Sɔntɛnde yu kin gɛt pen na yu hip, yu ni, ɔ yu sholda we nɔ kin go ilɛksɛf yu tek ɔmɔs mɛrɛsin? Sɔntɛm i nɔ kin izi fɔ yu fɔ waka ɔ ivin klaym stej. Dis kin bi bikɔs di blɔd we de go na wan pat pan di bon we de insay di jɔyn kin kɔt, ɛn dis kin mek i day. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis Avascular Necrosis (AVN) , ɔ Osteonecrosis . Pan ɔl we di nem kin kɔmplikt smɔl, i impɔtant fɔ mek yu ɔndastand dis sik simpul wan.
Wetin na Avaskul Nɛkrɔsis (AVN)?
Fɔ tɔk am simpul wan, dis na kɔndishɔn usay wi bon dɛn de "swɛla." Tink bɔt dis, lɛk ɔl di sɛl dɛn na wi bɔdi, di bon dɛn nid ɔksijɛn ɛn tin dɛn fɔ mek i go ebul fɔ liv, fɔ mek i strɔng, ɛn fɔ mek nyu wan dɛn gro. Na di blɔd de briŋ dɛn tin ya. Wetin kin apin if, fɔ sɔm rizin, di blɔd we de flɔ to wan pat pan di bon stɔp ɔl ɔ i stɔp? Jɔs lɛk aw tik kin day we i nɔ gɛt wata, da pat de pan di bon kin bigin fɔ day smɔl smɔl we i nɔ gɛt ɛnitin fɔ it. Dis na wetin wi de kɔl AVN.
Dis bon we dɔn day kin wik as tɛm de go, i kin bigin fɔ brok, ɛn i kin brok. If dis apin rawnd wan jɔyn, di jɔyn insɛf kin fɔdɔm. Pan ɔl we dis sik kin afɛkt ɛni bon na di bɔdi, i kin apin mɔ pan:
- Hip joyn: Na di ɔpa ɛnd pan di shɔl bon.
- Knee joint: Na di lכw εnd pan di thigh bon.
- Sɔlda jɔyn: Di ɔpa ɛnd pan di an bon.
Dis nɔto sɔntin we kin apin wantɛm wantɛm. Na wan sik we kin wɔs smɔl smɔl as tɛm de go. So, e fayn fɔ no ɛn trit am kwik kwik wan .
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ AVN nɔ kin apin wantɛm wantɛm. Dɛn kin bigin fɔ gro smɔl smɔl fɔ sɔm wiks, sɔm tɛm dɛn de fɔ sɔm mɔnt. Sɔntɛm no pen nɔ go de fɔs. Bɔt as di sik de wɔs, dɛn sayn ya kin sho.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen na di jɔyn dɛn | Fɔs, di pen kin jɔs bigin we di jɔyn de ɔnda lod, lɛk we yu tinap ɔ waka. Leta, di pen kin apin ivin we yu jɔs tinap ɔ slip na nɛt. |
| I nɔ izi fɔ bɛn ɛn ɛkstɛnd di jɔyn | Pen ɛn nɔ kin fil fayn we yu bɛn ɔ ɛkstɛnd di limb. Di jɔyn kin ivin fil lɛk se i dɔn stɔp. |
| Limp we yu de limp | Ɛspɛshali if yu hip ɔ yu ni afɛkt, yu kin bigin fɔ waka wit wan limp we yu nɔ no. Dis na sɔntin we yu bɔdi kin du fɔ avɔyd di pen. |
| I nɔ izi fɔ du di wok dɛn we pɔsin kin du ɛvride | Ivin simpul tin dɛn lɛk fɔ klaym stej, tinap, ɛn waka kin bi wok we kin mek pɔsin fil pen ɛn we nɔ kin izi fɔ du. |
Wetin mek dis de apin? Wetin na di rizin dɛn?
Difrɛn rizin dɛn de we mek blɔd we de go na di bon dɛn kin stɔp. Wi go tɔk bɔt dɛn rizin dɛn ya bay we wi sheb dɛn to tu men grup dɛn.
Bikɔs ɔf wan aksidɛnt (Traumatic AVN) .
Dis na di tin we kin mek pɔsin gɛt dis sik. If yu gɛt siriɔs aksidɛnt ɛn brok yu bon (fracture) ɔ yu jɔyn yu jɔyn (dislocation), di dilik blɔd vesel dɛn we de gi blɔd to di bon kin pwɛl. Dis risk kin bɔku mɔ pan kes dɛm lɛk we hip brok . We dɛn dɔn kɔt di blɔd, di bon kin bigin fɔ day smɔl smɔl.
