Yu an de go swɛ ɔ yu de swɛ? I kin bi Brachial Plexus injuri! Wi go tɔk bɔt dis?

Yu dɔn ɛva fil wantɛm wantɛm se yu an nɔ de fil fayn, yu wik, ɔ yu de fil pen? Sɔntɛnde yu kin fil dis diskɔmfɔt frɔm yu sholda ɔlsay te to yu finga dɛn. I kin rili mek pɔsin fred we sɔntin lɛk dis apin, nɔto so? So tide wi go tɔk bɔt wan pɔsibul kɔz fɔ dɛn sik ya. Dat na damej pan di nεv nεtwכk we dεn kכl Brachial Plexus.

Wetin na di Brachial Plexus?

Fɔ tɔk am simpul wan, di brachial plexus na wan kɔlekɛshɔn ɔf nɛv dɛm we de rɔn frɔm yu nɛk tru yu armpit ɛn dɔŋ yu an. I tan lɛk wan bɔnch smɔl kebul dɛn we dɛn kɔnɛkt togɛda. Dɛn nɛv ya de kɔntrol aw yu sholda, yu an, yu an, ɛn yu finga dɛn de muv ɛn fil. Fɔ ɛgzampul, if yu an jɔk wantɛm wantɛm, ɔ yu ed ɛn nɛk jɔk to wan say ɛn yu sholda jɔk to di ɔda say, dis nɛtwɔk we de na di nerv dɛn kin pwɛl. Smɔl injuri kin wɛl if dɛn nɔ trit am. Bɔt if di damej siriɔs, yu kin nid fɔ du ɔpreshɔn fɔ mek yu an wok bak . Dis kכndyushכn kin apin bak pan yכŋ pikin dεm, spεshal wan na di bεlε כ we dεn bכn. Wi kin kɔl am `(Niɔnal Brachial Plɛks Palsi - NBPP)`.

Us nerv dεm de na di Brachial Plexus?

Naw lɛ wi luk aw di Brachial Plexus de fɔm. dis nεtwכk de fכm bay fayv men nεv dεm we de stat na di nεk fכ yu spayna εn kכmכt de. Jɔs lɛk aw riva kin branch, dɛn nɛf ya kin branch bak ɛn spre ɔlsay na di an. insay mεdikal, `(Plexus)` de tכk bכt wan kכlekshכn fכ nεv dεm, bכdi vεsεl dεm, כ limf vεsul dεm we kכnekt togeda lεk dis. Di wɔd `(Brachial)` min 'rilayt to di an'. so di brachial plexus na wan grup fכ nεv dεm we de rכn to di an.

Ɛni wan pan dɛn fayv nɛv ya gɛt wan patikyula wok we i de du. Sɔm kin mek di mɔsul dɛn wok, ɔda wan dɛn kin kɛr tin dɛn lɛk wam ɛn tɔch to di bren. Di sayn dɛm wae yu go gɛt ɛn di tritmɛnt wae yu nid go dipen pan us nerve dɔn pwɛl ɛn di kayn we aw di damej dɔn pwɛl.

Fayv men nerv dεm de involv:

• di aksila nεv: I de εp fכ muv di sכlda εn stebul.
• di midya nεv: I de εp fכ fleks di mכsul dεm na di fכs an εn di an, εn fכ fleks di an εn di finga dεm. I impɔtant bak fɔ sɛns na di pal, big big an, indeks, midul, ɛn ring finga dɛn.
• di mכskulכkutan nεv: i de εp fכ mek di mכsul dεm na di כp an (e.g., biceps) εn bεnd di εlbo εn tכn di fכs an.
• raydial nεv: I de εp fכ εksεnd di εlbo εn di an bay we i de aktibכt di mכsul dεm na di bak pat pan di an εn fכs an. I de ɛp bak fɔ fil di big finga, di indeks finga, di midul finga, ɛn af pan di ring finga na di bak pat pan di an.
• Ulnar nerve: 1. .I de ɛp fɔ mek di an muv fayn fayn wan bay we i de mek di mɔsul dɛn na di an ɛn di fɔs an wok. i de involv bak fכ sεns na pat pan di ring finga εn sכm sכm finga.

