Amputation is the cutting operation the parts of the body, for example finger, arm, or leg. This operation aims to control pain or a disease that attacks specific body parts. This procedure can be done in an emergency or planned. Amputation of the emergency is usually needed when the patient had an accident that badly that need handling as soon as possible. Meanwhile, amputation well-planned is made after the doctor and the patient consider a variety of factors.
The reason Behind the Suggestion of Amputation
Amputation is generally the last option recommended by a doctor. There are some special considerations in making such decisions, namely:
- The advent of gangrene or dead skin tissues.
- Severe infection and failed to improve despite already handled. For example, wounds on the feet of people with diabetes that is difficult to cure.
- Found cancer in that body part, for example in the bones or muscle tissue.
- The pain is not unbearable ongoing and severe disabilities so that may not work .
- Heavy injuries, for example severe burns, injuries due to the explosion, or injury due to animal bites.
- Frostbite or frostbite.
Diagnosis Before Amputation
Before surgery, the doctor will examine Your condition to determine the type of the abscission process that will be undertaken. Here are some of the inspection methods that are generally recommended:
- Health test carefully in order to check the physical condition, kidney function, heart health, functioning of the respiratory system, as well as nutritional adequacy.
- Evaluation of psychiatric conditions to assess whether the patient can cope with the psychological and emotional impact of amputation that will be undertaken. If needed, the doctor will recommend the patient to undergo psychot herapy after the implementation of amputation.
- Examination of the condition and function of the limb to be amputated, for example to check the pulse rate and the level of sensitivity of the skin around the part to be cut. This process will help the doctor to make sure how many parts that should be cut or the network that should be lifted, while reducing the risk of complications and amputation of the other would probably happen in the foreseeable future.
In addition to the physical and mental state of the patient, the doctor will also ask about the condition of the home, family, and the environment. These factors will have an impact on the life of the patient during and after the recovery period.
Amputation and Prosthesis
If You decide to use the prosthesis or limb fake, the doctor will help You in choosing the type that suits Your needs. Fator-the factors that should be considered are:
- The type of amputation is undertaken.
- Health conditions thoroughly.
- Muscle strength in the limbs remaining.
- The function and form of the limbs of the fake needed by the patient. Limbs fake with function and form that is right for the patient can speed up the process of rehabilitation.
Surgery Amputation
In the process of amputation, the doctor will cut off a body part that requires amputation as well as lifting the damaged tissues. Amputation is generally performed while the patient is under the influence of drugs. The type of anesthesia will be determined based on the body of the patient who requires amputation. Epidural anesthesia will be given if the patient will undergo amputation of the lower limbs (such as the calf or the toes). While the procedure of amputation of the upper limbs (e.g., hands or fingers) will usually require general anesthesia.
The period of Recovery and Rehabilitation After Amputation
During the recovery period in the hospital, the patient will be taught how to care for scars surgery so you can do it yourself at home. For example, how to clean the wound and replace the bandage. Physical therapy light it would be advisable not long after the amputation operation. The patient will then practice using the limbs of a fake two weeks after surgery. The duration of wound healing, which ideal is one to two months. Nevertheless, the loss of a body part definitely requires adaptation of the physical and the mental in quite a long time. Rehabilitation is a step crucial during the recovery period. This process generally includes:
- Therapy to train the strength and control of muscles.
- Occupational therapy in order to the ability to undergo daily activities.
- Exercises using the limbs of the fake as well as tools to help others to get accustomed to.
Care of the limbs that are left are also important, especially maintaining the cleanliness of his skin to avoid irritation or infection. Here are the signs of infection that you should watch out for.
- Skin red and sensitive.
- Appearing swelling or the swelling is getting worse.
- Out of fluid or pus from the skin.
Wash the limbs of the remaining at least one time a day with soap without the content of perfume. Apply moisturizer before going to bed or before use of the limbs fake. Clean limbs fake used also includes additional steps that are not less important in order to avoid irritation and infection.
Complications Of Amputation
The process of wound healing will also be monitored by a physician to prevent complications. Amputation which is planned to have the risk of complications is lower compared with amputation of the emergency. Some of the types of complications that may occur, for example:
- Infection in the wound.
- The wound took a long time to heal.
- Blood clots.
- Complications on the heart, such as heart attack.
- The Phantom pain, i.e. pain felt in the organs of the body that are no longer owned.
- Psychological disorders, such as depression, can not accept the fact, and even suicidal urges.
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