Halo padi! Aw di bɔdi? Tide wi go tɔk bɔt sɔm rili impɔtant pat dɛn na wi bɔdi. Dat na wi bon, jɔyn, ɛn mɔsul dɛn. Jɔs imajin, if dɛn tin ya nɔ de, wi nɔ go ebul fɔ tinap, waka, ɔ du ɛnitin. So, we ɛni prɔblɛm ɔ pen de na dis kayn impɔtant sistɛm, spɛshal dɔktɔ de we de ɛp wi. Sɔntɛm yu dɔn ɛva fɔdɔm ɛn wund yu an ɔ yu leg, ɔ yu dɔn sɔfa wit pen na yu ni ɔ yu sholda. Na da tɛm de wi nid fɔ mit dis spɛshal dɔktɔ. Lɛ wi si udat na dis dɔktɔ ɛn wetin i de du.
Wetin na di mɔskul ɛn skel sistɛm? Lɛ wi ɔndastand am rili simpul wan!
Fɔ tɔk am simpul wan, dis na di nem we wi kin gi di wan ol sistɛm we de ɛp wi bɔdi fɔ muv ɛn wok. Tink bɔt am lɛk os.
- Bɔn : Dis na di freym fɔ wi bɔdi. Lɛk di wɔl ɛn ruf na os. Bɔn dɛn de gi wi bɔdi shep ɛn trɛnk. Dɛn kin protɛkt bak di impɔtant pat dɛn we de insay wi, lɛk di bren ɛn di at .
- Joint : Joint na di ples we tu bon dεm de kכnεkt. Lɛk di hinj dɛn we de na domɔt. Dɛn kin mek wi ebul fɔ bɛn, ɛkstɛnd, ɛn muv wi bɔdi. Di ni , ɛlbo, sholda, ɛn hip na di jɔyn dɛn we wi kin yuz mɔ.
- Mɔsul dɛn: Dɛn tin ya tan lɛk di injin dɛn na wi bɔdi. Dɛn kin kɔnɛkt to bon dɛn ɛn we dɛn strɛch ɛn kɔntrakt, wi kin muv. di mכsul dεm de εp fכ kכntro כl tu di tin dεm we wi de du wit kכnsεns (wak, rכn) εn di tin dεm we wi nכ de du we wi nכ no (at bit).
- Ligament dεm εn Tεndon dεm: Ligament dεm na strכng bכnd dεm we de kכnekt wan bon to כda wan. Tεndon na bכnd dεm we de kכnekt mכsul dεm to bon dεm. If dɛn nɔ bin de, di jɔyn dɛn nɔ bin fɔ tinap tranga wan, ɛn di pawa we de kɔmɔt na di mɔsul dɛn nɔ bin fɔ pas to di bon dɛn.
So ɔl dis togɛda na in de mek wi kɔntinyu fɔ wok. If ivin smɔl prɔblɛm de na dis sistɛm, ɔl di tin dɛn we wi de du ɛvride kin ambɔg, nɔto so?
Udat na dis bon ɛn jɔyn spɛshal pɔsin (Ɔtpidik Sɔjɔn)?
Yu no, sɔm dɔktɔ dɛn de we kin trit ɔlmost ɔl di sik dɛn (wi kin kɔl dɛn jenɛral prɛktishɔn - GP). Dɔn bak, sɔm dɔktɔ dɛn de we dɛn tren spɛshal wan ɛn we no bɔt wan
patikyula sik ɔ wan pat na di bɔdi. Dɛn kɔl dis kayn spɛshal
pɔsin we sabi bɔt bon ɛn jɔyn dɛn . Insay Inglish, wi kin kɔl am ``Ɔtpidik Sɔjɔn''. Na dɛn dɔktɔ ya wi bin dɔn tɔk bɔt.
Di wan dɛn we dɔn gɛt spɛshal trenin fɔ trit injury , sik, ɛn ɛni ɔda kayn prɔblɛm we kin apin na di bon, jɔyn, mɔsul, ligamɛnt, ɛn tɛndon. Impɔtant: Pan ɔl we di wɔd `Surgeon` de na dɛn nem, dɛn wan ya nɔto ɔl sajin. Infakt, bɔku tɛm dɛn kin tray fɔ trit yu prɔblɛm we dɛn nɔ de du ɔpreshɔn , dɛn kin yuz mɛrɛsin, ɛksesaiz, ɔ ɔda we dɛn. Ɔpreshɔn nɔmɔ nid fɔ du if ɔl ɔda tin nɔ wok, ɔ if di kayn we aw di injuri/sik de rili nid ɔpreshɔn.
