Yu tink se jɔyn lɛk yu ni, yu ɛlb, yu sholda, ɔ yu hip dɔn swel ɛn fil pen wantɛm wantɛm, ɛn dis kin mek i nɔ izi fɔ waka? Sɔm pipul dɛn kin kɔl dis "wata na di jɔyn." Infakt, dis swel ɛn pen kin mek i nɔ izi fɔ ivin du ɛvride wok. So tide wi go tɔk bɔt wan simpul, yet rili yusful tritmɛnt we yu dɔktɔ go gi yu na tɛm lɛk dis. Dɛn kɔl dat `Arthrocentesis` ɔ `Joint Aspiration`.
Fɔ tɔk am simpul wan, wetin na Arthrocentesis?
Pan ɔl we dis kin tan lɛk big wɔd, fɔ tru, i rili simpul. Arthrocentesis na wan we we dɛn kin yuz wan rili fayn nidul fɔ pul di wata we pasmak na yu jɔyn we dɔn swel.
Tink bɔt dis we: wi jɔyn dɛn tan lɛk di bɔl bia dɛn we de na mashin. Fɔ mek dɛn kɔntinyu fɔ rɔn fayn fayn wan, natin nɔ de fɔ mek dɛn gɛt smɔl wata. Wi kin kɔl am synovial fluid. Bɔt we wan jɔyn inflamed bikɔs ɔf wan kɔndishɔn lɛk at at sik, infɛkshɔn, ɔ aksidɛnt, dis wata kin bigin fɔ kɔmɔt pasmak . Na da tɛm de di jɔyn kin swel, stif, ɛn i kin fil pen.
So, wetin yu de du wit `Arthrocentesis` na fɔ pul da ɛksɛs fluid de ɛn gi yu rilif. Dis kin mek di pen ɛn swel nɔ bɔku. Dɔn bak, we yu chɛk di wata we dɛn pul, yu go ebul fɔ no di rayt tin we de mek yu swel.
Aw dis tritmɛnt kin wok?
Dis kin bi simpul tin we dɛn kin du na di dɔktɔ in ɔfis (OPD) ɔ na di ɔspitul in ɔtpeshɛnt dipatmɛnt. I nɔ nid fɔ pripia bɔku. We yu go, di dɔktɔ go fala dɛn tin ya:
- Fɔs, dɛn kin klin di skin usay dɛn go put di nidul fayn fayn wan ɛn pul di sik dɛn.
- Neks, dɛn kin put wan krim we de mek pɔsin nɔ fil fayn (topical anesthesia) na di say ɔ if nid de, dɛn kin gi am smɔl injɛkshɔn we de mek pɔsin nɔ fil fayn (local anesthesia). Dis go mek shɔ se yu nɔ go fil bɔku pen.
- Sɔntɛnde, fɔ no ustɛm di wata de insay di jɔyn, di dɔktɔ kin yuz wan mashin we de skan lɛk ɔltra saund ɔ fluoroscopy. Dis kin ɛp yu fɔ rich di rayt tin we yu want fɔ du.
- Dɔn, dɛn kin put fayn nidul we dɛn kɔnɛkt to sirinj insay di jɔyn tru di say we de mek pɔsin nɔ fil fayn.
- Naw, dɛn kin drɔ di ɛkstra wata we de insay di jɔyn insay di sirinj. If wata bɔku, dɛn kin chenj di sirinj fɔ pul bɔku wata we dɛn nid.
- sכmtεm, afta dεn dכn pul di wata, dεn kin injεkt wan mεdikeshכn we de mek yu fil pen (e.g., wan stεroyd) insay di jכint wit di sem nidul.
- Fɔ dɔn, dɛn kin sɛn di fluid sɛmpul we dɛn pul to lɛbɔtri fɔ tɛst am, if nid de, fɔ no ustɛm i mek am.
Dis ɔl di tin dɛn we dɛn kin du kin tek lɛk 10 minit so .
Wetin na di men bɛnifit dɛn we dis kin gɛt?
Arthrocentesis tan lɛk fɔ kil tu bɔd wit wan ston. Dat min se, i de gi tritmɛnt ɛn diagnosis di sem tɛm.
Dis go mek yu fil fri kwik kwik wan frɔm yu pen ɛn i go ɛp yu bak fɔ no wetin de mek yu gɛt di sik.
