Yu gɛt grani, granpa, ɔ mama ɔ papa we dɔn ol na yu os we de kray bikɔs i de fil pen we i de grap na chia ɔ klaym stej? I de ol in ni ɛn waka sloslo? Sɔntɛm yusɛf de gɛt dis pen. Yu kin dɔn de fil dis kayn pen na yu jɔyn fɔ lɔng tɛm, ɛn dis kin mek i nɔ izi fɔ du ivin wok dɛn we yu kin du ɛvride. If di pen nɔr dɔn pan ɔl we yu de tek mɛrɛsin ɛn du difrɛn tin dɛm, yu dɔktɔ kin dɔn tɛl yu bɔt "jɔyn riplesmɛnt ɔpreshɔn." Na dat wi go tok abaut tide.
Wetin na dis ɔpreshɔn fɔ chenj di jɔyn (Arthroplasty)?
Fɔ tɔk am simpul wan, atrɔplasti na ɔpreshɔn we dɛn kin pul wan pat ɔ ɔl di jɔyn we dɔn pwɛl ɛn we dɔn pwɛl na yu bɔdi ɛn put atifishal jɔyn insay. Insay mɛrɛsin, dɛn kin kɔl dis atifishal jɔyn prostɛsis . Dɛn mek dɛn tin ya wit tin dɛn we nɔ de mek di bɔdi nɔ go insay, lɛk mɛtal, plastic, ɔ sɛramik.
Imajin se wan hinj na wan domɔt na yu os so rɔsti dat i stɔp so tayt dat yu nɔ go ebul fɔ opin ɔ lɔk am. Wetin wi kin du? Wi kin pul di ol hinj ɛn put nyu wan, nɔto so? Na so dis ɔpreshɔn de bi. Wi kin pul di jɔyn we dɔn pwɛl na wi bɔdi ɛn put nyu wan. Dɔn wi kin yuz da jɔyn de bak we wi nɔ go fil pen.
Tu men kayn ɔpreshɔn de fɔ dis ɔpreshɔn.
Dipen pan aw yu jɔyn dɔn pwɛl, yu dɔktɔ go disayd uswan pan dɛn tu kayn ya we fayn fɔ yu.
1. Tכtal Jכint Ripleshכn: Dis min fכ pul כl di pat dεm we dεn pwεl na di jכint εn riples dεm wit wan komplit atifishal jכint. fכ egzampl, we i kam pan di kכn, dεn kin riples di fכs εn di tibia.
2. Patεl Jכint Ripleshכn: As di nem sho, dis nכ de riples di joyn kכmplit wan. Na di pat we dɔn pwɛl nɔmɔ dɛn kin pul ɛn put atifishal pat insay da pat de. Sɔntɛnde dɛn kin kɔl dis jɔyn risurfacing .
| Jɔyn dɛn we dɛn kin chenj na di bɔdi |
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Udat nid fɔ du dis ɔpreshɔn?
Bɔku tɛm, dɔktɔ nɔ kin rifer yu wantɛm wantɛm fɔ mek dɛn du big ɔpreshɔn lɛk dis. Fɔs, dɛn kin tray fɔ trit yu wit tin dɛn lɛk mɛrɛsin fɔ mek yu nɔ fil pen, fɔ mɛn yu bɔdi, ɛn fɔ du ɛksɛsayz. Bɔt if nɔr pan dɛn tin ya nɔr de ɛp fɔ kɔntrol yu sik, ɛn if na tumɔs trɔbul fɔ yu fɔ du yu ɛvride layf, yu dɔktɔ kin tɛl yu fɔ tink bɔt fɔ ɔpreshɔn.
I kin nid fɔ du ɔpreshɔn if yu gɛt dɛn sayn ya:
- Bɔrku pen na yu jɔyn: If yu de fil pen nɔto jɔs we yu de waka ɔ tinap, bɔt we yu jɔs tinap.
- Jɔyn stiffness: I nɔ kin izi fɔ bɛn ɔ ɛkstɛnd jɔyn. Lɛk we yu nɔ ebul fɔ sidɔm na chia wit yu ni dɛn we yu bɛn ɔ sidɔm na grɔn.
- I nɔ izi fɔ waka: I nɔ ebul fɔ waka bikɔs i de fil pen ɔ di jɔyn dɛn nɔ de stebul, i nid fɔ yuz ken.
