Yu kin gɛt bad bad pen bak we yu es yu sholda ɔ muv yu an bak? Sɔntɛnde yu kin yɛri ‘klik’ sawnd frɔm insay yu sholda, ɔ yu kin fil lɛk se i de twist? Bɔku tɛm wi nɔ kin pe atɛnshɔn to dɛn tin ya as nɔmal tin. Bɔt sɔntɛnde dis kin bi sayn fɔ se pɔsin gɛt siriɔs injuri insay di sɔl jɔyn. Tide wi de tɔk bɔt wan sholda injuri we kin apin pan dis kayn kɔndishɔn, we dɛn kɔl insay mɛdikal sayɛns as SLAP Tear .
Fɔ tɔk am simpul wan, wetin na SLAP Tia?
Dis nem kin tan lɛk se i kɔmplikt smɔl, bɔt lɛ wi kip am simpul. Wi sholda jɔyn tan lɛk bɔl ɛn sɔkɛt jɔyn. di tכp pat pan di כp an bon (di bכl) fit insay wan sכmכl sכket (di kכp) insay di sכlda bon. rawnd dis sכkεt, wan strכng ring de fכ kכtilaj we de εp fכ dip am εn kip di bכl fayn fayn wan. Dis na wetin wi kɔl di labrum . In ɔda wɔd dɛn, i de wok lɛk gasket ɛn i de ɛp fɔ mek di jɔyn nɔ chenj.
SLAP tinap fɔ Supiriɔ Labrum , Anterior to Posterior . insay Sinhala, dis na we dεn kin te na di כp pat pan di labrum, frכm di fכnt (Anterior) to di bak (Posterior) . di כp pat pan dis labrum na di say we di tεndon we de kכnekt to wi biceps mכsul de atak. so we dis SLAP tear de apin, di labrum we lεk kushכn na di sכlda de pwεl, εn di biceps tεndon kin afekt bak. na dat mek di sholda de pen εn i nכ de stebul, εn i de fil lεk se i de "shεk".
Wetin na di men tin dɛm we kin mek SLAP tear?
Nɔto wan rizin de fɔ dis kayn tin, bɔt bɔku tin dɛn kin mek i apin. Lɛ wi luk di men rizin dɛn.
| Mek | Tɔk bɔt |
|---|---|
| Injury na di sholda we nɔ de dɔn | Dis na di tin we kin mek pɔsin gɛt dis sik. di labrum kin wear sכmtεm bikoz fכ di sכlda aktiviti dεm we de ripit fכ lכng tεm. Fɔ ɛgzampul, dis kin apin we pɔsin we de ple kriket de bol ɔltɛm, we pɔsin we de swim de swim ɔltɛm, ɔ we pɔsin we de es wet de kɔntinyu fɔ put wet na in sholda. |
| Akyu Injuri we pɔsin kin gɛt | Dis kray wata kin apin bak bikɔs ɔf aksidɛnt we apin wantɛm wantɛm. Dis damej kin apin bikɔs ɔf tin dɛm lɛk fɔ fɔdɔm ɛn put yu an ɔp, wantɛm wantɛm fɔ tray fɔ es sɔntin we ebi (e.g. gas silinda), ɔ motoka aksidɛnt. |
| Wetin kin apin wit di ej (Aging) . | Lɛk ɔda pat dɛn na wi bɔdi, di labrum kin west ɛn wik as tɛm de go. Dɛn kin si dɛn kray wata ya pan pipul dɛn we dɔn pas 40 ia, ilɛksɛf dɛn nɔ de pan siriɔs denja. |
A gɛt SLAP tear na mi sholda? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
If yu gɛt wan ɔ mɔ pan dɛn sayn ya, yu fɔ wɔri.
- Sɔlda pen: Dis kin bi pen ɔltɛm, ɔ i kin bi pen wantɛm wantɛm, shap, ɛn chuk pɔsin.
- Pen we yu de du sɔm patikyula pozishɔn: Pen kin go ɔp we yu es yu an ɔp di ed, put di an biɛn yu bak, ɔ du tin dɛn lɛk fɔ trowe bɔl.
- ‘klik’ sawnd ɔ grind senseshɔn: If yu yɛri klik sawnd de kɔmɔt insay di jɔyn we yu de muv yu sholda, ɔ if yu fil lɛk tu bon dɛn de grind togɛda, i kin bi sayn fɔ dis sik.
- wan sens we di sכlda de pop: di sכlda jכint nכ de sכpכt fayn, εn wan filin de we nכ stebul lεk se i go "pop" eni tεm.
- Fɔ fil se yu gɛt wikɛd na yu sholda ɛn yu an.
De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ kwik kwik wan if yu gɛt ɛni wan pan dɛn sik ya, pas fɔ ignore dɛn. If yu nɔ trit yu, di pen kin wɔs ɛn yu kin ivin nɔ ebul fɔ yuz yu sholda igen.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di pen, aw i bigin, ɛn wetin yu de du. Dɔn, i go du wan ɛgzam pan in bɔdi.
1. Fɔ chɛk yu bɔdi: Di dɔktɔ go rɔta ɛn es yu an ɔp difrɛn say dɛn. Dis go ɛp fɔ no aw yu sholda de muv, aw yu mɔsul dɛn de trɛnk, ɛn us kayn we yu de muv we de mek yu fil pen.
