Yu na spɔtman we de ple kriket, volibol, ɔ pɔsin we de trowe javlin? Dɔn yu go dɔn no di pen we de kɔmɔt insay yu ɛlb. Dis injury kin rili kɔmɔn pan spɔt dɛn we gɛt fɔ du wit fɔ trowe sɔntin wit yu an. Sɔntɛnde, dis pen kin so bad dat i kin mek yu spɔt dɔn. Tide wi de tɔk bɔt wan spɛshal ɔpreshɔn we kin kam fɔ ɛp dɛn kayn tɛm ya ɛn we dɔn sev bɔku atlet dɛn tumara bambay. Dat na di "Tommy John ɔpreshɔn".
Fɔ tɔk am simpul wan, wetin na Tommy John ɔpreshɔn?
I rili simpul. Tommy John ɔpreshɔn na ɔpreshɔn we dɛn kin du fɔ mek wan spɛshal ligament na yu ɛlb. Na mɛrɛsin, wi kin kɔl dis UCL ɔpreshɔn (Ulnar Collateral Ligament) riplesmɛnt ɔpreshɔn .
Tink bɔt yu ɛlb jɔyn lɛk domɔt hinj. Strap dɛn de na ɔl tu di say dɛn na dis hinj we de ol am na in ples we nɔ de muv rawnd we nɔ nid, nɔto so? sכm kayn we, wan strכng bכnd de insay di εlbo we de mek di εlbo jכint stebul, we wi kכl di `(Ulnar Collateral Ligament)` כ `(UCL)`.
Semweso, we yu de trowe sɔntin wit bɔku prɛshɔn pan di an bɔku bɔku tɛm (espɛshali di wan dɛn we de bɔl fast na kriket, di wan dɛn we de ple baysbɔl, di wan dɛn we de trowe javlin), dis `(UCL)` ligament kin strɛch smɔl smɔl, rɔtin ɛn pwɛl. Dɛn kin du dis ɔpreshɔn fɔ mek da ligamɛnt de we dɔn pwɛl.
So wetin mek dɛn kɔl dis ‘Tommy John’?
Wan stori de we rili intrestin biɛn dis. Dis ɔpreshɔn bin gɛt in nem frɔm wan bigman na Amɛrika we nem Tɔmi Jɔn we bin de ple baysbɔl na Amɛrika . I bin de ple bɔl. insay 1974, dis ``UCL`` ligament na in εlbo bin tכn bad bad wan. Da tɛm de, na sɔntin we bin fɔ dɔn dɔn in ple wok. Bɔt di dɔktɔ dɛn bin du nyu ɔpreshɔn ɛn mɛn in ɛlb. Afta lɛk wan ia so we dɛn rɛst, Tɔmi Jɔn bigin fɔ ple bak fayn fayn wan. Frɔm da tɛm de, dɛn dɔn kɔl dis ɔpreshɔn "Tommy John ɔpreshɔn".
A rili nid dis ɔpreshɔn?
Dis na prɔblɛm we bɔku pipul dɛn kin gɛt. If yu na jɔs atlet fɔ ɛnjɔy yusɛf, yu kin ebul fɔ mɛn dis sik bay we yu gi yu ɛlbo bɔku rɛst ɛn ɔda tritmɛnt dɛn.
Bɔt if yu na kɔmpitishɔn ɔ pɔshɔnal atlet we in wan ol wok de dipen pan dis kayn we aw i sabi fɔ trowe, dis ɔpreshɔn kin rili impɔtant fɔ yu. Di men tin dɛn we dɛn kin ɛkspɛkt frɔm dis ɔpreshɔn na:
- Fɔ mek yu ɛlbo stebul .
- Fɔ ridyus di pen.
- Restoring rεnj כf muvmεnt na di εlbo.
