I nɔ izi fɔ yu fɔ du di wok dɛn we yu de du ɛvride? Aw Fysiatrist go ɛp? (Fiziatrist / Fizikal Mɛdisin ɛn Rihabiliteshɔn)

Yu don eva yehri boht `Physiatrist`? Sɔntɛm dis nem na nyu tin to yu smɔl. Bɔt, na sɔm tranga tɛm dɛn na wi layf, we wi so sik ɔ disabled dat wi nɔ kin ivin ebul fɔ du wi ɛvride wok fayn fayn wan, dɛn dɔktɔ ya we dɛn kɔl `Physiatrist` na big ɛp fɔ wi. Fɔ tɔk am simpul wan, dɛn spɛshal pipul ya de fɔ ɛp yu fɔ kɔntrol sik ɛn injury dɛn we de mek yu nɔ ebul fɔ wok, kia fɔ yu famili, ɔ du di tin dɛn we yu lɛk.

Udat na dis Fiziatrist? Wetin na dis mɛdikal fild we dɛn kɔl Fysiatry?

Okay, mek wi si fos udat na dis `Physiatrist`. `Fisiatrist` na dɔktɔ we spɛshal pan Fizik Mɛdisin ɛn Rihabiliteshɔn (PM&R) . Yes, dεn kin kכl dis bak `PM&R` dכkta, כ `Rεhabiliteshכn dכkta`. Dɛn pipul ya kin pe atɛnshɔn mɔ fɔ ɛp yu fɔ win di prɔblɛm dɛn we yu gɛt fɔ du yu ɛvride layf bikɔs ɔf sik ɛn dizayd we de afɛkt yu skel sistɛm ɔ yu nervɔs sistɛm.

Imajin, yu go dɔn gɛt bak pen ɔ yu ni pen fɔ lɔng lɔng tɛm. Ɔ yu kin dɔn gɛt motoka aksidɛnt, ɔ yu kin wund yu an ɔ yu fut we yu de ple spɔt, ɛn yu kin fil pen so dat yu nɔ kin ivin ebul fɔ grap na bed, kɔm yu ia, ɔ ivin sidɔm. Na da tɛm de `Physiatrist` kin ɛp yu.

Di tin we impɔtant pas ɔl na dat, dɛn dɔktɔ ya kin tray fɔ manej yu sik dɛn wit opshɔn dɛn we nɔto ɔspitul, we nɔ de yuz ɔpreshɔn, ɛn fɔ mek yu go bak na stet usay yu go ebul fɔ wok fayn ɛn fɔ yusɛf as yu ebul.

Di fild fɔ mɛrɛsin we dɛn kɔl `Physiatry` de tɔk bɔt aw fɔ protɛkt, no, ɛn trit sik dɛm wae de afɛkt yu ɛvride woke ɛn sɔmtɛm kin mek yu gɛt disabled.

Wetin ɛksaktɔli Fiziatrist de du?

Lɛ wi tek tɛm luk aw dɔktɔ we de mɛn yu bɔdi kin gɛt sɔntin fɔ du wit yu layf.

• Diagnosis ɛn tritmɛnt: Dɛn pipul ya kin no ɛn trit di sik wae de ambɔg yu fɔ muv, du woke ɛvride, ɛn intarakt wit sosayti. Fɔ ɛgzampul, dis inklud prɔblɛm fɔ du ``Activities of Daily Living (ADLs)'' lɛk fɔ waka, it, tɔk, was, ɛn drɛs.
• Fɔ wok as tim: Pɔsin we de mɛn bɔdi nɔ kin wok in wan. Dɛn kin wok wit yu famili dɔktɔ (Primary Care Provider) ɛn ɔda spɛshal pipul dɛn fɔ kɔdinɛt yu kia as tim.
• Tritmɛnt fɔ ɔl di ej dɛm: Pipul dɛm wae gɛt ɔl kayn ej, frɔm bebi to ol pipul dɛm, kin gɛt tritmɛnt frɔm Fiziatrist.
• Di kia fɔ lɔng tɛm:Yu kin nid fɔ wok wit dɔktɔ we de mɛn yu bɔdi fɔ lɔng tɛm, mɔ if yu ɔ pɔsin na yu famili gɛt wan sik we nɔ de mɛn. Dɛn go gi yu sɔpɔt ɔltɛm.

Us kɔndishɔn dɛn we dɔktɔ we de mɛn yu bɔdi kin trit?

`physiatrist` de trit difrεn difrεn mεdikal kכndyushכn dεm. Lɛ wi tek wan luk pan di men wan dɛn.