Wetin na di kayn Brachial Plexus disɔda?

dis brachial plexus injuri kin apin difrεn we dεm, i dipכnt pan aw di injuri bad. difrεn nεv dεm na dis nεtwכk kin pwεl difrεn digri dεm insay wan tin we apin.

• Stretch / Neuropraxia: Dis na we dεn pul wan nerv sכmtεm. Dis kin pwɛl di prɔtɛktiv kɔva we de rawnd di nerv. dis kin ambɔg di transmishכn fכ di nεv signal dεm, bכt bכku tεm, nכ big damej nכ de pan di nεv we de כndalayn. Dis sik kin sɔlv fɔ insɛf , ɔr kin trit am wit simpul tritmɛnt lɛk fizik tritmɛnt.
• Rupchɔ: Dis na we dɛn pul wan nerv tumɔs ɛn wantɛm wantɛm i kin rɔtin pat pan am ɔ kɔmplit wan. Bɔku tɛm dɛn kin mek dɛn injury dɛn ya we dɛn du ɔpreshɔn .
• Avulsion: Dis na di kayn we we siriɔs pas ɔl . dis na we di nεv rכt de separet frכm di spεnal kכd. Bɔku tɛm, dɛn injury ya kin nid ɔpreshɔn fɔ mek dɛn wok bak.

Dis difrɛn frɔm di sɛvikal radikulopathy?

Sɔm pipul kin tink se dis na sɔntin lɛk ``Cervical Radiculopathy / Pinched Nerve''. Pan ɔl we de sayn dɛn kin fiba smɔl, dɛn tu tin ya rili difrɛn.

Sεvikal Radikulopati na wan kכndyushכn we kin apin we wan nεv rכt we kכmכt frכm di vεrbra dεm na di nεk kכmprεs כ inflamed. Dis kin mek yu gɛt sɔm sayn dɛm lɛk pen na di nɛk ɛn di mɔsul dɛm na di nɛk kin stif.

כltu, di brachial plexus injuri kin kכz fכ wan pinch כ tכn nerv. dis kin involv mכltipכl nεv rכt dεm εn i nכ kin mek di nεk simptom dεm (pen, stiffness) lεk insay sεvikal radikulopathy.

Udat kin gɛt dis sik? Aw i kɔmɔn?

Infakt, dis brachial plexus disorder kin apin pan ɛnibɔdi we ol ɛni ej, ilɛksɛf na man ɔ uman. Nyu bɔn pikin dɛn bak kin gɛt dis sik we dɛn bɔn dɛn.

Bɔt dɛn kin si am mɔ pan yɔŋ man dɛn we ol bitwin 15 ɛn 25 ia .

E tranga fɔ tɔk ɔmɔs pipul dɛn kin gɛt dis sik ɛvri ia, bɔt pipul dɛn we de stɔdi bɔt dis sik se di nɔmba de go ɔp. Dis kin bi bikɔs ɔf tin dɛn lɛk di bɔku bɔku pipul dɛn we de tek pat pan spɔt dɛn we gɛt bɔku ɛnaji ɛn di bɔku bɔku pipul dɛn we de sev frɔm ay-spid motoka aksidɛnt.

Jɔs tink bɔt, 70% pan di brachial plexus injuries frɔm aksidɛnt lɛk dis na trafik aksidɛnt kin kam . Ɛn 70% pan dɛn aksidɛnt dɛn de na motoka ɔ baysikul aksidɛnt! Dat min se wi ɔndastand aw wi nid fɔ tek tɛm we wi de na rod, nɔto so?

if wi tכk bכt dis dizayd (Neonatal Brachial Plexus Palsy) pan nyu bכbi dεm, pan avεj, na 2-3 pikin dεm nכmכ pan 1000 pikin dεm we dεn bכn kin si dis kכndyushכn.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

De sayn dɛm fɔ dis sik kin difrɛn difrɛn wan bay di kayn nerve wae dɔn pwɛl ɛn di kayn we aw i dɔn pwɛl. Dɛn sayn ya kin apin togɛda wit ɔda injury dɛm.

