Yu pikin lɛk fɔ ple spɔt? Ɔ i de na di ej we i ebul fɔ rɔn rawnd ɛn ple? Sɔntɛnde i kin tɔk tin dɛn lɛk, "Mama, mi ni de at," ɔ "A nɔ ebul fɔ bɛn mi ɛlb?" Bɔku tɛm, wi kin jɔs fɔgɛt bɔt am, ɛn tink se na jɔs smɔl brus. Bɔt if dis kayn joyn pen de kɔntinyu, i kin bi bikɔs ɔf wan sik we wi nɔ yɛri bɔt bɔku bɔt, Osteochondritis Dissecans, ɔ OCD fɔ shɔt. Pan ɔl we di nem kin tan lɛk se i kɔmplikt smɔl, natin nɔ de fɔ fred. Lɛ wi tɔk bɔt am simpul wan.
Wetin na Ɔstiokɔndrayt Disɛkan (OCD)?
Fɔ tɔk am simpul wan, Osteochondritis Dissecans (OCD) na wan sik we de afɛkt wi jɔyn dɛn, ɔ di saynovial jɔyn dɛn. I kin apin mɔ pan pikin dɛn, yɔŋ pipul dɛn, ɛn yɔŋ pipul dɛn.
Yu no, jɔyn na di say we tu bon dɛn na wi bɔdi kin mit. Insay OCD, dɛn kin kɔt di blɔd we de go na di ɛnd pan wan pan dɛn bon ya na wan jɔyn. Jɔs lɛk aw tik in branch kin dray ɛn wik we i nɔ gɛt wata, we i nɔ gɛt blɔd, da pat de pan di bon sɛf kin sof ɛn wik.
As tɛm de go, dis bon we wik kin day ɛn separet frɔm di men bon. sכmtεm, wit dis pat pan bon, wan pat pan di kכtilaj (di sכft tisu we de kכba di εnd dεm na di bon dεm) we de rawnd am de kכmכt bak. wan sכmכl mak we lεk wund (lεshכn) de lεf usay di bon εn di katilej dכn kכmכt.
Naw wetin apin to dis smɔl bon we dɔn kɔmɔt? Sɔntɛnde, i kin de usay i kɔmɔt. Ɔ, i kin flɔt rawnd insay di jɔyn. We dis kin apin, di jɔyn nɔ kin stebul, ɛn i kin bigin fɔ at. I sɔprayz fɔ no se dis sik kin tek sɔm mɔnt, ivin sɔm ia, so yu nɔ go notis ɛni sayn we i bigin.
OCD kin afɛkt dɛn jɔyn ya mɔ:
- Ni (dεn kin si am mכst na di kכn) .
- Ɛlbɔ dɛn
- Fut
- Sholda dɛn
- Hip bon dɛn
כltu, dεn kin si dis kכndyushכn mכst na di kכn, na di lכw, insay say na di tכŋ bon (femur). insay mεdikal tεm dεm, dεn kכl am di ``mεdial fεmoral kכndyul''.
Tu men kayn OCD de.
Dɔktɔ dɛn kin sheb OCD to tu men kayn, ɛn i impɔtant fɔ no di difrɛns bitwin dɛn tu.
| Di kayn OCD we dɛn kin yuz | Tɔk bɔt |
|---|---|
| Sporadik Ɔstiokɔndraytis Disɛkan dɛn | Dis na di kayn we we pipul dɛn kin gɛt mɔ. Na wan jɔyn nɔmɔ i kin apin. Bɔrku tɛm, i nɔ kin izi fɔ fɛn wan patikyula rizin fɔ dis. Dat min se, na kɔndishɔn we kin apin randomly. |
| Famili Ɔstiokɔndraytis Disɛkan dɛn | Dis nɔ kin apin so ɔltɛm. As di nem sho, dis na jεnεtik kכndyushכn we de pas frכm jεnereshכn to jεnereshכn. I kin pas frɔm mama ɔ papa to pikin. Pɔsin wae gɛt dis kayn kin gɛt bɔrku joyn wae kin afɛkt ɔl in layf. Dɛn kin shɔt bak ɛn dɛn kin gɛt mɔ risk fɔ gɛt ɔstiɔ-arayt (we kin west pan di jɔyn dɛn) we dɛn dɔn ol pas aw dɛn kin ol. |
Wetin na di sayn dɛm fɔ OCD?