- Joint swelling: Na di prɛzɛns fɔ swel we de kɔntinyu.
Di men rizin fɔ dis na di sik we dɛn kɔl at at sik. Di kayn at at sik we kin bɔku pas ɔl na ɔstiɔ-arayt . Dis na di we aw di jɔyn dɛn kin west ɛn rɔtin as wi de ol. Apat frɔm dat, pipul dɛm wae gɛt sik lɛk rεumatoid at at sik kin nid dis ɔpreshɔn bak.
Dɔn bak, if di jɔyn brok bikɔs ɔf aksidɛnt, fɔdɔm, spɔt injuri, ɔ motoka aksidɛnt, dɛn kin nid fɔ du dis ɔpreshɔn leta.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na ɔpreshɔn we yu dɔn plan fɔ du, yu go gɛt tɛm fɔ rɛdi gud gud wan. Yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go gi yu ɔl di advays dɛn we yu nid.
- Kɔmplit mɛdikal ɛgzamin: Chek if yu bɔdi fayn fɔ lɛ yu ebul fɔ bia wit di ɔpreshɔn.
- Blɔd tɛst: Chɛk fɔ si if yu gɛt tin dɛn lɛk we yu nɔ gɛt blɔd.
- At test (ECG): Mek shɔ se di at de wok fayn fayn wan.
- Dental exam: Nɔ sɔprayz, dental infɛkshɔn kin travul tru di blɔd to di nyu joyn afta dɛn dɔn ɔpreshɔn ɛn mek infɛkshɔn. So, i impɔtant fɔ sɔlv prɔblɛm dɛn we gɛt fɔ du wit dɛn tit bifo dɛn du di ɔpreshɔn.
- Imej Test: Dɛn go mɔs tek ɛkstrem rayt. Sɔntɛnde, dɛn go ɔda fɔ mek dɛn du MRI ɔ CT skan bak.
Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, ivin di vaytamɛn dɛn, we yu de tek. Sɔm mɛrɛsin dɛn (especially blood thinners) kin mek yu stɔp fɔ tek dɛn sɔm dez bifo dɛn du di ɔpreshɔn. Yu dɔktɔ go advays yu bak bɔt ustɛm fɔ stɔp fɔ it ɛn drink di de bifo dɛn du di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Di de we dɛn go du di ɔpreshɔn, dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dis kin bi jenɛral anestezi , we min se yu go slip ɔl, ɔ rijinal anestesia , we min se na di say nɔmɔ na yu bɔdi we dɛn go ɔpreshɔn go nɔ gɛt bɛtɛ trɛnk.
Di dɔktɔ we de du di ɔpreshɔn go du dɛn tin ya:
1. I de pul di katilej ɛn bon fragmɛnt dɛn we dɔn pwɛl.
2. Dɛn kin put di prɔstɛsis prɛsishɔn ɛn put am insay.
3. Dɛn kin ajɔst sɔm pan di bon dɛn we de rawnd am bak fɔ fit di nyu jɔyn.
Rɔbɔt-Asist Jɔyn Riplesmɛnt
Bikɔs di tin dɛn we dɛn dɔn lan bɔt tɛknɔlɔji dɔn go bifo, naw dɛn de du sɔm ɔpreshɔn dɛn fɔ chenj di jɔyn dɛn wit di ɛp we rɔbɔt dɛn de ɛp dɛn. Dis nɔ min se na rɔbɔt nɔmɔ de du di ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn stil de du di ɔpreshɔn, bɔt dɛn kin yuz wan rɔbɔt an we dɛn kin kɔntrol wit kɔmpyuta fɔ ɛp am fɔ put di atifishal jɔyn wit rili prɛsishɔn. Dis we ya de mek di chans fɔ mek di ɔpreshɔn go bifo mɔ ɛn mɔ.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we pɔsin du ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin mek pɔsin gɛt prɔblɛm. Bɔt fɔ bɔku pipul dɛn, di bɛnifit dɛn we dɛn kin gɛt we dɛn du dis ɔpreshɔn, pas di bad tin dɛn we kin apin to dɛn. Fɔ pɔsin we dɔn sɔfa fɔ lɔng lɔng tɛm, fɔ ebul fɔ waka ɛn du in wok we i nɔ de fil pen na big tin.
| Bɛnifit dɛn | Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm |
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If yu gɛt ɔda sik dɛn lɛk dayabitis ɔ ɛmofilia , yu fɔ rili tɛl yu dɔktɔ bɔt am. I go ɛp yu fɔ manej yu risk dɛn di rayt we.
