Yu tink se na nɔmal tin fɔ mek yu ni dɛn at we yu de ol? Ɔ yu kin yɛri ‘krak krak’ sawnd we yu waka go ɔp wan stej ɔ grap afta yu dɔn sidɔm fɔ sɔm tɛm? Dis pen ɛn stif kin bi sayn fɔ ɔstiɔ-arayt. Tide, wi go tɔk smɔl bɔt dis prɔblɛm we bɔku pipul dɛn gɛt, dat na, knee osteoarthritis .
Wetin rili na Knee Osteoarthritis?
Fɔ tɔk am simpul wan, di ɔstiɔ-arayt na di ni na we di kɔva we de protɛkt yu we dɛn kɔl katilej we de na yu ni jɔyn kin brok as tɛm de go. Tink bɔt yu ni jɔyn lɛk sɔntin we de absɔb na motoka. Na dis katilej de tek di prɛshɔn we wi de rɔn, jomp, ɛn waka, ɛn i de ɛp di bon dɛn na di jɔyn fɔ muv fayn fayn wan we dɛn nɔ de rɔb pan dɛnsɛf.
as tεm de go, di prכblεm de bigin we dis ‘shכk abzכba’, dat na di kכtilaj, de west. We di katilej west, di bon dɛn kin bigin fɔ rɔb pan dɛnsɛf. Na da tɛm de sɔm sayn dɛm lɛk pen, swel, ɛn ni stiffness kin apia. Dis nɔto tin we kin apin wan nɛt, bɔt na tin we kin apin smɔl smɔl as tɛm de go.
Di impɔtant tin na dat, ɔstiɔ-arayt nɔto sik we pɔsin kin mɛn ɔltogɛda. Bɔt nɔ wɔri. Bɔrku tritmɛnt de wae fayn ɛn fɔ chenj yu layf wae kin ɛp fɔ kɔntrol de sik ɛn fɔ mek de sik nɔr de wɔs.
Stej dɛn de fɔ dis kɔndishɔn?
Yɛs, bikɔs dis sik we de mek pɔsin fil pen na in ni kin bigin smɔl smɔl, dɔktɔ dɛn kin sheb am to difrɛn say dɛn fɔ ɛksplen aw i kin tranga. Dis go ɛp yu fɔ ɔndastand di sik we yu gɛt.
| Stej | Situeshɔn ɛn filin |
|---|---|
| 1st stej (Maynɔ) . | Dis na di biginin stej. Di katilej jɔs bigin fɔ wɛl. Sɔntɛm yu nɔ go fil ɛni pen. |
| Stej 2 (Mild) . | Naw yu de bigin fɔ fil pen ɛn stif na yu ni smɔl smɔl, bɔt di katilej nɔ dɔn west fɔ mek di bon dɛn rɔb pan dɛnsɛf yet. |
| Stej 3 (Mɔdaret) . | Bay naw, bɔku pan di katilej dɔn west. Yu kin fil di pen mɔ we yu de rɔn, waka, ɛn bɛn yu ni. Di ni kin fil bak we i tinap afta lɔng tɛm. |
| Stej 4 (Siva) . | Dis na di tin we bad pas ɔl. Di katilej dɔn lɛf smɔl fɔ lɛ i west ɔl. Di bon dɛn kin rɔb pan dɛnsɛf, ɛn dis kin mek dɛn fil pen bad bad wan, dɛn kin stif, ɛn i nɔ kin izi fɔ muv. Na dis stej, di dɔktɔ kin tink bɔt fɔ du ɔpreshɔn fɔ chenj in ni. |
Yu gɛt dɛn sik ya bak?
Pan ɔl we pen na di men sayn fɔ gɛt ɔstiɔ-arayt na yu ni, sɔm ɔda sayn dɛn de. Si if dɛn tin ya na tin dɛn we yu sabi.
- Knee pen : Nɔto jɔs pen kin apin we yu de put wet ɔ muv, bɔt sɔntɛnde ivin we yu jɔs sidɔm.
