Yu don eva hit yu sholda wen yu de ple kriket wit draiv? Ɔ yu dɔn ɛva slip ɛn fɔdɔm we yu de rayd baysikul ɛn nak yu sholda na grɔn? Na nɔmal tin fɔ mek yu sholda at we dat apin. Bɔt yu dɔn ɛva notis se sɔntɛnde, wit da pen de, wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Bɔku pipul dɛn kin fred we dɛn si dis. Dɛn tink se, "O, a de wɔnda if mi sholda bon go pop kɔmɔt." Tide wi go tok abaut dis kain kondishon. Insay mεdikal tεm dεm, dεn kכl dis "Separated Shoulder."
Wetin rili na sholda we dɛn separet?
Fɔ tɔk am simpul wan, dis na injury to wan jɔyn na yu sholda. Bɔt nɔto sholda we dɔn disloket, lɛk aw bɔku pipul dɛn kin tink. Dɛn tu tin ya rili difrɛn.
Tink bɔt am, yu sholda na kɔmpleks sistɛm we gɛt pat dɛn. usay yu kכlabon (we wi mεdikal kכl ``klavikul``) de kכnekt to di tכp pat pan yu sכlda bled (di ``akromion``), wan sכmכl jכint de. dis joyn dεn kכl am di ``akromioclavicular joint`` כ AC jכint.
Dis jɔyn tan lɛk smɔl brij. fכ kip dis brij strכng, dat na fכ kip di tu bon dεm tכgeda, strכng ligament כ bכnd dεm de (`ligaments`). fכ egzampl, insay aksidεnt, if yu fכl tranga wan na di sכlda, dεn ligament dεm (`ligaments`) kin strεch כ tכn. we dεn ligament dεm ya dεn tכn כ strεch, di kכla bon (klavikul) εn di sכlda bon (akromion) de muv sכmtεm apat frכm wan an. Dis na wetin wi de kɔl Separated Shoulder.
Mɛmba se dis nɔto we di big pat na di sholda we tan lɛk bɔl kɔmɔt. Dat na wan sɛpret kɔndishɔn. dis kin apin to di joyn we de kכnekt di sכlda bled to di kכlabon.
dis kכndyushכn so kכmכn dat sכm stכdi dεm sho se 40% pan di sכlda injuri dεm de involv di AC jכint. I kin apin mɔ pan pipul dɛn we kin ple kɔntakt spɔt lɛk rɔgbi ɛn futbɔl.
Aw yu go no if yu gɛt dis sik? (Sayn dɛn)
Di sayn dɛm fɔ di sholda we separet kin difrɛn difrɛn wan bay aw di injuri siriɔs. Sɔm pipul dɛn kin jɔs gɛt smɔl pen, ɔda wan dɛn nɔ kin ebul fɔ muv dɛn sholda bikɔs dɛn de fil bad bad wan. Lɛ wi tek wan luk pan di men sayn dɛm.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen na di ɔp pat na di sholda | Di pen kin kɔmɔt na di tap pat na di sholda, usay di kɔlabɔn kin dɔn. Di pen kin bɔku we yu es yu an ɔ es wan wet. |
| Lumpy lump na di sholda | Dis na de sayn wae de mek bɔrku pipul frayd. we di ligament tכn, di sכlda bled de muv dכn כnda di wet fכ di an. Dɔn i tan lɛk se di tip na di kɔla bon de kɔmɔt ɔp. |
| I nɔ izi fɔ muv di sholda | De pen kin mek e tranga fɔ du tin lɛk fɔ es yu an ɔr put am biɛn yu bak. |
| Swel ɛn pen we yu prɛs am | Sɔntɛm swɛlin de rawnd di jɔyn we wund, ɛn yu kin fil bad bad wan we yu prɛs di say wit yu finga. |
| Bluish diskɔlɔreshɔn (bruiz) . | Sɔntɛnde, di skin we de rawnd di wund kin tɔn blu. |
Wetin mek dis de apin? (Min rizin dɛn)
Di men tin we kin mek pɔsin gɛt dis sik na we i fɔdɔm dairekt pan di sholda. Di impak we dis kayn fɔdɔm kin gɛt kin te di ligamɛnt dɛn we wi bin tɔk bɔt.