We dɛn de du di ɔpreshɔn, yu dɔktɔ de yuz wan wɛlbɔdi tɛndon frɔm ɔda pat na yu bɔdi fɔ mek nyu ligament fɔ tek di ples fɔ di UCL we dɔn pwɛl. Dɛn kɔl dis graft. dis graft de atak di כp an bon (humerus) εn di fכram bon (ulna) fכ akt lεk nyu UCL.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go ɛksplen ɔl wetin yu nid fɔ du bifo dɛn du di ɔpreshɔn. Bɔku tɛm, yu go nid fɔ du dɛn tin ya:
- Wan kɔmplit ɛgzamin fɔ yu bɔdi fɔ si if yu gɛt wɛlbɔdi fɔ mek dɛn du yu ɔpreshɔn.
- Bɔku blɔd tɛst dɛn .
- Dɛn kin nid fɔ du wan tɛst fɔ tek pikchɔ, lɛk ɛkstrem rayt , CT skan , ɔ MRI skan , fɔ no klia wan aw di ɛlb de.
- Wan ECG tɛst fɔ chɛk aw di at de wok.
- Wan dɛnt chɛk-ap fɔ ridyus di risk fɔ gɛt infɛkshɔn afta dɛn dɔn ɔpreshɔn.
I rili impɔtant: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn , ɔ ɛbul mɛrɛsin we yu de tek. Sɔm mɛrɛsin dɛn kin nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn.
Yu dɔktɔ go advays yu bɔt aw lɔng yu fɔ stɔp fɔ it ɛn drink di de bifo dɛn du yu ɔpreshɔn. Bɔku tɛm, yu go nid fɔ stɔp fɔ it ɛn drink lɛk 12 awa so bifo dɛn du yu ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bifo di ɔpreshɔn bigin, wan dɔktɔ we de mɛn yu go put yu ɔnda jenɛral anestezi so dat yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn.
Bɔku tɛm, di ɔpreshɔn kin apin insay dɛn step ya:
1. Fɔ luk insay di ɛlb: Fɔs, di dɔktɔ we de du di ɔpreshɔn kin put smɔl kamɛra (arthroscopy) fɔ chɛk fɔ ɔda tin dɛn we dɔn pwɛl insay di ɛlb.
2. fכ gεt di Graft: fכ mek di nyu ligament, dεn de tek wan 6-7 inch pat pan hεlty tεndon frכm כda say na yu bכdi. Bɔku tɛm, dɛn kin tek dis frɔm yu yon fɔs an. Sɔntɛnde, dɛn kin pul wan hamstring bak frɔm di bak pat na yu ni .
3. 3. .Klin: Dɛn kin pul ɔl di tisu dɛn we dɔn pwɛl insay di ɛlb.
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5. fכ put nyu ligament: di tεndon we dεn bin dכn pul bifo ``graft`` de pas tru dεn ol dεm ya εn fiks am lεk nyu ligament. Dɛn kin yuz smɔl skru dɛn fɔ tay am na di bon.
6. Ɔda tin dɛn fɔ ripɛnt: If di ulnar nerve ɔ ɔda pat dɛn na di ɛlb dɔn pwɛl insay dis tɛm, dɛn go ripɛnt dɛn bak.
7. Ɛnd ɔf ɔpreshɔn: Fɔ dɔn, dɛn kin sutura di wund na di skin klos ɛn kɔba am wit klin bandej. Afta dɛn dɔn du di ɔpreshɔn, dɛn kin put splint fɔ mek di ɛlb nɔ muv.
Dis ɔpreshɔn kin tek bitwin 60 ɛn 90 minit .
Wetin na di bɛnifit ɛn prɔblɛm dɛn we pɔsin kin gɛt we i du ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, Tommy John ɔpreshɔn gɛt in bɛnifit dɛn ɛn sɔm prɔblɛm dɛn bak.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Di abiliti fɔ bɔku pleya dɛn (80%-95%) fɔ sakrifays fɔ go bak fɔ ple. | Infekshɔn na di say we dɛn de du di ɔpreshɔn. |
| Yu kin ebul fɔ bia we yu de trowe sɔntin. | di nεv dεm we de sכmtεm bikoz fכ di damej pan di nεv dεm na di εlbo (ulnar nεv). |
| Di chans fɔ mek dɛn gɛt ɔpreshɔn pan di sem ligamɛnt bak rili smɔl. | Di blɔd vesel dɛn we dɔn pwɛl. |
| di tεndon we dεn jכs put (graft) we lכs כ wear. |
Aw di pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Mɛmba se i kin tek pas wan ia fɔ mek i wɛl gud gud wan we dɛn du Tommy John ɔpreshɔn. Dis na lɔng waka we wi nid fɔ peshɛnt.
