Unyawo lwesifo sikashukela - isimo sesifo sezicubu zamaphethelo aphansi omuntu ophethwe yi-glucose metabolism ephazamisekile.
Kwenzeka ngenxa yokufa kwama-nerve receptors kanye nokuwohloka kwemithambo yegazi.
Ngenye yezimpawu eziyingozi zesifo sikashukela i-mellitus (DM), esinikeza isiguli ukujabha okukhulu, futhi okubaluleke kakhulu - ngenxa yalokho, kulimaza kakhulu impilo yakhe.
Ngamazwi alula, unyawo lwesifo sikashukela inqubo yokujikeleza kwezicubu eyenzeka ngenxa, okokuqala, ekuwohlokeni kokudla komsoco we-epidermis, futhi, okwesibili, ekulahlekelweni kokuzwela.
Izimbangela zokuvela nesigaba salesi sifo
Ngokwezibalo zezokwelapha, i-pathology okukhulunywa ngayo kwenzeka kuzo zonke iziguli eziyishumi ezinesifo sikashukela. Ngasikhathi sinye, cishe ingxenye yabo bonke abantu abanesifo sikashukela basengozini.
Abantu abanohlobo lwe-1 lwalesi sifo bavame ukuhlangana nale nkinga eminyakeni engama-7-8 ngemuva kokuthola izinkinga nge-glucose metabolism.
Amathuba okuvela aphezulu, lapho isiguli silandela izincomo ezibekwe udokotela. Ngesifo sohlobo 2, unyawo lwesifo sikashukela lungavela ngokushesha noma ngokushesha nje ngemuva kokutholwa kwesifo sikashukela. Amathuba okuba khona kwe-pathology yi-4-10% (ayikho imininingwane enembile okwamanje).
Njengesizathu esiyinhloko sokuthuthuka kwesiphene esihambelanayo, ukuphazamiseka kokuhamba kwegazi emithanjeni evela ngenxa yezinga likashukela kubizwa kakhulu. Ngenxa yokuthi i-epidermis ithola umsoco onganele, amaseli ayo okwakha aqala ukufa.
Ngokubambisana nabo, izinzwa zokuphelelwa izinzwa zonakele, ezikhulisa isimo. Isiguli simane nje singazizwa lapho kwakheka umonakalo esikhunjeni sakhe. Ngenxa yalokhu, akazithathi izinyathelo ezifanele.
Izigaba
Ngokwabo, lokhu kulimala kuphulukisa kancane kakhulu ngenxa yesizathu esivele sikhonjiswe ngenhla - ngenxa yokuntuleka kokudla kwezicubu okwanele. Okukhula nangokwengeziwe yi-pathology, imilenze yesiguli ikhipha ukujuluka okuncane. Ngenxa yalokhu, isikhumba kubo siyoma.
Ngenxa yalokhu, kuncane okwaziyo ukumelana nokutheleleka, kodwa okubaluleke kakhulu, kuqala ukuthamba. Ngokuhamba kwesikhathi kwale nqubo, ukwakheka kokuqhekeka okugcwele ngokwanele kwenzeka. Futhi, amagciwane angena kuwo.
Ngokuqondene nezigaba zonyawo lwesifo sikashukela, ngokuya ngezigaba zikaWagner, kunezi-6 zazo:
- zero - kungenzeka ukuthola ukuguqulwa kwamathambo, kanye nokulimazeka kwesikhumba okwandulela izilonda;
- kuqala -ubonakala ngokubonakala kwezilonda eziphezulu;
- okwesibili - izilonda ziba zijule ngokwanele, futhi ezilondweni ezihambisanayo kungenzeka ukuthola amajoyinti, ama-tendon ngisho namathambo;
- okwesithathu - kunqunywa inani elikhulu lobomvu;
- okwesine -ukuvela kwe-gangrene, ngenxa yokuthi kuvela izindawo ezincanyana ezinezicubu ezifile ngokuphelele;
- owesihlanu nowokugcina (kusukela kwenziwa ukunqunywa) - bayayithola okwamanje lapho i-necrosis ithinte indawo ebalulekile yonyawo.
Izimpawu eziphambili nezimpawu zonyawo lwesifo sikashukela kushukela
Ukubonakaliswa kwale pathology kukhanya kakhulu, kepha iningi labo liyabonakala.
Lokhu kungenxa yokuthi umuntu onesifo sikashukela onesici esibekiwe unokuzwa okuncishisiwe, noma kungahle kungabikho ngokuphelele.
Ezigabeni zokuqala zokukhula kwalesi sifo, inani elikhulu ngokwanele lezinzwa zokugcina izinzwa lihlala lisebenza.Ngenxa yalokhu, isiguli sikwazi ukuzizwa zivutha futhi ziluma ezinyaweni. Lokhu kukhombisa nje ukuthi uqala ukuthuthukisa ukwephulwa okukhulunywa ngakho.
Futhi ngesikhathi esifanayo, kwenzeka izinguquko eziningana zomzimba. Okokuqala, isikhumba singabonakala kabusha, futhi izinga lokushisa lingaphandle lingakhuphuka. Unyawo uqobo lubonakala lukhula futhi lubukeka lukhubazekile (okungukuthi, selushintshe isimo salo).
Lapho i-pathology ikhula, umphumela ophikisanayo uyenzeka - i-epidermis iyashintsha ibe mnyama futhi ibande. Cishe ngaso leso sikhathi, isikhumba siyoma futhi siqinile.