2. MRI skan: MRI (Magnetic Resonance Imaging) na di bεst we fכ luk di sכft tisu dεm we de insay di sכlda kכrekt wan lεk di labrum εn di tεndon dεm.Wan skan we dɛn kin du. Sɔntɛnde, yu dɔktɔ kin tɛl yu bak fɔ du MRI arthrogram , we min se yu fɔ injɛkt spɛshal day na di jɔyn fɔ si di wata we dɔn rɔtin klia wan.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan di kayn kray wata, yu ej, ɛn di lɛvɛl we yu de du tin. Nɔto ɔl di SLAP kray wata dɛn nid ɔpreshɔn.
Tritmɛnt dɛn we Nɔ De Ɔspitul
Fɔs, di dɔktɔ kin tray fɔ mɛn dis we dɛn nɔ du ɔpreshɔn pan am.
- Rɛst: Fɔ de fa frɔm di tin dɛn we de mek yu sɔl pen fɔ sɔm tɛm.
- Di tin dɛn we de mek pɔsin fil pen: Na mɛrɛsin dɛn we yu dɔktɔ gi yu fɔ mek yu nɔ swel ɛn nɔ fil pen.
- Kɔtizɔn shot: Na spɛshal injɛkshɔn we dɛn kin injɛkt dairekt insay di jɔyn fɔ ridyus di pen ɛn swel kwik kwik wan.
- Fizik Tɛrapi: Dis na tritmɛnt we rili impɔtant . Ɔnda di gayd we pɔsin we de mɛn di bɔdi de gi, ɛksesaiz we de mek di mɔsul dɛn we de rawnd di sholda strɔng kin ɛp fɔ mek di jɔyn stebul ɛn fɔ mek di pen nɔ bɔku.
Di Tritmɛnt dɛn we Dɛn De Du fɔ Ɔpreshɔn
If di pen nɔ stɔp afta 3-4 mɔnt we dɛn dɔn du di tritmɛnt dɛn we wi dɔn tɔk bɔt, ɔ if di kray wata rili bad, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Bɔku tɛm dɛn kin du dis ɔpreshɔn wit atrɔskɔpik . Dis min se dɛn kin put kamɛra ɛn dilik inschrumɛnt dɛn tru sɔm smɔl smɔl say dɛn we dɛn kɔt na di sholda fɔ mek di labrum we dɔn rɔtin fayn.
- Labral Ripa: Fɔ ataya di labrum we dɔn rɔtin bak to di bon.
- Biceps Tenodesis: Sɔntɛnde, if di biceps tendon dɔn pwɛl, dɛn kin pul am ɛn tay am bak na say we sef na di sholda.
Aw lɔng i kin tek fɔ mek i wɛl?
Dis na di prɔblɛm we bɔku pipul dɛn gɛt. Fɔ wɛl frɔm wan SLAP tear nɔto fɔ rɔn wan nɛt, bɔt na maratɔn we kin tek tɛm.
I rili impɔtant fɔ peshɛnt ɛn fɔ gi in layf to Jiova . Ivin if yu nɔ du ɔpreshɔn, i kin tek 3-4 mɔnt fɔ mek di pen stɔp ɛn fɔ mek di pɔsin kam bak to in nɔmal. If dɛn du ɔpreshɔn, i kin tek 6 mɔnt to wan ia fɔ mek i wɛl ɔl ɛn go bak to tin dɛn lɛk spɔt. Afta yu dɔn ɔpreshɔn, yu go nid fɔ wɛr sling na yu an fɔ sɔm wiks. Dɔn bak, fɔ du di ɛksesaiz dɛn we di pɔsin we de mɛn yu bɔdi dɔn tɛl yu fɔ du ɛksaktɔli impɔtant fɔ mek yu wɛl kwik kwik wan.
Aw wi go mek dis tin nɔ apin igen?
Yɛs, risk de fɔ mek yu wund bak, mɔ if yu bigin fɔ ple spɔt ɔ du wok we de put bɔku strɛs pan yu sholda bak. So una fɔ no bɔt dɛn tin ya:
- Wom yusɛf fayn fayn wan bifo yu du ɛksɛsayz: Wam yu sholda mɔsul dɛn fayn fayn wan bifo yu ple spɔt.
- Lisin to yu bɔdi: If yu fil pen ɔ stif na yu sholda, nɔ ignore am ɛn rɛst.
- Yuz di rayt we: Yuz di rayt fɔm we yu de es wet ɛn ple spɔt. Nɔ es wet wit jɔk wantɛm wantɛm.
- Si dɔktɔ: If yu nɔ de fil pen ɔ yu gɛt nyu injuri, go to dɔktɔ.
Mɛsej we dɛn kin kɛr go na os
- Sɔlda pen, mɔ if i kam wit ‘klik’ sawnd, kin bi sayn fɔ SLAP tear.
- Dis kin kam bikɔs yu de yuz yu sholda ɔltɛm, yu gɛt aksidɛnt, ɔ yu dɔn ol.
- Nɔ ignore di sholda pen, go to dɔktɔ wantɛm wantɛm ɛn gɛt kɔrɛkt diagnosis.
- Nɔto fɔ ɔpreshɔn fɔ tritmɛnt. Fyzikal tritmɛnt ɛn rɛst rili impɔtant.
- I kin tek tɛm fɔ mek yu wɛl, so peshɛnt ɛn fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi dɔn gi yu.
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