Amputation ntawm tus ceg: lub rehabilitation ntawm tus tau txim

Muaj tej yam teeb meem thaum lub deal nrog qhov teeb meem tsis phais tsis yooj yim sua. Nyob rau hauv no tsab xov xwm kuv xav los tham txog kev ncaj ncees kev ntsuas tom qab lub amputation ntawm tus neeg mob lub ceg.

Ntsiab cov ntsiab lus uas

Nyob rau hauv thaum pib, koj yuav tsum hais li cov nqe lus uas yuav tsum tau siv kev koom nyob rau hauv tsab xov xwm.

1. Yog li ntawd ko taw amputation - yog qhov kev tshem tawm ntawm mob nqua surgically. Lub hom phiaj ntawm qhov kev txiav txim - txuag tib neeg lub neej. Nws yog ib nqi hais tias qhov kev txiav txim txog kev phais kws kho mob noj xwb raws li ib lub xeem chaw uasi.
2. amputation theem no yog hu ua qhov chaw nyob rau hauv uas tus ceg yog txiav tawm.
3. Rehabilitation - ib tug txheej ntawm kev ntsuas los ntawm cov uas tus ntau yam tshwj xeeb (cov kws kho mob, psychologists, podiatrists, prosthetic) qhia txiv neej hloov mus rau nws ncig tsis muaj qhov ploj limb.

mob ntshav qab zib

Indications rau amputation ntawm sab nqua tau teem. Ib tug ntawm cov yog vim li cas - mob ntshav qab zib. Nyob rau hauv nws tus kheej, tus kab mob no tej zaum yuav tsis ua rau qhov teeb meem no. Txawm li cas los, nyob rau hauv tej rooj plaub (tus tsis saib xyuas ntawm tus kab mob, nws txoj kev hloov mus rau decompensated daim ntawv no) tej zaum yuav kho indications rau amputation (qhov no tshwm sim nyob rau hauv kwv yees li 8-10 hom% ntawm cov neeg mob). Nyob rau hauv tej rooj plaub, amputation ntawm ko taw nyob rau hauv cov ntshav qab zib tej zaum yuav yuam?

1. Neuropathy yog txuam nrog hlab hlwb puas tsuaj.
2. Micro- thiab macroangiopathy (kev ua txhaum ntawm cov qauv no thiab lub cev tau hauj lwm ntawm ob leeg loj thiab me me hlab ntsha).
3. Necrotic hloov nyob rau hauv lub qis extremities.

Raws li tau muaj tseeb, tus thawj heev thiab lub ntsiab hais rau amputation yog ib tug ua txhaum ntawm tus ceg hlab ntsha ua tau hauj lwm. Qhov no yog vim swb nyob rau hauv metabolism thiab kev loj hlob ntawm ib tug txheej txheem xws li autoimunizatsiya. Cov hlab ntsha yuav tshwm sim congestion tshwm sim anoxia, uas ua rau lub ko taw lam tau lam ua rau ntau yam kab mob. Thiab txawm lub slightest doog ntshav tej zaum yuav ua txoj kev loj hlob ntawm cov feem ntau txaus ntshai ntawm purulent dab. Kom tsis txhob tuag, nyob rau hauv tej lub sijhawm, cov kws kho mob tau ib tug tshaj dhau tov. E. Cov neeg mob yuav tsum tau amputation ntawm ko taw (rau cov ntshav qab zib xws li mob yog tsis tsawg). Feem ntau tsuas yog txoj kev los cawm lub neej ntawm tus neeg mob.

Yuav ua li cas yog ib qho tseem ceeb

Raws li tau muaj tseeb, amputation ntawm tus ceg - ib tug loj heev cuam tshuam nyob rau hauv lub neej thiab noj qab haus huv ntawm tus neeg mob. Uas yog vim li cas tom qab qhov phais tus neeg xav kom ib tug es lub sij hawm ntev ntawm kev ncaj ncees. Nws yog ib nqi hais tias txoj kev vam meej ntawm lub restorative kev kho mob nyob ntawm ntau yam:

1. Zoo paus (yog qhov zoo tshaj ntawm lub lag luam).
2. Coj prosthesis (ib qho tseem ceeb zoo ua hauj lwm prosthetist).
3. Rehabilitation kev pab cuam.

