Zowuma zironda: zimayambitsa, kulandira chithandizo (popanda kudulidwa), kudwala

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Khungu lowuma ndi loyera la miyendo limatha kuwoneka ngati losafunikira, chifukwa chake timafunikira chisamaliro cha khungu. Komabe, nthawi zina khungu lowuma komanso losalala la miyendo imatha kukhala chizindikiro cha matenda akulu. Kuzindikira zodziwika ndi kuwabweretsa kwa dotolo sikungathandize kokha kuchiritsa miyendo yanu, komanso kungapulumutse moyo wanu.

Chimodzi mwazomwe zimayambitsa khungu losasweka pamiyendo ndi khungu louma, lomwe limawoneka ndi ukalamba kapena nyengo youma. Komabe, pali zifukwa zina zomwe sizingakhale zodziwikiratu. Matenda oyamba ndi mafangasi, monga mycosis, amatha kuwononga khungu m'miyendo, makamaka mozungulira zala, zomwe zimapangitsa kuti ziume komanso kuuma. Matenda a pakhungu monga eczema ndi psoriasis amathanso kukhudza miyendo yanu. Khungu lowuma komanso losalala pamiyendo amathanso kukhala chizindikiro cha matenda oopsa, monga matenda a shuga.

Kuzindikira

Kuzindikira zomwe zimayambitsa miyendo yowuma komanso yolakwika ndikuyenera kufunsa kupita kwa dokotala. Zizindikiro zina zimatha kupereka lingaliro la zomwe zimayambitsa. Kuchulukitsa kwambiri ndi kununkhira kungathe kuwonetsa mycosis, pomwe madera ena auma ndi kupendekera kungakhale chizindikiro cha eczema. Kutupa m'miyendo ndi kumapazi, komanso kusinthasintha m'malo omwewo, kumatha kuwonetsa vuto lalikulu lotchedwa dermatitis ya congestive. Kuyiwalika kwa zala m'miyendo kapena m'miyendo, limodzi ndi kuyanika komanso kupindika khungu kungakhale chizindikiro cha matenda ashuga.

Kulowetsa khungu la kumapazi ndi mafuta odzola ndi mankhwala othandiza kupukuta ndi kupopera, ndipo mutha kuyikanso kugundana ndi glycol kunyumba, koma matenda ena angafunike chithandizo china. Mycosis imathanso kuthandizidwa ndimankhwala opha anti-antifungal. Kutengera chomwe chikuyambitsa, ma steroid apakhungu kapena ma antibacterial angafunike. Ngati kuyanika ndi kupunduka kwa miyendo kumayambitsidwa ndi matenda oopsa monga dermatitis kapena matenda ashuga, mufunika mankhwala amkamwa kapena jakisoni pofuna kuchiza chomwe chimayambitsa.

Kupewa

Ikani mawonekedwe ochepa a moisturizer mutatha kusamba, izi zikuthandizani kuti khungu lanu likhale ndi miyendo yabwino. Ngati ziume ndi kuuluka chifukwa cha kusayenda bwino kwa magazi, kwezani miyendo yanu ngati kuli kotheka, izi zingathenso kuteteza khungu lanu kuti lisamayike kapena kutha. Mutha kupewa kukulira kwa mycosis ndi kutsuka kumapazi kwa tsiku ndi tsiku, komanso kuvala nsapato m'malo a anthu ambiri, monga gombe kapena chipinda cha Locker.

Chenjezo

Ngati muli ndi matenda ashuga kapena ozungulira, ndikofunikira kuti mulandire chithandizo choyenera nthawi yomweyo kuti muchepetse zovuta zazikulu, monga kudula kapena ngakhale kufa. Ngati miyendo yanu ili youma kapena yolakwika, pitani kwa dokotala kuti mudziwe chomwe chimayambitsa ndikupangireni njira yabwino yothandizira.

Gangrene wa m'munsi malekezero a shuga: chithandizo cha odwala matenda ashuga

Ichi chimakhala chifukwa chomwe madokotala amakakamizika kuchitapo kanthu mwachangu kuti athe kuchiza odwala otere, zomwe zimathandiza kukulitsa nthawi yayitali ya moyo wawo komanso kupatula zotsatira zakupha.

