Èse amekoko aɖe si me woɖea ame ƒe afɔ ƒe akpa aɖe ɖa eye wotrɔa eƒe akpa si le anyime susɔea dzidzenu 180 eye emegbe wogatsɔnɛ kpena ɖe eŋu kpɔa? Ðewohĩ aɖi nusi wɔ nuku vie. Gake esia nye atikewɔwɔmɔnu vevi aɖe ŋutɔ si wɔa avu kple nɔnɔme sesẽwo, vevietɔ ƒumeŋuɖui le afɔ me, eye wòhea mɔkpɔkpɔ yeye vaa ɖevi suewo ƒe agbenɔnɔ me, vevietɔ. Egbea, míaƒo nu tso amekoko tɔxɛ sia si woyɔna be Rotationplasty ŋu.
Kpuie ko la, nukae nye Rotationplasty?
Rotationplasty nye amekoko tɔxɛ aɖe si wowɔna tsɔ ɖea ame ƒe afɔ (limb salvage procedure). Tsɔe be dɔléle aɖe le ame aɖe ŋu abe kansa le klo kple nuto siwo ƒo xlãe me ene. Zi geɖe la, wolãa afɔ bliboa le kloa dzi. Gake le Rotationplasty me la, wowɔa nu bubu aɖe.
Amekolaa ɖea afɔ ƒe akpa si ŋu dɔlélea le (zi geɖe la, ata ƒe akpa si le anyime, klo, kple afɔ si le etame) ɖa gbã. Emegbe, woɖea afɔ si le ete si susɔ, si nye wò afɔkpodzi, afɔ, kple afɔkpodzi , hetrɔnɛ dzidzenu 180. Emegbe wogatsɔnɛ dea akɔta si susɔ si le etame la ŋu.
Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukatae nèle esia trɔm ɖe megbe?"
Bu eŋu kpɔ. Wò klo bɔbɔna ɖe ŋgɔ. Gake wò afɔkpodzi bɔbɔna ɖe megbe. Le amekoko sia megbe la, wò afɔkpodzi wɔa dɔ abe wò klo yeye ene. Eyae nye be ne ètrɔe ɖe megbe la, wò afɔkpodzi ate ŋu abɔbɔ ɖe ŋgɔ abe klo ene. Ne wonya ɖɔ wò afɔ ɖo alea ko la, àte ŋu atsɔ afɔ si wotsɔ ame wɔe ablae. Emegbe, "klo yeye" si wotsɔ wò ŋutɔ wò afɔkpodzi kple afɔ si wotsɔ wɔe la awɔ dɔ ɖekae, si ana nàte ŋu azɔ, aƒu du, eye nàti kpo gɔ̃ hã le mɔ si sɔ nu.
Nukutɔe la, ne èdo pantalon la, ɖewohĩ màde dzesi vovototo si le wò afɔwo dome gɔ̃ hã o. Ne èbɔbɔ nɔ anyi alo tsi tre la, "klo" eveawo siaa bɔbɔna ɖe wo nɔewo nu.
Amekae le amekoko sia wɔm?
Esia menye amekoko na amesiame o. Esia nye amekoko si mebɔ kura o. Wobua amekoko sia ŋu le nɔnɔme siwo gbɔna me koŋ:
- Ƒumeŋuɖui: Esia koŋ gbɔe wòtso. Ne ƒumeŋuɖui abe `Osteosarcoma` kple `Ewing sarcoma`, siwo bɔ ɖe ɖeviwo kple sɔhɛwo me koŋ, dzɔ le klo ŋu la, wozãa mɔnu sia tsɔ ɖea kansa lãmenugbagbeviwo ɖa keŋkeŋ. Esi ɖeviwo ƒe ƒuwo gakpɔtɔ le tsitsim ta la , woƒe afɔwo tsina kple woƒe ŋutilã le amekokoa megbe. Eyata ele bɔbɔe ŋutɔ na wo be woatrɔ ɖe esia ŋu.
- Dzɔdzɔmeŋutete: Woate ŋu adzi ɖevi aɖewo kple nɔnɔme aɖe si me afɔkpodzi (akɔtaƒu) metsi nyuie o (Congenital Femoral Deficiency - CFD). Le nɔnɔme mawo me la, wobua Rotationplasty hã ŋu.
