Yu bin fɔdɔm wantɛm wantɛm we yu bin de ple? Ɔ yu slip na di bafa ɛn yu sholda wund? Wantɛm wantɛm, yu nɔ bin ivin ebul fɔ muv yu an bikɔs ɔf pen we yu nɔ go ebul fɔ bia? Sɔntɛnde, yu go notis se di shep fɔ yu sholda dɔn chenj. If sɔntin lɛk dis apin, i kin bi yu sholda we dɔn kɔmɔt na yu bɔdi. Pan ɔl we dis kin mek pɔsin fred smɔl, na sik we pɔsin kin wɛl ɔl if yu gɛt di rayt tritmɛnt. So lɛ wi fɛn ɔda tin dɛn bɔt dis.
Wetin dis sholda shrug min?
Fɔ tɔk am simpul wan, if yu sholda dɔn kɔmɔt na di say we yu de, dat min se di bon dɛn we de na yu sholda jɔyn de muf bak ɛn go bifo frɔm usay dɛn fɔ de, ɛn dɛn de separet frɔm dɛnsɛf.
Lɛ wi ɛksplen dis smɔl mɔ. Jɔyn na wi bɔdi na di say we tu bon dɛn kin mit. yu sכlda jכint de mek wit di bכl na yu כp an (di humerus) εn di sכkεt כ glenoid fכ yu sכlda bled (di skapula). I tan lɛk bɔl we fit insay sɔkɛtɛ. Wi kin kɔl dis ``bɔl-ɛn-sɔkɛt jɔyn''. Dis na di jɔyn we de mek wi ebul fɔ muv wi an ɔlsay.
di sholda we dεn sכk na we di bon we lεk bכl kכmplit kכmכt na di sכkεt. we dis apin, di dilik tisu dεm we de rawnd di jכint kin pwεl bak.
Dat min se:
- Mɔsul dɛn
- Nɛv dɛn
- Tεndon dεm
- Ligamɛnt dɛn
- Blɔd vesel dɛn
Dis na sik we de mek pɔsin fil pen bad bad wan. If yu fil lɛk se yu sholda dɔn kɔmɔt ɔ yu nɔ ebul fɔ muv yu an, nɔ ɛva tray fɔ fiks am yusɛf. Di bɛst tin fɔ du na fɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) kwik kwik wan.
Difrɛn kayn we dɛn de we pɔsin kin shrug na in sholda?
Yɛs, dɔktɔ dɛn kin sheb dis to tu men we dɛn. Wan pan dɛn de bay aw fa di bon dɛn de kɔmɔt na di say we dɛn de.
1. Komplit Dislokeshכn כ Luksεshכn: Dis na we di tu bon dεm na di sכlda jכint de kכmplit wan frכm wan an εn kכmכt. Dis na wetin wi kin kɔl we wi se "dislocated shoulder."
2. Subluxation: Dis na we di bon dεm nכ de separet kכmplit wan, bכt dεn de muv sכmtεm, dεn de muv in haf. Di bon dɛn stil de tɔch dɛnsɛf, bɔt nɔto di nɔmal we. Pan ɔl we pen de, i nɔ kin tranga lɛk we pɔsin kin kɔmɔt na di bɔdi kpatakpata.
Wetin na di sayn dɛm we de sho se yu sholda dɔn kɔmɔt na yu bɔdi?
If yu sholda dɔn kɔmɔt na yu bɔdi, dat kin mek yu gɛt wan ɔ mɔ pan dɛn sik ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I kin fil pen bad bad wan | Wan pen we kin kam wantɛm wantɛm, we pɔsin nɔ kin ebul fɔ bia, ɛn we kin shap. |
| Nɔ ebul fɔ shek an | A nɔ ebul fɔ es mi an ɔ tɔn am. I kin tan lɛk se mi an nɔ gɛt layf. |
| Chenj in sholda shep | We yu luk am na do, i kin tan lɛk se di sholda dɔn sink ɔ i de kɔmɔt na do, lɛk se i nɔ de usay i fɔ de. |
| Swel ɛn brus | di sכlda εria de swεla εn i de bigin fכ tכn blu/pכpul. |
| Mɔsul dɛn we de spam | As di bɔdi de tray fɔ protɛkt insɛf frɔm injury, di mɔsul dɛn we de rawnd di sholda kin bigin fɔ tayt, ɛn dis kin mek di pen bɔku. |
| Tingling ɔ wik | Yu kin fil lɛk yu an, yu an, ɔ yu finga dɛn de swɛt ɔ yu de swɛt if dɛn nɛf dɛn de afɛkt. |
Wetin mek sholda kin jomp? Udat dɛn de pan denja?
dis kin apin if dεn put inof fכs pan di sכlda jכint fכ mek i pop kכmכt. Bɔku tɛm, na tin dɛn lɛk:
- Fɔl: Tin dɛn lɛk fɔ fɔdɔm frɔm ayt, fɔ slip, ɛn ɔda tin dɛn.