Chimodzi mwazinthu zovuta kwambiri zamaphunziro a shuga ndikuyamba kudwala matenda ashuga. Momwemonso, gangrene mu matenda a shuga amayamba, pomwe thupi la wodwala limayamba njira zingapo zoyipa. Izi zikuphatikiza:

• zotupa ndi mafupa,
• zilonda zam'miyendo
• zovuta zamagazi zomwe zachitika chifukwa cha atherosulinosis.

Ngati wodwala matenda ashuga satenga nthawi yake popereka chithandizo chokwanira komanso chokwanira, ndiye kuti muzochitika zotere zimayamba.

Gangrene wa m'munsi

Matenda a khunyu - Zotsatira zake, kuwonongeka kwambiri kwa ziwalo zofunika kumayamba: mapapu, chiwindi ndi impso. Ngati simukugwirizana ndi chithandizo, ndiye kuti zotsatira zakupha muzochitika zotere ndizosapeweka.

Kulephera kupeza chithandizo chamankhwala choyenera, kulandira chithandizo chokwanira komanso moyo wopanda vuto la matenda ashuga kungayambitse njira yochizira matendawa.

Ndi nthawi ya matenda ashuga, mikwingwirima yokhala m'munsi yotsika imachitika. Izi zitha kukhala zowonongeka mosiyanasiyana - kuchokera pa phalanx imodzi ya chala, chala chonse, phazi, ndikudula mwendo mpaka pamwamba pa bondo. Njira yotsatirayi iyenera kugwiritsidwa ntchito pokhapokha ngati ali ovuta kwambiri komanso ovuta kwambiri.

Zomwe zimapangitsa kuti pakhale gangore

Zomwe zimayambitsa kukula kwa zovuta za matenda a shuga mellitus mwa kufalikira kwa ziwalo zam'm miyendo ndi monga:

• ischemic gangrene imachitika motsutsana ndi maziko a atherosulinosis, omwe amatsekeka m'mitsempha yamagazi ndikusokoneza kayendedwe ka magazi. Zotsatira za njirayi ndizosowa magazi ndi okosijeni, kenako kufa kwa minofu yomwe ikukhudzidwa iyamba
• matenda osokoneza bongo a shuga amawonetseredwa ndi zilonda zapazi kumbuyo kapena mwendo wapansi. Sachira nthawi yayitali, amatenga kachilomboka ndipo pomwepo kumayambira matenda oyambitsidwa ndi matendawa,
• polyneuropathy imachitika chifukwa cha kusayenda bwino kwa kagayidwe kazakudya kamene kamapezeka mu selo iliyonse yamanjenje. Panthawi imeneyi, ma microvessels amakhudzidwa, ndipo ma cell amakula msanga,
• zombo zazing'ono zimavutika, ndipo kuchuluka kwa makhoma a capillaries kumachepetsedwa kwambiri,
• ziwiya zazikulu zimakhudzidwa chifukwa cha atherosclerosis, yomwe imatsogolera ku thrombosis,
• kuphwanya masoka njira zopangika minofu mafupa ndi chitukuko cha mafupa, abscess, aseptic necrosis ndi fistula,
• chitetezo cha mthupi chimachepa, kunenepa kwambiri kumawonekera.

Nthawi zambiri, palibe chifukwa chimodzi chimatsogolera pakuwoneka ngati gangore, koma mndandanda wonse wa iwo, pomwe wina amatha kupititsa patsogolo chiwonetsero cha chinacho.

Mtundu wina uliwonse wa shuga ungakhale wowopsa pamavuto ndi miyendo. Odwala omwe ali ndi matenda ashuga, mabala ndi zilonda zam'mimba zimatha kuchitika m'munsi. Monga lamulo, chifukwa cha kupendekera kotsika kwambiri, munthu samangomva zotupa zamiyendo yake. Ndikofunikira kudziwa momwe phazi la matenda ashuga limawonekera koyambirira kuti lisayambitse vutoli.

Momwe mungadziwire kuyambika kwa gangrene?

Ndikosavuta kukhazikitsa zizindikiritso zoyambirira za kuwonongeka kwa minofu yamoyo ya miyendo, komanso kutengera kwake ndi zinthu za cadaveric, chifukwa zimatsala pang'ono kusowa chifukwa chomva kutayika. Komabe, pali ma foni ovuta omwe muyenera kuwayang'anitsitsa kwambiri, chifukwa mutha kuzindikira kuopsa kwa matenda atangoyamba kumene.

