We pɔsin tink se i fɔ gɛt ɔpreshɔn fɔ pul wan pat na in bɔdi lɛk in an, in leg, ɔ in finga, dat kin mek i fred. I at fɔ imajin. Bɔt sɔntɛnde, fɔ sev pɔsin in layf ɔ fɔ stɔp wan siriɔs infɛkshɔn fɔ skata, yu fɔ disayd dis tranga disizhɔn. Bikɔs dis na tɔpik we rili impɔtant, lɛ wi tɔk bɔt am ditayli ɛn simpul wan.
Wetin na ‘amputation’?
Fɔ tɔk am simpul wan, fɔ kɔt kɔt na we dɛn du ɔpreshɔn fɔ pul wan pat na di bɔdi, mɔ di an, leg, an, ɔ fut. Sɔntɛnde, afta bad bad aksidɛnt, wan pat na di bɔdi kin lɔs, ɛn dis ɔpreshɔn kin nid bak fɔ klin di pat ɛn mek am fayn fayn wan.
Di pat dɛn we dɛn kin pul bɔku tɛm na:
- Wan an ɔ pat pan wan an
- Bɛlɛ an
- Wan finga
- Wan leg ɔ pat pan wan leg
- Wan fut
- Wan fut finga
Apat frɔm dɛn tin ya, pan ɔl we i nɔ kin apin so ɔltɛm, dis kin inklud bak fɔ pul sɔm pat dɛn na di fes (yes, nos, tɔŋ), wan bɔdi (mastectomy), tɛstikul, ɔ penis.
Wetin mek yu fɔ pul bɔdi pat lɛk dis?
Imajin, if wan tik in branch day ɛn rɔtin, i kin ambɔg ɔda branch dɛn ɛn di wan ol tik. Na dat mek wi kɔt da branch de ɛn pul am. Na so i bi. If wan pat na di bɔdi we dɔn pwɛl bikɔs ɔf siriɔs sik ɔ siriɔs aksidɛnt nɔ ebul fɔ kam bak , fɔ kip am na di bɔdi kin bi denja.
Bɔku rizin dɛn de fɔ dat:
- Tisu Day: We dɛn kɔt di blɔd we de flɔ to wan eria, di tisu kin bigin fɔ day. Dis tisu we dɔn day kin mek di jem dɛn skata ɔlsay na di bɔdi ɛn i kin mek pɔsin in layf de pan denja.
- Infεkshכn dεm we dεn nכ kin kכntro: Sɔm infεkshכn dεm nɔr kin kכntrol ilɛk ɔmɔs tritmεnt dεn gi. Fɔ mek di infekshɔn nɔ go skata to ɔda pat dɛn we gɛt wɛlbɔdi, dɛn fɔ pul di pat we gɛt di sik.
- I nɔ go ebul fɔ wok fayn: If di nɛf dɛn we de na da say de pwɛl, i go mek i nɔ ebul fɔ fil fayn ɛn i nɔ go ebul fɔ muv fayn fayn wan. Wae pɔrsin nɔr de fil fayn, pɔrsin nɔr kin notis de injury ɛn de sik kin wɔs.
Fɔ tɔk am simpul wan, dɛn kin du dis fɔ mek di bɔdi we lɛf nɔ pwɛl, ɛn dis min se dɛn go sev layf. I de alaw bak fɔ pul wan pat we nɔ de wok ɛn put wan pat we yusful ɛn we go luk fayn fɔ mek dɛn chenj am .
Wetin na di men rizin fɔ pul wan pat na di bɔdi?
Dis dɔŋ ya na sɔm pan di men sik dɛn ɛn rizin dɛn we kin mek pɔsin disayd fɔ du dis kayn tin.
