Imiphumela yokuthola isifo sikashukela ihlala ithinta izitho ezahlukahlukene kanye nezinhlelo zomzimba womuntu. Uma, ngokwesibonelo, izinzwane zimnyama nginesifo sikashukela, kufanele ngenzeni?
Izici ezinomthelela wokuthi kwenzeke into enjalo kungaba ukulimala okuhlukahlukene nezilonda, ukuthuthukiswa kwesikhunta noma ukuqala kwe-gangrene. Enye yezizathu zale nqubo ukwephulwa kwezinqubo eziningi ze-metabolic ezihambisana nesifo sikashukela.
Njengomphumela wokuphulwa kwezinqubo ze-metabolic emzimbeni, kanye nokuqhuma okungapheli ezingeni le-glucose egazini, ushintsho kumbala kanye nokwakheka hhayi kwamapuleti wezipikili kuphela, kodwa nangomunwe.
Ngokuvamile, abanesifo sikashukela baphawula uzwane omnyama, ukonakala kwesikhumba nezinye izinkinga zesikhumba.
Kumele kuqashelwe ukuthi lapho kwenziwa inqubo yokuthuthukiswa kwe-pathology, ingozi enkulu yokuqhamuka nezifo ezahlukahlukene zokukhunta ingavela, okuvela njengokuncipha nokucindezela izinga lokuzwela lamaphethelo aphansi.
Kungani kukhona ushintsho emalungeni aphansi?
Kuze kube manje, ushintsho emaphethelweni aphansi avame ukwenzeka, ngenxa yezizathu ezilandelayo:
- Ngenxa yokutheleleka kwama fungal. Enye yalezi ziguli yi-trichophyton. Ukuthuthukiswa kwaso kuhambisana nokushintshwa kombala nokwakheka kwamathoyizi, ukubukeka kobomvu nemisipha emincane emanzi. Uma kungekho ukwelashwa okudingekayo, imivimbo enjalo iqala ukuguqula umbala wayo, iba mnyama kakhulu, okungakhombisa ukutheleleka.
- Ngesikhathi sokuboniswa kwesifo sikashukela, izinkinga ngesimo esijwayelekile semithambo yegazi ziqala ukuvela. Ngenxa yokunqotshwa kwabo, i-diabetesic foot syndrome kungenzeka. Ngesikhathi sokukhula kwayo, ukuqina kwamaphethelo aphansi kwenzeka, i-gait iyashintsha, ngoba unyawo luyazwela. Ukwephulwa kokugeleza kwegazi okujwayelekile kuba ukwenzeka kwe-atherossteosis, okuthinta kabi unyawo. Ngaphezu kwalokho, unyawo lwesifo sikashukela lungakhula futhi ngenxa yezifo zokukhunta.
Izinkinga ngemikhawulo engezansi eqala ukuvela ngenxa yemiphumela emibi yesifo sikashukela, njengomthetho, inezimpawu ezilandelayo:
- isikhumba emilenzeni siqala ukuphuma ngenxa yokuqina kwezinga lokoma,
- ukumiswa kwesikhumba kushiwo,
- amabala kanye mnyama mnyama esikhunjeni semilenze,
- ukudumba kwengxenye engezansi yamaphethelo aphansi,
- imizwa ebuhlungu eba namandla ngesikhathi sokuthuthuka,
- Ukuguqula ukwakheka nokwakheka kwamapuleti ezipikili,
- kungenzeka izilonda nezilonda.
Uma izimpawu ezingenhla zivela ngokwengeziwe, sikhuluma ngokuqhubeka kokuqina kokugeleza kwegazi nokukhula kwe-neuropathy. Ukwelashwa ngesikhathi kuzosiza ukusheshisa ukuphulukiswa kwenxeba futhi kuqede amathuba okuba nemiphumela emibi njengokunqunywa kwezinwe.
Uma umunwe uphenduke umnyama kushukela, lesi isibonakaliso sokuqala mayelana nesidingo sokuqhubeka nokuphuthuma izifundo ezidingekayo bese uthola izeluleko zikachwepheshe wezokwelapha.
Ukwelashwa kanjani?
Kumele kuqashelwe ukuthi zonke iziguli ezitholakala zinesifo sikashukela kufanele ziye ezivivinyweni eziyisithupha ezihleliwe nezivimbelayo, noma kungekho zimpawu ezibonakalayo.
Kungale ndlela kuphela, lapho kunokwenzeka khona ukubona ngesikhathi esifanele ukuphambuka noma ukuqala kwezinkinga.
Ukuxilongwa kwezokwelapha ukuthola ukuba khona kwezinkinga ngemithambo yegazi nemicu yezinzwa kubandakanya isethi ethile yezinyathelo nokuhlolwa.
