Yu dɔn ɛva notis se wan pan yu nyu bɔbɔ in an nɔ de muv fayn lɛk di ɔda wan? Sɔntɛm i nɔ gɛt layf smɔl, i de hang wik wan na di sayd, nɔto so? A ɔndastand aw mama ɔ papa kin fred ɛn wɔri we dɛn si dat. Bɔt nɔ wɔri. Bɔrku tɛm, dis sik kin kam wit Erb’s Palsy, wae wi go tɔk bɔt. Lɛ wi tɔk bɔt ɔltin simpul we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Erb in Palsi?
Erb’s Palsy na wan sik wae de afekt di nerve dem na wi sholda en an. Dis kin mek di mɔsul dɛn na di an wik ɔ nɔ kin wok igen.
Naw lɛ wi si aw dis kin apin. Fayv men nerv dεm de we de kכlekshכn, lεk sכmכl kebul, we de kכmכt frכm wi bak tru wi sholda dεm to wi an εn an dεm. Wi kin kɔl dis nɛtwɔk fɔ di nerv dɛn bay mɛrɛsin di Brachial Plexus . Dis bɔndɛl nerv na in de briŋ sɛns to wi sholda, an, ɛn an, ɛn i de sɛn mɛsej bak fɔ muv dɛn. Tink bɔt am lɛk wan sɛt waya we de kɛr ilɛktrik mɛsej frɔm di bren to di an dɛn.
if fכ sכm rizin, spεshal we dεn de bכn pikin, dεn pul כ tכn dis nεv nεtwכk (Brachial Plexus), dεn mεsej dεm de nכ de pas fayn fayn wan. Dɔn di an nɔ kin wok fayn. Dis na wetin wi kin kɔl Brachial Plexus Palsy. Erb’s Palsy na di kayn Brachial Plexus Palsy wae kin pasmak. Na ya, di nεv dεm we de tap pan da nεv nεtwכk de dεm de pwεl.
di wod "Palsy" min di komplit כ pat pan di mכsul fכnshכn we de lכs. Na wan sik we fiba lɛk pɔsin we paralayz.
Us kayn damej kin apin to dɛn nerv ya?
di damej we di Brachial Plexus nεv dεm de pwεl nכ de di sem. Dɛn kin sheb am to 4 kayn we dipen pan aw i siriɔs. I impɔtant fɔ ɔndastand dis klia wan.
| Tayp fɔ damej | Fɔ ɛksplen am simpul wan |
|---|---|
| Avulshɔn we pɔsin kin gɛt | Dis na di kes we rili siriɔs. Wetin kin apin ya na dat di nɛv kin kɔmɔt kpatakpata frɔm wi spɛnal kɔd, lɛk waya we de kɔmɔt na di wɔl. |
| Rupchɔ we pɔsin kin gɛt | na ya, di nεv de tכn כ sכt, bכt i nכ de separet frכm di spεnal kכd. |
| Nyuroma we dɛn kɔl Nyuroma | Wetin kin apin pan dis na dat di nerve kin rɔtin ɛn afta dat i kin wɛl. Bɔt ska tisu kin fɔm usay i de wɛl. Dis ska tisu de ambɔg di mɛsej dɛn we de travul tru di nerve. |
| Nyurapraksia we dɛn kɔl | Dis na di kayn we we kɔmɔn pas ɔl ɛn we nɔ kin rili siriɔs. Di nɛv nɔ kin rɔtin, bɔt i kin strɛch bad bad wan. Bɔrku tɛm, dis sik kin sɔlv insɛf as tɛm de go. |
Udat kin gɛt di sik we dɛn kɔl Erb’s Palsy?
Fɔ pikin dɛn we dɛn jɔs bɔn
Bɔku tɛm wi kin si dis sik pan pikin dɛn we dɛn jɔs bɔn. Dis risk kin bכku if di bכn at sכmtεm. Imajin, sɔntɛnde afta di pikin in ed kɔmɔt, di sholda kin stɔp na di mama in bɛlɛ. Wi kin kɔl dis Shoulder Dystocia . Dɔn di dɔktɔ dɛn fɔ tek tɛm pul di pikin kɔmɔt bay we dɛn de tilt di pikin in ed smɔl na di sayd. da tεm de, dεn kin pul di nεv dεm we de kכmכt na di nεk to di an (Brachial Plexus). Sɔntɛnde, ivin we dɛn de du sizarian, chans de fɔ mek dis tin apin.
Fɔ big pipul dɛn
Dis sik kin apin to big pipul dɛm bak, bɔt bɔrku tɛm na bikɔs ɔf siriɔs aksidɛnt.
