Tikamva mawu oti "kudula ziwalo" kapena kuchotsa ziwalo za thupi chifukwa cha opaleshoni, timamva mantha komanso mantha. Ndi zachilendo kwambiri. Koma nthawi zina izi zingakhale chithandizo chofunikira komanso chopulumutsa moyo. Chifukwa chake, kudziwa bwino izi kudzakuthandizani kwambiri kuthetsa mantha amenewo. Lero, tikambirana za opaleshoni iyi, chifukwa chake iyenera kuchitika, komanso zomwe zimachitika pambuyo pake.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yochotsa chiwalo cha thupi?
Palibe amene angangochotsa dzanja, mwendo, kapena chala. Payenera kukhala chifukwa chachikulu chachipatala cha izi. Mwachidule, madokotala amapanga chisankho ichi ngati gawo la thupi lawonongeka kwambiri kotero kuti silingathe kupulumutsidwa ndipo likuvulaza thupi lonse.
Chifukwa chachikulu cha izi ndi kusayenda bwino kwa magazi . Kunena zoona, chiwalo choyenera sichilandira magazi okwanira chifukwa cha kuchepa kapena kuwonongeka kwa mitsempha kapena mitsempha yamagazi. Tikutcha vutoli `(Peripheral Arterial Disease)`. Tangoganizirani zomwe zimachitika ngati mtengo wathu sulandira madzi? Umafa pang'onopang'ono, sichoncho? Umu ndi momwe zimakhalira, pamene mpweya ndi zakudya zochokera m'magazi zatayika, maselo m'thupi lathu amayamba kufa. Kenako gawo limenelo limaola ndipo matenda aakulu amatha kuchitika.
Kuwonjezera pa chifukwa chachikulu ichi, opaleshoniyi ingakhale yofunikira pazifukwa zina zingapo.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Ngozi yaikulu | Pamene mkono kapena mwendo waphwanyika kapena wawonongeka kwambiri moti sungathe kukonzedwa, monga ngozi ya galimoto kapena kupsa kwambiri. |
| Chotupa cha khansa | Kuti chotupa cha khansa chisafalikire m'mafupa kapena minofu, gawo limenelo liyenera kuchotsedwa. |
| Matenda osalamulirika | Matenda oopsa omwe sangachiritsidwe ngakhale ndi maantibayotiki ndipo amatha kufalikira m'thupi lonse. |
| Kukhuthala kwa minofu ya mitsempha (Neuroma) | Nthawi zina gawo laling'ono, monga chala, limayenera kuchotsedwa chifukwa cha kupweteka kwa minofu ya mitsempha. |
| Frostbite | Kufa kwa minofu ya thupi chifukwa cha kuzizira kwambiri. (Izi sizofala m'dziko lathu). |
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni yamtunduwu nthawi zambiri imafuna kukhala m'chipatala kwa masiku 5-14 kapena kuposerapo, kutengera thanzi lanu komanso mtundu wa opaleshoniyo.
Mudzapatsidwa mankhwala oletsa ululu musanachite opaleshoni. Izi zitha kuchitika m'njira ziwiri.
1. Mankhwala Oletsa Kupweteka: Mu izi, mudzakhala mutulo tofa nato ndipo simudzamva chilichonse mpaka opaleshoniyo itatha.
2. Kuletsa kupweteka kwa msana: Izi zimaphatikizapo kupangitsa thupi lanu kukhala lopanda mphamvu kuyambira m'chiuno mpaka pansi. Mukudziwa bwino, koma simukumva kupweteka kulikonse.
Pochita opaleshoni, cholinga chachikulu cha dokotala ndi kuchotsa minofu yonse yowonongeka ndikusiya minofu yambiri yathanzi momwe angathere.
Madokotala amagwiritsa ntchito njira zingapo kuti adziwe komwe angachotsere.
- Amafufuza ngati pali kugunda kwa mtima pafupi ndi malo omwe akufuna kuchotsa.
- Kutentha kwa khungu la mkono/mwendo wovulala kumayerekezeredwa ndi kutentha kwa mkono/mwendo wathanzi.
- Yang'anani mosamala malo omwe khungu lili lofiira.
- Yang'anani ngati khungu lomwe lili pafupi ndi malo omwe mukufuna kuchotsa ndi losavuta kukhudza.
