Oh, yu go mɔs no di pen we pɔsin kin fil we i dɔn kɔmɔt na in sholda, nɔto so? I kin bi bikɔs i fɔdɔm, i wund na spɔt, ɔ i gɛt motoka aksidɛnt. Di sholda we dɔn kɔmɔt na di bɔdi na siriɔs sik, bɔt if dɛn trit am fayn, dɛn kin trit am kwik. Tide, wi go tɔk bɔt am ditayli, lɛk se wi de tɔk to wi padi.
Wetin rili na di sholda we de kɔmɔt na di bɔdi?
Fɔ tɔk am simpul wan, sholda we dɔn kɔmɔt na di say we yu de, na we di bon dɛn we de na yu sholda jɔyn de muf kɔmɔt na di say we dɛn fɔ de. Tink bɔt am dis we: jɔyn na di say we tu bon dɛn na wi bɔdi kin kɔnɛkt. Dɛn tin ya na pat pan wi ɔl skel sistɛm .
Yu sholda jɔyn na wan pat we tan lɛk bɔl na yu ɔpa an bon (we dɛn kɔl di humerus ) we fit insay wan pat we tan lɛk kɔp na yu sholda bon (we dɛn kɔl di glenoid) . I tan lɛk bɔl we fit insay kɔp.
So, wetin kin apin na dis dizayd we dεn kכl sכlda dislכkeshכn na dat di bכl εn sכkεt kכnεkshכn de kam lכs. dis kin pwεl di tisu dεm we de rawnd di sכlda jכint bak. Dis min se:
- Fɔ di mɔsul dɛn
- To di nerv dɛn
- To di tɛndon dɛn
- To di ligamɛnt dɛn
- To di blɔd vesel dɛn
I rili impɔtant: If yu tink se yu sholda dɔn kɔmɔt, ɔ if yu nɔ ebul fɔ muv yu sholda, yu fɔ go na ɔspitul imejensi rum wantɛm wantɛm. Nɔ ɛva tray fɔ ripɔzishɔn yu sholda yusɛf. Dis go jɔs mek di injuri wɔs.
Wetin na di kayn we aw pɔsin kin jomp na in sɔl?
Dɔktɔ dɛn kin klas di sholda dɛn we kin kɔmɔt na di bɔdi bay aw fa di bon dɔn muf:
- Komplit Dislokeshכn כ Luksεshכn: Dis na we di bon dεm na di jכint kכmplit wan εn kכmכt na di ples.
- Partial Subluxation: Dis na wetin dכkta dεn kכl ‘lateral subluxation.’ Wetin kin apin ya na dat sɔntin dɔn pul yu jɔyn apat ɛn di tu bon dɛn stil de togɛda, bɔt nɔ rili ful-ɔp lɛk aw dɛn bin de bifo.
Aw kɔmɔn tin kin apin we pɔsin kin ambɔg di sɔl?
Infakt, di sɔl jɔyn na di jɔyn we kin swɛla pas ɔl na wi bɔdi. Bɔt, i nɔ kɔmɔn so. Ivin na kɔntri lɛk Amɛrika, ɛvri ia, na lɛk tɛn pan ɛvri ɔndrɛd tawzin pipul dɛn kin gɛt wan sik we dɛn kɔl sholda.
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 sɔm sayn dɛn lɛk:
- Pen we rili bad.
- Wan wikɛd tin.
- Nɔ ebul fɔ shek an.
- I tan lɛk se di sholda dɔn kɔmɔt klia wan.
- De swɛl.
- Brus ɔ skin de chenj in kɔlɔ.
- Di mɔsul dɛn we de spam.
- Di an, an, ɔ finga dɛn kin swɛla, kin swɛt, ɔ wikɛd.
Wetin kin mek pɔsin in sholda shrug?