Dɛn spɛshal pipul ya dɔn stɔdi bɔt mɛrɛsin fɔ lɔng lɔng tɛm, dɔn dɛn dɔn spɛn bɔku ia fɔ tren mɔ spɛshal wan pan di bon ɛn jɔyn sistɛm. So, dɛn gɛt bɔku tin dɛn fɔ no bɔt dis wok. Ustɛm wi nid fɔ go to Ɔtpidik Sɔjɔn?
Okay, naw yu go mɔs de tink se, "Us kayn prɔblɛm go mek a go to dɔktɔ lɛk dis?" Si if yu dɔn ɛva gɛt ɛni wan pan dɛn sik ya:- Fraktrɔs: If yu fɔdɔm ɔ gɛt aksidɛnt ɛn brok yu an, yu leg, ɔ ɔda bon, sɔntɛnde i kin bi smɔl krak.
- Sprain ɛn Strayn: Imajin se yu trip wantɛm wantɛm we yu de ple kriket, ɔ yu twist yu bak we yu de es sɔntin we ebi. Dis na injury to di ligament ɔ tendons.
- Joint Pen : Pen we de kɔntinyu fɔ de ɛn swel na di joyn dɛn lɛk ni, sholda, ɛlb, ɛn hip. Wan tin we kin mek dis apin kin bi wan sik we dɛn kɔl `(Arthritis)`.
- Bak ɛn Nɛk Pen: Dis na prɔblɛm we bɔku pipul dɛn kin gɛt. Dis pen kin kam bikɔs ɔf tin dɛm lɛk wae yu nɔr de tinap fayn, wae yu de es ebi ebi tin , ɛn wae yu de ol.
- Spɔt Injuri : Ɛni kayn injuri we pɔsin kin gɛt we i de ple spɔt. fכ egzampl, wan ACL (anterior cruciate ligament) we de te na di kכn, wan sכlda we dεn sכl, εtk.
- Di an ɛn finga dɛn kin swɛla ɛn wik: Sɔntɛnde, we yu pinch di nerve kin mek yu an ɛn finga dɛn nɔ gɛt pen ɛn i kin fil pen. wan egzampl na wan kכndyushכn we dεn kכl ``Carpal Tunnel Syndrome.''
- difכmiti dεm na di bon dεm כ di joyn dεm: sכm kכndyushכn dεm na we dεn kin bכn (e.g., kכb fut) כ divεlכp leta, lεk sכliכsis.
- Bɔn wik: .Kɔndishɔn lɛk ɔstioporosis kin mek di bon dɛn wik ɛn brok izi wan.
- I nɔ izi fɔ waka, nɔ ebul fɔ muv di jɔyn dɛn: If di jɔyn fil se i dɔn stɔp, lɛk se i nɔ ebul fɔ muv.
If yu gɛt ɛni wan pan dɛn sik ya, i go fayn fɔ go to jenɛral dɔktɔ ɛn, bay dɛn advays, go to spɛshal dɔktɔ fɔ bon ɛn jɔyn. Aw Ɔtpidik Sɔjɔn go ɛp yu?
We yu go to spɛshal dɔktɔ lɛk dis, i go du bɔku tin dɛn fɔ no di prɔblɛm we yu gɛt kɔrɛkt wan ɛn gi yu di rayt tritmɛnt. 1. Diagnosis – Fɔ no di sik kɔrɛkt wan
- Dɛn go aks yu bɔt yu sik dɛn: Fɔs, di dɔktɔ go aks yu kwɛstyɔn dɛn. Usay de pen de, aw e bigin, ustɛm e kin wɔs, ɛn if yu gɛt ɛni ɔda mɛrɛsin. Di ditel dɛn we yu gi rili impɔtant.
- Fɔ chɛk yu bɔdi: Dɔn, di dɔktɔ go chɛk yu. I go fil di say we yu de fil pen, i go muv yu an ɛn fut dɛn, ɛn bɛn yu ni dɛn. Dis go ɛp dɛn fɔ no usay di prɔblɛm de ɛn aw i siriɔs.
- Imej Test: Sɔntɛnde, dɛn kin nid fɔ tek pikchɔ fɔ si di rayt tin we de apin insay.
- `(X-ray)` (X-ray): Dɛn kin yuz dis mɔ fɔ si tin dɛn lɛk fraktrɔs, brok, krak, ɛn jɔyn dɛn we de kɔmɔt.
