Wrist Arthroplasty: Dis na di bɛst sɔlv fɔ se gudbai to pen?

Yu dɔn de fil pen na yu an fɔ lɔng tɛm? Yu tink se di pen so bad dat yu nɔ go ebul fɔ muv yu an, es sɔntin ɔp, ɔ du ɛvride wok? Sɔntɛm yu nɔ go ivin ebul fɔ du simpul wok dɛn lɛk fɔ kɔm yu ia, fɔ es kɔp, ɔ fɔ rayt. If di pen nɔr dɔn stɔp pan ɔl we yu de tek mɛrɛsin ɛn du difrɛn tritmɛnt dɛm, yu dɔktɔ kin dɔn tɛl yu bɔt "wrist replacement surgery." We yu yɛri dis nem, yu kin mek yu fred smɔl. Bɔt tide, lɛ wi tɔk bɔt ɔltin simpul ɛn klia wan.

Wetin dis min, fɔ riples di wrist jɔyn?

Fɔ tɔk am simpul wan, ɔpreshɔn fɔ riples yu an jɔyn, ɔ fɔ tɔk bɔt mɛrɛsin , wrist arthroplasty , na fɔ ɔpreshɔn fɔ pul yu an jɔyn we dɔn pwɛl ɛn we dɔn pwɛl ɛn fɔ pul yu an wit atifishal jɔyn.

Tink bɔt am lɛk we yu pul wan ol, brok domɔt hinj ɛn put nyu wan insay. Wi kin kɔl dis atifishal jɔyn prostɛsis . Bɔku tɛm, dɛn kin mek am wit mɛtal ɛn wan spɛshal kayn plastic (polyethylene). Dɛn mek am fɔ wok jɔs lɛk aw di an jɔyn we gɛt wɛlbɔdi.

Wi an nɔto jɔs wan bon. Na wan jɔyn we rili kɔmpleks we gɛt bɔku smɔl bon dɛn. dis na di say we wi an εn fכs an (di pat frכm di εlbo to di an) de kכnekt. We yu shek yu an, was yu ia, tayp pan kɔmpyuta, pik sɔntin frɔm di flɔ, di wrist jɔyn na di men wan pan ɔl dɛn tin ya. So we dis jɔyn dɔn pwɛl bad bad wan ɔ jam, ivin dɛn wok dɛn ya we dɛn kin du ɛvride kin mek pɔsin fil pen bad bad wan.

Wetin na di difrɛns bitwin jɔyn riplesmɛnt ɛn jɔyn fushɔn?

Yu dɔktɔ go dɔn tɛl yu bak bɔt wan ɔpreshɔn we dɛn kin du fɔ mek yu an fyuz, we dɛn kin kɔl bak arthrodesis . Big difrɛns de bitwin dɛn tu. I impɔtant fɔ mek yu tɔk klia wan bɔt dis.

Lɛ wi ɔndastand dis difrɛns bɛtɛ pas di tebul we de dɔŋ ya.

Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?

Dis ɔpreshɔn nɔto di fɔs tin we pɔsin kin pik fɔ mek pɔsin gɛt pen na in an. Dɔktɔ dɛn kin se na di las tin we dɛn fɔ du afta ɔl di ɔda tritmɛnt dɛn nɔ ebul fɔ kɔntrol di pen. Bɔku tɛm, di fɔs tin we dɛn kin tray fɔ du na:

• Chenj di wok we yu de du (gi yu an dɛn brek).
• Di mɛrɛsin dɛn we de mek pɔsin fil pen, fɔ ɛgzampul, tin dɛn we de mek pɔsin nɔ fil pen.
• We yu wɛr splint (sɔpɔt) fɔ di an.
• Fisiotɛrapi tritmɛnt.
• Fɔ gi sterɔyd injɛkshɔn.

If ɛni wan pan dɛn tin ya nɔ wok, dɛn kin tink bɔt fɔ du ɔpreshɔn. Bɔku men tin dɛn de we kin mek pɔsin gɛt pen na in an:

• Injuri: Somtin lek brok bon na di wrist (bone fracture).
• At at sik: .
• Ɔstiɔ-arayt: Na sik we kin kam we di jɔyn dɛn west ɛn rɔtin. Dis kin bi mɔ kɔmɔn wit di ej.
• Rimatɔyd Atraytis: Na sik we de mek di jɔyn dɛn swel ɛn pen bikɔs ɔf prɔblɛm wit di bɔdi in imyun sistɛm.
• Osteonecrosis: Di bon tisu de day bikɔs di blɔd nɔ de go na di bon.

Dis ɔpreshɔn kin bi gud sɔlv fɔ tin dɛn lɛk pen we yu nɔ go ebul fɔ bia, we yu jɔyn dɛn kin stiff, ɛn we yu de mek yu sawnd we "krak" we yu de muv yu an.

Wetin kin apin bifo dɛn du di ɔpreshɔn?

