Yu nɔ kin ebul fɔ es yu sholda, yu nɔ kin ebul fɔ slip na nɛt, ɔ yu kin fil bad bad wan ɛvri tɛm we yu yuz yu an? Yu sholda de fil se yu dɔn stɔp? Fɔ rizin dɛn lɛk dis, yu dɔktɔ go dɔn tɔk to yu bɔt ɔpreshɔn fɔ chenj yu sholda. Na nɔmal tin fɔ fil smɔl fɔ fred ɛn fred we yu yɛri sɔntin lɛk dis. Na dat mek wi go tɔk bɔt dis rili simpul wan tide, insay wan we we yu go ɔndastand.
Wetin na dis ɔpreshɔn fɔ riples di sɔldɔm jɔyn?
Fɔ tɔk am simpul wan, dis min se yu fɔ pul di pat dɛn we dɔn pwɛl ɛn we dɔn pwɛl na yu natura l sɔldɔm jɔyn ɛn put atifishal jɔyn (prostɛsis) we dɛn mek wit mɛtal ɛn plastic. Dɔktɔ dɛn kin kɔl dis tɔtal sholda atrɔplasti.
Wi sholda na bɔl ɛn sɔkɛt jɔyn. Imajin, di pat we tan lɛk bɔl na wi ɔpa an bon (humerus) de tay pan wan pat we tan lɛk kɔp na wi sholda bon (scapula). We dis jɔyn west, bad bad pen kin apin. We dɛn de du di ɔpreshɔn, dɛn kin pul ɔl tu di pat dɛn we dɔn pwɛl ɛn put nyu atifishal pat dɛn insay.
Yu kin riples di wan ol jɔyn fɔ ɔlman?
Bɔku tɛm, dis ɔpreshɔn kin min fɔ chenj di wan ol jɔyn. Dat min se di bɔl ɛn di sɔkɛt ɔl tu. Bɔt imajin se na wan pat nɔmɔ pan yu jɔyn dɔn pwɛl. Fɔ ɛgzampul, if na di bɔl nɔmɔ dɔn pwɛl, yu dɔktɔ go disayd fɔ chenj jɔs da pat de. Dɛn kɔl dis pat pan di sholda riplesmɛnt ɔ hemiarthroplasty. Bɔt bɔku pipul dɛn nid dis ɔpreshɔn bikɔs di wan ol jɔyn dɔn pwɛl, so bɔku tɛm dɛn kin du ɔl di ɔpreshɔn.
Us kayn pipul dɛn nid dis ɔpreshɔn?
Bɔku tɛm, yu dɔktɔ go tink bɔt fɔ ɔpreshɔn we di tritmɛnt dɛn we nɔto ɔpreshɔn lɛk mɛrɛsin ɛn fisiotɛrapi nɔ ebul fɔ kɔntrol yu pen. Dɛn kin se dɛn fɔ du dis ɔpreshɔn fɔ pipul dɛn we gɛt dɛn sik ya:
| Kɔndishɔn/Kɔz | Di kɔmɔn sayn dɛm |
|---|---|
| Sɔlda At: Jɔyn kin west ɛn te, mɔ bikɔs ɔf ɔstiɔ-arayt ɛn rεumatoid at. |
|
| Sivεr rotator cuff tear: Sivεr damej pan di mכsul dεm εn tεndon dεm we de εp fכ muv di sכlda. | Apat frɔm di sayn dɛm we wi dɔn tɔk bɔt, di an kin wik bad bad wan. |
| Avascular Necrosis: di bon dεm de day bikɔs di bכdi de lכs to di bon dεm na di sכlda jכint. | Bɔrku pen ɛn nɔr kin ebul fɔ woke fayn fayn wan. |
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Yu dɔktɔ go rɛdi yu fayn fayn wan fɔ di ɔpreshɔn. Dis go nid fɔ du bɔku tɛst dɛn.
- Wan dɛnt chɛk ɛn klin: Dis rili impɔtant bikɔs i de ɛp fɔ mek di jem dɛn we de na di mɔt nɔ go insay di blɔd afta dɛn dɔn ɔpreshɔn am ɛn mek infɛkshɔn na di nyu jɔyn.
- Kɔmplit fɔ chɛk yu bɔdi: Fɛn ɔltin bɔt yu wɛlbɔdi.
- Sɔlda X-ray: Dɛn kin aks yu bak fɔ du CT skan ɔ MRI.
- Wan EKG tɛst fɔ chɛk aw di at de wok.
- Bɔku blɔd tɛst dɛn.
Dɔn bak, dɛn go aks yu fɔ stɔp fɔ it ɔ drink fɔ lɛk 8 awa bifo di ɔpreshɔn (fastin). Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin ɛn vaytamɛn dɛn we yu de tek. Sɔm mɛrɛsin dɛn (especially blood thinners) kin nid fɔ stɔp sɔm dez bifo di ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn ɛn afta dɛn dɔn du di ɔpreshɔn?