Bɔku tin dɛn de we dis kin apin:
- Spɔt aksidɛnt: Fɔ rɔsh ɔ fɔdɔm we yu de ple spɔt lɛk rɔgbi, futbɔl, ɛn ɔki. Na wi kɔntri, injuri lɛk dis kin apin we pɔsin we de ple fɔdɔm we i de fil bɔl we i de ple kriket.
- Fɔdɔm: If yu wund yu sholda, lɛk we yu slip ɛn fɔdɔm na di bafa ɔ we yu fɔdɔm na di stej.
- Kar aksidɛnt: Ɛspɛshali we motoka aksidɛnt, we di sholda bang na grɔn.
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ we gɛt pen na yu sholda, i go aks yu fɔs bɔt di aksidɛnt ɛn di sayn dɛn we yu gɛt. Dɔn i go chɛk yu sholda.
- Fɔ chɛk yu bɔdi:Di dɔktɔ go fil yu sholda ɛn chɛk fɔ ɛni pen, swel, ɔ bon spur. Sɔntɛnde, dɛn go aks yu fɔ es yu an wit smɔl wet. If yu kin si di bon spur dεm de stik aut mכr, yu kin gεt gud aidia fכ di injuri.
- Imej Test: Fɔ no aw di injury rili bad, yu dɔktɔ kin rifer yu fɔ sɔm tɛst dɛn.
- Sɔlda X-ray: Dis kin sho klia wan aw di tu bon dɛn de fa frɔm dɛnsɛf.
- Ultrasound scan: Dis kin ɛp fɔ chɛk fɔ si if di ligamɛnt dɛn dɔn pwɛl.
- MRI skan (Magnetic Resonance Imaging): Dis nɔ kin nid fɔ du bɔku tɛm. Bɔt if di injuri kɔmpleks, dɛn kin ɔda fɔ mek dɛn du MRI fɔ si klia wan di damej we di ligamɛnt dɛn ɛn di sɔft tisu dɛn we de rawnd am dɔn pwɛl.
Afta dɛn tɛst ya, i go dipen pan di kayn we aw yu wund, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn ɔtpidik . I go disayd aw fɔ trit am bay aw di injuri bad.
Klasifikɛshɔn fɔ di kayn we aw di injuri siriɔs
Dɔktɔ dɛn kin klas di injury dɛn we dɛn kin gɛt na di sɔl we dɛn kin sheb to 6 men kategori bay aw dɛn siriɔs. Di klasification we dɛn kin yuz mɔ na di klasification na Rockwood. Dis klasification de sho if dɛn nid fɔ du ɔpreshɔn ɛn aw lɔng i go tek fɔ wɛl.
| Tayp fɔ injuri | Diskripshɔn (simpul) . |
|---|---|
| Tayp I. Tayp I | di ligament na di AC joyn de jכs strεch sכmtεm. Di tu bon dɛn nɔ de separet. Sɔm pen ɛn swel kin de. I go wɛl fɔ insɛf insay sɔm wiks. |
| Tayp II | di AC ligament dεn tכn kכmplit wan, bכt di strכng ligament dεm we de dכn am (di ``coracoclavicular`` כ ``CC ligaments``) de כnli strεch sכmtεm. di kol bon de rayz sכmtεm εn yu kin si am. |
| Tayp III | di tu AC εn CC ligament dεm dεn tכn kכmplit wan. di kolabon de sho klia wan lεk wan lump. Di pen ɛn swel kin rili bad. |
| Tayp IV | di ligament dεn tכn, εn dεn de push di kכlabon bak. Dis na siriɔs kɔndishɔn. Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn. |
| Tayp V | Dis kin tranga pas di kayn III. di ligament dεm kin chכn, dεn kin push di kכlabon כp tu fa, εn ivin di mכsul dεm na di sכlda kin wund. I rili nid fɔ du ɔpreshɔn. |
| Tayp VI | Dis na sik we nɔ kin apin so ɔltɛm ɛn we kin rili siriɔs. di ligament de te εn di kכlabon dεn de push dכn εn trכp כnda di sכlda bled. I rili nid fɔ du ɔpreshɔn. |
Wetin na di tritmɛnt fɔ dis?
