Yu kin gɛt pen we yu nɔ go ebul fɔ bia na yu big fut wit ɛni stɛp we yu tek? Yu tink se i rili at fɔ wɛr sus? Sɔntɛm di jɔyn we de na yu big fut dɔn pwɛl ɔ i dɔn pwɛl. Insay dis kayn tin, we ɔl di ɔda tritmɛnt dɛn nɔ wok, di sɔlv we dɔktɔ dɛn kin se na fɔ ɔpreshɔn fɔ chenj di jɔyn dɛn. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Fɔ tɔk am simpul wan, wetin na dis ɔpreshɔn fɔ chenj di finga jɔyn?
Ɔpreshɔn fɔ riples yu tɔ jɔyn na fɔ ɔpreshɔn fɔ pul di jɔyn we dɔn pwɛl ɛn we dɔn pwɛl na yu fut ɛn put atifishal jɔyn insay. dis atifishal joyn dεn kכl am ``prosthεsis.'' dεn mek dεn tin ya wit mεtal, sεramik, כ plastic. Dɛn mek dɛn fɔ wok jɔs lɛk jɔyn we gɛt wɛlbɔdi.
Bɔku tɛm dɛn kin du dis ɔpreshɔn pan di jɔyn we de na di big fut. fכ mεdikal, dεn kכl dis di mεtatarsophalangeal (MTP) jכint. Dis na di men jɔyn we de kɔnɛkt yu big fut to yu fut. Dis jɔyn gɛt fɔ bɛn wit ɛvri stɛp we wi de tek. So imajin aw i go pen fɔ waka if dis jɔyn west, stif, ɛn pwɛl.
Di kɔmɔn nem fɔ dɛn ɔpreshɔn dɛn ya we dɛn kin du fɔ riples di jɔyn na atrɔplasti. I tan lɛk ɔpreshɔn we dɛn kin du fɔ chenj in ni ɛn fɔ chenj in hip. Bɔt i nɔ kin izi fɔ mek dɛn chenj di finga dɛn.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Dis ɔpreshɔn na di las tin we dɛn kin du. Dat min se, dɔktɔ go jɔs tink bɔt am if ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol yu pen. Bɔku tɛm, dɛn wan ya na di fɔs tritmɛnt dɛn we dɛn kin tray fɔ du:
- We yu wɛr spɛshal sus ɔ bres: Mek i izi fɔ waka.
- Aktiviti modifyeshɔn: Ridyus prɛshɔn pan di jɔyn.
- Di tin dɛn we de mek pɔsin fil pen: Fɔ kɔntrol di pen lɛk aw di dɔktɔ tɛl am.
- Fizik tɛrapi: I go mek di jɔyn dɛn wok fayn ɛn mek dɛn gɛt trɛnk.
- Stɛroyd injɛkshɔn: Fɔ shɔt tɛm, i nɔ go mek di pen ɛn swel.
If ɔl dis nɔ ɛp, yu go nid fɔ tink bɔt fɔ du ɔpreshɔn. Dis ɔpreshɔn kin bi sɔlv fɔ di joyn pen we dɛn kin gɛt bikɔs ɔf dɛn tin ya:
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Bɔniɔn (hallux valgus) we de na di bɔdi . | Bɔmp we kin mek pɔsin fil pen we wan bon kɔmɔt na di bak pat pan di big fut. |
| Hallux rigidus we dɛn kɔl Hallux rigidus | Wan kɔndishɔn we di jɔyn na di big fut kin west, stif, ɛn nɔ kin ebul fɔ bɛn fayn. Dɛn kin kɔl dis bak "stiff big toe." |
| Wund | Damej na di joyn bikɔs ɔf injuri, lɛk we di bon brok na di finga. |
| Ɔstiɔ-arayt sik | Joint degeneration bikɔs ɔf di ej ɔ ɔda tin dɛn. |
| Osteonekrכsis `(Ostionekrכsis)` | di bon tisu de day bikoz di bכdi we de fכ di bon dεm nכ de wok fayn. |
| Rimatɔyd at at sik | Swel ɛn pen we di bɔdi in yon imyun sistɛm de atak di jɔyn dɛn. |
Wetin na di difrɛns bitwin fɔ chenj jɔyn ɛn fɔ fuz jɔyn?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Apat frɔm we dɛn kin chenj di jɔyn, sɔntɛnde dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn we dɛn kɔl "arthrodesis or fusion."