Di men sayn dɛm wae dɛn kin si pan big pipul ɛn pikin dɛm:

• I tan lɛk se di an de hang we nɔ gɛt layf.
• Wan kɔndishɔn lɛk paralayz na di an ɔ an.
• I nɔ kin izi fɔ kɔntrol di an, di an, ɔ di an.
• Yu nɔ de fil fayn ɔ yu nɔ de fil fayn na yu an ɔ yu an.
• Pen na yu an, yu an, ɔ yu an.

Di sayn dɛm we dɛn kin si pan pikin dɛm we dɛn jɔs bɔn:

• Lɔs ɛni muvmɛnt na di pikin in ɔp an, dɔŋ an, ɔ an.
• di lכs fכ di Moro rεflεks/start rεspכns na di sayd we i afekt (i.e., di pikin nכ de yuz di an we i sכt).
• Di pikin de ol in an agens in bɔdi, i de es am na in ɛlb.
• Di grip trɛnk we de dɔŋ na di say we di sik afɛkt.

Wetin na di tin dɛm wae kin mek yu gɛt brachial plexus disorder?

difrεn men rizin dεm de we mek dis brachial plexus nεv nεtwכk kin pwεl.

1. Fɔs Trauma

Bɔku tɛm, di ɔp pat pan dis nɛv nɛtwɔk kin pwɛl we yu prɛs yu sholda dɔŋ, ɛn yu sholda kin pul yu nɛk ɛn ed ɔp ɛn go na di sayd. Tink bɔt am lɛk motoka aksidɛnt .

di lכw pat pan di nεv nεtwכk go dכn pwεl if dεn pul yu an wan wan wan tranga wan oba yu ed.

Sɔm ɛgzampul dɛn bɔt dɛn kayn aksidɛnt dɛn ya na:

• Aksidɛnt dɛn we pɔsin kin gɛt wit motoka we de spid, mɔ we motoka aksidɛnt kin apin .
• Fɔl dɛn.
• Dairekt blow frɔm sɔntin we nɔ shap (e.g. insay fɛt).
• Sɔm spɔt dɛn kin gɛt fɔ du wit kɔlishin (mɔs pan dɛn kin mek pɔsin gɛt smɔl injuri, we dɛn kin kɔl bak ``bɔna'' ɔ ``stinga'').
• Injuri we pɔsin kin gɛt we i gɛt shap wɛpɔn (e.g., wund we pɔsin chuk am) ɔ wund we i gɛt bulɛt (ballistic trauma).

2. Tumɔs dɛn

sכmtεm di tכmכro kin divεlכp insay כ along di brachial plexus, כ i kin kכz fכ di tכmכro dεm we de put prεshכn pan am.

brεst kεnsar εn lכng kεnsar na di men kayn kεnsar we de afekt di brachial plexus.

pan tap dat, kansa lεk limfoma εn mεlanoma kin spre to di limf no dεm na di armpit εn afekt dis nεv nεtwכk.

3. Inflameshɔn

We jεm dεm lεk vayrus כ baktri dεm atak wi bכdi, כ we wi inju, wi imyun sistεm de wok. di sεl dεm we de mek di inflammatory sεl dεm de kכmכt. pan ɔl we dis nid fɔ bi, sɔm tɛm dis imyun sistɛm kin go hayway ɛn atak di wɛlbɔdi tisu. Ɔ, di rispɔns to wan jem kin tumɔs ɛn pwɛl di bɔdi in tisu dɛm.

insay wan kכndishכn we nכ kin apin we dεn kכl `Parsonage-Turner Syndrome` (dεn kכl am bak `(Brachial Neuritis)`), inflameshn na di brachial plexus kin apin we nכ gεt εni klia sholda injuri. I kin bigin wit bad bad pen na di sholda ɔ an, dɔn i kin wik ɛn nɔ kin fil fayn.