Yog hais tias tsawg kawg yog ib tug ntawm cov khoom no yuav tau nqa tawm imperfectly, lub rehabilitation txheej txheem yuav ho ncua.

Lub postoperative lub sij hawm

Tsis hais seb nws tau ua los yog amputation ntawm cov ntiv taw feem ntau ntawm cov povtseg, qhov tseem ceeb yog thaum ntxov postoperative theem ntawm kev ncaj ncees. Yuav ua li cas, ces, yog ib qho tseem ceeb:

1. Qhov yuav tsum tau tiv thaiv kom txhob ntau hom teeb meem, xws li kab mob ntawm lub hauv paus ntoo.
2. Nws yog ib qho tseem ceeb los mus saib xyuas cov ntshav thiab lymphatic ncig nyob rau hauv lub nqua.
3. Qhov yuav tsum tau tiv thaiv kom txhob txhav txhav nyob rau hauv cov pob qij txha thiab cov nqaij wasting. Nyob rau hauv cov ntaub ntawv no, koj yuav xav tau ib tug zaws thiab physiotherapy.
4. Nws tseem yog tsim nyog los tswj mob, yuav ua li cas muaj peev xwm zoo zoo tsis txhob rau lawv.
5. Thiab, ntawm chav kawm, yuav tsum tau psycho-kev them nyiaj yug rau tus neeg mob. Tom qab tag nrho, yuav luag tag nrho cov neeg hauv lub poob ntawm ib povtseg - ib tug lossis loj tshuab.

Kauj ruam 1. Kev npaj ntawm cov kev ncaj ncees ntawm lub hauv paus ntoo

Yog hais tias tus neeg mob muaj ib lub lag luam "amputation ntawm tus taw", nyob rau hauv thawj xyoo tom qab phais yuav tau mus los ntawm ob peb theem ntawm kev ncaj ncees. Yog li, raws li twb hais saum toj no, qhov loj tshaj tseem ceeb yog qhov zoo tshaj ntawm cov hauv paus. Nws yog nyob ntawm ntau yam tseem ceeb:

1. Qhov ntev ntawm lub hauv paus ntoo.
2. amputation theem.
3. Postoperative caws pliav (nws yuav tsum tau nyob deb ntawm qhov chaw ntawm lub siab tshaj plaws axial load).
4. Cov ntaub ntawv hauv paus (nws nyob los ntawm ib tug txheej txheem los ntawm cov uas phais pab tau ua).
5. Contracture, t. E. Noj lub zog ntawm lub ntim. Nws yog ib yam uas tseem ceeb heev, vim nws yog nyob rau hauv no zoo tshaj yog nyob ntawm qhov zoo ntawm ntxiv tib neeg taug kev.

Yuav ua li cas lwm tus neeg yog ib qho tseem ceeb kom paub txog kev saib xyuas rau cov hauv paus

Tom qab ceg amputation twb nqa tawm, nws yog ib qho tseem ceeb kom zoo zoo tu postoperative suture. Nyob rau hauv thaum ntxov hnub mus saib yuav tsum yog tus kws kho mob thiab noj nws. Ntawm no nws yog tsim nyog los qhia ntxiv ntawd tshwj xeeb mloog yuav tsum tau muab rau cov neeg mob nrog tus kab mob plawv thiab mob ntshav qab zib, raws li cov kab mob ua rau kom cov kev pheej hmoo ntawm kab mob ntawm lub hauv paus ntoo. Yuav ua li cas yog ib qho tseem ceeb:

