Yu dɔn ɛva yɛri bɔt ɔpreshɔn we dɛn kin pul wan pat pan pɔsin in leg ɛn rɔta di ɔda pat we de dɔŋ 180 digri ɛn tay am bak? I kin tan lɛk se i strenj smɔl. Bɔt dis na rili impɔtant mɛrɛsin we de fɛt siriɔs kɔndishɔn, mɔ bon kansa na di leg, ɛn briŋ nyu op to yɔŋ pikin dɛn layf, mɔ. Tide, wi go tɔk bɔt dis spɛshal ɔpreshɔn we dɛn kɔl Rotationplasty.
Fɔ tɔk am simpul wan, wetin na Rotationplasty?
Rotationplasty na spɛshal ɔpreshɔn we dɛn kin du fɔ sev pɔsin in leg (limb salvage procedure). Imajin se pɔsin gɛt sik lɛk kansa na in ni ɛn di say we de rawnd am. Bɔku tɛm, dɛn kin kɔt di wan ol leg ɔp di ni. Bɔt insay Rotationplasty, dɛn kin du sɔntin we difrɛn.
Di dɔktɔ we de du di ɔpreshɔn kin pul di pat pan di leg we gɛt di sik fɔs (bɔku tɛm na di ɔda pat na di fut we de dɔŋ, di ni, ɛn di ɔp pat na di leg). Dɔn, dɛn kin tek di ɔda leg we lɛf we de dɔŋ, we na yu anklɛ, yu fut, ɛn yu anklɛ , ɛn rɔta am 180 digri. Dɔn dɛn kin tay am bak to di ɔda pat pan di shɔl we lɛf.
Naw yu go de wɔnda se, "Wetin mek yu de tɔn dis bak?"
Tink bɔt am. Yu ni de bɛn fɔ go bifo. Bɔt yu anklɛ kin bɛn bak. Afta dis ɔpreshɔn, yu anklɛ de wok lɛk yu nyu ni. Dat min se we yu tɔn am bak, yu anklɛ kin bɛn fɔ go bifo jɔs lɛk aw yu ni. We yu dɔn fiks yu leg dis we, yu kin tay wan prɔstɛtik leg pan am. afta dat, di "nyu knee" we dεn mek wit yu yon ankכl εn di prosthεtik leg go wok tכgeda, we go mek yu waka, rכn, εn ivin jomp nכmal wan.
I sɔprayz fɔ no se we yu wɛr pant, yu nɔ go ivin notis di difrɛns bitwin yu leg dɛn. We yu sidɔm ɔ tinap, ɔl tu di "knee" dɛn kin bɛn paralel to dɛnsɛf.
Udat de du dis ɔpreshɔn?
Dis nɔto ɔpreshɔn fɔ ɔlman. Dis na ɔpreshɔn we nɔ kin apin so ɔltɛm. Dɛn kin tink mɔ bɔt dis ɔpreshɔn pan dɛn tin ya:
- Bɔn Kansa: Dis na di men rizin. we bon kεnsar lεk `Osteosarcoma` εn `Ewing sarcoma`, we kכmכn spεshal pan pikin εn yכng pipul dεm, apin arawnd di kכn, dεn kin yuz dis mεtכd fכ pul di kεnsar sεl dεm kכmplit wan. Bikɔs pikin dɛn bon dɛn stil de gro , dɛn leg dɛn de gro wit dɛn bɔdi afta dɛn dɔn du di ɔpreshɔn. So, i rili izi fɔ dɛn fɔ ajɔst to dis.
- Difεkt dεm we dεn kin bכn pikin dεm: sכm pikin dεn kin bכn wit wan kכndishכn we di fεmur (thigh bon) nכ de divεlכp fayn (Congenital Femoral Deficiency - CFD). If na so i bi, dɛn kin tink bak bɔt Rotationplasty.
- Ɔda rizin dɛn:Na smɔl tɛm nɔmɔ dɛn kin du dis ɔpreshɔn bak fɔ siriɔs injury ɔ infɛkshɔn we nɔ go mɛn.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
Bikɔs dis na big tin fɔ disayd, bɔku tin dɛn de we wi fɔ tink bɔt bifo dɛn du di ɔpreshɔn.
1. No gud gud wan: Yu ɛn yu famili fɔ ɔndastand klia wan aw yu leg go tan lɛk afta dɛn dɔn du yu ɔpreshɔn, di tɛm we i go wɛl, ɛn di tritmɛnt we yu go gɛt. Yu dɔktɔ go ɛksplen dis to yu gud gud wan, ɛn if nid de, i go ivin sho yu foto ɔ fim dɛn fɔ pipul dɛn we dɛn dɔn du dis ɔpreshɔn. I rili impɔtant fɔ rɛdi yusɛf na yu maynd fɔ dis.
2. Fɔ chɛk yu bɔdi: Di dɔktɔ go chɛk if yu gɛt gud rɛnj fɔ muv na yu hip ɛn anklɛ. I go chɛk bak if di men nerve we de go na yu leg, di sciatic nerve, de wok fayn. Dis nerve impɔtant fɔ mek di ɔpreshɔn go bifo.
3. Imej tɛst: Bifo dɛn du di ɔpreshɔn, di ɔspitul tim kin du tɛst lɛk X-ray, MRI, ɔ CT skan fɔ stɔdi gud gud wan aw di insay pat pan di leg de ɛn aw di kansa dɔn skata.
