Ɔmɔs tɛm wi kin yuz wi an fɔ du ɛvride wok? Jɔs tink, fɔ opin wata bɔtul, opin domɔt, rayt, it it, yuz wi fon... Wi nid wi an fɔ ɔlmost ɛvri smɔl tin we wi de du ɛvride. So aw i kin vɛks we wi an dɛn kin kɔntinyu fɔ at, dɛn kin swel, ɛn i nɔ kin izi fɔ du? Bɔrku tɛm, at at sik kin bi di men tin wae kin mek dis an kin pen ɔltɛm, swel, ɛn stif. Lɛ wi tɔk bɔt dis jɔs tide.
Fɔ tɔk am simpul wan, wetin na wrist arthritis?
Atraytis na we di katilej we de insay wi jɔyn dɛn kin west smɔl smɔl. Tink bɔt am lɛk tu pat dɛn na mashin. di katilej de wok lεk ‘bearing’ we de εp dεn tu pat dεm ya fכ muv fayn fayn wan we dεn nכ de rכb tכgeda. pan at at sik, dis ‘kushכn’ we dεn kכl kכtilaj de west εn di tu bon dεm de bigin fכ rכb dεn wan dεm dεn wan dεm. Na da tɛm de tin lɛk pen, swel, ɛn jɔyn stiff kin apin.
Wi an na rili wan jɔyn we rili kɔmpleks na di bɔdi. I gɛt bɔku smɔl smɔl bon dɛn we gɛt kɔnekshɔn togɛda. So dis at at sik kin afɛkt ɛni pat pan dis jɔyn. Na wan sik wae nɔr de mɛn wae kin go bifo as tɛm de go.
Us kayn at at sik kin afɛkt di an?
Bɔku kayn at at sik de we kin afɛkt di an. Dɛn kin sheb dɛn to tu men grup dɛn. Wan na di kayn we we kin apin we pɔsin nɔ gɛt inflamɛns. Di ɔda wan na di kayn we we kin apin wit inflamɛns.
Lɛ wi ɔndastand dɛn kayn ya klia wan frɔm di tebul we de dɔŋ ya.
| Tayp fɔ at at sik | Wan simpul ɛksplen |
|---|---|
| Tayp dɛm we kin apin we nɔ gɛt inflamɛns | |
| Ɔstiɔ-arayt sik | Dis na di kayn we we pipul dɛn kin gɛt mɔ. Fɔ tɔk am simpul wan, na we di katilej we de na di jɔyn dɛn de west as tɛm de go. I kin apin mɔ as wi de ol. I kin kɔmɔn bak pan pipul dɛm wae de du wok wae de put bɔrku wet pan dɛn an (e.g., tayp, kapɛnta) ɛn kin gɛt dis sik. |
| Arthritis we kin apin afta pɔsin dɔn fil bad | wan kכndishכn we de apin we di kכtilaj na di an dכn pwεl afta aksidεnt (e.g., fכl, brok an). Sɔntɛnde dis kin bɛtɛ as tɛm de go, ɔ i kin mek yu gɛt ɔstiɔ-arayt. |
| Tayp dɛm we gɛt fɔ du wit inflamɛns | |
| Rimatɔyd at at sik | Dis na we wi bɔdi in yon imyun sistɛm kin mistek atak wi yon jɔyn dɛn. dis kin mek di joyn dεm inflameshn εn i kin pwεl di katilej. dis kin afekt di tu an dεm di sem tεm, bכt i kin afekt כda joyn dεm na di bכdi bak. |
| Psoriatic arthritis we pɔsin kin gɛt | Sɔm pipul dɛm wae gɛt psoriasis kin gɛt dis at at sik, wae kin mek di smɔl smɔl jɔyn dɛm na dɛn an ɛn fut swel. |
| Sɛptik at at sik | We baktri ɔ vayral infɛkshɔn kam insay di bɔdi, di jem dɛn kin travul go na wan jɔyn ɛn mek di bɔdi inflamɛns. Dis na wan sik we kin apin wantɛm wantɛm ɛn we kin rili bad. |
| Gout we pɔsin kin gɛt | we di yurik asid lεvεl na di bכdi de inkrεs, sכm sכm sכm sכm kristכl dεm we lεk nidul na di asid we de na di jכint dεm. Dis kin mek yu fil pen bad bad wan ɛn swel. Bɔku tɛm i kin afɛkt di big fut fɔs, bɔt i kin afɛkt di an bak. |
Wetin na di sayn dɛm wae de sho se yu gɛt at at sik na yu an?
Di sayn dɛm kin difrɛn smɔl fɔ di kayn at at sik, bɔt sɔm sayn dɛm de wae kin kam pan pɔrsin.
