Home Care after Total Joint Replacement - Korean

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1 Home Care after Total Joint Replacement Follow these guidelines for care as your new joint heals over the next 6 to 8 weeks. Do not try to overdo or push yourself beyond the limits of pain. Home Care You will leave the hospital 1 to 3 days after surgery. Home care instructions will be reviewed with you. You will need a follow-up appointment. You will either be given a date or a telephone number to call for an appointment. Your medicines may change after surgery. You will be given prescriptions for new medicines and instructed on which medicines to continue after your surgery. Use your walker or cane as instructed. You will need help when you go home. If needed, your health care team will help you make arrangements for home care, equipment, physical therapy or an extended care facility. Call your doctor right away if you have: Increased redness, swelling or drainage at the incision A fever over 101 degrees F or 38 degrees C Edges of the wound that start to separate Pain, tingling, numbness or coldness of the leg Your leg turns pale or blue in color 1

2 전관절대치수술후홈케어 관절수술후 6 주에서 8 주회복기간동안이지침서를따르십시오. 통증의한도를넘거나절대로무리해서는안됩니다. 홈케어 수술후 1-3 일후에퇴원하게됩니다. 홈케어방법을알려드릴것입니다. 후속방문일정을따라야합니다. 병원측에서는의사와예약날짜를미리알려드리거나아니면예약전화번호를드릴것입니다. 수술후에복용약이달라질수있습니다. 새약들의처방전과함께수술후어떤약들을복용해야하는지알려드릴것입니다. 의사의지시대로워커나지팡이를사용하십시오. 집에가실때도움이필요합니다. 필요하면, 의료진은홈케어, 장비, 물리치료및장기의료관리시설사용등과관련하여도와드릴것입니다. 다음과같은경우의사에게즉시연락하십시오 : 절개부위가더빨갛게되거나, 멍이들거나부었다 38 C (101 F) 이상의열 상처가장자리가벌어지기시작한다 다리에통증, 따끔거린다, 마비또는한기가있다 다리에핏기가없어지거나퍼렇게변한다 Home Care after Total Joint Replacement. Korean. 1

3 Care of Your Incision Your incision may be closed with staples, stitches or special tapes called steri-strips. Gently wash your incision with soap and water and pat dry with a clean towel. Do not apply lotion or powders near your incision. You can take a shower 2 days after your surgery. Do not let the shower water spray directly onto the incision during the first two weeks. Do not take a tub bath for two weeks after your surgery. Staples or stitches will be taken out at your follow up visit. Steristrips will begin to fall off in 7 to 10 days. If they have not fallen off after 2 weeks, you can gently pull them off. Swelling Swelling in the foot, ankle, knee and thigh are common after total joint replacement. To prevent swelling, recline or lie down with your feet higher than the level of your heart for 45 to 60 minutes. Do this 2 times each day. If the swelling does not decrease after sleeping all night and keeping your feet higher than the level of your heart during the day, call your doctor. Your doctor may want you to wear elastic stockings to reduce swelling. If so, wear the stockings during the day and remove them at night. Wash the stockings with soap and water and hang them to dry. Have someone help you put the stockings on and gently pull them off. 2

4 절개부위관리 절개한부분은스테이플, 스티치또는스테리스트립 (steri-strip) 이라고부르는특수테이프를이용하여봉합합니다. 절개부위를비누와물로조심스럽게닦고수건으로물기를찍어말리십시오. 부위에로션이나파우더같은것을바르지마십시오. 수술후 2 일이지나면샤워를해도됩니다. 처음 2 주동안은샤워할때물이절개부위에직접닿지않도록하십시오. 수술후 2 주동안은욕조목욕을하지마십시오. 스테이플이나스티치는다음의사를방문할때제거될것입니다. 스테리 - 스트립은 7 일에서 10 일이면저절로떨어져나가기시작합니다. 2 주가지났는데도떨어져나가지않으면, 손으로살살뽑아내도됩니다. 붓기 전관절대치수술후에발이나발목, 넙적다리가흔히부어오릅니다. 붓는것을예방하려면다리를심장높이보다위로치켜들고 분가량있으십시오. 이동작을하루에 2 번하십시오. 밤에자고일어나도붓기가없어지지않고다리를올리고있어도도움이안되면, 의사에게연락하십시오. 붓기를감소하기위해의사가고무스타킹착용을권할수있습니다. 고무스타킹은낮에만착용하고밤에는벗으십시오. 스타킹을비누와물로세탁하고공기건조시키십시오. 스타킹을착용할때그리고조심해서벗을때다른사람의도움을받으십시오. Home Care after Total Joint Replacement. Korean. 2

