Rayko, for example. A wide rubber band stretched to its center, the Ends hält the school teacher Marian Bare firmly in the Hand. How Zügel. Rayko, for example, put the Füße in the ground. The right, which has carried him his whole life. And the left, he still gewömust stand up – his prosthesis.
"I’m here again, the driving force für euch", he says. "Against resistance a super Training" is tackle;, replied his therapist. Well für balance and strength. And für the trust, again on two legs to köcan.
The pain of separation
That can go on that day in September again due to the gymnastics room in the basement of the Accident hospital Berlin, hänot tte he believed a few months ago. His left leg besaß he still – but it was his größtes Handicap.
The officers had operated on was on the way home from work in an accident. His leg became infected, against germs no antibiotic has helped, the wound would not heal. Came to open the pain. They robbed him of sleep, even the strong painkillers provided only short relief. "I thought often of my little daughter and she needs me. Otherwise wäI may be desperate."
Fear of the prosthesis
Eventually, Rayko asked for a doctor, whether he ever über have thought an Amputation. Had not, for example. Amputation was für him far away. "I Association of war invalids with wooden prostheses, in front of which I had as a child, scared." He didn’t want his child in front of him füafraid of this.
Vielfäare to be found Gründe für Amputation
Prothesenträger are now less visible. Thousands of people are losing in this country every year, a Köbody part: Unfälle, cancer, infections, Gefäßverschlüsse. Diabetes and atherosclerosis are in Germany, the hämost common Gründe für Amputation. According to the hospital data from the Federal Statistical office were made in the year 2014, a total of around 57,000 amputations. The Association of für people with Arm or leg amputation schäestimated that currently there are about 300,000 people in Germany live with a prosthetic leg.
The loss has far-reaching consequences. At the beginning of the Pain, häoften followed by Phantom sensations or pain.
Causes of phantom sensations and pain
In the brain: Signals from severed nerves of the head a back seat to the no longer existing Köof the body part.
In The Rücover mark: severed nerve ächange your früheres Signalpattern. You spürt pain, although there is no köphysical cause dafür.
In the nerves: They are cut, köcan on the Stump, small Sprouts, which are extremely sensitive.
The mirror therapy: The Patient sees in a mirror only its healthy Extremität. Moved or berühe pays them, arranges the brain, this lack of Köof the body member. Thus, the Patient painful positions in the amputated Kö can;body part to relax, the pain to leave.
For more möproblems
Also, the Places where the Köthe body part was separated, köcan problems make. Dull Pain, Durchblutungsstöincreases, pressure points or wounds are not uncommon.
Some of the difficulties ließen. The Separation of a Köthe body part is in the medicine therapeutically as a last choice. "Amputations of Ädoctors häoften unterschätzt", the trauma surgeon, Dr. Melissa Beirau says. You treated at the accident hospital in Berlin, the Prothesenrehabilitation. "The development of the Operaexpensive köcould increase the success of the therapy."
Is the art of the collaboration
When your in the clinic you want to the load für Affected möas far as possible kept to a minimum, among other things, with a well-planned aftercare. The physicians work closely with Orthopädietechnikern, physiotherapists and psychologists. The trails are short, not only für the patients. In the case of planned amputations prosthesis technicians are already in the OP. Or you can discuss with the surgeon the surgery, so später a prosthesis möas well can be adjusted.
"Even the best prosthesis in the world can ausgleichen" problems on the residual limb is not;, Christian Hartz says. The Orthopäandengineering master is a specialist für prosthesis and, for example, when patients, such as Rayko, for example, after the Amputation of a first so-called interim prosthesis, and thus learning to walk.
Advice in the dentures consultation
A prosthesis office hours at the accident hospital Berlin, medical professionals, Sports therapists and Orthopädietechniker together with the patient to Lösolutions für problems search. The success of hälength, not necessarily from the technical perfection of the künstof Köbody part, Hartz.
"Crucial für the Rehabilitation is the Kopf", erzählt Orthopäthe expert. About every fourth Prothesenträger experienced after the Amputation Äthe youngest and depression. Specialist trauma psychologist köcan then at the Bewäto manage help. Rayko, for example, found zusäin addition Unterstüup in the so-called Peers – People who already läViking with a prosthesis life and Patients in the clinic visit. Since 2012, unterstüto support such ehrenamtassistant Concerned, the accident hospital of Berlin.
Here you will find help
- Advice: The Association of für people with Arm and Beinamputation there is information to self-help groups and Peer-Advice: www.bmab.de.
- Preparation: Many amputations are planned. Health insurance köcan search for specialized Krankenhäusers will help.
- Rehabilitation: In the best case, verfüthe rehab facility ü gt;about special therapy offers für Prothesenträger, such a Gehschulung and Orthopäandengineering.
Stage Lake
One of the first Peers Dagmar Marth was. Before üabout 30 years ago, lost the frühere sports teacher after an accident, an Arm and a leg. "At the time, häI tte me someone gewüwant to get that can help me with his experience." Today it is advertising für a different Verstäunderstanding, want to settings verächange, communicate that a life with a prosthesis is not determined by deficits. "Life goes on after an Amputation. Someone how I can convey this in a credible way."
Dagmar Marth’s final quiet drive also impressed Rayko, for example: "A physician can theo­ a maybe;theoretically erklären, what good is a life with a prosthesis, and work köcould. A Concerned shows just that." Whether it’s practical issues to Anträgen, sports, or dealing with diffuse Älongest is: do The Peers help in counseling the patients on a lot of subjects.
Training for helpers für Affected
Rayko, for example, has to be nänext stage: In the nänext summer he wants to go out with his daughter for a swim. And then, eventually, even self-helper. Because nationwide, there are not very many Peers in Krankenhäusers.
Training at Berlin’s accident hospital, he has already visited. "I Glü in spite of everything so much;ck had. Now is a good time to give something back."