Yu dɔn de sɔfa wit pen we yu nɔ go ebul fɔ bia na yu ɛlb fɔ lɔng tɛm? Yu dɔktɔ go dɔn tɔk to yu bɔt ɔpreshɔn fɔ chenj yu ɛlb. Na nɔmal tin fɔ mek yu fred smɔl ɛn want fɔ no mɔ we yu yɛri bɔt dis kayn ɔpreshɔn. Wetin rili na dis ɔpreshɔn? Lɛ wi tɔk bɔt am simpul wan, di we we ɔlman go ɔndastand.
Wetin dis min, fɔ riples di ɛlbo jɔyn?
Fɔ tɔk am simpul wan, ɔpreshɔn fɔ riples yu ɛlbo jɔyn, dɛn kin pul yu ɛlbo jɔyn ɛn put atifishal jɔyn insay. Dɛn kin kɔl dis tin we dɛn kin kɔl jɔyn riplesmɛnt (arthroplasty).
Tink bɔt am dis we: wi ɛlb jɔyn tan lɛk hinj na domɔt. As tɛm de go, dis hinj kin west, rɔst, ɛn stɔp fɔ wok fayn. Wi jɔyn dɛnsɛf tan lɛk dat. Ilɛksɛf na bikɔs ɔf tin dɛn lɛk at at sik ɔ siriɔs aksidɛnt, we di katilej na di jɔyn west ɛn di bon dɛn bigin fɔ rɔb pan dɛnsɛf, i kin mek pɔsin fil bad bad wan ɛn stif.
Dis na we dɔktɔ we de du ɔpreshɔn kin pul di pat dɛn we dɔn pwɛl ɛn we dɔn pwɛl na yu natura jɔyn ɛn put atifishal jɔyn (prostɛsis) we dɛn mek wit mɛtal ɛn plastic insay dɛn. Afta dis, yu go ebul fɔ bɛn ɛn es yu an izi wan we yu nɔ go fil pen.
Wetin na di men kayn ɔpreshɔn we dɛn kin du?
Bɔku men kayn ɔpreshɔn dɛn de fɔ chenj in ɛlb. Yu dɔktɔ go disayd us kayn we go fayn fɔ yu. Lɛ wi ɔndastand dɛn kayn ya klia wan.
| Di kayn ɔpreshɔn we dɛn kin du | Simpul diskripshɔn |
|---|---|
| Total Ɛlbɔ Riplesmɛnt | Dis na di kayn we we pipul dɛn kin gɛt mɔ. na ya, dεn kin pul di pat dεm we dεn pwεl pan di כp an bon (humerus) εn fכs an bon dεm (ulna εn radius) kכmplit wan εn dεn kin put wan atifishal jכint insay. |
| Patɛl Ɛlbɔ Riplesmɛnt | Dis na jɔs wetin di nem sho. Na di pat we dɔn pwɛl nɔmɔ na di jɔyn dɛn kin chenj. Dis nɔ kin rili kɔmɔn. Bɔku tɛm, dɛn kin du am we na wan pat nɔmɔ pan di jɔyn dɔn pwɛl, lɛk we pɔsin gɛt siriɔs aksidɛnt. |
| Di we dɛn fɔ put atifishal jɔyn dɛn | |
| Linked riplesmɛnt | Insay dis we, di atifishal jɔyn tan lɛk hinj we dɛn kɔnɛkt togɛda. di tu pat dεm we i gεt kin tay pan di כp an bon εn di fכs an bon wit mεtal stik dεm. Dis na di we we stebul ɛn we dɛn kin yuz mɔ . |
| Riplesmɛnt we nɔ gɛt link | na ya, di pat dεm na di atifishal jכint nכ kכnεkt to dεn wan dεm. bifo dat, dεn kכnekt to di ligament εn tisu dεm we de na di nכmal tin. Bɔt fɔ du dis, dɛn ligamɛnt ɛn tisu dɛn de nid fɔ rili strɔng. bay di tεm we wan jכint ol fכ nid fכ riples, di ligament dεm kin tu wik, so dεn nכ kin yuz dis mεtכd. |
Udat dɛn fɔ du dis ɔpreshɔn?
Dɔktɔ kin se dɛn fɔ du dis ɔpreshɔn fɔ pipul dɛn we gɛt siriɔs sik we nɔ bin dɔn du ɔda tritmɛnt dɛn (lɛk mɛrɛsin fɔ mɛn pen ɛn fɔ trit dɛn bɔdi). Di men sayn dɛm wae de sho se yu gɛt dis sik na:
- Pen we yu nɔ go ebul fɔ bia wit di jɔyn dɛn .
