ɛgzampul, sik dɛn lɛk sikɛl sɛl anemia . Insay dɛn sik ya, di shep fɔ di rɛd blɔd sɛl dɛn kin chenj ɛn dɛn kin stɔp na smɔl smɔl blɔd vesel dɛn .
• Dayabitis : Pipul wae gɛt shuga kin gɛt bɔrku risk bak bikɔs dayabitis kin pwɛl dɛn blɔd vesel.
• Kansa tritmɛnt : Sɔm kansa tritmɛnt, mɔr lɛk redyushɔn tɛrapi , kin pwɛl di blɔd vesel dɛm na di eria, we kin mek avaskyuɛl nɛkrɔsis.
• Dikɔmpreshɔn sik: We pipul dɛn we de dayvɔs na dip si kin go ɔp kwik kwik wan, bɔbul dɛn we gɛt briz kin kam na di blɔd ɛn mek di blɔd vesel dɛn nɔ ebul fɔ waka.
• HIV
• Lupus: Dis na sik we de ambɔg di imyun sistɛm.
• Ɔgan Transplant: Dis risk kin de bak, mɔ afta tin dɛn lɛk kidni transplant. Wan rizin fɔ dis na sɔm pan di mɛrɛsin dɛn we dɛn kin yuz.

Us tin dɛn na wi layf we de mek wi gɛt dis prɔblɛm?

Sɔm abit kin mek bak di risk fɔ gɛt dis (Avascular Necrosis).

• If yu drink rɔm pasmak: If yu drink bɔku rɔm, dat kin mek di fat dɛn we de na di blɔd bɔku ɛn i kin mek di blɔd vesel dɛn lɔk.
• Smok: Smok kin rili ambɔg di blɔd vesel dɛn bak.
• Yuz kɔtikosterɔyd fɔ lɔng tɛm: Fɔ ɛgzampul, mɛrɛsin lɛk `(Prednisone).` Dɛn mɛrɛsin ya we dɛn kin gi fɔ bɔku sik dɛn. Bɔt we dɛn tek am fɔ lɔng tɛm ɛn we dɛn tek am bɔku, dɛn kayn sayd ɛfɛkt ya kin apin.

Wetin na di sayn dɛm fɔ Avascular Necrosis?

Di sayn dɛm nɔ kin apin wan tɛm. Yu nɔ go notis ɛnitin fɔ sɔm wik ɔ mɔnt. As tɛm de go, dɛn sayn ya kin apin:

• Pen we kin kam ɛn go: Pen we kin kam ɛn go, mɔ we dɛn put prɛshɔn pan di bon we afɛkt, dɔn i kin stɔp we dɛn pul di prɛshɔn.
• Smɔl smɔl di pen ɛn stif: I kin at smɔl fɔs, bɔt leta di pen kin rili bad ɛn i kin at fɔ muv di jɔyn.
• di say we di joyn de muv smɔl: Fɔ ɛgzampul, we i kam pan di sɔl, i kin at fɔ es di an ɔp. If na di hip, i kin at fɔ bɛn ɔ stret di leg.
• Limp: If yu gɛt dis sik na yu hip ɔ yu ni, yu kin limp we yu de waka.
• I nɔ kin izi fɔ klaym stej, tinap, ɛn waka.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, yu fɔ rili go to dɔktɔ .

Aw dɔktɔ dɛn kin no se pɔsin gɛt Avascular Necrosis?

We yu go to dɔktɔ, dɛn go aks yu fɔs bɔt yu sik dɛn ɛn chɛk yu. Dɔn dɛn kin du wan ɔ mɔ pan dɛn tɛst ya:

• X-ray: Dɛn kin luk fɔ tin dɛm lɛk fraktrɔs ɛn at at sik. כltu, dεn kin nכ detekt Avaskul Nεkrכsis pan εks-ray insay di fכs stej dεm.
• MRI (Magnetic Resonance Imaging - MRI): Dis na di bεst εn sεnsitiv tεst fכ no di Avascular Necrosis. MRI kin si klia wan ivin di smɔl smɔl chenj dɛn we de apin na di bon dɛn, ivin di say dɛn we blɔd nɔ de flɔ bɛtɛ.

Aw dɛn kin trit Avaskul Nɛkrɔsis?

Di tritmɛnt dipen pan di damej we yu bon dɛn dɔn pwɛl.

If di damej pan di bon dɛn smɔl, fɔ smɔl bon dɛn we nɔ gɛt wet:

Insay dɛn kayn tin ya, i nɔ go nid fɔ du ɔpreshɔn. Yu dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:

• Kol ɛn ɔt pak (Kol pak, Ɔt tritmɛnt): Ridyus pen ɛn swel.
• Rɛst: I rili impɔtant fɔ rɛst di jɔyn we dɔn afɛkt.
• Nɔn-stɛroyd anti-inflammatory drugs (NSAID): Dɛn kin mɛn pen, lɛk ibuprofen, kin kɔntrol pen ɛn swɛlin.
• Fizik Tɛrapi:Ɛksesaiz ɛn ɔda tritmɛnt fɔ ridyus di pen na di jɔyn ɛn fɔ mek yu ebul fɔ muv mɔ.
• Di tin dɛn we de ɛp yu fɔ waka: Yuz tin dɛn fɔ ɛp yu fɔ waka lɛk ken ɛn krach fɔ ridyus di wet we de pan di jɔyn we dɔn afɛkt.