Bikɔs ɔf ɔda mɛdikal kɔndishɔn ɔ kɔz (Nontraumatic AVN) .
Dis sik kin apun witout eni denja. Lɛ wi luk sɔm pan de tin dɛm wae kin afɛkt am dɔŋ ya. If AVN de divεlכp biכs fכ dis kayn rizin, i kin afekt di tu say dεm na di bכdi. Fɔ ɛgzampul, if i afɛkt di rayt sholda, i pɔsibul se di lɛft sholda bak go afɛkt.
| Kɔz/Risk factor | Wan simpul ɛksplen |
|---|---|
| Yuz stɛroyd fɔ lɔng tɛm | Kɔtikosterɔyd , lɛk Prednisone, na di men tin we kin mek dis apin, bikɔs dɛn kin mek di blɔd lipid lɛvɛl go ɔp ɛn di blɔd vesel dɛn kin smɔl. |
| Fɔ drink rɔm pasmak | Dis risk kin pasmak bak fɔ di wan dɛm wae de drink pasmak fɔ lɔng tɛm. Alkol kin mek bak di fat we de na di blɔd bɔku ɛn i kin mek di blɔd vesel dɛn lɔk. |
| Fɔ smok | Smok kin mek di blɔd vesel dɛn smɔl ɛn i kin mek di blɔd nɔ flɔ. |
| Sɔm sik dɛn we pɔsin kin gɛt we i de mɛn pipul dɛn | AVN kin kam bikɔs ɔf sik dɛn lɛk sikɛl sɛl anemia, lupus , HIV infɛkshɔn, ɛn redyushɔn tɛrapi fɔ kansa. |
| Fɔ transplant ɔgan dɛn | dis risk de inkrεs bak bay di mεdikeshכn dεm (especially stεroyd dεm) we dεn gi fכ mek di bכdi nכ rijek di כgan afta dεn transplant di כgan. |
| Dikɔmpreshɔn Siknɛs | Dis na kɔndishɔn we kin apin to pipul dɛn we de dayvɔs na dip si. We yu kɔmɔt na di wata kwik kwik wan, bɔbul dɛn we gɛt briz kin kam na yu blɔd ɛn blok di blɔd vesel dɛn. |
Aw dɔktɔ kin fɛn dis?
We yu tɛl wi bɔt yu sik, di dɔktɔ go aks yu fɔs bɔt yu mɛdikal histri, mɛrɛsin wae yu de tek, ɛn aw yu de liv yu layf (alcohol, smoking). Dɔn i go chɛk yu bɔdi.
Bɔt di bɛst we fɔ kɔnfirm dis sik na fɔ du MRI (Magnetic Resonance Imaging) skan . I nɔ kin izi fɔ no dis sik insay di fɔs tɛm wit ɛkstrem rayt ɔltɛm. dis na biכs di chenj dεm we de na di εks-ray dεn kin כnli bi fכ si afta big big damej dכn apin to di bon. Bɔt we dɛn du MRI skan, i kin no se blɔd nɔ de go na di bon ɛn ivin chenj dɛn we nɔ klia na di bon we i bigin.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt kin dipen pan bɔku tin, lɛk aw yu bon dɔn pwɛl, di stej we di sik de, yu ej, ɛn yu ɔl wɛlbɔdi. Di men gol dɛm fɔ tritmɛnt na fɔ stɔp mɔ bon dɛm fɔ pwɛl, fɔ ridyus pen, ɛn fɔ mek di jɔyn dɛn kɔntinyu fɔ wok.
Tritmɛnt dɛn we nɔto ɔpreshɔn
If dɛn no di sik kwik kwik wan, yu kin tray fɔ kɔntrol am we yu nɔ du ɔpreshɔn wit dɛn tin ya:
- Rɛst: Fɔ bia wet pan di jɔyn we afɛkt, we min se yu nɔ go ebul fɔ waka, rɔn, ɛn jomp pasmak.
- Di tin dɛn we de mek pɔsin fil pen: Tin dɛn lɛk di mɛrɛsin dɛn we nɔ gɛt stɛroyd anti-inflammatory drugs (NSAID) we yu dɔktɔ gi yu kin ɛp fɔ ridyus di pen ɛn swɛlin.
- Fizik Tɛrapi: Ɛksesaiz de mek di mɔsul dɛn we de rawnd di jɔyn strɔng ɛn i de ɛp fɔ mek di jɔyn dɛn kɔntinyu fɔ muv.
