Yu kin fil pen we yu nɔ go ebul fɔ bia we yu bɛn ɔ tɔn yu an? Sɔntɛm yu kin fil se yu de klik sawnd wit prɔblɛm? Dis pen dɔn so mɔna yu dat yu nɔ go ebul fɔ du ivin di simpul wok dɛn we yu kin du ɛvride, lɛk fɔ kɔm yu ia, fɔ es kɔp, ɔ fɔ rayt? If na so, tide wi de tɔk bɔt wan tritmɛnt we go rili impɔtant fɔ yu. Dat na ɔpreshɔn fɔ chenj in an.
Wetin na dis wrist riplesmɛnt? (Wrist Riplesmɛnt) .
Fɔ tɔk am simpul wan, dis na ɔpreshɔn. Dis min se yu fɔ pul yu an jɔyn we dɔn pwɛl ɛn we dɔn pwɛl ɛn put atifishal jɔyn insay. Wi kin kɔl dis atifishal jɔyn `(prostɛsis)`. Dɛn kin mek am wit mɛtal ɛn wan spɛshal kayn plastic `(polyethylene)`. Dɛn mek am fɔ wok jɔs lɛk wan wɛlbɔdi an. insay mεdikal, dεn kin kכl di jכyn riplesmεnt כpεrayshכn `(Arthroplasty)`.
Wi an na rili kɔmpleks jɔyn we gɛt bɔku smɔl smɔl bon dɛn. i de kכnekt wi an εn fכs an (frכm di εlbo to di an). We wi swing wi an, rayt, ɛn es sɔntin, di an kin muf. So we dis jɔyn dɔn pwɛl bad bad wan ɔ i dɔn pwɛl, ivin fɔ du wok dɛn we pɔsin kin du ɛvride kin mek pɔsin fil pen bad bad wan.
Yu tink se fɔ riples yu an ɛn fɔ fuz yu jɔyn na di sem tin?
Yɛs, dɛn tritmɛnt ya na tu kayn tritmɛnt. I go mɔs bi se yu dɔktɔ go ɛksplen to yu ɔl tu di tin dɛn we yu go du. I rili impɔtant fɔ ɔndastand di difrɛns bitwin dɛn tu.
- Wrist Fusion / Arthrodesis: dis involv fכ jכyn di bon dεm we mek di jכint tכgeda εn mek i fכs fכ כltεm. Afta dis, dɛn nɔ kin ebul fɔ muv di jɔyn. Bɔt, i dɔn lɛf smɔl fɔ lɛ di pen dɔn igen. No tin nɔ de we de ambɔg pɔsin fɔ es wet ɔ fɔ yuz tul dɛn lɛk hama. Dis na gud sɔlv fɔ pɔrsin wae want fɔ pul di pen ɛn du strɔng wok.
- Wrist Replacement / Arthroplasty: Dis na di ɔpreshɔn we wi de tɔk bɔt. Bikɔs dɛn put atifishal jɔyn insay dis, yu go stil ebul fɔ muv yu an afta di ɔpreshɔn. Dis min se yu go ebul fɔ bɛn ɛn tɔn yu an to sɔm mak. Bɔt dɛn go stɔp fɔ es wet ɛn du wok we tranga.
Dis tebul go mek di difrɛns bitwin di tu klia to yu.
| Di kwaliti we pɔsin gɛt | Riplesmɛnt fɔ di wrist | Fusion na di an |
|---|---|---|
| Muvmɛnt afta dɛn dɔn ɔpreshɔn am | Di jɔyn kin ebul fɔ muv. | di abiliti fכ muv di joyn de lכs (pεrmanεnt). |
| Fɔ mek pɔsin nɔ fil pen | Di pen kin rili fayn. | Di pen kin kɔmɔt fayn fayn wan ɛn fɔ ɔltɛm. |
| Hevi liftin/strenuous aktiviti | Limitɛd. I nɔ fayn fɔ es di wet we pas 2-5 kg. | Nɔ tin dɛn we de stɔp pɔsin fɔ du sɔntin. Yu kin du trɛnk wok ɛn fɔ es ebi ebi tin dɛn. |
Wetin mek yu nid fɔ du dis ɔpreshɔn?
