Yu sholda sɛf dɔn brok? (Shoulder Fracture) Nɔ wɔri, lɛ wi tɔk bɔt dis!

Oh mi sholda... i fil se yu no kin ivin muv am? Afta yu dɔn fɔdɔm ɔ sɔm aksidɛnt, yu dɔn gɛt bad bad pen ɛn swel na yu sholda, we mek yu nɔ ebul fɔ ivin es yu an? Dɔn yu sholda kin brok, we na bon we brok na yu sholda . Lɛ wi tɔk bɔt dis ditayli ɛn rili simpul wan. Nɔ wɔri, dis infɔmeshɔn go ɛp yu bɔku.

Wetin na Sɔlda Fraktrɔs?

Fɔ tɔk am simpul wan, we yu sholda brok na we yu brok di bon na yu sholda jɔyn, we wi kɔl "brɔk bon" we yu de tɔk ɛvride.

Yu no se wi sholda na wɔndaful jɔyn? Na di jɔyn we de mek wi ebul fɔ muv wi an dɛn, es dɛn ɔp, ɛn rɔta dɛn difrɛn difrɛn we dɛn. I mek am wit tri men bon dɛn. Wan ɔ mɔ pan dɛn tri ya brok na wetin wi kɔl sholda frakt.

Wetin na di men bon dɛm we de mek di sholda? Aw dɛn go ebul fɔ brok?

di sכlda jכint na tri men bon dεm. Ɛni wan pan dɛn tri tin ya kin brok. Na da tɛm de wi kin kɔl am ‘shoulder fracture.’

• Proximal Humerus: Dis na di tכp pat pan di lכng bon na yu כp an we de kכnekt to yu sכlda. I kin brok, lɛk we pɔsin fɔdɔm.
• Scapula: Dis na di flat, triangul bon we wi kin fil we wi put wi an pan di bak pat na wi sholda. I nɔ kin brok bikɔs i kɔba fayn wit mɔsul.
• Klavikul: dεn kכl am bak di ‘kכla bon', dis na di sכmכl, lכng bon we de kכmכt frכm di bכs pat na di nεk to di sכlda. Dis na di bon we kin brok mɔ if yu fɔdɔm we yu de ple spɔt.

If ɛni wan pan dɛn bon ya brok, dɛn kin tek am se na in sholda brok.

Aw kɔmɔn tin dɛn ya we kin brok na yu sholda?

We yu kɔmpia am wit ɔda injury dɛn na di sholda, lɛk we di sholda kin kɔmɔt, di sholda we kin brok nɔ kin apin so. Bɔt dɛn kin bɔku pan sɔm kes dɛm:

• Klavikul fraktrɔs: Dɛn tin ya kin apin to yɔŋ pikin dɛn, mɔ di wan dɛn we de ple spɔt. Fɔ ɛgzampul, if yu fɔdɔm wantɛm wantɛm we yu de ple, dis kin apin.
• Proximal Humerus Fractures: Dɛn tin ya kin apin to pipul dɛn we dɔn pas 65 ia, mɔ di wan dɛn we gɛt sik dɛn we de mek dɛn bon tan (lɛk ɔstioporosis) . Dɛn kin apin ivin if yu slip ɛn fɔdɔm na os.
• Scapula Fractures: Dis nɔ kin apin so ɔltɛm bikɔs di mɔsul dɛn na di chɛst ɛn bak kin protɛkt am fayn fayn wan. I nɔ kin brok izi wan pas nɔmɔ big aksidɛnt apin.

Wetin na di sayn dɛm we pɔsin kin gɛt we i brok in sholda?

If yu sholda brok, yu kin gɛt wan ɔ mɔ pan dɛn sayn ya. If yu notis ɛni wan pan dɛn tin ya, yu fɔ rili go to dɔktɔ.

• Bɔrku pen na yu sholda: Dis na di men sayn. Sɔntɛnde, di pen kin mek pɔsin nɔ ebul fɔ bia.
• De swɛl:Bɔrku swel kin de rawnd di say we di frakt.
• Brus ɔ skin kin chenj: Di say we brok kin tɔn blu/pepul.
• Nɔ ebul fɔ muv ɔ yuz di sholda: I kin rili at, ɔ i nɔ kin izi fɔ es ɔ rɔta di an.
• Yu kin si wan ɔnusual lump, bump, ɔ chenj in shep na di sholda: If yu si difrɛns we yu de luk am frɔm di ɔda sholda, dat na sayn bak.

