Yu kin fil pen bak na yu il afta yu dɔn tinap fɔ lɔng tɛm, rɔn, ɔ yu bigin fɔ ɛksesaiz wantɛm wantɛm? Sɔntɛnde, i kin fil lɛk se i dɔn swel smɔl? Bɔrku pipul dɛn nɔr kin pe atɛnshɔn to dis pen, dɛn kin tink se, "I go go fɔ insɛf." Bɔt dis kin rili bi sayn fɔ wan sik we dɛn kɔl ‘Hil Bursitis.’ So tide, lɛ wi tɔk bɔt am ditayli, wetin i bi, wetin mek i kin apin, ɛn aw wi go trit am.
Wetin rili na Il Bursitis?
Fɔ tɔk am simpul wan, Il Bursitis na inflamɛns fɔ wan bursa na yu il. Naw yu go mɔs de wɔnda, "Wetin na bursa?"
Imajin se ples dɛn de na wi bɔdi usay bon, mɔsul, tɛndon, ɛn ɔda tin dɛn kin kam nia dɛnsɛf, nɔto so? Fɔ mek dɛn tin ya nɔ rɔb pan dɛnsɛf ɛn mek dɛn nɔ pwɛl, wan smɔl sak we ful-ɔp wit wata we tan lɛk jel de bitwin dɛn. Jɔs lɛk we yu put gris pan mashin, dis kin mek dɛn tu pat dɛn de nɔ gri wit dɛnsɛf ɛn i kin ɛp dɛn fɔ muv fayn fayn wan. Dɛn kɔl da smɔl sak de ‘bursa’.
difrεn bursa dεm de nia yu il bon (Calcaneus). If dɛn prɛs ɔ prɛs wan pan dɛn bursa ya fɔ ɛni rizin, i kin swel, rɛd, ɛn i kin fil pen. Dis na wetin wi kin kɔl bursitis. We dis kin apin na di il, wi kin kɔl am Il Bursitis.
Tu men kayn Il Bursitis de:
Tu men kayn il spur dεm de, i dipכnt pan usay dεn de apin.
1. Retrocalcaneal bursitis: Dis na di kayn we we dɛn kin gɛt mɔ. i kin apin we di bursa bitwin yu il bon εn di Akilis tεndon, we na di big tεndon na di bak pat pan yu leg, de inflamed. Dɛn kin kɔl am bak Akilis tɛndon bursitis.
2. Subcutaneous calcaneal bursitis: Dis kayn we de kam we di bursa de swel bitwin di Akilis tεndon εn di skin we de oba am.
Di pen ɛn diskɔmfɔt we dɛn tu kayn kin gɛt kin rili fiba.
Wetin na di sayn dɛm fɔ dis sik?
If yu gɛt Il Bursitis, yu kin gɛt wan ɔr mɔr pan dɛn sik ya. Lɛ wi luk dɛn tin ya na wan tebul.
| Di sayn we de sho se di sik de | Wan Simpul Ɛksplen |
|---|---|
| Pen ɛn swɛlin | Big pen ɛn swel insay ɔ biɛn di il. Di pen kin wɔs we yu fɔs grap na mɔnin. |
| Fɔ gɛt sɔri-at | Di say we yu de fil pen kin at we yu tɔch am wit yu an ɔ prɛs pan am. Yu kin fil di pen ivin we yu sus nak am. |
| I nɔ izi fɔ tinap pan fut finga dɛn | Pen kin bɔku we yu tinap pan yu fut finga dɛn. |
| Fɔ fil wam wam pɔsin | Di say we de rawnd di il kin fil wam pas ɔda say dɛn we yu tɔch am. Dis na sayn fɔ se yu de swel. |
| Di kɔlɔ we di skin kin chenj | Sɔntɛnde, di skin we de na di say we swel kin tɔn rɛd. |
Wetin mek wi kin gɛt Il Bursitis?
Bɔku rizin dɛn de fɔ dis. di men rizin na di kכntinyu fכ prεshכn pan di bursa na di il.
