Sɔntɛm yusɛf nɔ bin ebul fɔ slip na nɛt bikɔs yu sholda bin de fil bad bad wan. Yu kin fil pen we yu nɔ go ebul fɔ bia ivin we yu es yu an, chenj yu klos, ɔ ivin es yu an fɔ gɛt smɔl tin na di kichin shelf. Insay dis kayn tin, if ɔda tritmɛnt nɔ ɛp, yu dɔktɔ go dɔn tɔk to yu bɔt ‘Shɔlda Riplesmɛnt’ ɔpreshɔn. We yu yɛri dis nem, dat kin mek yu fred. Bɔt lɛ wi tɔk bɔt ɔltin simpul ɛn klia wan.
Wetin na ɔpreshɔn fɔ chenj di sholda?
Fɔ tɔk am simpul wan, dis min se yu fɔ pul yu sɔl jɔyn we dɔn pwɛl we yu nɔ gɛt natin fɔ du wit am ɛn put atifishal jɔyn (prostɛsis) insay. dכkta dεn kin kכl dis bak ``tכtal sכlda arthroplasty.'' dεn kin mek dεn atifishal joyn dεm ya bay we dεn de yuz mεtal εn wan spεshal kayn plastic.
yu sכlda jכint na ``bכl εn sכkεt jכint.'' di pat we lεk bכl pan yu כp an bon (humerus) fit insay wan pat we lεk kכp (glenoid) na yu sכlda bon (scapula). Insay dis ɔpreshɔn, dɛn kin chenj dɛn pat dɛn ya we dɔn pwɛl wit nyu wan dɛn.
Kɔmplit ɛn pat pan ɔpreshɔn
Bɔku pipul dɛn gɛt fɔ gɛt wan tɔtal sholda riplesmɛnt , we min se dɛn kin chenj di bɔl ɛn di sɔkɛt ɔl tu.
Bɔt sɔntɛnde, if na wan pat nɔmɔ pan di jɔyn pwɛl, di dɔktɔ kin du sɔm pat pan di sɔl (ɔ hemiarthroplasty). Fɔ ɛgzampul, if na di bɔl nɔmɔ dɔn pwɛl ɛn di sɔkɛt nɔ pwɛl, na di bɔl nɔmɔ dɛn kin chenj. Bɔt dis nɔ kin apin so ɔltɛm. We di jɔyn dɔn pwɛl bikɔs ɔf wan sik lɛk at at, bɔku tɛm di tu pat dɛn kin pwɛl.
Us kes dɛn dɛn kin se dɛn fɔ du dis ɔpreshɔn?
If yu sholda simptom nɔ de bɛtɛ pan ɔl we yu de du ɔda tritmɛnt, lɛk mɛrɛsin ɛn fisiotɛrapi, yu dɔktɔ kin tink bɔt fɔ du ɔpreshɔn:
- Pen na yu sholda we yu nɔ go ebul fɔ bia , mɔ na nɛt.
- Di nɔ ebul fɔ es ɔ rɔta di an fayn fayn wan min se di muvmɛnt fɔ di jɔyn nɔ de muv .
- Joint stiffness ɛn stiffness .
- Di jɔyn dɛn we de swel .
Di men tin we kin mek pɔsin gɛt dis sik na we di sɔldɔm jɔyn kin wam, we dɛn kɔl at at. Di kayn we dɛn we dɛn kin gɛt mɔ na ɔstiɔ-arayt (we kin kam bikɔs di bon dɛn west ɛn rɔtin) ɔ rεumatoid at (we kin kam bikɔs ɔf prɔblɛm wit di imyun sistɛm). pan tap dat, dεn kin rεkomεnd bak fכ du dis כpεrayshכn if di mכsul dεm εn di tεndon dεm na di sכlda dεm we dεn kכl rotator cuff כ avascular necrosis (bכlכd nכ de na di bon dεm).
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Nɔr frayd dis, yu dɔktɔ ɛn in tim go pripia yu ɛksaktɔli fɔ dis. Yu go gɛt fɔ du bɔku tɛst dɛn bifo dɛn du di ɔpreshɔn.
- Fɔ go to dɛntist: Dɛn go chɛk yu tit ɛn klin fɔ mek yu nɔ gɛt di sik afta dɛn dɔn du yu ɔpreshɔn.
- Fɔ chɛk yu bɔdi: Fɛn ɔltin bɔt yu wɛlbɔdi.
- X-ray, CT ɔ MRI tɛst: Si ɛksaktɔli aw di damej pan di sɔldɔm jɔyn tan lɛk.
- ECG test (`Electrocardiogram`): Chεk di wok we di at de du.
- Bɔku blɔd tɛst dɛn.
Yu fɔ rili tɛl yu dɔktɔ bɔt ɛni mɛrɛsin (inklud di wan dɛn fɔ ɔda kɔndishɔn) ɛn vaytamɛn dɛn we yu de tek naw. Sɔm mɛrɛsin dɛn kin mek yu stɔp fɔ tek dɛn sɔm dez bifo dɛn du di ɔpreshɔn. Sɔm kin nid bak fɔ mek yu fast fɔ lɛk 8 awa so bifo dɛn du di ɔpreshɔn. Yu mɛdikal tim go gi yu klia instrɔkshɔn bɔt ɔl dis.