Kɔndishɔn dɛn we de afɛkt big pipul dɛn

Na big pipul, dɔktɔ wae de mɛn yu bɔdi kin ɛp wit tin dɛm lɛk:

• di chenj dεm we de apin wit di ej (e.g. di bon dεnsiti dεm we de dכn) .
• Kansa ɛn di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt
• Kronik Obstrɔktiv Pulmonari Diziz (COPD) .
• Pen we nɔ de dɔn
• At kɔndishɔn dɛn we nid fɔ rihab
• Difrɛn Injuri dɛn
• Joyn sik dɛm (e.g., at at, bursitis) .
• Dis sik we dɛn kɔl Parkinson
• Sik dεm na di nεv sεstem (e.g. Mכltipכl Sklεrosis (MS), Amyotrophic Lateral Sclerosis (ALS))
• Spinal Kɔd Injuri we pɔsin kin gɛt
• Strok

Dis na jɔs sɔm ɛgzampul dɛn. Apat frɔm dat, dɔktɔ dɛn we de mɛn yu bɔdi kin trit bɔku ɔda sik dɛn we kin de fɔ lɔng tɛm.

Kɔndishɔn dɛn we de afɛkt pikin dɛn

pan pikin dεm, bכku tεm, fyziatrist kin trit kכndyushכn dεm lεk:

• Akyu flaksid maylaytis
• Amplifyed Muskuloskelεtal Pen Sindrom (AMPS) .
• Brachial plexus injuri we de apin
• Sɛribra Palsi we de na di bɔdi
• Komplex Rijinal Pen Sindrom
• Ehlers-Danlos sindrom we gɛt di sik
• Distrofi we de na di mɔsul
• Pikin dɛn we kin gɛt strok
• Di kɔva we di spayna de kɔba (skɔliosis) .
• Spina Bifida we de na di bɔdi
• Torticollis (Wri Nɛk) .
• Traumatik Bren Injuri (TBI) .

Aw dɔktɔ we de mɛn di bɔdi kin mek pɔsin no if i gɛt di sik?

We yu go to dɔktɔ we de mɛn yu bɔdi, i go fala sɔm tin dɛn fɔ no di sik we yu gɛt kɔrɛkt wan.

• Fɔ ɛgzamin yu bɔdi: Fɔs, dɛn go du gud ɛgzam fɔ yu bɔdi. Dɛn kin gi yu bak wan nyurolɔjik ɛgzam.
• Mɛdikal histri ɛn di sayn dɛm: Dɛn go aks yu bɔt yu sik dɛm we yu bin dɔn gɛt trade ɛn di sayn dɛm we yu gɛt naw.
• Spɛshal tɛst dɛn: If nid de, dɛn kin du tɛst dɛn lɛk dɛn wan ya bak:
• Blɔd tɛst dɛn
• Ilɛktromayografi (EMG) (luk di we aw di mɔsul dɛn de wok) .
• MRI Skan `(Magnetik Rɛsɔnans Imej - MRI)`
• Nεv kכndukshכn stכdi (luk Nεv fכnshכn) .
• X-ray we dɛn kin du

Di dɔktɔ go ɛksplen ɔl dɛn tɛst ya to yu, ɛn i go tɔk to yu bak bɔt dɛn afta di rizɔlt dɔn kam.

Di tin we impɔtant pas ɔl na dat, dɔktɔ we de mɛn yu bɔdi kin si yu as wan ol pɔsin. Dat min se i nɔ de tink bɔt yu bɔdi nɔmɔ, bɔt i de tink bak bɔt aw di sik de afɛkt yu maynd ɛn spirit. We i de du diagnosis, i kin tink bak bɔt kwɛstyɔn dɛn lɛk:

• Aw dis tin we de apin kin afɛkt yu layf?
• Us kayn muvmɛnt ɔ wok dɛn we at fɔ du ɛksaktɔli?
• Wetin yu nɔ go ebul fɔ du bikɔs ɔf dis tin we de apin?
• Wetin yu lɛk fɔ du?
• Aw dis tin kin afɛkt yu maynd wɛl bɔdi?

Yuz ɔl dis infɔmeshɔn, wan dɔktɔ we de mɛn yu bɔdi go disayd di tritmɛnt plan we go fayn fɔ yu.

Us tritmɛnt dɛn we dɔktɔ we de mɛn yu bɔdi kin gi?

Fiziatrist na di tritmɛnt we dɛn kin yuz pas ɔl we dɛn nɔ kin du ɔpreshɔn pan. Di gol fɔ dɛn tritmɛnt ya na fɔ kɔntrol di sayn dɛm ɛn ɛp di bɔdi fɔ wɛl insɛf. Bikɔs bɔku tin dɛn nɔ kin ebul fɔ wɛl ɔl, dɔktɔ we de mɛn yu bɔdi kin wok fɔ ɛp yu fɔ wok fɔ yusɛf as yu ebul, ɛn yu nɔ kin dipen pan ɔda pipul dɛn bɛtɛ. dis tritmεnt dεm fכs de adrεs di simptom dεm lεk pen, mכsul wik, mכsul dεm stiff (spasticity), εn abnכmal sεns dεm (lεk numbness - paresthesia).