Yu dɔktɔ ɛn fisiotɛrapist go gi yu wan plan fɔ wɛl we go fayn fɔ yu. I kin tan lɛk dis:
| Di tɛm we dɛn fɔ spɛn | Wetin de apin? |
|---|---|
| Di fɔs wik dɛn | Yu fɔ wɛr wan had splint fɔ mek yu ɛlbo nɔ muv. |
| Bitwin 1-2 mɔnt | Switch to wan splint we gɛt hinj. Fisiotɛrapi ɛgzampul dɛn kin bigin. |
| Bitwin 3-4 mɔnt | If yu gɛt yu dɔktɔ in aprɔval, yu kin bigin fɔ praktis fɔ trowe rili layt wan. |
| Bitwin 6-9 mɔnt | Yu go ebul fɔ tek pat pan trenin wit tin dɛn we yu nɔ go ebul fɔ du. I rili impɔtant fɔ fala di instrɔkshɔn dɛn di rayt we. |
| Bitwin 12-18 mɔnt | If no kɔmplikeshɔn nɔ de, yu go gɛt mɛdikal kliarens fɔ tek pat ful wan pan di kɔmpitishɔn. |
Ustɛm fɔ go to dɔktɔ
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- Chɛst de pen
- I nɔ kin izi fɔ yu fɔ blo
- Fiva we pas 39 Sɛlshiɔs (102 Fɛnayt) .
- Sayn dɛm fɔ infekshɔn lɛk fɔ blɔd ɔ wata we tan lɛk pus frɔm di wund we dɛn du di ɔpreshɔn, swɛlin, dɔti smel, ɛn filin fɔ wam we nɔ kɔmɔn.
- Nyu ɔr de wɔs pen na yu ɛlb, yu an, ɔ yu an.
- Di pen so bad dat yu nɔ go ebul fɔ kɔntrol am ivin wit mɛrɛsin fɔ mek yu fil pen.
Mɛmba se if yu gɛt pen na yu chɛst ɔ yu nɔ ebul fɔ blo, go stret to di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) ɛn nɔ de te. Dɛn tin ya kin bi sayn fɔ se pɔsin gɛt siriɔs sik.
Tommy John opareishon na di most saksesful solushon fo spot-end injuri fo di past. Pan ɔl we di tɛm fɔ wɛl kin lɔng, if yu peshɛnt ɛn fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan, yu kin ebul fɔ go bak na di fil we yu de ple. If yu rɔsh ɛn bigin fɔ tren bifo yu dɔktɔ gi yu di okay, yu kin gɛt fɔ du mɔ ɔpreshɔn ɛn nɔ de du spɔt fɔ lɔng tɛm pas dat. So peshɛnt na di men tin na ya.
Mɛsej we dɛn kin kɛr go na os
- Tommy John ɔpreshɔn na ɔpreshɔn we kin rili wok fayn ɛn we kin mek di kolataral ligament (UCL) we de insay di ɛlb we dɔn pwɛl.
- Dis impɔtant mɔ fɔ pɔshɔnal pleya dɛn we de ple spɔt fɔ trowe lɛk kriket ɛn baysbɔl.
- I kin tek pas wan ia fɔ mek i wɛl gud gud wan afta dɛn dɔn du di ɔpreshɔn, ɛn i impɔtant fɔ peshɛnt ɛn fɔ gi in layf to Jiova.
- Fɔ fala yu dɔktɔ ɛn fisiotɛrapist in instrɔkshɔn dɛn gud gud wan na di bɛst we fɔ go bak to spɔt fayn fayn wan.
- Nɔ ignore di sayn dɛm we de wɔn yu lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, ɛn yu gɛt ay fiva afta yu dɔn ɔpreshɔn yu. Go to dɔktɔ wantɛm wantɛm.
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