Yu nid dɔktɔ we de kia fɔ bon ɛn jɔyn dɛn? Lɛ wi tɔk bɔt wan Ɔtpidik Sɔjɔn / Ɔtopɛdist!

Tide wi go tɔk bɔt wan tɔpik we impɔtant to bɔku pipul dɛn. Sɔntɛnde, yu kin fil pen na yu bɔdi, yu jɔyn dɛn kin fil pen, ɔ yu kin fil sɔm kayn we we yu de waka? Udat wi kin kɔl we dat apin? Tide wi de tɔk bɔt wan spɛshal pɔsin we kin kam ɛp wi na dɛn kayn tɛm ya - dat na di ɔtpidik ɔspitul, ɔ as wi ɔl sabi am, di dɔktɔ we dɛn kɔl Ɔtpidik Sɔjɔn. Sɔm pipul dɛn kin kɔl am bak Ɔtopɛdist.

Udat na dis Ɔtpidik Sɔjɔn?

Fɔ tɔk am simpul wan, ɔtpidik ɔspitul dɔktɔ na dɔktɔ we spɛshal fɔ trit prɔblɛm ɛn prɔblɛm dɛn we de na di mɔsul ɛn skel sistɛm, lɛk bon, jɔyn, mɔsul, ɛn tɛndon . Dɛn kin ɛp yu fɔ pul pen, fɔ muv fayn, ɛn fɔ wok fayn fayn wan.

Wetin na dɛn mɔskul ɛn skel prɔblɛm ya?

Dis kin tan lɛk big wɔd, bɔt i simpul. I de tɔk bɔt prɔblɛm dɛn we de wit di pat dɛn na wi bɔdi we de ɛp wi fɔ muv ɛn muv. Tink bɔt wi bɔdi lɛk mashin we gɛt wan wan pat dɛn. sכm pan di men pat dεm na dis "mashin" na di mכskul skel sistεm:

• Bɔn dɛn: Dɛn wan ya de mek wi bɔdi in skel.
• Cartilage: Na di pat we tan lɛk kusɛn bitwin di jɔyn dɛn we de mek di bon dɛn nɔ de rɔb pan dɛnsɛf.
• di jכint dεm: di ples dεm we tu bon dεm de kכnekt tכgeda (e.g. kכn, εlbo).
• Ligament dεm: strכng strכkchכ dεm we lεk bכnd we de kכnekt bon dεm togeda.
• Mɔsul dɛm: Na pat dɛm we de ɛp di bɔdi fɔ muv ɛn kɔntrakt.
• Nεv dεm: Na di nεv dεm we de kכri mεsej frכm di bren כlsay na di bכdi, we de mek wi fil pen εn tכch.
• Tεndon dεm: Strכng bכnd dεm we de kכnekt mכsul dεm to bon dεm.

If prɔblɛm de na ɛni wan pan dɛn say ya, dɛn kin tek am se na prɔblɛm wit di mɔskul ɛn skel.

Us kayn sik dɔktɔ we de mɛn ɔtpidik kin trit?

Dɛn dɔktɔ ya kin trit bɔku bɔku sik ɛn kɔndishɔn dɛn. Na sɔm ɛgzampul dɛn ya:

• At: Pen we kin kam bikɔs di jɔyn dɛn kin pwɛl, mɔ di ɔstiɔ-arayt.
• Benign sכft tisu tכmכro dεm.
• Bɔn kansa.
• Bursitis - di sak dεm we fulכp wit wata we de nia di joyn dεm de swεla.
• Di prɔblɛm dɛn we dɛn kin bɔn wit: Fɔ ɛgzampul, di klɔb fut ɛn hip displasia.
• Nɛk ɛn lɔwa bak pen.
• Ɔtpidik trauma: Tin dɛn lɛk bon dɛn we brok.
• Spɔt injuri dɛn.
• Sprain ɛn strayn.
• Tεndinitis - Inflamεshכn na di tεndon.
• Skoliosis - Kכva fכ di spayna.

Wetin na di difrɛns bitwin Ryumatɔlɔjis ɛn Ɔtpidik Sɔjɔn?

