Ðe wòanya wɔ be woaɖe abɔ kple afɔ evɔ womalãe oa? (Limb Salvage) Mina míaƒo nu tso esia ŋu!

Ne afɔku gã aɖe dzɔ ɖe wò alɔ alo afɔ dzi, alo ne dɔléle sesẽ aɖe abe kansa ene dze dziwò la, esɔ be vɔvɔ̃ nanɔ ame me be ele be yeatsoe. Le nyateƒe me la, ewɔa nuku na mí katã ŋutɔ le ɣeyiɣi mawo me. Gake ènya be menye ɣesiaɣie lãɖeɖe koe nyea egbɔkpɔnua oa? Esi atikewɔwɔ va le ŋgɔ yim egbea ta la, amekokomɔnu tɔxɛ aɖewo li siwo ate ŋu aɖe abɔ kple afɔ ma tɔgbe evɔ mahiã be woalãe o. Emae nye nusi míeyɔna be ‘Afɔkpodzi ƒe Amekoko’.

Kpuie ko la, nukae nye Limb Salvage Surgery?

Bu eŋu kpɔ, míaƒe Kamal xɔ abi vevie le eƒe afɔ ŋu le kekefɔku aɖe me. Ƒuawo gbã, enye abi gã aɖe. Tsã la, woagblɔ be ele be woalã afɔa. Gake fifia ɖɔktawo le ŋku lém ɖe eŋu nenye be ‘Limb Salvage’ mɔnu sia ate ŋu axɔ afɔa ɖe agbe hã.

Kpuie ko la, Limb Salvage Surgery nye amekoko si me wodzea agbagba be yewoadzra alɔ alo afɔ si ŋu dɔléle sesẽ alo abi le ɖo ahagbugbɔe aɖo eteƒe, evɔ womaɖee ɖa o. Le esia me la, ɖɔktawo dzea agbagba be yewoaɖe wò alɔ alo afɔ alesi yewoate ŋui evɔ womagblẽ wò lãmesẽ bliboa me o. Wogayɔa esia be ‘Afɔkpodzi ƒe amekoko’. Efia "amekoko si me woɖea abɔ kple afɔ".

Nɔnɔme kawo mee woate ŋu abu amekoko sia ŋu le?

Zi geɖe la, ɖɔktawo bua amekoko sia ŋu le nɔnɔme vevi geɖe me.

Lã alɔ/afɔa? Ðee ɖaa? Aleke ɖɔktawo wɔa nyametsotso siae?

Esia nye nyametsotso si me kɔ ŋutɔ. Ðɔkta atso nya me be yeawɔ amekoko sia ne ebu nu geɖe ŋu nyuie vɔ. Nu vevitɔe nye nenye be amekokoa ana wò alɔ alo afɔ nanɔ lãmesẽ me, awɔ dɔ nyuie, eye wòadze abe ɖe wòsɔ ene .

Nusiwo kpɔa ŋusẽ ɖe edzie nye:

• Afisi dɔlélea keke ta ɖo: Ne kansa ƒe dɔdzẽe wònye, ne elolo ŋutɔ, alo ne edze xɔ vevi siwo te ɖe eŋu abe ʋukawo kple lãmekawo ene dzi la, ɖewohĩ manya wɔ be woaɖe dɔdzẽa ɖa evɔ womagblẽ nu le wo ŋu o. Nenema ke ne dɔlékui aɖee wònye, ne ekaka ɖe teƒe didi aɖe eye wògblẽ lãmenugbagbevi geɖe dome la, ate ŋu asesẽ be woaɖe ŋutinua.
• Nuveviwɔame ƒe sesẽme: Ðɔktawo zãa dzesidemɔnu tɔxɛwo tsɔ bua alesi gbegbe afɔku aɖe gblẽe ŋu. Wodzidzea nusiwo gblẽ le lãmekawo, lãkusiwo, ʋukawo, kple ƒuwo ŋu. Ne akpa siwo womate ŋu adzra ɖo o sɔ gbɔ akpa la, manya wɔ be woadzra akpa ɖesiaɖe ɖo ɖe vovo o. Nusi le vevie wue nye be woana ʋu nagaɖo ŋutinua ƒe akpa ɖesiaɖe le amekoko vɔ megbe. Ne ʋu mele sisim o la, lãkusia aku.

Nukae dzɔna do ŋgɔ na amekokoa?

Esi wònye amekoko gã aɖee esia nye ta la, mèyia amekoko me enumake o. Afɔɖeɖe vovovowo li do ŋgɔ na ema.

1. Atikewɔwɔ do ŋgɔ na dɔwɔwɔ na wò: Ne èxɔ abi vevie la, ahiã be nàwɔ atike bubuwo be wò nɔnɔmea nali ke hafi woawɔ dɔ gã aɖe na wò. Ne kansae la, woate ŋu ana atikewɔmɔnu alo keklẽŋusẽdɔdamɔnu hafi woawɔ dɔ nɛ be woatsɔ ate kpɔ be woaɖe dɔdzẽa dzi akpɔtɔ. Esia ana wòanɔ bɔbɔe be woaɖee ɖa.

