Amputation Definition By Medical
Amputation definitiom is the operation of the cutting of body parts, such as fingers, arms, or legs. This operation aims to control the pain or disease that attacks certain parts of the body. This procedure can be done in an emergency or planned manner. Emergency amputation is usually required when the patient has severe accidents, requiring treatment as soon as possible. Meanwhile, planned amputations are performed after doctors and patients consider various factors. Alodokter-amputation
Reason Behind Amputation Recommendation
Amputation is generally the last option recommended by doctors. There are some special considerations in the decision-making, namely:
- The appearance of gangrene or dead skin tissue.
- Severe infection and does not improve even though it has been handled. For example, injuries to the legs of people with diabetes are difficult to cure.
- Cancer is found in parts of the body, such as bone or muscle tissue.
- The unbearable pain that goes on and is so badly disabled that it can not function.
- Severe injuries, such as severe burns, explosive wounds, or injuries from animal bites.
- Frostbite or frostbite.
Diagnosis Before Amputation
Before surgery, your doctor will check your condition to determine the type of amputation process that will be undertaken. Here are some commonly recommended check methods:
- Careful health checks to check physical condition, kidney function, heart health, respiratory system function, and nutritional adequacy.
- Evaluate the psychiatric condition to assess whether the patient can overcome the psychological and emotional impact of the amputation to be lived. If needed, the doctor will advise the patient to undergo psychotherapy after the implementation of the amputation.
- Examination of the condition and function of the limb to be amputated, such as checking the pulse rate and the level of skin sensitivity around the part to be cut. This process will help the doctor to ascertain how much parts to cut or tissue to be removed, while reducing the risk of other complications and amputations that may occur in the future.
In addition to the physical and psychological condition of the patient, the doctor will also ask about the condition of the house, family, and environment. These factors will have an impact on the patient’s life during and after the recovery period.
Amputation and Prosthesis
If you decide to use a prosthetic or fake limb, your doctor will help you in choosing the type that suits your needs. The factors that should be considered are:
- Type of amputation that is lived.
- Health condition as a whole.
- Muscle strength in the remaining legs.
- False limb function and shape required by the patient. Fake limbs with proper function and shape for patients can speed up the rehabilitation process.
In the process of amputation, the doctor will cut the body parts that require amputation as well as lifting damaged tissue. Amputation is generally performed when the patient is under the influence of anesthesia. The type of anesthesia will be determined based on the patient’s body part that requires amputation. Epidural anesthesia will be given if the patient will undergo amputation in the lower leg (such as the calf or toe). While upper limb amputation procedures (eg, hands or fingers) will usually require general anesthesia.
Period of Recovery and Rehabilitation After Amputation
During the recovery period at the hospital, the patient will be taught how to care for surgical wounds in order to do it yourself at home. For example, how to clean the wound and replace the bandage. Mild physical therapy will be recommended not long after amputation surgery. The patient will then practice using a fake limb two weeks after surgery. The duration of ideal wound healing is one to two months. However, losing parts of the body must require physical and mental adaptation in a long time. Rehabilitation is a crucial step during the recovery period. This process generally includes:
- Therapy to train muscle strength and control.
- Occupational therapy for the ability to undergo daily activities.
- Exercises using fake limbs and other assistive devices to get used.
The remaining limb treatment is also important, especially keeping the skin clean to avoid irritation or infection. The following are signs of infection that you should watch out for.
- The skin is red and sensitive.
- Appears swelling or swelling that gets worse.
- Exit the liquid or pus from the skin.
Wash your remaining legs at least once a day with soap without perfume. Apply moisturizer before bed or before using fake limbs. Cleaning of fake limbs used also includes additional steps that are not less important to avoid irritation and infection
The wound healing process will also be monitored by a doctor to prevent complications. Planned amputations have a lower risk of complications compared with emergency amputations. Some types of complications that may occur, for example:
- Infections of the wound.
- Wounds that take a long time to heal.
- Blood clotting.
- Complications on the heart, such as heart attack.
- Phantom pain, the pain that feels in the organs that are no longer owned.
- Psychological disorders, such as depression, can not accept reality, and even suicidal impulses.