Yu kin fil pen bak we yu nɔ go ebul fɔ bia we yu es yu sholda ɔ yuz yu an? Sɔntɛm we yu chenj klos, tek sɔntin na shelf, ɔ jɔs we yu es yu an, yu kin fil lɛk se dɛn de chuk yu frɔm insay yu sholda? Ivin afta dɛn dɔn tek mɛrɛsin ɛn du fizik tritmɛnt, dis pen nɔ dɔn stɔp? Dɔn sɔntɛm yu dɔktɔ dɔn tɛl yu bɔt ‘Shoulder Arthroscopy’. Bɔku pipul dɛn kin kɔl dis bak ‘key-hole surgery’. So lɛ wi tɔk bɔt dis simpul wan, di we we yu go ɔndastand.
Wetin na Sɔlda Atroskɔpi?
Fɔ tɔk am simpul wan, Shoulder Arthroscopy na ɔpreshɔn we dɛn kin du fɔ no ɛn trit prɔblɛm dɛn we de na di sholda. Insted fכ mek big insishכn lεk we dεn kin du tipik opin כpεrayshכn, na fכ sכm sכm sכm kihol insishכn dεm nכmכ dεn kin mek.
Imajin se yu dɔktɔ want fɔ si wetin de apin insay yu sholda jɔyn. I kin put wan tin we tan lɛk pensil we dɛn kɔl atrɔskɔp insay dis smɔl say we dɛn kɔt am. I gɛt wan smɔl kamɛra ɛn layt na di ɛnd. Dɛn kin mek di pikchɔ dɛn we de na dis kamɛra big pan wan vidio skrin we de na do. I tan lɛk se yu de wach TV.
Afta dɛn dɔn luk insay di jɔyn ɛn fɛn ɔl wetin na di prɔblɛm, dɛn kin put ɔspitul inschrumɛnt dɛn we rili dilik tru wan ɔda smɔl say we dɛn kɔt ɛn du di ripɛnt insay di jɔyn. Dis go mek yu shɔlda nɔ gɛt pen ɛn i go mek yu muv fayn fayn wan.
Wetin mek dɛn kin du dis ɔpreshɔn ɛn fɔ us kɔndishɔn dɛn?
Tipikli, wi kin tray fɔs tritmɛnt dɛn we nɔto ɔpreshɔn fɔ sholda pen. Dat min se:
- Fizik tɛrapi
- Di tin dɛn we dɛn kin yuz fɔ mɛn pen (Mɛdikeshɔn) .
- Injɛkshɔn dɛn we dɛn kin put insay di jɔyn
- Rɛst
Bɔt if ɛni wan pan dɛn tin ya nɔ ɛp fɔ mek di pen, yu dɔktɔ kin tɛl yu fɔ du sɔldɔm atrɔskɔpi as di nɛks tin we yu fɔ du. Dis ɔpreshɔn kin pul di tisu we dɔn swel na yu sholda ɛn adrɛs bɔku ɔda tin dɛn.
| Kɔndishɔn we dɛn de trit | Wan simpul ɛksplen |
|---|---|
| Rotator Cuff Tiars we de mek pɔsin kray | di mכsul tisu we de rawnd di sכlda we de εp fכ rεs di an. |
| Sɔlda Impingement Sindrom we dɛn kin gɛt | Pen we kin kam we di tisu dɛn kin pinch bitwin wan bon ɛn wan mɔsul na di sholda we yu de es di an ɔp. |
| Frɔzɛn Sɔlda | Di sɔldɔm jɔyn kin stɔp ɛn fil so pen ɛn stif dat i nɔ pɔsibul fɔ muv am. |
| Labrum Kray we de mek pɔsin kray | di kכtilaj ring (labrum) we de rawnd di sכlda jכint de te. |
| Sholda Instability | di sכlda jכint we de lכs כ we i de sכmtεm sכmtεm sכmtεm. |
| Bone Spurs we de na di bɔdi | di εkstra bon fragmεnt dεm we nכ nid fכ gro na di bon dεm na di jכint. |
| Ɔstiɔ-arayt sik | Di wear ɛn tear we di katilej na di jɔyn bikɔs ɔf di ej ɔ aksidɛnt. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
We yu dɔktɔ dɔn disayd fɔ du di ɔpreshɔn, i go aks yu bɔt yu mɛdikal istri. Yu go nid fɔ gi wan kɔmplit list fɔ ɔl di mɛrɛsin dɛn we yu de tek (ivin vaytamɛn dɛn). Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin dɛn lɛk tin dɛn we de mek yu blɔd tan , sɔm dez bifo dɛn du di ɔpreshɔn.
Di ɔspitul go gi yu patikyula tin dɛn lɛk ɔmɔs awa bifo dɛn du di ɔpreshɔn yu fɔ stɔp fɔ it ɛn drink. Apat frɔm dat, dɛn kin du bɔku tɛst dɛn bak fɔ chɛk yu wɛlbɔdi, lɛk:
- Blɔd tɛst dɛn
- X-ray na di chɛst
- ECG tɛst (Ilektrokardiogram) .
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bɔku tɛm di ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt atrɔskɔpi na di sɔl nɔ kin tek lɛk wan awa . Insay dis tɛm, dɛn tin ya kin apin:
1. Dɛn kin du di ɔpreshɔn wit yu we yu de ledɔm na say we yu de sɛmi-rɛklin (lɛk bich chia pozishɔn) ɔ tɔn yu na sayd.
2. Di ɔspitul tim go klin yu sholda eria fayn fayn wan wit wan antiseptik sɔlvushɔn.
3. Dɔn di dɔktɔ go injɛkt wan wata na yu sholda jɔyn. Dis wata go mek di jɔyn big smɔl ɛn mek ples, we go mek i izi fɔ si insay wit di kamɛra.