Impɔtant: If yu gɛt dɛn sik ya, nɔ tray fɔ fiks yu sholda ɔr yu an. Go to dɔktɔ wantɛm wantɛm.

Wetin mek dɛn sholda fraktrɔs ya kin apin?

Bɔku pan di sɔldɔm we kin brok kin apin we pɔsin blo wantɛm wantɛm, we i fos ɔ trauma na di sholda. Tink bɔt tin dɛn lɛk dɛn tin ya:

• Spɔt aksidɛnt: Fɔdɔm we yu de ple, fɔ rɔsh wit ɔda pɔsin, fɔ bit yu wit sɔntin lɛk bɔl.
• Fɔl: Fɔ slip ɛn fɔdɔm tru domɔt, fɔ slip na di bafa, fɔdɔm frɔm ayt (e.g., frɔm tik, lada). Sɔntɛnde, i kin ivin apin we yu de waka na strit.
• Trak aksidɛnt: I kin ambɔg di sholda dairekt wan we motoka, baysikul, ɔ tri wil aksidɛnt apin, dat kin mek i brok.

Udat dɛn kin gɛt mɔ risk fɔ mek in sholda brok?

Ɛnibɔdi kin brok in sholda. Bɔt sɔm pipul dɛn kin gɛt smɔl prɔblɛm:

• Pikin ɛn yɔŋ pipul dɛm: kin gɛt aksidɛnt bikɔs dɛn kin du tin.
• Pipul wae dɔn pas 65 ia: kin gɛt bɔrku risk fɔ fɔdɔm ɛn dɛn kin gɛt wik bɔdi bak.
• Pipul wae gɛt wik bon: Pipul wae gɛt ɔstioporosis ɔr ɔstiopenia kin gɛt bɔrku risk fɔ brok bon, ivin if dɛn fɔdɔm smɔl. Ɔstioporosis na sik we de mek di bon dɛn tan, wik, ɛn i kin izi fɔ brok. Bɔku pipul dɛn kin jɔs no se dɛn gɛt dis sik afta dɛn dɔn brok wan bon. Dis na bikɔs i nɔ kin gɛt ɛni big big sayn fɔs.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin brok in sholda?

Sɔldɔm we brok nɔto simpul tin. Sɔntɛnde, i kin mek wi gɛt ɔda prɔblɛm dɛn:

• Stif Stif: Bɔrku pipul kin kɔntinyu fɔ gɛt sɔm stiffness na dɛn joyn ivin afta dɛn sholda fracture dɔn wɛl.
• At: If yu sholda brok, dat kin mek yu gɛt at at sik na da sholda de tumara bambay.
• Infεkshכn: If bon we brok brok tru di skin (wan opin frakshכn), we min se di wund opin, i go bכku risk fכ bon infεkshכn ( osteomyelitis ).
• Damej to ɔda tisu dɛm: Na smɔl tɛm nɔmɔ, di sem aksidɛnt we mek di sholda brok kin mek ɔda pat dɛm na di sholda damej bak. Fɔ ɛgzampul:
• Mɔsul dɛn
• Ligamɛnt dɛn
• Tεndon dεm
• Nɛv dɛn
• Blɔd Vesel dɛn

Aw yu go no fɔ tru if yu sholda dɔn brok?

Dɔktɔ go chɛk yu sholda ɛn du spɛshal tɛst fɔ no if yu sholda brok. If yu go na di Imejɛnsi Dipatmɛnt (ETU) afta yu gɛt aksidɛnt, di dɔktɔ dɛn we de de kin no bɔt dis.

Wetin na dɛn imej tɛst ya?

• X-ray: Dis na di fɔs tin we yu go du. We dɛn tek ɛkstrem rayt, i kin no if pɔsin brok di bon dɛn ɛn i kin si aw dɛn dɔn pwɛl di bon dɛn.
• Magnetic Resonance Imaging (MRI): Sɔntɛnde, dɛn kin du MRI fɔ luk fɔ damej, mɔ di sɔft tisu dɛn (lɛk di ligamɛnt ɛn tɛndon dɛn). dis kin mek yu si ful pikchɔ bɔt di damej we di bon dɛn dɔn pwɛl ɛn di kɔndishɔn we di tisu dɛn we de rawnd de.
• Computed Tomography Scan (CT Scan): CT skan kin luk di bon ɛn di tisu we de rawnd am mɔ ditayli pas ɛkstrem rayt. Dis rili impɔtant if dɛn de du ɔpreshɔn pan yu, bikɔs i de mek di dɔktɔ we de du di ɔpreshɔn ebul fɔ si klia wan bɔt di say we di bɔdi brok.

