Amputation wa mwendo: ndi konzanso zingachitike

Pali zinthu pamene athane ndi vuto popanda opaleshoni zosatheka. M'nkhaniyi ine ndikufuna kuti ndiyankhule za miyeso konzanso pambuyo amputation wa mwendo wodwalayo.

mawu Otsogolera

Pachiyambi, muyenera kuthana ndi mawu zidzagwiritsidwanso ntchito mwakhama nkhaniyi.

1. Choncho amputation phazi - ndi kuchotsa ziwalo matenda opaleshoni. Cholinga cha ntchito - kupulumutsa anthu. M'pofunikanso kuti kusankha opaleshoni madokotala azimwa monga yomalizira.
2. amputation mlingo amatchedwa pamalo amene mwendo kudulidwa.
3. Konzanso - mndandanda wa miyeso imene akatswiri osiyanasiyana (madokotala, zamaganizo, podiatrists, apulasitiki) anaphunzitsa munthu atengere mumsewumo popanda nthambi otaika.

shuga

Zikuonetsa kuti amputation wa miyendo m'munsi zikhoza kukhazikitsidwa. Chimodzi mwa zifukwa - shuga. Palokha, matenda angachititse vutoli. Komabe, nthawi zina (cha kunyalanyaza matenda, kusintha kwake kwa mtundu decompensated) zingakhale zizindikiro chamankhwala amputation (izi zimachitika pafupifupi 8-10% odwala). Nthawi zina, amputation wa miyendo shuga akhoza ziletso?

1. Neuropathy amagwirizana ndi kuwonongeka kwa mitsempha.
2. Micro- ndi macroangiopathy (kuyan'anila za nyumba imeneyi ndi kugwira ntchito yachibadwa ziwiya yaikulu ndi yaing'ono).
3. kusintha Necrotic ku malekezero m'munsi.

Monga chikuonekera, woyamba kwambiri ndi umboni waukulu amputation ndi kuphwanya ziwiya mwendo ntchito. Ichi ndi chifukwa zolephera mu kagayidwe ndi chitukuko cha ndondomeko monga autoimunizatsiya. ziwiya kuoneka kuchulukana amapezeka anoxia, zomwe zimachititsa phazi chiopsezo ku matenda osiyanasiyana. Ndipo ngakhale yotupa pang'ono mwina hule chitukuko cha kowopsa kwambiri njira purulent. Kupewa imfa, mu zinthu zimenezi, madokotala kutenga njira kwakukulu. E. Odwala ayenera amputation phazi (matenda a shuga Zikatero si kawirikawiri). Nthawi zambiri njira yokhayo kupulumutsa moyo wa wodwalayo.

Chofunika

Monga chikuonekera, amputation wa mwendo - ndi kuwasokoneza kwambiri za moyo ndi thanzi la wodwalayo. N'chifukwa chake pambuyo opaleshoni munthuyo amafuna kuti nthawi m'malo yaitali konzanso. M'pofunikanso kuti bwino chithandizo zobwezeretsa kumatengera zifukwa zingapo:

1. Good chitsa (ndi khalidwe la opaleshoni).
2. Lolingana prosthesis (yofunika khalidwe ntchito dokotala).
3. Konzanso pulogalamu.

Ngati chimodzi mwa zinthu izi idzachitike ungwiro, ndondomeko konzanso akhoza kwambiri anachedwa.

Nthawi postoperative

Kaya izo zinapangidwa kapena amputation wa chala ambiri a nthambi, zofunika kwambiri oyambirira postoperative gawo la konzanso. Nanga ndi zofunika:

1. Kufunika kupewa mitundu yosiyanasiyana ya mavuto, monga matenda a chitsa cha.
2. Nkofunika kuti aziona magazi ndi lymphatic kufalitsidwa mu nthambi.
3. Kufunika kuteteza stiffness mu mafupa ndi minofu zingatiwonongere. Pankhaniyi, muyenera kutikita ndi physiotherapy.
4. M'pofunikanso zonse ululu, kodi bwino khalidwe kupewa iwo.
5. Ndipo, ndithudi, tifunika psycho-maganizo thandizo wodwala. Ndipotu, pafupifupi anthu onse imfa ya chiwalo - nkhonya yaikulu.

Gawo 1. Kukonzekera kwa konzanso mbali ya mwendo

Ngati wodwala nayo opareshoni "amputation wa mapazi" m'chaka choyamba pambuyo opaleshoni ayenera kudutsa milingo angapo konzanso. Choncho, monga tanenera kale pamwambapa, Chofunika kwambiri ndi khalidwe la chitsa cha. Izo zimatengera zinthu zambiri:

1. M'litali chitsa cha.
2. amputation mlingo.
3. Postoperative chilonda (ayenera ili kutali malo pazipita ofananira katundu).
4. Mafomu chitsa (zimatengera pa njira imodzi phukusi opaleshoni chitachitidwa).
5. Contracture, T. E. Chepetsani kayendedwe ka voliyumu. Ndi chinthu chofunika kwambiri, chifukwa pa chinthu ichi zimatengera mtundu wa kuyenda zina anthu.