- Kar aksidɛnt: Impact pan di sholda we motoka aksidɛnt.
- Spɔt aksidɛnt dɛn:Sɔlda kin kɔmɔt, mɔ we yu de du kɔntakt spɔt lɛk rɔgbi ɛn futbɔl, ɛn bak we yu de dayv na kriket ɛn ple volibol.
Udat dɛn de pan denja pas ɔlman?
Pan ɔl we ɛnibɔdi kin gɛt dislɔkshɔn na in sholda, sɔm pipul dɛn kin gɛt mɔ risk.
- Di wan dɛn we de ple: Ɛspɛshali di wan dɛn we de ple gem dɛn we gɛt fɔ du wit fɔ bit dɛnsɛf.
- Man dɛm: Man dɛm kin gɛt dislɔkshɔn pan dɛn sholda pas tu tɛm pas uman dɛm.
- Yɔŋ pipul dɛn we ol bitwin 15-30 ia: Pipul dɛn we de na dis ej grup kin gɛt aksidɛnt bikɔs dɛn kin du tin.
- Pipul dεm we dεn sholda dεn bin dכn sכl bifo: Wae yu dכn sכlda yu sholda, di ligament dεm we de rawnd da jכint de wik sכmtεm. So, di chans fɔ mek i kɔmɔt na di say we i de bak, bɔku pasmak.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin in sholda dɔn kɔmɔt?
Di sholda we de kɔmɔt na di bɔdi nɔto jɔs we bon we de muf go bifo ɛn biɛn. di impak kin damej di tisu dεm we de rawnd di sכlda bak.
- Bon fraktrεs: Sכm sכm pat dεm na di bon kin brok we di sכlda kכmכt.
- di ligament εn tεndon spεn: dεn tisu dεm we de ol di jכint tכgeda kin strεch כ tכn.
- Nεv dεm we dεn dכn pwεl: Di nεv dεm we de rכn rawnd di sכlda kin pinch כ kכmprεs.
- Blɔd vesel dɛn we dɔn pwɛl: Pan ɔl we i nɔ kin apin so ɔltɛm, di blɔd vesel dɛn kin pwɛl.
Sɔm pipul dɛn kin gɛt wan sik we dɛn kɔl Hill-Sachs lesion we dɛn kin pul dɛn sholda. dis na we di bכl na di humerus (di bon we lεk bכl na di כp an) de pwεl. dis kayn damej kin apin we di sכlda de kכmכt εn di bon we lεk bכl hit di sכket.
Aw dɔktɔ kin no ɛn trit dis?
We yu go na di ETU, di fɔs tin we di dɔktɔ kin du na fɔ chɛk yu sholda. I kin aks yu aw i bin apin ɛn us sayn dɛn yu de gɛt naw.
Afta dat, dɛn kin du tɛst dɛn lɛk dis fɔ chɛk fɔ si if di tin dɔn pwɛl insay di bɔdi:
- X-ray: Dis impɔtant fɔ si if di bon dɔn kɔmɔt ɔ brok.
- MRI skan (Magnetic resonance imaging): dis de εp fכ no di damej pan di dilik tisu dεm lεk di ligament dεm εn di tεndon dεm.
- CT scan (Computed tomography scan): Dɛn kin du dis fɔ mek dɛn si klia wan bɔt di damej we di bon dɛn dɔn pwɛl.
Di we aw dɛn kin trit am
Di impɔtant ɛn fɔs tritmɛnt fɔ di sɔl we dɔn kɔmɔt na di bɔdi na fɔ put di bon we dɔn kɔmɔt bak na in ples.
Dɛn kɔl dis ‘Klos Ridyushɔn’.Dis nɔto ɔpreshɔn. Di dɔktɔ go ol yu bɔdi frɔm do ɛn pul yu an bak jisnɔ na in ples. We i de du dis, i kin gi yu wan lokal anestetik injɛkshɔn na yu sholda fɔ mek yu nɔ fil pen ɔ i kin gi yu mɛrɛsin fɔ mek yu fil lɛk se yu de slip smɔl.