As a bin dɔn tɔk bifo tɛm, sɔntɛm nɔr simptom nɔr de na di fɔs stej. Ɛspɛshali if di bon we brok de na wan ples we i nɔ de muf, yu nɔ go fil ɛni pen.
Bɔt if yu gɛt sɔm sayn dɛn, yu kin gɛt tin dɛn lɛk:
- Joint pen: Dis na di men sayn.
- Wiknɛs: Di jɔyn kin fil se i nɔ gɛt layf.
- Swel: I tan lɛk se di jɔyn dɔn swel.
- Stiffness: Na filin we yu nɔ ebul fɔ bɛn ɔ stret di jɔyn izi wan.
- limited mobiliti: Na di inability fכ fulכp muv di joyn nכmal wan.
- Fɔ yɛri ‘klik’ sawnd: Fɔ yɛri ‘klik’ sawnd we yu de muv di jɔyn.
- fכ fil lεk di joyn nכ stebul: di joyn de fil lεk se i de ‘jכmp’ aut כf kכntrol, כ lεk se i nכ gεt trεnk.
Bɔku tɛm, dɛn sayn ya kin wɔs as di bon we dɔn lɔs de muf go ɔda say dɛn insay di jɔyn ɛn i kin stɔp. Dɔn bak, dis pen ɛn ɔda sayn dɛn kin bɔku we yu de ple spɔt, ɛksesaiz, ɔ du wok we de put wet pan yu jɔyn.
Wetin na di tin dɛn we kin mek pɔsin gɛt OCD?
Dɔktɔ dɛn stil de du risach bɔt OCD we kin apin wan wan tɛm. Dɛn nɔ dɔn fɛn ɛni wan pan di tin we mek i apin. Bɔt bikɔs dis sik kin apin to spɔtman dɛn, masta sabi bukman dɛn biliv se we pɔsin strɛs bɔku tɛm na in jɔyn na in kin mek i gɛt mɔ prɔblɛm.
Imajin se wan kriket pleya de bol kɔntinyu ɛn gɛt smɔl impak pan in ɛlb. Ɔ wan baskɛtbɔl pleya we de jomp kɔntinyu ɛn gɛt smɔl impak pan in ni. Pan ɔl we i nɔ kin bi big injury wan tɛm, dɛn smɔl smɔl impak ya kin gɛda as tɛm de go ɛn pwɛl di jɔyn. Wi kin kɔl dɛn tin ya maykrotrauma.Dɛn kayn maykrotrauma ya kin kam bikɔs ɔf tin dɛn lɛk fɔ rɔn, jomp, ɛn fɔ trowe sɔntin.
Famili OCD na bikɔs ɔf wan jenɛtik muteshɔn. spεshal wan, i de kכz fכ wan mכtεshכn na di jin we dεn kכl `ACAN`. dis `ACAN` jin de instrכkt wi bכdi fכ prodyuz wan protin we dεn kכl `aggrecan`, we dεn de yuz fכ bil kכtilaj. biכs fכ di jεnεtik mכtεshכn, dis `aggrecan` protin de bil kכtilaj pwεl כ i rεgulεr. Na dat mek dis sik kin apin.
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt OCD, sɔm pipul dɛn kin gɛt mɔ risk.
- Pipul wae de bitwin 10 ɛn 20 ia: Na dis ej grup kin gɛt dis sik pasmak.
- Man dɛm: Dis sik kin bɔku pan bɔy pikin dɛm pas gyal pikin dɛm.
- Atlet dɛn: Di wan dɛn we de tek pat pan difrɛn spɔt dɛn, mɔ di wan dɛn we de ple spɔt dɛn we de put bɔku prɛshɔn pan di jɔyn dɛn, kin gɛt mɔ prɔblɛm.
- Famili histri: If pɔsin na yu famili (mama ɛn papa, brɔda ɛn sista) gɛt OCD, yusɛf de pan denja fɔ gɛt am.
Wetin kin apin if dɛn nɔ trit am?