Kodi wina ndi kofunika kudziwa zokhudza kusamalira chitsa cha

Pambuyo mwendo amputation zinachitikadi, ndikofunika bwino kusamalira suture postoperative. Mu masiku oyambirira penyani kudzakhala dokotala kupezeka ndi KUYAMWITSA MWANAYU. Apa m'pofunika kuti anthu amvetse kuti mwapadera ayenera kuperekedwa kwa odwala matenda a mtima komanso matenda a shuga, matenda awa azitaya matenda a chitsa cha. Chofunika:

1. Ukhondo ndi zofunika kwambiri chitsa. Adalipo tsiku wotsukira. sopo Sambani ana, mukhoza kupitiriza, pambuyo kupukuta youma ndi chopukutira.
2. Chitsa funika tsiku anafufuza kusintha mu khungu. Ichi ndi chofunika kwambiri, ndi pa kusintha pang'ono kufunsa dokotala.
3. Pambuyo opaleshoni, khungu la chitsa amakhala tcheru kwambiri. Kulimbana ndi izi kudzera kutikita. N'zotheka manja ndi yaing'ono mphira mpira, kupanga kuyenda zozungulira. Nthawi chitsa ayenera kuzitikita ndi chopukutira. Kodi njira zimenezi monga Nthawi zambiri, nthawi makamaka angapo tsiku.
4. Tiyenera kukumbukira kuti chilonda postoperative m'pofunika humidify. Zimenezi n'zofunika kwambiri makamaka mu masabata oyambirira angapo pambuyo mwendo amputation zinachitikadi.

postoperative nthawi anatengera odwala ndi shuga, kawirikawiri yaitali.

kutupa

Gofu monga mwendo amputation unkachitika mu shuga kapena matenda ena ayi, wodwalayo zambiri uka edema. Si wowopsa, chifukwa munthu wabwinobwino thupi anachita opaleshoniyo. Komabe, zinthu akadali sikuthandiza ulendo. The miyeso zofunika:

1. Kwa nthawi yoyamba pambuyo opaleshoni bala sangathe khama kuthamanga. Choncho bandeji pa chitsa ndi ntchito mwachisawawa.
2. Pofuna kuthana ndi kutupa, mukhoza kugwiritsa ntchito zipangizo zotsatirazi: psinjika masitonkeni, zotanuka bandeji silikoni choncho.
3. Ngati amputation mkulu wa mwendo zinachitikadi, wodwalayo tikulimbikitsidwa kawiri pa tsiku kugona mimba yake (theka la ola), kutembenuzira mutu wake m'njira omasuka. Izi ndi zofunika kuonetsetsa kuti minofu chitsa anatambasula ndipo potero ophunzitsidwa ndi omasuka.

olowa contracture

Vuto lina omwe angagwe pambuyo amputation wa mwendo wake - ndi contractures olowa. . Yemwe ndi kuletsa zoyenda kungochita olowa, sipangakhalenso chifukwa cha mavuto a minofu, tendons, khungu, etc. zodzitetezera ..:

1. Chofunika - kuonetsetsa malo olondola a nthambi mtima. Chitsa ayenera anaweramuka, kwa nthawi yaitali mu malo wopindidwa n'zosatheka kusiya.
2. Chofunika ndi kuchotsa yake ya kutupa ndi ululu. Pofuna kupewa mapindikidwe a msana, m'pofunika mu masiku oyambirira pambuyo opaleshoni ntchito mpando wapadera ndi footrest chitsa.
3. Wodwalayo kupeza onse kungokhala chete ndi yogwira physiotherapy. Komabe, tiyenera kukumbukira kuti m'pofunika kupewa Zochita amene ululu.

Zikusonyezanso kuti posachedwapa pambuyo opaleshoni, wodwala ayenera kuonekera dokotala. Ndipotu anthu mwamsanga adzagwera prosthesis, ndi kupatula iye adzautaya luso zofunika zazikulu, ndi mosavuta ndi kokwanira kwambiri konzanso ndondomeko.

ululu malodza

Kaya amputation wa mwendo pamwamba bondo kapena pansichi ikuchitika, wodwalayo mwina amazunza ululu malodza. Izi ndi ululu umene anamva mu nthambi mtima anadula opaleshoni. Popewa izi, mfundo zotsatirazi ndi zofunika:

1. Wodwala ayenera kukhala posachedwapa kulimbitsa, ndiye. E. n'kukhala ndi udindo mosapumira.
2. Amafunika kutikita ndi lymphatic ngalande mbali ya mwendo.
3. Kuthamanga mu mpatuko kukhala yunifolomu. Choncho ndikofunika n'koyenera bandaging miyendo.
4. Pewani ululu malodza n'zotheka kukachitika kuti munthu ngati kuli kotheka musanayambe kuchita masewera olimbitsa thupi. Physiotherapy kumathandizanso.
5. Ndipo, ndithudi, n'kofunika mwamsanga yopanga zotheka.