Fɔ tɔk am simpul wan, ɛnitin we go mek yu gɛt pawa we big fɔ mek yu sholda jɔyn nɔ kɔmɔt, kin mek yu gɛt am. Di tin dɛn we kin mek pɔsin gɛt dis sik na:
- Fɔdɔm: Tink bɔt tin dɛn lɛk fɔ slip na di bafa, fɔ fɔdɔm na tik, ɔ fɔ fɔdɔm na lada.
- Trak aksidɛnt: Lɛk baysikul aksidɛnt, motoka aksidɛnt.
- Spɔt aksidɛnt: Fɔ dayv ɛn fɔdɔm we yu de ple kriket, kɔntakt spɔt lɛk rɔgbi, ɛn volibol.
Udat de pan denja fɔ mek i go ambɔg in sholda?
Pan ɔl we ɛnibɔdi kin gɛt dislɔkshɔn na in sholda, sɔm pipul dɛn kin gɛt mɔ risk. Dɛn tin ya na:
- Plɛya dɛn we de ple kɔntakt spɔt (e.g. rɔgbi, futbɔl).
- Man dεm (man dεm kin gεt sכlda impingement pas tu tεm pas uman dεm).
- Yɔŋ pipul dɛn we ol bitwin 15 ɛn 30 ia.
- Di wan dɛn we bin shrug dɛn sholda las tɛm.
Wetin na di prɔblɛm dɛn we kin apin we pɔsin in sholda brok?
If yu sholda de kɔmɔt, dat kin mek di bon dɛn ɛn di tisu dɛn we de rawnd yu sholda pwɛl. Dɛn tin ya na di prɔblɛm dɛn we kin apin mɔ:
- Bɔn dɛn we kin brok.
- Ligament ɛn Tɛndon Sprain.
- Nɛv dɛn we dɔn pwɛl.
- Di blɔd vesel dɛn we dɔn pwɛl.
- Mɔsul dɛn we de strɛch.
Wetin na dis Hill-Sachs lesion?
Sɔm pipul kin gɛt sɔntin we dɛn kɔl Hill-Sachs Lesion we dɛn sholda kɔmɔt. dis tan lεk dent na di pat we lεk bכl na yu כp an bon (humerus). If yu sholda kɔmɔt ɛn di humerus prɛs pan di sɔkɛt na di sholda blad, da pat de we tan lɛk bɔl kin pwɛl.
Aw dɔktɔ go no fɔ tru if in sholda dɔn kɔmɔt?
Dɔktɔ go no if pɔsin in sholda dɔn kɔmɔt na in bɔdi bay we i de chɛk in bɔdi . I go chɛk yu sholda ɛn yu wan ol an. Yu go nid fɔ tɛl di dɔktɔ bɔt yu sik dɛn ɛn wetin yu bin de du bifo di sholda wund.
Us tɛst dɛn de du fɔ dis?
Fɔ asɛs di insay damej kɔrɛkt wan afta we di sholda dɔn kɔmɔt, dɔktɔ kin du imej tɛst dɛn lɛk:
- X-ray we dɛn kin du.
- Magnɛtik Rɛsɔnans Imej (MRI).
- Kɔmpyuta tomografi (CT skan).
- Ultrasound we dɛn kin yuz.
Wetin na di tritmɛnt fɔ di sholda we dɔn kɔmɔt? (Dis rili impɔtant!)
If yu fil lɛk se yu dɔn swɛt yu sholda, .Go na ɔspitul imejensi rum wantɛm wantɛm. Di tritmɛnt we impɔtant pas ɔl fɔ we yu sholda dɔn kɔmɔt na yu an na fɔ put yu an bak usay i bin de, na di say we tan lɛk kɔp. Dɛn kɔl dis klos ridɔkshɔn ɔ manipuleshɔn . Dɛn kin du dis we dɛn nɔ gɛt ɔpreshɔn. Di dɔktɔ go push ɛn pul yu bɔdi kɔmɔt na do fɔ mek yu sholda alaynɛd bak. Dɛn kin gi yu lokal anestetik fɔ mek di say we de rawnd yu sholda nɔ gɛt bɛtɛ trɛnk, ɔ dɛn kin gi yu mɛrɛsin fɔ mek yu bɔdi rilaks.