Yu tink se di bon dɛn we dɔn brok de kɔmɔt na dɛn ples? (Displaced vs. Nɔn-displaced Fraktrɔs)

We yu dɔktɔ tɔk bɔt yu frakt, dɛn go se if i ‘displaced’ ɔ ‘non-displaced’.

• Displaced fracture na we di tu brok brok pis de fa frɔm dɛnsɛf, we de mek big gap bitwin dɛn. I tan lɛk bon we brok na midul rod. Bɔku tɛm, dɛn kayn fraktrɔs ya kin nid ɔpreshɔn.
• insay wan non-displaced fracture , di bon stil brok, bכt di brok pat dεm nכ muv fa, dεn stil de alayne. Sɔntɛnde, dɛn kin trit dɛn tin ya we dɛn nɔ du ɔpreshɔn.

Di wund opin ɔ i dɔn lɔk? (Open vs. Klos Fraktrɔs)

Di dɔktɔ go klas dis fraktrɔs bak as ‘open’ ɔ ‘closed’.

• Insay wan opin fraktrɔs , di bon we brok kin brok di skin ɛn stik kɔmɔt. dεn kכl dis bak ‘kכmpawnd frakshכn’. Dis na imejensi! Di risk fɔ gɛt infɛkshɔn ɛn ɔda kɔmplikeshɔn dɛn kin bɔku pasmak pan di opin fraktrɔs. Jɔs tink bɔt dat, we di bon de na do, i izi fɔ mek 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 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 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
• If pɔsin brok brok , i kin rili siriɔs bak, bɔt di bon nɔ kin kɔmɔt na di skin.

Aw dɛn kin trit pɔsin we in sholda brok?

Di tritmɛnt fɔ yu sholda dipen pan us bon dɔn brok, aw i bad (lɛk we i dɔn kɔmɔt na di say we i de ɔ we i opin), ɛn if yu gɛt ɔda injury.

Immobilizayshɔn fɔ mek pɔsin nɔ muv

If di fraktrɔs nɔ tu bad, we min se di bon dɛn nɔ tu fa frɔm dɛnsɛf (non-displaced fracture), yu kin jɔs nid fɔ yuz sling ɔ bres. Aw lɔng yu nid fɔ wɛr dis go dipen pan wetin mek yu brok ɛn di kayn we aw yu brok. Bɔku tɛm, i go las fɔ sɔm wiks. Yu kin nid bak fɔ tek ɛkstrem rayt ɔltɛm fɔ mek shɔ se yu bon dɛn de wɛl fayn fayn wan.

כl di tεm dεm, di klavikul εn skapula frakshכn dεm nכmכ nid fכ imכbilizεshכn lεk dis, dεn fכlכ fכ fכs tεrapi fכ gεt di sכlda muvmεnt bak.

Ɔpreshɔn fɔ Fraktrɔs na di Sɔlda

Sɔm sholda dɛn we brok, dɛn kin nid ɔpreshɔn, mɔ:

• If di bon pis dεm we brok dεn muf tu fa (Displaced Fracture).
• If di fraktכs opin (Open Fracture).
• if di glenoid, di sכket usay yu כp an bon (humerus) de rεst, dεn dכn pwεl.

Di kayn ɔpreshɔn we dɛn kin du fɔ mek pɔsin brok in sholda na:

1. Opin Ridyushɔn ɛn Intanɛt Fikseshɔn (ORIF) .

Dis na di say we di ɔspitul kin sɛt yu bon dɛn we dɔn brok na dɛn kɔrɛkt pozishɔn, dɔn i kin fiks dɛn so dat dɛn go gro togɛda fayn fayn wan. dis kin bi tru wan ‘internal fixation’. Dis min se di dɔktɔ we de du di ɔpreshɔn kin put mɛtal plet, skru, ɔ pin insay yu bon fɔ ol am te di bon wɛl. Sɔntɛnde, dɛn mɛtal dɛn ya kin de na yu bɔdi fɔ yu layf. Sɔm pipul dɛn kin nid fɔ du ɔda ɔpreshɔn fɔ pul dɛn leta.

2. Fɔ Riples di Jɔyn (Arthroplasty) .

Arthroplasty na ɔpreshɔn fɔ chenj di jɔyn dɛn. If yu sholda jɔyn dɔn pwɛl bad bad wan bikɔs yu brok, yu go nid fɔ du ɔpreshɔn fɔ chenj yu sholda. Di dɔktɔ we de du di ɔpreshɔn go pul di jɔyn we dɔn pwɛl ɛn put atifishal jɔyn (prostɛsis) insay am.