Zizindikiro zazikuluzikulu za kukhazikitsidwa kwa matenda a shuga omwe ali ndi matenda ashuga ndi:

1. kumva kupsinjika ndi miyendo, kumva kuwawa, kuziziritsa komanso kugona.
2. kufooka kwa phazi ndi minofu
3. Pali kusintha kwa khungu la phazi, kutentha kwake. Izi zitha kuwonetsedwa ndi redness, pallor, komanso cyanosis ya phazi. Kumakhala ozizira, nthawi zina ngakhale ndi kutupa, calluses kapena foci of red.

Pambuyo pake zizindikiro za gangrene mu shuga:

• m'malo omwe akhudzidwa ndi miyendo pali kupweteka kwapafupipafupi komwe sangathe kuyimitsidwa,
• Khungu la malo ovuta limakhala lakuda kapena lofiirira,
• palibe magazi omwe amapezeka mu maziko a necrosis,
• Matendawa amatenga matendawa, makamaka ndi chonyansa,
• pamakhala mseru, kuzizira, kutentha kwambiri kwa thupi ndipo kumayambira mafinya ambiri.

Kuti mumvetse bwino za matendawa, madokotala adzafunika kuyesedwa kwa wodwala, zamitsempha, za bacteriological, kusanthula kwa urea, creatine, glycemia, kupezeka kwa ma ultrasound pamagazi, komanso x-ray.

Njira zochizira

Anthu odwala matenda ashuga odwala matenda a shuga amatha kuthandizidwa m'njira ziwiri zazikulu. Tikukamba za kusintha kosiyanasiyana komanso njira zochitira opaleshoni, komabe, ndi njira yomalizirayi - yothandiza kwambiri.

Ngati mankhwalawa amathandizira odwala matenda a shuga a mellitus, ndikofunikira kuyesedwa kwathunthu ndikupeza zotsatirazi:

• kulipira shuga
• Kuchepetsa kufalikira kwa matenda ndi kuledzera pogwiritsa ntchito mankhwala opha tizilombo,
• kutsika kwamphamvu pamiyendo, makamaka pamalo okhudzidwa.
• mothandizidwa ndi mavitamini ndi michere, ndikofunikira kukwaniritsa kuchuluka kwa chitetezo chamthupi komanso chitetezo chathupi.

Ngati ili ndi matenda osokoneza bongo a shuga, ndiye kuti njira yochitira opaleshoni ndiyofunikira kupatula imfa ya wodwalayo. Pochita opaleshoni, dokotalayo amachotsa mbali zomwe zakhudzidwa ndi minofuyo, ndikutsukanso zozungulira.

Pokhapokha chala chimakhudzidwa, phazi limatha kuchotsedwa kuti lisokonezeke. Ndi gangrene pamapazi, muyenera kukambirana zakuchotsa mwendo mpaka mulingo wa bondo. Kuchitanso zomwezi nthawi zina kungafunike pozindikiritsa matenda am'mbuyomu omwe ali m'munsi kwambiri;

Pamodzi ndi opareshoni, zinthu zotsatirazi ndizotheka:

• kugwiritsa ntchito mankhwala oopsa
• kuchitira mankhwala omwe amachepetsa kuchepetsa kuledzera kwa thupi,
• kuthira magazi.

Kuphatikiza pa kuchotsedwa kwa maselo akufa, chithandizo chofananacho chimachitidwanso. Itha kuwonetsedwa ndikuchotsedwa kwa magazi ku mitsempha yamagazi kapena mitsempha yomwe imatuluka chifukwa cha matenda a coronary. Mpaka pano, pali njira yopita patsogolo kwambiri yothetsera nkhaniyi. Mankhwala oyeretsa mitsempha pogwiritsa ntchito kafukufuku wapadera yemwe ali mkati mwake. Njirayi imachotsa mabala pakhungu ndi m'mitsempha yamagazi, ndikofunikira kwa odwala matenda ashuga.

Kuchita microsuction shunting kumatha kuchitika, komwe kumathandiza kusunga phazi ngati chala cham'manja. Kuphatikiza apo, stenting imachitidwa, yomwe imakhala ndi phindu pamaphunziro a opaleshoni ndipo, nthawi zina, amathandizira kuthetsa kudulidwa. Ngati chithandizo cha ischemia chachitika, ndiye kuti chingathandize kuchepetsa ululu panthawi yonyowa.