4. Injuri we dɛn bɔn am

di nyu bכbi dεm kin gεt damej pan dεn brachial plexus, i kin bi fכ trauma we dεn de na dεn mama in bεlε כ we dεn bכn at. dis dεn kכl am ``Neonatal Brachial Plexus Palsy (NBPP)``. Dɛn tin ya kin apin:

• we di pikin in ed kכmכt εn di sכlda dεm kכmכt, dεn de pul di ed εn nεk na wan say (dεn kכl dis bak `(Shoulder Dystocia)`).
• biכs fכ di pikin in sכlda dεm we dεn de pul di tεm we dεn de bכn di ed fכs.
• we dεn de bכn wit brich, dεn de put prεshכn pan di pikin in an dεm we dεn rayz.

Aw yu no dis? Us tɛst dɛn dɛn kin du?

If yu gɛt dɛn sik ya, dɔktɔ go tek tɛm luk yu fɔ si if dis na brachial plexus injury ɔ if ɔda injury de. Dis na bikɔs bɔku tɛm, dɛn injury ya kin bi bikɔs ɔf siriɔs aksidɛnt, ɛn ɔda injury dɛn kin de bak.

Di dɔktɔ go chɛk ɛni grup pan di nɛv dɛn we gɛt kɔnekshɔn to di brachial plexus fɔ tray fɔ no ustɛm di damej dɔn apin ɛn aw i bad .

If di pikin we dεn bכn sho dεn sik ya, dכkta go chεk fכ si if di pikin kin muv in an εn leg εn if dεn gεt di Moro rεflεks.

Fɔ no dis sik kɔrɛkt wan ɛn chɛk fɔ ɔda prɔblɛm dɛn, dɔktɔ kin du bɔku tɛst dɛn, lɛk:

• X-ray: Dɛn tin ya kin si klia wan tin dɛn we strɔng lɛk bon. Dɛn kin tek ɛkstrem rayt pan di nɛk, chɛst, sholda, ɛn an fɔ chɛk if i brok.
• CT Myelogram Scan: Dis na fɔ injɛkt spɛshal wata rawnd di spɛshal nerv dɛn ɛn yuz ɛkstrem rayt ɛn kɔmpyuta fɔ mek klia pikchɔ dɛn bɔt di insay pat na di bɔdi. dis dεn kin kכnsidr am as di bεst tεst fכ si if wan nεv rכt dכn kכmכt frכm di spεnal kכd (`(Avulsion)`). Sɔm dɔktɔ dɛn kin du MRI skan bak apat frɔm dis, ɔ insted ɔf dis.
• ilektrodaygnostik egzam dεm: dεn ya inklud tεst dεm we dεn kכl `(Electromyogram - EMG)` εn `(Nerve Conduction Studies)`. dis dεm de mכsu di we aw di nεv signal dεm de travul εn di signal dεm na di mכsul dεm. dis tεst dεm kin kכnfכm wan brachial plexus injuri, fכ no usay di injuri de, fכ no aw di injuri siriכs, εn ases di rεt we di nεv dεm de hεl. Dɛn kin du di fɔs ɛgzam 3-4 wik afta di injuri. afta dat, dεn kin ripit am insay 2-3 mכnt fכ si if di nεv de hεl.

If pikin we dɛn jɔs bɔn gɛt dɛn sik ya, dɛn kin du ɛkstrem rayt fɔ si if dɛn kɔlabon dɔn brok. dis na biכs wan kכndishכn de we dεn kכl ``Pseudoparalysis'', we di pikin nכ kin muv in an biכs fכ brok bon εn pen, nכto di nεv dεm we dεn dכn pwεl.

Wetin na di tritmɛnt dɛn?

