I-gangrene kwisifo sikashukela yinqubo ye-necrosis yezicubu zomzimba emzimbeni, ngenxa yalokho ukubonwa kokutheleleka kwezicubu ezisebenzayo. Izinto ze-cadaveric nazo zingena egazini, okuholela ekutheni isimo sibe sibi kakhulu - ukwehluleka okunamandla kwezitho zangaphakathi zesifo sikashukela kwembulwa - isibindi, inhliziyo, amaphaphu.
Ukushayela ucingo sekwephuzile kudokotela, ukwelashwa okunganele, indlela yokuphila engenampilo, futhi ukungazinaki inkinga kuholela emiphumeleni eyodwa kuphela - le yindlela yokwelapha ebukhali ehilela ukunqunywa kwengalo.
Ngokuphikisana nesizinda sikashukela, imikhawulo engezansi ihlala ihlupheka. Isifo sikashukela singakhula isifo sonyawo, i-phalanx eyodwa, singathinta yonke iminwe, uma sishiywa singalashwa, isikhathi eside sibi. Uma ungaxhumani nodokotela ngesikhathi, iqembu lesifo sikashukela lizothuthuka, okuzoholela ekunqunyweni komlenze emadolweni.
Kuyadingeka ukuthi ucabangele izimbangela zenkinga enjalo, ukuthola izimpawu ze-gangrene kushukela. Ngaphezu kwalokho, udinga ukuthola ukuthi kungenzeka yini ukuvimba inqubo, nokuthi ungalapha kanjani i-gangrene ngaphandle kokunqunywa?
Kungani kwenzeka ukuba uqhoqhoqho?
Ukwazi ukuthi kuyini i-gangrene, kuzodingeka uthole ukuthi kungani kungenzeka. Ukuthuthukiswa kwe-gangrene in sikashukela kungasuselwa kwizizathu ezahlukahlukene. Kodwa-ke, ngobuningi bezimo, i-gangrene ikhula ngenxa yezimbangela eziningana ngasikhathi sinye.
Indlela ye-ischemic ye-gangrene ingumphumela wezinguquko ze-atherosulinotic emzimbeni, ngenxa yalokho imithambo yegazi ivalekile, okuholela ekuhambeni kwegazi okucasulayo. Ngenxa yalokhu, izicubu azitholi igazi elanele ne-oksijini, futhi kufa.
Unyawo lwesifo sikashukela lubonakala ngokukhula kwezilonda emilenzeni noma ezinyaweni, futhi uma zingalaphi isikhathi eside, ngaphezu kwalokho ukutheleleka kuyajoyina, kubonakala ukuthi kuqhume isifo se-gangrene sesimo esithathelwanayo.
Kukhona ezinye izizathu ezibangela i-gangrene kuma-diabetesics:
- Umphumela wokulimazeka kwe-glucose metabolism emzimbeni yi-polyneuropathy, ekhula kumaseli wesistimu yezinzwa ephakathi. Kulesi simo, imithambo yama microscopic yemithambo yezinzwa iyathinteka, ukuguga ngaphambi kwesikhathi kwamaseli kuyabonakala.
- Ngokwephulwa kwemikhumbi emincane kanye nokwehla kokuqina kwezindonga ze-capillary, i-gangrene iqala ku-mellitus yesifo sikashukela.
- Kwephulwa kwemikhumbi emikhulu, ngokumelene nesizinda sokushintshwa kwe-atherosulinotic, ukwakheka kwegazi emzimbeni - lokhu futhi kuyisici esihola phambili se-gangrene.
- I-tissue necrosis ingumphumela wezinto eziningi njengokuthi izicathulo zingakhululeki, ukukhuluphala, ukuwohloka okukhulu kwesimiso sokuzivikela komzimba.
Isifo sikashukela i-mellitus, kungakhathalekile ukuthi luhlobo luni, siyisongo esiqondile kwabanesifo sikashukela ukuthola izinkinga eziningi. Futhi i-gangrene yesifo sikashukela (isithombe), enye yazo.
Abantu abanesifo sikashukela bangaba nezilonda ezikhululekile emilenzeni yabo, nangokuzwela okuphansi, ngoba umkhawulo wezinhlungu usunciphile, isiguli simane singazizwa izinguquko emzimbeni wakhe.
I-gangrene yamaphethelo aphansi onesifo sikashukela ayikhuphuki ekuqaleni kwengqondo.
Ingavela kuphela kulezo zimo uma i-pathology yatholakala, okungenani iminyaka emi-5 eyedlule.
Izimpawu nezimpawu ze-gangrene
Izinga eliphakeme likashukela egazini liwohloka kancane kancane emzimbeni, ngenxa yokuthi iziphetho zezinzwa, ezibhekene nokudlulisela "kobuhlungu", ziyafa, zilawula ukwanda kwamaphethelo aphansi.
Kanye nalokhu, lezo ziphetho zezinzwa ezibhekene nokukhipha izithukuthuku esikhunjeni semilenze ziyafa, okuholela esikhumbeni esomile, imifantu ivele njalo. Futhi njengoba konke kungokwemvelo, izifo ezengeziwe zijoyina isilonda esingapholi nesivulekile, esikhulisa isimo kuphela.