- Stiffness na di elbow.
- we yu nכ ebul fכ bεnd כ stret di εlbo fayn fayn wan (limited mobility).
- Di jɔyn dɛn we de swel .
Di men tin we kin mek pɔsin gɛt dɛn sik ya na at at sik.
- Osteo-arthritis: Na wan sik wae kin kam wae di joyn dεm kin west εn tεr we wi de ol.
- Rimatɔyd Atraytis: Na sik we di bɔdi in yon imyun sistɛm de atak di jɔyn dɛm.
- Post-traumatic arthritis: At at sik we kin apin sɔm ia afta we yu bin dɔn frakt ɔ we yu dɔn kɔmɔt na yu ɛlbo bifo tɛm.
Apat frɔm dat, dɛn kin nid fɔ du dis ɔpreshɔn bak pan sɔm bad bad ɛlbo dɛn we brok.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn go ɛksplen to yu wetin yu nid fɔ du bifo dɛn du yu ɔpreshɔn. Na dɛn tin ya yu go nid fɔ du:
- Fɔ chɛk yu bɔdi: Fɔ si if yu gɛt wɛlbɔdi fɔ mek dɛn du yu ɔpreshɔn.
- Blɔd tɛst dɛn.
- ECG test: Chɛk aw di at de wok.
- Di ɛgzamin we dɛn kin du fɔ mɛn dɛn tit:Dis kin tan lɛk se i sɔprayz smɔl, bɔt i rili impɔtant. Infεkshכn dεm na di tit kin travul tru di bכdi εn infεkt di nyu jכint we dεn put. Dɛn kin du dis fɔ ridyus da risk de.
- Imej tɛst: Dɛn go mɔs tek ɛkstrem rayt fɔ di ɛlbow. Dɛn kin aks yu bak fɔ du MRI ɔ CT skan.
Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɛn sɔpɔtmɛnt we yu de tek. Yu kin nid fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn bifo dɛn du yu ɔpreshɔn.
Impɔtant advays: Bikɔs yu nɔ go ebul fɔ yuz yu ɛlb fɔ sɔm wiks afta yu dɔn ɔpreshɔn, i fayn fɔ kip sɔm pan di tin dɛn we yu nid mɔ na os (e.g. kɔp, kɔm, buk) usay yu ɔda an izi fɔ rich.
Dɛn go advays yu bɔt di tɛm fɔ stɔp fɔ it ɛn drink di de bifo dɛn du di ɔpreshɔn. Bɔku tɛm, yu go nid fɔ stɔp fɔ it ɛn drink 12 awa bifo dɛn du di ɔpreshɔn.
Di ɔpreshɔn ɛn wetin kin apin afta dat
Di de we dɛn du di ɔpreshɔn, dɔktɔ we de mɛn yu an go mek yu an nɔ fil fayn so dat yu nɔ go fil ɛni pen. Apat frɔm dat, dɛn go gi yu jenɛral anestezi fɔ ɛp yu fɔ slip fayn we dɛn de du di ɔpreshɔn.
Na di dɔktɔ we de du di ɔpreshɔn:
1. Dɛn kin kɔt di bak pat pan di ɛlb.
2. Dɛn kin pul di katilej ɛn bon pat dɛn we dɔn pwɛl.
3. Dɛn kin ajɔst di ɛnd dɛn na di bon dɛn fɔ fit di atifishal jɔyn.
4. Dɛn kin put di prɔstɛsis insay pɔsin in bɔdi.
Bɔku tɛm, dis ɔpreshɔn kin tek lɛk tu awa so. Afta di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay di mɛdikal tim go wach yu kɔndishɔn. Bɔku tɛm yu go gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez.
Sɔm prɔblɛm dɛn we kin apin ɛn wetin fɔ tek tɛm mɔ bɔt
Jɔs lɛk ɛni ɔpreshɔn, smɔl risk de fɔ mek yu gɛt prɔblɛm dɛn.
- Fraktrɔs na di bon we de rawnd di graft.
- Infεkshכn na di say we dεn de du di כpכshכn כ insay di jכint.
- Damej pan di nerv ɔ blɔd vesel.
- Di atifishal jɔyn wear ɔ we de lus bifo tɛm.
- limited muvmεnt fכ di an bikoz fכ ska tisu fכmeshכn.