Gulu la Gangrene

Ngati tingaganizire zakomwe gulu lazovuta, titha kusiyanitsa mitundu inayi ya matenda:

1. Ngati matendawa adayamba chifukwa cha kuwonongeka kwa ulusi wamanjenje, ndiye kuti umatchedwa neuropathic.
2. Ndi zotupa zowononga zam'mimba, angiopathic gangrene amachitika.
3. Matendawa akhudza minofu ya mafupa - tikulankhula za osteopathic gangrene.
4. Nthawi zina mumatha kukumana ndi matenda osakanikirana.

Mwa chikhalidwe cha matendawa, amagawika m'magulu awiri:

1. Youma gangrene. Zimachitika ngati zotengera ndi zazing'onoting'ono zazing'ono pang'onopang'ono (zaka zingapo) zitasiya kugwira ntchito. Thupi la munthu limagwirizana ndi izi, pomwe minofu yakufa siyitenga kachilomboka, zomwe zikutanthauza kuti matendawo sawopseza wodwalayo. Kukhazikika kwa thupi kumakhala kochepa, chifukwa kutulutsa poizoni m'magazi kumachedwa kapena kulibe. Matenda owuma nthawi zambiri amapezeka kumapeto kwenikweni ndipo amangogwira zala zakumapazi. Gangrene pamaso pa matenda a shuga, opita molingana ndi mtundu wouma, poyambira amatha kuwonekera ngati kupweteka kwambiri m'miyendo.
2. Zowonda kwambiri. Zimayendera limodzi ndi matenda, izi zimapangitsa kuti malo awonongeka. Microbes imachulukana mwachangu, khungu lamiyendo limadetsedwa kapena kuwoneka lakuda. Njira yochokera kumapazi ikuyenda mwachangu mpaka kunsi kwa mwendo wapansi ngakhale ntchafu. Nthawi zambiri, gangrene mu matenda a shuga amapezeka m'munsi, koma nthawi zina amakhudza omwe ali pamwamba.

Zizindikiro zamatsenga

Chifukwa chakuti ndi kuchuluka kwambiri kwa shuga m'magazi, munthu amachepetsa mphamvu ya miyendo, mabala amatha kuti wodwalayo sakudziwa. Kudwala kwa khungu lomwe lakhudzidwalo kumachitika, kuchuluka kowonjezereka kwa minofu yamoyo kumathandizidwanso. Mapeto amitsempha amathera pomwepo, munthu samamva kuwawa kwazizindikiro, kuyambira machitidwe a necrosis.

Thukuta limakhalanso loperewera, khungu limasokonekera nthawi zonse, motero pamakhala mabala, ming'alu. Vuto lalikulu la matenda ashuga limatha kukhala pandulu. Zimachitika kawirikawiri, koma nthawi yomweyo zimakhala zowopsa chifukwa zimayambitsa venous thrombosis yofulumira.

Nthawi zambiri mumatha kukumana ndi gangore lomwe limakula pang'onopang'ono, zomwe ndizosavuta kuzindikira zizindikiro zotsatirazi:

• zilonda zopweteka m'mbali mwendo zomwe zakhudzidwa ndi kusintha,
• kutayika kwa zala kapena zala,
• Kusintha khungu: khungu / loyera, malo ofiira pakhungu,
• Mukamasuntha, wodwalayo amawona kutopa kwam'malo miyendo, nthawi zambiri amakhala ndi vuto lakumanzere ndi miyendo yakumaso.
• malo okhudzidwa ndi mkono kapena mwendo wayamba kutupa,
• miyendo imawoneka yosazizira
• Mawonekedwe a phazi likusintha, kusintha kwake kumachitika,
• msomali wazala chala chakhudzidwa ukhoza kutha kapena kusintha mtundu, mawonekedwe a mbale ya msomali angasinthe,
• matenda a fungal nthawi zambiri amapezeka pamalo okhudzidwa ndi khungu.

Ngati minofu necrosis yakhudza gawo lalikulu la phazi, munthu akumva kupweteka kwambiri m'chiwalo.

Wet gangrene mu matenda a shuga amaphatikizidwa ndi njira yopatsirana komanso nkhani za purulent kuchokera ku bala. Necrosis imapangitsa kuledzera kwambiri kwa thupi, zomwe zimapangitsa kuti thupi lizitentha kwambiri. Munthu amatha kusomoka, nthawi zina kusanza kumayamba. Nthawi zambiri wodwalayo amanjenjemera, zimamuvuta kuti azimva kutentha.