5 Blood Thinning Medicines Your doctor may order blood thinning medicine for 1 to 3 weeks to reduce your risk of blood clots. This medicine may be given as an injection into the abdomen. You will be taught how to give this medicine. If you take aspirin, products with aspirin, arthritis medicines, or other blood thinners, talk to your doctor to see if you should stop taking these medicines while you are on these injections. Sitting Do not sit for longer than 30 minutes at a time. Get up, walk and change your position. Avoid long car trips. If you must travel, stop every 30 minutes. Get out of the car and move around. This will prevent blood clots, decrease swelling and help decrease joint stiffness. Walking Use your walker or cane with all activity so that you do not fall. Do not walk without your walker or cane until your doctor tells you that it is okay. Walk often on level ground and go outdoors if weather permits. Shopping malls are good places to walk during rainy weather. 3

6 혈액희석약 혈액응고위험을줄이기위하여 1-3 주동안혈액희석약복용을권할수있습니다. 이약은복부에주사로주입될수있습니다. 이약의주입방법을가르쳐드릴것입니다. 아스피린이나아스피린이들어있는약, 관절약, 또는그밖에다른혈액희석약들을복용하는경우, 이주사치료를받고있는동안이런약들을중단해야하는지의사에게물어보십시오. 앉기 한번에 30 분이상앉아있지마십시오. 일어나고, 걷고, 자세를바꾸십시오. 차를오랫동안타지마십시오. 차를타야할때는매 30 분마다멈추십시오. 차에서나와몸을움직이십시오. 이렇게함으로써혈액응고를예방하고, 붓기를감소하고, 관절이딱딱해지는것을막을수있습니다. 걷기 모든활동을할때는워커나지팡이를사용하여넘어지는것을방지하십시오. 의사의지시가있을때까지워커나지팡이없이는걷지마십시오. 평평한바닥에서자주걷고날씨가좋으면밖으로나가십시오. 비가올때실내쇼핑몰은걷기좋은장소입니다. Home Care after Total Joint Replacement. Korean. 3

7 Sleeping Do not use a waterbed until approved by your doctor. If you had a hip replacement, sleep on your back with a pillow between your knees with your legs 8 to 12 inches (20 to 30 cm) apart. Do not sleep on your side or stomach. Climbing Stairs During the first few weeks at home, you may go up and down stairs one time each day with help. Have a friend or family member stand behind you as you go up and in front of you as you come down. Hold onto the hand rail. Sexual Activity After knee replacement, you may return to sexual activity as soon as you feel able. After hip replacement, you may resume sexual activity 6 to 8 weeks after surgery. It is best to be on the bottom with your legs spread apart and slightly bent. Avoid hip bending or twisting. Do not rotate your leg inward. After several months of healing, you may resume sexual activity in any comfortable position. Driving a Car Do not drive a car until your doctor tells you it is okay often 6 weeks after surgery. Only drive if you can control your surgery leg and you are not taking pain medicine. 4

8 취침 의사의승인이없는한물침대를사용하지마십시오. 고관절대치수술을받았을경우에는, 두다리사이에베개를넣어다리를 8 인치에서 12 인치 (20~30 센티미터 ) 벌리고등을대고취침하십시오. 옆으로눕거나, 배를대고눕지마십시오. 계단올라가기 퇴원후처음몇주일동안다른사람의도움을받아층계를하루에한번올라갔다내려갔다해도됩니다. 혹시넘어질것을대비하여층계를오를때는누가한사람뒤에서있으라고하고내려갈때는앞에서있으라고하십시오. 핸드레일을잡으십시오. 성생활 무릎대치수술후에몸컨디션이회복되는대로성생활을하실수있습니다. 고관절대치수술후 6 주에서 8 주후에성생활을하실수있습니다. 누운상태에서두다리를벌리고약간구부린자세로하는것이좋습니다. 둔부를구부리거나비틀지마십시오. 다리를안쪽으로돌리지마십시오. 몇개월의회복기간이지나면원하는자세로성생활을해도됩니다. 자동차운전하기 의사가괜찮다고할때까지운전을하지마십시오 보통수술후 6 주. 수술받은다리가조절가능하고또한진통제를복용하지않을때에만운전하십시오. Home Care after Total Joint Replacement. Korean. 4