Bɔku tɛm fɔ ɔpreshɔn fɔ chenj in an na di las tin we dɛn kin du . Dɔktɔ dɛn kin jɔs yuz am if ɔl di ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di pen. Dɛn wan ya na tritmɛnt dɛn we nɔto ɔspitul we dɛn kin tray fɔs:
- Modify yu aktiviti dɛm (avɔyd aktiviti dɛm wae de mek yu fil pen).
- Di tin dɛn we dɛn kin yuz fɔ mɛn pen (anti-inflammatory, acetaminophen) .
- Wrist splint ɛn ɔntmɛnt dɛn.
- Fizik tɛrapi.
- Sterɔyd injɛkshɔn dɛn.
If ɛni wan pan dɛn tin ya nɔ wok, yu go nid fɔ tink bɔt fɔ du ɔpreshɔn. Di men rizin dɛn we mek dɛn du dis ɔpreshɔn na dɛn wan ya:
- At: Ɛspɛshali ɔstiɔ-arayt ɛn rεumatoid at.
- Injuri: Di joyn de damej bikɔs ɔf bad bad injuri, lɛk we di an brok.
- Failed wrist fusion surgery: If wan ɔpreshɔn we dɛn bin dɔn du bifo dis tɛm fɔ fushɔn di an nɔ wok.
- Osteonecrosis: Na wan sik we de mek di blɔd we de go na di bon dɛn na di jɔyn nɔ de wok fayn, ɛn dis kin mek di bon tisu dɛn day.
Fɔ tɔk am simpul wan, di men gol fɔ dis ɔpreshɔn na fɔ pul di pen, swel, ɛn ‘krak’ sawnd na yu an, we go mek yu ebul fɔ yuz yu an we yu nɔ de fil pen.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bifo yu tɛl yu fɔ du dis kayn ɔpreshɔn, yu ɔtpidik ɔspitul go tek tɛm luk sɔm tin dɛn.
- Dɛn go aks bɔt yu ɔl wɛl bɔdi ɛn ɔda sik dɛn we yu gɛt.
- Dɛn kin aks ustɛm di pen na yu an bigin ɛn aw i kin afɛkt yu layf.
- Dɛn kin tɛst di trɛnk ɛn di say we di an kin muv.
- Dɛn kin du ɛkstrem rayt fɔ chɛk aw di bon dɛn de.
- Dɛn kin du tin dɛn lɛk fɔ tɛst yu blɔd fɔ si if dɛn go ebul fɔ rɛdi yu fɔ ɔpreshɔn.
- Wi go mek shɔ se dɛn dɔn tray ɔda tritmɛnt dɛn ɛn dɛn dɔn tɔk bɔt ɔda ɔpreshɔn dɛn we dɛn kin du wit yu.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Bɔku tɛm, dɛn kin du dis ɔpreshɔn na ɔspitul. I nɔ kin tek tu awa. Na dis na wetin kin apin we dɛn de du di ɔpreshɔn:
1. Anestezi: Dɛn kin gi yu anestezi tru IV (intravenous) insay yu an fɔ mek yu slip ɔl. Apat frɔm dat, bɔku tɛm dɛn kin gi wan ɔpa ɛkstrimiti blɔk fɔ ridyus di pen afta dɛn dɔn ɔpreshɔn.
2. Insishɔn: Dɛn kin kɔt smɔl (incision) ɔp di an.
3. Fɔ pul di jɔyn: Dɛn kin pul di jɔyn we dɔn pwɛl, di katilej we dɔn pwɛl, ɛn di bon pat dɛn.
4. Implant di atifishal joyn: Dɛn kin tay di nyu atifishal jɔyn (prosthesis) pan di bon dɛn we afɛkt wit pin, skru, ɔ wan spɛshal kayn siment (bon siment).
5. Inspekshɔn: Chɛk fɔ si if di nyu jɔyn de na in ples ɛn i de muv fayn fayn wan.
6. Suturing: di tisu dεm, nεv dεm, εn tεndon dεm we de rawnd de kam bak, εn dεn kin kכloz di say we dεn sכt εn sutura.
7. Bandej ɛn splint: Fɔ dɔn, dɛn kin kɔba di wund wit klin bandej ɛn put splint fɔ mek di an nɔ muv.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis ɔpreshɔn de gi?
