Yu kin gɛt pen na yu ni bak? Yu taya wit di pen we kin kam we yu tinap, waka, ɔ klaym stej? Yu dɔktɔ go dɔn tɔk bɔt ɔpreshɔn fɔ riples yu ni ɔl. Bɔt yu dɔn yɛri bɔt ɔpreshɔn we dɛn kin yuz fɔ mek di ni we dɔn pwɛl nɔmɔ, dat na lɛk af pan di ni? Tide wi go tɔk rili simpul ɛn fayn bɔt dis ‘Partial Knee Replacement’ ɔpreshɔn we bɔku pipul dɛn nɔ no bɔt.
Wetin dis min se dɛn kin chenj af pan di ni?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn we dɛn kin pul di pat nɔmɔ we dɔn pwɛl ɛn we dɔn pwɛl na di ni jɔyn ɛn put atifishal jɔyn insay in ples. Insay mɛrɛsin, wi kin kɔl dis ``Arthroplasty`` ɔ jɔyn riplesmɛnt. Bɔku tɛm, dɛn kin mek dis atifishal jɔyn wit mɛtal ɛn wan spɛshal kayn plastic.
Tink bɔt wi ni lɛk os we gɛt tri rum dɛn. I gɛt tri men pat dɛn:
- Midial Kכmpartmεnt: Dis na di insay say na di kכn.
- Lateral Compartment: Dis na di ɔda say na di ni.
- Patellofemoral Compartment: Dis de ɔnda yu ni.
We dɛn de riples pat pan di ni, di dɔktɔ dɛn we de du ɔpreshɔn kin chenj di insay ɔ ɔda pat nɔmɔ we dɔn pwɛl pan dɛn tri pat ya. Di ɔda pat dɛn we gɛt wɛlbɔdi stil de di sem.
Udat nid fɔ du dis ɔpreshɔn?
Bɔku tɛm dɛn kin nid fɔ du dis ɔpreshɔn bikɔs ɔf di pen we de na di jɔyn dɛn, ɔ ``Atraytis.'' Dɛn kin advays dis ɔpreshɔn fɔ pipul dɛn we gɛt di sik we dɛn kin gɛt mɔ, ``Osteoarthritis,'' we kin kam bikɔs di jɔyn dɛn kin west ɛn te as tɛm de go.
If yu gɛt siriɔs sik dɛn we de dɔŋ ya, ɛn dɛn nɔr de bɛtɛ wit tritmɛnt dɛm wae nɔr de du ɔpreshɔn lɛk mɛrɛsin ɛn ɛksesaiz, yu dɔktɔ kin tɔk to yu bɔt dis ɔpreshɔn.
- Pen we yu nɔ go ebul fɔ bia wit di jɔyn dɛn.
- Joint stiffness na mɔnin.
- Nɔ ebul fɔ bɛn ɔ stret di ni fayn fayn wan (Limited Mobility).
- Di ni we de swel.
Di tin we impɔtant pas ɔl na dat dis ɔpreshɔn go fayn fɔ di wan dɛn we na wan pat nɔmɔ na dɛn ni dɔn pwɛl, ɛn ɔl di tri pat dɛn nɔ pwɛl.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ ɛn dɔktɔ we de du di ɔpreshɔn go ɛksplen ɔl wetin yu nid fɔ du bifo dɛn du di ɔpreshɔn. Bɔku tɛm, yu go gɛt fɔ du dɛn tin ya.
| Wetin fɔ du | Wetin mek na so i bi? |
|---|---|
| Wan kɔmplit ɛgzam fɔ di bɔdi | Mek shɔ se yu gɛt wɛlbɔdi fɔ bia di ɔpreshɔn. |
| Blɔd tɛst dɛn | Mek shɔ se tin dɛn lɛk blɔd prɛshɔn ɛn di kidni wok nɔmal. |
| ECG tɛst we dɛn kin du | No yu at wɛlbɔdi. |
| Wan tit klin ɛn chɛk-ap | Pan ɔl we dis kin tan lɛk se i sɔprayz smɔl, i rili impɔtant fɔ mek di jem dɛn we de na di mɔt nɔ go insay di blɔd ɛn mek pɔsin gɛt infɛkshɔn afta dɛn dɔn du di ɔpreshɔn. |
| X-ray, MRI ɔ CT skan | Luk gud wan pan di pat dɛn we dɔn pwɛl na di ni. Bɔku tɛm, i kin du fɔ mek dɛn tek ɛkstrem rayt, bɔt sɔntɛnde, dɛn kin nid fɔ du MRI ɔ CT skan. |
Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ ɛbul mɛrɛsin 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 kin nid bak fɔ lɛf fɔ it ɔ drink fɔ lɛk 12 awa so bifo dɛn du di ɔpreshɔn.
