Isifo sikashukela yisifo esibonakaliswa yi-pathology yezinqubo ze-metabolic zomzimba ngenxa yokungapheleli ngokuphelele noma okuhlobene kwe-insulin (i-pancreatic hormone). Lesi sifo sibi ngenxa yezinkinga zaso zokuqala nezasebusuku. I-Gangrene kushukela singenye yalezo zimo, okusho ukuthi i-necrosis yamaseli nezicubu ezithweni eziphilayo.
IGangrene iyingozi ngoba izindawo ezifile zithola ubuthi obufakayo obungena egazini futhi zithwalwa emzimbeni wonke, buwubulala ubuthi. Lokhu kuholela ezinkingeni ezivela ezinso, isibindi, inhliziyo nezinye izitho ezibalulekile.
Kungani kuqhamuka izinkinga zemilenze?
"Isifo esimnandi" sanoma yiluphi uhlobo sithathwa njengosongo emilenzeni ephansi yesiguli. Ngokuphikisana nesizinda se-hyperglycemia yesikhathi eside, ukulimala kwemithambo kwenzeka. Ubungako besimo bunjengokuthi ungqimba lwangaphakathi lwemithambo kumuntu ophile kahle kufanele ukhiqize izinto ezikhethekile ezivumela umkhumbi ukuba unwebe. Ku-diabetes, le nto yenziwa ngamanani amancane. Ukuqina kwezindonga ze-vascular kuyanda, futhi inani elikhulu le-monosaccharides lingena kwi-endothelium.
I-glucose icasule ukuhlanganiswa kwenani elikhulu lama-glycosaminoglycans, lipids namaprotheni. Ngenxa yalokhu, ukukhanyiswa kwemithambo yegazi kuyancipha, ukuhanjiswa kwegazi kuyaphazamiseka. Ezitsheni ezinkulu, ama-lipid afakwa kakhulu odongeni lwangaphakathi, aphenduka ama-atherosclerotic plaque, nawo aphazamisa ukuhamba kwegazi okujwayelekile.
Amathishu ayayeka ukuthola inani elifanele legazi, umoya-mpilo, nezinye izakhamzimba bese eqala ukufa. Umphumela uba yizindawo ze-necrosis.
Izici ezihlobene
I-Gangrene yenzeka ngokumelene nesizinda sezinto ezilandelayo ezivusa inkanuko:
- ukuvuselelwa kancane kwamaseli nezicubu, okujwayelekile ezigulini ezinesifo sikashukela;
- i-polyneuropathy - ukulimala kwamangqamuzana ezinzwa neziqu ezenzeka ngokumelene nesizinda sokuphazamiseka kwe-metabolic emzimbeni;
- i-pathology yenqubo yokwakhiwa kwamathambo;
- isimo sokugonywa;
- ukukhuluphala
- imikhuba emibi (ukusebenzisa kabi utshwala, ukubhema);
- izicathulo ezingalungile.
Izicathulo eziseduze noma usayizi ongalungile kungenye yezici ekwakhiweni kwe-gangrene ngokumelene nesifo sikashukela
Kubalulekile! Ezimweni eziningi, le ndima ayidlalwanga yinto eyodwa ethile, kodwa ngenhlanganisela yabo eyinkimbinkimbi.
Izinhlobo ze-Diabetesic Gangrene
Ngokuya ngemvelaphi, izinhlobo ezilandelayo ze-tisc necrosis ziyahlukaniswa:
- Uhlobo lwe-Neuropathic - lukhula ngokumelene nesizinda senqubo ye-patological yezicubu ze-neva.
- Uhlobo lwe-Angiopathic - luvela njengomphumela wokubhujiswa kwemithambo nokuphazamiseka kwethrophic.
- Uhlobo lwe-Osteopathic - izakhi zamathambo nezakhiwo zohlelo lwe-musculoskeletal ziyathinteka.
- Uhlobo oluhlanganisiwe - luhlanganisa izinhlobo eziningana ze-gangrene ngasikhathi sinye.
Inkambo kanye nesimo sokubonakaliswa kwemitholampilo kwehlukanisa uhlobo olomile nolumanzi lwe-necrosis yezicubu.
I-gangrene eyomile kwenzeka lapho i-lumen ye-artery incipha kancane. Inqubo ithatha iminyaka engu-3-7. Ngalesi sikhathi, onesifo sikashukela uyakwazi ukujwayela isimo sakhe. Ukwehlulwa kuqala ngezinzwane futhi imvamisa azinazo izimpawu zenqubo yokutheleleka.