Lɛ wi si wetin na dɛn bɛnifit dɛn de na di tebul we de dɔŋ ya.
| Bɛnifit | Fɔ tɔk am simpul wan... |
|---|---|
| Instant pen rilif | we dεn dכn pul di εkstra wata we de insay di jכint, di prεshכn we de pan di jכint de rεdכks, εn di swεl εn pen de rεdכks bכku. |
| Fɔ rɛdi fɔ tek mɛrɛsin | Bifo yu injekt mɛrɛsin na di jɔyn, if yu pul di wata we pasmak dis we, dat go mek di mɛrɛsin go insay di jɔyn fayn fayn wan. I de mek di mɛrɛsin wok fayn bak. Fɔ ɛgzampul, injɛkshɔn dɛn lɛk dis: - Kɔtizɔn shot/stɛroyd injɛkshɔn - Injεkshכn dεm we gεt plasma we rich pletlet (PRP). - Viskosuplimentishɔn (jel injɛkshɔn) . |
| Diagnosis we dɛn kin gɛt | we dεn tek sεmpl fכ di wata (synovial fluid) εn sɛn am na lab fכ tεst, dεn kin no di εksakεt kכz fכ di swel. Fɔ ɛgzampul: - Na baktriyal infεkshכn? - Blɔd de insay di jɔyn? - Kristal deposit de we wan mεdikal kכndyushכn lεk gaut kin kכz ? |
Ɛni risk de pan dis?
Dis na tritmɛnt we rili sef bɔku tɛm. Kɔmplikɛshɔn dɛn nɔ kin apin so ɔltɛm. Bɔt jɔs lɛk ɛni ɔda mɛrɛsin, sɔm smɔl smɔl prɔblɛm dɛn de we kin apin.
- We pɔsin gɛt infɛkshɔn:Na smɔl chans de fɔ mek wan jem go insay di say we di nidul de.
- Blɔd: If wan rili smɔl blɔd vesel pwɛl we dɛn put di nidul, smɔl blɔd kin kɔmɔt.
- Alɛji: Sɔm pipul dɛn kin gɛt alɛji fɔ di mɛrɛsin we dɛn kin yuz fɔ mek di say nɔ gɛt bɛtɛ trɛnk ɔ di mɛrɛsin we dɛn kin yuz fɔ injɛkt di jɔyn. Bɔt, wan siriɔs alɛji riakshɔn lɛk ``Anaphylaxis`` nɔ kin rili apin.
- Pɔst-injection flare: Sɔm pipul (lɛk 1 pan 50) kin gɛt sɔm inkris joyn pen ɛn swel sɔm awa afta di injekshɔn. Bɔt bɔku tɛm, dis kin sɔlv fɔ insɛf insay sɔm dez.
Wetin kin apin afta tritmɛnt ɛn ustɛm a go fil fri?
Afta di tritmɛnt, di dɔktɔ go put smɔl bandej na di say we dɛn put di nidul ɛn advays yu fɔ nɔ put tumɔs strɛs pan di jɔyn fɔ wan ɔ tu dez.
Yu go bigin fɔ fil fridɔm frɔm pen ɛn swel di nɛks de. Aw lɔng dis rilif go de dipen pan yu kɔndishɔn. If yu gɛt wan sik we nɔr de dɔn lɛk at at, de swel kin kam bak as tɛm de go. Dɔn yu go nid fɔ du dis tritmɛnt bak. Yu dɔktɔ go advays yu di rayt we fɔ du am.
Ustɛm a fɔ go to di dɔktɔ bak?
If yu si ɛni wan pan dɛn sayn ya we de dɔŋ ya afta yu dɔn gɛt tritmɛnt, kɔl yu dɔktɔ wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ |
|---|
| If di pen kɔntinyu fɔ bɔku pan ɔl we yu de tek mɛrɛsin fɔ mek yu fil pen. |
| If di say we dɛn injɛkt di mɛrɛsin rɛd, fil wam, ɔ fil lɛk se dɛn de injɛkt am . |
| If blɔd ɔ ɔda wata de lik frɔm di say we dɛn injekt am. |
| If yu gɛt fiva ɔ yu fil kol . |
Mɛsej we dɛn kin kɛr go na os
- Arthrocentesis na simpul, sef mɛrɛsin we de ɛp fɔ mek yu nɔ fil pen ɛn fɔ no wetin mek yu jɔyn swel.
- Dis min se yu fɔ pul di wata we pasmak we dɔn gɛda insay di jɔyn wit fayn nidul.
- Dis go mek yu fil fri kwik kwik wan frɔm yu pen ɛn swel.
- We di dɔktɔ chɛk di wata we dɛn pul, i go ebul fɔ no di kɔrɛkt tin bɔt yu sik.
- If di pen go bɔku, i rɛd, ɔ yu gɛt fiva afta yu dɔn trit yu, tɛl yu dɔktɔ wantɛm wantɛm.
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