We wi yɛri di wɔd "amputation," ɔ ɔpreshɔn fɔ pul wan pat na di bɔdi, wi kin fil big big fred ɛn shɔk. I rili kɔmɔn. Bɔt tɛm kin de we dis kin bi wan mɛrɛsin we go sev pɔsin in layf, ɛn we rili impɔtant. So, if yu no gud gud wan bɔt dis, dat go ɛp yu fɔ mek yu nɔ fred da kayn fred de. Tide, lɛ wi tɔk bɔt wetin na dis ɔpreshɔn, wetin mek dɛn fɔ du am, ɛn wetin kin apin afta dat.
Wetin mek dɛn go gɛt ɔpreshɔn fɔ pul wan pat na yu bɔdi?
Nɔbɔdi nɔ go jɔs pul wan an, leg, ɔ finga. I gɛt fɔ gɛt wan rili siriɔs mɛdikal rizin fɔ am. Fɔ tɔk am simpul wan, dɔktɔ dɛn kin disayd dis if wan pat pan di bɔdi dɔn pwɛl sote i nɔ go ebul fɔ sev igen ɛn i go ambɔg di wan ol bɔdi.
Di men rizin fɔ dis na we di blɔd nɔ de go fayn . fכ bi prεsis, di כgan we rilevεnt nכ de gεt inof bכdi biכs di at dεm כ di bכdi vεsul dεm de sכmtεm כ damej. Wi kin kɔl dis kɔndishɔn `(Peripheral Arterial Disease)`. Imajin wetin go apin if wi tik nɔ gɛt wata? I de day smɔl smɔl, nɔto so? Na so i bi, we di ɔksijɛn ɛn it we de kɔmɔt na di blɔd dɔn lɔs, di sɛl dɛn na wi bɔdi kin bigin fɔ day. Dɔn da pat de kin rɔtin ɛn siriɔs infɛkshɔn kin apin.
Apat frɔm dis men rizin, dis ɔpreshɔn kin nid fɔ du fɔ sɔm ɔda rizin dɛn.
| Rizin | Wan simpul ɛksplen |
|---|---|
| Siriɔs aksidɛnt | We an ɔ leg krɔs ɔ pwɛl we yu nɔ ebul fɔ mek am, lɛk we motoka aksidɛnt ɔ bɔn bad bad wan. |
| Wan tumbu we gɛt kansa | Fɔ mek kansa nɔ go skata na di bon ɔ di mɔsul dɛn, dɛn nid fɔ pul da pat de. |
| Wan infekshɔn we pɔsin nɔ ebul fɔ kɔntrol | Na siriɔs infɛkshɔn we nɔ go ebul fɔ mɛn ivin wit antibayɔtik ɛn i kin skata ɔlsay na di bɔdi. |
| di tik we di nεv tisu de tik (Nyuroma) . | Sɔntɛnde dɛn kin gɛt fɔ pul wan smɔl pat lɛk finga bikɔs di nɛv tisu kin tik wit pen. |
| Frɔstbayt we pɔsin kin gɛt | Day na di bɔdi tisu bikɔs i de pan kol bad bad wan. (Dis nɔ kɔmɔn na wi kɔntri). |
Aw dɛn kin du di ɔpreshɔn?
Dis kayn ɔpreshɔn kin nid fɔ de na ɔspitul fɔ 5-14 dez ɔ mɔ, i kin dipen pan yu wɛlbɔdi kɔndishɔn ɛn di kayn ɔpreshɔn.
Dɛn go anestez yu bifo dɛn du di ɔpreshɔn. Dɛn kin du dis tu we dɛn.
1. Jɛnɛral Anestesia: Insay dis, yu go slip ɔl ɛn yu nɔ go fil natin te di ɔpreshɔn dɔn.
2. Spinal Anesthesia: Insay dis, yu bɔdi de numb frɔm di wes dɔŋ. Yu de no, bɔt yu nɔ de fil pen.
We di dɔktɔ de du ɔpreshɔn, di men tin we i want fɔ du na fɔ pul ɔl di tisu dɛn we dɔn pwɛl ɛn lɛf bɔku tin dɛn we gɛt wɛlbɔdi.
Dɔktɔ dɛn kin yuz bɔku we dɛn fɔ no ustɛm fɔ pul am.
- Dɛn kin chɛk fɔ si if puls de nia di say we dɛn plan fɔ pul.
- di skin tεmprachכ fכ di an/leg we injuri dεn kכmpεr am wit di tεmprachכ fכ di hεlty an/leg.
- Tek tɛm chɛk di say dɛn we di skin rɛd.
- Chek fɔ si if di skin we de nia di say we yu want fɔ pul, kin fil fɔ tɔch.