- Motosaykl aksidɛnt dɛn
- Fɔdɔm bad bad wan
- Aksidɛnt we yu de ple spɔt (e.g. rɔgbi) .
- Bɔrku bad bad injury, lɛk fɔ chuk yu wit sɔd ɔ fɔ wund yu wit gɔn
insay aksidεnt lεk dis, di brachial plexus nεv dεm kin pwεl bak.
Wetin na di sayn dɛm fɔ dis sik?
If yu pikin gɛt Erb’s Palsy, yu kin notis dɛn sayn ya:
- Arm hanging limply: Di an we afɛkt kin hang limply paralel to di bɔdi.
- I nɔ kin izi fɔ muv: Di pikin nɔ kin ebul fɔ es in an ɔp na in sholda ɔ bɛn in an na in ɛlb.
- Nɔr de fil lɛk yu nɔr de fil fayn: Sɔntɛnde, yu an ɔ yu an kin swɛt ɔr nɔr kin fil fayn.
- Di ‘Waiter’s Tip’ jes:Dis na wan spɛshal tin we rili spɛshal. Di pozishɔn we di an de luk lɛk weta na ɔtel we de op fɔ gɛt tip frɔm kɔstɔma, i de ol in an biɛn in bak, i nɔ de tɔn di an ɔp, bɔt i de tɔn am bak. Dɛn kin tɔn di an bak, ɛn di finga dɛn kin bɛn smɔl insay.
di tin we impɔtant pas ɔl na fɔ pe atɛnshɔn to ɛni chenj we yu pikin de muv in an, lɛk fɔ yuz wan an smɔl.
Aw dɔktɔ kin no bɔt dis?
We yu kɛr yu pikin go to dɔktɔ, di fɔs tin we dɛn kin du na fɔ du wan kɔmplit ɛgzam fɔ yu bɔdi . Di dɔktɔ go tek tɛm chɛk aw di pikin in an de muv, in mɔsul dɛn trɛnk, ɛn aw i de fil.
Apat frɔm dat, dɛn kin du dɛn tɛst ya fɔ no if pɔsin gɛt di sik ɛn fɔ no di rayt tin we dɔn pwɛl:
- EMG (Electromyography): Dɛn kin yuz dis fɔ si aw di mɔsul ɛn di nerv dɛn de wok fayn fayn wan. We dɛn mɛzhɔ di ilɛktrik signal dɛn we de travul tru di nɛv dɛn, dɛn kin yuz am fɔ no usay di damej de ɛn aw i bad.
- MRI ɔ CT skan: Dɛn imej tɛst ya kin tek klia pikchɔ dɛn fɔ di insay pat na di bɔdi ɛn sho ɛksaktɔli wetin damej dɔn apin to di nɛv dɛn.
- X-ray tɛst: Sɔntɛnde, if dɛn tink se wan bon na di sholda dɔn brok we dɛn de bɔn pikin, dɛn kin tek ɛkstrem rayt fɔ kɔnfirm am.
Wetin na di tritmɛnt dɛn? Yu tink se di pikin go bɛtɛ?
A no se dis kweshon de weigh hevi fo yu maind. Di gud nyus na dat, bɔrku pikin dɛm wae gɛt Erb’s Palsy kin wɛl ɔl.
Di we aw dɛn kin trit am kin dipen pan aw di nerve damej bad bad wan.
1. Fisiotɛrapi
Dis na di tritmɛnt we impɔtant pas ɔl ɛn we impɔtant pas ɔl. We yu pikin dɔn ol lɛk 3 wiks, yu dɔktɔ go sɛn yu to dɔktɔ we de mɛn yu bɔdi . Na de, dɛn go tich yu spɛshal ɛksesaiz fɔ strɛch ɛn rɛnj ɔf muvmɛnt fɔ ɛp fɔ mek yu pikin in jɔyn dɛn na in an, an, ɛn an nɔ stif ɛn fɔ mek di mɔsul dɛn strɔng.
Yu wok as mama ɔ papa rili impɔtant na ya. Di ɛksesaiz dɛm we di pɔsin we de mɛn yu bɔdi kin tich yu fɔ du to yu pikin bɔku tɛm insay di de, wit big lɔv ɛn kia. Dis kin ɛp fɔ mek di jɔyn kɔntrakt fɔ ɔltɛm .
2. Haydrotɛrapi
Dis de tɔk bɔt ɛksesaiz dɛn we dɛn kin du na wata. Bikɔs di wata kin flay, di pikin in an dɛn nɔ kin fil ebi. So, dɛn kin ebul fɔ du ɛksasaiz izi wan ɛn dɛn nɔ kin fil pen.