- Knee stiffness: Yu kin fil se yu ni tayt ɔ yu nɔ ebul fɔ bɛn ɔ stret yu ni, mɔ we yu fɔs grap na mɔnin ɔ afta yu dɔn tinap fɔ lɔng tɛm.
- Swel: Di ni de luk lɛk se i dɔn swel ɛn i dɔn blo.
- Krak krak sawnd: We yu bɛn ɔ stret yu ni dɛn, yu kin yɛri krak krak krak sawnd frɔm insay.
- Instability: di kכn de fil se i nכ gεt layf, lεk se i de "giv aut" we i tinap, we min se i de bεnd witout kכntrכl.
- Lɔk na di ni: We yu tray fɔ muv yu ni, i kin tan lɛk se i lɔk ɔ i dɔn stɔp wantɛm wantɛm.
Tin dɛn we kin apin if yu nɔ pe atɛnshɔn to dis
If dɛn nɔ pe atɛnshɔn to di pen na di ni lɛk se na jɔs wan sayn, ɔda prɔblɛm dɛn kin apin.
- Joint instability: We yu ridyus di yus fɔ yu ni bikɔs ɔf pen, di mɔsul dɛm we de rawndDis kin mek di jɔyn wik, ɛn dis kin mek i nɔ stebul, ɛn dis kin mek i gɛt prɔblɛm wit aw i de waka ɛn fɔdɔm.
- Bon spurs : Bon dεm de rכb pan dεn wan dεm, we de mek sכm sכm bכmp dεm fכm pan di bon dεm. Dɛn tin ya kin mek di jɔyn fil pen ɛn stif.
- Baker’s cyst: Wan sak we ful-ɔp wit wata (cyst) kin divɛlɔp biɛn di ni. Dis kin mek yu fil pen ɛn stif biɛn di ni.
- Disɔda wae de mɛk pɔrsin fil fayn: wae pɔrsin kin fil pen ɔltɛm ɛn nɔr kin ebul fɔ waka kin mek sɔm pipul dɛn gɛt dis maynia sik lɛk wae dɛn kin wɔri ɛn pwɛl hat.
Wetin mek dis knee pen kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Di men rizin na dat di katilej kin west we wi de ol, jɔs lɛk aw di taya dɛn na motoka kin west we wi de drayv. Bɔt sɔm ɔda tin dɛn de we kin mek pɔsin gɛt dis sik kwik kwik wan.
| Risk Factor | Fɔ ɛksplen |
|---|---|
| Fat | If yu bɔdi mas indeks (BMI) pas 30, yu ni dɛn fɔ bia mɔ wet, we kin mek di katilej west kwik kwik wan. |
| Ol aksidɛnt dɛn | wan injuri we bin de bifo na di kכn (e.g., wan ligament tear) kin dכn rεdכks di joyn stεbiliti εn aksεlεrat wear. |
| Strain pasmak pan di ni | di risk kin bכku if sכm wok dεm (e.g., hεvi liftin) כ sכpכt (e.g., sכkכr, weitliftin) put prεshכn pasmak pan di ni dεm. |
| Pipul dɛn | If pɔsin na yu famili gɛt dis sik, yu go gɛt dis sik. |
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ we gɛt pen na yu ni, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn afta dat i go chɛk yu ni.
- Yu tink se di ni dɔn swel, i dɔn rɛd, ɔ i de fil pen we yu tɔch am?
- Aw fa yu kin bɛn ɛn ɛkstɛnd yu ni (rɛnj fɔ muv).
- Di jɔyn nɔ de stebul ɔ i nɔ de chenj?
- Chek di we aw yu de waka.
Afta dis fɔs ɛgzamin, dɛn kin ɔda fɔ mek dɛn tek ɛkstrem rayt fɔ kɔnfirm di sik. X-ray kin sho klia wan if di katilej dɔn west ɛn i de tɔch di bon, ɔ if ɛni bon spur de. Sɔntɛnde, dɛn kin se dɛn fɔ du MRI ɔ CT skan if dɛn nid fɔ no mɔ.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔku tɛm, dɔktɔ dɛn kin yuz ɔpreshɔn fɔ du di las tin. Bɔku tritmɛnt dɛn de we dɛn kin tray bifo dat.
