Understanding Lower Limb Amputation: A Review of the Strategies for Healthcare Improvement, Prevention, and Management

Q4 Medicine Rwanda Medical Journal Pub Date : 2024-04-13 DOI:10.4314/rmj.v81i1.13
A. A. Okesina, I. Nsubuga, O. O. Omoola, H. A. Okesina
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Abstract

INTRODUCTION: Lower limb amputation (LLA) is a global health issue affecting millions of people worldwide. Factors such as diabetes, peripheral vascular disease, infections, and improper medical practices also contribute to Lower limb amputation. The personal, family, and socio-economic costs associated with amputation are substantial, emphasizing the need for preventive measures, improved healthcare resources, and support for amputees. METHODS: A literature review of Lower limb amputation and its associated risk factors, which focuses on hypertension, hypercholesterolemia, smoking, diabetic complications, Indigenous ethnicity, and foot infections. RESULTS: It was revealed that the socio-economic impact of Lower limb amputation includes job loss and financial burdens. Also, access to rehabilitation services, stigma, and marginalization further complicate the lives of amputees. Furthermore, peripheral vascular disease is a significant risk factor, and chronic hyperglycemia in diabetes leads to diabetic foot syndrome and subsequent amputations. Lower limb amputation has a profound impact on quality of life and psychological well-being, particularly in rural areas where manual labor is prevalent. Strategies to address Lower limb amputation include prevention and management of diabetes-related complications, improved healthcare access, and awareness programs. Public health initiatives, health education campaigns, early detection, and affordable healthcare are also crucial in reducing amputation rates. Specific interventions for diabetic foot care, timely surgical intervention, and preserving limb length and function are important considerations. CONCLUSION: Multifaceted strategies are necessary for the effective management and prevention of lower limb amputation.
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了解下肢截肢:医疗保健改进、预防和管理策略综述
简介:下肢截肢(LLA)是一个全球性的健康问题,影响着全球数百万人。糖尿病、外周血管疾病、感染和不当医疗行为等因素也是导致下肢截肢的原因。截肢造成的个人、家庭和社会经济损失巨大,因此需要采取预防措施、改善医疗资源并为截肢者提供支持。方法:对下肢截肢及其相关风险因素进行文献综述,重点关注高血压、高胆固醇血症、吸烟、糖尿病并发症、土著种族和足部感染。结果:研究发现,下肢截肢的社会经济影响包括失业和经济负担。此外,获得康复服务、耻辱感和边缘化也使截肢者的生活更加复杂。此外,外周血管疾病也是一个重要的风险因素,糖尿病患者的长期高血糖会导致糖尿病足综合症,进而导致截肢。下肢截肢对生活质量和心理健康有着深远的影响,尤其是在体力劳动盛行的农村地区。解决下肢截肢问题的策略包括预防和管理与糖尿病有关的并发症、改善医疗保健服务和提高认识计划。公共卫生倡议、健康教育活动、早期发现和负担得起的医疗保健对于降低截肢率也至关重要。糖尿病足护理的具体干预措施、及时的手术干预以及保留肢体长度和功能也是重要的考虑因素。结论:要有效管理和预防下肢截肢,必须采取多方面的策略。
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来源期刊
Rwanda Medical Journal
Rwanda Medical Journal Medicine-Medicine (all)
CiteScore
0.20
自引率
0.00%
发文量
31
审稿时长
7 weeks
期刊介绍: The Rwanda Medical Journal (RMJ), is a Not-For-Profit scientific, medical, journal that is published entirely online in open-access electronic format. The RMJ is an interdisciplinary research journal for publication of original work in all the major health disciplines. Through a rigorous process of evaluation and peer review, The RMJ strives to publish original works of high quality for a diverse audience of healthcare professionals. The Journal seeks to deepen knowledge and advance scientific discovery to improve the quality of care of patients in Rwanda and internationally.
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