Ngakho-ke ukukhomba izinkinga kusetshenziswa izindlela ezilandelayo zocwaningo:
- I-Ultrasound yemithambo yegazi yemikhawulo engezansi.
- Ukutadishelwa kokuhlolwa kwemizwa.
- Ukuskena okuphindwe kabili kwemithambo eyinhloko.
- I-Arteriography.
- Ukuxilongwa kwezinguquko zomfutho womunwe.
Ngaphezu kwalokho, ukubona inkanuko yemikhawulo engezansi kuyaphoqeleka ukuba inqume izinga lokushaya.
Ukwelashwa kwezidakamizwa kuhlose ukwandisa ukukhanyiswa kwemikhumbi, kanye nokukhomba izinto eziholele ekuwohlokeni kwesimo semikhumbi nokuqhekeka kwazo.
Ngaphezu kwalokho, isiguli kufanele siqaphe isimo semilenze yakhe ephansi futhi senze izindlela ezinconyelwayo zokuthibela. Omunye wemithetho ebalulekile ukugqoka izicathulo ezintofontofo, ezingeke zibe nomthelela ekulimazeni emilenzeni, ekuxolweni noma ekwakhiweni kwamabele, amabele Ngakho-ke, kungenzeka ukuvimbela ukuthuthukiswa kwamathumbu we-purulent.
Kwezinye izimo, lapho kutholakala ukuncipha okukhulu kwemithambo emikhulu yemithambo, ukuhlinzwa okuhlinzwa kungadingeka. Enye yazo ukuhlinzwa kwe-bypass ne-angioplasty e-percutaneous.
Kufanele kukhunjulwe ukuthi iziguli ezinenkinga yesifo sikashukela kufanele zihlale zinemithi elandelayo:
- amabhandeshi oyinyumba nokuwiswa okubalulekile,
- izidakamizwa ze-antiseptic (furatsilin),
- okhilimu onempilo onempilo,
- okokugcoba okwelashwa okusekelwe emithini elwa namagciwane.
Uma kwenzeka noma yikuphi ukulimala kwesilonda noma isilonda, kufanele siphathwe ngokushesha futhi sishiyweelaphe.
Kwenqatshelwe ngokuzimela ukususa amabele noma amabele emilenzeni.
Imiphi imiphumela emibi engaqhamuka?
Eminye yemiphumela emibi yenkambo ende yesifo sikashukela, ukuthuthukiswa kwe-neuropathy ne-angiopathy yi-gangrene. Imvamisa, unyawo, kanye nezinzwani, yisilonda. Imbangela eyinhloko ye-gangrene kwisifo sikashukela ukuncipha okukhulu kokujikeleza kwegazi kwezicubu, kanye nezilonda zokukhunta kanye namagciwane.
Ngenqubo yezifundo zokuxilonga, indawo ebalulekile ihlalwa ngokunquma ubulukhuni bokubonakaliswa kwe-pathology nefomu layo. Uma i-necrotic foci ingatholakali ngenxa yezinqubo, kunikezwa ukwelashwa okulondolozayo, okubandakanya ukubuyisela ukuhamba kwegazi okujwayelekile (ukuthatha ama-vasodilators). Ngaphezu kwalokho, kuyadingeka ukuthi uthathe imishanguzo ukuze wenze ngokwejwayelekile amazinga eglucose.
I-gangrene ingenzeka ngezindlela ezimbili - eyomile futhi emanzi. Ukwelashwa kokuqunjelwa kuhloselwe ukuqeda uhlobo lokuqala lwe-gangrene.
Ngeshwa, lapho kuvezwa indlela emanzi ye-pathology, indlela esemqoka yokwelashwa iba yindlela yokuqunjelwa umunwe. Ukuqunjelwa kufanele kube ngaphezu kwezicubu ezilimele. Iqiniso ngukuthi izinqubo ezihambisana ne-gangrene ezimanzi ziyi-necrosis ebanzi kanye nenani elikhulu lokuphuma komhluzi.
Ukususwa kwamaseli afile kumele kuhambisane nokusetshenziswa kwezindlela eziyinkimbinkimbi, kufaka phakathi ukusetshenziswa kwamagciwane akhethekile. Ngemuva kokunqunywa, ukuqhekeka kwegazi emithanjeni ethintekile kungasuswa, kuhlanzwe imithambo, noma ukuhlinzwa ngemithambo ye-microsuction bypass.
Ukuqunjelwa iminwe kuyisinyathelo esidingekayo. Ukuqhuba lesi sifo akusifanele, ngoba uma ulashwa ngokungafanele, ukunqunywa umlenze kungenzeka kudingekile nhlobo nesifo sikashukela.
Ungakugwema kanjani ukuthuthukiswa kwezinkinga zesifo sikashukela uzotshela udokotela kule vidiyo ekulesi sihloko.