Na sɔm ɛgzampul dɛn ya:

Di kayn injɛkshɔn dɛn we dɛn kin gi

• Trig point injεkshכn (fכ di mכsul spam dεm we de mek yu fil pen) .
• Injɛkshɔn fɔ mek di jɔyn dɛn nɔ pen
• Epidural stεrɔyd injεkshɔn (ESI) (fɔ bak pen) .
• Botulinum toxin injεkshכn (e.g. fכ mכsul spam) .

Difrɛn tritmɛnt dɛn

• Fizik tɛrapi
• Occupational therapy (ɛp fɔ du ɛvride wok izi wan) .
• Tɛrapi fɔ tɔk
• Hydrotherapy (wata ɛksesaiz) .
• Ɔstiɔpatik Manipuleshɔn Tritmɛnt (OMT) .

Speshal we fɔ mɛn pipul dɛn

• Fכnshכnal Ilektrikal Stimulεshכn (FES) .
• Transkutan Ilektrikal Nεv Stimulεshכn (TENS) .
• Vεrεbroplasti εn Kyphoplasty (fכ spεnal frakshכn) .
• Integrativ mɛrɛsin tɛknik dɛn

Tin dɛn we de ɛp na ɛvride layf

• Prostɛtik ɛn ɔtɔtiks
• Di tin dɛn we pɔsin kin yuz fɔ ɛp (e.g. wilchia ɛn pɔsin we de waka) .
• Chenj na yu os ɛn wok ɛnvayrɔmɛnt `(Chenj na yu living spɛs)`
• Di mɛrɛsin dɛn we dɛn kin yuz

Ustɛm yu fɔ go to dɔktɔ we de mɛn yu bɔdi?

Yu kin nid fɔ gɛt ɛp frɔm Fysiatrist pan dɛn tin ya:

• If yu gɛt pen bikɔs ɔf sik ɔ injuri we dɔn te, ɔ if yu gɛt prɔblɛm fɔ muv yu bɔdi we yu de du ɛvride wok.
• If yu de wɛl frɔm wan strok.
• If yu de fil pen afta dɛn dɔn du yu ɔpreshɔn, ɔ i nɔ izi fɔ yu fɔ muv yu bɔdi.
• If yu de gɛt bɔku taya, pen, ɔr nɔr de fil fayn bikɔs ɔf tritmɛnt fɔ ɔda mɛrɛsin.
• If fɔ ɛni rizin yu nɔ ebul fɔ muv yu bɔdi kɔmfyut ɛn izi lɛk aw i bin de bifo.

Sɔmtɛm lɛk dis, yu kin tɔk to yu famili dɔktɔ ɛn sɛn yu fɔ go to dɔktɔ we de mɛn yu bɔdi.

Wetin na di difrɛns bitwin Fiziatrist ɛn Fizik Tɛrapist?

Dis na sɔntin we bɔku pipul dɛn kin kɔnfyus bɔt. `Fysiatrist` ɛn `physical therapist` na tu difrɛn tin. Bɔt dɛn ɔl tu gɛt di sem gol: fɔ ɛp yu fɔ wok fayn ɛn fayn we yu de du di tin dɛn we yu de du ɛvride.

• Trenin: Fiziatrist na dɔktɔ we dɔn kɔmplit in mɛdikal skul digri, we dɔn gɛt MD (Dɔkta fɔ Mɛdisin) ɔ DO (Dɔkta fɔ Ɔstiɔpati). Wan pɔsin we de mɛn fizik kin dɔn wan fizik tɛrapi program ɛn i kin gɛt Dɔkta fɔ Fizik Tɛrapi (DPT) digri.
• Pat:
• `physiatrist` kin no sik dεm εn gi mεdikeshכn.
• Pɔsin we de mɛn yu bɔdi nɔ kin ebul fɔ no ɔ gi yu mɛrɛsin. Bɔt dɛn kin mek wan fizik tɛrapi diagnosis (PTD) ɔr funkshɔnal diagnosis (FD). Dis min se dɛn kin tɛl yu us prɔblɛm dɛn we yu gɛt fɔ muv, aw dɛn kin tranga, aw dɛn kin afɛkt yu layf, ɛn aw tritmɛnt kin ɛp.

Fɔ tɔk am simpul wan, yu dɔktɔ we de mɛn yu bɔdi go no di sik we yu gɛt ɛn di tin we mek yu gɛt am. Dɔn, yu fyzikal tritmɛnt go no di impak we da sik de gɛt pan yu ebul fɔ muv ɛn wok.

