Yu taya fɔ gɛt bad bad pen na yu leg, mɔ na yu il? Dis pen nɔ de mɔna yu nɔmɔ we yu de waka, klaym stej, bɔt i de mɔna yu bak we yu jɔs tinap? Sɔntɛm yu dɔn tray bɔku tritmɛnt dɛn. If na so i bi, dis atikul go rili impɔtant to yu. Tide wi go tɔk bɔt wan spɛshal ɔpreshɔn we go briŋ sɔlv fɔ dis kayn bad bad leg pen fɔ ɔltɛm.
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Fɔ tɔk am simpul wan, wetin na Subtalar Fusion?
Subtalar Fusion na ɔspitul we de jɔyn tu bon dɛn fɔ ɔltɛm na wan jɔyn na yu fut. כda nem fכ dis na arthrodesis'' we dכkta dεn kin gi.
Naw lɛ wi si usay dis jɔyn de. insay yu fut, jכs dכn di ankכl jכint, usay di il bon (calcaneus) εn di ankכl bon we de oba am (talus) de kכnekt, dεn kכl dis jכint di (subtalar joyn). Dis jɔyn na in de ɛp yu fut fɔ tɔn insay ɛn kɔmɔt. So, dis jɔyn rili impɔtant fɔ mek yu waka ɛn rɔn wit balans.
So wetin mek wi nid ɔpreshɔn pan dis jɔyn? Di men rizin na siriɔs at at sik . Atraytis kin mek di katilej (di pat we tan lɛk kusɛn we de mek tu bon dɛn nɔ rɔb pan dɛnsɛf) insay wi jɔyn dɛn west. Dɔn di tu bon dɛn bigin fɔ rɔb pan dɛnsɛf. Imajin aw i go mɔs fil pen we tu bon dɛn de rɔb pan dɛnsɛf ɔltɛm. Fɔ mek dɛn nɔ gɛt da pen de, dɔktɔ dɛn kin put skru insay dɛn tu bon ya ɛn fiks dɛn as wan. Dɛn kɔl dis Subtalar Fusion''.
Bɔku tɛm, dɔktɔ kin se dɛn fɔ du dis ɔpreshɔn we ɔda tritmɛnt dɛn lɛk mɛrɛsin fɔ mek pɔsin fil pen, injɛkshɔn, ɛn fɔ trit pɔsin in bɔdi nɔ ebul fɔ mek i fil fayn.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Afta yu disayd fɔ du ɔpreshɔn, yu go gɛt bɔku mitin wit yu dɔktɔ ɛn dɔktɔ we de du ɔpreshɔn. Dɛn go aks yu dɛn kwɛstyɔn ya:
- Aw dis pen kin afɛkt yu ɛvride layf?
- Us tritmɛnt dɛn yu dɔn gɛt te naw? Ɔmɔs rilif we dɛn dɔn gi?
I impɔtant fɔ rili ɔnɛs ya. Na nɔmal tin fɔ mek yu fred smɔl we dɛn tɛl yu bɔt ɔpreshɔn. Bɔt nɔ minimiz yu pen bikɔs ɔf da fred de. Tɛl yu dɔktɔ ɔnɛs wan tin dɛn lɛk, "A nɔ ebul ivin kɔmɔt na bed na mɔnin bikɔs ɔf dis pen," "A nɔ ivin fil fɔ go trip wit mi padi dɛn," "A nɔ ebul fɔ du di spɔt we a bin lɛk igen." Dɔn i kin disayd fɔ du di bɛst tin fɔ yu.
Dɛn go aks yu fɔ du dɛn tɛst ya bifo dɛn du yu ɔpreshɔn:
- Wan kɔmplit ɛgzamin fɔ yu bɔdi: Si if yu gɛt wɛlbɔdi fɔ mek dɛn du ɔpreshɔn pan yu.
- Imej Test: Dɛn go mɔs du ɛkstrem rayt. Dɛn kin aks yu bak fɔ du MRI ɔ CT skan.
- Blɔd tɛst: Chɛk fɔ difrɛn tin dɛn na di blɔd.
Mek shɔ se yu tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ ɛbul mɛrɛsin we yu de tek. Dɛn kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin sɔm dez bifo dɛn du di ɔpreshɔn. Dɛn kin advays yu bak fɔ fast fɔ 12 awa bifo dɛn du di ɔpreshɔn.
Aw dɛn kin du di ɔpreshɔn?
Di de we dɛn go du di ɔpreshɔn, dɛn go gi yu anestezi. Dis min se dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen. Dɛn kin put yu fɔ slip kɔmplit wan (jɛnɔral anestezi) ɔ yu kin jɔs numb na yu leg (rijinal anestezi).
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn go jɔyn di tu bon dɛn na yu fut togɛda.
Bɔku tɛm, dɛn kin du dis as opin ɔpreshɔn. Dat min se, .
1. Di dɔktɔ go mek smɔl kɔt na di skin usay di jɔyn we afɛkt de na yu fut.
2. Dɔn, dɛn kin pul di katilej ɛn bon dɛn we dɔn pwɛl ɛn we dɔn pwɛl.
3. Neks, dɛn kin put di tu bon dɛn togɛda ɛn put spɛshal mɛtal skru dɛn tru dɛn fɔ mek dɛn tay togɛda.
4. Fɔ dɔn, dɛn kin siŋ di say we dɛn kɔt bak.
Sɔm pipul dɛn kin mek dɛn du dis ɔpreshɔn bak tru wan say we dɛn kɔt am we dɛn kɔl atrɔskɔpi. Insay dis, instead fɔ kɔt big say, na tu ɔ tri smɔl smɔl say dɛn nɔmɔ dɛn kin kɔt. Dɛn kin put wan tin we gɛt kamɛra we dɛn kɔl atrɔskɔp tru da say de ɛn dɛn kin du di ɔpreshɔn we dɛn de wach am na monita. Yu dɔktɔ go disayd uswan pan dɛn tu we ya go fayn fɔ yu.
