Ukuthuthuka okusheshayo kwesifo sikashukela kungadala ingozi enkulu empilweni, kuvuse ukungasebenzi kahle ekusebenzeni kwawo wonke amasistimu nezitho zomzimba.
Ukuncipha kwesikhathi eside kungaholela kumuntu obhekene nemiphumela engalindeleki kakhulu futhi ebuhlungu.
Izazi ze-Endocrinologists ziphikisana ngokuthi ngabanesifo sikashukela esivame ukukhipha iminwe, futhi kwezinye izimo kuyadingeka ukwenza ngokungaphezulu - ukususa wonke umlenze ophansi.
Kuyiqiniso, ukungenelela okunjalo kokuhlinzwa kwenziwa kuphela ezimweni ezimbi kakhulu, lapho ukwelashwa kwezidakamizwa kungalethi umphumela oyifunayo. Ngokwehlukana, kufanelekile ukucabanga ukuthi ukunqunywa kushukela kungagwenywa, kepha kuncike ekusebenzeni ngokucophelela kwazo zonke izincomo zezokwelapha.
Kungani imikhawulo ephansi igawulwa kushukela?
Lapho umuntu onesifo sikashukela engabheki izinga le-glycemia, izinqubo ezingeke zilungiswe emzimbeni wakhe eziphazamisa ukusebenza kohlelo lwezinzwa nemikhumbi ebalulekile, kancane kancane zibhubhisa ukwakheka kwazo.
Ngenxa yokuvezwa okunjalo, imiphumela eyingozi futhi ebuhlungu kakhulu ivela.
Kumuntu onesifo sikashukela, konke ukukhahlela kanye namanxeba kuphulukisa kancane, ngenxa yokuthi yiliphi iqembu lesifo esihlaselayo elingakhula. Le pathology ibonakala ngokuthi izicubu ezonakele kancane kancane ziyafa.
Odokotela abanolwazi bakwazile ukuthuthukisa izindlela eziningi ezintsha ezenzelwe ukulwa nobabili ushukela uqobo nemiphumela yako. Kepha kunezimo lapho umuthi wendabuko nowendabuko uhlala ungenamandla.
Kulokhu, ukusindisa impilo yesiguli, odokotela bangase banqume ukukhipha umlenze nezandla. Ukungenelela kokuhlinzwa kusiza ukugwema ukudakwa, ukwanda kwezicubu ezithintekile nobuthi begazi.
Izizathu eziphambili ngenxa yokuthi yiziphi izitho ezinqunywe umlomo zifaka:
- ukwakheka okujwayelekile kwemithambo yegazi kubuye kwaguquka ngezindlela zokushintshwa kwezifo. Kubalulekile ukubheka ukuthi lokhu akusebenzi kuphela kokukhulu, kodwa futhi naseziteshini ezincane zegazi;
- izinqubo ze-necrotic ezenzeka ezimeni eziyinkimbinkimbi kakhulu nezinganakwa;
- izinga eliphakeme kakhulu lomonakalo ezimpini zezinzwa ezingasebenzi.
Kubalulekile ukukhumbula ukuthi lezi zici zodwa azikwazi ukuholela ekunqunyweni kwezingalo.
Inqubo engaguquki emzimbeni ingabangelwa kuphela ukutheleleka amasosha omzimba angakwazi ukubhekana nakho. Kuya kuphela kumuntu ukuthi isithintelo sakhe sokuzivikela somzimba siqinile futhi sihlala isikhathi eside kangakanani.
Uma odokotela bengakwazanga ukuqeda inqubo yokuvuvukala ngokuhamba kwesikhathi, lapho-ke ukuhlinzwa okulindelwe kubhekwa njengokuwukuphela kwendlela yokusiza impilo yomuntu.
Izimpawu kanye nezimpawu zesifo sikashukela esisenkingeni yesifo sikashukela
Izimpawu zokuqala zoshintsho lwe-trophic cishe akunakwenzeka ukuba uzicabangele ngeso elinqunu. Ngokuvamile, lesi simo asinazo izimpawu ezibonakalayo.
Lapho i-gangrene iqala ukubizwa kakhulu, ingahambisana nemibukiso elandelayo:
- umuzwa wesikhathi esithile wobumsulwa noma wokushiswa;
- ukudonsa okungathandeki kanye nokuqina kwebele emilenzeni;
- ukukhula kwezinyawo kukhubazekile;
- ukukhathala nosizi emilenzeni ngisho nokuzivocavoca okuncane komzimba ngenkathi uhamba. Imvamisa, isiguli sibhekene nobuhlungu obukhulu emisipha yethole.