Bɔku pipul dɛn gɛt dis prɔblɛm. Dɛn tu dɔktɔ ya rili spɛshal pan sik dɛn we gɛt fɔ du wit wi bon, jɔyn, ɛn mɔsul dɛn. Dɛn ɔl tu kin trit sɔm sik dɛn lɛk at at, bak pen, ɛn ɔstioporosis. Bɔt sɔm impɔtant tin dɛn de we difrɛn.

• Ɔtpidik ɔspitul dɛn kin du ɔpreshɔn . Bɔku tɛm, di wan dɛn we de mɛn di rumat nɔ kin du ɔpreshɔn.
• Wan dɔktɔ we de mɛn ɔtpidik kin pe atɛnshɔn mɔ pan di prɔblɛm dɛn we kin kam bikɔs i wund, i kin gɛt prɔblɛm wit in bɔdi, ɛn i kin gɛt sik dɛn we kin pwɛl we i de yuz di bɔdi fɔ lɔng tɛm .
• Na di ɔda say, rεumatɔlɔjis kin trit di kכndyushכn dεm we kin kam wit sik dεm we de ambɔg di wan ol bɔdi. Bɔku tɛm, dɛn tin ya kin apin bikɔs ɔf prɔblɛm wit di imyun sistɛm. Sɔm ɛgzampul dɛn na lupus, vaskulaytis, rεumatoid at, ɛn sɔm sik dɛn we nɔ kin bɔku we pɔsin kin gɛt frɔm in mama ɛn papa.

Bɔt sɔntɛnde, dɛn tu dɔktɔ ya kin wok togɛda fɔ trit di wan dɛn we sik. Fɔ ɛgzampul, if yu gɛt rεumatoid at, wan rεumatɔlɔjis ɛn ɔtpidik ɔspitul kin wok togɛda fɔ gi yu di bɛst tritmɛnt.

Wetin rili dɔktɔ we de mɛn ɔtpidik kin du?

Sɔm ɔtpidik ɔspitul dɛn kin trit bɔku bɔku ɔtpidik kɔndishɔn dɛn (jɛnɔral pipul dɛn). Dis min se dɛn nɔ kin jɔs de pan wan patikyula eria. Ɔda wan dɛn kin gɛt mɔ trenin pan wan patikyula eria ɛn dɛn kin sabspɛshal fɔ trit di kɔndishɔn dɛn we gɛt fɔ du wit da eria de.

Na sɔm pan di ɔtpidik sɔbspɛshal dɛn ya:

• Fut ɛn anklɛ ɔpreshɔn.
• Ɔpreshɔn fɔ di an ɛn di ɔpa pat.
• Ɔpreshɔn fɔ chenj di jɔyn dɛn.
• כtכpidik כnkכlכji - Tritmεnt fכ tכmכro εn kεnsar dεm na di bon dεm εn sכft tisu dεm.
• Ɔtpidik trauma - siriɔs injury lɛk brok bon.
• Pikin ɔtpidik ɔpreshɔn - Bɔn ɛn jɔyn prɔblɛm dɛn na pikin dɛn.
• Ɔpreshɔn fɔ di spayna.
• Spɔt mɛrɛsin - injuri ɛn dizayd we atlet dɛn gɛt.

Us kayn mɛdikal trenin dɛn ɔtpidik dɔktɔ ya kin gɛt?

Dis nɔto izi waka. Fɔ bi ɔtpidik dɔktɔ nid fɔ tren fɔ lɛk 14 ia so fɔ mɛn pipul dɛn .