| Mek | Simpul ɛksplen |
|---|---|
| Pɛriferal Atɛri Disizin (PAD) . | We di blɔd vesel dɛn we de kɛr blɔd go na di an ɛn fut dɛn blok, dat kin mek di blɔd flɔ stɔp ɛn di tisu dɛn kin day. |
| Di prɔblɛm dɛn we kin apin we pɔsin gɛt Dayabitis | Dayabitis kin pwɛl di nerv dɛm ɛn mek yu nɔr de fil fayn na yu fut. Dis kin mek pipul dɛn nɔ no di wund dɛn, dɛn kin gɛt di sik, ɛn dɛn nɔ kin wɛl. |
| Gangrene sik we dɛn kɔl Gangrene | We blɔd nɔ de flɔ, di tisu kin day, tɔn blak, ɛn rɔtin, ɛn i kin skata ɔlsay na di bɔdi. |
| Sivɛri Injuri dɛn | Wan an ɔ leg kin krɔs, kɔt am, ɛn i kin pwɛl we pɔsin nɔ ebul fɔ ripɛnt bikɔs ɔf motoka aksidɛnt, we i kech na mashin, ɔ we i bɔn bad bad wan. |
| Tumɔs dɛn we gɛt kansa | di tכmכro dεm we gεt kansa na di bon כ di mכsul dεm nכ kin kכmכt sef wan if dεn nכ pul di pat. |
| Infɛkshɔn dɛn we kin mek pɔsin in layf de pan denja | Sivεr infεkshכn dεm we dεn spre to di bon dεm, jכint dεm, כ כda tisu dεm εn dεn nכ kin kכntrכl wit antibaytik. |
Wetin kin apin bifo dɛn du di ɔpreshɔn?
If di ɔpreshɔn nɔto bikɔs ɔf aksidɛnt, sɔm tin dɛn de we yu kin du fɔ pripia bifo di ɔpreshɔn.
Chɛk
Yu mɛdikal tim go tek tɛm luk aw yu sik ɔ aw di aksidɛnt apin. Sɔntɛnde, dɛn kin yuz advans ɔpreshɔn fɔ tray fɔ sev da an de. Dɛn kɔl dis ɔpreshɔn fɔ sev limb .If dis kayn tin de we go apin, di dɔktɔ go tɔk to yu bɔt di gud ɛn bad tin dɛn. Bɔt if i nɔ pɔsibul fɔ sev di pikin, dɛn go yuz dis asɛsmɛnt fɔ plan di ɔpreshɔn.
Fɔ advays pɔsin
Dis nɔto jɔs ɔpreshɔn. Dis na wok we pɔsin kin du fɔ in maynd ɛn in bɔdi fɔ ɔl in layf. So yu mɛdikal tim nɔ go jɔs gɛt dɔktɔ dɛn we de du ɔpreshɔn, bɔt ɔda spɛshal pipul dɛn bak. Yu go mit wit difrɛn tritmɛnt pipul dɛn fɔ rɛdi yu fɔ ɔpreshɔn ɛn plan aw yu go wɛl afta dat. If yu want fɔ mek pɔsin we dɛn mek wit in an, yu kin mit wit pɔsin we de wok fɔ yu fɔ tɔk bɔt di tin dɛn we yu go ebul fɔ du.
Wetin kin apin we dɛn de du ɔpreshɔn?
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn kin pul ɔl di tisu dɛn we sik ɛn we dɔn pwɛl. I kin tray bak fɔ kip bɔku tin dɛn we gɛt wɛlbɔdi as i ebul. I kin nid bak fɔ mek in nɛf ɛn blɔd vesel dɛn we dɔn pwɛl. Dɛn kin trim di ɛnd dɛn na di bon ɔ mek i smol. Dɔn dɛn kin tay di mɔsul we lɛf to di bon ɛn siŋ am bak togɛda. Dis kin mek di eria strɔng.
Sɔntɛnde, fɔ rɛdi yu fɔ wan patikyula prɔstɛsis, yu kin nid fɔ du ɔda tin dɛn we dɛn de du di ɔpreshɔn. Fɔ ɛgzampul:
- Target Muscle Reinnervation: Dis na wan we we rili intrestin. I impɔtant mɔ fɔ pipul dɛn we dɛn dɔn kɔt dɛn an. di sajin de kכnekt bak di nεv dεm we bin de kכntrol di muvmεnt dεm fכ yu an we dεn kכl to כda ‘target mכsul’ na yu chεst כ sholda. Dɔn yu kin mek da mɔsul de wok ɛn kɔntrol di prɔstɛtik an lɛk aw yu want.