Ngeshwa, uma umuntu enesigaba sokugcina se-gangrene, ukusebenza kwemithi kuleli cala kuncishiswa kube yi-zero. Ama-antibacterial awasizi, ngoba awakwazi ukubhekana nomsebenzi, ama-bacterium athuthukisa ukumelana nawo. Futhi kulokhu, ukugwema ukunqunywa kwengalo, akusebenzi.
Isiginali yokuqala ngesimo sezimpawu eziphakamisa ukuthi inqubo ye-pathological iyakhula emzimbeni cishe ayikho, ngoba imilenze ayinayo imizwa efanayo. Kodwa-ke, izimpawu zokuqala zabanduleli okufanele benze ukukhathazeka kwesifo sikashukela zingakhonjwa:
- Ukukhathala okungapheli kwamaphethelo aphansi ngesikhathi sokunyakaza, ukudonsa kancane konyawo, ukungavikeleki kwemilenze yokuthinta.
- Ukuguqulwa konyawo, izinhlungu emilenzeni.
- Ukushintsha umbala wamaphethelo aphansi, noma izinyawo, iminwe. Isikhumba sibanda futhi sibomvu, kungashiwo ukuthi kusondele kokuluhlaza okwesibhakabhaka.
Uma unaka izimbangela ezinjengalezi ngesikhathi, bese uqala ukwelapha izilonda zomlenze, khona-ke lolu hlelo lwazi lubonakala luhle impela. Into esemqoka ukunamathela kuzo zonke izincomo zikadokotela, ukuhola impilo efanele (ukudla okunempilo kudlala indima ebalulekile).
- Endaweni ethintekile kunesifo esibuhlungu njalo, umuthi wobuhlungu awusinciphisi isimo sesiguli.
- Izindawo ezithintekile ziphenduka zaba mnyama noma zibomvu, okukhombisa ukuthi i-izic necrosis isiqalile.
- Akukho ukuhamba kwegazi endaweni ethintekile.
- Kukhona inkinga: ukutheleleka. Lokhu kuyiqiniso ikakhulukazi emacaleni we-gangrene emanzi.
- Kukhululwa izinsizwa ezingena-purulent esilondeni, kudakwe izidakwa zomzimba.
Ngeshwa, kunzima ukumisa inqubo eseqalile, kepha kungenzeka uma isiguli sicela udokotela ngesikhathi hhayi izindlela zokwelapha ekhaya.
Udokotela oholayo, nakanjani, wenza ukuhlolwa okubonakalayo kwesitho, atusa isifundo se-bacteriological, kuhlolwe ushukela, igazi nokuhlolwa kwe-creatine, ukuhlolwa kwe-ultrasound kokujikeleza kwegazi emzimbeni.
Izinhlobo zezinkinga
Esikhathini sikashukela i-mellitus, izinhlobo ezimbili ze-gangrene zikhula: i-gangrene eyomile futhi emanzi (emanzi) gangore.
I-gangrene eyomile iba kulezo zimo lapho ubuncane bemithambo yegazi buyehliswa. Inqubo enjalo ingahlala iminyaka engama-2-3. Ngalesi sikhathi, umuntu angaphila ngokuthula ngaphandle kokuzwa ushintsho emzimbeni wakhe, bese umzimba uvumelana nale ndlela yokwelapha, uthuthuke imisebenzi yokuzivikela.
Esikhathini esiningi sezimo, i-gangrene eyomile ivela ezinzwaneni, izinqubo ezithathelwanayo azihlangani.
Lolu hlobo lwe-gangrene lubonakala ngezimpawu ezilandelayo: Ubuhlungu obukhulu emilenzeni, obuhamba ngokuhamba kwesikhathi. Ekuhlolweni kwangaphandle, indawo ethintekile inomehluko obonakalayo ovela ezindaweni ezinempilo, akukho phunga. Isilonda asithinti isimo jikelele sempilo.
Njengomthetho, akukho bungozi ngalolu hlobo lwe-gangrene, futhi umlenze unganqunywa kuphela izinkomba ze-cosmetic. Noma ezimweni lapho kunobungozi be-100% bokungena esimweni esimanzi se-gangrene.
I-Wet gangrene ibonakala ngokulandelayo:
- Uma isiguli sinezinyawo zesifo sikashukela, lapho-ke ukwengeza kwamagciwane kuyindaba yesikhathi, baqala ukwanda ngokushesha, ngenxa yalokho indawo ethintekile ikhuphuka.
- Isitho ngokubukeka singabonakala ngegama elithi "cadaveric", lesi sifo siyaqhubeka ngokushesha, izicubu ezinempilo zithintekile.
- Kuzwa iphunga elingathandeki lisuka endaweni elinegciwane, isilonda sihlala simanzi, futhi ngeke some ngaphandle.
- Ubuthi buyenzeka, njengoba izinto eziningi ze-cadaveric zingene egazini.
Nge-gangrene emanzi, isifunda esingenamikhawulo ngesikhathi sokutheleleka kwezicubu sigcwele i-hydrogen sulfide, ngakho-ke uma uqhafaza esilondeni, ungezwa umsindo othile.