Duya mɛmba dis: Nɔ ɛva tray fɔ put yu sholda bak pan yusɛf. Nɔ ɛva mek ɛnibɔdi pas pɔsin we tren fɔ tɔch ɔ muv yu sholda we dɔn wund. Kip yu sholda stil as yu ebul, ɛn nɔ tray fɔ fos am.
If yu tray fɔ put yu sholda bak fɔ yusɛf, yu kin mek di wund wɔs ɛn pwɛl di tisu dɛn we de rawnd yu.
Afta di dɔktɔ dɔn put yu jɔyn bak, yu kin nid fɔ gɛt ɔda tritmɛnt. Dɛn tin ya na:
- Immobilization: Afta yu dɔn fiks di sholda, yu go nid fɔ wɛr splint ɔ sling fɔ mek di sholda we wund nɔ muv. Dis go mek di prɛshɔn we de na di sholda nɔ bɔku ɛn ɛp am fɔ wɛl. Yu dɔktɔ kin tɛl yu bak fɔ ays yu sholda we dɔn wund bɔku tɛm insay di de. Yu kin nid bak fɔ du layt ɛksesaiz fɔ mek yu sholda nɔ stif ɛn stif. Aks yu dɔktɔ aw lɔng yu fɔ wɛr di splint ɔ sling ɛn aw ɔltɛm yu fɔ ɛksesaiz yu sholda. Bɔrku pipul dɛn go nid fɔ kip dɛn sholda nɔr de muv fɔ sɔm wiks.
- Mɛrɛsin: Yu dɔktɔ go tɛl yu us mɛrɛsin yu kin tek fɔ ridyus pen ɛn swel. Nɔ tek OTC pen rilivu fɔ pas 10 dez wan tɛm we yu nɔ tɔk to dɔktɔ.
- Rɛst: Yu fɔ avɔyd ɛni bɔdi we de yuz yu sholda ɔ we de put prɛshɔn pan am. Aks yu dɔktɔ us tin dɛn yu fɔ avɔyd te yu wɛl.
- Fizik Tɛrapi: Wae yu sholda dɔn wɛl, yu go nid fɔ bigin fyzikal tritmɛnt fɔ ɛp fɔ gɛt trɛnk bak ɛn fɔ muv. Fɔs, i go mɔs bi se dis go involv fɔ du ɛksɛsayz fɔ muv saful saful fɔ mek i nɔ stif. As yu sholda ligament dεm (we dεn kכl bak di sכlda kapsul) bigin fכ hεl, yu go nid fכ du strεch fכ εp fכ lכs yu sכlda εn mek i nכ stif. Fɔ dɔn, yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi go ad ɛksesaiz fɔ mek yu sholda mɔsul dɛn strɔng. Dis kin ɛp fɔ ridyus di risk fɔ mek yu sholda go kɔmɔt na yu bɔdi tumara bambay. Bɔrku pipul dɛn go nid fɔ gɛt fizik tritmɛnt fɔ sɔm mɔnt afta dɛn sholda dɔn kɔmɔt.
Ustɛm i nid fɔ du ɔpreshɔn fɔ di sholda we dɔn kɔmɔt?
Bɔrku pipul nɔr nid ɔpreshɔn afta dɛn sholda dɔn kɔmɔt. Bɔt yu kin nid fɔ du ɔpreshɔn pan dɛn kayn tin ya:
- If di aksidɛnt we mek yu sholda pop bin mek ɔda injury dɛn insay yu bɔdi.
- If di klos ridyushɔn we wi bin dɔn tɔk bɔt nɔ wok, ɔ if dɛn nɔ ebul fɔ du am, yu go nid ɔpreshɔn fɔ mek yu sholda jɔyn bak alaynɛd.