• Fɔs, fɔ gɛt sayɛns digri fɔ 4 ia (ɔndagraduet stɔdi).
• Dɔn fɔ 4 ia na mɛdikal skul. Dis kin bi tradishɔnal mɛdikal digri, we na M.D. (Dɔkta fɔ Mɛdisin), ɔ ɔstiɔpatik ɛdyukeshɔn, we na D.O. (Dɔkta fɔ Ɔstiɔpati) digri. Dɛn D.O. dכkta dεm spεshal wan kin tink bכt pכsin in maynd, bכdi, εn spirit, εn fכ fala wan mεtכd fכ trit di ‘wכl pכsin’.
• Neks, yu fɔ dɔn ɔtpidik rɛzidɛns, bɔku tɛm i kin las fɔ fayv ia. Dis na di say we yu kin gɛt prɛktikal ɛkspiriɛns na ɔspitul ɛn lan bɔt difrɛn ɔpreshɔn ɛn tritmɛnt dɛn.
• If yu want fɔ subspɛshal pan ɔda fild, lɛk aw wi bin dɔn tɔk, yu go gɛt fɔ kɔmplit ɔda ia ɔ tu ia spɛshal trenin (fellowship).

Afta dɛn dɔn du ɔl dis, dɛn kin bi ɔtpidik ɔspitul dɔktɔ dɛn we gɛt bɔd sɛtifiket. Fɔ dat, dɛn fɔ pas spɛshal ɛgzam dɛn bak. Afta dat, dɛn fɔ kɔntinyu fɔ lan nyu tin dɛn ɛn ɔpdet dɛn mɛdikal no (kɔntinyu fɔ lan bɔt mɛrɛsin).

Ustɛm a fɔ go to dɔktɔ we de mɛn ɔtpidik?

If yu gɛt ɛni wan pan dɛn sik ya, i go fayn fɔ mek yu go to ɔtpidik dɔktɔ:

• If ‘kiri kiri’ sawnd ɔ ‘tok’ sawnd de we dɛn shek di jɔnkshɔn we gɛt fɔ du wit am.
• If swel ɔ rɛd (inflammation) de na di jɔyn.
• If yu gɛt pen na yu jɔyn dɛn .
• If yu fil se yu nɔ de fil fayn ɔ yu de swɛt .
• If yu dɔn stɔp fɔ muv bikɔs ɔf pen.
• If yu fil se yu bɔdi tayt ɔ stif .

If yu gɛt sɔm kayn sik lɛk dis, i go fayn fɔ mek yu go to dɔktɔ ɛn nɔ pe atɛnshɔn to dɛn.

Wetin a fɔ ɛkspɛkt di fɔs tɛm we a go apɔntin?

Okay, mek wi se yu jos go si dokta. Di fɔs de, na dis na wetin kin apin:

• Di dɔktɔ go tɔk to yu bɔt yu sik dɛn, yu mɛrɛsin istri, ɛn aw yu de liv yu layf . Dɛn go aks yu kwɛstyɔn dɛn bɔt us prɔblɛm yu gɛt, aw lɔng yu dɔn gɛt dɛn, ɛn ustɛm dɛn kin wɔs.
• Dɛn go chɛk yu bɔdi. Dɛn go du ɛgzam fɔ dɛn bɔdi, mɔ fɔ tɔch di jɔyn we afɛkt difrɛn we dɛn . Dɛn go chɛk bak fɔ si if di say swel, rɛd, ɔ i de fil pen we yu tɔch am.
• Dɛn kin aks yu fɔ du tɛst lɛk ɛkstrem rayt fɔ chɛk aw yu bon dɛn de.
• Ɛksplen aw yu gɛt di sik.
• Neks, dɛn go tɛl yu bɔt di tritmɛnt we dɛn fɔ gi yu .

Sɔntɛnde, if yu want fɔ luk dip wan, yu nid fɔ du CT skan ɔ MRI skan.Dɛn kin du am di rayt we. dis kin tek kia gud gud wan nכto di bon dεm nכmכ, bכt di sכft tisu dεm lεk katilej εn tεndon dεm. If na so i bi, i nɔ go pɔsibul fɔ no gud gud wan wetin na di sik ɛn wetin na di tritmɛnt plan fɔ di fɔs de. Insai da tɛm de, di dɔktɔ go advays yu fɔ ridyus di sayn dɛm.

Fɔ mit yu ɔtpidik ɔspitul min se yu go mɔs gɛt fɔ ɔpreshɔn?

Nɔ, dis kayn tin nɔ de atɔl! Dat na mistek we bɔku pipul dɛn gɛt. As wi yɛri di wɔd "surgeon" so, wi de fred se wi go gɛt fɔ du ɔpreshɔn.