If yu gɛt ɔda sik dɛn lɛk dayabitis ɔ ɔstioporosis, mek shɔ se yu tɔk to yu dɔktɔ bɔt am.
Di tin we impɔtant pas ɔl: di tin dɛn we dɛn nɔ fɔ du fɔ es di wet!
Dis na di impɔtant tin fɔ no bɔt dis ɔpreshɔn.
difrεnt lεk כda jכint riplesmεnt dεm (kכn, hip), di prosthεtik pat dεm we dεn put na di εlbo jכint kin bi sכmtεm mכr dilik. dis na biכs di bon dεm na wi an dεm sכm εn tכn pas di bon dεm we de na ples dεm lεk di hip כ di kכn.
Bikɔs ɔf dis, bɔku pipul dɛn we dɛn kin du dis ɔpreshɔn nɔ kin ebul fɔ es di wet dɛn na di an we dɛn dɔn ɔpreshɔn dɛn fɔ dɛn layf.Bɔku tɛm, i nɔ kin fayn fɔ es pas 2.5 kilogram (5 pawn) wit da an de. I rili impɔtant fɔ fala dis limit ɛksaktɔli. If dɛn nɔ du dat, i kin mek di prɔstɛsis lɔs ɔ brok.
Di tɛm fɔ wɛl ɛn ustɛm fɔ kɔl di dɔktɔ
Bɔku tɛm, i kin tek lɛk wan ia so fɔ mek i wɛl. Yu kin nid fɔ wɛr splint ɔ bres fɔ mek yu an nɔ muv fɔ di fɔs wik dɛn. Afta lɛk 12 wiks, yu fɔ bigin fɔ du ɛksɛsayz ɔnda pɔsin we de kia fɔ yu. Dɛn ɛgzampul ya go ɛp fɔ mek di mɔsul dɛn na yu an strɔng ɛn mek yu muv bak.
I nɔmal fɔ gɛt sɔm pen insay di fɔs wik afta dɛn dɔn du di ɔpreshɔn. Yuz di pen kil we yu dɔktɔ gi yu di rayt we.
Go to dɔktɔ wantɛm wantɛm!
If yu gɛt ɛni wan pan dɛn sik ya, go to yu dɔktɔ ɔ di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm.
| Simptom dɛm fɔ wach fɔ |
|---|
| • SMƆL TƆK: Chɛst de pen |
| • SMƆL TƆK: I nɔ izi fɔ blo (dyspnea) . |
| • Fiva pas 101°F (39°C) . |
| • SMƆL TƆK: Blɔd we de kɔmɔt pasmak frɔm di wund we dɛn du di ɔpreshɔn |
| • Sayn dɛm fɔ se yu gɛt infekshɔn: wata we tan lɛk pus de kɔmɔt na di wund, i de swel pasmak, i de chenj in kɔlɔ, i de smɛl, ɔ i de fil wam rawnd di wund. |
| • SMƆL TƆK: Na bad bad pen we dɛn nɔ kin kɔntrol, ivin wit mɛrɛsin fɔ mek pɔsin fil pen. |
Pan ɔl we na big chenj fɔ nɔ ebul fɔ es wet wit wan an fɔ di res ɔf yu layf, dis ɔpreshɔn fayn fɔ pul di pen we yu de fil ɔltɛm ɛn fɔ mek yu layf bɛtɛ. So, tɔk to yu dɔktɔ bɔt dis fayn fayn wan ɛn mek di disizhɔn we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Dɛn kin du ɔpreshɔn fɔ riples di ɛlbo jɔyn as sɔlv fɔ siriɔs pen ɛn stif we ɔda tritmɛnt dɛn nɔ dɔn pul.
- I kin tek lɛk wan ia so fɔ mek i wɛl ɔl, ɛn i fɔ du ɛksɛsayz fɔ mɛn yu bɔdi.
- Di lɔ we impɔtant pas ɔl: Nɔ es ebi ebi tin (bɔku tɛm pas 2.5 kg) wit di an we dɛn dɔn ɔpreshɔn fɔ di res ɔf yu layf.
- Bifo yu du di ɔpreshɔn, tek tɛm tɔk to yu dɔktɔ bɔt di bɛnifit ɛn di prɔblɛm dɛn we i go gɛt.
- If yu notis sayn dɛm we de wɔn yu lɛk ay fiva, pen we yu nɔ go ebul fɔ bia, ɔ sayn dɛm fɔ wund infɛkshɔn, go to dɔktɔ wantɛm wantɛm.
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