I-Gangrene kwisifo sikashukela - izimbangela, ukwelashwa

I-Diabetesic gangrene iyi-necrosis yezicubu ezikhula ngenxa kashukela wegazi ophakeme. Imvamisa, imilenze yangaphansi iyathinteka, lokhu kungenxa yezimpawu zokujikeleza kwegazi. Ngokuhamba kwesikhathi, baba mnyama ngenxa yokuqongelela i-iron ne-iron sulfide. Lezi zinto zifakwa egazini ngenxa yokuqunjelwa. I-Necrosis yemilenze yenzeka ngenxa yokunqamuka kokuhlinzekelwa komoya-mpilo kuma-capillaries. Ema-diabetes anesipiliyoni seminyaka engaphezu kwengu-20, ubungozi bokuthola le nkinga bukhuphukela kuma-80%.

Izizathu

Imbangela eyinhloko ye-gangrene yamaphethelo aphansi kushukela ihlotshaniswa nokubonakala kokuphazamiseka kwe-trophic. Phakathi kwazo kukhona:

• I-Polyneuropathy yisifo sohlelo lwezinzwa lapho izicubu zezinzwa zibhujiswa khona.
• I-Microangiopathy yisifo esihambisana nokukhubazeka kwe-capillary permeability.
• I-Macroangiopathy iyi-lesion yemithambo yegazi emikhulu.
• Ukwakheka kwamathambo okungahambi kahle kuyimbangela eyinhloko yokuqina kwamathambo. Isifo esinjalo futhi kungaholela ku-vascular thrombosis.
• Izinqubo zokutheleleka - ukunciphisa ukuqina kwemithambo yegazi.
• Yehlise amandla okuzivikela omelana nesifo sikashukela.
• Ukuba khona kwemikhuba emibi: ukudakwa, ukubhema, ukukhuluphala ngokweqile.
• Ugqoke izicathulo ezisezingeni eliphansi.
• Ukulimala noma ukushisa emaphethelweni aphansi.

Ukuhlukaniswa

IGangrene yisilonda esibi semikhawulo engezansi ehambisana nokufa kwezicubu. Kubangela ubuhlungu obukhulu, ngenxa yokuthi umuntu ulahlekelwa yithuba lokuphila impilo ephelele. Namuhla, ochwepheshe bahlukanisa izinhlobo ezimbili ze-gangrene: ezomile nezimanzi.

Isikhumba esomile

I-gangry eyomile yisilonda sesikhumba, imbangela yaso kungukuphulwa kwegazi. Imvamisa, le ndlela yalesi sifo itholakala ezigulini ezinesifo sikashukela sokukhathala noma ukuphuma komzimba okukhulu. I-lesion iba kancane kancane, ibonakala ngokukhishwa kwezicubu. Ngokuhamba kwesikhathi, isikhumba emilenzeni siqala ukugoqa futhi siqine, sithole umbala onsundu noma omnyama. Umuntu akakwazi ukuphila impilo ejwayelekile, ukhubazeka. I-gangrene eyomile ingaqashelwa ngu:

• Ubuhlungu obukhulu emaphethelweni aphansi;
• Ukuzwela okwehlisiwe noma okungekho
• Isikhumba esibandayo semilenze;
• Imizwa ehlala njalo yokuqina;
• Ukudonsa okunganele emilenzeni noma ngenxa yokungabikho kwayo;
• Ukuqina kwemilenze;
• Ukuqina kwesikhumba.

Endabeni yokuntuleka isikhathi eside kokwelashwa, ukutheleleka ngamagciwane kungadala ukudakwa. Ukuqashelwa ubuthi bomzimba kungenzeka ngokwandisa izinga lokushisa lomzimba, isicanucanu, ukuhlanza, ukwazi okufiphele. Uma umuntu ezizwa engezwa kahle neze, udokotela akasheshe athumele isiguli ukuthi sihlinzwe. Ukwelashwa okuxhasayo ngama-antibhayabhithi, izidakamizwa zenhliziyo kanye nesisombululo se-isotonic kuyenziwa.

I-Wet gangrene

I-Wet gangrene ingaqashelwa yizibonakaliso ezicishe zifane ne-gangrene eyomile. Imvamisa, isilondana esinjalo sitholakala kulezo ziguli ezinesifo sikashukela esikhuluphele. Imvamisa, iziguli ezinje zithambekele kwi-edema ejwayelekile kanye namaqhubu emikhawulweni ephansi. Inxeba uqobo lumanzi, alinaso isikhathi sokoma. Isimbozo esinjengalesi sitholakala kakhulu ekungenelelekeni kwezifo ezithathelwanayo kanye namagciwane, futhi futhi singadala ukudakwa okungathi sína. I-Wet gangrene kungenzeka ukuthi ibulawe. Lokhu kungabonakala ngezimpawu ezilandelayo:

• Ubuhlungu obukhulu emaphethelweni aphansi;
• Njalo ripple;
• Ukwanda kokushisa komzimba;
• Ukuhogela kubolile kusukela emaphethelweni aphansi;
• Ukwakheka kwezindawo eziningi ezibomvu esikhunjeni;
• I-pulsation ekhona emilenzeni;
• Ukuhlukaniswa kwemikhawulo engezansi, zithola i-hue eluhlaza okwesibhakabhaka noma onsomi;
• Ukubonakaliswa kwemithambo emilenzeni.