Ngokwehlukana, kufanelekile ukubheka ukuthi i-gangrene yandulelwa esinye isimo, okuthi phakathi kodokotela sibizwe ngokuthi i-ischemia esibucayi. Kulokhu, i-foci encane yezilonda eziyinqaba, i-necrosis ivela esikhunjeni sesiguli. Kulesi sigaba, umuntu uzwa izinhlungu ezinzima emaphethelweni aphansi, ezijula endaweni ethe xaxa.
I-Ischemia ebaluleke kakhulu ebangeni lesimo esisezingeni lomngcele edinga ukwelashwa okuqeqeshiwe, ngoba ngeke nje idlule. Ngaphezu kwalokho, ukuthatha amaphilisi akunamphumela oyifunayo.
Ukuze unciphise ukungakhululeki futhi uvikele izinkinga ezingaba khona, kuyaphuthuma ukubuyisa ukujikeleza kwegazi okungokwemvelo emilenzeni. Ngaphandle kwalokho, isiguli sizodinga ukunqunywa ngonyaka olandelayo.
Izigaba zokuthuthuka kwe-gangrene
Lapho umuntu onesifo sikashukela engasiqapheli isimo sakhe sempilo kanye ne-glycemia, izimpawu ezingathandeki ziqala ukwanda, futhi i-gangrene uqobo ibonakala iso elinqunu.
Isiguli sibona ukuthi izinga lokushisa nombala wesikhumba emilenzeni kuyashintsha. Izinyawo ziyabanda, isikhumba siba buhlungu. Kwezinye izimo, amabanga nokuvuvukala kungenzeka.
Ukuba khona kwesigaba sekwephuzile kwe-gangrene kunganqunywa yizimpawu ezilandelayo:
- amanxeba amade okuphulukisa akhipha iphunga le-fetid;
- ukumnyama kwesikhumba;
- ukuvela kokukhula ngezikhathi ezithile;
- ukuntuleka kwegazi ngokuphelele noma okuyingxenye.
Ukuqunjelwa komunwe, unyawo, nemilenze ngenhla kwedolo: ukulungiselela nokuthuthuka kokuhlinzwa
Izinga lokunqunywa linqunywa kuphela ngudokotela ohlinzayo onolwazi, okuthi ngaphandle kokungakanani ahlole lonke izinga lokulimala kwemilenze. Ngaphezu kwalokho, ochwepheshe banaka zonke izici zokwenziwa ngempumelelo kwama-prosthetics.
Amanani okukhipha angafaka okulandelayo:
- ukususwa konyawo oluthintekile. Lolu hlobo lokungenelela kokuhlinzwa luqukethe amazinga angaphezu kwe-10. Zonke zihlukaniswe izingxenye ezithile zonyawo. Okuyisisekelo - ukunqunywa kweminwe ethintekile endaweni yez metatarsal. Kwezinye izimo, ukususwa okuphelele kwe-metatarsus kungadingeka;
- ukunqunywa komlenze ophansi. Ekuqhubekeni kokusebenza okunjalo, ukuhlukaniswa ngokucophelela kwe-tibia encane nokuncane kwenzeka;
- ukucaciswa kwejoyi elihlangene. Ngalesi sikhathi sokuhlinzwa, udokotela ohlinzayo uhlukanisa idolo elihlangane nethambo futhi alikhiphe emzimbeni. Ithanga kuleli cala ligcinwe ngokuphelele;
- Ukunqanyulwa ithanga elilimele. Kulokhu, udokotela ohlinzayo ususa kuphela indawo elimele ithambo.
- ukunqunywa kwezindawo ezi-necrotic kusuka ekuhlanganeni kwe-hip;
- ezimweni ezingandile, i-hemipelvectomy yenziwa. Ngalesi sikhathi sokuhlinzwa, kususwa ingxenye ethile noma ephelele ye-femur eqolo.
Isikhathi sokuvuselela isimo
Esikhathini se-postoperative, kuyadingeka ukucindezela izinqubo zokuvuvukala, ngaphandle kokuthuthukiswa kwe-pathologies eyingozi, futhi kufaka nokwelashwa kwansuku zonke kwama-suture kanye namanxeba. Ngaphezu kwalokho, isiguli kufanele senze izivivinyo ezithile, ezifakiwe ohlwini lokuzivocavoca ngokwelashwa.
