Yu ni dɛn kin at we yu grap na bed na mɔnin? Ɔ yu kin gɛt bak pen na ivintɛm afta yu dɔn sidɔm na chia ɔl di de? Sɔntɛm yu bin twist yu anklɛ we yu de ple spɔt, ɛn di pen nɔ dɔn stɔp yet? Wi ɔl kin gɛt pen ɛn nɔ kin fil fayn na wi bɔdi, bon, jɔyn, ɛn mɔsul dɛn sɔm tɛm na wi layf. So, tide wi go tɔk ditayli bɔt udat na di dɔktɔ we wi fɔ si na di tɛm lɛk dis, ɛn aw dɛn go ɛp wi.
Udat rili na Ɔtpidik Sɔjɔn?
Fɔ tɔk am simpul wan, dis na dɔktɔ we spɛshal pan sik dɛn ɛn dizayd dɛn we gɛt fɔ du wit di mɔsul ɛn skel sistɛm na wi bɔdi, dat na, bon, jɔyn, ɛn mɔsul dɛn. Sɔntɛnde wi kin kɔl dɛn ‘bon dɔktɔ’. Insay Inglish, dɛn kin kɔl dis spɛshal pɔsin bak `Ɔtpidik Sɔjɔn` ɔ `Ɔtpidik`.
dεn de mεntal fכs pan prכblεm dεm we de apin na di ‘Musculoskeletal System’ na wi bכdi, dat na di bon εn mכsul sistεm. Lɛ wi si wetin na fɔ dis sistɛm.
- Bɔn: Na di skel we de gi wi bɔdi shep ɛn trɛnk.
- di jכint dεm: di ples dεm we di bon dεm de kכnekt to dεn wan dεm (e.g. kכn, εlbo).
- Cartilage: Na wan smol kɔba we de protɛkt di bon dɛn we de mek di bon dɛn nɔ de rɔb pan dɛnsɛf na di jɔyn dɛn.
- di ligament dεm: na strכng tisu dεm we de kכnekt di bon dεm to wan an εn de mek di joyn dεm stεbyul.
- Mɔsul dɛn: Na di tisu dɛn we de ɛp di bɔdi fɔ muv.
- Tεndon dεm: Strכng tisu dεm we de kכnekt mכsul dεm to bon dεm.
- Nεv dεm: Na di sistεm we de kכri signal dεm frכm di bren tru di bכdi. Sɔntɛnde, di nerv dɛn kin pinch bikɔs ɔf prɔblɛm wit di bon ɔ jɔyn dɛn.
Di men wok we dɛn spɛshal dɔktɔ ya de du na fɔ sɔlv ɛni pen, dizayd, ɔ kɔndishɔn we de apin ɛnisay na dis sistɛm ɛn ɛp yu fɔ bigin yu wok bak ɛvride ɛn nɔ gɛt pen.
Wetin na di kɔmɔn mɛrɛsin wae dɛn dɔktɔ ya kin trit?
Di difrɛn difrɛn sik dɛn we ɔtpidik ɔspitul dɛn kin trit rili bɔku. Dɛn kin kɔmɔt frɔm prɔblɛm dɛn we wi bɔn wit, to injury we aksidɛnt kin kam wit, to tin dɛn we kin apin as wi de ol. Lɛ wi tek tɛm luk sɔm pan di impɔtant wan dɛn.
| Sik/prɔblɛm | Wan simpul ɛksplen |
|---|---|
| Atraytis we pɔsin kin gɛt | Joint de swel ɛn pen. Ɔstiɔ-arayt, na wan sik we kin kam bikɔs di jɔyn dɛn kin west ɛn rɔtin, kin bɔku, mɔ we wi de ol. |
| Bɔn dɛn we kin brok | Bɔn we brok ɔ brok bikɔs i fɔdɔm, aksidɛnt, ɛn ɔda tin dɛn Wi kin kɔl dis bak ‘fraktrɔs’. |
| Spɔt Injuri dɛn | di ligament tear (e.g. ACL tear), di mכsul dεm we de strεs, sprein, εn כda tin dεm we de apin we dεn de sכpכt. |
| Bak ɛn nɛk de pen | Pen we pɔsin kin gɛt bikɔs ɔf difrɛn tin dɛn, lɛk we i nɔ de tinap fayn ɛn we di disk de fɔdɔm. |
| Difrɛns dɛn we dɛn kin bɔn we dɛn bɔn am | di prכblεm dεm we de na di skel we de we dεn bכn am, lεk di kכb fut εn hip displasia. |
| Bɔn ɛn sɔft tisu tumor dɛn | tכmכro dεm we gεt kεnsar כ nכn kansa we de divεlכp na di bon dεm כ sכft tisu dεm lεk di mכsul dεm εn di tεndon dεm. |
| Skɔliosis we de mek pɔsin gɛt sik | Saydways kכva fכ di spayna. |
| Tendinitis we gɛt di sik | Swel ɛn pen na di tɛndon dɛn. |
Yu tink se Riumatɔlɔjis ɛn Ɔtpidik Sɔjɔn na di sem tin? Wetin na di difrɛns?