9 Other Special Precautions after Hip Replacement Surgery You may need to follow these precautions to protect your new hip joint while your muscles heal. Follow these limits for 2 to 6 months, or as directed by your doctor. Do not cross your legs at the knees or ankles when sitting or lying down. Do not sit on low surfaces such as chairs, toilets, and car seats. Sit with your hips higher than your knees. Do not twist at the trunk. Move your whole body when you turn. Do not bend forward at the waist more than 90 or lift your knee higher than your hip. Do not turn your knees in while sitting or lying down. Do not sit with your legs close together. Keep your feet 8 to 12 inches (20 to 30 cm) apart when sitting. Activities after Your Joint Heals Your new joint can be damaged by rough treatment. Avoid activities that may cause extra stress or injure the joint such as baseball, basketball, jogging and tennis. Do your physical therapy exercises to keep your muscles and ligaments strong to support your joint. Maintain a healthy weight for your height. After your joint is healed, about 6 to 8 weeks after surgery, you may be able to resume slow dancing, swimming and other activities. Check with your doctor before you start any new activity. 5

10 고관절대치수술후특별히주의해야하는활동 수술후근육이아물때까지인공관절을보호하려면아래와같은주의사항을지켜야합니다. 2 개월에서 6 개월또는의사의지시가있을때까지이주의사항을따르십시오. 앉아있을때또는누워있을때한쪽다리를무릎이나발목에올려놓지마십시오. 의자나변기또는자동차시트와같이낮은표면위에앉지마십시오. 앉아있을때는둔부가무릎보다더높아야합니다. 몸통만돌리지마십시오. 몸을돌릴때는반드시온몸을함께돌려야합니다. 윗몸을 90 도이상구부리지말고무릎을둔부보다더높이올리지마십시오. 앉아있을때또는누워있을때무릎을안쪽으로돌리지마십시오. 앉아있을때두다리를붙이고앉지마십시오. 앉아있을때두발이 8 인치에서 12 인치 (20~30 센티미터 ) 떨어져있어야합니다. 관절이아문후활동 새관절은거칠게다루면손상될수있습니다. 농구나야구, 조깅또는테니스같이관절에많은스트레스를주거나관절을손상시킬수있는활동은피하십시오. 근육과인대를튼튼하게하여관절을지지해주는운동요법을따르십시오. 키에적절한건강한체중을유지하십시오. 수술후약 6 주에서 8 주후관절이아문후에는, 댄싱, 수영, 그밖에다른활동들을다시시작해도됩니다. 새활동을시작하기전에의사에게물어보십시오. Home Care after Total Joint Replacement. Korean. 5

11 Water Walking Water walking in a pool is relaxing and strengthens the muscles in the hip and leg. Do not walk in water unless you have your doctor s permission and your incision is well healed often 6 weeks after surgery. Enter the pool to chest high water. Hold onto the side of the pool and walk for 15 to 20 minutes. Repeat 3 to 5 days each week. Preventing Infection It is important to prevent and treat infections because an infection can move through the blood to your joint. You need to take antibiotics before having any future surgery or dental care. Call your family doctor and tell them what you are having done and get a prescription for antibiotics. Tell all of your doctors including your dentist that you have had joint replacement. See a dentist for care every 6 months to prevent infection from your teeth. Before your appointment, call your dentist to get a prescription for antibiotics. If you think you have an infection, call your doctor. Talk to your health care team if you have any questions or concerns about how to care for your new joint /2012 Health Information Translations Unless otherwise stated, user may print or download information from for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. 6

12 물속에서걷기 수영장안에서걷기는긴장을풀어주고허리와다리근육을강화해줍니다. 의사가승인하고또한절개부위가완전히아물때까지는물속에서걷기를하지마십시오 - 수술후보통 6 주. 가슴높이까지오는수영장을이용하십시오. 수영장가장자리로 15 분에서 20 분가량걸으십시오. 1 주에 3 일에서 5 일하십시오. 감염예방하기 감염이되면균이혈액을통하여관절로이동할수있기때문에감염을예방하고치료하는것이중요합니다. 수술이나치아진료를받기전에미리항생제를복용할필요가있습니다. 의사에게전화하여어떤활동을할것인지를얘기하여항생제처방을미리받으십시오. 치과의사를포함하여모든의사들에게자신이고관절대치수술을받았다는사실을알려주십시오. 치과의사를 6 개월마다방문하여치아로부터감염을예방하십시오. 예약을하기전에치과의사에게전화하여항생제처방을미리받으십시오. 감염이되었다고생각되면의사에게연락하십시오. 새관절관리에대하여질문이나문제가있으면의료진과상의하십시오 /2012 Health Information Translations Unless otherwise stated, user may print or download information from for personal, non-commercial use only. The medical information found on this website should not be used in place of a consultation with your doctor or other health care provider. You should always seek the advice of your doctor or other qualified health care provider before you start or stop any treatment or with any questions you may have about a medical condition. The Ohio State University Medical Center, Mount Carmel Health System, OhioHealth and Nationwide Children s Hospital are not responsible for injuries or damages you may incur as a result of your stopping medical treatment or your failure to obtain medical treatment. Home Care after Total Joint Replacement. Korean. 6