Bikɔs dis kayn brachial plexus injury kin apin afta siriɔs aksidɛnt, bɔku pipul dɛn kin gɛt ɔda siriɔs injury bak . Fɔ ɛgzampul, di blɔd vesel dɛn we dɔn pwɛl, di sholda, an, bak ɔ di rib dɛn we brok, di lɔng we dɔn fɔdɔm, di spɛnal kɔd we dɔn pwɛl, ɔ di bren we wund. So, di mεdikal tim go fכs trit dεn injuri ya we de mek dεn layf de pan denja bifo dεn bigin trit di brachial plexus injuri.

We yu de trit dis, nyurolɔjis, nyurosɔjɔn, an ɔpreshɔn, fizik thɛrapist, ɔkupeshɔn tɛrapist, ɛn yu famili dɔktɔ (Primary Healthcare Provider) kin wok togɛda as tim.

Tu men we dɛn de fɔ trit: tritmɛnt we nɔto ɔspitul ɛn ɔspitul tritmɛnt.

Tritmɛnt we nɔto ɔpreshɔn

Bɔku pan di brachial plexus injury, mɔ di smɔl wan dɛn, kin wɛl we dɛn nɔ du dɛn ɔpreshɔn insay sɔm wiks to sɔm mɔnt . Bɔku tɛm, di injury na di nerve we kin wɛl fɔ dɛnsɛf kin gɛt gud rizɔlt pan di we aw di mɔsul ɛn di nerve de wok.

If yu dɔktɔ tink se chans de fɔ mek yu wɛl if dɛn nɔ du yu ɔpreshɔn, i kin wet te di wund wɛl bifo i tink bɔt fɔ du ɔpreshɔn.

Yu dɔktɔ kin tɛl yu fɔ du fizik tritmɛnt fɔ mek yu jɔyn ɛn mɔsul dɛn nɔ stif we yu wund de wɛl. Yu go nid bak fɔ rɛst yu an ɛn yu sholda ɛn avɔyd fɔ du tin dɛn we de mek yu tranga.

Ɔspitul tritmɛnt

If di nerve nɔ wɛl fɔ insɛf, ɔ if i nɔ wɛl fɔ mek di an ɛn di an ɛn di an ebul fɔ wok bak, di dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn pan am.

Di tin we impɔtant pas ɔl na fɔ no se, i go dipen pan aw di injuri bad, ivin afta dɛn dɔn du di ɔpreshɔn, yu nɔ go gɛt di sem wok na yu an ɔ yu an lɛk aw yu bin de du bifo di injuri, ɔ yu nɔ go ebul fɔ du di wok ful wan .

Nyurosɔjɔn dɛn kin yuz difrɛn we dɛn fɔ trit di nerve injury, i kin dipen pan di kayn injury, aw i siriɔs, ɛn aw lɔng i dɔn de.

• Ripair nerve: Insay dis prosidur, di sajin kin ataya di ed dɛm we dɔn rɔtin pan wan nerve we dɔn brok. Dɛn kin du dis kwik kwik wan fɔ kɔt shap shap, lɛk fɔ kɔt naif.
• Nɛv graft: .Insay dis ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin tek wan wɛlbɔdi nɛv frɔm ɔda pat na yu bɔdi ɛn siŋ am bitwin di tu ɛnd dɛn na di nɛv we dɛn dɔn kɔt. dis grafted hεlty nεv de akt lεk sכfכd, we de εp di tu nεv εnd dεm we injuri fכ gro tכgeda.
• Nεv tכnfכs: dεn kin du dis כpεrayshכn we nכ inof fכnshכnal nεv tisu de na di nεk fכ transplant. Insay dis prosidur, di ɔspitul kin kɔt wan wɛlbɔdi dona nerve ɛn kɔnɛkt am to di nerve we inju. Dis kin mek di nerve ebul fɔ sɛn signal to di mɔsul we paralayz.

Tritmɛnt fɔ pikin dɛn we dɛn jɔs bɔn

If di pikin we dɛn jɔs bɔn gɛt smɔl injuri na di brachial plexus, dɔktɔ kin se i fɔ masaj di pikin in an ɛn du ɛksashɔn dɛn we de mek i muv.