I-Wet gangrene ihambisana nokunamathiselwa kokutheleleka, futhi ukuphindaphindeka kwamagciwane kwenzeka ngesivinini esikhulu. I-Pathology is acute, ikhula ngokushesha okukhulu. Umzimba wesiguli uhlushwa ukuboniswa okucacile kokudakwa.
Izithombe zemitholampilo
Izimpawu ze-gangrene ku-mellitus yesifo sikashukela zincike ngokuphelele enkambweni, ubunjalo nohlobo lwenqubo ye-pathological. Njengomthetho, iziguli ezinesifo sikashukela zinciphise imizwa yokuzwakala kobuhlungu ngenxa yomonakalo kwezicubu zomzimba. Amanxeba asafufusa, imifantu, ummbila, imihuzuko imvamisa ayinakwa. Lokhu akunangozi kuze kube yilapho ukungena kwesikhunta, amagciwane kanye nezinye izidalwa ezingena emzimbeni ngokusebenzisa ubuciko besikhumba obuphukile.
Izilonda Trophic - "isango lokungena" ukutheleleka ganglia
Isigaba sokuqala se-lesion sibonisa ngokushintsha kombala wesikhumba. Zingaba bomvu, ziphuzi noma zenze-cyanotic. Zonke izinhlobo zokuzwela (ukushisa, izinhlungu, ukuvelela, ukuvevezela) zephulwa kakhulu. Ubuhlungu, umuzwa odabukisayo, usizi lubonakala ezinzwaneni nasezinyaweni.
Ukuthinta, izitho ziyabanda. Ukuvuvukala, ukoma kwesikhumba, ukulahleka kwezinwele kwenzeka. Ngokuhamba kwesikhathi, unyawo selonakalisiwe, izicubu, imisipha, nokwakheka kwamathambo kuyabandakanyeka kule nqubo. Nails iba brittle, ukuwa, isakhiwo sabo kanye nokushintsha kombala. Izilonda fungung zivame ukukhula.
Isikhumba esomile
Ngokuphikisana nesizinda sezimpawu ezingenhla, kuvela indawo ethintekile ngokucacile. Iba nsundu noma ibe mnyama, yehle ngevolumu, kube ngathi "yoma."
I-Wet gangrene
Inesiqalo esikhanyayo nentuthuko esheshayo. Isici sinje:
- indawo ethintekile inyuka ngosayizi ngenxa ye-edema ebalulekile;
- isikhumba siba ngathi sivuvukele, sithola umbala onsomi;
- kuvela iphunga elithile le-fetid (umphumela wokuwohloka kwezicubu);
- ukwakheka kwamabhamuza anezinto zokuthambisa;
- ukuntuleka komngcele ocacile phakathi kwezicubu ezinempilo futhi "ezinesifo";
- Izimpawu zokudakwa (umkhuhlane, ukubanda, ikhanda, isiyezi, ubuthakathaka);
- kwehlisa umfutho wegazi, i-tachycardia.
Ukubonakaliswa okuyinhloko kwe-gangrene emanzi
Ukuxilonga
Izici zezindlela zokuxilonga zixoxwa etafuleni.
| Isihloko Esifundwayo | Inhloso ye | Izici zamasampula ezibonakalayo |
| Isibalo segazi esiphelele | Kuyisisekelo sokuxilongwa kwanoma yisiphi isifo. Inquma ukuba khona kwe-leukocytosis, ukwanda kwe-ESR | Inqubo ejwayelekile yokuthatha igazi ngomunwe. Uma kunesidingo, impendulo ilungile ngemizuzu eyi-10 |
| I-biochemistry yegazi | Inquma izinkomba zokulinganisa ze-glucose, cholesterol | Indwangu ithathwa esiswini esingenalutho. Kudingeka igazi le-venous |
| Igazi lokuhlanza inzalo | Ivumela ukunquma ubukhona bokuzala egazini le-pathogen yokutheleleka nge-gangrene emanzi | Ithonsi legazi le-venous lifakwa kwi-medium yezakhi. Ukukhula kwesiko lama-microorganism kukhombisa ubukhona be-sepsis |
| Ukuhlwanyela emuva kokuqukethwe esilondeni | Ikuvumela ukuthi ucacisele umenzeli obangela ukutheleleka nge-gangrene emanzi futhi ahlole ukuzwela kwayo kumithi elwa namagciwane | Isikhafu sithathwa enxebeni futhi sihlwanyelwa kwimithombo yezindaba yesiko. |
| I-X-ray yendawo ethintekile | Hlola isimo sezithambo zangaphakathi zamathambo nemisipha | Izithombe ze-X-ray kumiklamo eminingana |
| I-Angiography yendawo ethintekile | Ivumela ukucacisa ubukhona bokuthi unciphise, ukwenziwa kwayo, isimo semikhumbi ebambisene, ukuhlola ukuthi kungenzeka yini ukubuyiselwa kokujikeleza kwegazi | Ukuhlukanisa okuphakathi kufakwa ngaphakathi emzimbeni bese kuthathwa uchungechunge lokudubula kusetshenziswa umshini we-X-ray. |
| I-Dopplerography | Uchwepheshe unquma ijubane lokugeleza kwegazi nesimo semikhumbi ngokwayo | Kusetshenziswa amaza e-Ultrasonic |
Izici zokwelapha
Ngokuya ngezinga lesion nohlobo lwe-gangrene, udokotela angakunquma ukwelashwa ngezidakamizwa. Ukwelashwa kwe-gangrene kwisifo sikashukela kuhloselwe ukubuyisela izicubu zomzimba kanye nokuqala kokujikeleza kwegazi okwanele.
