If yu gɛt siriɔs aksidɛnt na yu an ɔ yu leg, ɔ if yu gɛt siriɔs sik lɛk kansa, i nɔmal fɔ gɛt di fred fɔ mek yu kɔt am. Infakt, wi ɔl kin rili sɔprayz pan dɛn kayn tɛm dɛn de. Bɔt yu no se nɔto ɔltɛm fɔ kɔt in an na di wangren sɔlv? Bikɔs mɛrɛsin dɔn go bifo tide, spɛshal we dɛn de fɔ ɔpreshɔn we go sev da kayn an ɛn fut de ɛn nɔ nid fɔ kɔt am. Na dat wi de kɔl ‘Limb Salvage Surgery’.
Fɔ tɔk am simpul wan, wetin na Limb Salvage Surgery?
Imajin, wi Kamal bin gɛt bad bad injuri na in leg pan baysikul aksidɛnt. Di bon dɛn bin krɔs, na bin big injuri. Trade, dɛn bin fɔ dɔn tɔk se dɛn go kɔt di leg. Bɔt naw di dɔktɔ dɛn de luk if dis ‘Limb Salvage’ we go ebul fɔ sev di leg.
Fɔ tɔk am simpul wan, Limb Salvage Surgery na ɔpreshɔn we de tray fɔ mek ɛn briŋ bak wan an ɔ leg we gɛt siriɔs sik ɔ wund, we dɛn nɔ pul am. Insay dis, dɔktɔ dɛn kin tray fɔ sev yu an ɔ yu fut as dɛn ebul ɛn nɔ go ambɔg yu ɔl wɛlbɔdi. Dɛn kin kɔl dis bak ‘Limb-sparing surgery’. I min "limb-saving surgery".
Us kes dɛn dɛn kin tink bɔt dis ɔpreshɔn?
Bɔku tɛm, dɔktɔ dɛn kin tink bɔt dis ɔpreshɔn pan bɔku impɔtant tin dɛn.
| Kɔndishɔn/Kɔz | Tɔk bɔt |
|---|---|
| Bɔn Kansa (Bɔn Sarkoma) . | Ɛspɛshali pul di kansa tumbu dɛn we kin apin na di bon dɛn, lɛk Osteosarcoma , Ewing sarcoma , ɛn Chondrosarcoma . |
| Sɔft Tisu Sarkoma dɛn | Fכ kansa dεm lεk Liposarcoma εn Myxofibrosarcoma we de divεlכp na εria dεm lεk di mכsul dεm εn di fεt tisu na di an כ leg. |
| Siriv infεkshכn dεm | If yu gɛt siriɔs bon infɛkshɔn ( Osteomyelitis ), yu jɔyn infɛkshɔn ( Septic Arthritis ), ɔ yu tisu day ( Gangrene ). |
| Injuri dɛn we kin mek pɔsin fil bad | We dɛn krɔs di an ɛn fut dɛn, di bon dɛn kin krɔs, ɛn di blɔd vesel ɛn nerv dɛn kin pwɛl bad bad wan bikɔs ɔf tin dɛn lɛk motoka aksidɛnt ɔ fɔ kech na mashin. |
| Metastatik Bɔn Kansa | If kansa kam ɔdasay na di bɔdi ɛn i go skata to di bon dɛn, we kin mek wan bon brok ɔ i de kam fɔ brok. |
Amputate di an/leg? Sev am? Aw dɔktɔ dɛn kin disayd fɔ du dis?
Dis na disizhɔn we rili kɔmpleks. Dɔktɔ go disayd fɔ du dis ɔpreshɔn afta i dɔn tek tɛm tink bɔt sɔm tin dɛn. Di men tin na if di ɔpreshɔn go gi yu yu an ɔ yu fut we gɛt wɛlbɔdi, we de wok, ɛn we tan lɛk nɔmal .
Di tin dɛn we kin afɛkt am na:
- Aw di sik dɔn rich: If na kansa tumbu, if i rili big, ɔ if i dɔn invayd impɔtant tin dɛn we de nia am lɛk blɔd vesel ɛn nerv, i nɔ go pɔsibul fɔ pul di tumbu we i nɔ pwɛl dɛn. Semweso, if na infekshɔn, if i dɔn skata fa ɛn pwɛl bɔku tisu, i kin at fɔ sev di ɔgan.
