News
Mr Ibu’s demise: Poorly managed vascular diseases may cause amputation – Orthopaedic surgeons reveal
- /home/naijuinz/public_html/wp-content/plugins/mvp-social-buttons/mvp-social-buttons.php on line 27
https://naijablitznews.com/wp-content/uploads/2024/03/Doctors-1000x576.jpg&description=Mr Ibu’s demise: Poorly managed vascular diseases may cause amputation – Orthopaedic surgeons reveal', 'pinterestShare', 'width=750,height=350'); return false;" title="Pin This Post">
- Share
- Tweet /home/naijuinz/public_html/wp-content/plugins/mvp-social-buttons/mvp-social-buttons.php on line 72
https://naijablitznews.com/wp-content/uploads/2024/03/Doctors-1000x576.jpg&description=Mr Ibu’s demise: Poorly managed vascular diseases may cause amputation – Orthopaedic surgeons reveal', 'pinterestShare', 'width=750,height=350'); return false;" title="Pin This Post">
Vascular diseases, if not detected on time or poorly managed, may lead to limb amputation, orthopaedic surgeons and cardiovascular experts have warned.
They advised those at risk of having the medical condition to always visit the hospital to ascertain their status.
They enjoined those predisposed to Vascular diseases to seek early medical intervention if they suspect any form of peripheral artery disease, which is a major cause of medical amputation, or other serious bacterial infections and blood clots.
Though septic wounds among other factors also predispose to amputation, the physicians maintained that peripheral vascular disease is the major cause of amputation worldwide, and advised early intervention before the situation becomes irreversible.
According to an online medical portal, Mayo Clinic, peripheral artery disease, also known as peripheral vascular disease, is a common condition in which narrowed arteries reduce blood flow to the arms or legs, thereby, causing serious damage to the body.
To diagnose this condition, the professionals said a Doppler ultrasound test would be needed to show the direction and speed of blood moving through the arteries and veins, adding that it can also identify blood clots, narrowed arteries and other problems that affect the heart and blood vessels in the legs, arms and stomach.
Recall that the late presentation of these vascular diseases (blood clots and dead vessels) was reportedly the reason for the amputation and eventual death of the late Nollywood actor, John Okafor, popularly known as Mr Ibu.
Speaking exclusively with PUNCH Healthwise in different interviews, the experts warned that people with diabetes mellitus, serious bacterial infections and injuries, obesity, immunosuppressants and exposure to cigarette smoke are predisposing factors to amputation.
Speaking also, a Consultant Orthopaedic Surgeon at the Abia State University Teaching Hospital, Dr Isaiah Abali, affirmed that poorly managed vascular diseases can lead to medical amputation, and advised people to avoid any condition that may predispose them to loss of limbs, or eventual death.
Dr Isaiah Abali
Dr Isaiah Abali
He explained that Peripheral Artery Disease is a major cause of medical amputation worldwide, describing it as a circulatory condition in which narrowed blood vessels reduce blood flow to the limbs.
According to him, PAD is a sign of fatty deposits and calcium building up in the walls of the arteries medically known as atherosclerosis, revealing that “diabetes, obesity and cigarette smoking among others, are predisposing factors for peripheral vascular disease.”
Abali, who is also the Chairman of the Nigerian Medical Association, Abia State chapter, explained, “This condition occurs when the blood supply to the legs or upper limbs, depending on where it occurs, is cut off. When the blood supply is cut off, it may lead to gangrene and at this stage, the damage is irreversible because that part of the body is already dead and smelly. The only option for the orthopaedists is amputation.”
Gangrene, according to him, means the death of body tissues due to a lack of blood flow or due to a serious bacterial infection, saying that peripheral vascular diseases commonly affect the arms and legs, including the toes and fingers.
He noted that high blood sugar in the body damages the blood vessels, which is the reason gangrene takes place more in diabetic patients.
He added, “When the blood vessel is damaged, it can slow or block blood flow to certain parts of the body and this predisposes the individual to amputation. More so, obesity can push on arteries, slowing blood flow and increasing the risk of infection and poor wound healing.
“When people with these conditions sustain an injury, it may be difficult for the wound to heal and such wounds might become infected by bacteria. This will worsen the situation and wounds may become septic and lead to gangrene.
“Also, patients who go for cancer treatment like chemotherapy may have suppressed immune systems and this allows infections to thrive as the body has compromised immunity against infections. Human immunodeficiency virus can affect the body’s ability to fight off infections too.”
According to him, another condition that predisposes one to amputation is “Peripheral neuropathy, which occurs when the nerves in the body’s extremities, such as the hands, feet and arms, are damaged.
“People with this condition tend to get gangrene more than the others because they don’t know that something has entered their legs until it becomes a problem that leads to gangrene and amputation.”
