Yala dimi bɛ i kamankun na min tɛ se ka muɲu wa? Laala i bɛ ka gɛlɛya sɔrɔ ka baara nɔgɔmanw kɛ i n’a fɔ ka i bolo kɔrɔta, ka i kunsigi sɔgɔ, walima ka fɛn dɔ ta sanfɛ. Ni dimi ma ban ni furakɛli kɛcogo kɔrɔw ye, a bɛ se ka kɛ aw ka dɔgɔtɔrɔ ye opereli kɛ ka kamankun falen. Bi, an bɛ kuma opereli sugu dɔ kan, nka a ni tɔw tɛ kelen ye dɔɔnin. A bɛ fɔ a ma ko ‘Reverse Shoulder Replacement’.
Nin ‘Reverse’ Shoulder Replacement in ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, nin fana ye kolotugudaw falen opereli ye. Dɔgɔtɔrɔw b’a wele tuma dɔw la ko ``Reverse Total Shoulder Arthroplasty.`` Nin opereli in na, operelikɛla bɛ i ka kamankun kolotuguda nafama, tiɲɛnen bɔ, ka kolotuguda dilannen ``prothèse`` bila a nɔ na, min dilannen don ni nɛgɛ ni plastiki ye.
Sisan an k’a lajɛ mun na nin bɛ Weele ko ‘Reverse’.
Miiri an kamankun joli la i n’a fɔ tasa min kɔnɔ bololanɛgɛ bɛ a kɔnɔ. A ka ca a la, kamankun kolotuguda bɛ sɔrɔ aw kamankun kolo (scapula) yɔrɔ fɛ min bɛ i n’a fɔ tasa (sɔgɔsɔgɔninjɛ) ani aw bolokɔni sanfɛla kolo (humerus) (kunkolo) yɔrɔ min bɛ i n’a fɔ bolo.
Opereli ‘kɔfɛ’ la, a kɔkanna bɛ kɛ. Operelikɛla bɛ bolokuru ni tasa jɔyɔrɔw ɲɔgɔn falen-falen. Opereli kɔfɛ, bolokɔni bɛ kɛ ka bɔ kamankun kolo la (scapula) ani ka jifilen kɛ ka don bolokɔni sanfɛla kolo la (humerus). O kɔrɔ ye ko cogoya nɔrɔlen bɛ kɔsegin pewu.
Mun na opereli ‘kɔfɛ’ bɛ kɛ o cogo la? A bɛnnen don jɔn ma?
Nin opereli ‘Reverse’ in ka ɲi kɛnɛyako kɛrɛnkɛrɛnnen bɛ mɔgɔ minnu na, minnu tɛ se ka opereli kɛ tuma bɛɛ ka kamankun falen. Ni dimi jugumanba bɛ aw kamankun na walima ni a ka gɛlɛn ka aw bolokɔni lamaga, aw ka dɔgɔtɔrɔ bɛna fɔlɔ ka fɛnw kɛ i n’a fɔ furaw ni farikoloɲɛnajɛw. Ni ninnu ma ɲɛ dɔrɔn, opereli bɛna jateminɛ.
Kɛrɛnkɛrɛnnenya la, ni aw kamankun jolilabanaw bɛ aw la ka fara nin bana ninnu dɔ kan walima u caman kan, aw ka dɔgɔtɔrɔ bɛ se ka nin opereli ‘kɔsegin’ in fɔ.
| Kɛnɛyako cogoya | Ɲɛfɔli nɔgɔman |
|---|---|
| `(Rotator Cuff)` farikolo tigɛlen don kosɛbɛ | Tiɲɛni jugumanba bɛ kɛ farikolo yɔrɔw ni farikolo yɔrɔw la kamankun lamini na minnu bɛ dɛmɛ ka bolokɔni kɔrɔta. O tiɲɛni in b’a to a tɛ se ka sabati ni kolotuguda nɔgɔman dɔ bilala a nɔ na. |
| Sɔgɔsɔgɔninjɛ karilen | Sɔgɔsɔgɔninjɛ karilen jugumanba. |
| Dislocation (banakisɛfagalan) min bɛ mɛn sen na | Ni kamankun joli bɛ to ka bɔ, a lamini yɔrɔw bɛ barika dɔgɔya ani opereli kɛcogo ɲuman tɛna ɲɛ. |
| Tiɲɛni jugumanba bɛ kɛ kolo la | Ni kolotugudaw kolow sɛgɛnna ka tiɲɛ kosɛbɛ ka a sababu kɛ jolidɛsɛ walima bana wɛrɛ ye. |
| Kansɛri walima kuru wɛrɛw bɛ kolotugudaw la | Ni kolotugudaw tiɲɛna ka a sababu kɛ kurukuruw ye minnu bɛ kamankun kolotugudaw lamini. |
Nin cogo in na, farikolo yɔrɔw ni farikolo yɔrɔw bɛ kamankun lamini, o la, laadala kamankun cili tɛ se ka sabatili wajibiyalen di. Nka ni bolo ni sosɛti ɲɔgɔn falen don ‘Reverse’ fɛɛrɛ la, farikolo kulu wɛrɛ (misali la, deltoid muscle) bɛ se ka kɛ ka bolokɔni kɔrɔta. O bɛ kolotugudaw sabati ka ɲɛ ani ka dɔ bɔ gɛlɛyaw la.