Wetin kin apin we dɛn de du ɔpreshɔn?
Wan dɔktɔ we de mɛn yu bɔdi go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dɛn kin du dis tu we dɛn. Either yu go slip komplit (General Anesthesia), ɔ na di eria nɔmɔ we de dɔŋ di wes go numb (Regional Anesthesia). Di mɛdikal tim go disayd us we fɔ du am bɛtɛ fɔ yu.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn:
1. Dɛn kin tek tɛm pul di katilej ɛn bon pat dɛn we dɔn pwɛl na di ni.
2. Bifo dat, dɛn kin put atifishal mɛtal pat dɛn we dɛn dɔn mɛzhɔ bifo tɛm ɛn we dɛn mek.
3. dεn de put wan spεshal plastic pat (spεshal) we de wok lεk wi hεlty katilej bitwin di tu mεtal pat dεm.
Bɔku tɛm, dis wan ol ɔpreshɔn kin tek lɛk wan awa so.
Wetin kin apin afta di ɔpreshɔn ɛn aw na di tɛm fɔ wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. Di mɛdikal tim go tek kia ɔf yu gud gud wan te yu wek frɔm di anestezi. Bɔku tɛm, yu kin go na os di sem ivintɛm we dɛn du di ɔpreshɔn. Dat na big bɛnifit fɔ dis ɔpreshɔn. Bɔt sɔntɛnde, yu kin gɛt fɔ de na ɔspitul fɔ wan de.
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Bɔt yu fɔ ebul fɔ bigin bɔku pan yu nɔmal tin dɛn bak afta lɛk siks wiks so . Aw yu kin wɛl kwik kwik wan kin dipen pan tin dɛn lɛk yu ej ɛn di wɛlbɔdi na yu bɔdi bifo dɛn du yu ɔpreshɔn.
Tin dɛn fɔ du na os fɔ mek yu wɛl kwik kwik wan
Di tin we impɔtant pas ɔl na fɔ fala wetin yu dɔktɔ tɛl yu fɔ du. Bɔku tɛm, dɛn go tɛl yu fɔ du dɛn tin ya:
- Ays yu ni: If yu put ays pan yu ni fɔ lɛk 20 minit bɔku tɛm insay di de, dat kin mek yu nɔ fil pen ɛn swel bad bad wan.
- Ɛlevɛt yu ni: Kip yu ni ɛlevɛt pas di lɛvɛl na yu at ɛnitɛm we i pɔsibul. Ɛlevɛt yu leg wit sɔm pilo dɛn we yu de na bed, ɔ chia we yu de na chia.
- Kip di wund klin: Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan bɔt aw fɔ chenj di bandej ɛn ustɛm yu kin shaw.
- Ɛksesaiz dɛn na os: Yu dɔktɔ go tich yu sɔm simpul ɛgzampul dɛn fɔ mek di mɔsul dɛn we de rawnd yu ni strɔng ɛn fɔ mek yu ni nɔ stif. Du dɛn ɛksaktɔli.
- Fizik Tɛrapi: Yu go nid fɔ wok wit pɔsin we de mɛn yu bɔdi fɔ sɔm wiks afta dɛn dɔn du yu ɔpreshɔn. Dis go ɛp yu fɔ bɛn yu ni fayn fayn wan, bigin fɔ waka wit wet, ɛn bigin fɔ waka bak.
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 mɛn yu pen, lɛk nonsteroidal anti-inflammatory drugs (NSAID), ɛn paracetamol, fɔ ɛp fɔ kɔntrol di pen. Nɔ ɛva tek pas wetin di dɔktɔ tɛl yu fɔ tek. If yu nɔ ebul fɔ bia wit di pen ɔ yu gɛt ɛni kwɛstyɔn bɔt di mɛrɛsin, tɔk to yu dɔktɔ wantɛm wantɛm.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn smɔl smɔl prɔblɛm dɛn.
