IGangrene ingukufa kwasendaweni (necrosis) zezakhi zezicubu kunoma yisiphi isidalwa esiphilayo. Kubeka engcupheni enkulu, ngoba kubeka engcupheni igazi ngobuthi be-cadaveric futhi kucasule ukukhula kwezinkinga ezibulalayo futhi ngezinye izikhathi nokubulala izinso, isibindi, inhliziyo namaphaphu. Lesi sifo esinesifo sikashukela i-mellitus sivame ukwenzeka uma isifo sikashukela sonyawo sisungule.
Isiguli kufanele sinake kakhulu ukwelashwa kwalesi sifo. Ngabe yini ukwelashwa kwe-gangrene enesifo sikashukela?
Imihlahlandlela yokwelapha i-gangrene yesifo sikashukela
I-Gangrene yephula i-carbohydrate metabolism imvamisa ithinta iminwe yemikhawulo engezansi nezinyawo. Yindlela elukhuni kakhulu yesifo sikashukela sikashukela.
Njengomthetho, ukhula ngesinye sezizathu ezimbili:
- ukuhamba kwegazi emilenzeni kukhubazeka kakhulu. Lokhu kungenxa yokuthi imithambo, imithambo kanye nama-capillaries cishe kuvinjelwe ngokuphelele yi-cholesterol plaque ngenxa yokuqhubeka kwe-atherosclerosis. Lesi simo sibizwa ngokuthi yi-ischemic gangrene;
- isifo sikashukela sonyawo sikashukela. Inikeza ukubukeka kwezilonda ezincane ezinyaweni nasemlenzeni ophansi. Zipholisa kancane. IGangrene ivela lapho amabhaktheriya e-anaerobic eqala ukwanda kulezi zinxeba. Le nto ibizwa ngokuthi yi-gangrene ethelelekayo.
Izindlela zokubamba
Ukuze uthole ukwelashwa okulondoloziwe kwe-gangrene ku-mellitus yesifo sikashukela, kudingeka uhlolwe ngokuphelele bese uthola imiphumela elandelayo:
- isinxephezelo sikashukela;
- ukunciphisa ukusakazeka kokutheleleka kanye nobuthi ngokusebenzisa ama-antibiotic agents;
- ukwehla komthwalo emaphethelweni aphansi, ikakhulukazi ezindaweni ezithintekile;
- ngokudla okujwayelekile kwama-vitamin complexes nezinto zokulandela, ungathola ukwanda kwezinga lokungazetheki.
Izindlela Zokuhlinzwa
Kumele kuqashelwe ukuthi uma kungukuthi isifo sikashukela esimanzi esibangelwa isifo sikashukela, khona-ke ukungenelela okuhlinza kuyadingeka ukunciphisa amathuba okufa.
Ngaleso sikhathi, udokotela ususa izindawo ezithintekile zezicubu, futhi enze nokuhlanza abanye abafanelekile.
Uma isiguli sinomunwe owodwa othintekile, khona-ke ukuvikela ukuthuthukiswa kwezinkinga eziyingozi, unyawo oluthintekile kufanele lususwe ngokuphelele. Ngokugula okucutshungulwayo, kungahle kube ngumbuzo wokukhipha umlenze ophansi kufinyelele ezingeni ledolo.
Futhi, ukusebenza okufanayo kungadingeka ekuhlolweni kwe-angiopathy yesifo sikashukela. Kulokhu, indlela yokwelashwa ingaba enkulu.
Ngaso leso sikhathi, kanye nokungenelela kokuhlinzwa, ukusebenzisa okukhohlisa okulandelayo kungenzeka:
- ukusetshenziswa kwama-ejenti we-anti-spectrum antibiotic agents;
- ukuqaliswa kokulashwa, okuhlose ukunciphisa izinga lokudakwa komzimba;
- ukumpontshelwa igazi.
Kubalulekile ukuqaphela ukuthi ngaphezu kokususwa kwezicubu ezithintekile, ukwelashwa okufanayo kufanele kwenziwe. Ingaqukatha ukuqeda izigaxa zegazi ezivala imithambo yegazi, imithambo, kanye nemikhondo emincane kakhulu.
Kubukeka njengomphumela wesifo se-coronary. Okwamanje, kunendlela yesimanjemanje futhi eqhubekayo yokuqeda le nto engathandeki. Odokotela bahlanza imithambo yegazi ngokuphelele ngokungenisa i-probe ekhethekile.