He listed treatments for gangrene to include antibiotics, oxygen therapy, and surgery to restore blood flow and remove dead tissue, and advised that the earlier the condition is identified and treated, the better the chances for recovery.
Corroborating his views, a Consultant Cardiologist at the Lagos University Teaching Hospital, Idi-Araba, Dr Akinsanya Olusegun-Joseph, said most cardiovascular illnesses do have co-morbidities, saying that somebody with hypertension can also manifest other conditions.
Akinsanya Olusegun-Joseph
Akinsanya Olusegun-Joseph
On what could be indications for amputation, he said, “The blood flow may be reduced due to cholesterol deposits in the rumen of the blood vessels and with this; there may be blockage in the artery, which also reduces blood flow to that part of the body.
“This situation is more in hypertension, diabetes and blood clotting. To manage these conditions in order not to lead to amputation, patients with hypertension, diabetes and high cholesterol which are the major risk factors should control their blood pressure, blood sugar, and cholesterol.
“They should go for Doppler studies and scan to understudy the blood vessel to know the impact of blockage to the blood supply. I, therefore, advise people to know their numbers (blood pressure), check cholesterol, eat healthy food, embrace a healthy lifestyle, embark on fitness exercises and reduce their stress level.”
Meanwhile, a study published in the National Library of Medicine, by Apama Swaminathan and team, titled, ‘Lower extremity amputation in peripheral artery disease: Improving patient outcomes,’ affirmed that poorly managed vascular diseases may lead to amputation.
The authors noted that peripheral artery disease affects over eight million Americans and is associated with an increased risk of mortality, cardiovascular disease, functional limitation, and limb loss.
“In its most severe form, critical limb ischemia, patients are often treated with Lower Extremity Amputation, although the overall incidence of this is declining. In the US, there is significant geographic variation in the performance of major LEA.
“The rate of death after major LEA in the US is approximately 48 per cent at one year and 71 per cent at three years. Despite this significant morbidity and mortality, the use of diagnostic testing in the year prior to LEA is low and varies based on patient, provider, and regional factors.”
News
FCTA Threatens Sanctions Against Hotels, Event Centres Hosting Illegal Groups
By Gloria Ikibah
The Federal Capital Territory Administration (FCTA) has warned owners of hotels, event centres and other public facilities in Abuja against allowing their premises to be used by unlawful organisations, declaring that violators risk losing their land titles.
The warning was contained in a statement issued on Friday by Lere Olayinka, Senior Special Assistant on Public Communications and Social Media to the Minister of the FCT, Nyesom Wike.
According to the administration, land allocations within the FCT are meant strictly for lawful activities, stressing that authorities would no longer tolerate the use of public facilities for gatherings linked to illegal groups.
The statement read: “In view of the need to further ensure the security of lives and properties in the FCT and sustain the efforts of security agencies in this regard, usage of Event Centres, Hotels and other public buildings will now be closely monitored.
“This is aimed at ensuring that they are not used by illegal organizations for gatherings capable of disrupting the peace of the nation’s capital.”
The FCTA also directed owners and operators of such facilities to properly verify the identities and legitimacy of organisations seeking to rent their venues before approving bookings.
“Owners of these facilities are therefore urged to take cognizance of the legality of organizations seeking to use their facilities and the purpose before letting them out,” the statement added.
The administration further warned that political activities in the build-up to elections must only involve recognised party leadership approved by the Independent National Electoral Commission (INEC).
“For instance, in this political season, owners of Event Centres and Hotels in particular must ensure that they only deal with Independent National Electoral Commission (INEC) recognised leadership of political parties in respect of the use of their facilities, and proper records of transactions must be kept.
“Failure to comply with this directive will result to revocation of the title documents such properties,” the statement further read.
The FCTA maintained that failure to comply with the directive will attract severe consequences.
News
Ebola Alert! FG flags 21 states on lockdown watch, Lagos, FCT, Rivers, Akwa Ibom, Borno, others in high risk zones
The Nigeria Centre for Disease Control and Prevention (NCDC) has placed several states on high Ebola preparedness alert after a fresh risk assessment classified Nigeria’s chances of importing the deadly disease as high amid regional outbreaks.
Dr Jide Idris, Director-General of the NCDC said this in a Thursday statement, stressing that Nigeria had not yet recorded any confirmed Ebola Virus Disease case linked to the outbreak.
He explained that the World Health Organization’s Public Health Emergency of International Concern declaration and increasing Ebola cases in the Democratic Republic of Congo and Uganda required intensified surveillance and preparedness activities across Nigeria immediately.
Idris stated that the NCDC conducted a dynamic risk assessment to guide anticipatory and response measures, concluding that Nigeria faced a high Ebola importation risk because of international travel and regional population movement.
He added that uncertainty surrounding the outbreak’s magnitude and the possibility of delayed recognition were heightened because Ebola symptoms closely resembled common endemic diseases such as malaria and Lassa fever in Nigeria.
