Yu gɛt pen na yu sholda we yu nɔ go ebul fɔ bia? Sɔntɛm yu de tray tranga wan fɔ du simpul wok dɛn lɛk fɔ es yu an, fɔ kɔm yu ia, ɔ fɔ pik sɔntin ɔp di os. If di pen nɔ stɔp wit standad tritmɛnt, yu dɔktɔ go dɔn tɛl yu fɔ du ɔpreshɔn fɔ chenj yu sholda. Tide, wi de tɔk bɔt wan ɔpreshɔn we fiba dis, bɔt we difrɛn smɔl. Dɛn kɔl am ‘Rivas Sɔlda Riplesmɛnt’.
Wetin na dis ‘Rivas’ Sholda Riplesmɛnt?
Fɔ tɔk am simpul wan, dis na ɔpreshɔn bak fɔ chenj di jɔyn dɛn. Sɔntɛnde dɔktɔ dɛn kin kɔl am ``Reverse Total Shoulder Arthroplasty.`` Insay dis ɔpreshɔn, di ɔspitul kin pul yu natura, damej sɔldɔm jɔyn ɛn riples am wit atifishal jɔyn ``prosthesis`` we dɛn mek wit mɛtal ɛn plastic.
Naw lɛ wi si wetin mek dɛn kɔl dis ‘Rivas’.
Tink bɔt wi sholda jɔyn lɛk kɔp we gɛt bɔl insay. di sכlda jכint kin fכm bay di pat we lεk kכp pan yu sכlda bon (scapula) (di glenoid) εn di pat we lεk bכl pan yu כp an bon (humerus) (di ed).
Insay ‘rivas’ ɔpreshɔn, di ɔpɔsitet kin bi. Di dɔktɔ we de du di ɔpreshɔn kin chenj di say dɛn we di bɔl ɛn di kɔp de. afta di כpεrayshכn, dεn kin mek di bכl kכmכt na di sכlda bon (scapula) εn mek di kכp fit insay di כp an bon (humerus). In ɔda wɔd, di nɔmal kɔnfigyushɔn kin rivɛns ɔltogɛda.
Wetin mek dɛn kin du ‘rivas’ ɔpreshɔn dis we? Udat i fayn fɔ?
Dis ‘Rivas’ ɔpreshɔn na fɔ pipul dɛn we gɛt spɛshal wɛlbɔdi prɔblɛm we nɔ kin ebul fɔ du ɔpreshɔn fɔ riples dɛn sholda ɔltɛm. If yu gɛt bad bad pen na yu sholda ɔ yu nɔ kin ebul fɔ muv yu an, yu dɔktɔ go tray fɔ du tin dɛn lɛk mɛrɛsin ɛn fyzikal tritmɛnt fɔs. Na if dɛn tin ya nɔ wok nɔmɔ dɛn go tink bɔt ɔpreshɔn.
Na mɔtalman, if yu gɛt at at na di sɔldɔm jɔyn wit wan ɔ mɔ pan dɛn tin ya, yu dɔktɔ kin tɛl yu fɔ du dis ‘rivays’ ɔpreshɔn.
| Di wɛlbɔdi stetmɛnt | Simpul ɛksplen |
|---|---|
| Tisu we dɔn rɔtin bad bad wan | Big damej pan di mכsul dεm εn tisu dεm we de rawnd di sכlda we de εp fכ es di an. Dis damej de mek i nɔ pɔsibul fɔ mek yu kɔntinyu fɔ tinap tranga wan if dɛn chenj wan nɔmal jɔyn. |
| Fɔ Fraktrɔs na di Sɔlda | Wan bad bad fraktrɔs na di shɔlda jɔyn. |
| Dislokeshɔn we De Kronik | If di sɔl jɔyn kin kɔmɔt bɔku tɛm, di tisu dɛn we de rawnd kin wik ɛn di nɔmal ɔpreshɔn nɔ go wok. |
| Bɔn dɛn we kin pwɛl bad bad wan | If di bon dɛm na di jɔyn dɔn pwɛl ɛn dɛn dɔn pwɛl bad bad wan bikɔs ɔf at at sik ɔ ɔda sik. |
| Kansa ɔ ɔda tɔŋ dɛn we de na di jɔyn | If di bon dεm dεn dכn pwεl bikoz fכ di tכmכro dεm we de rawnd di sכlda jכint. |
insay kes dεm lεk dis, di mכsul dεm εn tisu dεm we de rawnd di sכlda wik, so tradishכnal sכlda riplesmεnt nכ kin gi di stebiliti we nid. כltu, bay we dεn swap di bכl εn sכkεt insay di ‘Rεvεs’ mεtכd, dεn kin yuz difrεn mכsul grup (fכ egzampl, di dεltoid mכsul) fכ es di an. dis de mek di joyn stebul bεtεh εn i de ridyus di risk fכ komplikεshכn dεm.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ we de du di ɔpreshɔn go rɛdi yu fayn fayn wan bifo dɛn du di ɔpreshɔn. Dis kin inklud:
- Wan dɛnt chɛk-ap: Dis impɔtant fɔ ridyus di risk fɔ gɛt di sik afta dɛn dɔn du di ɔpreshɔn.