Laki, bɔku pan di injury dɛn we de na di sholda we separet (espɛshali di kayn I, II, ɛn sɔm kayn III) dɛn kin trit dɛn we dɛn nɔ gɛt ɔpreshɔn. Di we aw dɛn de trit am dipen pan aw di injury siriɔs.Tritmɛnt we Nɔ De Ɔspitul
- Rɛst ɛn nɔ muv: I impɔtant fɔ rɛst yu an di fɔs tɛm te di pen stɔp. Yu dɔktɔ go se yu fɔ yuz sling fɔ mek yu an nɔ ebul fɔ muv. Dis go ɛp fɔ mek di sɔl nɔ muv we nɔ nid fɔ muv ɛn ɛp di ligamɛnt dɛn fɔ wɛl.
- Ays: Insay di fɔs 48-72 dez, if yu put ays na di say we yu wund fɔ 15-20 minit ɛvri 2-3 awa, i kin ridyus di pen ɛn swel bad bad wan.
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Fɔ kɔntrol di pen, yu dɔktɔ kin gi yu jenɛral pen kil lɛk paracetamol ɔ nɔ-stɛroyd anti-inflammatory drugs (NSAID) (lɛk ibuprofen ɛn naproxen).
- Fizik Tɛrapi: We di pen dɔn stɔp, fɔ du ɛksɛsayz fɔ fizik tɛrapi rili impɔtant fɔ ɛp fɔ mek di sɔl dɛn ebul fɔ muv bak ɛn fɔ mek di mɔsul dɛn we de rawnd di sholda strɔng. Bɔt mɛmba se, dɛn fɔ jɔs bigin dɛn ɛgzampul ya afta dɛn dɔn gɛt aprɔval frɔm ɔtpidik spɛshal pɔsin.
- Fɔ avɔyd fɔ es ebi ebi tin: Yu fɔ avɔyd fɔ es wet ɔltogɛda te di wund wɛl, bɔku tɛm fɔ 8-12 wik.
Ɔpreshɔn Tritmɛnt
I kin nid fɔ du ɔpreshɔn fɔ mɔ siriɔs injuri (tayp IV, V, VI), ɔ tayp III injuri we nɔ de ansa to tritmɛnt we nɔto ɔpreshɔn. If tayp III injuri apin, mɔ pan yɔŋ pɔsin, aktif, ɔ atletik pɔsin, yu dɔktɔ go mɔs tɛl yu fɔ du ɔpreshɔn. Di ɔpreshɔn we dɛn kin du kin gɛt fɔ du wit:
- Ripa ɔ mek di ligamɛnt dɛn we dɔn rɔtin strɔng.
- Yuz spɛshal tin dɛn (lɛk pin, waya, ɔ plet) fɔ muv di kɔlabɔn ɛn di sɔldɔm bak na di rayt pozishɔn ɛn mek dɛn stebul.
- sכmtεm, if di injuri dכn de go fכ lכng tεm, i kin nid fכ mek di ligament bak yuz di tisu we dεn tek frכm כda pat na di bכdi (graft tisu).
Aw lɔng i go tek fɔ mek i wɛl?
Di tɛm fɔ wɛl kin dipen pan aw di injury siriɔs ɛn di tritmɛnt we yu bin gɛt.
Tipikli, sכm injuri (tayp I, II) we nכ nid כpεrayshכn go hεl bכku insay 2-6 wik. Yu fɔ ebul fɔ go bak to bɔku nɔmal tin dɛn insay lɛk 3 mɔnt.
If dɛn du yu ɔpreshɔn, di tɛm we yu go wɛl go lɔng mɔ. Yu nɔ go ebul fɔ yuz yu sholda bɔku fɔ lɛk 6 wik afta dɛn dɔn du di ɔpreshɔn. Wit fyzikal tritmɛnt, i kin tek lɛk 6 mɔnt fɔ mek i wɛl ɔl.