Ɔtpidik ɔspitul dɔktɔ dɛn spɛshal pan ɔl tu di tɛknik dɛn we nɔto ɔspitul ɛn ɔspitul. Ɔpreshɔn kin bi di fɔs tin we dɛn kin pik fɔ ɔtpidik trauma ɔ kɔndyushɔn we dɛn bɔn wit.

Bɔt fɔ bɔku ɔda sik dɛn, dɔktɔ dɛn kin tray fɔ yuz tritmɛnt dɛn we nɔto ɔpreshɔn fɔs. Sɔntɛnde, dɛn kin nid pas wan tritmɛnt fɔ mek dɛn gɛt fridɔm fɔ lɔng tɛm. I kɔmɔn fɔ tray bɔku tritmɛnt dɛn di sem tɛm. Na if nɔr pan dɛn tritmɛnt ya nɔr de ɛp yu fɔ gɛt di sik, nɔmɔ yu fɔ tink bɔt fɔ du ɔpreshɔn. Ivin da tɛm de, yu dɔktɔ go ɛksplen to yu di ditel dɛn, di prɔblɛm dɛn we kin apin, ɛn di bɛnifit dɛn we i kin gɛt.

Wetin na di tritmɛnt dɛn we nɔto ɔspitul we dɔktɔ dɛn we de mɛn ɔtpidik kin yuz?

Okay, lɛ wi si wetin dɛn kin du we dɛn nɔ du ɔpreshɔn. Bɔku tritmɛnt dɛn de lɛk dis:

• spɛshal ikwipmɛnt: bres, sling (lɛk strɛp we de hang pan di an), plasta ɔf Paris (kas - wi kɔl dɛn POP) ɔ splint (splint - tɛmporari strap we de ol di bon ɔ jɔyn dɛn na ples).
• Jɔyn injɛkshɔn: Na stɛroyd mɛrɛsin, lɛk kɔtizɔn, fɔ ridyus pen ɛn swel. Sɔntɛnde, dɛn kin yuz injɛkshɔn we dɛn kɔl viscosupplementation, we de injekt wan lɔbrik insay di jɔyn.
• Mɛrɛsin dɛn we nɔ gɛt opioid: Mɛrɛsin dɛn lɛk Paracetamol ɔ Ibuprofen (dɛn fɔ tek dɛn tin ya lɛk aw dɔktɔ tɛl yu fɔ tek).
• Fizik tritmɛnt: Spɛshal ɛksesaiz ɛn tritmɛnt fɔ mek di mɔsul dɛn we tayt, fɔ mek di mɔsul dɛn strɔng, ɛn fɔ mek di jɔyn dɛn ebul fɔ muv mɔ.
• Occupational therapy: De ɛp yu fɔ du ɛvride wok, lɛk fɔ drɛs ɛn it, bak wit izi if dɛn at bikɔs ɔf sik.
• Plɛtlɛt-rich plasma (PRP) tɛrapi: Dis kin min fɔ separet di pletlɛt dɛn frɔm yu yon blɔd ɛn injɛkt dɛn bak na di say we yu gɛt prɔblɛm. Dis stil na ɛkspirimɛnt tritmɛnt fɔ sɔm kɔndishɔn dɛn.
• Ɔtotiks:Kastom shuz insɛt na spɛshal insɛt dɛn we de ɛp fɔ posishun di fut fayn fayn wan. Dɛn tin ya kin mek yu fut nɔ fil pen.

Us kayn ɔpreshɔn dɔktɔ dɛn we de mɛn ɔtpidik kin du?

Naw lɛ wi si us kayn ɔpreshɔn dɛn dɔktɔ ya kin du. Di kayn ɔpreshɔn we go fayn fɔ yu, dipen pan di sik we yu gɛt. Na jɔs sɔm ɛgzampul dɛn.