- Osseointegration: Dis na di say we yu prosthεsis de kכnekt dairekt to di bon. Di dɔktɔ we de du di ɔpreshɔn kin put wan mɛtal ankɔ insay di bon. Dɛn kin tay di prɔstɛsis dairekt to am. Dis kin mek i rili izi fɔ pul di prɔstɛsis ɛn tay am bak.
- Rotationplasty: Dis na ɔpreshɔn we nɔ kin apin so ɔltɛm. na ya, dεn de pul pat pan di כp leg εn di hεlty lכw leg de atak bak as di כp leg. Bɔt dɛn kin rɔta. Dis kin mek yu anklɛ jɔyn de akt lɛk ni. Dis kin mek yu ebul fɔ yuz prɔstɛsis we de dɔŋ di ni instead fɔ yuz prɔstɛsis we de ɔp di ni.
Wetin kin apin afta dɛn dɔn du di ɔpreshɔn?
Afta dɛn dɔn du di ɔpreshɔn, yu go nid fɔ de na ɔspitul fɔ sɔm dez ɔ sɔm wiks. Dɛn go gi yu ɔksijɛn, salin (IV), ɛn mɛrɛsin fɔ mek yu fil pen as nid de. Yu kin gɛt wan urinary catheter we dɛn put insay. Wan dɔktɔ we de mɛn yu bɔdi go kam insay sɔm dez ɛn bigin yu fɔ du smɔl smɔl ɛksesaiz fɔ ɛp fɔ mek yu nɔ stif.
Afta dat, yu go nid fɔ kɔntinyu fɔ du yu rihabiliteshɔn prɔses na os ɔ na spɛshal rihabiliteshɔn sɛnta. Insay dis tɛm, difrɛn spɛshal pipul dɛn go ɛp yu fɔ lan fɔ liv wit yu bɔdi we dɔn chenj.
Yu rihabiliteshɔn program kin gɛt fɔ du wit:
- Fizik Tɛrapi: Yu nid fɔ muv ɔltɛm fɔ mek di tisu nɔ stif. Yu nid fɔ lan bak fɔ yuz yu bɔdi nyu we dɛn ɛn abop pan difrɛn mɔsul dɛn.
- Ɔkupeshɔn Tɛrapi: Ɔkupeshɔn tɛrapist de ɛp yu fɔ lan fɔ du ɛvride wok (wok na os, wok) di we we go fayn fɔ yu nyu bɔdi.
- Saykotɛrapi: Dis rili impɔtant. We pɔsin lɔs in bɔdi pat na big big prɔblɛm we kin mek pɔsin gɛt prɔblɛm wit in maynd. I rili impɔtant fɔ go to pɔsin we sabi du in wok fɔ dil wit di difrɛn kayn filin dɛm (sɔri, vɛks, fred) we kin kam wit am ɛn fɔ ɛp yu fɔ ajɔst yu tinkin.
- Fitin ɛn tren fɔ wan prɔstɛtik leg: If yu de plan fɔ yuz prɔstɛtik leg, di fitin prɔses go bigin afta di wund dɔn wɛl. Dɔn yu go nid fɔ tren fɔ yuz am fɔ sɔm mɔnt.
Aw lɔng i go tek fɔ mek i wɛl? Aw di pen de?
Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔku tɛm, i kin tek lɛk tu to tri mɔnt so fɔ mek di wund dɛn we dɛn du di ɔpreshɔn wɛl ɛn di swɛlin fɔ go dɔŋ. Na da tɛm de nɔmɔ dɛn go ebul fɔ fit wan prɔstɛtik limb. Fizik tritmɛnt kin bigin kwik kwik wan afta dɛn dɔn du di ɔpreshɔn ɛn i fɔ kɔntinyu fɔ at le siks mɔnt.
We wi de tɔk bɔt pen, yu nɔ go fil ɛni pen we dɛn de du di ɔpreshɔn. Afta dat, dɛn go gi yu strɔng pen kil na ɔspitul. Bɔt ɔda kayn pen kin apin fɔ lɔng tɛm.