- Susu bubuwo tae:Ƒã hafi woate ŋu awɔ dɔ sia na abi sesẽwo alo dɔlékui siwo womate ŋu ada o hã.
Aleke nèdzrana ɖo hafi wɔa dɔ na wò?
Esi wònye nyametsotso gã aɖee esia nye ta la, nu geɖe li siwo ŋu wòle be woabu hafi awɔ dɔa.
1. Na nyanya nyuie: Ele be wò kple wò ƒomea nase alesi wò afɔ anɔ le amekoko vɔ megbe, ɣeyiɣi si wòada gbe le eŋu, kple kamedede gɔme nyuie. Wò ɖɔkta aɖe nya sia me na wò nyuie, eye ne ehiã la, afia ame siwo wowɔ dɔ sia na ƒe foto alo videowo gɔ̃ hã wò. Ele vevie ŋutɔ be nàdzra ɖokuiwò ɖo le susu me ɖe esia ŋu.
2. Lãmesẽdodokpɔ: Ðɔktaa akpɔe ɖa be wò akɔta kple afɔkpodzi te ŋu ʋãna nyuie hã. Akpɔe ɖa hã be lãmeka vevitɔ si yia wò afɔ gbɔ, si nye sciatic nerve, le dɔ wɔm nyuie hã. Lãmetsi sia le vevie hafi amekokoa nakpɔ dzidzedze.
3. Nɔnɔmetatawo dodokpɔ: Hafi woawɔ dɔ na amekokoa la, amekokoha la wɔa dodokpɔwo abe X-ray, MRI, alo CT scan ene tsɔ srɔ̃a nu tso afɔ ƒe akpa si le eme ƒe nɔnɔme kple alesi kansa la kakae ŋu nyuie.
4. Dzadzraɖo ɖe afɔti si woatsɔ awɔ afɔkpodzi ŋu: Ɣeaɖewoɣi la, woadzidze wò afɔ hafi awɔ dɔ na wò eye woawɔ ɣeyiɣi kpui aɖe ƒe afɔti (afɔti) si woate ŋu azã le amekoko vɔ megbe teti.
Vovototo si le Rotationplasty amekoko kple tiatia bubuwo dome
Tiatia vevi eve li ame ate ŋu atia ɖe Rotationplasty teƒe:
- Afɔ si le klo dzi la ɖeɖe kple abɔ kple afɔ si wowɔ si sɔ zazã.
- Kansa ƒe akpaa ɖeɖe ɖa eye woatsɔ ga ƒe akpa aɖewo alo ƒu si wodo tso ame bubu gbɔ aɖo eteƒe.
Mina míalé ŋku ɖe viɖe kple kuxi siwo le Rotationplasty amekoko ŋu ne wotsɔe sɔ kple mɔnu eve siawo le kplɔ̃ sia dzi.
| Ŋutinu | Viɖe siwo le Rotationplasty ŋu | Nusiwo gblẽ le eŋu kple afɔku siwo le eme |
|---|---|---|
| Dɔwɔwɔ ƒe ŋutete | Esi woawo ŋutɔ ƒe afɔkpodzi wɔa dɔ abe klo ene ta la, ʋuʋu kple wo dzi ɖuɖu kɔ ŋutɔ. Woate ŋu aƒu du, ati kpo, eye woate ŋu awɔ kamedefefe gɔ̃ hã. | Hehexɔxɔ hiã be ahɔhɔ̃a kple lãmekawo nazu numame na "klo yeyea." |
| Nusiwo nɔa anyi didina | Esi wòzãa wò ŋutɔ wò lãmekawo, lãmekawo, kple ʋukawo ta la, enɔa anyi didina wu eye mehiã be woawɔ dɔ bubuwo na wò o. | Afɔku li be ɖekawɔwɔ nahe ɖe megbe le dɔyɔɣi. |
| Dzedzeme | Togbɔ be mewɔa vovototo ne wodo pantalon o hã la, esia nye nusi wowɔ be woatsɔ adzi dɔwɔwɔ ɖe edzi. | Esiae nye nusi gblẽ le eŋu wu. Wotrɔ afɔa ɖe megbe, eyata eƒe dzedzeme to vovo. Exɔa ɣeyiɣi hafi woate ŋu alɔ̃ ɖe edzi le susu me. |
| Kuxi siwo dona tso eme | Woƒoa asa na kuxiwo abe ``phantom limb pain'' (sese le ame ɖokui me abe afɔ si bu la le veve sem ene) siwo dzɔna ne wolã afɔ. | Amekokoa sesẽ ŋutɔ. Afɔkuwo le ʋu ƒe sisi, lãmekawo ƒe gbegblẽ, kple dɔlékuiwo xɔxɔ me. |
Aleke ɣeyiɣi si woatsɔ ahayae nye?
