Yu de sɔfa wit pen we yu nɔ de mɛn na yu ni? Yu de yɛri sawnd we de klik we yu de waka ɔ bɛn yu ni, ɔ yu ni de fil lɛk se i dɔn stɔp? I kin bi se na spɔt injuri. Sɔmtɛm lɛk dis, yu dɔktɔ kin tɛl yu bɔt ‘keyhole surgery’, we na fɔ put kamɛra insay yu ni. Bɔku pipul dɛn dɔn yɛri bɔt dis, bɔt dɛn nɔ no di rayt we aw dɛn kin du am ɔ wetin mek dɛn kin du am. Nɔ wɔri, tide wi de tɔk bɔt knee arthroscopy.
Wetin na Kni Arthroscopy?
Fɔ tɔk am simpul wan, dis na spɛshal ɔpreshɔn we dɛn kin yuz fɔ luk insay di ni jɔyn ɛn trit prɔblɛm dɛn we de de. Di big bɛnifit fɔ dis na dat i nɔ nid fɔ kɔt big big ni na di ni lɛk tradishɔnal opin ɔpreshɔn.
Imajin, dɛn kin du dis wan ol ɔpreshɔn tru tu ɔ tri smɔl smɔl say dɛn we dɛn kin kɔt, lɛk kihol.
- Tru wan smɔl say we dɛn kɔt, dɛn kin put wan tin (arthroscope) we di sayz lɛk pensil ɛn we gɛt smɔl kamɛra insay di ni jɔyn.
- Dis kamɛra de mek ɔltin we de insay di ni, lɛk di katilej, di ligamɛnt, ɛn di mɛniskɔs, big, ɛn i de sho am klia wan na TV monita we de na di ɔpreshɔn rum.
- Di dɔktɔ kin luk am ɛn no klia wan wetin na di prɔblɛm, ɛn if nid de fɔ trit am, i kin put dilik ɔspitul inschrumɛnt dɛn tru ɔda smɔl smɔl say dɛn we dɛn kɔt ɛn mek di say we dɔn pwɛl rayt de.
Dɛn kɔl dis wan minimally invasive procedure , we min se na smɔl damej ɛn skata de na di bɔdi.
Udat nid fɔ du dis ɔpreshɔn?
Bɔku tɛm, di fɔs tin we wi kin du fɔ mek wi gɛt pen na wi ni na fɔ rɛst, ays, tek mɛrɛsin fɔ mɛn pen (NSAID), ɛn du fizik tɛrapi (PT). Bɔt if dɛn tin ya nɔr de ridyus di pen ɛn di knee nɔr de wok fayn, di dɔktɔ kin tink bɔt dis Knee Arthroscopy ɔpreshɔn.
Dɛn kin yuz am bɔku fɔ spɔt injuri, mɔ pan yɔŋ pikin dɛn. Dɛn injuri ya kin apin we pɔsin de jomp spɔt lɛk volibol ɛn kɔntakt spɔt lɛk futbɔl.
Bɔt wan tin we wi fɔ mɛmba na dat, nɔto ɔltɛm dis ɔpreshɔn kin fayn fɔ sɔlv ɔstiɔ-arayt, we na wan sik we kin apin na di ni dɛn we wi de ol. Yu fɔ tɔk bɔt dis wit yu dɔktɔ bifo yu disayd fɔ du sɔntin.
Us kayn tin dɛn de yuz dis we fɔ du tin?
Dɔktɔ dɛn kin yuz dis ɔpreshɔn fɔ tri men tin dɛn. Mek wi ɔndastand am na tebul lɛk dis.
| Di men tin we dɛn want fɔ du | Wetin de apin? |
|---|---|
| Diagnosis we dɛn kin gɛt | Yu fɔ si di rayt tin we mek di pen ɛn swel insay di ni. di kamera kin si klia wan di damej pan di tisu dεm lεk katilej εn ligament dεm. |
| Ripa di tisu we dɔn pwɛl | di ligament dεm, di tεndon dεm, כ di mεniskכs kכtilaj dεm we dεn tכn kin sutura bak tכgeda bay we dεn yuz sכm sכm instrכmεnt dεm. fכ egzampl, dεn kin yus am fכ trit kכndyushכn dεm lεk di anterior cruciate ligament (ACL) tears εn meniscus tears . |
| Fɔ pul di pat dɛn we dɔn pwɛl ɔ we nɔ nid | Sɔntɛnde, if di katilej fragmɛnt dɛn we dɔn pwɛl, bon fragmɛnt dɛn, ɔ inflamed synovium de mek prɔblɛm na di ni, dɛn kin skrap dɛn wit dɛn inschrumɛnt ya. |
Wetin kin apin bifo dɛn du di ɔpreshɔn ɛn we dɛn de du di ɔpreshɔn?
Bifo dɛn du di ɔpreshɔn
Afta yu dɔn arenj fɔ mek dɛn du yu ɔpreshɔn, yu dɔktɔ go aks yu bɔt ɛni mɛrɛsin we yu de tek. Dɛn kin aks yu fɔ stɔp fɔ tek mɛrɛsin we de mek yu blɔd tan sɔm dez bifo dɛn du yu ɔpreshɔn. Yu dɔktɔ go advays yu bak bɔt ustɛm fɔ stɔp fɔ it ɛn drink di nɛt bifo dɛn du yu ɔpreshɔn.
Bifo di ɔpreshɔn bigin, dɛn go gi yu anestezi. So yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn. Di dɔktɔ go pik wan pan dɛn we ya dipen pan yu kɔndishɔn:
- Lokal anestetik: Na di ni nɔmɔ de mek i nɔ gɛt bɛtɛ trɛnk.