Ɛni prɔblɛm dɛn de we kin apin we dɛn du ɔpreshɔn?

Di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn fɔ brok di sɔl nɔ kin bɔku, bɔt sɔntɛnde dɛn tin ya kin apin:

• Acute Compartment Syndrome (ACS): If di prɛshɔn we de insay yu mɔsul dɛn go ɔp ɛn di blɔd flɔ to di tisu dɛn stɔp, i kin mek di mɔsul ɛn nerv dɛn pwɛl fɔ ɔltɛm.
• Malunion: Dis kin apin we yu brok bon dɛm nɔ de alaynɛd ​​fayn as dɛn de wɛl.
• Nɔnunion: Sɔntɛnde di bon dɛn nɔ kin fit togɛda ɔl, ɔ dɛn nɔ kin fit togɛda atɔl.
• Kɔmɔn ɔspitul kɔmplikeshɔn dɛn lɛk infɛkshɔn, blɔd we de kɔmɔt pasmak, ɛn prɔblɛm dɛn we gɛt fɔ du wit anestezi.

Aw lɔng i kin tek fɔ wɛl we pɔsin in sholda brok? Wetin a fɔ ɛkspɛkt?

Bɔrku pipul wae kin brok dɛn sholda go nid fɔ gɛt fizik tritmɛnt fɔ sɔm mɔnt wae dɛn de wɛl.Yu gɛt fɔ du am. Wan dɔktɔ we de mɛn yu bɔdi kin ɛp yu fɔ gɛt trɛnk bak ɛn fɔ muv di say we yu de muv (aw fa yu kin muv yu sholda). Fɔ du dɛn ɛgzampul ya kɔrɛkt wan rili impɔtant fɔ mek yu wɛl kwik kwik wan.

If yu sholda brok bad bad wan, dat kin mek yu stif fɔ ɔltɛm ɔ yu nɔ go ebul fɔ muv fayn fayn wan. Yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go ɛksplen dis to yu.

Taim fɔ wɛl

Aw lɔng i kin tek fɔ mek yu sholda wɛl, i kin dipen pan bɔku tin dɛn:

• Us bon dɛn bin brok?
• Aw siriɔs di brek-ap de.
• Us tritmɛnt yu bin nid (ɔpareshɔn ɔ nɔ ɔpreshɔn).
• Yu ej ɛn ɔl yu wɛlbɔdi.
• Aw yu de du fayn fayn ɛksesaiz dɛn we yu de du fɔ mɛn yu bɔdi.

I kin tek ɛnisay frɔm sɔm wiks to sɔm mɔnt fɔ mek i wɛl ɔl. Sɔntɛnde, i kin tek lɔng tɛm. Aks yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn bɔt di tɛm we fit fɔ yu sityueshɔn.

Aks yu dɔktɔ ustɛm yu kin bigin fɔ du ɛksɛsayz ɛn ple spɔt bak. Yu fɔ kip yu sholda de muv fɔ mek i nɔ stif we i de wɛl, bɔt nɔ yuz yu sholda we dɔn brok fɔ spɔt ɔ fɔ es ebi ebi tin te yu dɔktɔ se i nɔ bad . If yu du dat, i go mek di injuri kam bak.

Aw fɔ protɛkt yusɛf frɔm we yu sholda brok?

"I bɛtɛ fɔ mek yu nɔ gɛt aksidɛnt pas fɔ rigrɛt am afta i apin." So fala dɛn advays ya fɔ sef:

• Ɔltɛm wɛr sitbɛlt we yu de rayd motoka.
• Wear di rayt sef ikwipmɛnt (e.g. ɛlmɛt, sholda pad) we yu de du ɛni spɔt ɔ wok.
• Kip yu os ɛn wokples klin ɛn nɔ gɛt tin dɛn we go slip ɛn fɔdɔm. Tek tɛm if di flɔ wet.
• We yu de pik ɛnitin frɔm ɔp, yuz di tul ɔ ikwipmɛnt we fit ɔltɛm . Nɔ ɛva klaym pan chia ɔ tebul.
• Fɔ fala wan it ɛn ɛksɛsayz plan we gɛt bɔku kalsiɔm ɛn vaytamɛn D fɔ ɛp fɔ mek yu bon dɛn gɛt gud wɛlbɔdi.
• If yu dɔn pas 65 ia, ɔ if pɔsin na yu famili gɛt ɔstioporosis, tɔk to yu dɔktɔ bɔt aw fɔ tɛst yu bon dɛnsiti.
• If i nɔ izi fɔ yu fɔ waka ɔ yu de pan big risk fɔ fɔdɔm, yuz ken ɔ tin fɔ waka .

