Sɔntɛm yu na atlet. Yu dɔn ɛva gɛt siriɔs pen na yu ni wantɛm wantɛm we yu de rɔn ɔ jomp? Ɔ yu dɔn ɛva gɛt sawnd wantɛm wantɛm, we de mek yu fil pen, we de pop we yu de du sɔntin we nɔmal? Naw yu ni dɔn swel, yu nɔ ebul fɔ bɛn ɔ stret, ɛn yu fil lɛk se i dɔn stɔp insay? di men tin we kin mek dεn tin ya apin na we di kכtilaj we de insay yu ni we dεn kכl di mεniskכs de pwεl. So tide, lɛ wi tɔk bɔt dis ɛn di ɔpreshɔn we dɛn kin du fɔ am.
Fɔ tɔk am simpul wan, wetin na mɛniskɔs ɔpreshɔn?
Okay, fos mek wi luk wetin na meniscus. Tink bɔt wi ni jɔyn. bitwin di thigh bon (Femur) we de tap εn di shin bon (Tibia) we de dכn, tu pat dεm de fכ di kכtilaj we lεk kushכn, we di shep fכ di lεta 'C'. Na dat wi kin kɔl di meniscus. lεk ‘shכk abzכba’ na motoka, dis tin de abzכp di prεshכn we de kam na di jכint we wi de waka, rכn, εn jomp, we de mek di jכint stebul εn εp di tu bon dεm fכ muv fayn fayn wan we wi nכ de nak dεn wan.
So, we dis meniscus dכn tכn, bכku pen na di kכn, swεla, kכlכk, εn instability כ giv way kin apin. If di sik nɔr bɛtɛ wit mɛrɛsin, rɛst, ɛn fizik tritmɛnt, yu ɔtpidik dɔktɔ kin tɛl yu fɔ du dis ɔpreshɔn. Fɔ tɔk am simpul wan, dɛn kin yuz dis ɔpreshɔn fɔ mek di pat we dɔn rɔtin na di mɛniskɔs ɔ fɔ pul di pat we dɔn pwɛl.
Aw a fɔ rɛdi bifo dɛn du mi ɔpreshɔn?
Fɔ pripia smɔl bifo dɛn du di ɔpreshɔn. Yu dɔktɔ go ɛksplen dɛn tin ya to yu.
Test dɛn we dɛn kin nid fɔ du:
Dɛn kin aks yu fɔ du wan ɔ mɔ pan dɛn tɛst ya fɔ chɛk yu bɔdi in jenɛral wɛlbɔdi.
| Tɛst | Fɔ tɔk am simpul wan... |
|---|---|
| Fɔ ɛgzam fɔ yu bɔdi | Di dɔktɔ go chɛk yu ni ɛn ɔl yu wɛlbɔdi. |
| Blɔd tɛst dɛn | Fɛn tin dɛn lɛk aw blɔd de ɛn if ɛni infɛkshɔn de. |
| EKG (Ilektrokardiogram) . | Chek if di at de wok fayn fayn wan. |
| X-ray na di chɛst | Chek di kɔndishɔn fɔ di lɔng ɛn at. |
| Knee X-ray ɛn MRI tɛst dɛn | X-ray kin sho klia wan aw di bon dɛn de, ɛn MRI kin sho klia wan di kray wata we de na di meniscus. |
Sɔm ɔda impɔtant tin dɛn:
- Tɛl yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul sɔpɔtmɛnt dɛn we yu de tek. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn (espɛshali di wan dɛn we de mek yu blɔd tan) fɔ sɔm dez bifo dɛn du yu ɔpreshɔn.
- Fast: Yu dɔktɔ go tɛl yu aw lɔng yu fɔ stɔp fɔ it ɛn drink di de bifo dɛn du yu ɔpreshɔn. Bɔku tɛm, yu go nid fɔ fast fɔ lɛk 12 awa so.
- Transpɔt: Bikɔs yu nɔ go ebul fɔ drayv afta dɛn dɔn du yu ɔpreshɔn, i impɔtant fɔ arenj fɔ mek pɔsin drayv yu go na os.
Wetin kin apin we dɛn de du ɔpreshɔn?
Di de we dɛn go du yu ɔpreshɔn, dɔktɔ we de mɛn yu go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dɛn kin gi yu jenɛral anestesia, we kin mek yu slip kpatakpata. Ɔ dɛn kin gi yu rijinol anestesia, we kin mek yu nɔ gɛt natin fɔ du wit di say we de dɔŋ yu wes. Dɛn go gi yu wan mɛrɛsin we de mek yu fil fayn fɔ ɛp yu fɔ rilaks.
Bɔku tɛm dɛn kin du dis ɔpreshɔn bay we dɛn de yuz di ‘kihol’ we. dis min se dεn kin mek sכm sכm sכm sכm pat dεm na di skin we de rawnd di kכn, we dεn kin put sכmכl kεmεra (arthroscope) εn dilik instrכmεnt dεm tru. Wi kin kɔl dis knee arthroscopy ɔpreshɔn. Dis we ya nɔ de involv big big kɔt ɛn i de ridyus di tɛm fɔ wɛl.