- `(CT scan)` (CT scan - Computed Tomography scan): Dis kin tek klia, kros-sekshɔnal imej pas ɛkstrem rayt. i kin gi sכm aidia nכto כnli fכ di bon dεm, bכt bak fכ di sכft tisu dεm.
- `(MRI scan)` (M.R.I. Scan - Magnetic Resonance Imaging scan): Dis kin rili si prכblεm wit sכft tisu dεm lεk mכsul dεm, ligament dεm, tεndon dεm, εn katilej (di pat we lεk kushכn bitwin di jכint dεm).
Afta dɛn tɛst ya, di dɔktɔ go no ustɛm yu gɛt prɔblɛm. 2. Tritmɛnt – fɔ mɛn di sik
Afta dɛn dɔn no di sik, di dɔktɔ go disayd di tritmɛnt we go fayn fɔ yu. Mɛmba se a bin dɔn tɔk bifo tɛm se ɔpreshɔn nɔto di ansa fɔ ɔltin. Tritmɛnt dɛn we nɔ gɛt ɔpreshɔn:
Bɔku tɛm, dɛn we ya kin bigin wit:- Mɛrɛsin: Dɛn kin gi am mɛrɛsin fɔ mek pɔsin fil pen ɛn mɛrɛsin we de mek pɔsin nɔ fil bad.
- Injεkshכn: Sɔm jכyn pen, fכ egzampl, pen we at at sik kin kam wit, kin kכmכt bay tritmεnt lεk stεroyd injεkshכn we dεn kin gi dairekt insay di joyn.
- Kas, Splint, Bres: We bon brok, dɛn kin put kast fɔ mek i nɔ muv. We sprain apin, dɛn kin put splint ɔ bres fɔ protɛkt wan jɔyn.
- Fizik Tɛrapi:Dis rili impɔtant. Wan dɔktɔ we de mɛn yu bɔdi go tich yu patikyula ɛgzampul dɛn we yu fɔ du, aw fɔ mek yu mɔsul dɛn strɔng, ɛn aw fɔ mek yu jɔyn dɛn muv mɔ ɛn mɔ. Dis kin ɛp yu fɔ wɛl kwik ɛn nɔr de pan de prɔblɛm wae de kam bak.
- Di we aw yu fɔ chenj di we aw yu de liv yu layf: Sɔntɛnde, if yu fat pasmak, dɛn kin advays yu fɔ lɛf fɔ it bɔku bɔku it dɛn. dis na biכs we yu wet pasmak de put mכr prεshכn pan di joyn dεm lεk di ni dεm εn di hip dεm. Dɛn kin advays yu bak fɔ sidɔm fayn ɛn es tin dɛn di we we nɔ go ambɔg yu bak.
Di Tritmɛnt dɛn we Dɛn De Du fɔ Ɔpreshɔn:
Ivin if dɛn dɔn tray ɔl di ɔda tritmɛnt dɛn, ɔ i go dipen pan aw di prɔblɛm tranga, di dɔktɔ kin disayd fɔ du di ɔpreshɔn. Nɔ fred, di dɔktɔ go ɛksplen ɔltin to yu.- Fraktrɔs Ripa: Dɛn kin alaynɛd di bon pat dɛn we dɔn brok ɛn fiks dɛn wit waya, nel, plet, ɛn skru.
- Jɔyn Riplesmɛnt: Dɛn kin pul jɔyn we dɔn pwɛl, we de mek yu fil pen, lɛk ni ɔ hip, ɛn put atifishal jɔyn we dɛn mek wit mɛtal ɔ plastic (`Hip riplesmɛnt`, `Knee replacement`). Dis kin mek yu nɔ gɛt pen ɛn i kin mek yu ebul fɔ waka ɛn wok fayn bak.
- `(Arthroscopy): Dis na wan kayn ɔpreshɔn we dɛn kɔl "keyhole surgery." wan כ tu sכm sכm ol dεm dεn kin mek nia di jכint, tru we dεn kin put sכmכl kεmεra (arthroscope) εn כspitul instrכmεnt dεm fכ ripa prכblεm dεm insay di jכint (e.g., kכtilaj we dכn tכn, ligament dεm). Bikɔs dɛn nɔ kɔt big say, i kin wɛl kwik kwik wan.
- di Ligament εn Tεndon Ripa: dεn de stich di ligament כ tεndon dεm lεk di ACL we dεn tכn we dεn de sכpכt bak.