(Avascular Necrosis) If di sik bad, ɔpreshɔn:

Bɔku tɛm, mɔ if i de na jɔyn we gɛt wet lɛk di hip (avascular necrosis), dɛn kin nid fɔ du ɔpreshɔn . Bɔku kayn ɔpreshɔn dɛn de we dɛn kin du:

• Kor Dikompreshכn: Insay dis prכsidכs, di sכjaman de mek sכm sכm sכm ol dεm (kכr) na di bon we afekt. Dis kin ɛp fɔ ridyus di prɛshɔn we de insay di bon ɛn ɛp fɔ mek nyu blɔd vesel dɛn gro. Sɔntɛnde , dɛn kin yuz bon graft ɔ ɔda injɛkshɔn fɔ mek di bon wɛl kwik kwik wan. Dis kin wok fayn if dɛn no di sik kwik kwik wan.
• Jɔyn Riplesmɛnt: Dis kin min fɔ pul di jɔyn we dɔn pwɛl ɛn put atifishal jɔyn insay. Hip Riplesmɛnt ɛn Knee Riplesmɛnt na tu ɔpreshɔn dɛn we rili saksesful (lɛk 95%) we de pul pen ɛn ɛp pipul dɛn we gɛt Avaskul Nɛkrɔsis fɔ gɛt gud mobiliti bak.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Avaskul Nɛkrɔsis?

Sɔmtɛm dɛn nɔ kin ebul fɔ stɔp dis, mɔ we aksidɛnt mek i apin. Bɔt tin dɛn de we wi kin du fɔ ridyus di prɔblɛm:

• Fɔ lɛf fɔ smok: Dis na sɔntin we yu fɔ du fɔ tru.
• Nɔ drink rɔm: I bɛtɛ fɔ ridyus am as yu ebul.
• Fɔ kɔntrol di kɔlɔstrel lɛvɛl: We di kɔlɔstrel bɔku na di blɔd nɔ fayn fɔ di blɔd vesel dɛn.
• If yu de tek kɔtikosterɔyd fɔ wan sik we nɔ de mɛn, tɔk to yu dɔktɔ bɔt aw fɔ ridyus di doz. Nɔ ɛva stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz we yu nɔ aks yu dɔktɔ fɔs.

Yu tink se Avascular Necrosis kin wɛl ɔltogɛda?

I sɔri fɔ no se, no mɛrɛsin nɔ de fɔ Avascular Necrosis. Tritmɛnt kin jɔs kɔntrol aw di sik de go bifo ɛn ridyus di pen. Bɔku pipul dɛn kin gɛt ɔpreshɔn, mɔ fɔ mek dɛn chenj dɛn jɔyn. Pipul wae gɛt Avascular Necrosis kin gɛt siriɔs ɔstiɔ-arayt bak as tɛm de go.

Ustɛm a fɔ go to dɔktɔ?

Avascular necrosis na wan sik wae kin wɔs smɔl smɔl as tɛm de go. If dɛn dɔn no se yu gɛt dis sik, yu fɔ pe atɛnshɔn gud wan to yu sayn dɛm, mɔr lɛk pen ɛn at fɔ muv. Si dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn tin ya:

• Pen wae nɔr de go ivin afta yu dɔn rɛst ɔr tek mɛrɛsin wae de mek yu fil pen.
• Di pen kin so bad dat i nɔ kin izi fɔ waka ɔ muv.
• If yu de limp fɔ natin .

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

I fayn fɔ aks dɛn kwɛstyɔn ya we yu go si dɔktɔ:

• Wetin mek a bin gɛt Avascular Necrosis?
• Us tritmɛnt we bɛtɛ fɔ mi?
• Wetin na di prɔblɛm dɛn we dɛn tritmɛnt ya kin gɛt?
• Us kayn fɔlɔp kia a nid afta tritmɛnt?

Avascular Necrosis na wan sik wae de mek yu fil pen pasmak ɛn wae de mek yu layf de pan denja. If yu gɛt wan sik wae de mek yu gɛt dis sik, ɔr if yu de tek mɛrɛsin wae de mek yu gɛt dis sik, tɔk to yu dɔktɔ. I kin ɛksplen to yu di sayn dɛm fɔ Avascular Necrosis. If yu no di sik kwik kwik wan ɛn trit am, dat kin ɛp fɔ mek di sik nɔ go bifo kwik kwik wan.

Di tin dɛn we impɔtant pas ɔl fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Avascular Necrosis na we di bכdi we de gi di bon dεm stכp, we de mek di bon dεm day.
• Dis kin afɛkt di hip mɔs , bɔt i kin afɛkt bak say dɛm lɛk di ni ɛn di sholda dɛm.
• Dis kin bi bikɔs ɔf tin dɛm lɛk fɔ brok bon, sɔm sik dɛm (e.g. dayabitis, lupus), sɔm mɛrɛsin dɛm (e.g. kɔtikosterɔyd), fɔ drink pasmak, ɛn fɔ smok .
• If yu gɛt sɔm sayn dɛn lɛk fɔ de pen ɔltɛm, yu jɔyn dɛn de stif, ɔ yu de limp, go to dɔktɔ.
• MRI skan na di bɛst we fɔ no dis.
• Di tritmɛnt na fɔ rɛst, fɔ tek mɛrɛsin, fɔ tek fizik tritmɛnt , ɛn if i bad, dɛn kin nid fɔ du ɔpreshɔn (Core Decompression, Joint Replacement) .
• Pan ɔl we dɛn nɔ go ebul fɔ mɛn dis ɔl, dɛn kin ebul fɔ kɔntrol di sik if dɛn no am kwik ɛn bigin fɔ trit am.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ shek fɔ tɔk to yu dɔktɔ. Stay wit wɛlbɔdi!