- Fusion: Dis min se yu fɔ fuz di tu bon dɛn we de mek wan jɔyn fɔ ɔltɛm. Dis kin mek di jɔyn stebul ɛn i kin mek di pen nɔ de igen. Bɔt di tin we impɔtant pas ɔl na dat, afta dɛn dɔn du di ɔpreshɔn, dɛn nɔ go ebul fɔ muv di jɔyn. Dɛn kin fiks am na wan ples.
- Jɔyn Riplesmɛnt: Bikɔs dɛn put atifishal jɔyn insay dis prɔsidyu, yu go stil ebul fɔ bɛn ɛn ɛkstɛnd yu finga, dat na fɔ muv di jɔyn, ivin afta dɛn dɔn ɔpreshɔn yu.
Imajin se we hinj na domɔt brok, yu put nyu hinj (dis tan lɛk fɔ chenj am). If nɔto dat, yu nel da pat de na di domɔt ɛn mek am strɔng so dat i nɔ go muf (dis tan lɛk fɔ sɔlda). Yu dɔktɔ go disayd wetin bɛtɛ fɔ yu.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu du dis kayn ɔpreshɔn, yu ɔtpidik ɔpreshɔn go tek tɛm chɛk yu.
- Dɛn go aks bɔt yu jenɛral wɛlbɔdi ɛn ɛni ɔda sik.
- Dɛn kin aks bɔt di pen na yu finga, aw lɔng i dɔn de, ɛn aw i de afɛkt yu ɛvride layf.
- dεn de egzamin di finga, de luk tin dεm lεk in trεnk εn aw fa i kin bεnd (rεnj fכ muv).
- Dɛn go mɔs du ɛkstrem rayt fɔ di fut fɔ chɛk aw di bon dɛn de.
- Dɛn kin du ɔda tɛst dɛn lɛk blɔd tɛst fɔ si if yu fayn fɔ ɔpreshɔn.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bɔku tɛm, dɛn kin du dis ɔpreshɔn na ɔspitul ɔ ɔda say we gɛt ɔpreshɔn rum. I kin tek lɛk tu to tri awa so. Na sɔm tin dɛn we kin apin we dɛn de du di ɔpreshɔn:
1. Fɔs, dɛn go anestez yu. Dis min se yu go slip kpatakpata wit wan drɔg we dɛn gi yu na wan vein na yu an.
2. Dɔn di dɔktɔ we de du di ɔpreshɔn go mek smɔl say na di tap pat pan yu finga.
3. Tru da say we dɛn kɔt, dɛn kin pul di jɔyn we dɔn pwɛl ɛn di katilej ɛn bon pat dɛn we dɔn pwɛl.
4. nεks, dεn de put di atifishal jכint we dεn mכsu εn pripia bifo tεm `(prosthεsis)` insay da ples de.
5. dis atifishal joyn de atak di bon dεm na di tu say dεm na di finga wit sכm sכm pin dεm, skru dεm, כ wan spεshal kayn siment we dεn kכl ``bon siment.''
6. Mek shɔ se di atifishal jɔyn de na di kɔrɛkt pozishɔn ɛn i tay fayn fayn wan.
7. Chɛk fɔ si if di finga de bɛn ɛn muv fayn fayn wan.
8. di tisu dεm we de rawnd, lεk di tεndon dεm εn di nεv dεm, de riposishכn.
9. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich.
10. Dɔn, fɔ protɛkt am frɔm jem, dɛn kin rap am wit bandej ɛn sɔntɛnde dɛn kin put plasta `(cast)`.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, yu go wek na rum usay dɛn de mɛn pipul dɛn we dɔn wɛl. Dɛn go rap yu leg wit bandej ɛn sɔntɛm dɛn go rap am wit kas ɔ spɛshal but. Di mɛdikal tim go wach yu fɔ ɛni sayd ɛfɛkt frɔm di anestezi.
Dɛn go kip yu na ɔspitul te yu ebul fɔ waka sef wan yuz kruk ɔ tin fɔ waka . Bifo yu go na os, yu dɔktɔ ɛn di wan dɛn we de wok na di nɔs go gi yu instrɔkshɔn bɔt aw fɔ kia fɔ yu finga. Dɛn tin ya kin bi:
- Fɔ put ays pan di finga fɔ mek i nɔ fil pen ɛn fɔ mek i nɔ swel.
- Fɔ kip yu leg dɛn ɔp as lɔng as yu ebul.
- Di de we a fɔ kam bak fɔ brok di stich dɛn.