Bifo di ɔpreshɔn bigin, dɔktɔ we de anestez go gi yu anestezi so dat yu nɔ go fil ɛni pen. Dis kin bi jenɛral anestezi we de mek yu slip ɔl, ɔ rijinal anestesia we de mek yu sholda ɛn di say we de rawnd yu nɔ gɛt bɛtɛ trɛnk.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul di bon ɛn katilej we dɔn pwɛl, i kin put nyu atifishal jɔyn, ɛn stich di say we dɛn kɔt. Bɔku tɛm, dis kin tek lɛk tu awa so.
Afta di ɔpreshɔn, dɛn go kɛr yu go na di rum usay dɛn de wɛl ɛn dɛn go tek tɛm wach yu te yu wek frɔm di anestezi. Sɔm pipul dɛn kin go na os di sem de, ɛn ɔda wan dɛn go gɛt fɔ de na ɔspitul fɔ wan ɔ tu dez. Afta yu go na os , yu an go nid fɔ de na sling fɔ sɔm wiks. Yu fɔ bigin fɔ du simpul ɛgzampul dɛn lɛk aw yu dɔktɔ tɛl yu. Yu go bigin fɔ du ɛksɛsayz wit pɔsin we de mɛn yu bɔdi insay sɔm dez. Dis na di impɔtant pat pan di prɔses fɔ wɛl. Nɔ skip am.
Na nɔmal tin fɔ mek pɔsin fil pen afta dɛn dɔn du am ɔpreshɔn. Yuz di mɛrɛsin dɛn we de mek yu fil pen jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?
Lɛk ɛni ɔpreshɔn, dis wan gɛt bɛnifit ɛn i gɛt smɔl smɔl prɔblɛm dɛn.
- Di men bɛnifit na dat di bad bad pen we bin de mɔna yu dɔn lɛf smɔl fɔ dɔn ɛn di muvmɛnt ɛn wok we yu an de du kin bɔku.
- Di prɔblɛm dɛn we kin apin na we di blɔd kin klɔt, di nerv dɛn we kin pwɛl, infekshɔn, ɛn di prɔstɛsis we kin lus. Bɔt dɛn tin ya nɔ kin apin so ɔltɛm .
We yu nid fɔ tɔk to di dɔktɔ kwik kwik wan
If yu gɛt ɛni wan pan dɛn sik ya we yu de na os afta dɛn dɔn du di ɔpreshɔn, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).
- Kɔntinyu fɔ blɔd frɔm di say we dɛn kɔt am.
- Chest pen ɔ shɔt briz.
- Fiva we pas 39 digri sɛlshiɔs (101 Fɛnayt).
- Bɔrku pen wae nɔr kin stɔp ivin afta yu tek mɛrɛsin wae de mek yu fil pen.
- Swel, rεd, smel, כ dischaj lεk pus frכm di say we dεn kɔt (dεn tin ya na sayn dεm fכ infεkshכn).
Na nɔmal tin fɔ fred fɔ mek dɛn du yu ɔpreshɔn. Bɔt dis na sɔntin we go mek yu layf rili fil fayn. Di tɛm we pɔsin kin wɛl kin at smɔl. Bɔt di tin we kin kɔmɔt frɔm da tranga wok de rili fayn. Tɔk to di dɔktɔ bɔt ɔl di prɔblɛm ɛn fred we yu gɛt na yu maynd.
Mɛsej we dɛn kin kɛr go na os
- Ɔpreshɔn fɔ riples di sɔl na tritmɛnt we rili fayn fɔ di sɔl jɔyn we dɔn pwɛl. I kin mek pɔsin nɔ fil pen ɛn i kin mek i izi fɔ du di wok dɛn we pɔsin kin du ɛvride.
- If yu gɛt ɛnitin fɔ fred ɔ dawt bɔt di ɔpreshɔn, tɔk to yu dɔktɔ bɔt am opin wan. Na big trɛnk fɔ yu fɔ ebul fɔ ɛksplen ɔltin.
- I rili impɔtant fɔ fala di instrɔkshɔn dɛm we yu dɔktɔ ɛn fizik thɛrapist gi yu ɛksaktɔli insay di tɛm we yu de wɛl. Nɔ skip fɔ du ɛksɛsayz.
- Afta dɛn dɔn du ɔpreshɔn, dɛn kin stɔp fɔ du tin dɛn lɛk fɔ es wet fɔ lɔng tɛm. Aks yu dɔktɔ bɔt dat bak.
- If ɛni sayn we yu nɔ biliv, go to dɔktɔ wantɛm wantɛm.
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