- If yu dɔn pul yu sholda bifo, yu go nid fɔ du ɔpreshɔn fɔ mek di ligamɛnt dɛn we de kɔnɛkt yu an to yu sholda blad fayn ɔ tayt.
Aw lɔng i kin tek fɔ wɛl frɔm di sholda we dɔn kɔmɔt?
Sɔlda we dɔn kɔmɔt na di bɔdi kin tek sɔm mɔnt fɔ mek i wɛl. Yu go nid fɔ mek yu sholda nɔ muv fɔ sɔm wiks ɛn afta dat yu go gɛt sɔm mɔnt fɔ du fizik tritmɛnt afta di jɔyn dɔn wɛl.
Aks yu dɔktɔ aw lɔng yu fɔ wet bifo yu bigin fɔ du bɔdi wok bak. If yu ple spɔt ɔ ɛksesaiz bifo yu sholda dɔn ful-ɔp, yu de pan big risk fɔ wund am bak – we min se yu kin sprain am bak.
Yu tink se dɛn kin mek di sholda nɔ ambɔg?
Nɔto ɔltɛm i pɔsibul fɔ mek yu nɔ gɛt sɔldɔm, as i kin apin bikɔs ɔf aksidɛnt we yu nɔ bin de ɛkspɛkt ɛn injuri we yu gɛt wantɛm wantɛm (trauma).
Yu fɔ mɛmba dɛn tin ya we yu de ple:
- Wear di kɔrɛkt tin dɛn we yu go yuz fɔ mek yu nɔ gɛt prɔblɛm.
- If yu sholda de at, ilɛksɛf yu de du yu bɔdi ɔ afta yu de du yu bɔdi, nɔr tink se yu kin jɔs "play tru di pen."
- Gi yu bɔdi tɛm fɔ rɛst ɛn wɛl afta yu dɔn du tin tranga wan.
- Wom yusɛf ɛn strɛch gud gud wan bifo yu ple spɔt ɔ ɛksesaiz.
- Kul dɔŋ ɛn strɛch afta yu dɔn du yu bɔdi.
Lɛ wi du dɛn tin ya fɔ jenɛral sef:
- Kip yu os ɛn wokples klin ɛn nɔ gɛt tin dɛn we yu nɔ nid. Dis go mek yu ɛn ɔda pipul dɛn nɔ miks.
- We yu de pik tin dɛn na os, yuz di rayt tul ɔ ikwipmɛnt ɔltɛm. Nɔ ɛva klaym pan chia, tebul, ɔ kɔnta.
- If yu gɛt prɔblɛm fɔ waka ɔ yu de pan big risk fɔ fɔdɔm, yuz ken ɔ waka.
Wetin go apin if di sholda kɔmɔt? (Autluk) .
Bɔrku pipul kin wɛl ɔl afta dɛn sholda dɔn kɔmɔt. Ivin if dɛn du yu ɔpreshɔn, yu fɔ ebul fɔ go bak to bɔku pan di tin dɛn we yu de du ɛn spɔt wans yu sholda dɔn wɛl.
Bɔt if pɔsin in sholda we bin dɔn kɔmɔt bifo, i kin izi fɔ mek i wund bak. Sɔm stɔdi dɛn dɔn sho se pas 90% pan di atlet dɛn we nɔ rich 25 ia yet we kin kɔmɔt na dɛn sholda we dɛn de ple kɔntakt spɔt go wund di sem sholda bak tumara bambay.
Tɔk to yu dɔktɔ ɔ ɔspitul dɔktɔ bifo yu bigin fɔ du ɛni fyzikal aktiviti bak – mɔ fɔ kɔntakt spɔt. Dɛn kin ɛp yu fɔ ɔndastand wetin fɔ ɛkspɛkt ɛn aw fɔ mek yu nɔ kɔmɔt na yu shɔlda tumara bambay.
A nɔ go ebul fɔ go wok/skul if a sprain mi sholda?