| Bɛnifit dɛn | Di Kɔmplikɛshɔn dɛn we kin apin |
|---|---|
| Fɔ wɛl kwik kwik wan pas fɔ riples yu ni kɔmplit wan. | Blɔd we de klɔt. |
| Di ɔspitul we yu de de kin shɔt (bɔku tɛm yu kin go na os di sem de). | Infεkshכn insay di wund כ di ni. |
| Di ni kin fil mɔ natura afta dɛn dɔn ɔpreshɔn am. | Damej pan di nerv ɔ blɔd vesel. |
| Dɛn kin pul di pen ɛn stiffnɛs we kin de fɔ lɔng tɛm ɛn di kwaliti fɔ layf kin bɛtɛ. | Di atifishal jɔyn kin lɔs ɔ i kin west kwik kwik wan. |
| di atifishal joyn kin las fayn fכ 10 ia כ mכr . | Skar tisu fכmeshכn insay di kכn. |
Sɔm pipul dɛn kin nid fɔ gɛt wan tɔtal knee riplesmɛnt if di ɔda pat dɛn na di ni dɔn west sɔm ia afta dis ɔpreshɔn. Dɔn bak, if yu gɛt ɔda mɛrɛsin, lɛk `(Dayabetes)`, `(Hemophilia)` ɔ `(Lupus),` tɔk to yu dɔktɔ bɔt dat bak, bikɔs i kin afɛkt yu wɛl bɔdi.
We yu nid fɔ tɔk to di dɔktɔ!
If yu si ɛni wan pan di sayn dɛn we de dɔŋ ya afta yu dɔn du di ɔpreshɔn, go to yu ɔpreshɔn ɔ di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt pen na yu chɛst .
- If yu fil se i nɔ izi fɔ yu fɔ blo .
- If di fiva go ɔp pas 101 digri F (39 C).
- If di wund de blɔd bɔku bɔku wan.
- If di wund dɔn swel, rɛd, i fil wam, ɔ i gɛt bad bad smel (dɛn tin ya na sayn fɔ se yu gɛt di sik).
- If yu gɛt nyu pen na yu hip, anklɛ, ɔ fut (dis kin bi sayn fɔ se blɔd dɔn klot).
- If yu gɛt siriɔs pen we nɔ de go ivin afta yu dɔn tek mɛrɛsin.
Haf ɔ ful knee riplesmɛnt - uswan bɛtɛ?
Dis na prɔblɛm we bɔku pipul dɛn gɛt. Imajin se na wan pan di 4 taya dɛn we de na yu motoka nɔmɔ dɔn pwɛl. Wi kin chenj ɔl di 4 taya dɛn wit di ɔda tri gud taya dɛn, ɔ wi kin chenj jɔs di taya we dɔn pwɛl? Na so i bi wit dis wan.
If ɔl di tri pat dɛn na di ni dɔn pwɛl, dat min se fɔ chenj di ni ɔltogɛda na di we fɔ go. Bɔt if na wan pat nɔmɔ dɔn pwɛl, yu go bɛnifit bɔku if yu chenj di pat nɔmɔ we dɔn pwɛl, ɛn lɛf di pat dɛn we gɛt wɛlbɔdi.
So, i nɔ pɔsibul fɔ se wan we fɔ du tin "bɛtɛ" pas ɔda wan. Wetin bɛtɛ fɔ yu dipen pan aw yu ni de. Yu dɔktɔ na di bɛst pɔsin fɔ disayd fɔ du dat.
Fɔ liv wit pen na yu ni kin rili mek yu at pwɛl. I kin ivin ambɔg di tin dɛn we yu de du ɛvride. If yu de sɔfa wit dis prɔblɛm, tɔk to yu dɔktɔ bɔt Patɛl Knee Replacement ɔpreshɔn. I kin mek yu layf rili fil fayn.
Mɛsej we dɛn kin kɛr go na os
- Patɛl Knee Replacement na ɔpreshɔn we dɛn kin pul di pat nɔmɔ we dɔn pwɛl na di ni ɛn put atifishal pat pan am.
- Dis kin bɛtɛ fɔ di wan dɛn we jɔs dɔn west wan pat na dɛn ni, we nɔ go pwɛl ɔl di tri pat dɛn.
- I nɔ kin tek bɔku tɛm fɔ wɛl, i nɔ kin de na ɔspitul, ɛn di ni kin fil lɛk se i nɔmal pas fɔ riples di ni ɔltogɛda.
- I impɔtant fɔ fala di ɛksesaiz ɛn instrɔkshɔn dɛn we di dɔktɔ gi yu di rayt we fɔ mek yu wɛl kwik kwik wan afta dɛn dɔn du yu ɔpreshɔn.
- If yu gɛt sayn dɛn we de wɔn yu lɛk we yu de fil pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu gɛt ay fiva, go to dɔktɔ wantɛm wantɛm.
- Yu dɔktɔ go bi di bɛst pɔsin fɔ disayd if fɔ tek pat pan yu ni ɔ fɔ tek ɔl yu ni fayn fɔ yu, so nɔ fred fɔ aks am.
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