Njira zochizira ndi kupewa matenda opweteka

Gangrene mu shuga amathandizidwa m'njira ziwiri:

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

1. Njira yodzikakamiza ndikuchotsa zotsatira za matenda osokoneza bongo. Pachifukwa ichi, chithandizo chamankhwala cha chimayambira chimachitika. Madera okhudzidwa ndi miyendo sayenera kulemedwa. Kuti muthane ndi matenda opatsirana, njira ya mankhwala opatsirana ndi anti-yotupa imayikidwa. Ngati zizindikiro za kuledzera zilipo, zimachotsedwanso ndimankhwala. Maphunzirowa amapereka vitaminiization wa thupi pofuna kuwonjezera chitetezo cha mthupi.
2. Ngati chithandizo chamankhwala chosakhazikika sichingabweretse zotsatira, pitani njira ya opaleshoni. Mwendo womwe wakhudzidwa udulidwapo, kulowetsamo mankhwala kumayikidwa kuti muchotse poizoni m'thupi. Kuika magazi amathanso kuikidwa.

Mankhwala amakono ali ndi njira zingapo zopitira patsogolo popewa kudulidwa miyendo kwathunthu:

• ma microsurgery amakulolani kulowa ngakhale muzing'onozing'ono kwambiri (1-2 mm) ndikukulitsa kukula kwake,
• angioplasty, kukulira,
• kudula pang'ono pang'ono komanso kugwiritsa ntchito ma microsurgery kapena angioplasty kwa dzanja lonse.

Anthu odwala matenda ashuga ayenera kukumbukira kupewa matenda osokoneza bongo:

• yang'anirani miyendo kuti muone mabala, ming'alu,
• mabala akazindikira,
• nsapato zizikhala zopepuka, zosapondera miyendo,
• Khungu la mapazi liyenera kudzoza ndi mafuta ophikira kapena mafuta,
• madzi osamba sayenera kutentha kwambiri, madigiri 36 ndi okwanira.

Popewa gangore, odwala matenda ashuga ayenera kutsatira malingaliro onse a madokotala, ngakhale atakhala angati!

Opaleshoni yam'mimba

Njira imodzi yothanirana ndi matenda opatsirana pogonana pothana ndi vuto lakumazungulira ndikumachitidwa opaleshoni. Pogwiritsa ntchito opaleshoni imeneyi, pali njira yolumikizana yomwe imakulolani kuti magazi ake azitha kusintha magazi kudzera pakachotse magazi.

Shunting imapangidwira ischemia yovuta, njira iyi 89% ya milandu yonse imathandizira kukhalabe ndi mbali yakumanja. Ndikofunika kudziwa kuti kuyambira chikhalapakati mpaka kufika pakudula, wodwalayo alibe zoposa miyezi isanu ndi umodzi, kotero musazengereze kulandira mankhwalawa.

Mitundu ya opaleshoni yam'manja yodutsa miyendo:

• Femur-tibia
• Njira yodutsa mtsempha wamagetsi,
• Multistory kudutsa
• Mitsempha yamagazi yamapazi.

Opaleshoni ya femur-tibial bypass ndi omwe amachitidwa opaleshoni yayikulu kwambiri kufooka kwa ziwalo zam'munsi. Pankhaniyi, kuthamanga kwa magazi kumabwezeretsedwa mothandizidwa ndi mtsempha wawukulu wa saphenous, kutuluka kwa magazi kumayambitsidwa kudzera mwa iye, komwe kumapereka chakudya kumapazi, kuteteza minofu ina necrosis. Mitsempha ya tibial ndiying'ono, koma nthawi zambiri siyikhala yokwanira kuzungulira bwino, chifukwa chake mitsempha ya peroneal imadutsidwa.

Multistory shunting amachitika ngati palibe patency ya mtsempha m'magawo angapo. Nthawi zambiri, pamilandu iyi, kudula kumachitika, koma kumayimbidwa kwamiyeso yambiri kumatha kupulumutsa nthambi. Pankhaniyi, zoyikapo zazifupi zimayikidwa, koma zochulukirapo zimatha kuchitika, kotero kuyika fistula ndikofunikira.

Kusenda phazi ndi ntchito yovuta kwambiri, yomwe imafunikira kulondola, koma imatha kuthetsa vuto poyambira ndikupewa kudula. M'milandu yoposa 80%, opaleshoni yotereyi imakhala yothandiza kwa wodwala.