Aw bɛ aw labɛn cogo di sani opereli ka kɛ?
Aw ka operelikɛla bɛna aw labɛn ka ɲɛ sani opereli ka kɛ. O bɛ se ka kɛ:
- Denso sɛgɛsɛgɛli : O nafa ka bon walasa ka dɔ bɔ banakisɛ sɔrɔli la opereli kɔfɛ.
- Farikololajɛ dafalen: Aw ye a lajɛ ni aw kɛnɛyara fo ka se ka opereli kɛ.
- EKG sɛgɛsɛgɛli : Aw bɛ aw dusukun kɛnɛya lajɛ.
- Joli sɛgɛsɛgɛliw: Aw bɛ aw joli ni fɛn wɛrɛw cogoya dɔn.
- Jaa sɛgɛsɛgɛliw: Sɛgɛsɛgɛli min bɛ kɛ kamankun na, MRI walima CT scan bɛ se ka dɛmɛ don ka kolotuguda cogoya jateminɛ ka ɲɛ.
Min nafa ka bon kosɛbɛ, aw bɛ fura minnu ta, aw bɛ olu bɛɛ fɔ dɔgɔtɔrɔ ye (dimimadafura minnu bɛ sɔrɔ dɔgɔtɔrɔso la ani minnu tɛ sɔrɔ dɔgɔtɔrɔso la ani witaminiw). Fura dɔw bɛ se ka dabila tile damadɔ sani opereli ka kɛ.
Aw ka dɔgɔtɔrɔ bɛna aw laadi fana waati min na aw ka kan ka dumuni ni minni dabila tile kelen ka kɔn opereli ɲɛ. A ka ca a la, aw bɛna a ɲini ka dumuni ni minni dabila lɛri 8 sani opereli ka kɛ.
Mun bɛ kɛ opereli kɛtuma na?
Opereli don na, anestezi bɛ di aw ma walasa dimi kana kɛ aw la. Anestezikɛla bɛna fura di aw ma walasa ka aw sunɔgɔ pewu (anestezi générale) walima ka aw kamankun lamini yɔrɔ dɔrɔn de sɔgɔsɔgɔ (anestezi régionale).
Opereli senfɛ, operelikɛla bɛ nin wale ninnu kɛ:
1. Tigɛ fitini dɔ bɛna kɛ fari la min bɛ aw kamankun kɛrɛfɛ.
2. Kolotugudaw ni kolotugudaw tiɲɛnenw bɛ bɔ kolotuguda la.
3. Prothèse bɛ don a kɔnɔ.
4. Nɛgɛbolo bɛ siri kamankun kolo la (scapula). Sosɛti bɛ don bolokɔni sanfɛla kolo la (humerus).
5. Joli kura labɛnna ka ɲɛ, ka tigɛda datugu ni sɔgɔsɔgɔninjɛ ye.
A ka ca a la nin opereli in bɛ lɛri kelen walima lɛri fila ɲɔgɔn ta, nka o waati bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni aw kolotuguda tiɲɛni hakɛ ye.
O opereli in nafa ani farati jumɛnw bɛ se ka sɔrɔ a la?
Nin opereli in nafa ka bon kosɛbɛ, o ye ko dimi jugumanba ni a gɛlɛyali bɛ dɔgɔya kamankun na kosɛbɛ. Aw bɛ se ka baara kɛ ni aw bolokɔni ye ani k’a kɔrɔta ka ɲɛ ka tɛmɛ sani opereli ka kɛ. Ani fana, o ye fura ɲuman ye mɔgɔ minnu tɛ se ka u kamankun opereli kɛ tuma bɛɛ.
I n’a fɔ opereli suguya bɛɛ, farati dɔw bɛ a la, nka o faratiw man ca kosɛbɛ.
- Joli kurulenw
- Joli siraw tiɲɛni
- Kolo karilen don fɛn donta lamini na
- Banakisɛ sɔrɔli opereli yɔrɔ la walima kolotuguda kɔnɔ
- Nɛrɛmugu tiɲɛni
- Joli dilannen min donna a la, o lajɔli walima a sɛgɛnni ka kɔn a waati ɲɛ
Mun bɛ kɛ opereli kɔfɛ? A bɛ waati joli ta walasa ka kɛnɛya?