- Wan kɔmplit ɛgzamin fɔ yu bɔdi: Si if yu gɛt wɛlbɔdi fɔ mek dɛn du ɔpreshɔn pan yu.
- ECG test: Chɛk di wɛlbɔdi na yu at.
- Blɔd tɛst: No aw yu blɔd ɛn ɔda tin dɛn de.
- Imej tɛst: If yu tek ɛkstrem rayt na yu sholda, MRI, ɔ CT skan, dat kin ɛp fɔ no aw di jɔyn de fayn fayn wan.
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (ɔl tu di mɛrɛsin dɛn we dɛn kin gi yu ɛn di wan dɛn we yu kin bay we yu nɔ de it ɛn di vaytamɛn dɛn). Sɔm mɛrɛsin dɛn kin nid fɔ stɔp sɔm dez bifo dɛn du di ɔpreshɔn.
Yu dɔktɔ go advays yu 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 8 awa bifo dɛn du di ɔpreshɔn.
Wetin kin apin we dɛn de 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 mɛn yu go gi yu mɛrɛsin fɔ mek yu slip ɔl (jɛnɔral anestezi) ɔ fɔ mek di say we de rawnd yu sholda nɔmɔ nɔ gɛt bɛtɛ trɛnk (rijinol anestezi).
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin fala dɛn tin ya:
1. Dɛn go mek smɔl say na di skin nia yu sholda.
2. Dɛn kin pul di katilej ɛn bon pat dɛn we dɔn pwɛl na di jɔyn.
3. Dɛn kin put di prɔstɛsis insay.
4. dεn de skru di mεtal bכl insay di sכlda bon (scapula). di sכkεt de insay di כp an bon (humerus).
5. Dɛn dɔn pripia di nyu jɔyn fayn fayn wan, ɛn dɛn kin lɔk di say we dɛn kɔt wit stich.
Dis ɔpreshɔn kin tek lɛk wan ɔ tu awa so, bɔt dis tɛm kin difrɛn difrɛn wan bay aw yu jɔyn dɔn pwɛl.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Di big bɛnifit we dis ɔpreshɔn de gi na dat di bad bad pen ɛn di stif we di sholda kin gɛt kin ridyus bad bad wan. Yu kin yuz ɛn es yu an bɛtɛ pas bifo di ɔpreshɔn. Dɔn bak, dis na fayn sɔlv fɔ di wan dɛn we nɔ kin ebul fɔ du ɔpreshɔn pan dɛn sholda ɔltɛm.
Lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de we kin apin, bɔt dɛn tin ya nɔ kin apin so ɔltɛm.
- Blɔd we de klɔt
- Di blɔd vesel dɛn we dɔn pwɛl
- Bɔn frakt arawnd di implant
- Infεkshכn na di say we dεn de du di כpכshכn כ insay di jכint
- Nɛv dɛn we dɔn pwɛl
- di atifishal jכint we dεn implant de lus כ wear bifo tεm
Wetin kin apin afta di ɔpreshɔn? Aw lɔng i kin tek fɔ mek i wɛl?
