Yu dɔn de fil pen na yu anklɛ fɔ lɔng tɛm? Sɔntɛm yu kin fil lɛk se yu de pinch ɔ yu de fil we yu de waka ɔ klaym stej? Ɔ yu de sɔfa wit pen insay yu anklɛ ivin we yu jɔs tinap? Dis sik nɔr dɔn bɛtɛ pan ɔl we dɛn de tek mɛrɛsin ɛn du fizik tritmɛnt? Dɔn yu dɔktɔ kin dɔn tɛl yu bɔt wan ɔpreshɔn we dɛn kɔl ‘Ankle Arthroscopy’. We yu yɛri dis nem, i go dɔn mek yu fred smɔl. Yu go dɔn tink se, "Ɔda ɔpreshɔn?" Bɔt nɔ wɔri. Tide, wi go tɔk bɔt ɔltin insay wan rili simpul we we yu go ɔndastand.
Wetin na Anklɛ Atroskɔpi?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn we dɛn kin du lɛk se dɛn de luk insay kihol. Na dat mek dɛn kin kɔl am bak "keyhole surgery." Bifo yu kɔt big say na yu anklɛ ɛn opin am lɛk aw i bin de trade, wit dis we aw yu bin de du dis, yu dɔktɔ kin mek jɔs sɔm rili smɔl smɔl say dɛn (bɔku tɛm i nɔ kin pas af inch) na yu anklɛ in skin.
Dɔn, tru da smɔl say de, dɛn kin put wan spɛshal inschrumɛnt insay. Dɛn kɔl am atrɔskɔp . Na tin tiub we gɛt wan rili smɔl kamɛra ɛn layt we dɛn tay pan am. Di pikchɔ dɛn we de na dis kamɛra de sho pan big skrin (monitɔ), so di dɔktɔ kin si klia wan ɔltin insay yu anklɛ jɔyn, ivin di bon dɛn, di katilej, ɛn di ligamɛnt dɛn.
We dɛn dɔn no usay di prɔblɛm de, dɛn kin put smɔl smɔl ɔspitul inschrumɛnt dɛn tru ɔda smɔl say we dɛn kɔt fɔ mek di say we dɔn pwɛl insay di jɔyn. Bikɔs nɔto big say we dɛn kɔt am, dis na ɔpreshɔn we nɔ kin mek pɔsin strɛs.
Udat nid fɔ du dis ɔpreshɔn?
Bɔku tɛm, we pɔsin we sik gɛt pen na in an, dɔktɔ nɔ kin sɛn am wantɛm wantɛm fɔ mek dɛn du am ɔpreshɔn. Dɛn kin yuz tritmɛnt dɛn we nɔ gɛt ɔpreshɔn lɛk pen kil, stɛroyd injɛkshɔn, ɛn fyzikal tritmɛnt.
Bɔt if nɔ pan dɛn tin ya nɔ de gi yu di rayt rilif frɔm yu pen ɛn stif, i kin bi se di prɔblɛm de insay di jɔyn sɛf. Na da tɛm de yu dɔktɔ go tink bɔt fɔ du anklɛ atrɔskɔpi. If yu anklɛ nɔ stebul dat yu nɔ ebul fɔ waka, ɔ if yu kin rol yu anklɛ ɔltɛm, dis ɔpreshɔn kin bi gud sɔlvishɔn.
Us kɔndishɔn dɛn kin trit wit Ankle Arthroscopy?
Dis kihol ɔpreshɔn kin sɔlv bɔku prɔblɛm dɛn we kin mit pɔsin na in an. Lɛ wi tek wan luk pan di men tin dɛm wae dɛn kin trit wit dis ɔpreshɔn.
| Mɛdikal kɔndishɔn | Fɔ ɛksplen am simpul wan |
|---|---|
| Anklɛ instability | sכmtεm, bikoz fכ difכmiti na di ankכl bon dεm כ wik we di ligament dεm wik, di ankכl kin fil lεk se i de "shεk" כ "lכs kכntrכl" we yu de waka. Dis ɔpreshɔn kin fɛn di rizin ɛn mek i fayn. |
| Impingement we pɔsin kin du | We dɛn prɛs di tisu dɛn we de rawnd di anklɛ fɔ lɔng tɛm, dɛn kin swel ɛn bigin fɔ at. Dis kin mek di anklɛ stif ɛn i nɔ kin ebul fɔ bɛn ɔ stret fayn. Dis ɔpreshɔn kin pul di pat dɛn we de mek di pɔsin stif. |
| fכ pul di brok bon/katilaj fragmεnt dεm εn di ska tisu | Afta aksidɛnt, smɔl smɔl bon ɛn katilej kin lod na di jɔyn. Dis kin mek yu fil pen bad bad wan. כlso, di joyn kin stכk bikoz fכ di ska tisu we dεn nכ want we de fכm we injuri hεl. Dis ɔpreshɔn de pul dɛn pat ya we dɛn nɔ want ɛn klin di jɔyn. |
| Ligamɛnt dɛn we dɔn rɔtin | Ligamɛnt dɛn tan lɛk rɔba band we de kɔnɛkt wi bon dɛn togɛda. If dɛn tin ya rɔtin bikɔs ɔf aksidɛnt ɔ fɔdɔm, di anklɛ nɔ go wok fayn. Dis ɔpreshɔn kin mek di ligamɛnt dɛn we dɔn rɔtin bak. |
Aw yu fɔ rɛdi bifo dɛn du yu ɔpreshɔn?
