Yu nɔ ebul fɔ du yu wok dɛn we yu de du ɛvride fayn bikɔs ɔf di pen we de kɔmɔt na di sayd we yu big an, rayt ɔnda yu an? Yu nɔ go ebul fɔ bia dis pen we yu tɔch sɔntin, swɛt am, ɔ sɔntɛm yu ivin pik yu smɔl pikin? Dɔn dis stori go rili impɔtant to yu. Tide wi de tɔk bɔt wan sik wae bɔrku pipul kin sɔfa wit, bɔt nɔr kin no gud gud wan wetin i bi, bɔt dɛn kin mɛn am wit rili simpul tritmɛnt.
Wetin na di Tenosynovitis we De Quervain gɛt?
Fɔ tɔk am simpul wan, De Quervain in Tenosynovitis na wan pen we de swel na di swɛlin we de rawnd di tɛndon dɛn we de kɔnɛkt yu tumbu. Sɔntɛnde dɛn kin kɔl am De Quervain in tendinosis. Dɛn tu nem ya de tɔk bɔt di sem kɔndishɔn.
Naw lɛ wi si aw fɔ ɔndastand dis smɔl mɔ simpul wan. Imajin se di mɔsul dɛn na wi bɔdi gɛt sɔntin we tan lɛk strɔng rop fɔ kɔnɛkt to di bon dɛn. Wi kin kɔl dɛn tɛndon ya . We yu kɔntrakt wan mɔsul, dis tɛndon de strɛch ɛn muv di kɔrɛspɔndɛns bon. Tu tεndon dεm de lεk dis we de kכnekt yu big an to yu an.
nכmal wan, dεn tεndon dεm ya kin travul insay wan sheath fכ tisu we lεk tכb. Dɛn kin muv rawnd ɛn nɔ gɛt ɛni prɔblɛm. bכt if fכ sכm rizin dis sεf swel כ tik, di tεndon dεm nכ gεt inof rum fכ muv fri wan. Dɔn, ɛvri tɛm we yu yuz yu big an, yu kin gɛt bɔku frikshɔn ɛn yu kin fil bad bad wan . dis pen kin bigin na di bכs pat pan di tכmb εn i kin spre כp di an εn tכwεd di fכs an.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi no dis?
Bɔrku impɔtant tin dɛm de wae kin ɛp fɔ no dis sik. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Wan diskripshɔn bɔt am |
|---|---|
| Di men simptom - pen | Dis pen kin apin na di sayd na di an usay di big an de. Fɔ sɔm pipul dɛn, i kin bigin wantɛm wantɛm, ɛn fɔ ɔda pipul dɛn i kin go ɔp smɔl smɔl. Di pen kin rili bad we yu de yuz yu an, yu an, ɔ yu big an, ɔ we yu de swɛt sɔntin (e.g., we yu de swɛt klos). |
| De swɛl | Yu kin si smɔl swɛlin usay di pen de, dat na di say we di big an de. |
| Wan ‘tik’ sawnd ɔ sɛns | We yu muv yu big an, yu kin fil se yu de pinch ɔ yu kin fil ‘klik’ sawnd. |
| Wan had filin/wan hangover | Di big an kin fil stif, i nɔ kin ebul fɔ bɛn ɔ pul am fayn fayn wan ɛn izi wan. |
| Fɔ mek pɔsin nɔ ebul fɔ du natin | Sɔntɛnde, yu kin fil lɛk se yu de swɛt na yu an ɔ yu big an. |
Wetin mek wi gɛt dis? Wetin na di rizin dɛn?
εnitin we de put prεshכn כ trauma pan di tεndon dεm na di tכmbכl kin mek dis kכndyushכn. Di men tin dɛn we kin mek i apin na:
- Yuz yu an ɛn big big an pasmak: Dis sik kin apin we yu kɔntinyu fɔ muv di sem kayn muvmɛnt.
- Fɔ du di sem kayn wok ɔltɛm: Sɔm wok ɔ tin dɛn we yu lɛk fɔ du kin mek yu gɛt dis. Fɔ ɛgzampul, pɔsin we de spɛn bɔku tɛm fɔ tayp na kɔmpyuta, pɔsin we de du kapɛnta wok, pɔsin we de plant, ɔ pɔsin we de ple spɔt lɛk tɛnis, kin gɛt dis sik mɔ.
- Jɔyn inflamɛns: If yu gɛt jɔyn inflamɛns kɔndishɔn lɛk at at, dat kin bi bak wan kɔz.
- Dairekt trauma: If yu blo yu big an ɔ yu an tranga wan, dat kin mek yu gɛt dis sik bak.
Dis sik kin kɔmɔn mɔ pan nyu mama dɛn. I kin bi bikɔs ɔf di prɛshɔn we dɛn de prɛs di big an we dɛn de es pikin, was, ɔ ol pikin. Na dat mek sɔm tɛm dɛn kin kɔl am "nyu mama in tumbu."
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt dis, sɔm pipul dɛn kin gɛt dis sik smɔl.
- Fɔ uman dɛn
- Fɔ di wan dɛn we dɔn pas 40 ia
- Fɔ di wan dɛn we de kia fɔ dɛn ɛn mama ɛn papa dɛn we gɛt smɔl pikin dɛn
- Fɔ di wan dɛn we de du wok wit dɛn an (e.g. fam, kapɛnta, masonry)
- Fɔ di wan dɛn we de ple
Aw yu go fɛn dis, Dɔktɔ?
We yu go si dɔktɔ, i go chɛk yu an ɛn yu an. I go aks yu tin dɛm lɛk ustɛm di pen bigin, us kayn wok yu de du, ɛn wetin de mek di pen wɔs.