Aw dɛn kin du di ɔpreshɔn?
Bifo di ɔpreshɔn bigin, dɔktɔ we de anestez go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dɛn kin gi yu jenɛral anestezi, we kin mek yu slip kpatakpata, ɔ rijinal anestesia, we kin mek yu nɔ gɛt natin fɔ du wit di sholda ɛn di say we de rawnd am.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn:
1. Dɛn kin kɔt smɔl say na di skin akɔdin to di sholda.
2. Dɛn kin tek tɛm pul di bon ɛn di katilej we dɔn pwɛl.
3. Bifo dat, dɛn kin put wan atifishal jɔyn (prostɛsis) we dɛn dɔn mɛzhɔ bifo tɛm ɛn we dɛn mek.
4. Dɛn kin put di an ɛn di sholda bak kɔrɛkt wan ɛn dɛn kin siŋ di say we dɛn kɔt.
Dis ɔpreshɔn kin tek lɛk tu awa so , bɔt dis tɛm kin difrɛn difrɛn wan bay aw yu jɔyn dɔn pwɛl.
Wetin kin apin afta di ɔpreshɔn ɛn 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 go mɛn yu usay dɛn go de wach yu. Sɔm pipul kin go na os di sem de (`outpatient`), ɔda wan dɛn go nid fɔ de na ɔspitul fɔ wan ɔ tu de (`inpatient`).
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. Insay dis tɛm, i impɔtant fɔ peshɛnt ɛn fala wetin yu dɔktɔ tɛl yu fɔ du.
Afta dɛn dɔn du di ɔpreshɔn, dɛn go put yu insay wan sling. Yu go nid fɔ wɛr dis fɔ sɔm wiks. Yu dɔktɔ go gi yu sɔm simpul ɛgzampul dɛn bak fɔ ɛp yu fɔ muv bak ɛn fɔ mek yu sholda strɔng. I rili impɔtant fɔ du dɛn kɔrɛkt wan.
Yu go nid fɔ bigin fɔ trit yu bɔdi insay sɔm wiks. Wan dɔktɔ we de mɛn yu bɔdi go tich yu fɔ du ɛksɛsayz ɛn fɔ strɛch fɔ mek yu sholda ebul fɔ muv mɔ ɛn mɔ ɛn fɔ mek yu mɔsul dɛn strɔng.
Na nɔmal tin fɔ gɛt pen insay di fɔs wik. Di dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen fɔ dis. I impɔtant bak fɔ tek di mɛrɛsin di rayt doz ɛn di rayt tɛm. Yu go gɛt fɔ avɔyd fɔ es wet ɛn ple spɔt fɔ sɔm mɔnt. Bɔt afta lɛk tu to tri wiks, yu go ebul fɔ bigin fɔ du smɔl smɔl tin dɛn lɛk fɔ wɛr klos ɛn pripia sɔm it.
| If yu gɛt dɛn sik ya, kɔl yu dɔktɔ wantɛm wantɛm! | |
|---|---|
| Di sayn we de sho se di sik de | Tɔk bɔt |
| Fiva | Fiva we pas 39 Sɛlshiɔs (101 Fɛnayt). |
| I kin fil pen bad bad wan | Bɔrku pen wae nɔr kin stɔp ivin wit mɛrɛsin wae de mek pɔrsin fil pen. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Pus de kɔmɔt, swel, in kɔlɔ de chenj, i de smɛl, ɔ i de fil fɔ wam frɔm di wund we dɛn du di ɔpreshɔn. |
| I nɔ kin izi fɔ yu fɔ blo | Short brith (dyspnea) ɔr yu chɛst de pen. |
| Ɔda tin dɛn we nɔ kin apin | Blɔd we de kɔmɔt frɔm wan wund we dɛn du ɔpreshɔn pan, nyu pen na di an ɔ di an. |
Na nɔmal tin fɔ fil smɔl frayd ɛn fred fɔ dis kayn ɔpreshɔn. Bɔt mɛmba se di rilif we yu go gɛt afta dis ɛn layf we nɔ gɛt pen, fayn fɔ yu. Pan ɔl we di tɛm we yu go wɛl go tranga, as yu de strɔng smɔl smɔl, yu go fil fɔ proud fɔ yusɛf. Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu.
Mɛsej we dɛn kin kɛr go na os
- Ɔpreshɔn fɔ riples di sɔl na wan tritmɛnt we rili fayn ɛn we sef fɔ siriɔs pen na yu sholda ɛn prɔblɛm dɛn we de mek yu ebul fɔ muv.
- I rili impɔtant fɔ pripia gud gud wan akɔdin to wetin di dɔktɔ tɛl yu bifo yu du di ɔpreshɔn.
- I kin tek sɔm mɔnt fɔ mek i wɛl ɔl, ɛn i impɔtant fɔ tek fisiotɛrapi.
- If yu peshɛnt di tɛm we yu de wɛl ɛn fala di mɛrɛsin instrɔkshɔn dɛn jɔs lɛk aw dɛn tɛl yu, dat go mek yu wɛl kwik kwik wan.
- If yu gɛt ɛnitin we nɔ kɔmɔn (fiva, bad bad pen, sayn dɛn fɔ se yu gɛt di sik) afta yu dɔn du di ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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