- Sɔpɔt dɛn lɛk krach: If di hip ɔ di ni afɛkt, if yu yuz krɔk, i kin mek di jɔyn nɔ gɛt bɔku wet.
- Kol/Hɛt pak: Dɛn tin ya kin ɛp fɔ mek yu nɔ fil pen fɔ sɔm tɛm.
Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn
If di bon we dɔn pwɛl bɔku, ɔ if di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ ebul fɔ kɔntrol am, i kin nid fɔ du ɔpreshɔn.
| Ɔpreshɔn | Wetin kin apin to am? |
|---|---|
| Kor Dikɔmpreshɔn | Dis min se yu fɔ drɔ wan ɔ mɔ smɔl ol dɛn (kɔr) insay di bon we dɔn pwɛl. Dis kin mek di prɛshɔn we de insay di bon nɔ bɔku, ɛn dis kin mek nyu blɔd vesel dɛn fɔm ɛn mek di blɔd flɔ fayn fayn wan. Dis kin wok fayn we di sik bigin. |
| Bone Grafting we dɛn kin yuz fɔ mek di bɔdi | Dɛn kin ɔpreshɔn di bon we dɔn day ɛn put wan bon we gɛt wɛlbɔdi frɔm ɔda pat na yu bɔdi ɔ bon we kɔmɔt frɔm pɔsin we gi yu. |
| Jɔyn Riplesmɛnt | If di bon we dɔn pwɛl bad bad wan, ɔ di jɔyn insɛf dɔn fɔdɔm, dɛn kin pul di jɔyn we dɔn pwɛl kpatakpata ɛn put atifishal jɔyn we dɛn mek wit mɛtal ɔ plastic. Dɛn kin du Hip/Knee Replacement. |
Wetin go apin to pɔsin we gɛt AVN tumara bambay?
Di fɔs tin fɔ se na dat Avascular Necrosis nɔto wan sik we de mek pɔsin in layf de pan denja . I nɔ go afɛkt di tɛm we yu go liv yu layf. Bɔt i kin rili afɛkt yu kwaliti layf. Di pen kin mek i nɔ izi fɔ du di wok dɛn we pɔsin kin du ɛvride, fɔ waka, ɛn fɔ wok.
Dɔn bak, we AVN mek di bon dɛn pwɛl, di katilej we de na di jɔyn kin west, ɛn dis kin mek pɔsin gɛt siriɔs ɔstiɔ-arayt . If na so i bi, as tɛm de go, dɛn kin nid fɔ du ɔpreshɔn fɔ chenj di jɔyn dɛn.
Ustɛm a fɔ go to dɔktɔ?
Dis na di pat we impɔtant pas ɔl. Bɔku pipul dɛn nɔ kin pe atɛnshɔn to di pen we dɛn kin gɛt na dɛn jɔyn, dɛn kin tink se na nɔmal tin. Bɔt if yu gɛt dɛn sik ya, yu fɔ rili go to dɔktɔ.
If yu gɛt pen we yu de waka ɔ muv yu bɔdi, ɛn i nɔ de go ivin afta yu dɔn rɛst ɔ tek mɛrɛsin fɔ mek yu fil pen, ɔ if yu fil lɛk se yu de limp fɔ natin, go to dɔktɔ we yu nɔ de te ɛn aks fɔ advays.
Mɛmba se, di mɔ we dɛn no bɔt dis kayn sik kwik kwik wan, na di mɔ di tritmɛnt go wok fayn, na di mɔ di bon nɔ go pwɛl, ɛn na di mɔ yu go ebul fɔ liv fayn layf.
Mɛsej we dɛn kin kɛr go na os
- Avascular Necrosis (AVN) na we di bכdi we de gi di bon dεm stכp, we de mek di bon dεm day.
- Di hip, ni, ɛn sholda jɔyn dɛn kin afɛkt mɔ.
- Di men sayn na di joyn pen we de go ɔp smɔl smɔl ɛn nɔ de stɔp ivin we yu rɛst.
- Dis kin bi bikɔs ɔf aksidɛnt, yu de yuz stɛroyd fɔ lɔng tɛm, yu de drink pasmak, ɛn sɔm kayn mɛrɛsin.
- If yu gɛt pen ɔ yu gɛt limp we yu nɔ ebul fɔ ɛksplen, nɔ ignore am ɛn go mɔs go to dɔktɔ.
- If yu no di sik kwik kwik wan ɛn trit am, dat kin mek i nɔ wɔs.
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