Amputacja Newsy Pod sliderem

Wczesne i późne powikłania po amputacji kończyn dolnych

Ten tekst przeczytasz w 3 min.

Amputacja kończyny dolnej to zabieg, który niesie za sobą ryzyko poważnych powikłań. Mogą one dotyczyć nie tylko operowanej kończyny, ale również całego organizmu pacjenta. Z jakimi komplikacjami może się wiązać procedura amputacji, jak można im zapobiegać i w jaki sposób przebiega ich terapia?

Czynniki ryzyka powikłań po amputacji kończyny dolnej

Znaczący wpływ na wystąpienie powikłań po amputacji kończyny dolnej ma stan zdrowia pacjenta. Większym ryzykiem komplikacji objęci są chorzy w zaawansowanym wieku, cierpiący na choroby nowotworowe i schorzenia współistniejące (cukrzyca, choroby układu krążenia i płuc), a także osoby otyłe i stosujące używki.

Duże znaczenie ma również technika przeprowadzenia amputacji, jej rodzaj (poziom amputacji), a także tryb wykonania operacji. Większe ryzyko powikłań wystąpi w przypadku operacji prowadzonych w trybie nagłym, w następstwie ciężkich urazów, a także w przypadku rozległych amputacji.

Kolejny istotny czynnik to odpowiednia rehabilitacja ukierunkowana na odzyskanie przez pacjenta ruchomości biernej i czynnej, a także zapobieganie przykurczom i obrzękom, jak również pielęgnacja i higiena kikuta. W przypadku zaniedbania tych aspektów opieki ryzyko powikłań znacznie wzrasta.

Ostatnia istotna z perspektywy profilaktyki powikłań kwestia to prawidłowe zaprotezowanie pacjenta.

Wczesne powikłania po amputacji kończyny dolnej

Powikłania po amputacji kończyny dolnej można podzielić na wczesne – związane z zabiegiem operacyjnym, oraz późne, do których dochodzi w trakcie procesu rekonwalescencji.

Wśród wczesnych powikłań po amputacji wymienia się zakażenie miejsca operowanego, rozejście rany po amputacji, a także martwicę skóry w okolicy miejsca operowanego. Powikłania te istotnie wpływają na wydłużenie procesu gojenia i rekonwalescencji pacjenta.

Do wczesnych powikłań zalicza się także przykurcze spowodowane zbyt długim ułożeniem kończyny w jednej pozycji lub układaniem jej w pozycji nieprawidłowej, wymuszającej nieregularną pracę mięśni.

Późne powikłania po amputacji kończyny dolnej

Powikłania późne obejmują szerokie spektrum schorzeń i komplikacji, które mogą mieć charakter zarówno miejscowy, jak i ogólnoustrojowy.

Przewlekły obrzęk kikuta może być związany z niedostateczną aktywnością pacjenta lub z nieprawidłowym dobraniem leja protezy (lej nie ma pełnego kontaktu z kikutem lub zwęża się w nieodpowiednim miejscu, powodując ucisk). Długotrwały obrzęk może być związany z innymi dolegliwościami dermatologicznymi, takimi jak zmiany brodawkowate, świąd, grzybice, wyprzenia, zapalenie mieszków włosowych czy wyprysk kontaktowy. Może także dochodzić do nadmiernego rogowacenia skóry, tworzenia modzeli i torbieli. Powikłania skórne mogą dotyczyć nawet 80 proc. pacjentów po amputacjach.

Nieprawidłowa technika operacyjna może doprowadzić do zniekształceń w obrębie kikuta, takich jak zniekształcenie stożkowate, przerost strzałki czy zniekształcenia osi kończyny (np. koślawość kolana).

Poważnym powikłaniem mogącym wystąpić po zabiegu amputacji jest zapalenie kości kikuta oraz tworzenie się martwaków (resztek zniszczonej, oddzielającej się tkanki kostnej).

Inne obserwowane u pacjentów po amputacjach schorzenie to nerwiaki, czyli zlokalizowane w obrębie kikuta bolesne guzy.

Ogólnoustrojowe powikłania po amputacji kończyny dolnej

W wyniku przewlekłego unieruchomienia chorego po amputacji kończyny może dojść do rozwoju powikłań ze strony układu krążenia, takich jak niewydolność krążeniowa, zawał serca, zakrzepica żył głębokich. Możliwe jest także pogorszenie wydolności płuc i zapalenie tego narządu.