- Di bad bad tin dɛn we kin apin to pɔsin: Dɔktɔ dɛn kin yuz spɛshal we fɔ skɔ fɔ no aw aksidɛnt dɔn pwɛl. Dɛn kin mɛzhɔ aw di nerv dɛn, di tisu dɛn, di blɔd vesel dɛn, ɛn di bon dɛn dɔn pwɛl. If bɔku pat dɛn de we dɛn nɔ go ebul fɔ mek, i nɔ pɔsibul fɔ mek ɛni pat apat. Di tin we impɔtant pas ɔl na fɔ mek blɔd go bak na ɛni pat pan di ɔgan afta dɛn dɔn du di ɔpreshɔn. If blɔd nɔ flɔ, di tisu go day.
Wetin kin apin bifo dɛn du di ɔpreshɔn?
Bikɔs dis na big ɔpreshɔn, yu nɔ kin go ɔpreshɔn wantɛm wantɛm. Bɔku stej dɛn de bifo dat.
1. Tritmɛnt bifo yu ɔpreshɔn: If yu gɛt siriɔs injuri, yu kin nid fɔ du ɔda tritmɛnt fɔ mek yu kɔndishɔn stebul bifo dɛn du big ɔpreshɔn. If na kansa, dɛn kin gi am kemotɛrapi ɔ redyushɔn tɛrapi bifo dɛn du di ɔpreshɔn fɔ tray fɔ mek di tumbu smɔl. Dis go mek am izi fɔ pul am.
2. Asɛsmɛnt bifo dɛn du di ɔpreshɔn:Di mɛdikal tim go du bɔku tɛst fɔ ɔndastand yu kɔndishɔn. Tεst dεm lεk MRI כ CT skan de luk insay di כgan. Tεst dεm lεk CT angiogram כ Doppler ultrasound de luk fכ blכd fכ fכlכ. Dɛn go tink bak bɔt yu ɔl wɛl bɔdi ɛn if yu gɛt ɛni ɔda mɛrɛsin.
3. Diskushɔn bifo dɛn du di ɔpreshɔn: Ɛnitɛm we i pɔsibul, di mɛdikal tim go tɔk bɔt di ɔpreshɔn wit yu ditayli. Dɛn go ɛksplen ɔltin we dɛn go du, di prɔblɛm dɛn we dɛn go du, ɛn di tin dɛn we go apin, ɛn gɛt yu fɔ gri fɔ du dat. Di disayd fɔ sev ɔ kɔt yu an/leg kin tranga fɔ yu. So tek tɛm tink bɔt am ɛn aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt.
Wetin kin apin we dɛn de du di ɔpreshɔn?
Dis na tin we rili kɔmpleks. Fɔs, dɛn kin pul di pat we gɛt di sik. Dat min se dɛn fɔ pul di kansa ɔ di tisu we gɛt di sik. Dɔn di pat we at pas ɔl de bigin - di rikostrɔkshɔn prɔses.
Dis kin nid fɔ gɛt pas wan ɔpreshɔn, ɔ ivin bɔku ɔpreshɔn. Dɔktɔ dɛn fɔ kɔnɛkt bak, ripɛnt, ɔ tay bak di blɔd vesel dɛn, nɛv dɛn, bon dɛn, ɛn ɔda tisu dɛn.
Sɔm pan di we dɛn we dɛn kin yuz fɔ du dis na:
- Rivaskulayzeshɔn: Fɔ mek di blɔd flɔ bak to say we dɔn pwɛl. Jɔs lɛk aw dɛn kin wata tik we dɔn dray, dɛn kin mek di blɔd vesel dɛn kam bak bay we dɛn de du di ɔpreshɔn we dɛn kin du fayn fayn wan.
- Maykrosɔjri: Sɔntɛnde, dɛn kin chenj di blɔd vesel ɔ nerve we dɔn pwɛl wit flap frɔm ɔda pat na yu bɔdi ɔ pɔsin we gi yu, ɛn dɛn kin kɔnɛkt di dilik veins/nɛv dɛn bak bay we dɛn yuz maykroskɔp.