If dɛn nɔ trit OCD fayn, di sayn dɛn kin wɔs as tɛm de go. As tɛm de go, yu kin gɛt pen we nɔ de dɔn ɔ yu kin gɛt ɔstiɔ-arayt . Pipul wae gɛt famili OCD kin gɛt bɔrku risk fɔ gɛt ɔstiɔ-arayt bɔku bifo tɛm pas di avɛrej ej (arawnd 50 ia ol). So dis nɔto sɔntin we wi fɔ tek am layt.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt. I go aks yu tin dɛm lɛk ustɛm di pen bigin, us tɛm na di de, ɛn if di pen kin kam afta ɛni aktiviti.
Dɔn, dɛn kin chɛk di jɔyn we dɔn afɛkt. di rεnj fכ muvmεnt dεn de mכsu εn kכmpεr am wit di hεlty jכint.
Neks, dɛn kin ɔda fɔ du imej tɛst, lɛk ɛkstrem rayt ɔ MRI (Magnetic Resonance Imaging) skan, fɔ kɔnfirm se dɛn dɔn no di sik. If dɛn tink se yu gɛt famili OCD, dɛn kin rifer yu bak fɔ mek dɛn du yu jenɛtik tɛst fɔ kɔnfirm am.
Wetin na di tritmɛnt dɛm fɔ dis?
Tu men gol dɛn de fɔ trit OCD. Wan na fɔ ɛp di jɔyn fɔ wɛl. Di ɔda wan na fɔ mek di blɔd go bak to di bon we gɛt di sik. Dɛn kin sheb di tritmɛnt opshɔn dɛn to nɔ-ɔspitul ɛn ɔspitul.
Tritmɛnt we nɔto ɔpreshɔn
Bɔku tɛm, mɔ fɔ pikin ɛn yɔŋ pipul dɛn, dis na di fɔs tritmɛnt we dɔktɔ dɛn kin se.
| Di we aw dɛn kin trit am | Tɔk bɔt |
|---|---|
| Rɛst | Dis na di tin we impɔtant pas ɔl. Di bɛst we fɔ wɛl na fɔ stɔp fɔ put ɛni mɔ prɛshɔn pan di jɔyn. Yu go nid fɔ stɔp fɔ ple spɔt, rɔn, ɔ jomp fɔ wan ɔ tu mɔnt. |
| Mɛrɛsin we dɛn kin gi | Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu nɔ fil pen, lɛk NSAID (nonsteroidal anti-inflammatory drugs) , fɔ mek yu nɔ swel ɛn nɔ fil pen. Bɔt mɛmba se nɔ fɔ tek mɛrɛsin fɔ mɛn pen ɔltɛm fɔ pas 10 dez we yu nɔ gɛt dɔktɔ advays. |
| Immobilization of di joyn | Yu kin nid fɔ wɛr bres, splint, ɔ kast fɔ mek di jɔyn kɔntinyu fɔ de te i wɛl. If yu ni ɔ yu anklɛ afɛkt, dɛn kin tɛl yu fɔ yuz stik fɔ ridyus di wet pan am. |
| Fizik Tɛrapi | Wan dɔktɔ we de mɛn yu bɔdi kin ɛp yu fɔ mek di mɔsul dɛn we de rawnd di jɔyn strɔng ɛn tich yu fɔ du ɛksɛsayz ɛn fɔ strɛch fɔ mek di jɔyn muv bak. |
Yu tink se i go nid fɔ du ɔpreshɔn?
If yu sik bad bad wan afta sɔm mɔnt we yu dɔn tek tritmɛnt we nɔ gɛt ɔpreshɔn, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn kin du sɔntin lɛk dis:
- Dɛn kin mek wan rili smɔl ol na di bon ɛn di katilej we di sik afɛkt. Dis kin mek di bɔdi gɛt fresh blɔd to di eria, we kin mɛn am kwik kwik wan.
- fכ ataya di bon εn katilej fragmεnt dεm we dεn kכl bak bay we yu de yuz pin εn skru.
- Fɔ riples di tisu we dɔn pwɛl wit bon graft frɔm ɔda pat na yu bɔdi ɔ graft frɔm pɔsin we fit fɔ gi yu.