Fɔ mek di ɔpreshɔn go bifo, yu nid fɔ rɛdi bifo tɛm. I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
| Wetin fɔ du/stɔp | Wetin mek na so i bi? (Rizin) |
|---|---|
| Di tin dɛn we de mek blɔd tan | Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn sɔpɔtmɛnt dɛn). Di tin dɛn we de mek blɔd tan (e.g., aspirin, warfarin) kin mek di blɔd bɔku we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn. Yu dɔktɔ go tɛl yu ustɛm fɔ stɔp fɔ tek dɛn. |
| Fɔ smok | If yu na pɔsin we de smok, i impɔtant fɔ lɛ yu lɛf fɔ smok fɔ lɛk 4 wiks bifo dɛn du di ɔpreshɔn. Smok kin mek di wund dɛn nɔ wɛl bad bad wan. |
| Rum | Rɔk kin mek di blɔd tan bak , so nɔ drink rɔm ɔltogɛda fɔ sɔm dez bifo ɛn afta di ɔpreshɔn. |
| Fɔ fast | Bikɔs yu go de ɔnda anestezi fɔ di ɔpreshɔn, i bɛtɛ fɔ mek yu nɔ it ɔ drink ɛnitin fɔ sɔm awa (bɔku tɛm 8-12 awa) bifo di ɔpreshɔn. Yu dɔktɔ go gi yu patikyula instrɔkshɔn bɔt dis. |
Wetin kin apin we dɛn de du ɔpreshɔn?
Afta dɛn dɔn kɛr yu go na di say usay dɛn de du ɔpreshɔn, di dɔktɔ we de anestez yu go gi yu anestezi. Wi kin du dis tu we dɛn:
1. Jɛnɛral Anestesia: Insay dis, yu go slip ɔl te di ɔpreshɔn dɔn. Yu nɔ go fil ɛnitin.
2. Rijinal Anestesia: Dis de mek yu nɔ gɛt bɛtɛ trɛnk na di say we de dɔŋ yu wes ɔ rawnd yu anklɛ dɛn. Yu de kɔnshɛns, bɔt yu nɔ de fil ɛni pen.
Afta dɛn dɔn anestez am, di dɔktɔ kin kɔt sɔm smɔl smɔl say dɛn na di an ɛn put atrɔskɔp fɔ chɛk di insay pat pan di jɔyn. We dɛn dɔn si di rayt say we di prɔblɛm de, di dɔktɔ we de du di ɔpreshɔn kin put di tin dɛn we i nid tru ɔda say dɛn we dɛn kɔt fɔ mek di say we dɔn pwɛl bak. Di wan ol tin we dɛn kin du kin tek lɛk wan awa so . Bɔt dis tɛm kin difrɛn difrɛn wan bay aw yu sik.
Wetin na Debridement?
Yu kin yɛri dis wɔd we yu de tɔk bɔt ɔpreshɔn. Debridement jɔs min ‘klin’.. Imajin se wan rum na yu os rɔtin. Sɔntɛm i nid fɔ tidy am smɔl. Sɔntɛm i nid fɔ klin am gud gud wan. Ilɛk aw i bi, di tin we kin apin na di sem tin, ɛn dat na rum we klin ɛn klin. Debridement na sɔntin lɛk dat. Dis na wetin di dɔktɔ min bay we i de pul di tisu we nɔ nid, we dɔn pwɛl, di bon pat dɛn, ɛn di katilej pat dɛn we de insay yu anklɛ jɔyn ɛn ‘klin’ di jɔyn.
Wetin kin apin afta di ɔpreshɔn?
Dis na ɔltɛm we dɛn kin du tin we dɛn kin du na ɔtpeshɛnt . Dɛn go de wach yu fɔ sɔm awa afta di prɔsidyu ɛn afta dat dɛn go alaw yu fɔ go na os. Di dɔktɔ ɔ nɔs go ɛksplen to yu wetin yu nid fɔ du afta yu dɔn go na os.
- Nɔ put wet pan di leg we dɛn bin ɔpreshɔn fɔ di fɔs wik dɛn. Yu go nid fɔ yuz kruk fɔ dis.
- Ays ɛn Ɛlevɛt Yu Anklɛ: If yu ɛlevɛt yu leg, lɛk na chia, dat kin ɛp fɔ mek yu nɔ swel. If yu ays yu anklɛ fɔ 15-20 minit bɔku tɛm insay di de, i fayn bak fɔ mek yu fil pen ɛn swel.