| Mek | Aw I De Afɛkt Yu |
|---|---|
| Yuz am pasmak | Fɔ tinap fɔ lɔng tɛm, fɔ waka fɔ lɔng tɛm, fɔ rɔn, ɛn fɔ jomp, ɔl dis kin mek yu kɔntinyu fɔ prɛs yu il. |
| Di tin dɛn we pɔsin kin du kin bɔku wantɛm wantɛm | Dis sik kin kam bikɔs ɔf tin dɛm lɛk fɔ bigin rɔn wantɛm wantɛm afta yu nɔ du ɛni ɛksesaiz, ɔ fɔ mek yu ɛksesaiz mɔ wantɛm wantɛm na di jim. |
| Shuz we nɔ fayn | Fɔ wɛr tayt sus we de pinch di bak pat na di il na wan men tin we kin mek i apin. Dis kin mek di bursa kɔntinyu fɔ vɛks ɛn swel. |
| Nɔto fɔ wam yu bɔdi fayn fayn wan | Dis kin bi bak bikɔs yu nɔ de wam yu bɔdi fayn bifo yu du ɛni ɛksesaiz ɔ spɔt. |
| Wan infekshɔn we gɛt baktri | Dis na tin we nɔ kin apin so ɔltɛm. baktri dεm kin go insay di bursa tru sכmtin lεk il injuri εn infεkt am. |
Udat de pan denja fɔ gɛt dis sik?
Apat frɔm di rizin dɛm wae wi dɔn tɔk bɔt, pipul dɛm wae gɛt sɔm kayn mɛrɛsin kin gɛt bɔrku risk bak fɔ gɛt Il Bursitis.
- Haglund in difכmiti: Dis na kכndyushכn we εkstra bon spur de divεlכp na di bak pat pan di il bon. Dis spur kin rɔb pan di shuz ɛn pres pan di bursa.
- Rimatɔyd at at sik
- Ankylosing spondylitis (AS) we gɛt di sik.
- Psoriatic arthritis we pɔsin kin gɛt
- Gout we pɔsin kin gɛt
We yu gɛt sik dɛn we gɛt fɔ du wit di jɔyn dɛn lɛk dis, i kin izi fɔ mek difrɛn jɔyn ɛn bursa dɛn na di bɔdi swel.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ fɔ yu il pen, i go fɔs tek tɛm lisin to yu sayn dɛn ɛn afta dat i go chɛk yu bɔdi.
Kwɛstyɔn dɛn fɔ aks yu fɔs
- Yu tinap fɔ lɔng tɛm? Us kayn wok yu de du?
- Us kayn ɛgzampul ɛn spɔt dɛn yu kin du?
- Us kayn sus yu kin wɛr?
- Dis pen dɔn apin bifo?
Neks fyzikal egzamin
- a de chek fo si if eni swel de na yu il.
- Dɛn kin pres dɔŋ di rayt say dɛn we dɛn kin fil pen wit dɛn an.
- Dɛn kin chɛk di say we yu fut ɛn yu anklɛ de muv.
- Dɛn kin aks yu fɔ tinap pan yu fut finga dɛn ɛn bɛn yu fut ɔp ɛn dɔŋ fɔ si if di pen de bɔku.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt yu pen, aw i bigin, ɛn aw i kin bɔku, ɛn yu nɔ fɔ ayd ɛnitin. Da infɔmeshɔn de go ɛp bɔku fɔ mek dɛn no di sik kɔrɛkt wan.
If yu saspek se yu gɛt baktriyal infɛkshɔn...
If yu gɛt il pen wit sɔm sayn dɛm lɛk fiva ɛn kol, yu dɔktɔ kin sɔprayz se yu gɛt baktriyal infɛkshɔn. If na so i bi, .
- Dɛn de chɛk yu bɔdi tɛmpracha.
- Sɔntɛnde, dɛn kin tek smɔl wata frɔm di bursa we inflamed wit smɔl nidul (sirinj) (bursal aspiration) ɛn sɛn am fɔ go tɛst fɔ baktri.
Us tɛst dɛn kin du fɔ kɔnfɔm?
Bɔrku tɛm, dɛn kin no dis sik bay wae dɛn du ɛgzam pan pɔrsin in bɔdi. Bɔt sɔm tɛm dɛn de, yu dɔktɔ kin tɛl yu fɔ du bɔku tɛst fɔ no if ɔda tin de we kin mek yu fil pen.
- εks-ray: Dis kin chεk fכ chenj dεm na di shep fכ di il bon, kכndishכn dεm lεk Haglund in difכmiti, כ fraktכs.
- MRI skan: Dis kin sho klia wan se di bursa de swel, eni damej pan di Akilis tεndon (Achilles tendinitis), εn di kכndishכn fכ di sכft tisu dεm we de rawnd.
- כltra saund skan: dis kin εp bak fכ bεtεh fכ ases di kכndishכn fכ di bursa εn di tεndon dεm we de rawnd am.
Wetin na di tritmɛnt fɔ Il Bursitis?
Di bɛst tin na dat, bɔku tɛm dɛn kin trit dis sik we dɛn nɔ gɛt ɔpreshɔn. Dɛn kin sheb di tritmɛnt opshɔn dɛn to tu kategori.
Tin dɛn we yu kin du na os (RISE method) .