Źródła: https://www.mp.pl/, https://www.gcm.pl/, https://fizjoterapeuty.pl/, http://www.fizjoterapeutom.pl/

 

 

Przeczytaj także: Przyczyny krwawienia do światła przewodu pokarmowego

Przeczytaj bezpłatnie pokrewny artykuł w czasopiśmie „Chirurgia Plastyczna i Oparzenia”:

269 thoughts on “Wczesne i późne powikłania po amputacji kończyn dolnych

  1. Proszę o poradę jestem po amputacji nogi 7 miesiecy wczoraj mi spóchł kikut nie moge założyć protezy co mam zrobić

  2. Bardzo proszę o pomoc jestem siódmy miesiąc po amputacji nogi dziś zauważyłem że mam spochniety kikut nie moge założyć protezy proszę o pomoc

  3. Bardzo proszę o poradę jestem 7 miesiecy po amputacji nogi dzisiaj zauważyłem że mam spuchniety kikut nie moge założyć protezy bardzo proszę o odpowiedź

  4. Having read this I thought it was very informative. I appreciate you taking the time and effort to put this article together. I once again find myself spending way to much time both reading and commenting. But so what, it was still worth it!

  5. Undeniably believe that that you stated. Your favorite reason appeared to be on the internet the easiest factor to be aware of. I say to you, I definitely get irked at the same time as other folks consider worries that they plainly do not know about. You controlled to hit the nail upon the top as neatly as outlined out the whole thing without having side-effects , other people could take a signal. Will probably be again to get more. Thank you

  6. Appreciating the time and energy you put into your blog and in depth information you offer. It’s nice to come across a blog every once in a while that isn’t the same unwanted rehashed information. Excellent read! I’ve bookmarked your site and I’m including your RSS feeds to my Google account.

  7. An interesting discussion is worth comment. I think that you should write more on this topic, it might not be a taboo subject but generally people are not enough to speak on such topics. To the next. Cheers

  8. Hiya, I’m really glad I’ve found this information. Today bloggers publish just about gossips and internet and this is really frustrating. A good site with interesting content, that’s what I need. Thank you for keeping this web site, I’ll be visiting it. Do you do newsletters? Can not find it.

  9. I used to be very happy to find this net-site.I wanted to thanks for your time for this excellent learn!! I definitely having fun with each little bit of it and I have you bookmarked to take a look at new stuff you blog post.

  10. excellent submit, very informative. I’m wondering why the other experts of this sector don’t understand this. You should proceed your writing. I am confident, you have a great readers’ base already!

  11. Hey there are using WordPress for your site platform? I’m new to the blog world but I’m trying to get started and set up my own. Do you require any coding expertise to make your own blog? Any help would be greatly appreciated!

  12. I think other website proprietors should take this web site as an model, very clean and magnificent user friendly style and design, as well as the content. You’re an expert in this topic!

  13. What i don’t understood is actually how you’re not really much more well-liked than you may be right now. You’re so intelligent. You realize thus significantly relating to this subject, made me personally consider it from so many varied angles. Its like women and men aren’t fascinated unless it’s one thing to do with Lady gaga! Your own stuffs outstanding. Always maintain it up!

  14. I’m typically to running a blog and i really recognize your content. The article has really peaks my interest. I’m going to bookmark your site and keep checking for brand spanking new information.

  15. My brother recommended I might like this blog. He was entirely right. This post truly made my day. You cann’t imagine just how much time I had spent for this info! Thanks!

  16. Sight Care is a daily supplement proven in clinical trials and conclusive science to improve vision by nourishing the body from within. The Sight Care formula claims to reverse issues in eyesight, and every ingredient is completely natural.

  17. Boostaro increases blood flow to the reproductive organs, leading to stronger and more vibrant erections. It provides a powerful boost that can make you feel like you’ve unlocked the secret to firm erections

  18. Cortexi is an effective hearing health support formula that has gained positive user feedback for its ability to improve hearing ability and memory. This supplement contains natural ingredients and has undergone evaluation to ensure its efficacy and safety. Manufactured in an FDA-registered and GMP-certified facility, Cortexi promotes healthy hearing, enhances mental acuity, and sharpens memory.

  19. Dentitox Pro is a liquid dietary solution created as a serum to support healthy gums and teeth. Dentitox Pro formula is made in the best natural way with unique, powerful botanical ingredients that can support healthy teeth.