Ustɛm yu nid fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu tink se yu gɛt brok sholda (ɔ ɛni ɔda bon) , go na di imejensi rum wantɛm wantɛm . If yu gɛt wan ɔ mɔ pan dɛn sik ya, yu fɔ rili go na di ER:

• Pen we rili bad.
• If yu nɔ ebul fɔ shrug yu sholda dɛn nɔmal wan.
• If yu sholda ɔ yu an luk abnɔmal ɔ i dɔn chenj in pozishɔn (difɔmiti).
• If yu bon de sho tru di skin (Open Fracture).
• I de swel bad bad wan.
• Apat frɔm dɛn ɔda sayn ya, yu kin si nyu brus.
• If yu gɛt numbness ɔ paleness na yu an (dis kin bi sayn fɔ damej pan di blɔd saplai ɔ nerves).

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

We yu go to yu dɔktɔ, nɔ fred fɔ aks ɛni kwɛstyɔn we yu gɛt. Fɔ gɛt klia ɔndastandin rili impɔtant fɔ di hiling prɔses. Fɔ ɛgzampul, yu kin aks dɛn kwɛstyɔn ya:

• Us bon de brok? Aw i siriɔs?
• Yu tink se a nid ɔpreshɔn? Wetin go apin if a gɛt am?
• Aw lɔng a go gɛt fɔ wɛr sling ɔ bres?
• Wetin dɛn kin du bɔt pen?
• Ustɛm a go bigin fɔ du ɛksɛsayz ɛn ple spɔt bak?
• Yu tink se i go nid fɔ gɛt fyzikal tritmɛnt? If na so i bi, ustɛm i fɔ bigin?
• A kin muv mi ɛlb, mi an, ɛn finga dɛn fɔ mek dɛn nɔ stif te mi sholda wɛl?
• Ɛni spɛshal tin dɛn de we a fɔ tek tɛm wit na os?

Yu kin muv pɔsin we brok sholda?

We yu brok wan sholda, yu kin ebul fɔ muv am ɔ yu nɔ kin ebul fɔ muv am. Bɔt if yu du dat, yu go fil bɔku pen . Yu nɔ go ebul fɔ muv yu sholda nɔmal wan.

Nɔ ɛva tray fɔ fos yu sholda afta aksidɛnt. If yu dɔn gɛt aksidɛnt ɛn yu tink se yu bon brok, go na di imejensi rum wantɛm wantɛm.

Yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go tɛl yu ustɛm yu kin bigin fɔ muv yu an ɛn yu sholda bak afta we yu frakt dɔn wɛl. Yu fizik thɛrapist go tich yu ɛksɛsayz ɛn strɛch fɔ mek di mɔsul dɛn we de rawnd yu sholda strɔng as yu de wɛl. We yu sholda de wɛl, yu kin ebul fɔ muv di ɔda pat dɛn na yu an lɛk yu ɛlb, yu an, ɛn finga dɛn, ɛn yu nɔ go strɛs dɛn. Aks yu dɔktɔ bɔt dis bak.

So, wetin na di las tin dɛn we wi fɔ mɛmba? (Mɛsej we dɛn kin tek go na os)

Sכlda fraktכs na we di bon we de na di sכlda jכint brok. Bɔrku tɛm, dɛn injury ya kin apin wantɛm wantɛm, wae wi nɔr kin ɛkspɛkt. So i kin mek pɔsin fred smɔl, bɔt dat na nɔmal tin.

Di tin we impɔtant pas ɔl na fɔ gɛt di rayt mɛrɛsin ɛn fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan. Ivin we dɛn du ɔpreshɔn, yu sholda jɔyn fɔ wɛl insay sɔm mɔnt. Yu kin fil sɔm stif na yu sholda fɔ sɔm tɛm. Bɔt bɔku pipul dɛn kin gɛt bɔku pan dɛn trɛnk ɛn di say we dɛn kin muv bak wit fizik tritmɛnt.

So nɔ panik, peshɛnt, fala wetin di dɔktɔ tɛl yu fɔ du, ɛn go to tritmɛnt. Mek yu wɛl kwik kwik wan!

` Sholda frakt, Sholda frakt, Sholda frakt Sinhala, Sɔlda pen, Fraktrɔs tritmɛnt, Sɔlda ɔpreshɔn, Fizik tɛrapi