According to him, all states and the Federal Capital Territory must maintain Ebola preparedness, although readiness efforts should reflect varying importation and transmission risks identified through the NCDC’s recently developed preparedness classification system.
The agency categorised Lagos, the FCT, Rivers, Kano, Enugu, Borno, Akwa Ibom, Cross River, Taraba, and Adamawa as high-risk states because of international airports, porous borders, and active trade or travel routes.
Idris also identified Ogun, Nasarawa, Kaduna, Plateau, Kogi, Niger, Jigawa, Katsina, Bauchi, Ebonyi, Abia, and Bayelsa as moderate-risk states requiring sustained preparedness efforts against possible Ebola importation and transmission threats.
He said that the WHO declaration underscored the seriousness of the regional threat and highlighted the urgent need for Nigeria to strengthen preparedness measures before detecting any suspected Ebola case domestically.
The NCDC boss explained that national preparedness efforts aimed to ensure every state and the FCT could quickly detect, contain, and respond to suspected Ebola cases while protecting health workers and sustaining healthcare services.
Idris reiterated that Nigeria currently had no confirmed Ebola case linked to the outbreak but warned that increasing regional transmission significantly elevated the country’s importation risk because of population movement and extensive travel networks.
He explained that airports, seaports, porous land borders, informal crossings, trade routes, and overlapping Ebola symptoms with malaria and Lassa fever increased the likelihood of delayed recognition and possible disease spread nationally.
According to him, health authorities in the Democratic Republic of Congo and Uganda had reported 1,077 suspected Ebola cases and 247 deaths, while people aged between 14 and 45 years remained most affected.
He said the outbreak’s case fatality rate stood at 24.6 percent, while both regional and national Ebola risks remained high because of continuing transmission and the absence of approved vaccines for the outbreak sstrain.l
Idris stressed that no approved vaccines or specific treatments currently existed for Bundibugyo Ebola virus disease, making rapid public health interventions critical for containing infections and preventing widespread transmission across vulnerable communities.
He explained that outbreak control depended largely on early detection, prompt isolation of suspected and confirmed cases, strict infection prevention measures, effective contact tracing, safe burials, community engagement, and strong surveillance systems nationwide.
The NCDC Director-General disclosed that suspected Ebola cases had also been reported in India, while Canada suspended travel applications from residents of the DRC, Uganda, and South Sudan because of the outbreak situation.
He added that Uganda recently announced border closure measures, while Nigeria faced significant implications because the current Bundibugyo Ebola virus outbreak lacked licensed vaccines or approved targeted therapeutics for treatment and prevention.
According to him, existing Ebola vaccines and monoclonal antibody treatments primarily targeted the Zaire ebolavirus strain and should not be relied upon as effective countermeasures against the current Bundibugyo outbreak affecting neighbouring ccountries.l
Idris clarified that Ebola Virus Disease was not airborne, explaining that transmission occurred through direct contact with blood, body fluids, contaminated materials, or infected animals associated with symptomatic or deceased infected persons.
He said the Ebola incubation period ranged from two to 21 days, making recent travel and exposure history within the preceding three weeks essential when assessing any suspected infection or potential outbreak case.
According to him, early Ebola symptoms often appeared non-specific and included fever, fatigue, muscle pain, headache, sore throat, vomiting, diarrhoea, abdominal pain, rash, hiccups, unexplained bleeding, bruising, and signs of shock.
Idris warned health workers against waiting for bleeding before suspecting Ebola in patients presenting compatible symptoms alongside relevant travel or exposure histories connected to affected countries experiencing active transmission of the vvirus.l
He added that the absence of strain-specific vaccines and approved therapeutics for Bundibugyo Ebola virus disease made early, aggressive, and optimised supportive care especially important in improving patient survival and treatment outcomes significantly.
The NCDC boss explained that clinical management should include rapid assessment, fluid and electrolyte management, glucose monitoring, treatment of malaria or bacterial co-infections, symptom control, shock management, and humane care in isolation facilities.
He disclosed that the NCDC had activated its national Emergency Operations Centre, currently operating in alert mode while coordinating preparedness activities with relevant federal and state institutions across the country to strengthen response capacity.
According to him, state governments and Commissioners for Health must ensure immediate operational readiness across public and private health systems to effectively manage any suspected Ebola case and prevent possible widespread community transmission.
Idris emphasised that preparedness measures should prioritise early detection, immediate isolation, supportive care, infection prevention and control, safe sample handling, contact tracing readiness, referral systems, workforce protection, and adequate medical countermeasures nationwide.
He urged commissioners to provide leadership for coordinated Ebola readiness efforts across their respective states and the Federal Capital Territory, assuring them of continued technical guidance and national coordination support from the NCDC.