Dis na sɔntin we bɔku pipul dɛn kin kɔnfyus bɔt. Wan `Rheumatologist` ɛn wan `Orthopedic Surgeon` na tu difrɛn pipul dɛn. Pan ɔl we dɛn ɔl tu kin trit sik dɛn we gɛt fɔ du wit bon, jɔyn, ɛn mɔsul, di we aw dɛn de si di prɔblɛm ɛn di we aw dɛn de trit am difrɛn.
Fɔ tɔk am simpul wan, wan Ɔtpidik Sɔjɔn kin du ɔpreshɔn, bɔt wan Rimatɔlɔg nɔ kin du am.
Lɛ wi ɔndastand dis difrɛns klia wan smɔl.
| Kɔmpia | Ɔtpidik Sɔjɔn | Wan dɔktɔ we de mɛn di rumat |
|---|---|---|
| Ɔpreshɔn | Yes , dɛn kin du ɔl tu di tritmɛnt dɛn we dɛn kin du ɔpreshɔn ɛn we dɛn nɔ kin du. | Nɔ , mɔ dɛn kin gi mɛrɛsin ɛn ɔda tritmɛnt dɛn we nɔto ɔpreshɔn. |
| Men tin we wi de pe atɛnshɔn pan | Prɔblɛm dɛn we gɛt fɔ du wit mashin lɛk injuri, aksidɛnt, bɔn pikin we nɔ fayn, ɛn prɔblɛm wit jɔyn dɛn. | Sistem sik dεm na sik dεm we de afekt di כl bכdi bikoz fכ prכblεm wit di imyun sistεm. |
| Ɛgzampul dɛn | Fraktrɔs, ɔstiɔ-arayt, spɔt injuri, bak prɔblɛm. | Rimatɔyd Atraytis, Lupus, Vaskulaytis. |
Bɔt bɔku tɛm dɛn tu kayn spɛshal pipul ya kin wok togɛda. Fɔ ɛgzampul, if yu gɛt rεumatoid at, wan dɔktɔ we de mɛn yu go gi yu mɛrɛsin fɔ kɔntrol yu sik. Bɔt if yu ni jɔyn dɔn pwɛl bad bad wan bikɔs ɔf di sik, dɛn kin sɛn yu to ɔtpidik ɔspitul fɔ mek dɛn du ɔpreshɔn fɔ chenj yu jɔyn.
Ɛni ɔda sɔbspɛshal tin dɛn de we gɛt fɔ du wit bon sik?
Yɛs. Rili. Lɛk ɔda mɛdikal fild dɛm, mɔ dip spɛshalsayz dɛn de pan bon ɛn jɔyn sik dɛm. Apat frɔm wan jenɛral ɔtpidik spɛshal dɔktɔ, sɔm dɔktɔ dɛn kin gɛt mɔ trenin pan wan patikyula eria.
- Fut ɛn anklɛ ɔpreshɔn: I spɛshal pan kɔmpleks prɔblɛm dɛn we kin apin na wi fut.
- Ɔpreshɔn fɔ di an ɛn di ɔpa pat: Prɔblɛm dɛn we gɛt fɔ du wit di an, di an, di ɛlbo, ɛn di sholda.
- Jɔn riplesmɛnt: Na spɛshal pipul dɛn we de du ɔpreshɔn fɔ riples di jɔyn dɛn we dɔn pwɛl lɛk di hip ɛn di ni.
- Pikin ɔtpidik ɔpreshɔn: Na fɔ trit prɔblɛm dɛn wit di skel sistɛm fɔ yɔŋ pikin dɛn ɛn pikin dɛn we de gro.
- Spayna ɔpreshɔn: Na spɛshal pipul dɛn we de trit kɔmpleks kɔndishɔn dɛn na di bak ɛn nɛk.
- Spɔt mɛrɛsin: Ɛkspɛkt fɔ protɛkt ɛn trit injuri pan atlet dɛn.