  20. Puravive introduced an innovative approach to weight loss and management that set it apart from other supplements. It enhances the production and storage of brown fat in the body, a stark contrast to the unhealthy white fat that contributes to obesity.

  21. TropiSlim is a unique dietary supplement designed to address specific health concerns, primarily focusing on weight management and related issues in women, particularly those over the age of 40. TropiSlim targets a unique concept it refers to as the „menopause parasite” or K-40 compound, which is purported to be the root cause of several health problems, including unexplained weight gain, slow metabolism, and hormonal imbalances in this demographic.

  22. FitSpresso stands out as a remarkable dietary supplement designed to facilitate effective weight loss. Its unique blend incorporates a selection of natural elements including green tea extract, milk thistle, and other components with presumed weight loss benefits.

  23. Prostadine is a dietary supplement meticulously formulated to support prostate health, enhance bladder function, and promote overall urinary system well-being. Crafted from a blend of entirely natural ingredients, Prostadine draws upon a recent groundbreaking discovery by Harvard scientists. This discovery identified toxic minerals present in hard water as a key contributor to prostate issues.

  24. Neotonics is an essential probiotic supplement that works to support the microbiome in the gut and also works as an anti-aging formula. The formula targets the cause of the aging of the skin.

  25. EyeFortin is a natural vision support formula crafted with a blend of plant-based compounds and essential minerals. It aims to enhance vision clarity, focus, and moisture balance.

  26. The Quietum Plus supplement promotes healthy ears, enables clearer hearing, and combats tinnitus by utilizing only the purest natural ingredients. Supplements are widely used for various reasons, including boosting energy, lowering blood pressure, and boosting metabolism.

  27. GlucoBerry is one of the biggest all-natural dietary and biggest scientific breakthrough formulas ever in the health industry today. This is all because of its amazing high-quality cutting-edge formula that helps treat high blood sugar levels very naturally and effectively.

  28. Sight Care is a daily supplement proven in clinical trials and conclusive science to improve vision by nourishing the body from within. The Sight Care formula claims to reverse issues in eyesight, and every ingredient is completely natural.

  29. Kerassentials are natural skin care products with ingredients such as vitamins and plants that help support good health and prevent the appearance of aging skin. They’re also 100% natural and safe to use. The manufacturer states that the product has no negative side effects and is safe to take on a daily basis. Kerassentials is a convenient, easy-to-use formula.

  30. Elevate your vitality with Alpha Tonic – the natural solution to supercharge your testosterone levels. When you follow our guidance, experience improved physical performance

  31. AquaPeace is the most in-demand ear health supplement on the market. Owing to its natural deep-sea formula and nutritious nature, it has become an instant favorite of everyone who is struggling with degraded or damaged ear health.

  32. ReFirmance is an outstanding lift serum that highly supports skin firmness and elasticity, smooths the presence of wrinkles, and provides deep rejuvenation properties.

  33. I’m impressed, I must say. Actually not often do I encounter a weblog that’s both educative and entertaining, and let me inform you, you could have hit the nail on the head. Your thought is excellent; the difficulty is something that not enough persons are talking intelligently about. I’m very completely satisfied that I stumbled across this in my seek for one thing relating to this.

  34. It’s in reality a nice and helpful piece of info. I am satisfied that you shared this helpful info with us. Please keep us informed like this. Thanks for sharing.

  35. I not to mention my friends came checking out the great techniques on the blog while quickly got an awful feeling I had not expressed respect to the web site owner for those secrets. All of the boys are actually consequently very interested to see all of them and have in reality been taking pleasure in them. Appreciation for simply being simply kind as well as for picking this kind of amazing information millions of individuals are really desirous to be informed on. Our honest apologies for not saying thanks to earlier.

  36. There are some attention-grabbing closing dates on this article but I don’t know if I see all of them heart to heart. There is some validity however I will take maintain opinion till I look into it further. Good article , thanks and we wish more! Added to FeedBurner as properly

  37. Pingback: ksg 410
  38. Thank you for some other informative site. The place else may just I get that type of info written in such an ideal means? I have a challenge that I’m just now working on, and I have been at the look out for such info.

  39. Great write-up, I?¦m regular visitor of one?¦s blog, maintain up the excellent operate, and It is going to be a regular visitor for a lengthy time.