Fut ɛn anklɛ prosidyuz

• Akilis tɛndon ripair
• Bunion kכrekshכn כpεrayshכn - na bon we de kכmכt na di big tכ.
• Hammertoe surgery - na wan kכndyushכn we di tכd dεm de bεn.
• Plantar fasciitis rilis ɔpreshɔn - fɔ pen na di fut in sכl.
• Total ankle riplesmɛnt ɔ fushɔn

Di ɔpreshɔn dɛn we dɛn kin du na di an ɛn di ɔpa pat

• Ɔpreshɔn fɔ di kapal tanɛl sindrom (Kapal tanɛl rilis) - fɔ di an we de swɛ.
• Dupuytren in kɔntrakt ɔpreshɔn - wan kɔndishɔn we di finga dɛn nɔ kin ebul fɔ ɛkstɛnd.
• Ganglion cyst removal - Na sist we ful-ɔp wit wata we de fɔm na di an eria.
• Rotator cuff surgery - fכ ripa wan tεndon we tכn na di sכlda.
• Trig finga ɔpreshɔn - Na kɔndishɔn we finga kin fil se i dɔn stɔp we yu bɛn ɛn stret am.

Jɔyn riplesmɛnt ɛn rikostrɔkshɔn

• Tɔtɔl hip riplesmɛnt
• Tɔtɔl ɛn pat pan di knee riplesmɛnt
• Total sholda riplesmɛnt
• Di tin dɛn we nɔ kin apin so ɔltɛm, lɛk fɔ chenj di ɛlb ɔ di an

Ɔtpidik trauma kia

• Dislɔkeshɔn ripa
• Fracture fixation - yuz waya ɛn plet.
• Tritmɛnt fɔ nonunion, malunion, ɔ osteomyelitis afta yu dɔn brok.
• Rikɔnstrɔktiv ɔpreshɔn fɔ mek di bon dɛn we dɔn brok bad bad wan ɔ di jɔyn dɛn we dɔn pwɛl bad bad wan.

Di ɔpreshɔn dɛn we dɛn kin du na di spayna

• Laminectomy - fכ pul wan pat pan di spεnal kכd fכ rilivu di nεv kכmpreshכn.
• di spεnal dεkכmpreshכn - I de ridyus di prεshכn pan di nεv dεm.
• spεnal fכs - na כpεrayshכn fכ stεbyul di spayna bay we dεn de fכs tu כ mכr vεrbra dεm tכgeda.

Spɔt injuri prosidyuz

• Meniskus ɔpreshɔn - fɔ mek di katilej we dɔn rɔtin na di ni.
• di anterior krusiet ligament (ACL) ripa - fכ ripa wan big ligament na di kכn.
• Rotator cuff tiar ripair
• Hip ɔpreshɔn fɔ labral kray wata

Fɔ dɔn, sɔm tin dɛn fɔ mɛmba (Take-Home Message) .

So, ɔtpidik dɔktɔ na pɔsin we de ɛp pipul dɛn we gɛt ɔl kayn ej wit prɔblɛm dɛn we gɛt fɔ du wit dɛn bon, jɔyn, ɛn mɔsul dɛn. Sɔm kin spɛshal pan patikyula say dɛn lɛk di an, leg, ɛn spayna. We yu go to yu dɔktɔ, rɛdi fɔ tɔk bɔt yu sik dɛn, di sik dɛn we yu bin dɔn gɛt trade, ɛn di tritmɛnt dɛn we yu dɔn tray fɔ du.

Mɛmba se fɔ go to ɔtpidik dɔktɔ nɔ min ɔltɛm se yu fɔ du ɔpreshɔn.

Dɛn kin gi bɔrku pipul dɛn tritmɛnt wae nɔr de du ɔpreshɔn lɛk injɛkshɔn ɛn fizik tritmɛnt. So, if yu de fil pen ɔ yu nɔ de fil fayn bak na yu bɔdi ɔ yu jɔyn dɛn, nɔ shem fɔ go to dɔktɔ we de mɛn ɔtpidik ɛn aks fɔ advays.

` Ɔtopɛdist, Ɔtpidik Sɔjɔn, Bɔn Sik, Jɔyn Sik, Mɔskul skel Dizayd, Bak Pen, Ni Pen, Ɔpreshɔn