Tritmɛnt dɛn we nɔto ɔpreshɔn
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Di dɔktɔ go gi am di rayt mɛrɛsin fɔ kɔntrol di pen ɛn swɛlin.
- Fizik tɛrapi: Dɛn kin du ɛksɛsayz fɔ mek di mɔsul dɛn we de rawnd di ni strɔng ɛn fɔ mek di ni muv fayn fayn wan. Dis rili impɔtant.
- Fɔ lɔs yu wet: If yu lɔs smɔl wet, dat kin rili ridyus di prɛshɔn we de na yu ni dɛn.
- Knee brace: Dɛn tin ya kin ɛp fɔ gi sɔpɔt to di ni ɛn fɔ mek i stebul mɔ ɛn mɔ.
- Di kayn injɛkshɔn dɛn we dɛn kin gi:
- Kɔtizɔn injɛkshɔn: Na wan kayn stɛroyd we dɛn kin gi fɔ ridyus pen ɛn swel kwik kwik wan.
- jεl injεkshכn (Viscosupplementation): dεn injεkt wan lכbrikεnt insay di jכint, we de mek i izi fכ muv.
- PRP (Platelet-rich plasma) injection: Dɛn kin injekt di plasma we dɛn pul frɔm yu yon blɔd bak insay di jɔyn fɔ mek i wɛl.
Di tritmɛnt dɛn we dɛn kin du fɔ ɔpreshɔn
If ɔda tritmɛnt dɛn nɔ wok ɛn dɛn nɔ ebul fɔ bia di pen, dɛn kin tink bɔt fɔ du ɔpreshɔn.
- Osteotomy: Dɛn kin kɔt di bon we de na di ni ɛn shep am bak fɔ mek di bɔdi in wet go na di pat we gɛt wɛlbɔdi na di jɔyn.
- Knee replacement: Dɛn kin pul di jɔyn we dɔn pwɛl ɛn put atifishal jɔyn we dɛn mek wit mɛtal ɛn plastic. Dis kin bi ɔl ɔ pat pan am.
Yu nɔ go ebul fɔ mek yu ni dɛn nɔ west?
Pan ɔl we dɛn nɔ go ebul fɔ stɔp dis ɔltogɛda, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm ɛn kɔntrol aw di sik de go bifo.
- Mek yu gɛt wɛl bɔdi wet: Dis na di tin we impɔtant pas ɔl.Ivin if yu lɔs 10% pan yu wet kin rili ridyus yu risk fɔ gɛt knee osteoarthritis.
- Ɛksesaiz: Du ɛksesaiz dɛn we nɔ gɛt bɛtɛ impak lɛk fɔ swim ɛn bayk, we de mek di mɔsul dɛn we de rawnd di ni strɔng.
- Ridyus strɛs na yu ni: If yu de rɔn, pik say dɛn we saf lɛk gras instead fɔ yuz had rod. If yu de es ebi ebi, yuz di rayt we fɔ tinap.
- Luk fɔ tritmɛnt kwik: I impɔtant fɔ go to yu dɔktɔ jɔs lɛk aw yu bigin fɔ gɛt pen na yu ni, pas fɔ nɔ pe atɛnshɔn to am. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu chans fɔ kɔntrol di sik dɛn we yu gɛt ɛn fɔ gɛt wɛlbɔdi ɛn nɔ nid fɔ gɛt ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Knee osteoarthritis na di we aw di protεktiv katilej we de kכba di joyn de west εn te.
- Pen, yu ni stif, swel, ɛn sawnd we yu de grind na di men sayn dɛm.
- Di wet pasmak, ol aksidɛnt, ɛn fɔ bɔn pikin na di men tin dɛn we kin mek pɔsin gɛt dis sik.
- I rili impɔtant fɔ kɔntrol yu bɔdi wet ɛn du ɛksɛsayz dɛn we fayn fɔ yu ni.
- If yu gɛt pen na yu ni, nɔ ignore am ɛn go to yu dɔktɔ kwik kwik wan.
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