  40. I love your blog.. very nice colors & theme. Did you create this website yourself or did you hire someone to do it for you? Plz respond as I’m looking to construct my own blog and would like to find out where u got this from. cheers

  41. There are actually numerous particulars like that to take into consideration. That may be a nice point to convey up. I offer the ideas above as basic inspiration but clearly there are questions like the one you carry up the place the most important thing can be working in sincere good faith. I don?t know if greatest practices have emerged round things like that, but I am certain that your job is clearly recognized as a fair game. Both girls and boys really feel the affect of just a moment’s pleasure, for the remainder of their lives.

  42. We’re a group of volunteers and starting a brand new scheme in our community. Your website offered us with useful info to work on. You’ve performed a formidable activity and our entire community can be grateful to you.

  43. Wow! This could be one particular of the most useful blogs We’ve ever arrive across on this subject. Basically Excellent. I’m also a specialist in this topic therefore I can understand your effort.

  44. At this time it seems like Movable Type is the best blogging platform available right now. (from what I’ve read) Is that what you’re using on your blog?

  45. A formidable share, I just given this onto a colleague who was doing a bit of evaluation on this. And he in reality purchased me breakfast because I found it for him.. smile. So let me reword that: Thnx for the deal with! But yeah Thnkx for spending the time to discuss this, I feel strongly about it and love reading extra on this topic. If doable, as you develop into expertise, would you thoughts updating your weblog with more details? It is highly useful for me. Huge thumb up for this blog submit!

  46. This is the right blog for anyone who wants to find out about this topic. You realize so much its almost hard to argue with you (not that I actually would want…HaHa). You definitely put a new spin on a topic thats been written about for years. Great stuff, just great!

  47. „This article provided me with significant insights. Your deep expertise is evident and highly appreciated. Your dedication to sharing your knowledge is not only inspiring but also incredibly valuable to readers like me.”

  48. Hello there, simply turned into alert to your weblog via Google, and located that it’s really informative. I’m gonna be careful for brussels. I’ll be grateful if you proceed this in future. A lot of other people can be benefited out of your writing. Cheers!

  49. Hi, i read your blog from time to time and i own a similar one and i was just curious if you get a lot of spam comments? If so how do you reduce it, any plugin or anything you can recommend? I get so much lately it’s driving me crazy so any help is very much appreciated.

  50. I discovered your blog site on google and check a few of your early posts. Continue to keep up the very good operate. I just additional up your RSS feed to my MSN News Reader. Seeking forward to reading more from you later on!…

  51. Great write-up, I am normal visitor of one?¦s web site, maintain up the excellent operate, and It’s going to be a regular visitor for a lengthy time.

  52. Hmm is anyone else encountering problems with the pictures on this blog loading? I’m trying to find out if its a problem on my end or if it’s the blog. Any suggestions would be greatly appreciated.

  53. Hello just wanted to give you a quick heads up. The words in your content seem to be running off the screen in Internet explorer. I’m not sure if this is a format issue or something to do with browser compatibility but I thought I’d post to let you know. The style and design look great though! Hope you get the issue fixed soon. Cheers

  54. You can definitely see your enthusiasm in the paintings you write. The sector hopes for more passionate writers such as you who are not afraid to mention how they believe. At all times go after your heart.

  55. Enjoyed studying this, very good stuff, thankyou. „Be not careless in deeds, nor confused in words, nor rambling in thought.” by Marcus Aurelius Antoninus.

  56. Someone essentially help to make significantly articles I might state. This is the very first time I frequented your website page and so far? I surprised with the analysis you made to create this particular submit amazing. Fantastic process!

  57. I’ve read a few just right stuff here. Definitely worth bookmarking for revisiting. I surprise how much attempt you put to make the sort of wonderful informative website.

  58. I loved as much as you will receive carried out right here. The sketch is attractive, your authored material stylish. nonetheless, you command get got an impatience over that you wish be delivering the following. unwell unquestionably come more formerly again as exactly the same nearly a lot often inside case you shield this hike.

  59. Currently it sounds like Expression Engine is the preferred blogging platform available right now. (from what I’ve read) Is that what you are using on your blog?

  60. Everyone loves what you guys tend to be up too. This type of clever work and reporting! Keep up the excellent works guys I’ve added you guys to my own blogroll.

Dodaj komentarz

Twój adres e-mail nie zostanie opublikowany.