- We yu wɛr sus we gɛt had sɔl as yu ebul.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Jɔs lɛk ɛni ɔpreshɔn, bɛnifit dɛn de ɛn prɔblɛm dɛn we nɔ kin apin so ɔltɛm. Yu dɔktɔ go ɛksplen dɛn tin ya to yu ditayli.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Pen we yu de fil: Di bad bad pen we yu kin fil we yu de waka kin dɔn. | Infεkshכn: Sכm chans de fכ infεkshכn na di wund כ di jכint we dεn transplant. |
| di muvmεnt we de bכku: di ebul fכ bεnd εn εksεnd di finga de inkrεs. | Prɔblɛm dɛn we de wit di atifishal jɔyn: Di pat we dɛn put insay di bɔdi kin lɔs, brok, ɔ jomp. |
| Fɔ mek di wok fayn bak: Fɔ waka ɛn fɔ du wok ɛvride kin izi. | Nεv dεm we dεn dכn pwεl: Na di nεv dεm we de na di εria we dεn de du di כpεrayshכn de damej fכ sכm tεm כ fכ tεm. |
| di swεla we de swεla εn sכft: di sכft εn swεla na di jכint de rεdכks. | Blɔd we de klɔt: Na tin we nɔ kin apin so ɔltɛm. |
Aw lɔng i kin tek fɔ mek i wɛl? Aw a go kia fɔ misɛf na os?
Yu dɔktɔ go ɛnkɔrej yu fɔ yuz yu nyu jɔyn, we min fɔ waka, kwik kwik wan afta dɛn dɔn du di ɔpreshɔn. Ɛksesaiz na rili impɔtant pat pan di wɛlbɔdi prɔses. Pan ɔl we i kin mek yu fil pen smɔl fɔs, smɔl smɔl i go izi fɔ waka as tɛm de go.
Yu kin nid bak fɔ du fizik tritmɛnt. I kin tek lɛk 8 wiks fɔ fulɔp put wet pan yu fut ɛn waka. Dɛn advays ya go ɛp yu fɔ wɛl kwik ɛn sef wan:
- Arenj fɔ mek pɔsin ɛp yu fɔ du di wok dɛn we yu de du na os: Fɔ gɛt pɔsin fɔ ɛp yu insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn, dat kin mek i izi fɔ yu.
- Rimov tin dɛn we de ambɔg yu na yu os: Rimov tin dɛn we go mek yu slip ɛn fɔdɔm, lɛk rug ɛn waya dɛn we de rɔn na grɔn.
- Yuz tin dɛn we de ɛp yu: Yuz krach, tin fɔ waka , ɔ tin dɛn we yu kin yuz fɔ ol na di bafa fɔ mek yu finga nɔ gɛt bɔku wet.
Ustɛm a fɔ go to dɔktɔ wantɛm wantɛm?
I rili impɔtant fɔ no ɛni prɔblɛm we kin apin afta dɛn dɔn du di ɔpreshɔn. If yu gɛt ɛni wan pan dɛn sayn ya, kɔl yu dɔktɔ wantɛm wantɛm.
| Sayn dɛm fɔ se yu gɛt infekshɔn (if wan ɔ mɔ pan dɛn tin ya de) . | |
|---|---|
| Fiva ɔ fil kol. | Pus we de kɔmɔt na di say we di suture de ɔ wan bad bad smel. |
| Pen we de kɔntinyu fɔ de ɔ we de bɔku mɔ ɛn mɔ. | Rɛd ɔ swel rawnd di say we dɛn kɔt. |
| As tɛm de go, sayn dɛn we de sho se di jɔyn dɛn nɔ de wok fayn | |
| Di jɔyn we di jɔyn de wok ɔ di trɛnk we i de wok go dɔŋ. | Pen kin kam bak, i kin stif, ɔ i kin swel. |
| fכ fil se i nכ stebul na di joyn (fεn lεk se i go "jכmp"). | |
Mɛsej we dɛn kin kɛr go na os
- Toe Joint Replacement na saksesful solushɔn fɔ siriɔs pen ɛn joyn damej we nɔ dɔn wɛl wit ɔda tritmɛnt.
- Di men gol fɔ dis ɔpreshɔn na fɔ mek yu nɔ fil pen, fɔ mek yu ebul fɔ waka fayn, ɛn fɔ mek yu liv bɛtɛ layf.
- I kin tek tɛm fɔ mek i wɛl ɔl afta dɛn dɔn du di ɔpreshɔn. I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn ɛn di ɛksesaiz dɛn we yu de du fɔ mɛn yu bɔdi di rayt we.
- If yu gɛt sayn dɛn we de sho se yu gɛt di sik ɔ ɔda tin dɛn we nɔ kɔmɔn afta yu du di ɔpreshɔn, tɛl yu dɔktɔ we yu nɔ go te.
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