Ukwelashwa kokuqunjelwa kuqukethe amaphuzu alandelayo:
Kungani imilenze ibuhlungu nesifo sikashukela?- Ukuqedwa kwezinto eziholele ekukhuleni kwe-gangrene (i-nail engrown, ukulimala kwemishini ebuqothweni besikhumba);
- uma kunesidingo, izidakamizwa ze-antibacterial zinqunyelwe (ngokusho kwemiphumela ye-antibioticogram);
- ukulungiswa kokulashwa kwe-insulin noma ama-ejenti asetshenzisiwe we-hypoglycemic;
- Ukwelashwa kokungenelela ukuze kuqedwe izimpawu zokudakwa;
- ukuphathwa kwendawo ethintekile ngama-antiseptics;
- ama-decongestants;
- ukujwayelekile kokudla, ukwenqaba imikhuba emibi;
- ama-antispasmodics wokukhululeka kobuhlungu;
- ama-immunostimulants namavithamini ukusekela izivikelo zomzimba.
Izindlela Zokuhlinzwa
Uma i-gangrene ingeke yelashwa ngezindlela zokulondolozwa, kusetshenziswa ukwelashwa okuhlinzwa. Kunezindlela ezinjalo zokubuyisela ukuhamba kwegazi:
- ukususwa kwegazi elakhekile;
- ukuthuthumela, ukuvumela ukuthi wenze indlela "esebenzayo" yokugeleza kwegazi;
- ukufakwa kwe-stent - idivaysi ekhethekile evimbela ukufinyezwa okuphindwe kabili kwe-lumen ye-artery;
- ukunqunywa - ukususwa kwendawo ethintekile ngaphezulu komngcele wendawo enempilo futhi "egulayo".
Ukukhetha Okokukhethwa - I-Angiosurgeon Prerogative
Izindlela zabantu
Ukuphathwa okunjalo kuvame kakhulu ngenxa yokuqwashisa ngobunzima besimo sabo yiziguli. Ukwelapha ngemithi yesintu kubandakanya ukusetshenziswa kwamafutha ahlukahlukene, alungiselelwe ekhaya.
Inombolo yeresiphi
Izimpande ze-comfrey ezihlangene ezihlanganiswe nezimbali ze-acacia ne-chestnut (5: 1: 1). Faka u-2 tbsp. vodka bese ubeka endaweni efudumele. Govuza emafutheni engulube engaphakathi amahlandla ama-2 ngaphansi kwesilinganiso se-comfrey. Faka kuhhavini ukuze uhele amahora amathathu, ungavumeli isisindo ukuthi sibilise. Amafutha asetshenziswa endaweni ethintekile, ngaphezulu kunebhandeji noma iqabunga leklabishi.
Inombolo yeresiphi 2
Ngokwesilinganiso esifanayo, hlanganisa izithako ezilandelayo:
- irosin;
- linden uju;
- wax
- isinqe esisha;
- amafutha emifino;
- insipho yokuwasha
Letha kumathumba. Faka ugarlic oqoshiwe, amaqabunga e-aloe no-anyanisi ngenani elifanayo. Gcina kumakhaza. Ngaphambi kokufaka isicelo, shisa kubhavu wesitimu.
Izindlela zokuvimbela
Ukuvimbela i-gangrene yesifo sikashukela kungokulandelayo:
- yeka imikhuba emibi;
- gcina amazinga kashukela wegazi ngaphakathi kwemikhawulo eyamukelekayo;
- qapha ukubukeka komonakalo wemishini, ama-callus, izilonda zomlenze;
- shiya izicathulo eziqinile;
- qaphela inhlanzeko yezinyawo;
- ukwelapha okufika ngesikhathi ukutheleleka ngefungal.
Kungcono ukuvimba ukuthuthukiswa kwezinkinga zesifo sikashukela kunokuba ubhekane nemiphumela yako.