Fɔ ɛgzampul, dɔktɔ we de mɛn yu bɔdi kin tɛl yu se yu gɛt ɔstiɔ-arayt na yu ni. Dɔn, pɔsin we de mɛn yu bɔdi (PT) kin chɛk yu ɛn no se yu nɔ ebul fɔ muv na yu ni, ɛn dis kin mek i nɔ izi fɔ yu fɔ waka na wokples ɔ ivin rawnd di os.

Bɔku tɛm, dɔktɔ we de mɛn yu bɔdi ɛn pɔsin we de mɛn yu bɔdi kin wok togɛda. Di dɔktɔ we de mɛn yu bɔdi go no bɔt yu sik, no if yu na gud pɔsin fɔ gɛt fizik tritmɛnt, ɛn sɛn yu to dɔktɔ we de mɛn yu bɔdi (PT). Frɔm de, di PT go wok wit yu fɔ mek wan tritmɛnt plan we go fayn fɔ yu. Bɔku tɛm, una tu go tɔk bɔt una wɛlbɔdi biznɛs.

Wetin na di difrɛns bitwin Saykolojist ɛn Fiziatrist?

Dis na ɔda tin we kin mek bɔku pipul dɛn kɔnfyus. Wan dɔktɔ we de stɔdi bɔt pɔsin in maynd ɛn wan dɔktɔ we de mɛn bɔdi na tu pipul dɛn we rili difrɛn.

• Saikɔlɔjis na mɛntɛl hεlth pɔrsin wae de yuse tɔk tɛrapi (saykotɛrapi) fɔ trit difrɛn kayn mɛntɛl hεlth disɔda. Dɛn kin ɛp pipul dɛn bak fɔ bia wit tin dɛn we kin mek dɛn strɛs fɔ sɔm tɛm ɛn fɔ lɔng tɛm na dɛn layf. Wan sayɛnsman we de stɔdi bɔt pɔsin in maynd kin gɛt PhD.
• Fiziatrist na dɔktɔ we de trit yu bɔdi prɔblɛm, mɔ di wan dɛn we de afɛkt yu mɔsul ɛn skel ɛn nervɔs sistɛm. Dis na tin dɛm wae kin mek yu fil pen ɛn ɔda sayn dɛm wae kin afɛkt yu ɛvride layf.

Pɔsin we de stɔdi bɔt pɔsin in maynd nɔ kin ebul fɔ no ɔ trit pɔsin in bɔdi prɔblɛm dɛn lɛk dis. Bɔt dɛn kin ɛp yu fɔ tɔk to dɛn bɔt aw de sik de afɛkt yu layf ɛn aw yu go ebul fɔ bia wit am na yu maynd. Bɔrku pipul dɛm wae de sɔfa wit pwɛl hat ɔr ɔda sik dɛm na dɛn bɔdi kin si se i fayn fɔ go to dɔktɔ we de stɔdi bɔt pɔsin in maynd fɔ ɛp dɛn fɔ mek dɛn kɔntinyu fɔ gɛt wɛlbɔdi.

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

Jɔs tink bɔt dat, ivin wan tɛm we yu gɛt di sik kin afɛkt yu wan ol layf. I tan lɛk se yu trowe ston na wata ɛn mek ripɛl. Di wan dɛn we de mɛn bɔdi kin ɔndastand dis gud gud wan. Dɛn kin ɔndastand aw yu sik kin tranga, aw e nɔr kin jɔs afɛkt yu an, yu leg, ɛn yu spayna, bɔt yu kin afɛkt ɔl yu bɔdi, aw yu de tink, aw yu de fil, aw yu de op fɔ tumara bambay.

If yu go go to dɔktɔ we de mɛn yu bɔdi, rɛdi fɔ tɔk klia wan bɔt aw yu de fil ɛn wetin yu de ɛkspɛkt frɔm di tritmɛnt. Di dɔktɔ go tek tɛm lisin to yu ɛn mek wan tritmɛnt plan bay yu gol ɛn nid.

So, if yu ɔ pɔsin we yu sabi de fil pen, i nɔ izi fɔ muv, ɔ i nɔ izi fɔ du wok ɛvride, tink bɔt fɔ go to dɔktɔ we de mɛn yu bɔdi. Dɛn kin rili ɛp yu fɔ mek yu layf go bak.

` Fisiatrist, Rihabiliteshɔn Mɛdisin, Fizik Mɛdisin ɛn Rihabiliteshɔn, PM&R, Fizikal Tɛrapi, Pen Manejmɛnt, Strok Rihabiliteshɔn, Sik dɛn na di Nɛvɔs Sistɛm