Esia nye amekoko gã aɖe, eyata axɔ ɣeyiɣi hafi wòahaya.
- Ate ŋu axɔ abe ɣleti 3 va ɖo 6 ene hafi ƒu eveawo nahaya keŋkeŋ. Ne èle kansa ƒe atike wɔm abe atikewɔmɔnu ene la, axɔ ɣeyiɣi didi vie hafi wòahaya.
- Le ɣeyiɣi sia me la, ahiã be nàzã bunɔkeke alo atizɔtiwo.
- Ne abi la nya haya eye vuvua nu fa ko la, woate ŋu ado ametia.
- Lãmesẽfefewɔwɔ nye mɔzɔzɔ sia ƒe akpa vevi aɖe ŋutɔ. Lãmesẽdɔwɔla afia kamedede wò be nàdo ŋusẽ wò akɔta kple "klo yeye" (afɔkpodzi) ahabɔbɔe. Afi siae wò ahɔhɔ̃a va zua numame na ʋuʋu yeye sia le.
Ðeviwo trɔna ɖe esia ŋu kabakaba wu ame tsitsiwo. Gake le ɣleti 6-12 me la, wo dometɔ akpa gãtɔ dzea azɔlizɔzɔ gɔme kpekpeɖeŋu aɖeke manɔmee. Woɖoa afi si woate ŋu akpɔ gome le nuwɔna ɖesiaɖe, kamedefefewo gɔ̃ hã, si wolɔ̃na me.
Nyametsotso wɔwɔ abe Rotationplasty ene ate ŋu asesẽ ŋutɔ eye wòatsi akogo. Elabena ame aɖe si nènya ate ŋu ato nane si le abe esia ene me eye wòabui hafi. Gake egbea, to hadomenyatakakadzraɖoƒewo dzi la, mɔnukpɔkpɔ sua asiwò be nàke ɖe ame siwo wowɔ dɔ sia na ŋu, ase woƒe ŋutinyawo, akpɔ alesi wowɔa kamedefefee, eye nànɔ agbe si sɔ. Nu mawo tɔgbe kpɔkpɔ ate ŋu anye ŋusẽ gã aɖe le nyametsotso sia wɔwɔ me.
Gbedasi si Wotsɔ Yi Aƒeme
- Rotationplasty nye amekoko si mebɔ o gake wòkpɔa dzidzedze be woatsɔ aɖe afɔ. Enye tiatia nyui aɖe, vevietɔ na ƒumeŋuɖui le ɖeviwo me.
- Esia trɔa dɔnɔa ŋutɔ ƒe afɔkpodzi wòzua klo si wɔa dɔ, si wɔnɛ be wòte ŋu ʋãna hewɔa dɔ geɖe wu.
- Nu vevitɔ si ŋu wòle be woabue nye tɔtrɔ si vaa afɔa ƒe dzedzeme me le amekoko vɔ megbe, gake viɖe siwo dona tso eme le dɔwɔwɔ me sɔ gbɔ ŋutɔ.
- Esia nye ame ŋutɔ ƒe nyametsotso eye wòsesẽ ŋutɔ, eyata ele vevie be nàdzro nu me tsitotsito kple wò ɖɔkta tso viɖe, kuxi, kple afɔku siwo katã le eme ŋu hafi atso nya me be yeawɔ dɔa.
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