Ngati ululu malodza anaonekera mu nthawi mochedwa (yomweyo pambuyo opaleshoni), zikutanthauza kuti kusamalira chitsa zinachitikadi bwino kapena ayi zokwanira. Komabe, mu Zikatero n'zotheka kuthana ndi vutoli. Apa angathandize mankhwala reflex.

2. apulasitiki Kukonza

Pambuyo mwendo amputation chitachitidwa, konzanso imayamba ndi yokonza chitsa kuti prosthesis ndi prosthesis yokha. Kodi mfundo imeneyi? Choncho, prosthesis - ndi apadera mawonekedwe kusamalira odwala amene ataya mbali ya chiwalo ankafuna. E. Mothandizidwa prosthesis angathe kubwezeretsa yachibadwa kapena pafupi-yachibadwa magwiridwe a limba otaika.

About yopanga ndi

Modern madokotala kuti pambuyo amputation wa mwendo wake n'kofunika mwamsanga miyendo apulasitiki. Choncho, prosthesis chachikulu ayenera ikuchitika kale pa masiku 14-21 pambuyo opaleshoni. Bwerezani prosthesis kale kukachita ndi pamene avale amapezeka chipatso choyambirira.

masiteji yopanga

yopanga ndondomeko tichipeza magawo angapo:

1. Kusankha kapangidwe mankhwala, T. E. The apulasitiki.
2. Kuchotsa miyezo ku chitsa cha.
3. Kukonzekera pulasitala zabwino ndi zoipa.
4. Kusonkhana katundu oyenerera.
5. Kumaliza kutenga nkhani zonse zokhudzana ndi zofunika.
6. Kulengezedwa kwa prosthesis lapansi.
7. Maphunziro mu ntchito.

Kunena zoona bwino kwa konzanso ntchito za wodwalayo pafupi kwathunthu amadalira luso la ziwalo. Zofunika kulemera, miyeso, njira zopewera kamangidwe, aesthetics ndi kosmetichnost. Muyeneranso bwino woyenera mankhwala pansi pa mtima munthu. Ndipo, ndithudi, chomaliza konzanso amakhala ndi maganizo mtima kwambiri ndi chilakolako chake posachedwapa kubwerera ku moyo wabwinobwino. Munthu amene anakonza chala udulidwe mwendo prosthesis mu nkhani iyi si chofunika. Konzanso wa katunduyo zikhoza kupewedwa.

za ziwalo

M'pofunikanso ponena kuti kupeza mano otere okha ali a mitundu iwiri: za pulaimale ndi sekondale.

1. prosthesis chachikulu amatchedwa kuphunzitsa. N'zofunika kuti molondola zikukhala chitsa, komanso kuphunzitsa luso chachikulu wodwalayo ntchito zawo. M'pofunikanso kuti oyambirira zotheka chachikulu prosthesis limachititsa kuteteza zosayembekezereka wa zoletsa kuyenda mu mfundo zikuluzikulu. N'kofunikanso kuti kufotokozera kuti prosthesis ndi umachitika mu chipatala, chifukwa kuno ndi mbali yofunika ya akonzedwa a akatswiri.
2. Pambuyo koyamba gawo la mtima apulasitiki ndi anapereka prosthesis okhazikika (avareji zaka ziwiri).

mitundu ya kupeza mano otere

Kupeza mano otere anapangidwa kwa zosiyanasiyana umisiri. Iwo yodziyimira payokha ndipo sanali yodziyimira payokha (yodziyimira payokha prosthesis koma ambiri amangoti ntchito). Iwo amakhala ndi zigawo izi:

1. Malaya amene amapangidwa malinga ndi kuona tsinde la wodwalayo.
2. Kusintha ndi zipangizo kulumikiza.
3. Chonyamulira gawo. Izo zimasiyanasiyana malinga ndi kutalika Napempha kwa prosthesis lapansi.
4. Gawo phazi.
5. apulasitiki kuphatikana.

Ndi ofunika ponena kuti prosthesis okhazikika, monga kuyenera maphunziro nawonso anapereka ndi maonekedwe zodzoladzola, pamwamba pa zomwe kuvala masitonkeni wapadera. Izi ndi kuonetsetsa kuti prosthesis anali ofanana kwambiri ndi mwendo weniweni.

kulumala

M'pofunikanso kuti mwamuna anaika chilema pa amputation wa mwendo wake. Choncho, nthawi zambiri, poyamba kutsimikiza kamodzi pa chaka. Komabe, patapita nthawi yina (pasanathe zaka zinayi), mungagwiritse ntchito kwa otchedwa chilema. Ngati pali chochitika yogwira prosthesis, ndi chisankho cha ntchito kungachepetse chilema.