We dɛn de du di ɔpreshɔn, di dɔktɔ we de du di ɔpreshɔn go du dɛn tin ya:
- Dɛn kin pul di tisu dɛn we gɛt sik ɛn di bon pat dɛn we dɛn dɔn krɔs kpatakpata.
- I de mek di bon dɛn we nɔ ivin, shap, smol.
- Fɔ mek di blɔd nɔ de kɔmɔt, dɛn kin sidɔm di blɔd vesel ɛn di nɛf dɛn tayt tayt wan.
- dεn kin kכt di mכsul dεm εn shep dεm so dat leta dεn kin atak wan prosthεtik an כ leg pan di pat we rεst (stכmp).
Sɔntɛnde, di dɔktɔ we de du ɔpreshɔn kin lɔk di wund wit skin flap wantɛm wantɛm. Dɛn kɔl dis ``Klɔz Amputeshɔn''. Bɔt if risk de fɔ mek pɔsin gɛt di sik ɔ if dɛn nid fɔ pul mɔ tisu, dɛn kin lɛf di wund opin fɔ sɔm dez.
Tɛm fɔ mɛn ɛn fɔ wɛl
Di we aw pɔsin kin wɛl afta dɛn dɔn ɔpreshɔn kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin dɛn, lɛk yu ɔl wɛlbɔdi biznɛs ɛn di kayn ɔpreshɔn we dɛn go du.
Na di ɔspitul:
Di ɔspitul wokman dɛm go chenj di dresin dɛm na yu wund, ɔ tich yu aw fɔ du am yusɛf. Di dɔktɔ go chɛk fɔ ɛni mɛrɛsin we go mek di wund nɔ wɛl, lɛk dayabitis. Dɛn go gi yu mɛrɛsin fɔ ɛp fɔ ridyus pen ɛn fɔ mek yu nɔ gɛt di sik.
Phantom Pain: Dis na tin we bɔku pipul dɛn kin gɛt. Fɔ tɔk am simpul wan, na di filin se di an/leg we dɛn pul stil de ɛn i de mek pɔsin fil pen. Dis nɔto saykilɔjik prɔblɛm, na sɔntin we pɔsin kin fil. If yu fil sɔntin lɛk dis, nɔ ɛva ayd am. Mek shɔ se yu tɛl yu dɔktɔ. I kin gi di tritmɛnt ɛn advays we i nid.
Fizik tritmɛnt kin bigin sɔm dez afta dɛn dɔn du di ɔpreshɔn. Dɛn kin du ɛksesaiz dɛn we rili saful fɔ strɛch fɔs. Yu go ebul fɔ bigin fɔ du ɛksɛsayz wit di prɔstɛtik leg/an lɛk 2 wik afta di ɔpreshɔn.
I kin tek lɛk 4-8 wiks fɔ mek di wund wɛl ɔl.
I kin tek tɛm fɔ ajɔst to dis big chenj, pan bɔdi ɛn maynd. Dat na rili nɔmal tin. Nɔ ɛva sɔfa yu wan. Aks fɔ ɛp.
Rihabiliteshɔn fɔ lɔng tɛm inklud:
- Ɛksesaiz fɔ mek di mɔsul dɛn strɔng ɛn fɔ mek dɛn ebul fɔ kɔntrol dɛnsɛf fayn fayn wan.
- Aktiviti dɛm we de divɛlɔp di abiliti fɔ du ɛvride wok dɛm fɔ yusɛf.
- Yuz atifishal limb dεm (`Prosthesis`) εn כda tin dεm we de εp .
- I impɔtant fɔ aks fɔ sɔpɔt ɛn advays frɔm yu dɔktɔ ɔ pɔsin we sabi advays yu fɔ ɛp yu fɔ bia wit di sɔri we yu kin fil we yu lɔs yu bɔdi pat ɛn ajɔst to yu nyu bɔdi shep.
Mɛsej we dɛn kin kɛr go na os
- Amputeshɔn na ɔpreshɔn we nid fɔ du fɔ sev pɔsin in layf ɔ fɔ mek di layf bɛtɛ. I nɔ min se di mɛrɛsin nɔ de wok fayn.
- Di wɛl bɔdi prɔses na fɔ waka na bɔdi ɛn filin, ɛn i kin tek tɛm, peshɛnt, ɛn sɔpɔt.
- I rili impɔtant fɔ wok togɛda wit yu dɔktɔ, pɔsin we de mɛn yu bɔdi, ɛn pɔsin we de gi yu advays. Nɔ fred fɔ aks dɛn kwɛstyɔn ɛn tɛl dɛn bɔt wetin de mɔna yu.
- If yu de gɛt ‘phantom pain’ ɔr mental strɛs, nɔr ayd am ɛn go to dɔktɔ kwik kwik wan. Bɔku pipul dɛn de we go ɛp yu.
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