- Rɛst: Stɔp ɛnitin we de mek yu fil pen ɔ we de mek yu fil pen mɔ ɛn mɔ. Stɔp fɔ waka, rɔn, ɔ jomp fɔ sɔm tɛm ɛn gi yu leg rɛst. Dis go gi di bursa we dɔn swel tɛm fɔ wɛl.
- Ays: Put sɔm ays kiub dɛn insay plastic bag, rap am wit tin tawɛl, ɛn put am na di say we yu de fil pen fɔ lɛk 15-20 minit tri to 4 tɛm insay di de. Dis go rili ridyus di pen ɛn swɛlin.
- Di Gud Fut: Nɔ wɛr tayt tayt sus ɔltogɛda. Wear sus we saf ɛn we fit fayn ɛn we nɔ de pinch di bak pat pan di il.
- Mεdikeshכn dεm: Nכn-stεroyd anti-inflammatory drugs (NSAID) lεk ibuprofen εn naproxen kin εp fכ ridyus pen εn swel. Bɔt mɛmba se yu fɔ go to yu dɔktɔ ɔltɛm bifo yu yuz ɛni mɛrɛsin.
Di tritmɛnt we di dɔktɔ tɛl yu fɔ du
If tritmɛnt na os nɔr ɛp, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt lɛk dis.
- Ɔtotiks:Dis na spɛshal tin dɛn we dɛn kin put insay di sus. We yu put sɔntin lɛk il wed, di we aw yu fut de nak di grɔn kin kɔrɛkt we yu de waka, ɛn dis kin mek di prɛshɔn we de na yu il nɔ bɔku.
- Fizik tritmɛnt: Dis rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go tich yu ɛksesaiz fɔ strɛch fɔ yu Akilis tɛndon ɛn di mɔsul dɛn we de sɔpɔt yu ni. Dɛn ɛgzampul ya go ridyus di prɛshɔn we de pan di bursa ɛn ɛp fɔ pul di pen.
- Antibayɔtik: If yu bursitis na baktri infekshɔn, yu dɔktɔ go gi yu antibayɔtik we yu de it.
- Bursa injɛkshɔn: Dis na tin we nɔ kin apin so ɔltɛm. If di pen ɛn swel nɔ stɔp, yu dɔktɔ kin injɛkt wan stɛroyd insay di bursa.
- Ɔpreshɔn: Dis na di las tin we dɛn fɔ du. If no impɔtant tin nɔ de afta 6-12 mɔnt we dɛn dɔn trit am, i kin nid fɔ du ɔpreshɔn we dɛn kɔl bursectomy fɔ pul di bursa we dɔn pwɛl.
Aw lɔng i go tek fɔ mek dis sik wɛl?
If dɛn no di sik ɛn trit am fayn fayn wan, dis sik nɔto natin fɔ fred. Bɔrku pipul kin wɛl insay tu to tri wik wit tritmɛnt na os. Fɔ di wan dɛn we gɛt dis sik we rili bad, i kin tek sɔm mɔnt fɔ mek dɛn wɛl ɔl. Di tin we impɔtant pas ɔl na fɔ peshɛnt ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
Aw fɔ mek i nɔ gɛt di sik igen?
- Mek shɔ se yu wam yu bɔdi fayn fayn wan bifo yu du ɛksɛsayz.
- Wear di rayt sus fɔ yu aktiviti. Nɔ wɛr tayt tayt sus.
- If yu de rɔn ɔ waka, avɔyd tin dɛn we at (kɔnkrit) as yu ebul ɛn ɛksesaiz pan say dɛn we saf lɛk gras .
- Du hamstring ɛn Akilis tɛndon strɛch ɛgzampul ɛvride.
Il Bursitis na wan sik wae kin kam pan atlet dɛm, pipul dɛm wae de du tin, ɛn pipul dɛm wae kin tinap fɔ lɔng tɛm. Pan ɔl we i kin mek yu fil pen smɔl, if yu gɛt di rayt tritmɛnt, yu kin go bak to yu nɔmal layf kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ignore di pen ɛn swel na di bak pat na yu il, tink se "i go go insay smɔl tɛm."
- Di men tin dɛn we kin mek dis apin na fɔ yuz am pasmak, fɔ wɛr sus we nɔ fit, ɔ fɔ du ɛksɛsayz mɔ wantɛm wantɛm.
- We yu bigin, fɔ rɛst, put ays pan yu, ɛn wɛr di rayt sus, dat kin mek yu fil fayn.
- If di pen nɔ stɔp insay sɔm dez, ɔ if i de wɔs, yu go mɔs go to dɔktɔ.
- Dis sik kin wɛl ɔl if yu gɛt di rayt tritmɛnt ɛn ɛksesaiz fɔ yu bɔdi.
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