If di damej bad bad wan, ɔ if i nɔ wɛl insay di fɔs wik, i kin nid fɔ rifer di pikin to pikin dɛn nyurosɔjɔn. if di pikin in trεnk nכ impruv insay 3-9 mכnt, dεn kin tink fכ כpεrayshכn.

Ɛni prɔblɛm dɛn de we kin apin we dɛn du ɔpreshɔn?

Jɔs lɛk ɛni ɔpreshɔn, dɛn ɔpreshɔn ya kin gɛt sɔm prɔblɛm dɛn. Fɔ ɛgzampul:

• Prɔblɛm dɛn we gɛt fɔ du wit anestezi.
• Sik we de prɛd.
• Blɔd we de kɔmɔt pasmak.

Apat frɔm dat, if yu gɛt ɔda sik dɛn we yu bin dɔn gɛt bifo tɛm (e.g. dayabitis, ay blɔd prɛshɔn), yu risk fɔ gɛt dɛn prɔblɛm ya kin go ɔp:

• Pen we nɔ de dɔn (`(Pen we nɔ de dɔn)`).
• Blɔd we de klɔt.
• At atak.
• Strok.

Aw lɔng i kin tek fɔ mek i wɛl?

Nɛv dɛn kin wɛl smɔl smɔl . So, i kin tek tɛm fɔ mek i wɛl frɔm di brachial plexus injury. Yu nɔ go si ɛni impɔtant tin fɔ sɔm mɔnt.

De tin wae impɔtant pas ɔl na fɔ gɛt fayn abit ɛn kɔmit to yu tritmɛnt plan.

Wan ɔkupeshɔn tɛrapist kin ɛp yu fɔ lan fɔ du ɛvride wok (lɛk fɔ it ɛn was yu bɔdi) wit yu an we nɔ afɛkt.

Yu go nid bak fɔ kɔntinyu fɔ gɛt fizik tritmɛnt fɔ mek yu sholda, ɛlb, an, ɛn finga dɛn nɔ stif ɛn fɔ mek yu mɔsul dɛn nɔ rɔtin.

If di wok we yu an ɛn/ɔ yu an de du nɔ dɔn ful-ɔp bak lɛk aw i bin de bifo di injuri, i rili impɔtant bak fɔ gɛt gud maynd trɛnk ɛn fɔ ebul fɔ adap fɔ mek di chenj dɛn we nid fɔ apin na yu layf (wok, tin dɛn we yu de du ɛvride).

Us tin dɛn kin mek pɔsin gɛt dis prɔblɛm?

difrεn tin dεm de we de mek di risk fכ gεt dis brachial plexus disorder:

• Ple sɔm spɔt dɛn, mɔ kɔntakt spɔt dɛn (e.g. futbɔl, rɔgbi, rɛslɛshɔn).
• Fɔ drayv we yu nɔ tek tɛm ɛn fɔ spid.

Tek tɛm ɔltɛm bɔt sef we yu de ple spɔt ɛn drayv ɛn tray fɔ avɔyd aksidɛnt lɛk dis.

di tin dεm we de mek di risk fכ di nyu bכbi pikin dεm fכ gεt dis kכndyushכn (Neonatal Brachial Plexus Palsy - NBPP):

• Breech delivri fɔ di wok.
• Di mama we fat pasmak.
• Fɔ bi pikin we big pas di avɛrej pikin.
• i at fכ pul di pikin in sכlda dεm afta di pikin in ed kכmכt (Shoulder Dystocia).

Wetin go apin tumara bambay? (Prɔgnosis) .

Yu prɔgnosis (ɔ prognosis) afta dis injuri de dipen pan sɔm tin dɛm:

• di kayn εn di siriכs we di nεv dεm de pwεl (`(Avulsion)`, tear, traction).
• Wetin yu min we yu se di nerv dɛn we dɔn pwɛl?
• Yu gɛt ɛni ɔda injuri?
• Aw kwik yu bin gɛt tritmɛnt afta yu dɔn wund.
• Aw yu dɔn mekɔp yu maynd fɔ du fizik tritmɛnt ɛn ɔda tritmɛnt dɛn fɔ mek yu wɛl.