Dis ɔpreshɔn kin tek lɛk tu awa so .
Wetin kin apin afta di ɔpreshɔn? Ɛn wetin na di gud ɛn bad tin dɛn we de apin?
Bɔku tɛm dis na wan de ɔpreshɔn ɛn yu kin go na os. Afta di ɔpreshɔn, dɛn go put yu insay spɛshal but ɔ bres fɔ mek yu leg nɔ go muv ɛn fɔ mek yu nɔ gɛt wet na yu leg. Dɛn go tɛl yu fɔ yuz kruk fɔ sɔm wiks ɛn fɔ mek yu leg ɔp as yu ebul.
| Di bɛnifit dɛn we pɔsin kin gɛt | Risk/Disavantej dɛn |
|---|---|
| Big rilif frɔm pen: Di big bɛnifit na dat di bad bad pen we bin de mɔna yu ɛvride layf dɔn lɛf smɔl fɔ dɔn. | Nɔn union:Na smɔl tɛm nɔmɔ, di tu bon dɛn we dɛn bin dɔn fiks wit skru nɔ kin fit togɛda lɛk aw dɛn bin de tink. If dis apin, dɛn kin nid fɔ du ɔda ɔpreshɔn. |
| Fɔ mek yu liv bɛtɛ layf: We di pen dɔn go, yu kin go bak na yu wokples, ɛksesaiz, ɛn waka ɛnisay we yu want. | di rεnj fכ muv rεdכks: Bikɔs tu bon dεm de fכs to wan, di ebul fכ tכn di fut insay εn kכmכt kin rεdכks sכmtεm. Bɔt dis nɔto big prɔblɛm we yu kɔmpia am to di bad bad pen we i de fil. |
| Wan sef ɛn saksesful prosidur: Dɛn kin tek dis as sef ɔpreshɔn wit rili saksesful rizulyt. | Jɛnɛral ɔspitul risk dɛm: Di risk dɛm fɔ ɛni ɔpreshɔn, lɛk infekshɔn, blɔd pasmak, ɛn riakshɔn to anestezi, de bak ya. |
Aw lɔng i go tek fɔ mek i wɛl? A go ebul fɔ waka bak?
Yɛs, yu go mɔs ebul fɔ waka, rɔn, ɛn bi nɔmal bak. Infakt, yu go ebul fɔ waka fayn pas aw yu bin de waka bifo bikɔs yu nɔ go gɛt pen!
I kin tek sɔm mɔnt fɔ mek i wɛl ɔl. I kin tek bitwin 8 ɛn 12 wik fɔ mek di tu bon dɛn we dɛn bin dɔn jɔyn togɛda fɔ jɔyn togɛda ɛn strɔng. Insay dis tɛm, yu go nid fɔ gɛt tritmɛnt fɔ yu bɔdi . Wan dɔktɔ we de mɛn yu bɔdi go ɛp yu fɔ lan aw fɔ yuz yu leg fayn fayn wan bak, ivin fɔ bia wet ɛn fɔ ɛksesaiz. Bɔku tɛm, i go fayn fɔ mek yu nɔ put wet pan yu leg fɔ wan ɔ tu mɔnt.
Us tɛm yu nid fɔ go to dɔktɔ wantɛm wantɛm?
Afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn, if yu si ɛni wan pan dɛn sik ya, yu fɔ kɔl yu dɔktɔ wantɛm wantɛm .
- Fɔ gɛt fiva we pas 101 Fɛnayt (39 Sɛlshiɔs).
- Sayn dεm fכ infεkshכn na di כpεrayshכn wund (e.g., wata we lεk pus we de kכmכt frכm di wund, swεla, kכla de chenj, fכl smel, כ wam we yu tכch).
- Bifo i mek di pen nɔ bɔku, i kin bɔku bak.
- Blɔd we de kɔmɔt pasmak frɔm di wund.
Dis ɔpreshɔn na 85% saksesful. Dat min se 85 pan ɛvri 100 pipul dɛn kin gɛt bɔku pen ɛn dɛn kin wɛl fayn fayn wan. If yu fut pen nɔ de ansa ɔda tritmɛnt, nɔ fred fɔ tɔk to yu dɔktɔ bɔt dis ɔpreshɔn. I kin mek big chenj na yu layf.
Mɛsej we dɛn kin kɛr go na os
- Subtalar Fusion na wan saksesful ɔspitul prosidur fɔ fut pen we kin kam bikɔs ɔf kɔndishɔn lɛk siriɔs at at sik.
- Dis min se yu fɔ miks tu bon dɛn togɛda fɔ ɔltɛm na di il ɛn di anklɛ.
- Di men bɛnifit we dis ɔpreshɔn de gi na di big rilif we pɔsin kin gɛt frɔm pen we i nɔ ebul fɔ bia.
- I kin tek sɔm mɔnt fɔ mek i wɛl gud gud wan afta dɛn dɔn du di ɔpreshɔn, ɛn i rili impɔtant fɔ mek i gɛt fyzikal tritmɛnt.
- Pan ɔl we di muvmɛnt fɔ di leg nɔ kin muv smɔl afta dɛn dɔn ɔpreshɔn am, fɔ ebul fɔ waka we i nɔ de fil pen na big bɛnifit.
- Tɔk opin wan wit yu dɔktɔ bɔt yu sik ɛn if dis ɔpreshɔn fayn fɔ yu.
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