Kuyaqapheleka ukuthi lolu hlobo lwe-gangrene alulapheki, cishe akunakwenzeka ukusindisa umlenze, futhi indlela enhle yokuphuma kulesi simo ukunqamula umlenze.
Ungayelapha kanjani i-gangrene?
Ukwelashwa kwe-gangrene enesifo sikashukela kungenziwa ngezindlela ezimbili - lokhu kungenelela kokuhlinzwa nokwelashwa okulondoloziwe. Kodwa-ke, ukwelashwa okuphumelela kakhulu kuzohlinzwa.
Ngokuthola ukwelashwa okulondoloziwe, udokotela uzama ukuthola isinxephezelo ngalesi sifo, wehlise umthwalo emilenzeni (ikakhulukazi endaweni ethintekile), anciphise ukusakazeka kwezinqubo ezithathelwanayo ngamagciwane alwa nezifo, futhi anciphise ubuthi bomzimba wesiguli.
Ngesikhathi sokwelashwa okuqediwe, kunconywa amavithamini kwabanesifo sikashukela kanye nokuxuba izakhi zamaminerali, okuqinisa amasosha omzimba womuntu futhi kwandise nemisebenzi yokuvinjwa kwemvelo.
Indlela yokuhlinzwa yiyona ndlela yokwelapha i-gangrene emanzi, futhi ukuphela kwendlela ezosiza ekugwemeni ukufa. Kanye nokususwa kwemishini kwezicubu ezifile, kwenziwa lezi zinto ezilandelayo:
- Ukwelashwa ngama-antibacterial ngokusebenzisa ama-antibhakthiliya ebanzi.
- Izimpawu zokwelapha ezinciphisa ukudakwa komzimba.
- Ukumpontshelwa igazi.
Iziguli eziningi zinesifiso sokuthi baphila malini nesifo esingaka? I-gangry eyomile ayithinti isikhathi sokuphila komuntu, futhi ezimweni ezingandile kakhulu ibangela ukufa kweziguli.
Kodwa-ke, isiguli singabulawa yi-pathologies eholele kulesi simo. Isibonelo, kubantu asebekhulile, ukukhula kwe-gangrene kungumphumela we-atherosulinosis, okungaholela ekufeni.
Ngokuqondene nohlobo olumanzi lwe-pathology, ngaphandle kokwelashwa okwanele, impilo yomuntu ngeke ihlale isikhathi esingaphezu kwezinsuku ezintathu, nokubala kwehora ngalinye. Kuyaqapheleka ukuthi awukwazi ukuzelapha lesi sifo ekhaya, akukho mafutha e-gangrene angamelana naso, kanye nokugcoba isifo sikashukela.
Izindlela zokuvimbela
Ubuhlungu emilenzeni ngesifo sikashukela bubunzima baphakade kwiziguli, ikakhulukazi kubantu abanezinhlobo ezi-2 ze-pathology. Ukuze ulondoloze impilo yakho, ukuvimbela ukuthuthukiswa kwezinkinga, kuyadingeka ngokushesha ngemuva kokuxilongwa kwalesi sifo, ukuqala ukwenza ukuvikela.
Kuyadingeka ukuyeka imikhuba emibi engaholela ekuphazamisweni kokugeleza kwegazi okugcwele emzimbeni, okwandisa amathuba okuthola izinguquko ze-atherosclerotic kanye nonyawo lwesifo sikashukela. Konke lokhu emaketangeni kungumphumela we-gangrene.
Lapho i-callus itholakala onyaweni, ama-adhesive plasters, okungukuthi, imikhiqizo enamathele, ayikwazi ukusetshenziswa. Lapho ususa isigaxa sokunamathela, kunamathuba okususa ungqimba olungaphezulu lwesikhumba, oluzoholela enxebeni elithambekele ekuthelelekeni.
Izicathu azibalulekile kangako. Izicucu noma izicathulo ezingahambi kahle kungaholela ekuthuthukisweni kwe-gangrene emilenzeni. Kuyadingeka ukugqoka izicathulo ezintofontofo kuphela, akufanele zicindezele futhi zikhuhle, ziqhoboze, njll.
Ehlobo, udinga ukuba ngumnikazi wamabili amabhulukwe izicathulo, futhi udinga ukugqoka wona, bese uzihlanze ngaphandle kokuhluleka. Nsuku zonke udinga ukuhlola imilenze yakho ukuthola ukulimala kanye namanxeba, kunakwa ngokukhethekile endaweni ye-interdigital.
Ukuvimbela kuqukethe amaphuzu amaningi, futhi ukugcinwa kwabo okuqinile kuphela okukuvumela ukuthi usindise impilo yakho futhi kuvimbele ukuthuthukiswa konyawo lwesifo sikashukela. Ukulawulwa kukashukela wegazi, ukunakekelwa kwemilenze ephansi, kanye nendlela yokuphila enempilo kuzonciphisa ubungozi bezinkinga. Ividiyo ekulesi sihloko inikeza indlela yokwelapha i-gangrene.