Jɔs lɛk ɛni ɔpreshɔn, bɛnifit dɛn de ɛn sɔm prɔblɛm dɛn we nɔ kin apin so ɔltɛm. Yu dɔktɔ go ɛksplen dɛn tin ya to yu ditayli.
| Bɛnifit dɛn | Di Kɔmplikɛshɔn dɛn we kin apin |
|---|---|
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Tin dɛn fɔ du na os fɔ yu wɛlbɔdi
Bɔku tin dɛn de we yu kin du fɔ ɛp yu fɔ wɛl kwik ɛn sef wan afta dɛn dɔn du yu ɔpreshɔn. If yu fala dɛn step ya, dat go ɛp bak fɔ mek yu nyu jɔyn fɔ las fɔ lɔng tɛm.
- Sɔmbɔdi fɔ ɛp: I kin izi fɔ gɛt pɔsin fɔ ɛp yu fɔ du di wok dɛn we yu kin du ɛvride insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn. Tin dɛn lɛk klos we gɛt big sliv ɛn pepa plet kin ɛp insay dis tɛm.
- Nɔ es wet: Nɔ es mɔ pas wetin di dɔktɔ tɛl yu. Dis kin bi arawnd 2-5 kg. Nɔ yuz ɛnitin lɛk hama ɔ bɛn yu an pasmak.
- Protɛkt yusɛf frɔm fɔdɔm: If yu fɔdɔm, i kin pwɛl yu an. Tek tɛm bay we yu pul tin dɛn we slipul ɛn tin dɛn we yu kin trip pan na os. Stay away frɔm spɔt dɛn we gɛt bɔku risk fɔ fɔdɔm insay dis tɛm.
- Ɛksesaiz: Du di ɛksesaiz dɛn jɔs lɛk aw yu dɔktɔ ɛn pɔsin we de mɛn yu bɔdi kin gi yu. Sɔm pen kin de fɔs, bɔt i go stɔp smɔl smɔl ɛn yu an go strɔng.
כltu, dεn kin yuz atifishal jכint lεk dis fכ lεk 10-15 ia.
Ustɛm fɔ go to di dɔktɔ
If ɛni prɔblɛm kam afta dɛn dɔn du di ɔpreshɔn, i rili impɔtant fɔ no am kwik kwik wan ɛn go to tritmɛnt.
If yu gɛt dɛn sik ya sɔm dez afta dɛn dɔn du di ɔpreshɔn, tɛl yu dɔktɔ wantɛm wantɛm:
Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn.
- If yu fil fiva ɔ yu gɛt kol.
- If rɛd ɛn swel de rawnd di say we dɛn kɔt.
- If di kɔt de oozing pus ɔ gɛt bad smel.
- If de pen de wɔs instead fɔ de dɔŋ.
If yu gɛt ɛni wan pan dɛn tin ya afta sɔm tɛm, go to dɔktɔ:
Dɛn tin ya kin bi sayn dɛn we de sho se di jɔyn dɛn nɔ de wok fayn.
- Di pen we de kam bak.
- Stif ɔ swel na di jɔyn.
- if di joyn fil lכs εn i nכ de kכntrol, dεn kכl am `(Instability)`.
- Di trɛnk ɔ di wok we di an de du we de go dɔŋ.
If yu de kɔntinyu fɔ fil pen na yu an bikɔs yu wund ɔ at at sik, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ chenj yu an. Dis kin mek yu nɔ fil pen ɛn mek yu ebul fɔ du tin dɛn we yu kin du ɛvride izi wan.
Mɛsej we dɛn kin kɛr go na os
- Wrist replacement surgery na ɔpreshɔn we dɛn kin du pan pipul dɛn we gɛt bad bad pen ɛn we nɔ dɔn du ɔda tritmɛnt.
- Afta dis ɔpreshɔn, di pen kin ridyus ɛn di ebul fɔ muv di an kin kam bak.
- Fusion ɛn riplesmɛnt na tu tin dɛn we yu kin du. Tɔk to yu dɔktɔ fɔ disayd uswan go fayn fɔ yu.
- Fɔ mek yu wɛl kwik kwik wan afta yu dɔn ɔpreshɔn, fala wetin yu dɔktɔ tɛl yu fɔ du, mɔ we i kam pan di tin dɛn we yu nɔ fɔ du fɔ es yu wet ɛn fɔ du ɛksɛsayz.
- If yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fiva, yu wund de swel, ɔ yu de fil pen we yu nɔ go ebul fɔ bia, go to dɔktɔ wantɛm wantɛm.
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