Afta dɛn dɔn du di ɔpreshɔn, dɛn go kɛr yu go na wan rum usay dɛn kin wɛl, usay di wan dɛn we de wok na di dɔktɔ go kia fɔ yu fayn fayn wan te di tin dɛn we di anestezi dɔn du dɔn. Sɔntɛm yu go ebul fɔ go na os di sem de. Ɔ yu go nid fɔ de na ɔspitul fɔ wan ɔ tu dez.
I kin tek lɛk 6 mɔnt fɔ mek i wɛl ful wan.
- Di fɔs wik dɛn: Yu go nid fɔ wɛr sling.
- Aw fɔ mɛn yu pen: Yu fɔ yuz pen kil ɛn ɔda mɛrɛsin (NSAID) lɛk aw yu dɔktɔ tɛl yu fɔ du, if nid de.
- Fizik Tɛrapi: Afta sɔm wiks, yu go go to pɔsin we de mɛn yu bɔdi. I go tich yu ɛksesaiz fɔ mek yu sholda mɔsul dɛn strɔng ɛn fɔ mek yu ebul fɔ muv mɔ. Fɔ du dɛn ɛgzampul ya kɔrɛkt wan impɔtant fɔ mek yu wɛl kwik kwik wan.
- Di tin dɛn we dɛn nɔ fɔ du:Yu go nid fɔ avɔyd fɔ es wet ɛn ple spɔt fɔ sɔm mɔnt. Afta yu dɔktɔ gi yu permishɔn, yu kin bigin fɔ du yu nɔmal tin dɛn bak smɔl smɔl.
Aw lɔng dis ɔpreshɔn kin las?
Dɛn atifishal jɔyn dɛn ya kin las fɔ lɔng tɛm, bɔku tɛm fɔ 15 ia ɔ pas dat ɛn dɛn nɔ kin gɛt ɛni prɔblɛm. Bɔku pipul dɛn kin yuz dis jɔyn we dɛn put insay di bɔdi fɔ di res ɔf dɛn layf.
Ustɛm fɔ go to dɔktɔ afta dɛn dɔn du di ɔpreshɔn
If yu si ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm. If yu gɛt siriɔs pen na yu chɛst ɔ yu nɔ izi fɔ blo, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Sayn dɛn we de wɔn pipul dɛn we yu fɔ luk fɔ | |
|---|---|
| • SMƆL TƆK: Blɔd we de kɔmɔt frɔm di say we dɛn kɔt | • SMƆL TƆK: Chɛst de pen |
| • SMƆL TƆK: Fiva we pas 101 Fɛnayt (39 Sɛlshiɔs) . | • SMƆL TƆK: I nɔ izi fɔ blo (dyspnea) . |
| • SMƆL TƆK: Na siriɔs pen we nɔ de stɔp pan ɔl we yu de tek mɛrɛsin fɔ mek yu fil pen | • SMƆL TƆK: Nyu ɔ we de go ɔp pen na di an ɔ di an |
| • SMƆL TƆK: Sayn dɛm fɔ se yu gɛt infekshɔn: wata we tan lɛk pus de kɔmɔt na di say we dɛn kɔt am, i de swel, i de chenj in kɔlɔ, i de smɛl, ɔ i de fil wam we nɔ kɔmɔn. | |
Mɛsej we dɛn kin kɛr go na os
- ‘Rivas Sɔlda Riplesmɛnt’ na spɛshal ɔpreshɔn we dɛn kin du pan pipul dɛn we nɔ kin ebul fɔ du ɔpreshɔn pan dɛn sholda ɔltɛm bikɔs ɔf siriɔs rotator kɔf damej ɔ ɔda spɛshal rizin.
- Insay dis ɔpreshɔn, dɛn kin put di bɔl ɛn sɔkɛt na di sɔljɔ jɔyn bak, we kin mek di an ebul fɔ muv bay we dɛn de yuz difrɛn mɔsul dɛn.
- Dis go mek yu nɔr de fil pen ɛn ɛp yu fɔ du yu woke ɛvride ɛn nɔr de fil pen.
- I kin tek sɔm mɔnt fɔ mek yu wɛl ɔl, ɛn i rili impɔtant fɔ fala di tritmɛnt we yu de gi yu bɔdi ɛn di advays we yu de gi yu.
- If yu gɛt ɛni ɔda sayn we nɔ kɔmɔn (especially sayn dɛm fɔ infekshɔn, siriɔs pen) afta yu dɔn ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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