Opaleshoni nthawi zambiri amachitidwa ndi opaleshoni ya msana, adotolo amapanga miseche yomwe imagwiranso ntchito ina yonse. Katswiriyu amaika shunts, zomwe zimapangitsa kuti magazi azituluka. Pambuyo pa opaleshoni, katswiri adazindikira ngati opaleshoniyo idachita bwino, ndiye kuti mabala amadzisenda, ndipo ngati magazi atuluka bwino, njirayi imabwerezedwa. Ntchito ngati imeneyi imawononga ma ruble 100-150,000.

Angioplasty

Balloon angioplasty imagwiritsidwa ntchito kuti athetse kufinya kwa mitsempha, njirayi imagwiritsidwa ntchito kwambiri mu atherosulinosis ndi phazi la matenda ashuga. Chifukwa cha njirayi, ndikotheka kusintha kayendedwe ka magazi kumapazi ndikupulumutsa wodwalayo pakufunika kuti adzichepetse dzanja.

Mchitidwewu ndiwowopsa, ndipo amachitika mu chipinda cha X-ray, pomwe madokotala amatha kuwunika zomwe zikuchitika. Mchitidwewu umakhala wopanda ululu, wochititsa wapadera amamuyika mu njira yoyendetsera thupi, yomwe adotolo amayenda mothandizidwa ndi angiograph, kuyang'anira wophunzitsayo.

Ndi balloon angioplasty, baluni yocheperako imakhala kumapeto kwa wowongolera ali osakhazikika. Dokotalayo amayika baluni pamalo omwe kupendekera kwawotchi kumayang'aniridwa ndikutulutsa mpweya mkati mwake, baluniyo imakwiya ndikuwongolera zolembedwazo, kenako zimachotsedwa, ndikuwunika kwa chotengera kumawonjezeka.

Popeza pambuyo balloon angioplasty pali chiopsezo cha kubwerezanso matenda, imachitika mosiyana ndi njira zina zochizira pokhapokha pali zotupa za m'munsi. Mwachitsanzo, ngati angioplasty ikufunika pakuthandizira ziwiya zomwe zimadyetsa ubongo, ndiye kuti imathandizika ndikukhazikika, ndiye kuti, zitsulo zimayikidwa kuti chotengera chisasunthwenso, chifukwa kufa ndi njala kwaubongo kumabweretsa zotsatira zosasinthika.

Ndi miyendo, zonse ndizosavuta, kusokonezeka kwa magazi sikuyambitsa kufa kwa minofu, kotero njirayi ikhoza kubwerezedwanso ngati pakufunika. Ndizothekanso kugwiritsa ntchito angioplasty ndi opaleshoni ya bypass. Pali nthawi zina pamene sizingatheke kukhazikitsa shunt chifukwa cha kufupika kwa mtsempha, musanachitike izi. Tsopano mutha kukulitsa chotengera ndi angioplasty, kenako ndikuchita opaleshoni.

Pochiza matenda owuma, ndikofunikira kuti musangodyetsanso zakudya m'thupi, komanso kuti muchotse nthambi ya necrosis. Pambuyo pochotsa m'dera lomwe lakhudzidwalo, ndikofunikira kuchita opaleshoni ya pulasitiki phazi kuti ikhale yofanana. Ngati mulibe gawo la phazi, munthu sangathe kuyenda bwinobwino, komanso kusamva bwino, zimamuvuta kukhala ndi chilema chotere.

Kuphatikiza apo, gangrene nthawi zambiri imakhudza gawo la chidendene, chomwe chimayenda chimakhala ndi nkhawa zambiri. Zotsatira zake, chilondacho sichichiritsa kwa nthawi yayitali, ndipo pulasitiki wakhungu atha kuthandiza pamenepa. Chifukwa chake, adotolo adzabwezeretsa umphumphu wa phazi ndikupulumutsa wodwala ku zowawa.

Zolimba zamkhungu zimachitika pokhapokha ngati magazi akuyendayenda pang'onopang'ono, ndipo minofu ya necrotic ikalibe chilondacho, apo ayi khungu silidzakhala mizu ndipo mankhwalawo amakhala osathandiza.