- Risidual Limb Pain: Pen kin apin na di stɔp na di limb we dɛn pul. Dis pen na di nerve kin kam bikɔs di nerve dɛn kin pwɛl we dɛn de du ɔpreshɔn. I kin gɛt prɔblɛm dɛn bak na di skin we di prɔstɛsis kin mek. Tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt prɔstɛtik bɔt dis.
- Phantom Limb Pain: Bɔku pipul dɛn kin fil lɛk se dɛn limb we dɛn kɔt stil de ɛn i de mek dɛn fil pen. Dis kin rili kɔmɔn. Dis na bikɔs di nɛf dɛn we dɛn dɔn kɔt stil de sɛn signal to di bren. Dis na nɔmal tin, so tɔk to yu dɔktɔ bɔt dis.
- Saykolojik Pen: Di saykilɔjik strɛs, pwɛl hat, ɛn trauma we kin kam we pɔsin lɔs in bɔdi pat kin rili bɔku. Dis kin mek yu gɛt tin dɛn lɛk pwɛl hat ɔr pɔst-traumatik strɛs disɔda (PTSD). I impɔtant fɔ go to pɔsin we sabi du in wok fɔ ɛp yu fɔ bia wit dis pen we yu kin gɛt na yu maynd.
Ustɛm yu fɔ kɔntak yu mɛdikal tim?
We yu de wɛl, if yu gɛt ɛni prɔblɛm ɔ yu nɔ fil fayn, kɔl yu mɛdikal tim wantɛm wantɛm. Dɛn de ya fɔ ɛp yu.
| Udat yu want fɔ tɔk to? | Ustɛm/us tɛm? |
|---|---|
| To di dɔktɔ we de du di ɔpreshɔn | If i tan lɛk se di wund nɔ de wɛl, if di wund de wɔs, ɔ if nyu sayn dɛn lɛk fiva de sho. |
| To di Fizik Tɛrapist | If di bɔdi stif, i nɔ izi fɔ muv, ɔ i de fil pen bikɔs yu yuz wan say na di bɔdi pasmak. |
| Fɔ di pɔsin we sabi bɔt mental wɛlbɔdi biznɛs | If yu nid sɔpɔt pan yu maynd ɔr filin, advays, ɔr mɛrɛsin. |
| To di pɔsin we de du di wok we dɛn kɔl Prosthetist | If yu prɔstɛsis mek di skin nɔ fayn na di say we lɛf ɔ if i nɔ fit fayn. |
Fɔ pul wan pat na yu bɔdi nɔto tin we yu ɔ yu dɔktɔ fɔ disayd fɔ du sɔntin we nɔ impɔtant. Bɔt if aksidɛnt ɔ sik de mek yu layf de pan denja, yu go nid fɔ sakrifays da pat de fɔ mek yu gɛt wɛlbɔdi. I nɔ izi, bɔt dis ɔpreshɔn kin fri yu frɔm wan sik we go mek yu layf de pan denja. I go tek tɛm fɔ ajɔst pan bɔdi ɛn maynd. Bɔt if yu gɛt di rayt sɔpɔt ɛn rihabiliteshɔn, yu kin ebul fɔ muv bak, yu kin ebul fɔ liv yu layf bak, ɛn yu kin lɛk fɔ liv yu layf bak.
Mɛsej we dɛn kin kɛr go na os
- Fɔ kɔt in an na sɔntin we nid fɔ disayd fɔ du wit dɔktɔ, bɔku tɛm fɔ sev pɔsin in layf. Nɔ tink se na fɔ win.
- Di hiling prɔses na wan joyn wae de pan bɔdi ɛn maynd. Yu go gɛt di sɔpɔt fɔ wan ful tim we gɛt dɔktɔ dɛn, tritmɛnt pipul dɛn, ɛn ɔda pipul dɛn.
- Mental wɛlbɔdi impɔtant jɔs lɛk aw bɔdi wɛlbɔdi impɔtant. Nɔ ɛva fred fɔ go fɛn sɔpɔt fɔ yu maynd wɛlbɔdi.
- If yu gɛt di rayt rihabiliteshɔn, sɔpɔt, ɛn fayn abit, i pɔsibul fɔ liv ful, aktif, ɛn fulfil layf ivin afta yu lɔs yu bɔdi pat.
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