Le ndlela isiza ukungafaki ukuvela kwesikhumba, imithambo, imithambo kanye nama-capillaries. Lokhu kubaluleke kakhulu kuwo wonke umuntu onesifo sikashukela, ngoba kwenza ukuthi kugwemeke ukubonakala kwamanxeba azophola isikhathi eside kakhulu.
I-microsological shunting nayo ingenziwa ukusiza ukugcina izinyawo zibekhona nge-phalanx gangrene. Ngaphezu kwalokho, ukufakwa kwamazinyo kuvame ukunqunywa, okusiza ukuba nomphumela omuhle kakhulu enkambisweni yokuhlinzwa.
Ungayelapha kanjani i-gangrene nesifo sikashukela ekhaya?
I-Gangrene yisifo esiyingozi, ukuqedwa kwako kuthatha isikhathi esiningi namandla. Ungasiphatha kanjani lesi sifo ekhaya?
Ukwelapha kungenziwa kusetshenziswa enye indlela yokwelapha. Kufanele kwenziwe ngokubambisana nokwelashwa okuyinhloko, ngemuva kokubonisana ngqo nodokotela onguchwepheshe.
Izindlela zokupheka ezimbalwa ezisebenzayo ezisiza ekuqinisekiseni ukuqedwa kwezifo usebenzisa izithako ezikhona:
- Umphumela omuhle kakhulu ekwelapheni i-gangrene eyomile uboniswa ngokusetshenziswa kobisi olunomuncu wemvelo. Ukuze wenze lokhu, faka ngokucophelela i-gauze ofakwe kule ngxube ezindaweni ezithintekile. Kulokhu, sikhuluma ngezinyawo nemilenze ephansi;
- uma isiguli sine-gangrene eyomile, khona-ke ama-compress kufanele asetshenziswe, okumele afakwe kuqala ku-oyela we-clove. Kufanele zisetshenziswe ezindaweni ezithintwe yilesi sifo;
- kaningi ukuqeda ukubukeka komile kwe-gangrene, kusetshenziswa i-oki ekhethekile yokwelapha. Ukuyilungiselela, udinga ukuthatha cishe ama-65 g wamafutha engulube (kumele iqale ancibilikiswe ngokuphelele), inani elifanayo lezinye izithako, ezinjengalesi: ithusi, irosin, insipho yokuwasha kanye ne-oyili yelanga. Zonke izinto eziqinile kufanele zichotshozwe kahle. Emva kwalokhu, izithako zidinga ukuxutshwa ukushisa okuphansi, zilethwe kumathumba, kupholile bese ufaka u-50 g we-anyanisi, i-aloe negalikhi. Ezindaweni ezithintekile, udinga ukusebenzisa ukwakheka okulungiselelwe kabili ngosuku. Kungcono ukwenza lokhu ekuseni nakusihlwa. Ngaphambi kwalokhu, kunconywa ukubamba kafushane isisombululo kubhavu wamanzi;
- uma une-gangrene eyomile, khona-ke ingalashwa kusetshenziswa ama-compress asuka kusinkwa se-rye pre-ehlafuna, exutshwe nosawoti. Ukuqanjwa kuyanconywa ukuthi kusetshenziswe ezindaweni ezithintekile njenge-compress ejwayelekile. Udinga ukuyigcina ikota yehora;
- Amafutha e-sea sihlahla sivame ukutholakala kusiza nokusiza ngempumelelo ukuqeda i-gangrene eyomile. Ngaphambi kokuyisebenzisa, izindawo ezithintekile kufanele zigcotshwe ngesisombululo esingamaphesenti amathathu se-hydrogen peroxide. Ngemuva kwalokho, udinga ukwelapha amanxeba ngale ndlela yokwakhiwa komzimba. Uma i-gangrene imanzi (uma kukhona ubomvu), kufanele kusetshenziswe i-birch tar esikhundleni samafutha. Ngaphezulu kuyadingeka ukubopha indawo ethintekile ngebhandeji. Futhi ngaphezulu kuyanconywa ukufaka ungqimba lwe-gauze. Lokhu kokugcina kumele kugcotshwe uwoyela wezinhlanzi noju ngezindlela ezilandelayo: wezipuni ezincane eziyishumi zoju ebhodleleni elincane lamafutha enhlanzi. Ngemuva kwalokhu, i-compress kufanele iboshwe ngokucophelela futhi igcinwe kanjalo kuze komile ngokuphelele. Vumela isikhumba siphumule imizuzu eyishumi nanhlanu, bese emva kwalokho ungafaka i-compress entsha;