Pali njira zingapo zolumikizirana khungu, zomwe zimakomera kwambiri odwala ndi njira yosunthira khungu. Pankhaniyi, chikwama cha pakhungu chimapangidwa pamitsempha yamagalasi, yomwe imatha kusunthidwa m'njira zosiyanasiyana popanda kusokoneza chakudya chake. Chingwecho sichikhala chachikopa chokha, komanso zigawo za minyewa, minyewa, ndipo amachichotsa kumbali ya phazi lomwe silodzaza chifukwa cha kusuntha.

Kuphatikiza kwakukulu kwa njirayi ndikuti chilonda chimatseka ndi khungu lake lomwe, limafanana ndi khungu la malo omwe akhudzidwa. Ndiye kuti, pambuyo pake gawoli silidzavutika ndi katundu ndipo ntchito ya dzanja likhala bwino.

Ndi kuwonongeka kwakumapazi kwa phazi, chikwama cha pakhungu chimayikidwa pambali iliyonse ya thupi, pambuyo pake chimasamutsidwa kumalo okhudzidwa. Kuchita koteroko ndikovuta kwambiri, koma kumathandizira kubwezeretsa ntchito ya phazi mutatha kufalikira kwa magazi, ndikupulumutsa wodwalayo kuti angadulidwe.

Nthawi zambiri pamakhala zochitika pamene odwala amakhala m'makona akutali a dziko komwe kulibe njira yofunsa dokotala mwachangu kuti athetse vutoli. Zachidziwikire, chifukwa cha gangrene, kudzipereka nokha sikulimbikitsidwa, kumabweretsa kuduladula dzanja. Ngati munthu ali ndi mwayi wopita kuchipatala, muyenera kugwiritsa ntchito nthawi yomweyo.

Pofuna kuthana ndi vutoli, mutha kugwiritsa ntchito maphikidwe a mankhwala azikhalidwe. Zithandizo za Folk zitha kugwiritsidwa ntchito pa zovuta za chithandizo cha gangore, koma amayang'aniridwa ndi katswiri. Ndizofunikanso kudziwa kuti chonyowa chamagulu sichingalandiridwe ndi njira zina, izi zimabweretsa poyizoni wa magazi ndi kufa kwa wodwalayo. Kuti mupeze zizindikiro zonyowa, pitani kuchipatala msanga.

Njira imodzi yothandiza ndi tincture wa singano. Pa kukonzekera kwake mudzafunika singano zatsopano zouma kapena zouma. Supuni zisanu ndi zitatu za singano, supuni ya ntchafu zotumphuka ndi kutsina kwa anyezi mankhwalawa amatengedwa pa lita imodzi yamadzi. Sakanizani zonse ndi kuwira kwa mphindi 10, pambuyo pake muyenera kuphimba poto ndi chivindikiro, kukulani ndi thaulo ndikuumirira usiku wonse. Chidacho chikuyenera kusefedwa ndikuledzera 500 ml patsiku, chikugawidwa muyezo waukulu tsiku lonse.

Njira ina yodziwika bwino ndi compress ya bulauni ya mkate. Thungani bwino ndi kuwaza ndi mchere, ikani mafuta pazotsatira zomwe zakhudzidwako. Ndikofunikira kwambiri kuti malovu alowe mu compress, apo ayi sipangakhale chithandizo kuchokera ku mankhwalawo.

Kugwiritsa ntchito mankhwala osokoneza bongo monga gangrene ndi mankhwala azitsamba, ndi zitsamba zomwe mumatha kuchita. Musanagwiritse ntchito, muyenera kutsuka owonda ndi sopo ochapira, pambuyo pake mutha kuthira compress. Kuti mukonzekere, tengani calendula, rhubarb, clover wofiira, coltsfoot ndi clover wokongola wachikasu. Zitsamba zonse zimasakanizidwa ndikuphwanyika, ndipo lita imodzi ya madzi otentha imatengedwa supuni ya chopereka. Zitsamba zimaloledwa kulowetsedwa, kenako msuzi umasefedwa ndikunyowetsedwa ndi gauze. Compress iyenera kuyikidwa kwa maola 4, ndikutsatira maola awiri.

Compress yamafuta am'madzi am'madzi amathandizira; musanagwiritse ntchito, chilondacho chimayenera kutsukidwa ndi hydrogen peroxide. Pambuyo pake, gawo lomwe lakhudzidwalo liyenera kuthiridwa mafuta ndi kumangidwira, ndikusiya usiku. M'mawa, muyenera kuchotsa bandeji ndikulola khungu kupuma kwakanthawi.