4. Naw, dɛn kin kɔt smɔl say we tan lɛk bɔtin ɛn dɛn kin put di kamɛra (arthroscope) tru am.
5. We di dɔktɔ luk di vidio skrin, i kin kɔnfirm usay di prɔblɛm na di sɔl.
6. Dɔn, dɛn kin kɔt wan ɔ tu ɔda smɔl smɔl say dɛn, ɛn dɛn kin put fayn fayn tin dɛn fɔ mek di say dɛn we dɛn nid fɔ mek di say dɛn we dɔn pwɛl.
7. Afta dɛn dɔn du di wok, dɛn kin lɔk di smɔl smɔl say dɛn we dɛn kɔt wit stich ɔ smɔl bandej, ɛn put big bandej pan am.
Wetin kin apin afta di ɔpreshɔn ɛn aw di pen kin bi?
Dis na ɔutpatient prosidur . Dis min se yu kin go na os di sem ivintɛm. Yu go nid fɔ de na ɔspitul fɔ lɛk wan ɔ tu awa so afta di ɔpreshɔn. Insay dis tɛm, di wan dɛn we de anestez go gi yu mɛrɛsin fɔ mek yu nɔ fil pen fɔ kɔntrol yu pen. Afta dat, yu kin go na os, bɔt yu nɔ go ebul fɔ drayv. I bɛtɛ fɔ mek yu fambul ɔ padi kam wit yu. I fayn bak fɔ mek pɔsin de wit yu da nɛt de if i pɔsibul.
Na nɔmal tin fɔ fil sɔm pen we yu de du ɛni ɔpreshɔn, bɔt nɔ wɔri. Di tim we de gi yu anestesia go mek shɔ se yu fil fayn as yu ebul.
Bɔku tɛm, we dɛn de du dis ɔpreshɔn, dɛn go gi yu wan nerve block injection na yu nɛk ɔ sholda. Dis kin mek yu wan ol an ɛn yu sholda nɔ gɛt natin fɔ sɔm awa. Dis min se yu nɔ go fil ɛni pen afta di ɔpreshɔn. Sɔntɛnde, dɛn kin gi yu jenɛral anestesia, we kin mek yu slip kpatakpata.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
We yu kɔmpia am to ɔpreshɔn we dɛn kin du opin, Sɔlda Atroskɔpi gɛt bɔku bɛnifit dɛn:
- Di pen nɔ bɔku.
- Di joyn stiffness de ridyus.
- Di risk fɔ gɛt di sik rili smɔl.
- Di tɛm fɔ wɛl na shɔt tɛm.
- Ska dɛn rili smɔl.
Pan ɔl we dis ɔpreshɔn nɔ kin rili sef, sɔm prɔblɛm dɛn de we kin apin we nɔ kin apin so ɔltɛm.
- Blɔd we de klɔt
- Damej pan di nerv ɔ blɔd vesel
- Blɔd we de kɔmɔt pasmak ɔ we de swel
- Sik we de prɛd
Aw lɔng i kin tek fɔ wɛl ɛn ustɛm a fɔ go to dɔktɔ?
I kin tek sɔm wik to sɔm mɔnt fɔ mek yu sɔldɔm jɔyn fayn fayn wan.I kin tek wan wik fɔ mek i wɛl. Dis kin dipen pan aw yu sholda prɔblɛm tranga ɛn aw di ɔpreshɔn kɔmpleks. Na nɔmal tin fɔ gɛt sɔm pen ɛn swel fɔ di fɔs wik.
Tek di pen mɛrɛsin wae yu dɔktɔ gi yu. Ays pak kin ɛp fɔ ridyus di swɛlin. Fɔ di fɔs dez, if yu slip na say we yu de sidɔm ɔ yu gɛt bɔku pilo, dat kin ɛp fɔ mek yu nɔ fil pen. Bɔku tɛm yu dɔktɔ go tɛl yu fɔ yuz sling fɔ sɔpɔt yu an.
Di tin we impɔtant pas ɔl na di rihabiliteshɔn plan. Fɔ du di ɛgzampul dɛn we yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi kin gi yu ɛksaktɔli, we yu nɔ go bost, impɔtant fɔ mek yu wɛl kwik kwik wan.
If yu gɛt ɛni wan pan dɛn tin ya afta dɛn dɔn du yu ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- Fiva .
- Bɔrku pen wae nɔr kin stɔp ivin afta yu dɔn tek mɛrɛsin wae de mek yu fil pen.
- If wata de we de smɛl fayn ɛn we nɔ gɛt kɔlɔ we de kɔmɔt rawnd di wund.
- Di an ɔ di finga dɛn kin swɛla ɔ nɔ kin fil fayn.
- If di swɛlin de go ɔp de go bifo.
Mɛsej we dɛn kin kɛr go na os
- Sɔlda atrɔskɔpi na ‘kihol’ ɔpreshɔn we de trit difrɛn prɔblɛm dɛn na di shɔlda we nɔ gɛt big say we dɛn kɔt am.
- Dis kin sef pas fɔ ɔpreshɔn we dɛn opin, i nɔ kin mek pɔsin fil pen, ɛn i kin wɛl kwik kwik wan.
- Fɔ mek di ɔpreshɔn go bifo, i rili impɔtant fɔ fala di instrɔkshɔn dɛn we di dɔktɔ ɛn di pɔsin we de mɛn yu bɔdi dɔn gi yu afta dat, mɔ di ɛksesaiz dɛn.
- If yu notis ɛnitin we nɔ kɔmɔn lɛk fiva, pen we yu nɔ go ebul fɔ bia, ɔ we wata de kɔmɔt na di wund, nɔ de te ɛn tɛl yu dɔktɔ wantɛm wantɛm.
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