4. Aw fɔ pripia fɔ di prɔstɛsis: Sɔntɛnde, dɛn go mɛzhɔ yu fut bifo dɛn du di ɔpreshɔn ɛn dɛn go mek wan tɛmporari prɔstɛsis (prostɛsis) we dɛn kin yuz wantɛm wantɛm afta dɛn du di ɔpreshɔn.
Di difrɛns bitwin Rotationplasty ɔpreshɔn ɛn ɔda opshɔn dɛn
Tu men opshɔn dɛn de we pɔsin kin pik instead ɔf Rotationplasty:
- Fɔ kɔt di leg ɔp di ni ɛn yuz wan fayn atifishal limb.
- Fɔ pul di pat we gɛt kansa ɛn put mɛtal pat ɔ bon graft frɔm ɔda pɔsin.
Lɛ wi luk di bɛnifit ɛn bad tin dɛn we Rotationplasty ɔpreshɔn gɛt we yu kɔmpia dɛn tu we ya na dis tebul.
| Tin | Advantej dɛn we Rotationplasty gɛt | Di bad tin dɛn we kin apin ɛn di prɔblɛm dɛn we kin apin |
|---|---|---|
| Di we aw pɔsin de wok | Bikɔs dɛn yon anklɛ dɛn de wok lɛk ni, di muvmɛnt ɛn kɔntrol kin rili ay. Dɛn kin ebul fɔ rɔn, jomp, ɛn ivin ple spɔt. | trenin nid fכ mek di bren εn di nεv dεm yus to di "nyu kכn." |
| I kin te fɔ lɔng tɛm | Bikɔs i de yuz yu yon tisu, nerv, ɛn blɔd vesel, i kin te ɛn i nɔ kin nid fɔ du ɔda ɔpreshɔn. | Risk de fɔ delay union we i de wɛl. |
| Aw a luk | Pan ɔl we i nɔ de mek difrɛns we yu wɛr pant, dis na sɔntin we dɛn bin du fɔ mek yu ebul fɔ wok mɔ. | Dis na di men tin we nɔ fayn. Dɛn kin tɔn di leg bak, so di we aw i tan difrɛn. I kin tek tɛm fɔ mek pɔsin gri wit am na in maynd. |
| Di prɔblɛm dɛn we kin apin | kכmplikεshכn dεm lεk ``phantom limb pain'' (fכ fil lεk di leg we de mis de at) we kin apin we dεn kכt di leg dεn kin avכyd. | Di ɔpreshɔn rili kɔmpleks. Risk de fɔ mek yu gɛt ischemia, fɔ pwɛl yu nerv, ɛn fɔ gɛt infɛkshɔn. |
Aw na di tɛm fɔ wɛl?
Dis na big ɔpreshɔn, so i go tek tɛm fɔ mek i wɛl.
- I kin tek lɛk 3 to 6 mɔnt fɔ mek di tu bon dɛn wɛl ɔltogɛda. If yu de du kansa tritmɛnt lɛk kemotɛrapi, i go tek smɔl tɛm fɔ wɛl.
- Insay dis tɛm, yu go gɛt fɔ yuz wilchia ɔ stik.
- We di ska dɔn wɛl ɛn di swɛlin dɔn stɔp, dɛn kin wɛr di prɔstɛsis.
- Fyzikal tritmɛnt na wan impɔtant pat pan dis joyn. fyzikal tεrapist go tich yu εksεsayz fכ strכng εn fleks yu hip εn "nyu knee" (ankle). Dis na di say we yu bren kin yus to dis nyu muvmɛnt.
Pikin dɛn kin adap to dis kwik kwik wan pas big pipul dɛn. Bɔt insay 6-12 mɔnt, bɔku pan dɛn kin bigin fɔ waka we dɛn nɔ gɛt ɛni sɔpɔt. Dɛn kin rich di say we dɛn kin du ɛnitin, ivin spɔt, we dɛn lɛk.
Fɔ mek disizhɔn lɛk Rotationplasty kin rili at ɛn i kin bi wan we yu kin du yu wan. Na bikɔs pɔsin we yu sabi bin fɔ dɔn go tru sɔntin lɛk dis ɛn lɔs am. Bɔt tide, wit soshal midia, yu gɛt di chans fɔ fɛn pipul dɛn we dɛn dɔn du dis ɔpreshɔn, yɛri dɛn stori, si aw dɛn de ple spɔt, ɛn liv nɔmal layf. We yu si tin dɛn lɛk dat, dat kin rili ɛp yu fɔ disayd fɔ du dis.
Mɛsej we dɛn kin kɛr go na os
- Rotationplasty na ɔpreshɔn we nɔ kin apin so ɔltɛm bɔt we kin wok fayn fɔ sev wan leg. Na gud opshɔn, mɔ fɔ bon kansa na pikin dɛn.
- dis de tכn di sikman in כwn ankכl to wan kכn we de wok, we de mek i ebul fכ muv bכku εn fכ wok.
- Di men tin we yu fɔ tink bɔt na di chenj we di leg de luk afta dɛn dɔn ɔpreshɔn am, bɔt di bɛnifit dɛn we i kin gɛt fɔ wok kin rili bɔku.
- Dis na tin we pɔsin kin disayd fɔ du ɛn i nɔ kin izi fɔ disayd, so i impɔtant fɔ tɔk gud gud wan wit yu dɔktɔ bɔt ɔl di gud tin dɛn, bad tin dɛn, ɛn di prɔblɛm dɛn we kin apin bifo yu disayd fɔ du di ɔpreshɔn.
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