3. Botulinum toxin (Botox®) injεkshכn
Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ du dis tritmɛnt. Dis min se yu fɔ gi smɔl injɛkshɔn to di mɔsul dɛn we nɔ pwɛl ɛn we de wok fayn ɛn we de mek dɛn nɔ wok fɔ sɔm tɛm. Dis kin gi di mɔsul dɛn we wik chans fɔ wok ɛn strɔng.
4. Ɔpreshɔn
Bɔku pan di pikin dɛn nɔ nid fɔ gɛt ɔpreshɔn. Bɔt if yu pikin nɔ dɔn mek in an wok fayn fayn wan bay di tɛm we i ol 6 mɔnt, yu dɔktɔ kin tink bɔt fɔ du ɔpreshɔn.
- di nerve ripair: Dis involv fכ tek wan hεlty nerve frכm כda pat na di bכdi (e.g., di leg) εn transplant am insay di nerve dεm we dεn dכn damej ( nerve graft ) כ kכnekt wan hεlty nerve to wan wik mכsul ( nerve transfer ).
- Mɔsul ripa: Sɔntɛnde dɛn kin tek wan mɔsul ɔ pat pan am frɔm ɔda pat na di bɔdi ɛn transplant am fɔ mek di an we dɔn pwɛl wok bak.
Mɛmba se di nerv dɛn kin wɛl sloslo. Ivin afta dɛn dɔn du di ɔpreshɔn, i kin tek sɔm mɔnt, ivin sɔm ia fɔ si di rizɔlt. So fɔ peshɛnt na di men tin.
Yu tink se dɛn kin ebul fɔ avɔyd dis sik? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Nɔto ɔltɛm dɛn kin ebul fɔ avɔyd di sik we dɛn kɔl Erb’s Palsy, bikɔs fɔ bɔn pikin na kɔmpleks tin we kin apin we pɔsin nɔ kin no wetin go apin. Bɔt sɔm tin dɛn de we kin mek i gɛt prɔblɛm we kin afɛkt am.
- di pikin in wet we dεn bכn inkrεs (mכr dan 4 kg).
- Di mama gɛt dayabitis we i gɛt bɛlɛ.
- Di mama in wet we i de gɛt/we i fat.
- Fɔ gɛt histri fɔ sholda dystocia insay wan dilivri we bin dɔn de bifo.
- Breech bɔn pikin.
- Yuz drɔgs lɛk Oxytocin ɔ fɔ gɛt epidural anesthesia we yu de bɔn pikin.
We pikin gɛt dɛn tin ya we kin mek i gɛt dis sik nɔ min se i go gɛt Erb’s Palsy. Bɔt i impɔtant fɔ no bɔt di prɔblɛm dɛn we kin apin.
Ustɛm a fɔ go to di dɔktɔ?
De bɛst we fɔ gɛt di bɛst rizɔlt frɔm nyurolɔjik disɔda lɛk dis na fɔ bigin tritmɛnt kwik kwik wan. Dat mek:
- If yu notis ɛni chenj ɔ wik we yu pikin in an de muv, kɛr am go to dɔktɔ wantɛm wantɛm.
- Mek shɔ se yu go na di klinik di de we di dɔktɔ gi yu. I rili impɔtant fɔ wach aw di pikin de go bifo.
- If yu gɛt ɛni prɔblɛm we yu de du ɛksɛsayz na os, ɔ if yu fil se yu pikin in kɔndishɔn de wɔs, kɔl ɛn tɛl di dɔktɔ. Nɔ kip ɛnitin fɔ yusɛf.
Mɛsej we dɛn kin kɛr go na os
- Erb in Palsi na wan kכndyushכn we de kכz we di nεv dεm we de rכn frכm di pikin in nεk to di an (Brachial Plexus) de pul we i de bכn.
- Dis nɔto sik we de mek pɔsin in layf de pan denja ɔ we de kil pɔsin, so nɔ fɔ fred we yu nɔ nid.
- Bɔku pikin dɛn kin wɛl ɔlmost ɔl, mɔ we dɛn de du fisiotɛrapi ɛn tɛm.
- If yu notis se yu pikin in an dɛn de limp, de drɔp, ɔ chenj in muvmɛnt, go to dɔktɔ we de mɛn pikin dɛn kwik kwik wan.
- I impɔtant fɔ mek di pikin wɛl fayn fayn wan, mɔ fɔ fala di instrɔkshɔn dɛn we di dɔktɔ ɛn di dɔktɔ we de mɛn di bɔdi dɔn gi am, mɔ di ɛksesaiz dɛn.
- Nɔto yu wan de. Dɔktɔ dɛn de, pipul dɛn we de mɛn yu bɔdi, ɛn bɔku ɔda pipul dɛn we go ɛp yu fɔ du dis waka.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt