Knee pen na tin we kin rili anɔynt, nɔto so? Di pen ɛn stif we yu kin fil we yu de waka, bɛn, ɔ klaym stej kin mek i nɔ izi fɔ du di tin dɛn we yu de du ɛvride. Sɔntɛm yusɛf de sɔfa wit dis prɔblɛm. If di pen nɔ dɔn stɔp pan ɔl we yu de tek mɛrɛsin ɛn du difrɛn tritmɛnt dɛn, yu dɔktɔ go dɔn tɛl yu bɔt ɔpreshɔn fɔ chenj wan pat pan yu ni. Tide, wi go tɔk bɔt dis ɔpreshɔn, dat na, ‘Partial Knee Replacement’, insay wan simpul we we ɔlman go ɔndastand.
Wetin na ‘Patial Knee Replacement’?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn we dɛn kin tek di pat nɔmɔ we dɔn pwɛl na yu ni jɔyn, nɔto di wan ol jɔyn. Dɛn kɔl dis jɔyn riplesmɛnt (Arthroplasty) insay mɛrɛsin.
Insay dis ɔpreshɔn, di dɔktɔ kin pul di bon ɛn katilej we dɔn pwɛl ɛn we dɔn pwɛl na yu ni ɛn put wan atifishal jɔyn (prostɛsis) we dɛn mek wit mɛtal ɛn plastic.
Tink bɔt wi ni jɔyn as os we gɛt tri rum dɛn. I gɛt tri men pat dɛn:
- di mεdial kכmpartimεnt: Na di insay say na di kכn.
- Lateral compartment: Di bak pat na di ni.
- Patellofemoral compartment: Di eria we de ɔnda yu ni.
Dɛn kin du ɔpreshɔn fɔ Riples pat pan di ni we di insay ɔ ɔda pat pan di ni dɔn pwɛl. If di ni nɔ west ɔl, dis ɔpreshɔn kin min fɔ chenj di pat nɔmɔ we dɔn pwɛl, ɛn lɛf di pat dɛn we gɛt wɛlbɔdi.
Us kayn tin dɛn kin du dis ɔpreshɔn fɔ?
Bɔku tɛm, di men rizin fɔ dis ɔpreshɔn na at at. Bɔt dɛn kin advays fɔ du dis ɔpreshɔn mɔ fɔ pipul dɛn we gɛt ɔstiɔ-arayt.
If yu gɛt siriɔs sik ɛn yu nɔr dɔn gɛt bɛtɛ blɔd wit tritmɛnt dɛm wae nɔr de du ɔpreshɔn lɛk mɛrɛsin ɛn ɛksesaiz, yu dɔktɔ kin tink bɔt dis ɔpreshɔn.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen na di jɔyn dɛn | Pen we kin de fɔ lɔng tɛm we yu de waka, tinap, ɔ ivin we yu de rɛst. |
| Di stiffness we pɔsin kin gɛt | Fɔ fil se yu ni stif we de mek i nɔ de bɛn ɔ go ɛkstɛnd we yu wek na mɔnin ɔ afta yu sidɔm fɔ sɔm tɛm. |
| I nɔ izi fɔ muv | Nɔ ebul fɔ bɛn ɔ stret di ni ful wan, i nɔ kin izi fɔ waka, i nɔ kin izi fɔ klaym stej. |
| De swɛl | Kɔnstant swelling arawnd di ni. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ ɛn dɔktɔ we de du di ɔpreshɔn go ɛksplen to yu klia wan wetin yu nid fɔ du bifo dɛn du di ɔpreshɔn. Bɔku tɛm, yu go nid fɔ du dɛn tin ya:
- Wan kɔmplit ɛgzamin fɔ yu bɔdi: Si if yu gɛt wɛlbɔdi fɔ mek dɛn du ɔpreshɔn pan yu.
- Blɔd tɛst: Chɛk di blɔd lɛvɛl ɛn ɔda prɔblɛm dɛn.
- ECG test: Fɔ mek shɔ se di at de wok fayn fayn wan.
- Wan dɛnt chɛk-ap: Dis rili impɔtant. If yu gɛt infekshɔn na yu tit ɔ yu gam, dɛn jem dɛn de kin travul tru yu blɔd afta dɛn dɔn ɔpreshɔn yu ɛn mek infekshɔn na yu ni. So i impɔtant fɔ mek dɛn klin yu tit ɛn fɔ fix ɛni prɔblɛm bifo yu du di ɔpreshɔn.
- Imej tɛst: Dɛn kin du ɛkstrem rayt fɔ di ni. Sɔntɛnde, na smɔl tɛm nɔmɔ, dɛn kin du MRI ɔ CT skan bak.
Di tin we impɔtant pas ɔl: Mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn (inklud di wan dɛn we de fɔ ɔda sik dɛn), vaytamɛn dɛn, ɛbul sɔpɔtmɛnt dɛn, ɔ ɛni mɛrɛsin we yu de tek we yu nɔ de bay na kɔt (OTC). Dɛn kin advays yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn sɔm dez bifo dɛn du yu ɔpreshɔn.
Dɛn go gi yu instrɔkshɔn bak bɔt ustɛm 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.