If di avulshɔn ɛn rupchɔ, bɔku tɛm i nɔ kin izi fɔ mek di mɔsul dɛn wok ɛn wok bak pas dɛn tay di nɛv bak insay di rayt tɛm tru ɔpreshɔn .

כl di pipul dεm we gεt nerve stretch (neuropraxia) injury kin gεt 90% - 100% pan dεn nerve fכnshכn bak we dεn nכ du כpεrayshכn .

כl di pikin dεm we dεn bכn wit dis kכndyushכn kin bכn kכmplit insay 3-4 mכnt . Di luk fɔ bebi dɛm we nɔ de wɛl insay dis tɛm nɔ kin rili fayn. Insay dɛn kayn tin ya, dɛn kin dɔn gɛt wan sik we dɛn kɔl nerve avulsion.

Ustɛm a fɔ go to dɔktɔ?

If yu dɔn gɛt brachial plexus injury, yu go nid fɔ mit wit yu mɛdikal tim ɔltɛm fɔ wach aw yu nerv dɛn de wɛl ɛn aw dɛn de wok ɔl di tɛm we yu de wɛl.

Dɔn bak, if yu gɛt rihabiliteshɔn plan, yu fɔ mit wit yu fizik thɛrapist ɔltɛm. I rili impɔtant fɔ tek pat pan dɛn tritmɛnt ya wit dedikeshɔn fɔ gɛt di bɛst rizɔlt.

Nɛv dɛn kin tek tɛm fɔ mek dɛn wɛl. Afta di brachial plexus injuri, spεshal wan afta di כpεrayshכn, di tεm we i de rεkכva kin lכng tεm. Wan rihabiliteshɔn program fɔ gɛt bak di bɔdi abiliti nid fɔ gɛt bɔku dedikeshɔn. Pan ɔl we dis kin tranga smɔl, i impɔtant fɔ mek yu gɛt gud abit . Aks fɔ ɛp frɔm yu padi ɛn fambul dɛn. Yu dɔktɔ dɛn bak rɛdi fɔ ɛp yu ɛn gi yu di bɛst tritmɛnt plan.

Fɔ dɔn, mɛmba dis.

So, di brachial plexus disɔda we wi bin tɔk bɔt tide na siriɔs kɔndishɔn we kin afɛkt di wok we wi an ɛn an dɛn de du.

• Dis kin bi mɔ bikɔs ɔf aksidɛnt, tumbu, inflammatory conditions, ɛn difεkt we dɛn bɔn pikin .
• If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ fil fayn, yu wik, yu de fil pen, ɔ yu nɔ ebul fɔ kɔntrol yu an , yu fɔ rili go to dɔktɔ .
• Tritmɛnt dɛn de, bɔt fɔ mek pɔsin wɛl, i kin tek tɛm ɛn i kin tek bɔku tɛm fɔ gi yu layf to Gɔd . Fisiotɛrapi na yu bɛst padi pan dis joyn.
• Sɔm kɔz (espɛshali aksidɛnt) kin bi fɔ avɔyd. Yu fɔ tink bɔt sef ɔltɛm.
• If di pikin we dɛn jɔs bɔn in an nɔ de muf, tɛl dɔktɔ wantɛm wantɛm.

A op se dis infɔmeshɔn go ɛp yu. If yusɛf dɔn gɛt dis kayn ɛkspiriɛns, nɔ wɔri. If yu gɛt di rayt advays ɛn tritmɛnt we di dɔktɔ gi yu, yusɛf go ebul fɔ win dis sik.

` Brachial Plexus, Brachial Plexus Injury, Nεv Dizכrd, Nכmbnεs na di An, Lכs כf An, Nεv Injuri, NBPP