- Rijinal anestetik: Na tin we de mek pɔsin nɔ fil fayn frɔm di wes dɔŋ (na drɔg we dɛn kin injɛkt insay di spayna).
- Jɛnɛral anestetik: Anestezi we de mek yu slip ɔl te di ɔpreshɔn dɔn.
We dɛn de du di ɔpreshɔn
1. Fɔs, dɛn go klin yu leg fayn fayn wan ɛn dɛn go mek yu ni nɔ muv wit spɛshal tin fɔ mek i nɔ muf we dɛn de du di ɔpreshɔn.
2. Dɔn di dɔktɔ mek smɔl say na di ni ɛn put di tin we gɛt kamɛra (arthroscope) we a bin dɔn tɔk bɔt.
3. Naw di dɔktɔ kin si wetin de insay di ni na di TV skrin. I kin si di rayt say usay di prɔblɛm de ɛn if nid de, i kin trit am bay we i kin kɔt wan ɔ tu ɔda smɔl smɔl tin dɛn ɛn put dilik inschrumɛnt dɛn tru dɛn.
4. Dɛn kin yuz dɛn inschrumɛnt ya fɔ stich di tisu we dɔn rɔtin, skrap di katilej we dɔn pwɛl, ɔ pul di tisu we dɔn swel.
5. Fɔ dɔn, dɛn kin lɔk dɛn smɔl smɔl say dɛn de wit stich ɔ spɛshal plasta (ɔspitul strip dɛn), ɛn dɛn kin put big bandej na di ni.
Aw a fɔ de na os afta dɛn dɔn du mi ɔpreshɔn?
Bɔku tɛm, dis na tin we dɛn kin du fɔ mɛn pipul dɛn we de na do. Bɔku tɛm, di ɔpreshɔn kin tek lɛk wan awa so. Bɔt sɔntɛnde, yu kin gɛt fɔ de na ɔspitul fɔ wan de. Yu nɔ go ebul fɔ drayv go na os, so yu go nid pɔsin fɔ drayv yu go na os.
Yu nid fɔ rili tek tɛm wit dɛn tin ya insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn:
- Nɔ put wet pan di leg: Nɔ put wet pan di leg we dɛn dɔn ɔpreshɔn te yu dɔktɔ tɛl yu fɔ du dat. Yu go nid fɔ yuz stik fɔ waka.
- Kip yu leg ɔp: Fɔ mek yu nɔ swel ɛn kɔntrol di pen, tray fɔ mek yu leg ɔp pas di lɛvɛl na yu at ɛnitɛm we i pɔsibul, lɛk na pilo.
- Tek pen kil kɔrɛkt wan: Tek pen kil ɛn ɔda mɛrɛsin (e.g., blɔd thinner) we yu dɔktɔ gi yu jɔs lɛk aw dɛn tɛl am ɛn di rayt tɛm.
- Kip di wund klin: Nɔ pul di bandej. Kip am klin ɛn dray. Aks yu dɔktɔ ɔ nɔs ustɛm fɔ chenj di bandej ɛn ustɛm yu kin shaw.
Afta yu dɔn wɛl smɔl, yu dɔktɔ go sɛn yu to fizik tritmɛnt . Dat na sɔntin we yu fɔ du. Na de, dɛn go tich yu ɛksesaiz fɔ mek di mɔsul dɛn we de rawnd yu ni strɔng ɛn fɔ ɛp yu fɔ bɛn ɛn stret yu ni fayn fayn wan. Dat rili impɔtant fɔ mek yu wɛl kwik ɛn kɔmplit wan.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm afta dɛn dɔn du di ɔpreshɔn
If yu gɛt ɛni wan pan dɛn sik ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- If di wund dɛn kɔntinyu fɔ blɔd.
- If yu si sayn dɛm fɔ infekshɔn, lɛk fiva, swɛlin pasmak, rɛd, ɛn pus rawnd di wund.
- If yu gɛt siriɔs pen we yu nɔ go ebul fɔ kɔntrol ivin wit pen kil.
- If yu notis sɔntin lɛk we yu leg de swɛt ɔ yu fut de chenj in kɔlɔ.
Dis ɔpreshɔn na tritmɛnt we rili sef ɛn we go wok fayn. If yu fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn du di tritmɛnt dɛn we yu de gi yu di fizik tritmɛnt kɔrɛkt wan, yu go ebul fɔ go bak to yu nɔmal layf kwik kwik wan.
Mɛsej we dɛn kin kɛr go na os
- Knee Arthroscopy na "keyhole surgery" we dɛn kin put kamɛra tru smɔl smɔl say dɛn we dɛn kɔt, we dɛn nɔ mek big say we dɛn kɔt na di ni.
- dis de alaw fכ כl tu di diagnosis εn tritmεnt fכ di injuri dεm na di kכn (e.g. ACL, di mεniskכs tכch).
- Di tɛm we pɔsin kin gɛt fɔ wɛl, di pen, ɛn di risk fɔ gɛt di sik nɔ kin pas we dɛn du ɔpreshɔn we dɛn opin.
- I impɔtant fɔ fala di dɔktɔ in instrɔkshɔn ɛn du fizik tɛrapi fɔ mek shɔ se i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn.
- If yu gɛt sɔm sayn dɛn lɛk fiva, pen bad bad wan, ɔ pus we de kɔmɔt na di wund afta dɛn dɔn du di ɔpreshɔn, go to yu dɔktɔ wantɛm wantɛm.
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