Di kayn ɔpreshɔn we yu nid go dipen pan usay di OCD de, aw di damej bad, ɛn aw fa di pat we dɔn lɔs dɔn kam. Yu dɔktɔ we de du ɔpreshɔn go ɛksplen dis to yu ditayli.
Yu tink se dis go wɛl fɔ insɛf?
Dis na fayn kwɛstyɔn. Bikɔs di bon dɛm fɔ pikin ɛn yɔŋ pipul dɛm we gɛt ɔstiochondritis dissecans stil de gro, di sik kin sɔlv fɔ insɛf wit rɛst ɛn tɛm.
Bɔt, nɔ tek risk wit yu pikin in jɔyn jɔs bikɔs i de pen. If yu pikin gɛt pen na in jɔyn fɔ pas wan wik, nɔ jɔs wet ɛn op se i go bɛtɛ fɔ insɛf. Fɔ tru, yu go si dɔktɔ.
Bikɔs di kwik we dɔktɔ no se i gɛt dis sik ɛn bigin fɔ trit am, na di mɔ i go shɔt fɔ gɛt prɔblɛm dɛn tumara bambay.
Aw lɔng i go tek fɔ mek i bɛtɛ? Yu tink se i go afɛkt di tumara bambay?
I kin tek bɔku pipul dɛn sɔm mɔnt fɔ mek dɛn wɛl ɔltogɛda. Yu dɔktɔ go tɛl yu us ɛksesaiz ɛn tin dɛn we yu kin du ɛn yu nɔ go ebul fɔ du we yu de wɛl.
Bɔku tɛm, i kin tek lɛk tu mɔnt so fɔ mek i wɛl afta dɛn dɔn du am ɔpreshɔn. Afta dat, yu go nid fɔ du fizik tritmɛnt fɔ sɔm mɔnt fɔ mek yu gɛt trɛnk we yu dɔn lɔs ɛn fɔ ebul fɔ muv bak.
As fɔ pikin ɛn yɔŋ pipul dɛn tumara bambay, di prɔblɛm dɛn we kin apin fɔ lɔng tɛm nɔ kin apin afta dɛn dɔn trit dɛn fayn. Bɔt fɔ mek di jɔyn dɛn nɔ pwɛl tumara bambay, i kin nid fɔ chenj di spɔt ɔ stɔp sɔm muvmɛnt dɛn we dɛn kin muv ɔltɛm. Fɔ ɛgzampul, pikin we gɛt OCD na in ɛlb kin ebul fɔ ple kriket bak afta i dɔn wɛl, bɔt dɛn kin advays am fɔ stɔp fɔ pitch.
Di big pipul dɛm we dɔn ol kin gɛt ay risk fɔ gɛt ɔstiɔ-arayt na di jɔyn we dɛn afɛkt ɛn dɛn kin nid ɔpreshɔn bak.
Ustɛm a fɔ go to dɔktɔ?
If yu ɔ yu pikin gɛt pen na yu jɔyn we de te fɔ pas wan wik, mek shɔ se yu go to dɔktɔ.
Dɔn bak, if yu gɛt trauma we de mek yu nɔ ebul fɔ muv yu jɔyn ɔ if yu de fil bad bad wan, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Osteochondritis Dissecans (OCD) na wan sik wae de kam bikɔs blɔd nɔr de go na wan bon na wan jɔyn. I kin mɔs bi pan pikin ɛn yɔŋ pipul dɛn we de ple spɔt.
- Di men sayn dɛm na pen, swel, ɛn stif na di jɔyn dɛm lɛk di ni, di ɛlbow, ɛn ankles.
- Di men tritmɛnt fɔ dis na fɔ rɛst. I impɔtant fɔ avɔyd fɔ put prɛshɔn pan di jɔyn we afɛkt.
- If pikin kɔntinyu fɔ kɔmplen bɔt joyn pen, nɔ dismis am as "grɔw pen." Mek shɔ se yu go to dɔktɔ fɔ advays.
- If dɛn no di sik di rayt tɛm ɛn trit dɛn di rayt we, bɔku pikin dɛn kin wɛl ɔltogɛda ɛn nɔ gɛt ɛnitin fɔ du wit dɛn fɔ lɔng tɛm.











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