1. Huv si yog qho tseem ceeb heev hauv paus. Nyiam txhua txhua hnub douches. Ntxuav me nyuam tej tshuaj ntxuav tes, koj muaj peev xwm kom mus, tom qab qhuav so nrog ib tug phuam.
2. Hauv paus yuav tsum tau txhua hnub soj ntsuam rau cov kev hloov nyob rau hauv daim tawv nqaij xim. Qhov no yog qho tseem ceeb heev, thiab nyob rau slightest kev hloov xav tau sab laj ib tug kws kho mob.
3. Tom qab lub lag luam, daim tawv nqaij ntawm lub hauv paus ntoo ua heev sensitive. Daws qhov no yog tau los ntawm kev txhais tau tias ntawm zaws. Ua nws tau ob txhais tes thiab ib tug me me roj hmab pob, ua ib tug yeej tsab ntawv tsa suab. Tej lub sij hawm, lub hauv paus yuav tsum tau txawm lig los plhws nrog ib tug phuam. Koj cov txheej txheem yuav tsum tau raws li feem ntau raws li ua tau, dua li ob peb zaug ib hnub twg.
4. Nws yuav tsum tau nco ntsoov tias postoperative caws pliav yog tsim nyog los humidify. Qhov no yog ib qho tseem ceeb tshwj xeeb tshaj yog nyob rau hauv thawj ob peb lub lis piam tom qab ib tug ceg amputation twb nqa tawm.

postoperative lub sij hawm ntawm adaptation nyob rau hauv cov neeg mob uas mob ntshav qab zib mellitus, feem ntau lawm.

o

Golf li ceg amputation twb ua nyob rau hauv cov ntshav qab zib los yog lwm yam kab mob txwv tsis pub, tus neeg mob feem ntau tshwm sim edema. Nws tsis yog scary, vim hais tias qhov no yog ib qho tib neeg lub cev lub tshuaj tiv thaiv rau qhov phais. Txawm li cas los, qhov teeb meem no yog tseem tsis tsim nyog rau lub caij. Cov tsim nyog ntsuas:

1. Rau cov thawj lub sij hawm tom qab lub lag luam lub qhov txhab yuav tsis pheev siab. Yog li ntawd ntaub qhwv nyob rau hauv hauv paus yog thov dim de.
2. Nyob rau hauv thiaj li yuav tiv nrog lub o, koj siv tau cov nram qab no cov cuab yeej: compression vuam txwv ntev, elastic ntaub qhwv silicone rooj plaub.
3. Yog hais tias ib tug siab amputation ntawm tus ceg twb nqa tawm, tus neeg mob yog pom zoo ob zaug ib hnub twg mus pw nyob rau hauv nws lub plab (ib nrab ib teev), tig nws lub taub hau nyob rau hauv ib tug xis txoj kev. Qhov no yog tsim nyog los xyuas kom meej tias cov nqaij nyob rau hauv lub hauv paus ntoo ncav us txog thiab yog li kev kawm thiab so.

ob leeg contracture

Ib qho teeb meem uas yuav tshwm sim tom qab lub amputation ntawm nws txhais ceg - ib tug ob leeg contractures. . Qhov ntawd yog, txoj kev txwv ntawm passive tsab ntawv tsa suab nyob rau hauv lub sib koom tes, uas yuav tsum tau tshwm sim los ntawm ib tug sab ntawm cov leeg, tendons, daim tawv nqaij, thiab lwm yam tiv thaiv kev ntsuas ..:

1. Feem ntau cov tseem ceeb - los xyuas kom meej qhov tseeb txoj hauj lwm ntawm tus neeg mob limb. Hauv paus yuav tsum tau straightened, ntev nyob rau hauv ib bent txoj hauj lwm nws yog tsis yooj yim sua kom tawm.
2. Yuav ua li cas yog ib qho tseem ceeb yog raws sij hawm raug muab tshem tawm ntawm o thiab mob. Yuav kom tiv thaiv deformation ntawm cov nqaj qaum, nws yog tsim nyog nyob rau hauv thaum ntxov hnub tom qab phais siv ib tug tshwj xeeb lub rooj zaum nrog footrest hauv paus.
3. Tus neeg mob yuav tsum tau ob leeg passive thiab active physiotherapy. Txawm li cas los, peb yuav tsum nco ntsoov hais tias nws yog tsim nyog los tsis txhob saib cov ce uas ua rau mob.

Ib qho tseem ceeb point: sai li sai tau tom qab muab hlais tawm lawm, tus neeg mob yuav tsum tshwm sim prosthetist. Tom qab tag nrho, lub ntxov neeg yuav poob mus rau hauv lub prosthesis, tsawg nws yuav poob qhov tseem ceeb dynamic kev txawj ntse, thiab qhov yooj yim dua thiab ntau yam kev ncaj ncees txoj kev.

phantom mob

Txawm li cas los ntawm lub amputation ntawm tus ceg saum toj no lub hauv caug los yog hauv qab no yog nqa tawm, tus neeg mob tej zaum yuav tsim txom phantom mob. Qhov no yog qhov mob uas yog muaj nyob rau hauv tus neeg mob povtseg txiav tawm surgically. Kom tsis txhob no, cov nram qab cov ntsiab lus yog ib qho tseem ceeb:

1. Tus neeg mob yuav tsum tau sai li sai tau kom ntxiv dag zog, uas yog. E. Hloov Siab Los Ntseeg rau hauv ib tug hauj lwm zaum.
2. Xav Tau zaws thiab lymphatic kua ntawm lub hauv paus ntoo.
3. Lub siab nyob rau hauv lub cult yuav niaj hnub zoo li. Yog li ntawd nws yog ib qho tseem ceeb heev yog kom bandaging nqua.
4. Tsis txhob phantom mob yog tau nyob rau hauv cov kev tshwm sim hais tias ib tug neeg raws li ntau li ntau tau ua ntej pib ib ce muaj zog. Physiotherapy tseem ceeb heev.
5. Thiab, ntawm chav kawm, nws yog ib qhov tseem ceeb raws li thaum ntxov li sai tau khoom cuav.

Yog hais tias lub phantom mob nyob rau hauv lub lig lub sij hawm (tam sim ntawd tom qab kev phais), nws txhais tau tias rau hauv paus saib xyuas tau nqa tawm kom los yog tsis txaus. Txawm li cas los, nyob rau hauv xws li mob nws yog ua tau kom tiv nrog qhov teeb meem. Ntawm no yuav pab tau reflex txoj kev kho.

Kauj ruam 2. Prosthetic Rehabilitation

Tom qab ceg amputation twb tau, kev ncaj ncees pib nrog qhov kev npaj ntawm lub hauv paus ntoo mus rau lub prosthesis thiab cov prosthesis nws tus kheej. Yuav ua li cas puas cov tswvyim no? Yog li, lub prosthesis - yog ib tug tshwj xeeb daim ntawv kho mob rau cov neeg mob uas tau poob ib feem ntawm yam khoom hauv nrog cev. E. Nrog kev pab los ntawm ib tug prosthesis yuav restore qub lossis ze ze qhov ib txwm functionality ntawm cov poob hloov khoom nruab nrog.

Hais txog qhov kev cov khoom cuav

Niaj hnub nimno tus kws kho mob hais tias tom qab lub amputation ntawm nws txhais ceg yog ib qho tseem ceeb raws li thaum ntxov li sai tau prosthetic nqua. Yog li, cov thawj prosthesis yuav tsum tau nqa tawm twb nyob 14-21 hnub tom qab phais. Rov qab prosthesis twb muab li thiab thaum coj tshwm sim ntawm cov thawj cov khoom.

theem ntawm cov khoom cuav

khoom cuav txheej txheem muaj ob peb theem:

1. Cov kev xaiv ntawm cov khoom tsim, t. E. Lub prosthetic.
2. Tshem ntsuam los ntawm cov hauv paus.
3. Kev npaj ntawm plaster zoo thiab tsis zoo.
4. Assembling khoom mus phim.
5. Xov noj mus rau hauv tus account tag nrho cov kev sib nrauj thiab yuav tsum.
6. Txais lub prosthesis.
7. Kev kawm nyob rau hauv lub siv.