Pa nthawi ya opaleshoni, dokotala wa opaleshoni adzachita izi:
- Minofu yodwala ndi zidutswa za mafupa ophwanyika zimachotsedwa kwathunthu.
- Amachotsa mawanga osagwirizana komanso akuthwa pamafupa.
- Kuti magazi asiye kutuluka, mitsempha yamagazi ndi mitsempha zimatsekedwa bwino.
- Minofu imadulidwa ndi kupangidwa mwanjira yoti mkono kapena mwendo wopangidwa ndi pulasitiki ukhoze kumangiriridwa ku gawo lotsalalo (chitsa).
Nthawi zina dokotala wa opaleshoni amatseka bala ndi zotchingira khungu nthawi yomweyo. Izi zimatchedwa "Closed Amputation". Komabe, ngati pali chiopsezo cha matenda kapena ngati minofu yambiri ikufunika kuchotsedwa, balalo lingasiyidwe lotseguka kwa masiku angapo.
Nthawi yochira ndi kuchira
Kuchira pambuyo pa opaleshoni kumasiyana malinga ndi munthu ndi munthu. Zimatengera zinthu zambiri, kuphatikizapo thanzi lanu lonse komanso mtundu wa opaleshoniyo.
Kuchipatala:
Ogwira ntchito kuchipatala adzasintha mavalidwe pa bala lanu, kapena adzakuphunzitsani momwe mungachitire nokha. Dokotala adzafufuza matenda aliwonse omwe angachedwetse kuchira kwa bala, monga matenda a shuga. Adzakupatsani mankhwala ochepetsa ululu ndikuletsa matenda.
Ululu Wosayembekezereka: Ichi ndi chinthu chomwe anthu ambiri amakumana nacho. Mwachidule, ndikumva kuti mkono/mwendo wochotsedwa udakalipo ndipo ukupangitsa ululu. Ili si vuto la maganizo, ndi chinthu chomwe chimamvekadi. Ngati mukumva ngati ichi, musabise. Onetsetsani kuti mwauza dokotala wanu. Iye akhoza kukupatsani chithandizo ndi uphungu wofunikira.
Kuchita masewera olimbitsa thupi kumayamba masiku angapo pambuyo pa opaleshoni. Masewera olimbitsa thupi ofatsa kwambiri amayamba kaye. Mudzatha kuyamba kuchita masewera olimbitsa thupi ndi mwendo/mkono wopangidwa patatha milungu iwiri kuchokera pamene opaleshoniyo yachitika.
Nthawi zambiri zimatenga pafupifupi milungu 4-8 kuti bala lipole kwathunthu.
Zimatenga nthawi kuti uzolowere kusintha kwakukulu kumeneku, mwakuthupi komanso m'maganizo. Zimenezo ndi zachilendo. Musavutike nokha. Pemphani thandizo.
Kubwezeretsa kwa nthawi yayitali kumaphatikizapo:
- Maseŵero olimbitsa minofu ndikuwongolera kulamulira thupi.
- Zochita zomwe zimapangitsa kuti munthu azitha kuchita ntchito za tsiku ndi tsiku payekha.
- Kugwiritsa ntchito ziwalo zopanga (`Prosthesis`) ndi zipangizo zina zothandizira .
- Ndikofunikira kupempha thandizo ndi uphungu kwa dokotala wanu kapena mlangizi woyenerera kuti akuthandizeni kuthana ndi chisoni chotaya chiwalo cha thupi lanu ndikuzolowera mawonekedwe atsopano a thupi lanu.
Uthenga Wopita Nawo Kunyumba
- Kuduladula ziwalo ndi opaleshoni yofunika kwambiri yomwe imachitika kuti munthu apulumutse moyo wake kapena kuti moyo wake ukhale wabwino. Sikuti chithandizo chamankhwala chalephera.
- Kuchira ndi ulendo wakuthupi komanso wamaganizo, ndipo kumafuna nthawi, kuleza mtima, ndi chithandizo.
- Ndikofunikira kwambiri kugwira ntchito limodzi ndi dokotala wanu, katswiri wa zamaganizo, komanso mlangizi. Musaope kuwafunsa mafunso ndi kugawana nkhawa zanu.
- Ngati mukukumana ndi 'ululu wosayembekezereka' kapena kupsinjika maganizo, musabise ndipo funsani upangiri wa dokotala nthawi yomweyo. Pali anthu ambiri omwe angakuthandizeni.
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