Tri men kayn ɔpreshɔn de we dɛn kin du fɔ mɛn di mɛnisk.
| Di kayn ɔpreshɔn we dɛn kin du | Wetin yu de du? | Udat fit fɔ pas ɔlman? |
|---|---|---|
| Meniscus ripair | di meniskus we dכn tכn dεn de stich bak tכgeda yuz spεshal tכd dεm (sutures). As tɛm de go, dɛn trɛd ya kin sɔlv insay di bɔdi. | Dis we ya kin wok fayn if di kray wata de na say we gɛt gud blɔd ɛn di kray wata nɔ bad. |
| Fɔ pul wan pat we dɔn pwɛl (Partial meniscectomy) . | Dɛn kin kɔt di pat we dɔn pwɛl, we dɔn rɔtin, ɛn we dɔn sag ɛn pul am, ɛn di pat we lɛf we gɛt wɛlbɔdi kin smol smol. | Dɛn kin yuz dis we fɔ du tin we di klos dɔn rɔtin bad bad wan ɛn i dɔn pwɛl we dɛn nɔ go ebul fɔ mek am. |
| Meniskus we dɛn kin yuz fɔ chenj | Dis na tin we nɔ kin apin so ɔltɛm. i involv fכ pul di mεnisk we dεn dכn kכmplit wan εn riples am wit mεnisk frכm wan dכna we dεn day (allograft). | Dɛn kin tink bɔt dis fɔ pipul dɛm wae nɔr rich 50 ia, wae gɛt at at sik na dɛn ni, ɔr wae gɛt bɔrku damej na dɛn meniscus. |
Aw lɔng di ɔpreshɔn kin tek? Wetin kin apin afta dat?
Bɔku tɛm, di ɔpreshɔn we dɛn kin du na di mɛniskɔs kin tek lɛk wan awa so , bɔt di tɛm kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu dɔn du, aw di kray wata kin tranga, ɛn if yu gɛt ɔda injuri dɛn na yu ni (lɛk we yu gɛt ligament we yu dɔn kray).
Bɔku tɛm, dis na tin we dɛn kin du fɔ mɛn pipul dɛn we de na do. Afta di ɔpreshɔn, dɛn go kip yu na rum fɔ wɛl te yu dɔn wɛl frɔm di anestezi, ɛn dɛn go alaw yu fɔ go na os wans yu dɔn wɛl fɔ go bak to yu nɔmal layf.
Wetin na di bɛnifit dɛn we dis ɔpreshɔn de gi?
- Fɔ ebul fɔ go bak to yu spɔt ɔ ɔda tin dɛn we yu de du.
- Fɔ mek yu ebul fɔ muv fayn fayn wan.
- Di ni dɛn kin stebul mɔ.
- Di pen na yu ni ɛn ɔda sayn dɛm dɔn go dɔŋ ɔ dɔn dɔn kpatakpata.
Ɛni risk ɛn prɔblɛm dɛn de we kin apin we dɛn du di ɔpreshɔn?
Pan ɔl we dis na tin we rili sef ɛn we kin wok fayn, lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.
- Blɔd we de klɔt
- Blɔd we de kɔmɔt insay yu ni
- Infεkshכn dεm
- Nεv dεm we dεn dכn pwεl כ nyuropathy
- Stif na di knee joint ivin afta yu dɔn wɛl
εspεshali afta dεn kכl pat pan di mεnisεktכm, i kin bכku sכmtεm fכ gεt kכn at at na da kכn de fכs, as di prεshכn pan di jכint de go כp biכs pat pan di mεniskכs nכ de.
Bɔt fɔ bɔku pipul dɛn, di bɛnifit dɛn we dɛn kin gɛt we dɛn du ɔpreshɔn pas di pen we dɛn kin fil we dɛn de liv wit di mɛnisk we dɔn rɔtin. Tɔk bɔt dɛn prɔblɛm ya wit yu dɔktɔ. I go ɛksplen di bɛst we fɔ du tin fɔ yu sityueshɔn.
Aw di tɛm we pɔsin kin wɛl kin bi?
Dis na di big prɔblɛm fɔ bɔku pipul dɛn. Di tɛm we i kin tek fɔ mek yu wɛl ful wan kin difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu bin gɛt.
- If dɛn pul wan pat we dɔn pwɛl (Meniscectomy): Dis kin gɛt shɔt tɛm fɔ wɛl. Bɔrku tɛm, yu kin wɛl ɔlsay insay lɛk 6 wiks .
- If dɛn bin stich di meniscus (Meniscus repair): Dis kin tek smɔl tɛm. Bikɔs apat frɔm di ɔspitul wund dɛn we de wɛl, di mɛniskus we dɛn bin stich frɔm insay nid fɔ wɛl bak. Dis kin tek lɛk 3 mɔnt so .