Opereli kɔfɛ, u bɛ taa ni aw ye kɛnɛyaso dɔ la, dɔgɔtɔrɔso baarakɛlaw bɛna aw ladon kosɛbɛ fo anestezi nɔw ka ban. I bɛ se ka taa so o don kelen na. Walima aw bɛ se ka to dɔgɔtɔrɔso la tile kelen walima tile fila.
A bɛ se ka kalo 6 ɲɔgɔn ta walasa ka kɛnɛya pewu.
- Dɔgɔkun fɔlɔw: Aw bɛna a ɲini ka sɔgɔsɔgɔninjɛ don.
- Dimi madali : Aw ka kan ka dimimadafura ni fura wɛrɛw (AINE) ta i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na, ni a mago bɛ a la.
- Farikoloɲɛnajɛ: Dɔgɔkun damadɔ kɔfɛ, aw bɛna taa farikoloɲɛnajɛla dɔ fɛ. A bɛna aw dege farikoloɲɛnajɛw la walasa ka aw kamankun fasaw barika bonya ani ka dɔ fara aw ka lamagacogo kan. Nin degeliw kɛli ka ɲɛ, o nafa ka bon walasa ka kɛnɛya joona.
- Dantigɛliw:Aw bɛna a ɲini ka aw yɛrɛ tanga girinya kɔrɔta ma ani ka farikoloɲɛnajɛ kɛ kalo damadɔ kɔnɔ. Dɔgɔtɔrɔ ye yamaruya di aw ma kɔfɛ, aw bɛ se ka aw ka baara kɛcogo kɔrɔw daminɛ dɔɔni dɔɔni.
O opereli bɛ mɛn waati joli kɔnɔ?
Nin kolotuguda dilannen ninnu bɛ mɛn, a ka ca a la san 15 walima ka tɛmɛ o kan, gɛlɛya foyi tɛ u la. Mɔgɔ caman bɛ se ka baara kɛ ni nin kolotuguda in ye u si bɛɛ kɔnɔ.
Waati min na aw ka kan ka taa dɔgɔtɔrɔso la opereli kɔfɛ
Ni aw ye nin taamasiɲɛ ninnu dɔ ye opereli kɔfɛ, aw bɛ dɔgɔtɔrɔ wele joona. Ni disidimi jugumanba bɛ aw la walima ni ninakili gɛlɛyara aw la, aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la, o yɔrɔ la, kɔrɔtɔko ɲɛmɔgɔso (ETU) la joona.
| Lakɔlɔsili taamasiɲɛ minnu ka kan ka kɔlɔsi | |
|---|---|
| • Joli bɛ bɔ tigɛyɔrɔ la | • Disi dimi |
| • Sumaya min ka ca ni 101 Fahrenheit (39 Celsius) ye . | • Ninakilidegun (ninakilidegun) . |
| • Dimi jugumanba min tɛ ban hali ni a bɛ dimimadafura ta | • Dimi kura walima dimi min bɛ ka caya bolo walima bolokɔni na |
| • Banakisɛ taamasiɲɛw : ji min bɛ i n’a fɔ kurukuru, o bɛ bɔ tigɛyɔrɔ la, a bɛ funu, a ɲɛ bɛ yɛlɛma, a kasa bɛ bɔ, walima a bɛ kɛ funteni ye min tɛ deli ka kɛ. | |
Take-Home cikan
- ‘Reverse Shoulder Replacement’ ye opereli kɛrɛnkɛrɛnnen ye min bɛ kɛ mɔgɔw kan minnu tɛ se ka opereli kɛ tuma bɛɛ kamankunw na ka a sababu kɛ rotator cuff tiɲɛni jugumanba ye walima kun kɛrɛnkɛrɛnnen wɛrɛw.
- O opereli in na, kamankun kolotuguda bololanɛgɛ ni a sosɛti bɛ bila yɔrɔ wɛrɛ la, o bɛ a to bolokɔni ka lamaga ni farikolo yɔrɔw ye minnu tɛ kelen ye.
- O bɛna aw ka dimi jugumanba lajɔ ani ka aw dɛmɛ ka aw ka don o don baaraw kɛ k’a sɔrɔ dimi tɛ aw la.
- A bɛ kalo damadɔw ta walasa ka kɛnɛya pewu, wa a nafa ka bon kosɛbɛ ka tugu farikoloɲɛnajɛ ni furakɛli ladilikanw kɔ.
- Ni aw ye taamasiɲɛ dɔw ye minnu tɛ deli ka kɛ (kɛrɛnkɛrɛnnenya la banakisɛ taamasiɲɛw, dimi jugumanba) opereli kɔfɛ, aw bɛ dɔgɔtɔrɔ ladɔnniya joona.

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment