There are situations when it is simply impossible to cope with a problem without surgical intervention. In this article I want to talk about rehabilitation measures after amputation of the patient's leg.
At the very beginning, you need to understand the terms that will be actively used in the article.
Indications for amputation of the lower extremity maybe set. One of the reasons is diabetes mellitus. The disease itself can not lead to this problem. However, in some cases (neglect of the disease, its transition into a decompensated form), medical indications for amputation are possible (this occurs in about 8-10% of patients). In what cases can an amputation of the foot be prescribed in diabetes?
As it became clear, the first and most importantindications for amputation is a disruption of the functioning of the vessels of the leg. This is due to disruptions in the metabolism and the development of a process such as autoimunization. In the vessels stagnation occurs, oxygen starvation occurs, which makes the legs vulnerable to various infections. And even the slightest bruise can provoke the development of the most terrible purulent processes. To avoid a fatal outcome, in such situations, doctors make a radical decision. That is, the patient needs an amputation of the leg (in diabetics such cases are not unique). Often only this way you can save a patient's life.
As it became clear, amputation of the leg is seriousinterference in the life and health of the patient. That is why after the operation a person expects a rather long period of rehabilitation. It is worth saying that the success of restorative treatment depends on several factors:
If at least one of these items is performed is not perfect, the rehabilitation process can be significantly delayed.
Regardless of whether an amputation of the toe or most of the limb has been performed, the early postoperative stage of restorative treatment remains critical. What is important in this case:
If the patient underwent surgery "amputationlegs ", during the first year after surgery, several levels of rehabilitation will be needed. So, as has already been said above, the quality of the stump is of the greatest importance. It depends on many factors:
After the leg was amputated,it is very important to properly care for the postoperative suture. In the early days, he will be supervised by a doctor and a nurse. Here you need to clarify that special attention deserves patients with vascular pathology and diabetes, as these diseases increase the risk of infection stump. What is important:
The period of postoperative adaptation in patients with diabetes is usually longer.
The field of how the leg was amputated underdiabetes mellitus, or any other disease, the patient often develop swelling. It's not scary, because this is a normal reaction of the human body to surgery. However, the situation still should not be allowed to run its course. Measures to be taken:
Another problem that may arise afterAmputation of the foot is the contracture of the joints. That is, the limitation of passive movement in the joint, which can be caused by deformation of muscles, tendons, skin, etc. Preventive measures:
Important point: As soon as possible after surgery, the patient should appear to the prosthetist. After the earlier a person stands on the prosthesis, the less he will lose the most important dynamic skills, and the easier and sooner the rehabilitation process will be completed.
Regardless of whether the leg was amputatedabove the knee or below, the patient may be suffering from phantom pain. This is the pain that the patient feels in the limb, cut off by surgery. To avoid this, the following points are important:
If phantom pains appeared in the late period(not immediately after the operation), this means that care for the stump was carried out incorrectly or insufficiently. However, in such cases it is possible to cope with the problem. Mirror therapy can help.
After the leg was amputated,rehabilitation begins with the preparation of the stump for prosthetics and the prosthesis itself. What does this concept mean? Thus, prosthetics is a specialized type of care for patients who have lost part of the desired organ. That is, with the help of a prosthesis it is possible to restore the normal or close to normal functionality of the lost organ.
Modern doctors say that afterAmputation of the foot is important as early as possible prosthetic limb. So, primary prosthetics should be carried out already on the 14-21th day after surgery. Repeated prosthesis is prescribed already as and when the wear of the primary product occurs.
The process of prosthetics consists of a number of stages:
Speaking generally, the success of a professionalrehabilitation of the patient depends almost entirely on the quality of the manufactured prosthesis. Its weight, dimensions, control method, design, aesthetics and cosmeticity are important. Also, you need to properly adjust the product for a single patient. And, of course, the final stage of rehabilitation is the very mood of the patient and his desire to return to normal life as soon as possible. If a person had an amputation of the toe, the prosthesis would not be needed. This point of rehabilitation can be avoided.
It should be said that the prosthesis itself is of two types: primary and secondary.
Prostheses are made by the most different technologies. They are modular and non-modular (however, modular prostheses are most often used). They consist of the following parts:
Also worth mentioning is that a permanent prosthesis,in contrast to the training, also supplied with cosmetic lining, on top of which a special stocking is put on. This is necessary for the prosthesis to resemble the real leg as much as possible.
It is worth saying that the person isdisability with leg amputation. So, most likely, at first it will need to be confirmed once a year. However, after a certain time (no later than four years) you can apply for a so-called permanent disability. If there is an active development of the prosthesis, according to the decision of the commission, it is possible to reduce the disability group.