Feem ntau hais lus, txoj kev vam meej ntawm ua hauj lwm ncaj ncees ntawm tus neeg mob yog yuav luag nkaus nyob rau qhov zoo ntawm prostheses. Tseem ceeb tus luj, qhov ntev, tswj txoj kev, tsim, tsim kom zoo nkauj thiab kosmetichnost. Koj yuav tsum tau kom zoo zoo haum cov khoom nyob rau hauv tus neeg mob. Thiab, ntawm chav kawm, cov theem kawg ntawm kev ncaj ncees ua heev neeg mob tus cwj pwm thiab nws txoj kev xav raws li sai li sai tau rov qab mus rau ib lub neej zoo. Yog hais tias ib tug neeg tau tuav ib tug ntiv tes amputated ceg prosthesis nyob rau hauv cov ntaub ntawv no tsis yog yuav tsum tau. Rehabilitation ntawm qhov khoom yuav zam tau.

Hais txog prostheses

Nws yog ib nqi hais tias cov hniav cuav lawv tus kheej yog ob hom: thawj thiab.

1. Primary prosthesis yog hu ua kev qhia thiab kev kawm. Lawv yog cov tsim nyog nyob rau hauv kev txiav txim los yog position cov hauv paus, raws li tau zoo raws li mus qhia rau tus neeg mob tus thawj txawj ntawm lawv cov kev siv. Nws yog ib nqi hais tias ntxov li ntxov tau thawj prosthesis ua rau nws tau los mus tiv thaiv qhov tshwm sim ntawm cov kev txwv ntawm kev tshem nyob rau hauv lub loj pob qij txha. Nws tseem yog ib qho tseem ceeb rau ntxiv tias prosthesis yog muaj nyob rau hauv lub tsev kho mob, vim hais tias no nws yog tsim nyog yog ib feem ntawm lub teeb ntawm cov kws txawj.
2. Tom qab thawj zaug rau theem ntawm prosthetic neeg mob yog muab ib tug mus tas prosthesis (ib tug nruab nrab ntawm ob lub xyoos).

hom ntawm cov hniav yas

Hniav cuav no yog ua los rau ib tug ntau yam ntawm technologies. Lawv yog cov modular thiab uas tsis yog-modular (modular prosthesis tab sis nws yog feem ntau siv). Lawv muaj xws li cov nram qab no Cheebtsam:

1. Lub tes tsho uas yog manufactured raws li lub tswv yim ntawm lub hauv paus ntoo ntawm tus neeg mob.
2. Hloov thiab txuas kiag li lawm.
3. Cov cab kuj module. Nws mas nws txawv nyob ntawm seb cov yam ntev ntawm lub prosthesis.
4. Module ko taw.
5. prosthetic Symptoms.

Nws tseem yog muaj nqis mentioning uas mus tas li prosthesis, raws li txwv mus kawm kuj tau txais kev kom hniav zoo nkauj veneer, nyob rau sab saum toj ntawm uas hnav tshwj xeeb vuam txwv ntev. Qhov no yog los xyuas kom meej tias cov prosthesis yog tus tshaj plaws zoo li ib tug tiag tiag ceg.

kev tsis taus

Nws yog ib nqi hais tias tus txiv neej muab tso tsis taus nyob rau hauv cov amputation ntawm nws txhais ceg. Yog li ntawd, feem ntau yuav, thaum xub thawj nws yuav tsum tau kom paub meej tias ib xyoos ib zaug. Txawm li cas los, tom qab ib tug tej lub sij hawm (tsis pub dhau plaub lub xyoos), koj yuav thov tau rau ib tug thiaj li hu ua tas mus li tsis taus. Yog hais tias muaj yog ib tug active kev loj hlob ntawm lub prosthesis, los ntawm ib tug txiav txim ntawm lub commission tej zaum yuav txo kev tsis taus.