- Ɔtpidik ɔnkɔlɔji: Na fɔ trit di kansa tɔŋ dɛm we kin apin na di bon dɛm ɛn di sɔft tisu dɛm.
- Ɔtpidik trauma: Tritmɛnt fɔ kɔmpleks fraktrɔs ɛn injuri dɛn we gɛt siriɔs aksidɛnt.
Ustɛm yu fɔ go to dɔktɔ we sabi bɔt bon ɛn jɔyn?
If yu kɔntinyu fɔ gɛt wan ɔ mɔ pan dɛn sayn ya, i rili impɔtant fɔ go to jenɛral dɔktɔ ɛn if nid de, dɛn kin sɛn yu to spɛshal dɔktɔ we de mɛn yu bon ɛn jɔyn.
| Di sayn we de sho se di sik de | Wetin dis kin min |
|---|---|
| Sawnd we de pop ɔ grind we yu de muv jɔyn | I kin bi se di katilej we de na di jɔyn kin west ɔ i kin gɛt prɔblɛm wit wan ligament. |
| Pen, swel, ɛn rɛd na di jɔyn dɛn | I kin bi sayn fɔ wan inflammatory condition lɛk at at sik. |
| Di an ɛn fut dɛn we nɔ gɛt bɛtɛ trɛnk ɔ we de swɛt | dis kin apin bikoz fכ di nεv dεm we wan bon כ katilej disk de kכmכt. |
| I nɔ izi fɔ muv bikɔs ɔf pen | Tin dɛm lɛk wae yu nɔr ebul fɔ es yu sholda ɔr bɛn yu ni de sho se yu gɛt disabled. |
| Mɔnin jɔyn stiffness | If i nɔ kin izi fɔ yu fɔ bɛn ɛn ɛkstɛnd yu jɔyn dɛn fɔ sɔm tɛm afta yu dɔn grap, dat kin bi sayn fɔ at at. |
Wetin kin apin di fɔs de we yu go si dɔktɔ?
Na nɔmal tin fɔ fil smɔl fɔ fred we yu go to spɛshal dɔktɔ. Bɔt if yu no wetin yu fɔ ɛkspɛkt bifo tɛm, dat go ɛp fɔ mek yu nɔ fred da fred de. Na sɔm tin dɛn we kin apin we yu fɔs apɔntin.
1. Fɔ tɔk bɔt yu sik dɛn: De dɔktɔ go aks yu bɔku kwɛstyɔn dɛn, lɛk aw yu de fil, aw lɔng yu dɔn gɛt am, ustɛm i de wɔs, us ɔda mɛrɛsin yu de tek, di wok we yu de du, ɛn aw yu de liv yu layf.
2. Fɔ chɛk yu bɔdi: Dɛn kin chɛk di jɔyn ɔ pat pan di bɔdi we de mek yu fil pen. Dɛn kin bɛn am, strɛch am, ɛn muv am na difrɛn say dɛn.
3. Investigeshɔn: Dɛn kin aks yu fɔ du sɔntin lɛk ɛkstrem rayt fɔ ɔndastand di rayt prɔblɛm. Sɔntɛnde, if dɛn nid fɔ no mɔ, dɛn kin advays bak fɔ mek dɛn du CT skan ɔ MRI skan.
4. Diagnosis ɛn Tritmɛnt: Bɔku tɛm, bay dis infɔmeshɔn, di dɔktɔ go ɛksplen yu sik ɛn tɔk bɔt wan tritmɛnt plan we go fayn fɔ yu. Bɔt sɔntɛnde, dɛn kin jɔs no di pɔsin we gɛt di sik afta dɛn dɔn gɛt di tɛst rizɔlt, lɛk MRI.
We a go to dɔktɔ we de mɛn ɔtpidik, yu tink se i fɔ rili gɛt ɔpreshɔn?
Dis na di men tin we bɔku pipul dɛn kin fred. Bɔt di ansa na ‘nɔ’ . Ɔtpidik ɔspitul nɔto jɔs pɔsin we de du ɔpreshɔn. Dɛn na pipul dɛn bak we sabi bɔt tritmɛnt dɛn we nɔ gɛt ɔpreshɔn.
Mɛmba se fɔ go to dɔktɔ we de mɛn ɔtpidik nɔ min ɔltɛm fɔ ɔpreshɔn. Fɔ bɔku kɔndishɔn, tritmɛnt wae nɔr de du ɔpreshɔn kin gi wɛl bɔdi fayn fayn wan.