Di men sayn na pen ɔlsay na di an.Insay ɔstiɔ-arayt, dis kin fil lɛk pen we nɔ gɛt wan bɔt ɛn we de mek pɔsin fil pen. Insay inflammatory kondishɔn lɛk rεumatoid arthritis, i kin bi shap, bɔn pen.
Bɔrku tɛm, pen kin bɔku wae yu de du tin lɛk:
- We yu de opin sɔntin lɛk jɔg we gɛt jam ɔ bɔtul wata
- We yu de tɔn wan domɔt lɔk
- We yu de tayp na di kɔmpyuta
- We yu de rɔtin klos
Apat frɔm dat, yu kin si dɛn tin ya bak:
- Di jɔyn kin swel, i kin rɛd, ɔ i kin fil wam we yu tɔch am.
- Stif ɛn pen we yu de muv ɔ bɛn di an (ridyus di rεnj fɔ muv).
- Fɔ fil stif ɛn stif na di jɔyn we yu wek na mɔnin . Dis kin go dɔŋ smɔl smɔl as di de de go.
- Fɔ fil wik na yu an ɛn yu an.
- Dɛn kin yɛri "ka-ka-ka" ɔ "kiki-kiki" sawnd we dɛn shek di an.
- Yu kin gɛt swɛt ɔ yu kin fil lɛk se yu de swɛt na yu an. dis kin riliyt to wan kכndyushכn we dεn kכl ``Carpal tunnel syndrome.''
Wan sik lɛk ɔstiɔ-arayt kin jɔs afɛkt wan an. Bɔt bɔku tɛm, wan sik we de mek yu bɔdi wam lɛk rεumatoid atraytis kin afɛkt ɔl tu di an dɛn di sem tɛm . Ɔda jɔyn dɛn na di bɔdi kin afɛkt bak. Nɔto dat nɔmɔ, bɔt di jenɛral simptom dɛm lɛk fiva, taya, ɛn skin rash kin kam wit dɛn inflammatory kɔndishɔn ya bak.
Aw dɛn kin no se pɔsin gɛt at at sik?
If yu gɛt dɛn sik ya, di bɛst tin fɔ du na fɔ go to dɔktɔ . Di dɔktɔ go aks yu bɔt yu sik dɛn ɛn chɛk yu an. Dɛn go chɛk fɔ si if yu ebul fɔ bɛn, stret, ɛn rɔta yu an. Dɛn go chɛk fɔ ɛni swel ɔ difɔmiti.
Afta dat, dɛn kin ɔda tɛst dɛn lɛk dis fɔ no di kayn at at sik kɔrɛkt wan:
- X-ray: Dɛn kin yuz dis fɔ chɛk if di say we de bitwin di bon dɛn na di jɔyn dɔn smɔl, if di katilej dɔn west, ɔ if di bon dɛn dɔn pwɛl.
- Blɔd tɛst: Blɔd tɛst kin ɛp fɔ chɛk fɔ inflammatory mak dɛn na di blɔd, mɔ if dɛn tink se inflammatory kɔndishɔn lɛk rεumatoid atraytis.
Wetin na di tritmɛnt dɛm fɔ wrist arthritis?
Tu men gol dɛn de we yu de mɛn at at sik. Wan na fɔ kɔntrol yu sayn dɛm (pen, swel) . Di ɔda wan na fɔ stɔp ɔ slo fɔ mek di jɔyn pwɛl mɔ , if i pɔsibul. Bɔku tɛm, dɔktɔ dɛn kin bigin wit simpul ɛn izi tritmɛnt dɛn. Na if dɛn wan ya nɔr de kɔntrol di sayn dɛm nɔmɔ dɛn kin go to mɔr advans tritmɛnt dɛm.
Simpul tritmɛnt dɛn fɔ tray fɔs
Dis na tin dɛn we yu kin du ivin na os.
1. Ɔt/kol tɛrapi: .Dɛn tu we ya kin yuse fɔ ridyus pen. If di jɔyn dɔn swel ɛn wam, if yu put ays pak, dat go mek di jɔyn nɔ swel. If di jɔyn stif na mɔnin, if yu sok am insay ɔt wata ɔ ol yu an insay wam wata, dat kin mek i nɔ stif.
2. Pen kil: Yu kin yuz pen kil we yu nɔ de bay na kɔt lɛk paracetamol ɔ nonsteroidal anti-inflammatory drugs (NSAID) (e.g., ibuprofen, diclofenac). Di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pen kin ɛp bak. Bɔt mɛmba se i go fayn ɔltɛm fɔ go to yu dɔktɔ bifo yu yuz ɛni mɛrɛsin.