Aw na di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn?
Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan yu ej, yu wɛlbɔdi bifo dɛn du di ɔpreshɔn, ɛn di jɔyn we dɛn bin ɔpreshɔn pan. Bɔku tɛm, i kin tek sɔm mɔnt fɔ mek i wɛl ɔl.
Dɛn tin ya rili impɔtant we yu de wɛl:
- Ays: Put ays pan di jɔyn we dɛn dɔn ɔpreshɔn fɔ lɛk 20 minit bɔku tɛm insay di de. Dis go mek di pen ɛn swel nɔ bɔku.
- Fɔ ɛlevɛt di jɔyn: Ɛnitɛm we i pɔsibul, kip di jɔyn ɔp di lɛvɛl we di at de bay we yu put am pan pilo.
- Fɔ kip di wund klin: Kip di wund klin ɛn kɔba am lɛk aw yu dɔktɔ tɛl yu. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn bak bɔt di tɛm we yu fɔ was.
- Fizik Tɛrapi: Dis rili impɔtant . Yu fɔ du ɛksɛsayz jɔs lɛk aw pɔsin we de mɛn yu bɔdi tɛl yu fɔ du. dis go mek di mכsul dεm we de rawnd di jכint strכng εn mek di jכint muv bεtεh.
- Nɔ fɔ mek yu jɔyn jɔk: Yu dɔktɔ go advays yu fɔ avɔyd sɔm tin dɛn we go mek yu jɔyn jɔk, mɔ di fɔs mɔnt dɛn afta dɛn dɔn ɔpreshɔn yu hip ɛn sholda. Fɔ fala dɛn advays ya kɔrɛkt wan.
Manejmɛnt fɔ di pen
I nɔmal fɔ fil sɔm pen afta dɛn dɔn du di ɔpreshɔn, mɔ insay di fɔs wik. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen. Tek dɛn di rayt tɛm ɛn di rayt doz. If yu nɔ ebul fɔ bia di pen, mek yu dɔktɔ no.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm!
I rili impɔtant fɔ tek kia ɔf yu bɔdi we yu rich na os afta dɛn dɔn du yu ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ ɔ di ɔspitul wantɛm wantɛm.
- Chɛst de pen
- I nɔ izi fɔ blo (dyspnea) .
- Fiva we pas 39 Sɛlshiɔs (101 Fɛnayt) .
- Blɔd, pus, bad smel, rɛd, ɔ swel pasmak frɔm di wund we dɛn du di ɔpreshɔn.
- Nyu ɔr pen we de wɔs na yu shɔl, anklɛ, ɔ fut.
- Di pen so bad dat yu nɔ go ebul fɔ kɔntrol am ivin wit mɛrɛsin fɔ mek yu fil pen.
Ɔpreshɔn fɔ chenj di jɔyn na big tin fɔ disayd. Bɔt if yu du am di rayt we, i kin mek big chenj na yu layf. Natin nɔ de we bɛtɛ pas fɔ ebul fɔ waka fri wan ɛn du yu wok we yu nɔ de fil pen.
Mɛsej we dɛn kin kɛr go na os
- Arthroplasty na fɔ riples wan jɔyn we dɔn pwɛl ɔ we dɔn pwɛl wit atifishal jɔyn. Dis na ɔpreshɔn we dɛn kin du naw ɛn we kin wok fayn.
- Dis kin mek yu nɔ gɛt pen fɔ lɔng tɛm, i kin mek yu jɔyn dɛn wok fayn, ɛn i kin mek yu layf bɛtɛ.
- I rili impɔtant fɔ rɛdi gud gud wan fɔ di ɔpreshɔn ɛn fala wetin di dɔktɔ tɛl yu fɔ du.
- Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn rili impɔtant. Mɔtalman, dɛn fɔ du fizik tritmɛnt ɛn ɛksesaiz dɛn we dɛn dɔn tɛl dɛn fɔ du, ɛn dɛn nɔ fɔ skip.
- If yu gɛt ɛni dawt, kwɛstyɔn, ɔ sɔm kayn sayn dɛn we nɔ kɔmɔn, tɔk to yu dɔktɔ wantɛm wantɛm.
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