- uwoyela omhlophe we-lily ubhekwa njengokunye ukwelashwa okusebenzayo ekhaya. Badinga ukuthoba izicubu ezithambile bazisonge emilenzeni yabo noma kwenye indawo ethintekile. Kubalulekile kakhulu ukulungisa i-bandage kahle, futhi uyisonge ngaphezulu ngentambo evamile yepulasitiki. Izingcindezi zidinga ukushintshwa njalo emahoreni amathathu. Kulokhu, amabala abuhlungu phakathi kokufaka esikhundleni izicubu ngamafutha kufanele ahlanzwe ngesisombululo se-manganese. Amafutha alesi sitshalo angalungiswa ngale ndlela elandelayo: Iziqu eziningana ezinama-inflorescence esitshalo kufanele zichotshozwe ngokucophelela. Ngemuva kwalokho, inhlanganisela ephumayo ifakwa ngokucophelela embizeni. Ilitha elilodwa lamafutha sunflower lithululelwa ngaphezulu. Lokhu kuhlanganiswa kufanele kugcinwe izinsuku eziyishumi nane endaweni emnyama futhi epholile.
Kufanele kubhekwe kakhulu izinhlelo zokusebenza zamakhambi. Ukuze ulungiselele isicelo esinjalo, i-calendula, i-mistletoe, i-coltsfoot, i-yellow clover, i-clover ebomvu kanye neziqu ze-rhubarb kufanele zibe semhlabathini ngokucophelela.
Ukugcotshwa kwezinyawo, ama-antibiotics, amavithamini neminye imithi
Isiguli kufanele sinikezwe izidakamizwa ezenzelwe ukuthuthukisa imetabolism kwezicubu zezinzwa.Kuyalulekwa futhi ukuthi usebenzise umuthi ukuze ususe izimpawu ezingathandeki ngendlela yobuhlungu nokulahleka kokuzwela.
Odokotela bavame ukunquma izidakamizwa eziphumelelayo ezigulini zabo, njenge: amitriptyline, imipramine.
Ngaphezu kwalokho, umuntu akufanele akhohlwe ngokuthatha imishanguzo yegciwane, kanye namavithamini, ngaphandle kwalokho ongeke ukwazi ukukwenza kulesi simo.
Ukuhlelwa ngokwejwayelekile kokudla okunempilo
Ukuvimbela lesi sifo, udinga ukudla ukudla okufana ne-artichoke yaseJerusalema, ulamula, owolintshi, i-ginger, igalikhi kanye no-mulberry. Ngesikhathi esifanayo, ukudla kwesiguli kufanele kube nenani elanele lamaprotheni, i-fiber kanye ne-lipids ewusizo.
Kuyasiza ukuba kwabanesifo sikashukela ukudla i-artichoke yaseJerusalema
Yini okufanele uyenze uma uzwane luphenduka luhlaza okwesibhakabhaka?
Kuyadingeka ukuthuthukisa i-microcirculation yegazi kanye nokuqina kwemithambo yemithambo yegazi, imithambo kanye nama-capillaries. Kubalulekile ukuyeka imikhuba emibi futhi ulungise nokudla kwakho.
Lapho ukunqunywa kwemikhawulo engezansi kubaluleke kakhulu?
Indlela emanzi yalesi sifo iyisizathu esibucayi sokulaliswa esibhedlela ngokushesha nokunqanyulwa komzimba olandelayo.
Ukuvimbela
Ukondleka okufanele, ukuvivinya umzimba okwanele, ukuyeka imikhuba emibi - lezi yizindlela zokuvikela eziphambili ezisiza ukuvikela ukwenzeka kwe-gangrene.
Amavidiyo ahlobene
Ungayiphatha kanjani i-gangrene ekhaya ngemithi yabantu
Uma uthintana nodokotela ngesikhathi esifanele, ungakugwema ukungenelela kokuhlinzwa, okubandakanya ukukhipha isitho esithintekile.