The Director-General also requested commissioners to activate state public health coordination structures for Ebola preparedness and conduct rapid risk assessments focusing on population movement, high-density settings, and facilities receiving suspected cases.
He further advised states to engage public and private healthcare providers to ensure early suspicion, safe separation of suspected cases, immediate reporting through approved channels, and identification of functional isolation or holding facilities.
Idris stressed the importance of strengthening facility readiness for screening, infection prevention, ambulance transfers, safe sample movement, decontamination, and waste management while ensuring frontline workers received adequate protection and psychosocial support during operations.
He also urged intensified traveller monitoring and surveillance in states with airports, seaports, transport hubs, land borders, and migrant corridors while encouraging calm public communication to discourage stigma and promote verified information sharing.
The NCDC boss directed states to maintain essential health services without disruption and submit readiness updates within seventy-two hours while immediately reporting suspected cases, high-risk exposures, unusual febrile clusters, or major preparedness gaps.
(Credit: NAN)
News
JUST IN: Trouble looming as North Central APC Group Wants Nat’l Chairman,Yilwada to Resign
Trouble seems to be looming as the North-Central Forum of the All Progressives Congress (APC) has called on the party’s National Chairman, Prof. Nentawe Yilwatda, to resign within two weeks over allegations of irregularities and monetization of the party’s recently concluded primary elections.
The group accused the Yilwatda-led National Working Committee (NWC) of mishandling the State Assembly, National Assembly, governorship and presidential primaries, claiming that the process was manipulated in favour of preferred aspirants.
In a statement issued on Friday by the Forum’s National Chairman, Alhaji Saleh Zazzaga, the group alleged that results were altered to favour candidates loyal to party officials, while some aspirants who appeared likely to win were screened out of the contests.
According to the Forum, concerns had earlier been raised during the primaries over what it described as the “commercialization” of the exercise. It added that more than half of APC members were dissatisfied with the conduct of the elections.
The group insisted that members of the NWC should be held accountable for allegedly violating the party’s constitution and guidelines.
“We are issuing a two-week ultimatum to the national chairman to resign because of incompetence, violation of the party’s constitution, monetization of the just concluded party primaries and changing the results when it favoured those perceived as not in his camp,” the statement said.
The Forum further alleged that party officials manipulated outcomes of the primaries across the country using their positions within the party structure.
As part of its claims, the group pointed to controversies surrounding the APC presidential primary election results announced by the Chairman of the Presidential Primary Election Committee, former Senate President Pius Anyim.
Anyim had declared President Bola Tinubu winner of the presidential primary with 10,999,162 votes, while his challenger, Stanley Osifo, secured 16,503 votes.
However, the figures have since generated public debate following allegations that the numbers were inflated.
The North-Central APC Forum argued that the results did not correspond with the party’s official membership data.
“The party has eight million registered voters but when they released the result of Mr President in the presidential primary they wrote more than 10 million votes,” the statement said.
“The guidelines stated that only those that are registered are going to vote. So this means that, all over the country, what they did was selection of candidates, not election.”
The Forum also lamented that the controversies surrounding the primaries had weakened the ruling party, leading to defections by aggrieved members.
It cited the resignation of former Deputy Senate President Ovie Omo-Agege from the APC after losing the Delta Central senatorial primary. Omo-Agege has since joined the Nigeria Democratic Congress (NDC), where he was reportedly granted a waiver to contest the election.
The group also referenced the defection of Mustapha Bala Dawaki, a former Chief of Staff to the APC national chairman, who left the party after losing the Dawakin Kudu/Warawa Constituency return ticket in Kano State.
According to the Forum, Dawaki’s resignation further highlighted growing dissatisfaction within the party ranks.
The Forum warned that it would institute legal action against Yilwatda if he failed to resign before June 12, Nigeria’s Democracy Day.
“It is because of these infractions that we are asking the national chairman to resign before two weeks, or we will sue him to court,” the statement added.
The group also faulted the party leadership for allegedly deploying inexperienced officials to supervise the primaries in several states, which it said contributed to the crisis currently rocking the APC.
-
Metro16 hours agoBandits hold abducted Niger State medical doctor despite N20m ransom payment
-
Politics16 hours agoDickson Welcomes Omo-Agege, Ochei to NDC, Grants Senatorial Primary Waivers
-
News16 hours agoIgnore ‘Illogical’ Election Results In Circulation, We’ll Hold Our Primaries Today – NDC
-
Sports16 hours agoUCL final: Thierry Henry to present trophy as Arsenal face PSG
-
Sports16 hours agoSinner Stunned In Paris, Crashes Out Of French Open
-
Entertainment16 hours ago‘I have checked out of marriage,’ says Regina Daniels
-
News16 hours agoConversion Rumours Untrue, President Tinubu Remains A Muslim-Aide
-
News15 hours ago‘Over 80% of ISIS operations now in W’Africa’