2. Dɔwɔwɔ ƒe dodokpɔ do ŋgɔ na dɔwɔwɔ:Atikewɔlawo ƒe ƒuƒoƒoa awɔ dodokpɔ geɖe be woase wò nɔnɔmea gɔme. Dodokpɔwo abe MRI alo CT scan ene kpɔa ŋutinua ƒe eme. Dodokpɔwo abe CT angiogram alo Doppler ultrasound ene léa ŋku ɖe ʋu ƒe sisi ŋu. Woabu wò lãmesẽ bliboa kple nenye be atikewɔwɔ ƒe nɔnɔme bubu aɖe le ŋuwò hã ŋu.

3. Dzeɖoɖo do ŋgɔ na dɔwɔwɔ nɛ: Ɣesiaɣi si wòanya wɔ la, atikewɔlawo adzro amekokoa me kpli wò tsitotsito. Woaɖe nusianu si woawɔ, afɔku siwo le eme, kple nusiwo ate ŋu ado tso eme la me, eye woaxɔ wò lɔlɔ̃nu faa. Nyametsotso be yeaɖe yeƒe alɔ/afɔ alo atsoe ate ŋu asesẽ na wò. Eyata di ɣeyiɣi nàde ŋugble le eŋu eye nàbia nya ɖe sia ɖe si anɔ asiwò la wò ɖɔkta.

Nukae dzɔna le amekokoa wɔɣi?

Esia nye nuwɔna si sesẽ ŋutɔ. Gbã la, woɖea akpa si ŋu dɔlélea le la ɖa. Ema fia be woaɖe dɔdzẽ ƒe dɔdzẽ alo lãkusi si me dɔlékui le la ɖa. Emegbe akpa sesẽtɔ kekeake dzea egɔme - nuwo gbugbɔgatu ƒe ɖoɖoa.

Esia ate ŋu abia be woawɔ dɔ na ame wu zi ɖeka, alo amekoko zi geɖe gɔ̃ hã. Ele be ɖɔktawo nagbugbɔ ʋukawo, lãmekawo, ƒuwo, kple lãmenugbagbevi bubuwo aƒo ƒu, adzra wo ɖo, alo agbugbɔ wo abla ɖe wo nɔewo ŋu.

Mɔnu siwo wozãna tsɔ wɔa esia dometɔ aɖewoe nye:

• Revascularization: Ʋu ƒe sisi ake yi teƒe si gblẽ. Abe tsidede ati si yrɔ ene la, wogaɖoa ʋukawo me to amekoko si me kɔ nyuie me.
• Amekoko suesuesuewo: Ɣeaɖewoɣi la, wotsɔa ʋuka alo lãmeka si gblẽ la ɖɔlia ʋuka alo lãmeka si gblẽ la, wotsɔa ʋuƒo si tso wò ŋutilã ƒe akpa bubu alo ame si tsɔ ʋu na la ɖɔlia, eye wogazãa nusuekpɔmɔ̃ tsɔ doa ka kple ʋuka/lãmeka siwo le tsɛ la.
• Ƒu si wodo ɖe lãme na ame: Ƒu si gblẽ alo esi woɖe ɖa la tsɔtsɔ ɖɔ li ƒu si wodo ɖe lãme alo ŋutigbalẽ si bu la ɖɔliɖɔli.
• Ametia ƒe akpa aɖe: Wodea ga si wotsɔ dea ƒu alo ƒunukpeƒe si woɖe ɖa la teƒe, si wɔnɛ be abɔa gawɔa dɔ ake.
• Ƒuwo ƒe tsɔtsɔ yi teƒe bubuwo: Be woatsɔ akɔ do siwo le ƒu didiwo me alo adidi ƒuwo me la, wotsɔa gakpo si mexɔ dzo o, abe `Taylor Spatial Frame` alo `Ilizarov apparatus` ene, dea gota, si wɔnɛ be ƒuwo tsina.

Nukae dzɔna le amekokoa megbe? Nukawoe nye viɖe kple kuxi siwo le eme?

Le amekoko megbe la, kuxi gã bubu aɖe gali. Ema nye ŋutilã me ɖɔɖɔɖo si keke ta. Lãmesẽdɔwɔla awɔ dɔ kpli wò be wòakpe ɖe ŋuwò nàgaʋuʋu kple ŋusẽ si sɔ gbɔ wu le wò abɔ kple afɔ si nèɖe la me. Esia bia ɣeyiɣi, agbagbadzedze, dzigbɔɖi, kple kutrikuku . Le nyateƒe me la, ɣeaɖewoɣi la, ate ŋu axɔ ɣeyiɣi sue aɖe hafi wòazu numame na ame ƒe abɔ kple afɔ si wotsɔ lãfu wɔe wu esi wòxɔna hafi zãa abɔ kple afɔ si woɖe ɖe agbe.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ɣeyiɣi si wòxɔna hafi esia dzɔna la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe wò abɔ kple afɔ ƒe akpa siwo wodzra ɖo kple alesi wowɔe dzi. Togbɔ be zi geɖe la, abiwo hayana le kwasiɖa ʋɛ aɖewo megbe hã la, lãmekawo kple ƒuwo xɔa ɣleti geɖe hafi wohayana. Zi geɖe la, ànɔ kɔdzi ŋkeke ʋɛ aɖewo, emegbe ànɔ aƒeme eye nàtrɔ ayi dɔme le ɖiɖiɖeme ɣleti eve va ɖo etɔ̃ megbe. Gake ate ŋu axɔ ɣeyiɣi didi wu gɔ̃ hã hafi nàgate ŋu azã wò abɔ kple afɔ bliboe.