- Kip di wund klin: Dɛn fɔ kɔba di say dɛn we dɛn kɔt ɛn kip am klin. Kɔba dɛn wit kɔva we nɔ de mek wata pas we yu de was. I nɔ fayn fɔ was ɔ go na swimin pul te di wund dɛn dɔn wɛl.
- Di tin dɛn we de mek yu fil pen: Tek di mɛrɛsin dɛn we yu dɔktɔ gi yu fɔ mek yu fil pen (lɛk NSAID) di rayt tɛm.
- Splint: Fɔ di fɔs wik, dɛn go aks yu fɔ wɛr splint ɔ but fɔ mek yu anklɛ nɔ muv.
Afta sɔm dez, di dɔktɔ go si yu bak, kɔt di stich dɛn, ɛn tɛl yu wetin fɔ du nɛks. Afta dat, yu go nid fɔ bigin fɔ trit yu bɔdi . Dis impɔtant fɔ mek yu gɛt trɛnk bak ɛn fɔ muv yu anklɛ.
Wetin na di bɛnifit dɛn we dis ɔpreshɔn gɛt?
We yu kɔmpia am to ɔpreshɔn we dɛn kin du mɔ, we dɛn kin du anklɛ atrɔskɔpi gɛt bɔku bɛnifit dɛn.
Dis na ɔspitul we nɔ de mek di bɔdi nɔ pwɛl bɛtɛ ɛn we de mek di bɔdi rili fayn. Na dat mek dɔktɔ dɛn ɔlsay na di wɔl lɛk dis we.
- Kwik fɔ wɛl: Bikɔs no big injuri nɔ de, di tɛm fɔ wɛl kin rili shɔt. Yu kin bigin fɔ du tin dɛn we yu nɔ bin de du bak insay sɔm wiks.
- Les pen: Di pen afta di ɔpreshɔn nɔ kin rili smɔl.
- Smɔl blɔd ɛn smɔl smɔl ska dɛn: Smɔl smɔl say dɛn we dɛn kɔt kin mek yu nɔ gɛt bɛtɛ blɔd, ɛn na smɔl smɔl ska dɛn nɔmɔ kin lɛf we yu nɔ kin si bɛtɛ.
- Lɔw risk fɔ kɔmplikeshɔn: Di risk fɔ kɔmplikeshɔn lɛk infɛkshɔn rili smɔl.
Ɛni risk dɛn de we kin apin?
Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de, bɔt dɛn tin ya na tin dɛn we nɔ kin apin bɔku tɛm.
- Alɛji riakshɔn to anestezi
- Nɛv dɛn we dɔn pwɛl
- di bכdi de kכlכt, spεshal wan na di vein dεm na di leg dεm (Deep Vein Thrombosis - DVT) .
- Infekshɔn na wund
- Blɔd we de kɔmɔt pasmak ɔ we de swel
- Di anklɛ ɛn fut kin swɛla
- Sɔntɛm, if dɛn nɔ sɔlv di prɔblɛm kpatakpata, dɛn go nid fɔ du ɔda ɔpreshɔn.
Nɔr frayd fɔ dɛn risk ya. Yu dɔktɔ go du ɔl di tin dɛn we i nid fɔ mek dɛn nɔ bɔku.
Ustɛm a fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn?
I impɔtant fɔ pe atɛnshɔn to yu bɔdi afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul usay yu bin gɛt tritmɛnt.
- If yu gɛt pen we yu nɔ go ebul fɔ bia .
- If di wund de blɔd pasmak .
- If nɔs ɛn vɔmit kɔntinyu.
- If yu si sayn dεm fכ infεkshכn (e.g. fiva, rεd, swεla, wam arawnd di say we dεn sכk, pus).
Mɛsej we dɛn kin kɛr go na os
- Ankle Arthroscopy na wan "keyhole surgery" we rili advans we de trit ankle prɔblɛm wit smɔl damej pan di bɔdi.
- Dis na gud sɔlv fɔ kɔndishɔn lɛk fɔ lɔng tɛm anklɛ pen, stiffness, ɛn instability we nɔr dɔn wɛl wit ɔda tritmɛnt.
- We yu kɔmpia am to big big ɔpreshɔn dɛn we dɛn kin du fɔ opin, i nɔ kin tek bɔku tɛm fɔ wɛl, i nɔ kin gɛt bɔku pen, ɛn i nɔ kin gɛt bɔku prɔblɛm dɛn.
- I impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ fala di dɔktɔ in instrɔkshɔn dɛn bifo ɛn afta di ɔpreshɔn.
- Fyzikal tritmɛnt afta dɛn dɔn ɔpreshɔn na di wangren we fɔ mek di anklɛ gɛt ful trɛnk ɛn wok bak.
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