If yu sholda we wund de pen tumɔs fɔ wok ɔ skul, yu nɔ go ebul fɔ go wok ɔ skul we yu sholda nɔ de muv. Yu dɔktɔ go tɛl yu us muvmɛnt ɛn pozishɔn yu fɔ avɔyd te yu wɛl. Aks yu dɔktɔ ustɛm yu kin bigin fɔ ple spɔt, du wok na os, ɔ es wet.
Ustɛm na di bɛst tɛm fɔ go na say usay dɛn de kia fɔ pipul dɛn we sik?
If yu dɔn gɛt ɛni sɔdɛn injuri (trauma), go na di imejensi dipatmɛnt wantɛm wantɛm.
If yu tink se yu gɛt sɔldɔm we dɔn kɔmɔt:
- Go na ɔspitul imejensi dipatmɛnt wantɛm wantɛm, ɔ kɔl imejensi nɔmba lɛk 1990.
- Nɔ muv yu an. Kip am nia yu bɔdi.
- Nɔ ɛva tray fɔ put yu sholda bak pan yusɛf. Nɔ ɛva mek ɔda pɔsin pas dɔktɔ tray fɔ du am. If ɔda pɔsin we nɔto dɔktɔ tray fɔ put yu sholda bak, yu kin pwɛl yu blɔd vesel, mɔsul, ligamɛnt, ɛn nerv.
- Put ays pak na di say we yu wund fɔ mek yu nɔ swel ɛn nɔ fil pen.
- NSAID pen kil dɛm we yu kin bay we yu nɔ de bay kin ɛp fɔ ridyus yu pen ɛn ɔda sayn dɛm. Bɔt nɔ tek pas di doz we dɛn se yu fɔ tek.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
- Yu tink se a go gɛt fɔ du ɔpreshɔn?
- Aw lɔng a go gɛt fɔ kip mi an stil?
- Ustɛm a kin bigin fɔ trit mi bɔdi?
- Ustɛm a go ebul fɔ ple spɔt ɔ ɛksesaiz bak?
Yu tink se wan sholda we dɔn kɔmɔt na di bɔdi go wɛl fɔ insɛf?
Nɔ, di sholda we dɔn kɔmɔt na di bɔdi nɔ go wɛl fɔ insɛf. Dɔn bak, i nɔ go wɛl fayn pas dɔktɔ chɛk am ɛn trit am fayn.
If yu gɛt ɛni sayn fɔ se yu sholda dɔn kɔmɔt na yu bɔdi afta yu dɔn fɔdɔm, spɔt aksidɛnt, ɔ ɔda aksidɛnt, go na ɔspitul imejensi dipatmɛnt wantɛm wantɛm.
So, mek wi somari wetin wi don tok abaut. (Mɛsej we dɛn kin tek go na os)
Okay, so di sholda we dɔn disloket na we di ed we tan lɛk bɔl na yu ɔpa an bon de pop kɔmɔt na di sɔkɛt na yu sholda blad. Fɔdɔm, spɔt injuri, ɛn ɔda injury we kin apin wantɛm wantɛm (trauma) na tin dɛn we kin mek pɔsin in sholda kɔmɔt na di say we i de. Wi bin tɔk bak bɔt aw di sɔl jɔyn na di jɔyn we de kɔmɔt na wi bɔdi pas ɔl .
Di tin we impɔtant pas ɔl na, nɔ ɛva tray fɔ put yu sholda bak pan yusɛf. Nɔ ɛva mek ɛnibɔdi tɔch am ɔ muv am pas dɔktɔ. If yu tink se yu sholda dɔn kɔmɔt, ɔ if yu nɔ ebul fɔ muv ɔ yuz yu an, go na ɔspitul imejensi rum wantɛm wantɛm.
Wi de wish yu fɔ wɛl kwik kwik wan!
` Sholda dislocation, Sholda injuries, Joint dislocation, Bon, Fizik terapi, Fɔs ɛp, Spɔt injuri, Imejɛnsi kia
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