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
Di de we dɛn go du di ɔpreshɔn, dɛn go gi yu anestezi so dat yu nɔ go fil ɛni pen. Di dɔktɔ we de anestez kin gi yu jenɛral anestezi, we kin mek yu slip ɔl, ɔ rijinal anestezi, we kin mek yu nɔ gɛt bɛtɛ trɛnk na di say we de dɔŋ yu wɛst nɔmɔ.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul di katilej ɛn bon we dɔn pwɛl ɛn put atifishal jɔyn insay. Dɛn kin put plastic spɛshal say bak fɔ du di wok we di katilej bin de du. Bɔku tɛm di ɔpreshɔn kin tek lɛk wan awa so .
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay di mɛdikal tim go wach yu impɔtant sayn dɛn ɛn di pen we yu de fil. Bɔku pipul dɛn kin go na os di sem de we dɛn du di ɔpreshɔn. Bɔt yu go nid fɔ de na ɔspitul fɔ wan nɛt if nid de.
Di bɛnifit ɛn di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn
Di men bɛnifit fɔ dis ɔpreshɔn na dat di pen ɛn stif we yu kin gɛt fɔ lɔng tɛm nɔ de igen, ɛn yu kin ebul fɔ waka ɛn wok fayn fayn wan. I de mek yu layf bɛtɛ bak.
Di tin we impɔtant pas ɔl na dat di tɛm we pɔsin kin wɛl afta dis ɔpreshɔn kin fast pas afta dɛn dɔn riples di ni ɔl.
Dis atifishal jɔyn kin las fɔ 10 ia ɔ mɔ , bɔt sɔm pipul dɛn kin nid fɔ gɛt wan tɔtal knee riplesmɛnt if dɛn gɛt at at na ɔda pat dɛn na dɛn ni tumara bambay.
Kɔmplikɛshɔn nɔ kin bɔku, bɔt i impɔtant fɔ no bɔt dɛn.
- Blɔd we de klɔt
- Infεkshכn na di wund כ insay di kכn
- Damej pan di nerv ɔ blɔd vesel
- Prosthetic joint wear ɔ we de lus
- di abiliti fכ bεnd/εkstεnd di kכn dכn dכn
If yu gɛt ɔda sik dɛn lɛk ɛmofilia, dayabitis, ɔ lupus, tɛl yu dɔktɔ bɔt dɛn bak.
Di tɛm fɔ wɛl ɛn tin dɛn fɔ du
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Bɔt yu fɔ ebul fɔ bigin bak bɔku pan di nɔmal tin dɛn afta lɛk 6 wiks . Yu go wɛl go dipen pan yu ej, yu wɛlbɔdi bifo dɛn du yu ɔpreshɔn, ɛn ɔda sik dɛn we yu gɛt.
Yu kin du dɛn tin ya fɔ mek yu wɛl kwik kwik wan:
| Wetin fɔ du | Wetin mek dat impɔtant? |
|---|---|
| Fɔ put ays-lay | Put ays na yu ni fɔ lɛk 20 minit bɔku tɛm insay di de. Dis go mek di pen ɛn swel nɔ bɔku. |
| Fɔ kip di ni ɔp | Kip yu ni dɛn ɔp di lɛvɛl na yu at ɛnitɛm we i pɔsibul. Ledɔm wit pilo dɛn pan am. |
| Fɔ kip di wund klin | Du wetin di dɔktɔ tɛl yu fɔ du. Aks di rayt we aw fɔ chenj di bandej we de na di wund ɛn ustɛm yu kin shaw. |
| Ɛksesaiz fɔ du na os | Du di ɛgzampul dɛn jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du. Dɛn tin ya go ɛp fɔ mek di mɔsul dɛn we de rawnd yu ni strɔng ɛn mek di jɔyn nɔ stif. |
| Fizik Tɛrapi | Yu go nid fɔ wok wit pɔsin we de mɛn yu bɔdi fɔ sɔm wiks. Dɛn go tich yu aw fɔ bɛn yu ni sef wan ɛn aw fɔ put wet pan am. |
Simptom dɛm wae nid fɔ go to dɔktɔ kwik kwik wan
We yu de wɛl afta dɛn dɔn du yu ɔpreshɔn, if yu si ɛni wan pan dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
- Chɛst de pen
- I nɔ izi fɔ blo (dyspnea) .
- Fiva we pas 101 Farenheit (39 Sɛlshiɔs) .
- Blɔd we de kɔmɔt pasmak frɔm di wund
- Sayn dεm fכ wund infεkshכn (pus dischaj, swεla pasmak, fכl smel, rεd, wam we yu tכch)
- Nyu ɔr pen we de wɔs na yu shɔl, anklɛ, ɔ fut
- Bɔrku pen wae nɔr de stɔp pan ɔl wae yu de tek mɛrɛsin wae de mek yu fil pen
Ultimately, yu nɔr nid fɔ sɔfa wit knee pen ɛn stiffness igen. If ɔda tritmɛnt dɛn nɔ wok, ɔpreshɔn kin bi fayn tin fɔ mek yu liv fayn layf. Tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Patɛl Knee Replacement na ɔpreshɔn we dɛn kin riples di pat pan di ni nɔmɔ we dɔn pwɛl bikɔs ɔf at at sik.
- Di tɛm we pɔsin kin wɛl kin fast pas di ɔpreshɔn we dɛn kin du fɔ riples di ni ɔl.
- Fɔ mek yu wɛl kwik ɛn fayn, i impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi dɔn tɛl yu.
- Yu fɔ no bɔt ɛni wɔnin simptom we kin apin afta dɛn du di ɔpreshɔn (e.g. chɛst pen, ay fiva, wund infɛkshɔn), ɛn go to dɔktɔ wantɛm wantɛm if ɛni wan pan dɛn tin ya apin.
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