I rili impɔtant:
- Nɔ tray fɔ fiks yu sholda fɔ yusɛf.
- Nɔ mek ɛnibɔdi we nɔto dɔktɔ tɔch ɔ fiks yu sholda.
If yu du dat, dat kin mek yu nerv, blɔd vesel, ɛn ɔda tisu dɛn pwɛl bad bad wan, ɛn dis kin mek di sik wɔs.
Afta yu dɔn layn di sholda bak, di dɔktɔ go tɛl yu fɔ du dɛn tritmɛnt ya:
- Immobilization: Afta di sholda don de na di korekt posishon, dεn de put sling כ splint fכ mek di an nכ muv. Dis na fɔ gi di sholda rɛst ɛn alaw di tisu we dɔn pwɛl fɔ wɛl. Dɛn kin kip di an na dis pozishɔn fɔ sɔm wiks.
- Mɛrɛsin: Di dɔktɔ go gi yu mɛrɛsin fɔ mek yu nɔ fil pen ɛn fɔ mek yu nɔ swel.
- Rɛst: Yu fɔ avɔyd fɔ du ɛnitin we go mek yu sɔl strɛs ɔ we go mek yu fil taya.
- Fizik tritmɛnt: Dis rili impɔtant. We yu sholda bigin fɔ wɛl, yu fɔ bigin fɔ du ɛksɛsayz ɔnda di gayd we dɔktɔ we de mɛn yu bɔdi go gi yu. Yu go bigin fɔs wit simpul ɛksesaiz fɔ mek yu sholda nɔ stif, dɔn yu go go du ɛksɛsayz fɔ mek di mɔsul dɛn we de rawnd yu sholda strɔng. If yu nɔ du dis fayn, i go mɔs bi se yu sholda skrach bak.
Yu tink se i go nid fɔ du ɔpreshɔn?
Bɔku tɛm, if pɔsin in sholda dɔn kɔmɔt na in bɔdi, i nɔ kin nid fɔ du ɔpreshɔn. Bɔt i kin nid fɔ du ɔpreshɔn pan dɛn kayn tin ya:
- If di ligament dεm εn di tεndon dεm na di sכlda dεn dכn pwεl bad bad wan we i de fכl.
- If di ‘closed reduction’ mεtכd nכ kin put di sכlda bak na di rayt ples.
- If yu sholda de pop ɔltɛm, na bikɔs di ligamɛnt dɛn tu wik. Dɛn kin du ɔpreshɔn fɔ mek dɛn ligamɛnt dɛn de tayt.
Aw lɔng i go tek fɔ mek i wɛl?
Wan sholda we dɔn kɔmɔt na di bɔdi kin tek sɔm mɔnt fɔ mek i wɛl ɔl. di an nid fכ nכ muv fכ di fכs wik dεm. Afta dat, yu go nid fɔ du fizik tɛrapi fɔ sɔm mɔnt.
If yu na atlet, yu fɔ rili go to yu dɔktɔ bifo yu bigin fɔ ple bak. If yu du ebi wok ɔ ple bifo yu sholda dɔn wɛl, chans de fɔ mek yu pul yu sholda bak ɛn mek di injuri wɔs.
Bɔrku pipul kin wɛl wɛl wit di rayt tritmɛnt ɛn fizik tritmɛnt. Dɛn kin go bak to dɛn nɔmal tin dɛn ɛn spɔt dɛn.
Mɛsej we dɛn kin kɛr go na os
- di sכlda we dεn sכl na we di bon we de na di sכlda jכyn de pop kכmכt na in ples. Dis na tin we kin rili mek a fil pen.
- If yu tink se yu sholda dɔn kɔmɔt, nɔ ɛva tray fɔ fiks am yusɛf ɔ mek ɔda pɔsin du am.
- Go na di ɔspitul imejensi rum (ETU) we de nia yu wantɛm wantɛm. Kip di an stil as yu ebul.
- Afta dɔktɔ put di sholda bak na in ples (klos ridyushɔn), i impɔtant fɔ mek di an stil ɛn du fizik tɛrapi.
- I rili impɔtant fɔ du fizik tɛrapi ɛksɛsayz kɔrɛkt wan fɔ mek yu nɔ go kɔmɔt na yu sɔl ɛn fɔ mek di mɔsul dɛn strɔng.
- Te yu wɛl, fala wetin yu dɔktɔ tɛl yu ɛn nɔ du tin dɛn we go mek yu sɔl strɛs.
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