- Graftin: Fɔ riples bon we dɔn pwɛl ɔ we dɛn dɔn pul wit bon graft ɔ fɔ riples wan skin we nɔ de wit skin graft.
- Prostɛsis: Dɛn kin put mɛtal implant fɔ tek ples fɔ wan bon ɔ jɔyn we dɛn dɔn pul, ɛn dis kin mek di limb wok bak.
- bon transpכt: fכ fulכp di gap dεm na di lכng bon dεm כ fכ lεng bon dεm, dεn de atak wan stεn stεl fכm, lεk di `Taylor Spatial Frame` כ di `Ilizarov apparatus`, na do, we de mek di bon dεm gro.
Wetin kin apin afta di ɔpreshɔn? Wetin na di gud ɛn bad tin dɛn we de apin?
Afta dɛn dɔn du di ɔpreshɔn, wan ɔda big prɔblɛm de. Dat na bɔku bɔku bɔdi rihabiliteshɔn. Wan dɔktɔ we de mɛn yu bɔdi go wok wit yu fɔ ɛp yu fɔ gɛt maksimal rɛnj fɔ muv ɛn trɛnk bak na yu limb we yu dɔn sev. Dis kin tek tɛm, tray tranga wan, peshɛnt, ɛn kɔntinyu fɔ bia . Infakt, sɔntɛnde, i kin tek smɔl tɛm fɔ yus to wan pat we dɛn mek wit an pas fɔ yuz wan an we dɛn dɔn sev.
Bɔt mɛmba se fɔ ebul fɔ sev in yon an na big big trɛnk na in maynd.
| Di bɛnifit dɛn we pɔsin kin gɛt | Disavantej & Risk dɛn |
|---|---|
| Gud pefɔmɛns (especially we yu de waka). | Di tɛm fɔ rihabiliteshɔn kin rili lɔng. |
| Fɔ gɛt nɔmal we aw pɔsin de luk. | Posisibul fɔ gɛt fɔ du rivishɔn ɔpreshɔn. |
| Inkris kwaliti fɔ layf ɛn mental wɛlbɔdi. | Prɔblɛm fɔ mɛn wund ɛn risk fɔ gɛt infɛkshɔn. |
| Di ɔpreshɔn nɔ bin wok, ɛn leta dɛn bin gɛt fɔ kɔt di an ɛn fut. | |
| Implant dɛn we lɔs ɔ we dɔn brok. |
Aw lɔng i kin tek fɔ mek i wɛl?
Di tɛm we dis kin tek kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan us pat pan yu limb we dɛn mek ɛn aw dɛn du am. Pan ɔl we wund dɛn kin wɛl insay sɔm wiks, di mɔsul ɛn bon dɛn kin tek sɔm mɔnt fɔ wɛl. Bɔku tɛm yu go de na ɔspitul fɔ sɔm dez, dɔn yu go de na os ɛn go bak na wokples afta tu to tri mɔnt we yu dɔn rɛst. Bɔt i kin tek lɔng tɛm fɔ mek yu ebul fɔ yuz yu an ɛn fut gud gud wan bak.
Mɛsej we dɛn kin kɛr go na os
- Limb salvage surgery na fɔ tray fɔ sev wan an ɔ leg we dɔn pwɛl bad bad wan we dɛn nɔ kɔt am.
- Dis nɔto sɔntin we ɔlman go ebul fɔ du. Yu dɔktɔ go disayd if yu fit fɔ dis bay aw yu de mɛn yu, di kayn bad bad tin dɛn we yu dɔn wund, ɛn ɔl yu wɛlbɔdi.
- Dis na ɔpreshɔn we rili kɔmpleks, dɔn dɛn kin du wan rili lɔng, rihabiliteshɔn prɔses.
- Fɔ pik bitwin dis ɔpreshɔn ɛn fɔ kɔt in an na tin we nɔ izi fɔ disayd. Tɔk wit yu dɔktɔ opin wan bɔt ɔl di gud tin dɛn, bad tin dɛn, ɛn di prɔblɛm dɛn we kin apin to yu, ɛn disayd fɔ du di bɛst tin fɔ yu.
- Wit di advans we di medikal saiens de go bifo tide, chans de fo se yu go sev yu laif en yu dia ogan dem afta yu get sik o aksidɛnt we go mek yu layf de pan denja.
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