Tin dɛm wae yu kin du fɔ yusɛf wae yu de wɛl
We yu dɔn gɛt yu dɔktɔ in aprɔval, simpul ɛgzampul dɛn de we yu kin du na os fɔ mek yu sholda strɔng ɛn fɔ mek yu ebul fɔ chenj mɔ.
1. Rɛnj-ɔf-mɔshɔn ɛgzampul dɛn
Dɛn kin bigin dɛn tin ya fɔs afta di pen dɔn stɔp.
- Pɛndul strɛch: .
- Stand nia sɔntin lɛk tebul, put yu gud an pan di tebul, ɛn ledɔm bifo smɔl.
- Alaw di an we wund fɔ hang fri wan dɔŋ.
- Naw, rilaks di mɔsul dɛn na yu sholda ɛn muv yu an fɔ go bifo ɛn bak, sayd to sayd, ɛn insay sɛklɔ.
- Du am we yu nɔ gɛt wet fɔs. Afta sɔm dez, if yu nɔ de fil pen, yu kin du am we yu ol smɔl wet lɛk wata bɔtul.
- We yu de klaym di wɔl:
- Stand fes wan wɔl.
- Put di finga dɛn na di an we wund na di wɔl.
- Naw, lɛk spayda, kray smɔl smɔl fɔ go ɔp di wɔl wit yu finga dɛn. Go ay as yu ebul, ol am fɔ lɛk 30 sɛkɔn, dɔn krawl bak dɔŋ smɔl smɔl.
2. Ɛksesaiz dɛn we de mek di mɔsul dɛn strɔng
Yu kin stat dɛn tin ya afta yu dɔn wɛl smɔl.
- Skapul swɛt dɛn:
- Ledɔm na grɔn, bɛn yu ni dɛn, ɛn kip yu fut dɛn na grɔn.
- Kip yu tu an dɛn stret na yu sayd dɛn.
- Naw, swɛt yu sholda blad dɛn togɛda lɛk se yu de pul dɛn to yu spayna.
- Hol fɔ lɛk 5 sɛkɔn, dɔn rilaks. Du dis lɛk 20 tɛm so.
Di tin we impɔtant pas ɔl: Nɔ fos ɛni ɛksesaiz tru pen. If ɛni ɛksesaiz de mek yu pen mɔ, stɔp ɛn tɔk to yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi.
Ustɛm yu fɔ go to dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya afta yu dɔn wund yu sholda, yu fɔ rili go to dɔktɔ wantɛm wantɛm. If nid de, go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- If bad bad pen de .
- If wan lump ɔ difɔmiti de we yu kin si klia wan na di sholda.
- If yu gɛt numbness ɔr yu nɔr de fil fayn na yu an ɔr finga.
- If yu finga dɛn fil kol ɔ dɛn fil .
- If yu an fil se i nɔ gɛt layf .
- If i at fɔ muv di an nɔmal wan.
Mɛsej we dɛn kin kɛr go na os
- sכlda we separet na we di ligament we de kכnεkt di sכlda bled to di kכlabon. Dis na difrɛn kɔndishɔn pas we yu sholda dɔn kɔmɔt na yu bɔdi.
- di men sayn dεm na di pen na di כp sכlda εn di kכlabon we de kכmכt na do.
- Bɔrku tɛm, dɛn kin trit dis sik wae dɛn nɔr gɛt ɔpreshɔn wit rɛst, ays, mɛrɛsin fɔ mɛn pen, ɛn fizik tritmɛnt.
- I kin nid fɔ du ɔpreshɔn if di injuri bad bad wan (tayp IV, V, VI) ɔ if ɔda tritmɛnt dɛn nɔ wok.
- If yu sholda wund, yu de fil pen bad bad wan, yu an nɔ de luk fayn, ɔ yu an nɔ de fil fayn, go to dɔktɔ wantɛm wantɛm.
- Nɔ bigin ɛni ɛksesaiz we yu dɔktɔ nɔ gri fɔ du dat.
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