Ukulungiswa kwekhwalithi ephezulu kunezigaba eziningana:
- ukwenza izicubu zomzimba ukuvikela izicubu zomzimba;
- ukuphathwa ngokucophelela kwamanxeba, okuzosiza ukugwema ukutheleleka kanye nokuthuthukiswa kokuvuvukala;
- ukudla;
- ilele emhlane wakho, kuyadingeka ukuthi ugcine unyawo olunesihlungu egqumeni elincane ukuvikela ukuvuvukala.
Imiphumela kanye Nezinkinga
Kwezinye izimo, umuntu oye wanqunywa umlenze ophansi angathola ubunzima obuthile:
- Isimo esibucayi somzimba, esigcwele ukushaya kwenhliziyo;
- i-thromboembolism;
- Ubuhlungu be-phantom;
- ukutheleleka kabusha kwamanxeba okungadala i-sepsis;
- ama-hematomas angama-subcutaneous avela ngenxa yokumiswa okungafanele kwegazi;
- Ezinsukwini ezintathu ngemuva kokuhlinzwa, inyumoniya kungenzeka.
Bangaki abaphila ngemuva kokukhishwa izitho: i-prognosis
Ukuqunjelwa ushukela kubhekwa njengokujwayelekile, ngenxa yokuthi isiguli singasindiswa.
Kufanele ukhumbule njalo ukuthi ukulahleka komlenze akuphazamisi isikhathi sokuphila, konke kuncike kumuntu uqobo.
Ngokulandela konke ukunconywa kodokotela, kanye nokulawula izinga likashukela, ungakugwema ukubuyela emuva kwe-gangrene kanye nokuqhubeka kwesifo sikashukela. I-prosthesis esezingeni eliphezulu futhi ekhethwe kahle ikuvumela ukuthi uholele indlela efanayo yokuphila ngaphandle kwemikhawulo.
Kwenzeka kaningi ukuthi yisimo esinzima esenza ukuthi abantu balwele impilo yabo, badlale ezemidlalo ngisho nokuhamba.
Ukuthola iqembu lokukhubazeka
Iqembu lokukhubazeka linikezwa ngokuya esigabeni salesi sifo. Iqiniso ukusebenza kwesiguli liyabhekwa.
Ukuxilongwa okunembile kudinga ikhomishini ekhethekile. Isiguli kufanele sidlule kudokotela wamehlo ukuze siphikise noma siqinisekise ubukhona bokungaboni.
Ukubonisana nge-Neurologist kuyadingeka futhi, ngoba isifo sikashukela singenza ukulungisa okungaphenduki ekusebenzeni kohlelo lwezinzwa.
Ngokwehlukana, kufanelekile ukubheka ukuthi iqembu elithile lokukhubazeka ngemuva kokuqunjelwa umlenze lincike esimweni sesigaxa esenziwe, ukusebenza ngempumelelo kwama-prosthetics, isimo esijwayelekile somlenze wesibili nalo lonke uhlelo lwesisu.
Amaqembu we-Disability 2 anikezwa amacala alandelayo:
- uma imilenze yomibili ingaphezulu kwedolo inqunywe umlomo;
- Odokotela abahlinzayo basuse umlenze owodwa kuphela ngaphambi kwedolo, kodwa kukhona izilonda ze-gangrene elangeni lesibili.
Iqembu lokuqala lokukhubazeka labelwa kuphela uma imilenze yomibili inqunyulwe ezingeni lesithathu elingenhla lethanga. Kubalulekile futhi ukuqaphela ukuthi ngemuva kokususwa kwengalo yangaphansi, iqembu labakhubazekile labathathu lingabelwa lapho isigaba se-prosthetics sesiphelile isiguli sesingene ebuchosheni.
Ngalesi sikhathi, isinxephezelo sitholakala ngemisebenzi yokuhamba nokuma.
Amavidiyo ahlobene
Kungani ukunqunywa kwemikhawulo kushukela? Impendulo ekuvidiyo:
Ekuphetheni, singaphetha ngokuthi kungukuziphatha okuphumelelayo kokunqunywa kwezigxobo okusiza iziguli eziningi ukufezekisa ukuzinza kwezenhlalo, ukululama emsebenzini wazo wangaphambili noma ukuqala kahle izinkomba ezintsha, ezingejwayelekile.
I-prosthesis ekhethwe kahle ivumela isiguli ukuba siphile impilo ejwayelekile. Into esemqoka ukungaphelelwa ithemba nokulwela ukuphakama okusha.