Jɛnɛral wan, pas nɔmɔ if pɔsin gɛt siriɔs injury ɔ sɔm kayn prɔblɛm dɛn we dɛn bɔn wit, dɔktɔ dɛn go tray ɔltɛm fɔ trit di tritmɛnt dɛn we nɔ gɛt ɔpreshɔn fɔs. Na if dɛn tritmɛnt dɛn de nɔ ebul fɔ du gud, na in dɛn go tink bɔt fɔ du ɔpreshɔn.
So, wetin na tritmɛnt dɛn we nɔto ɔpreshɔn?
- We yu wɛr spɛshal ikwipmɛnt: Tin dɛn lɛk bres, sling, plasta ɔf Paris (kas) ɔ splint we de ɛp di limb fɔ de stil ɛn wɛl.
- Jɔyn Injɛkshɔn: Dɛn kin injekt stɛroyd mɛrɛsin lɛk kɔtizɔn na di jɔyn fɔ mek yu nɔ gɛt pen ɛn swɛlin.
- Mεdikeshכn dεm: Dεn dεm we de mek yu fil pen (e.g. paracetamol, ibuprofen), mכsul dεm we de rilaks, εn כda tin dεm.
- Fizik Tɛrapi: Spɛshal ɛksesaiz kin ɛp fɔ mek di mɔsul dɛn strɔng, fɔ mek di jɔyn dɛn muv mɔ ɛn mɔ, ɛn fɔ mek di pen nɔ bɔku.
- Occupational Therapy: Trenin fɔ aw fɔ du ɛvride wok izi wan (lɛk fɔ drɛs, kuk) pan ɔl we yu de fil pen.
- PRP therapy (Platelet-rich plasma therapy): Na di mɔdan tritmɛnt we dɛn de yuz di pletlɛt dɛn we de kɔmɔt na di pɔsin in yon blɔd fɔ mek di tisu we dɔn pwɛl kwik kwik wan.
- Ɔtotiks: Dɛn mek spɛshal tin dɛn we dɛn kin put insay di sus fɔ kɔrɛkt di say we di fut de ɛn fɔ ridyus di prɛshɔn pan di fut we yu de waka.
Us kayn ɔpreshɔn dɛn dɔktɔ ya kin du?
If nid de fɔ ɔpreshɔn, difrɛn kayn ɔpreshɔn dɛn de we dɛn kin mek fɔ yu kɔndishɔn.
Ɔpreshɔn fɔ chenj di jɔyn dɛn
- Tɔtɔl hip riplesmɛnt
- Tɔtɔl ɛn pat pan di knee riplesmɛnt
- Total sholda riplesmɛnt
Ɔpreshɔn fɔ di an ɛn ɔp pat dɛn
- Ɔpreshɔn fɔ karpal tanɛl sindrom (Kapal tanɛl rilis) .
- Rotator cuff tear repair (Ɔpreshɔn fɔ rotator kɔf) .
- Trig finga ɔpreshɔn
Ɔpreshɔn we dɛn kin du na di spayna
- Ɔpreshɔn fɔ mek di nerv kɔmpreshɔn nɔ bɔku (Spinal decompression, Laminectomy) .
- Spinal fushɔn we dɛn kin yuz
Ɔpreshɔn fɔ spɔt injuri
- Meniscus ɔpreshɔn we dɛn kin du
- di antεriכr krεs ligament (ACL) ripa
Mɛsej we dɛn kin kɛr go na os
- Ɔtpidik Sɔjɔn na spɛshal pɔsin we tren gud gud wan ɛn we de trit prɔblɛm dɛn we gɛt fɔ du wit wi bon dɛn, jɔyn dɛn, ɛn mɔsul dɛn.
- If yu go si dɛn, dat nɔ min se yu fɔ du ɔpreshɔn pan yu ɔltɛm. Bɔku tritmɛnt dɛn de we nɔ gɛt ɔpreshɔn, lɛk fɔ trit yu bɔdi, mɛrɛsin, ɛn injɛkshɔn.
- If yu jɔyn dɛn dɔn de pen fɔ lɔng tɛm, yu dɔn swel, yu stif, ɔ yu nɔ izi fɔ muv, nɔ de te fɔ go to dɔktɔ.
- Fɔ tɔk opin wan wit yu dɔktɔ bɔt yu sik, aw yu de liv yu layf, ɛn wetin yu de op fɔ, impɔtant fɔ no di rayt tritmɛnt plan.
- If yu gɛt di rayt tritmɛnt, yusɛf go ebul fɔ liv layf we nɔ gɛt pen ɛn we de du tin.
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