Yu sholda kin at ɔltɛm? Yu taya wit di pen we kin kɔmɔt insay yu sholda we yu de es wet, ple spɔt, ɔ jɔs es yu an ɔp? yu kin yɛri "klik" sawnd na yu ɔpa an ɛn wantɛm wantɛm yu kin fil lɛk se dɛn de tos yu rawnd wit shap pen? Dɛn tin ya kin bi prɔblɛm wit wan tɛndon we de kɔnɛkt yu baysɛps mɔsul. So tide, lɛ wi tɔk bɔt wan ɔpreshɔn we dɛn kɔl Biceps Tenodesis, we kin bi sɔlv fɔ dis sik.
Fɔ tɔk am simpul wan, wetin na Biceps Tenodesis?
Biceps Tenodesis na ɔspitul we de ripɛnt wan tear ɔ damej pan di lɔng ed na di biceps tɛndon we de kɔnɛkt yu biceps mɔsul to yu sholda. spεshal wan, dis tεndon de atak wan pat pan di kכtilaj (di labrum) insay yu sכlda jכint. We dis tɛndon te ɔ inflam (biceps tendonitis), i kin mek yu sɔl ɛn yu an gɛt bad bad pen ɛn wik.
So insay dis ɔpreshɔn, di ɔspitul de pul di tɛndon we dɔn pwɛl frɔm insay di sɔl jɔyn ɛn tay am bak to di ɔpa an bon (humerus). Dis tan lɛk we yu pul di pat we brok na brij ɛn tay am na nyu ples we strɔng.
A go nid dis ɔpreshɔn bak? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Si if yu gɛt dɛn sik ya fɔ si if na tɛm fɔ mek yu tink bɔt dis ɔpreshɔn.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen we de kɔntinyu fɔ de na yu sholda | Sɔlda pen we nɔ de stɔp pan ɔl we dɛn de rɛst, fizik tritmɛnt, ɔr mɛrɛsin fɔ mɛn pen. |
| Shap shap pen ɛn nɔys wantɛm wantɛm | Fɔ yɛri "klik" ɔ "tɔk" sawnd wit shap pen wantɛm wantɛm na di ɔp an. |
| Arm curling we yu de kɔl | Kramp na di ɔpa an mɔsul dɛm, mɔ we yu de es ebi ebi tin. |
| "Popeye Bulge" we de tɔk bɔt am. | wan mas fכ bכdi we nכ de bכku (Popeye bulge) dεn de si am na di כp an. dis kin bi we di biceps mכsul de bכnch כp dכn we di tεndon dכn tכn kכmplit wan. |
| Brus ɛn swel | Brus ɔ swel frɔm di ɔp an to di ɛlb. |
| Nɔ ebul fɔ tɔn di an | I nɔ izi fɔ mek yu rɔta di an so dat di pal go de ɔp. |
If yu gɛt wan ɔ mɔ pan dɛn sik ya, mɔ if yu gɛt "Popeye Bulge" we pɔsin kin si, i rili impɔtant fɔ go to dɔktɔ.
Wetin mek dis biceps tεndon de te?
Sɔntɛm bɔku rizin dɛn de fɔ dis.
- We wi de ol: As tɛm de go, di tɛndon dɛn na wi bɔdi kin west ɛn wik. As wi de ol, dɛn kin te, ivin if dɛn wund smɔl.
- Spɔt: Dis kɔndishɔn kin apin pan pipul dɛm we de ple spɔt we kin gɛt fɔ muv ɔvahɛd bɔku tɛm (e.g., fɔ bɔl na kriket, swim, tɛnis, volibol).
- כda injuri dεm na di sכlda: if di labrum (di kכtilaj ring we de rawnd di sכlda jכint) tכn (dεn kכl am bak SLAP tear ), di biceps tεndon kin te כ te bak di sem tεm.
Di we aw dɛn kin du ɔpreshɔn ɛn di we aw dɛn kin pripia
Dɛn kin du dis ɔpreshɔn tu men we dɛn: opin ɔpreshɔn ɛn atrɔskɔpik ɔpreshɔn.
Jɛnɛral prɛparashɔn dɛn bifo dɛn du di ɔpreshɔn
Yu dɔktɔ go gi yu patikyula tin dɛn fɔ du, bɔt bɔku tɛm, tek tɛm wit dɛn tin ya.
- Nɔ it ɔ drink fɔ 8 awa bifo di ɔpreshɔn. (Dεn kin tek mεdikeshכn dεm we dεn kin tek rεgulεr, fכ egzampl blכd prεshכn mεdikeshכn, wit wan sip wata).
- If yu de smok, stɔp fɔ smok at le tu wiks bifo dɛn du di ɔpreshɔn. Dis go rili ɛp yu at ɛn yu lɔng dɛn fɔ wok.
- If yu de tek ɛni ɛbul sɔpɔtmɛnt, tɔk to yu dɔktɔ bɔt aw fɔ stɔp am wan ɔ tu wik bifo dɛn du yu ɔpreshɔn.
1. Opin Ɔpreshɔn (Open Biceps Tenodesis) .
dis involv fכ mek sכm sכm pat (lεk 3-4 sεntimita) na di fכs pat pan di sכlda, pul di tεndon we dεn dכn pwεl, pul am, put am insay wan sכmכl ol we dεn mek na di כp an bon, εn fכ fiks am wit spεshal sutura anka εn skru (skru fiksεshכn tεknik).