- Nεv Rilis כpεrayshכn: Insay kכndishכn lεk Carpal Tunnel Syndrome, dεn kin du sכm כpεrayshכn fכ rilis di nεv we dεn kכmprεs.
Dis na jɔs sɔm ɛgzampul dɛn. Yu dɔktɔ go tɔk to yu bɔt di tritmɛnt we go fayn fɔ yu sik. Tin dɛn fɔ mɛmba bifo ɛn di tɛm we yu go apɔntin wit Ɔtpidik Sɔjɔn
- Lɛta frɔm yu GP (Rɛferal): Bɔku tɛm, yu famili dɔktɔ (GP) go rifer yu to dis kayn spɛshal pɔsin. Tek da lɛta de wit yu.
- Ol ripɔt: If yu dɔn gɛt ɛni ɛkstrem rayt ɔ skan we yu bin dɔn du bifo, kam wit dɛn wan ya bak.
- Di ditel dɛm fɔ di mɛrɛsin : Tɛl yu dɔktɔ us mɛrɛsin yu de tek naw.
- Aks kwɛstyɔn dɛn:
"Nɔ fred fɔ aks di dɔktɔ kwɛstyɔn. Aks ɛn ansa ɔl yu dawt ɛn kwɛstyɔn dɛn. Di mɔ yu no bɔt yu sik ɛn tritmɛnt, na di mɔ yu go wɛl kwik kwik wan."
Aks kwɛstyɔn dɛn lɛk wetin fɔ du, wetin nɔ fɔ du, ɛn aw lɔng i go tek fɔ mek i wɛl. Aw wi go mek wi bon, jɔyn, ɛn mɔsul dɛn gɛt wɛlbɔdi? Sɔm advays dɛn
Sɔm tin dɛn de we wi kin du fɔ mek dis impɔtant sistɛm we wi gɛt nɔ sik ɔ wund:- Di it we balans fayn: It it dɛn we gɛt bɔku kalsiɔm ɛn vaytamɛn D (milk, chiz, yogɔt, grɛn vɛjitebul, smɔl fish). Dɛn tin ya kin mek di bon dɛn strɔng.
- Ɛksesaiz ɔltɛm: Ɛksesaiz lɛk fɔ waka, rɔn, ɛn swim kin mek di mɔsul dɛn strɔng ɛn mek di jɔyn dɛn ebul fɔ chenj.
- Fɔ mek yu bɔdi gɛt wɛlbɔdi: We yu bɔdi wet pasmak, dat kin mek yu gɛt prɛshɔn we nɔ nid fɔ de pan di jɔyn dɛn.
- Fɔ fala di tin dɛn we yu fɔ du fɔ mek yu nɔ gɛt prɔblɛm: Yuz tin dɛn fɔ mek yu nɔ gɛt prɔblɛm we yu de ple spɔt ɛn we yu de wok. Yu fɔ no bɔt di bad tin dɛn we kin apin we pɔsin fɔdɔm.
- Gud Pɔsh: Kip yu bak stret we yu sidɔm, tinap, ɛn es wet.
Mɛsej we dɛn kin kɛr go na os
So, mi padi, tide wi tok plenti boht udat na `Orthopedic Surgeon`, o bon en joyn speshalis, wetin i de du, en we wi shud go to am, no so? Di tin we impɔtant pas ɔl we wi fɔ mɛmba na:- If yu gɛt ɛni pen, nɔ fil fayn, ɔ wund we gɛt fɔ du wit yu bon, jɔyn, ɔ mɔsul, nɔ ignore am.
- Ɔtpidik ɔspitul na pɔsin we tan lɛk padi to yu, we rɛdi fɔ ɛp yu wit dɛn prɔblɛm ya.
- Nɔto ɔltɛm i nid fɔ du ɔpreshɔn. Bɔku tritmɛnt dɛn de we nɔto ɔpreshɔn.
- If yu go to dɔktɔ kwik kwik wan ɛn aks fɔ advays, yu go ebul fɔ mɛn yu prɔblɛm bifo i wɔs.
A op se yu si dis infɔmeshɔn yusful. Wi de wish ɔlman gud wɛlbɔdi! ɔtpidik sajin sinhala, bon spɛshal, jɔyn spɛshal, fraktrɔs mɛrɛsin, atrɔskɔpi, ni pen, bak pen, spɔt injuri sinhala, mɔskul skel sistɛm sinhala
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