Wan rili simpul tɛst de we dɔktɔ dɛn kin yuz fɔ no dis sik kɔrɛkt wan. Dɛn kɔl am di Finkelstein tɛst . Na dis na aw dɛn kin du am:
1. Di dɔktɔ go tɛl yu fɔ bɛn yu big an insay ɛn lɔk am wit yu ɔda finga dɛn fɔ mek fist.
2. afta dat, dεn aks di an we de ol di hεndl fכ bεnd di an tכwεd di sayd we di sכmכl finga de (dכn).
If yu gɛt siriɔs pen na di bays pan yu tumbu we yu bɛn am dis we, i go bi se na De Quervain in sik. Sɔntɛnde, dɛn kin du ɛkstrem rayt fɔ chɛk fɔ ɔda tin dɛn lɛk ɔstiɔ-arayt.
Wetin wi kin du bɔt dis? Wetin na di tritmɛnt dɛn?
Fɔ mek dis sik wɛl, dɛn nid fɔ gi di tɛndon ɛn di tin we de kɔba am tɛm fɔ mek i wɛl. Di dɔktɔ go gi yu tritmɛnt dɛn we go ɛp fɔ du dat.
| Di we aw dɛn kin trit am | Wetin kin apin to am? |
|---|---|
| We yu wɛr splint | Dɛn go gi yu spɛshal sɔpɔt (splint ɔ bres) fɔ mek yu an ɛn big an nɔ de na di say we yu de. Dis kin mek di tɛndon dɛn rɛst. |
| Fɔ put ays-lay | Yu kin put ays fɔ mek yu nɔ swel ɛn nɔ fil pen. Rap wan ays kiub wit tint klos ɛn put am na di say we yu de fil pen fɔ lɛk 20 minit bɔku tɛm insay di de. |
| Rɛst | Dis rili impɔtant . Yu fɔ de fa frɔm di tin we yu de du we mek yu fil pen as yu ebul. Fɔ gi yu an brek rili impɔtant fɔ mek yu wɛl kwik kwik wan. |
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | Yu dɔktɔ kin tɛl yu fɔ tek NSAID, we kin mek yu nɔ swel ɛn nɔ fil pen. Bɔt nɔ yuz dɛn tin ya fɔ pas 10 dez wan tɛm we yu nɔ go to yu dɔktɔ. |
| Kɔtikosterɔyd injɛkshɔn dɛn | If ɔda tritmɛnt nɔr de pul di pen, yu dɔktɔ kin injɛkt wan strɔng mɛrɛsin we dɛn kɔl kɔtikosterɔyd insay di tɛndon swɛt we dɔn inflam. Dis go ridyus di swel bad bad wan. |
Yu tink se i nid fɔ du ɔpreshɔn?
Bɔku tɛm, i nɔ kin nid fɔ du ɔpreshɔn. Na if di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ ɛp, na in dɔktɔ go tɛl yu fɔ du ɔpreshɔn. Bɔku tɛm, dis na smɔl tin we dɛn kin du. i involv fכ mek sכm sכm pat na di tεndon sεf fכ alaw di tεndon fכ muv fri wan.
Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?
Bɔku tɛm, i kin wɛl insay sɔm wiks. If yu fɔ wɛr splint, yu go nid fɔ wɛr am fɔ sɔm wiks.
Di tin we impɔtant pas ɔl na dat, ivin if yu fil fayn smɔl, wet te di dɔktɔ se, "Okay, bigin fɔ wok naw." If nɔto dat, i kin kam bak. Nɔr go bak to de aktiviti dɛm wae bin de mek yu fil pen tumɔs.
Wetin kin apin if dɛn nɔ trit am?
De Quervain in sik na wan sik we dɛn kin trit bad bad wan. Bɔt if dɛn nɔ trit di tɛndon sheath, i kin pwɛl, i kin bɔs, ɔ ivin te. If dat apin, yu nɔ go ebul fɔ muv yu big an ɛn yu an fɔ ɔltɛm. So nɔ ignore di pen.
Dɛn nɔ go ebul fɔ mek dis tin nɔ apin?
Yɛs, yu kin ebul. Na wetin yu nid fɔ du na fɔ ridyus di prɛshɔn we de na yu big an ɛn yu an.
- If yu de ple spɔt ɔ du wok, no di rayt we aw yu de tinap ɛn di we aw yu de du tin we gɛt fɔ du wit am.
- We yu bigin fɔ du nyu ɛksesaiz ɔ aktiviti, bigin smɔl smɔl.
- If yu kɔntinyu fɔ du di sem tin, tek brɛk wan wan tɛm.
- "No wok tru di pen." If yu fil pen, stɔp di wok ɛn rɛst.
- Gi yu bɔdi tɛm fɔ wɛl afta yu dɔn du tin tranga wan.
Mɛsej we dɛn kin kɛr go na os
- De Quervain in Tendinosis na wan sik wae de mek yu fil pen na di tumbu sayd na yu an. Bɔku tɛm, na bikɔs yu de yuz di an pasmak.
- Dis kin apin mɔ to mama dɛn we gɛt smɔl pikin dɛn, pipul dɛn we de wok wit dɛn an, ɛn atlet dɛn.
- Bɔrku pipul kin wɛl frɔm dis wit simpul tritmɛnt lɛk fɔ rɛst, ays, ɛn wɛr splint.
- If yu nɔ pe atɛnshɔn to di pen, dat kin mek di sik wɔs, so go to dɔktɔ wantɛm wantɛm if yu gɛt sɔm sayn dɛn.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan impɔtant fɔ mek yu wɛl kwik kwik wan.
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