Dis fɔ rili bi pɔsin we sabi bɔt bon ɛn jɔyn, mɔ di wan we gɛt ɛkspiriɛns pan ɔpreshɔn pan in an. Bifo yu dɔktɔ tɛl yu fɔ du ɔpreshɔn, i go:

• Dɛn go aks bɔt yu jenɛral wɛlbɔdi ɛn ɛni ɔda sik.
• Aks bɔt aw lɔng yu dɔn gɛt pen na yu an ɛn aw e de afɛkt yu layf.
• Dɛn go chɛk yu an, ɛn chɛk di trɛnk we i gɛt ɛn di say we i de muv.
• Dɛn kin rili du ɛkstrem rayt fɔ chɛk aw di bon dɛn de.
• Dɛn kin du ɔda tɛst dɛn lɛk blɔd tɛst fɔ si if yu fayn fɔ ɔpreshɔn.
• Dɛn go mek shɔ se dɛn dɔn tray ɔl di ɔda tritmɛnt dɛn ɛn dɛn dɔn tɔk to yu wit ɔda we dɛn fɔ du ɔpreshɔn.

Aw dɛn kin du di ɔpreshɔn?

Bɔku tɛm, dɛn kin du dis ɔpreshɔn na ɔspitul. I nɔ kin tek tu awa. Dɛn kin du dɛn tin ya we dɛn de du di ɔpreshɔn:

1. Dɛn go gi yu wan jenɛral anestetik fɔ put yu kɔmplit wan fɔ slip. Apat frɔm dat, dɛn kin gi yu wan sɛpret anestetik injɛkshɔn (ɔpa ɛkstrimiti blɔk) jɔs fɔ yu an fɔ ɛp fɔ ridyus di pen afta di ɔpreshɔn.

2. Dɛn kin kɔt smɔl tin ɔp di an.

3. Dɛn kin tek tɛm pul di jɔyn we dɔn pwɛl ɛn di katilej ɛn bon pat dɛn we dɔn pwɛl.

4. Dɛn kin put di atifishal jɔyn (prosthesis) we dɛn bin dɔn mek bifo tɛm ɛn tay am na di bon wit smɔl nel, skru, ɔ spɛshal kayn siment (bon siment).

5. Mek shɔ se di atifishal jɔyn de na di kɔrɛkt pozishɔn ɛn i sikyuɔr fayn fayn wan.

6. Chɛk fɔ si if di jɔyn de muv fayn fayn wan.

7. di tisu dεm, di nεv dεm, εn di tεndon dεm we de rawnd de riposishכn.

8. Fɔ dɔn, dɛn kin lɔk di say we dɛn kɔt wit stich ɛn kɔba am wit antiseptik bandej ɛn splint.

Aw lɔng i kin tek fɔ mek i wɛl? Aw a go kia fɔ misɛf na os?

Bɔrku tɛm, i kin tek lɛk 6 to 12 wiks fɔ mek i wɛl ɔl. Afta dɛn dɔn pul di fɔs kast, yu go nid fɔ wɛr splint fɔ sɔm tɛm.

Pan ɔl we i kin at smɔl we yu de ɛksesaiz fɔs, as tɛm de go di pen go stɔp ɛn yu an go wok fayn. Yu dɔktɔ kin sɛn yu bak to dɔktɔ we de mɛn yu bɔdi.

Tek kia spɛshal wan pan dɛn tin ya na os:

• Sɔmbɔdi fɔ ɛp: I kin izi fɔ gɛt pɔsin fɔ ɛp fɔ du di wok dɛn we pɔsin kin du ɛvride insay di fɔs dez afta dɛn dɔn du di ɔpreshɔn.
• Nɔ es ebi ebi tin: Dis rili impɔtant. Nɔ es mɔ pas di wet we yu dɔktɔ se (bɔku tɛm na 2-3 kg), bikɔs dis kin pwɛl di atifishal jɔyn. If yu fala dis kɔrɛkt wan, yu kin yuz yu atifishal jɔyn fɔ lɔng tɛm.
• Protɛkt yusɛf frɔm fɔdɔm: Tek tɛm wit say dɛn na yu os usay yu go slip ɛn fɔdɔm (bathrum, stej). Nɔ de fa frɔm spɔt dɛn we go mek yu fɔdɔm fɔ sɔm tɛm.
• Wok we de mek yu an dɛn strɛs: Nɔ du wok we de mek yu an dɛn strɛs, lɛk fɔ yuz hama.

Aw lɔŋ atifishal jɔyn kin las? Ustɛm a fɔ go to dɔktɔ?

If dɛn kia fɔ dis atifishal jɔyn fayn fayn wan, bɔku tɛm i go las fɔ lɛk 10 to 15 ia so .

Afta dɛn dɔn du di ɔpreshɔn, if yu gɛt ɛni wan pan dɛn sayn ya, go to yu dɔktɔ wantɛm wantɛm. Dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn:

• Fiva ɔ kol kol.
• Rɛd ɔ swel rawnd di wund.
• Pus ɔ wata we de smɛl fayn we de kɔmɔt na di say we dɛn kɔt.
• Pen we de kɔntinyu fɔ de ɔ we de bɔku mɔ ɛn mɔ.

As tɛm de go, as di prɔstɛsis de west ɔ ɔda prɔblɛm dɛn de kam, dɛn sayn ya kin apin. If dis apin, tɛl yu dɔktɔ se:

• 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 lεk se di jכint nכ stebul (lεk se i de "jכmp").