- If yu dɔn gɛt mɛnisk transplant (Mɛnisk riplesmɛnt): Dis na di lɔng tɛm we yu go wɛl. I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Yu kin gɛt fɔ wet fɔ lɛk wan ia so bifo yu bigin fɔ du bɔku bɔku tin dɛn bak (lɛk spɔt).
Afta dɛn dɔn du di ɔpreshɔn, yu go nid dɛn tin ya:
- Krɔch: Ridyus di wet na di ni dɛn.
- Knee brace: Kip di jɔyn stebul.
- Di mɛrɛsin dɛn we yu kin yuz fɔ mek yu fil pen: Kɔntrol di pen.
- Fɔ fala di we aw RAYS de du: Rɛst, Ays, Kɔmpreshɔn, ɛn Ɛlevɛshɔn.
- Fizik Tɛrapi (PT): .Dis rili impɔtant. Yu fizik thɛrapist go tich yu ɛksesaiz fɔ ɛp yu fɔ muv bak, fɔ muv difrɛn say dɛn, ɛn fɔ gɛt trɛnk na yu ni.
Ustɛm a go ebul fɔ waka bak? Aw di pen de?
If dɛn dɔn pul yu meniscus (meniscectomy), yu go ebul fɔ waka wit sɔm wet na yu ni wantɛm wantɛm. Yu go ebul fɔ go bak to di nɔmal tin dɛn we yu bin de du insay lɛk wan mɔnt so.
If dɛn dɔn sutura ɔ graft di meniscus, yu go nid fɔ yuz kruk fɔ sɔm wiks. Na da tɛm de nɔmɔ yu go bigin fɔ waka smɔl smɔl wit wet.
I nɔmal fɔ fil sɔm pen fɔ sɔm dez afta dɛn dɔn du di ɔpreshɔn. Nɔ wɔri. Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen. Dɛn kin gi yu mɛrɛsin bak lɛk NSAID. I impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu.
Yu tink se mi ni go bi di sem afta dɛn dɔn ɔpreshɔn mi?
Bɔrku pipul kin kam bak to dɛn nɔrmal tin dɛm (inklud spɔt) afta dɛn dɔn wɛl. Bɔt nɔ bigin fɔ ɛksesaiz tranga wan te yu dɔktɔ gi yu di okay.
Sɔntɛnde, pan ɔl we yu bɔdi de wɛl, yu kin stil fred smɔl. "Sɔmtin go apin to yu ni bak?" Ɛspɛshali if na spɔt aksidɛnt, da fred de kin mɔna am. Dis na tin we rili nɔmal. Tɔk to yu dɔktɔ ɔr pɔsin we de mɛn yu bɔdi bɔt wetin de na yu maynd. Dɛn kin ɛp yu fɔ gɛt da kɔnfidɛns de bak.
Ustɛm yu fɔ tɔk to di dɔktɔ?
If yu gɛt ɛni prɔblɛm we yu de wɛl, yu fɔ go to dɔktɔ wantɛm wantɛm. Yu fɔ no mɔ bɔt dɛn sayn dɛn ya.
| Sayn we de wɔn pɔsin | Tɔk bɔt |
|---|---|
| Fiva | If di bɔdi in tɛmpracha pas 101 Fɛnayt (38 Sɛlshiɔs). |
| Blɔd we de kɔmɔt na di wund | If di say we dɛn kɔt de blɔd pasmak, ɔ if wata we de kɔmɔt na di bɔdi we de smɛl fayn lɛk pus. |
| Pen ɔ swɛlin we nɔ de go | If di pen ɔ swɛlin nɔ stɔp pan ɔl we yu de rɛst ɛn ɛlevɛt di leg. |
| I nɔ kin izi fɔ yu fɔ blo | If yu gɛt ɛni prɔblɛm fɔ blo, go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu. |
Meniscus ɔpreshɔn kin bi sɔntin we de mek pɔsin fred. Bɔt na sef, fayn we fɔ mek yu ni we dɔn pwɛl, mek yu tinap bak, ɛn du yu nɔmal tin dɛn bak. Sɔntɛm yu go nid fɔ de fa frɔm spɔt ɛn ɛksesaiz fɔ sɔm tɛm. Bɔt if yu wɛl fayn, yu go ebul fɔ du dɛn tin dɛn de bak wit trɛnk.
Mɛsej we dɛn kin kɛr go na os
- Meniscus ɔpreshɔn na tritmɛnt we rili fayn fɔ di pen, di ni stiffness, ɛn instability we kin kam bikɔs di meniscus dɔn rɔtin.
- Di tɛm fɔ wɛl go difrɛn difrɛn wan bay di kayn ɔpreshɔn we yu dɔn du (ripa ɔ pul pat pan am).
- Fizik tritmɛnt impɔtant fɔ mek di ni wɛl ɔl ɛn mek i strɔng bak.
- Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan afta yu dɔn du di ɔpreshɔn. If yu gɛt ɛni denja sayn lɛk fiva, pen pasmak, ɔ swel, tɛl yu dɔktɔ wantɛm wantɛm.
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