3. Fyzikal tritmɛnt: Fizik thɛrapist kin tich yu patikyula ɛksesaiz fɔ ɛp fɔ mek yu an strɔng ɛn fɔ mek yu ebul fɔ chenj mɔ. Fɔ du ɛksɛsayz ɔltɛm , saful wan kin ɛp fɔ mek di blɔd flɔ fayn fayn wan to di tisu dɛn we de rawnd di jɔyn ɛn i kin mek i nɔ stif.
4. Chenj yu rutin: Pan ɔl we sɔm ɛksesaiz dɛn fayn, fɔ du di sem kayn wok we de put strɛs pan yu an kin mek at at sik wɔs. Wan ɔkupeshɔn thɛrapist kin advays yu bɔt aw fɔ chenj yu ɛvride rutin fɔ ridyus strɛs na yu an.
Speshal tritmɛnt we di dɔktɔ gi yu
If i nɔ izi fɔ kɔntrol di pen wit simpul tritmɛnt, yu dɔktɔ kin rifer yu to dɛn kayn tritmɛnt ya.
- Kɔtizɔn shot: Dis na stɛroyd injɛkshɔn. Dɛn kin injekt dɛn injɛkshɔn ya dairekt insay di wrist jɔyn. Dɛn kin mek pɔsin gɛt fridɔm wantɛm wantɛm ɛn kwik kwik wan frɔm inflamɛns ɛn pen. Bɔt, di tin dɛn we dɛn kin du na fɔ shɔt tɛm nɔmɔ.
- Plɛtlɛt-rich plasma (PRP) injɛkshɔn: Dis na nyu tritmɛnt fɔ ɔstiɔ-arayt. I min fɔ tek di pletlɛt dɛn frɔm yu yon blɔd ɛn injɛkt dɛn bak na di jɔyn. Sɔm stɔdi dɛn dɔn sho se dis kin mek sɔm pan di bɔdi we dɔn pwɛl, gro bak.
- Oral steroid pills: Dɛn kin yuse dɛn tin ya fɔ kɔntrol inflammatory conditions lɛk rεumatoid arthritis. Dɛn kin stɔp di wok we di imyun sistɛm de du ɛn ridyus di inflamɛns.
- DMARDS: Dis tinap fɔ ``Disease-modifying antirheumatic drugs''. Dis na spɛshal mɛrɛsin dɛm wae dɛn kin gi fɔ trit ɔtoimyun sik dɛm lɛk rεumatoid at. Dɛn kin chenj di we aw di sik de go ɛn ridyus di damej pan di jɔyn dɛn.
Sɔntɛm i go nid fɔ du ɔpreshɔn.
If ɔl di ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di pen, ɔ if di at at sik so bad dat i nɔ izi fɔ du ɛvride, di dɔktɔ kin tɛl yu fɔ du ɔpreshɔn.
1. Prɔksimal rɔw kapɛktomi: .Dis min se yu fɔ pul sɔm pan di smɔl smɔl bon dɛm (kapal bon dɛm) na di an we de mek yu fil pen. Dis kin mek di bon dɛn we lɛf fɔ muv fri wan we nɔ go ambɔg dɛn.
2. Joint fusion surgery: insay dis, dεn kin fiks di bon fragmεnt dεm we de pen tכgeda wit pin εn skru. Bikɔs di bon dɛn dɔn fiks, di pen sɛf nɔ de igen. Bɔt afta dis, di ebul fɔ bɛn ɛn rɔta di an nɔ de igen.
3. Wrist arthroplasty: Dis na fɔ pul di jɔyn we dɔn pwɛl ɛn put atifishal jɔyn we dɛn mek wit mɛtal ɔ plastic. Dis kin mek yu nɔ fil pen ɛn mek yu nɔ muv sɔm tin dɛn na di an.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ignore di pen we de kɔntinyu fɔ de, we de swel, ɔ we de stif na yu an. I kin bi wan sayn we de sho se yu gɛt at at sik kwik kwik wan.
- Bɔku kayn at at sik de. I impɔtant fɔ go to dɔktɔ fɔ no ustɛm yu gɛt ɛn fɔ no if yu gɛt di sik fayn fayn wan.
- Bɔrku pipul kin ebul fɔ manej dɛn pen fayn fayn wan ɛn liv nɔrmal layf wit simpul tritmɛnt (ɔt/kol tɛrapi, ɛksɛsayz, pen kil).
- If yu pen de ambɔg yu ɛvride layf, nɔ shek fɔ tɔk to yu dɔktɔ opin wan bɔt di tritmɛnt dɛn we de. I go ɛp yu fɔ disayd fɔ du di bɛst, wit di rayt infɔmeshɔn, ilɛksɛf i nid fɔ du ɔpreshɔn.
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