2. Atroskɔpik Ɔpreshɔn (Atrɔskɔpik Biseps Tɛnodesis) .
Dis na ‘kihol ɔpreshɔn’. I nɔ min se dɛn fɔ kɔt big big say. Bifo dat, dɛn kin mek sɔm smɔl smɔl ol dɛn rawnd di sholda, ɛn dɛn kin put smɔl kamɛra (arthroscope) ɛn tin dɛn fɔ du ɔpreshɔn pan. Di dɔktɔ, we i de wach di pikchɔ dɛn frɔm di kamɛra pan monita, i kin pul di tɛndon we dɔn pwɛl ɛn tay am bak to di an bon lɛk aw i bin de bifo.
| Di we aw dɛn kin du ɔpreshɔn | Di bɛnifit dɛn we pɔsin kin gɛt | Disavantej/Kɔmplikeshɔn dɛn |
|---|---|---|
| Opin ɔpreshɔn (Open) . | Sɔm stɔdi dɛn sho se spɔt kin kam bak fɔ ple kwik kwik wan. | Di skata big smɔl. Kɔmplikɛshɔn lɛk infɛkshɔn, di nerve damej, pen, ɛn stiffness kin apin. |
| Arthroscopic ɔpreshɔn we dɛn kin du | Di pen nɔ kin bɔku, di tɛm fɔ wɛl kin shɔt, ɛn di skata dɛn kin smɔl pasmak. | I kin tek lɔng tɛm fɔ go bak to spɔt we yu kɔmpia am to ɔpreshɔn we dɛn kin du opin. Kɔmɔn kɔmplikeshɔn (pen, infɛkshɔn) kin apin. |
Yu dɔktɔ go pik di bɛst tin fɔ yu bay tin dɛn lɛk aw yu wund, aw yu ol, ɛn aw yu de liv yu layf.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn? Di tɛm fɔ mek pɔsin wɛl
I kin tek 4-6 mɔnt fɔ mek i wɛl ful wan. Insay dis tɛm, yu go nid fɔ peshɛnt.
- Am Sling: Yu go nid fɔ wɛr an sling fɔ lɛk 2-6 wik afta dɛn dɔn du di ɔpreshɔn. Insay dis tɛm, yu kin nid ɛp fɔ du tin dɛn we yu kin du ɛvride ɛn fɔ drayv.
- Fizik Tɛrapi:Dis na impɔtant ɛn impɔtant pat pan di hiling prɔses. Afta sɔm wiks we dɛn dɔn du di ɔpreshɔn, yu go nid fɔ bigin fɔ du ɛksɛsayz ɔnda di gayd we pɔsin we de mɛn yu bɔdi go gi yu. Dis go ɛp yu fɔ gɛt rɛnj fɔ muv bak ɛn trɛnk na yu sholda.
- Fɔ bigin fɔ du tin dɛn bak: Tɔk to yu dɔktɔ ɔltɛm bifo yu bigin fɔ du tin dɛn lɛk fɔ du ɛksɛsayz, spɔt, ɔ fɔ es yu wet. If yu bigin fɔ wok kwik, yu kin wund di tɛndon we de wɛl bak.
Ustɛm fɔ kɔl dɔktɔ wantɛm wantɛm
If ɛnitin lɛk dis apin afta dɛn dɔn du di ɔpreshɔn, tɛl yu dɔktɔ ɔ ɔspitul wantɛm wantɛm.
- If di wund de blɔd sote di bandej sok.
- If yu gɛt siriɔs pen we yu nɔ go ebul fɔ kɔntrol ivin wit pen kil.
- If di swɛlin na yu an go bɔku.
- If yu gɛt swɛt ɔ yu fil se yu finga ɔ yu an nɔ de fil fayn.
- If yu an ɔ finga dɛn chenj kɔlɔ (dak) ɔ fil kol we yu tɔch yu.
- If yu gɛt rɛd, swel, pen, ɔ wata we tan lɛk yɔlɔ we de kɔmɔt na di wund.
- If yu gɛt fiva (we pas 101°F / 38.3°C).
di sakses rεt fכ dis כpεrayshכn pas 70%. So, if yu gɛt kɔrɛkt diagnosis, mek yu du di ɔpreshɔn to kwalifay dɔktɔ, ɛn fala di instrɔkshɔn dɛn ɛksaktɔli, yu kin pul dis anɔyntɛd sɔl pen ɛn go bak to yu nɔmal layf.
Mɛsej we dɛn kin kɛr go na os
- bayseps Tεnodesis na כpεrayshכn we de riatεch wan biceps tεndon we dεn tכn כ we dεn dכn pwεl to bon.
- di sכlda pen we de kɔntinyu, pen wantɛm wantɛm wit "klik" sawnd, ɛn we di an de swel lɛk "Popeye" na di men sayn dɛm.
- I kin tek 4-6 mɔnt fɔ ful-ɔp fɔ wɛl afta dɛn dɔn ɔpreshɔn am, ɛn fyzikal tritmɛnt rili impɔtant.
- I rili impɔtant fɔ fala di advays we dɔktɔ gi yu ɛn nɔ rɔsh fɔ du ebi ebi wok ɔ spɔt di tɛm we yu de wɛl.
- If yu gɛt ɛni dawt ɔ yu gɛt ɛni wan pan di wɔnin sayn dɛn we wi dɔn tɔk bɔt, go to yu dɔktɔ wantɛm wantɛm.
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