Ngenxa yokufa kokuphela kwezinzwa, ukwehla kokuzwela kwenzeka, futhi isiguli singazizwa sishubile futhi sikhungatheka.
Izilonda, ngendlela abantu abaningi abazicabanga ngayo, ziqala ukuvela esigabeni sokuqala, kuthi ngokwesibili zinganakwa - zithinta izindawo ezibalulekile (ebusweni kanye nasekujuleni).
Ukuqhuma kwamasipha kubangela ukugqekeza. Lezi zilonda zivame ukwakhiwa esiteji sokuqala, kepha ngezigaba ezilandelako zaziwa kakhulu.
Ukuxilonga
Imininingwane enkulu kakhulu mayelana ne-pathology eqondwayo, kunjalo, inika ukuhlolwa okubonakalayo.
Konke okunye kuhloselwe kuphela ukunquma uhlobo lwesilonda.
Ngenqubo yezinyathelo ezifanele, udokotela ulungisa ukulimala esikhunjeni, futhi kuphela ngenxa yalokhu kuphela angaphetha kusiphi isigaba lesi sifo sikhona, ngoba ngamunye wabo unezimpawu zakhe ezikhanyayo.
Izimbangela zokubhujiswa kwezicubu onyaweni lwesifo sikashukela zingama-virus amancane abangela izinqubo zokuvuvukala. Zondla amaseli wezicubu, zisebenzisa ukunikezwa okunzima kwamangqamuzana amhlophe egazi aya ezindaweni ezithintekile. Imikhiqizo yabo yokungcola nayo, iyinduna.
Ukuzama ukuqeda ukuvuvukala, kwenziwa ukuhlaziywa kwegciwane.
Ngokusekelwe kwimininingwane etholwe ngenxa yalokho, udokotela unquma inkambo yemithi elwa namagciwane.
Uma unyawo lwesifo sikashukela luyi-ischemic, khona-ke, phakathi kwezinye izinto, i-X-ray, i-MRI, i-ultrasound ne-ultrasound scan nayo iyenziwa.
Lokhu kuyadingeka ukuthola isimo sezicubu ezifihliwe yi-epidermis.
Izimiso zokwelashwa
Okokuqala, isiguli sidinga ukulungisa izinga le-glucose. Lokhu, kusetshenziswa i-insulin nezinye izidakamizwa ezisetshenziselwa ushukela.
Ukugcotshwa kwamafutha akhethekile namagiya kubekiwe okuthuthukisa ukuvela kabusha, ukuvimba ukukhula kwamagciwane, njll.
Kodwa-ke, kufanele banikezwe udokotela ngokuya ngesimo sezinyawo zesiguli. Lokhu kungenxa yokuthi nomuthi okhethwe ngokungafanele, umphumela ungaba okuphambene. Ama-antibiotic ekwelapheni unyawo lwesifo sikashukela asetshenziselwa ukuqeda ukuvuvukala.
Kukhethwe ngawodwana, njengoba ezigulini ezihlukile ukutheleleka kunesimo esihlukile. Ngakho-ke, ukuzichaza ngokwakho le mishanguzo kudangele kakhulu - kulula ukwenza iphutha ngokuzikhethela kwabo, ngoba sizosaphaza isikhathi sini.
Phakathi kwezinyathelo zokuhlinzwa, lezo okuhloswe ngazo ukuqeda izicubu ezifile zivame ukusetshenziswa kakhulu. Ezimweni ezisezingeni eliphakeme kakhulu, ukunqunywa kwenziwa. Vele, kungcono ukuthi ungakuvezi lokhu, ngoba cishe i-50% yeziguli ngemuva kokuhlinzwa okuhambisanayo ifa phakathi kwezinyanga eziyi-12- 24.
Izinkinga ezingaba khona kanye nokuqagela
Yonke imiphumela emibi edonswa yile ndlela yokufundela isivele ibaliwe ngaphezulu: ukwakheka kwezilonda ezijulile, i-necrosis, njll.Uma kungekho ukwelashwa noma ukwelashwa okungafanele, kubuye kusabalale ukubola kwezinye izingxenye zemilenze.
Futhi okubaluleke kakhulu, kungenzeka ukuthi igazi nezitho zangaphakathi kuthelelekile. Ngokuqondene nesibikezeli, ezimweni eziningi kuyathandeka. Izifundo zokwelapha zingahlala izinyanga eziyisithupha ziye onyakeni nengxenye.
Ekupheleni kwayo, isisindo somzimba wesiguli sibuyela kokujwayelekile, futhi izinqubo zokubola zimisiwe. Into esemqoka ukuthola le nkinga ngesikhathi futhi ngokushesha uzame ukuyinqanda.
Amavidiyo ahlobene
Mayelana nezigaba nezimpawu zonyawo lwesifo sikashukela kule vidiyo:
Unyawo lwesifo sikashukela - isifo okumele wonke umuntu onesifo sikashukela acabange ngokunokwenzeka kwentuthuko. Ngakho-ke, isiguli sinconywa ukuba sihlolwe njalo, futhi okubaluleke kakhulu - ukubheka isimo sezitho zabo, futhi uma kukhona umonakalo owenziwe kubo, kufanele bahlolisiswe ngokushesha (ngokwesibonelo, ngosuku olulandelayo).