Izindlela zokwelapha

Ukwelashwa kwe-gangrene enesifo sikashukela kudinga indlela ehlanganisiwe. Kubaluleke kakhulu ukulandela yonke imiyalo kadokotela oholayo, ngoba ukungazinaki izincomo kungaholela ekwakhiweni kwezinkinga ezinkulu.

Ngosizo lwemithi, i-gangrene ayikwazi ukwehlulwa, kepha izosiza ukujikeleza kwegazi ngokwejwayelekile futhi inciphise nengozi yezinkinga. Izinqubo ezilandelayo zibaluleke kakhulu ekwelashweni:

• I-Angioplasty kanye no-stinging kuyizinqubo ezisiza ukunqoba uhlobo olubi lwe-gangrene yesifo sikashukela. Ngosizo lwabo, kungenzeka ukushiya umlenze. Umnyombo wezindlela ukucocwa kwemikhumbi eyonakele, ebuyisela ukuhamba kwegazi. Ukungenelela kwenziwa esibhedlela, ngaphandle kwe-anesthesia - ngokusebenzisa ukubhoboza okuncane, udokotela wenza yonke imishini edingekayo ngethuluzi elikhethekile. Ngesikhathi senqubo, umuntu akalahli igazi.
• Ukuhlinzwa nge-vascular bypass kungukungenelela okungenza kube nokujwayelekile ukuhamba kwegazi emikhawulweni ephansi, kanye nokunciphisa ischemia. Le ndlela ineqiniso, yenziwa ngaphansi kwe-anesthesia ejwayelekile. Umnyombo wokungenelela ukufaka esikhundleni semikhumbi ethintekile nabaqhubi abakhethekile abenza umsebenzi wemithambo yegazi.
• Ukuxhunyelelwa kwesikhumba inqubo lapho udokotela elawula khona izindawo zesikhumba ezithintekile nezifile. Esikhundleni semikhondo ethintekile, kungahle kuthungwe izicubu zezokwelapha ezikhethekile. Odokotela bangakwazi nokudlulisa izicubu ezivela kwezinye izingxenye zomzimba.
• Ukunqunywa kwesitho somzimba kungukuhlinzwa lapho udokotela ethulula ingxenye yelungu lomzimba noma lonke. Imvamisa le ndlela ibuyiselwa emuva kokuthi ezinye izinqubo zingalethi umphumela oyifunayo. Lokhu kwenziwa ngenhloso yokunqanda ukusakazeka kwamagciwane kanye nokutheleleka emzimbeni. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kudinga isikhathi eside sokululama. Ngemuva kokususa umlenze owodwa, kuyadingeka ukuqapha ngokucophelela isimo selesinye, ngoba ubungozi bokuqhubeka kokuthuthuka kwe-gangrene buhlala bukhulu kakhulu.

Ukwelashwa okuhlukile

Abanye ochwepheshe baphawula ukuthi ukuzila ukudla okwenzelwe ukwelashwa kuzokusiza ukumisa ukuthuthukiswa kwesi sifo sikashukela. Le ndlela yokuveza izinto ngokusobala kufanele ihlolwe njalo ngudokotela. Kungcono ukwenza lokhu esibhedlela esikhethekile. Ezigabeni zokuqala zokwakheka kwezigebengu, indlala iyakwazi ukumisa ngokuphelele izinqubo ze-pathogenic. Futhi, umthwalo wansuku zonke emilenzeni uzosiza ukumisa ukuhamba kwegazi.

Ukuvimbela

Isifo sikashukela yisifo esibuhlungu kakhulu se-endocrine esidala izifo eziningi. Ushukela wegazi ophakanyisiwe uthinta kabi impilo yemithambo yegazi, engadala ukulimala kwezicubu. Endabeni yokunganakwa isikhathi eside, isifo sikashukela siholela ezinkingeni ezinkulu ezivame ukuthinta imikhawulo ephansi.

Ukuze unciphise ubungozi bokuthola izifo ezinjalo, kuyadingeka ukunamathela kulezi zindlela zokuvimbela ezilandelayo:

• Yenqaba kuyo yonke imikhuba emibi ethinta kabi ukuhamba kwegazi: ukubhema, ukuphuza utshwala;
• Buyisa isisindo somzimba wakho, ngenxa yokuthi umfutho wegazi ukhuphuka;
• Khetha izicathulo zakho ngokucophelela: kufanele zibe sezingeni eliphezulu futhi zikhululekile;
• Bukela okudlayo, akufanele kube noshukela;
• Gqoka njalo amasokisi - kufanele enziwe ngendwangu yemvelo;
• Yiba nezimbambo ezimbalwa zezicathulo - lezi zibhangqa ezifanayo azikwazi ukugqokwa isikhathi esingaphezu kwezinsuku ezi-2;
• Hlola izinyawo zakho eziphansi nsuku zonke;
• Uma kukhona amanxeba abonakala emaphethelweni aphansi, awaphathe masinyane;
• Musa ukugqoka amasokisi e-holey, ngoba angalimaza isikhumba;
• Lapho kuvela ummbila noma ummbila, bopha umlenze ngebhandeji - i-band-aid ingalimaza ungqimba olungaphezulu lwesikhumba;
• Yenqaba ukugeza okushisayo okusheshisa ukuhamba kwegazi;
• Ebusuku, faka uwoyela wemvelo esikhunjeni esisiza ukuqinisa futhi ubuyisele i-epidermis.

Ukwenza izindlela ezilula zokuvikela kuzokusiza ukuvikela noma ukumisa ukuthuthukiswa kwe-gangrene yemikhawulo ephansi. Uma ubona izimpawu zokuqala ngokwakho, thintana nodokotela.