Pofuna kuchiza matenda owuma, tikulimbikitsidwa kuti mutenge zofukizira zamagazi kuti magazi azituluka. Izi zitha kukhala zokonzekera za aspirin, ndipo muyenera kudya zakudya zomwe zimachepetsa magazi, ndi zakudya zomwe zimakulitsa magazi ziyenera kuphatikizidwa kwathunthu kuzakudya kuti zisakulitse vutoli.

Kugwiritsa ntchito pouma pang'onopang'ono ndi malo osambira, koma osagwirizana ndi mapazi, madzi ayenera kukhala otentha, osaposa madigiri 37. Ndikulimbikitsidwanso kuti muzithira madzi ozizira pamapazi anu tsiku ndi tsiku ndikupaka ndi thaulo pambuyo pake kuti magazi azisintha.

Komanso, kusintha minyewa yamatenda, muyenera kutikita minofu pafupi ndi malo omwe akhudzidwa, koma imapangidwa mu matenda a mtima ndi thrombosis. Ndikulimbikitsidwanso kupewa kudzimbidwa kuti poizoni amuchotsepo mwachangu mthupi. Chifukwa chake, fiber yokwanira iyenera kuphatikizidwa muzakudya.

Kuzindikira kwa matenda owuma pang'onopang'ono nthawi zambiri kumakhala kwabwino, chifukwa sikuvulaza thupi ndipo sikumafalikira kwa zimakhala zowazungulira. Ngakhale pakalibe chithandizo, madera omwe akukhudzidwawo amadzinyamula ndi kudzidulira, omwe samapha wodwalayo.

Ngozi yokhayo ndikutheka kwa kuti khungu louma likhala lonyowa chifukwa cha matenda. Pankhaniyi, palibe chithandizo chomwe chingathandize, kudula mwachangu ndikofunikira, apo ayi zotsatira zakupha ndizotheka.

Ngati magazi abwezeretsedwa ndimatenda, ndiye kuti matendawo ndi abwino. Pakadali koyamba kwa matenda opha ziwalo, oposa 90% amathera pakuchira kwathunthu, koma ndikofunikira kuchita operekera nthawi mpaka njira zisintha.

Angioplasty ndi njira yothandiziradi chithandizo ndi matendawo pambuyo pabwino, koma chiwopsezo chotembenukanso, ndiko kuti, kupendekera mobwerezabwereza kwa lumen yamatumbo, ndikotheka. Pachifukwa ichi, wodwala samangofunika kulandira chithandizo chokha, komanso kusintha moyo wake.

Ndikofunikira kwambiri kudya moyenera, kuwunika kuchuluka kwa shuga mu shuga, komanso ngati kunenepa kwambiri kuyesa kuchepetsa thupi. Simungalole kuwonjezeka kwa cholesterol ndi magazi, chifukwa pamakhala chiopsezo cha magazi, kuwtseka kwamitsempha yamagazi ndi kuwonekanso kwa gangrene. Kuti muchite izi, wodwalayo amatha kupatsidwa mankhwala ochepetsa magazi chifukwa cha prophylactic, ndikofunikira kuchita zolimbitsa thupi ndikuwunika zakudya.

Ndi angati akukhala ndi gangrene osadulidwa kumadera akumunsi?

Kutalika kwa moyo ndi gangrene mwendo kumadalira mtundu wa necrosis. Ngati uku ndi mtundu wouma wamagulu owononga minyewa, ndiye kuti wodwalayo amatha kukhala ndi moyo kuyambira masiku 10 mpaka 20, ndipo odwala omwe ali ndi mtima wolimba, chitetezo chamthupi komanso impso zomwe zimagwira ntchito bwino zimasonyezanso kutalika kwa thupi. Chidziwitso chonse ndikuti mtundu wa moyo woterewu ndiwovuta komanso wodwala, ngati salandira ma pinkiller kuchokera ku gulu la mankhwala osokoneza bongo, amangokhala ndi ululu waukulu, womwe nthawi zambiri umatha kudabwitsa komanso kuyambitsidwa kwa kumangidwa kwa mtima.

Mitundu yonyowa yamakalamba imakula mofulumira kwambiri komanso popanda kugwiritsa ntchito mankhwala mwamphamvu kwambiri. Potere, munthu azitha kukhala osadulidwa osaposa masiku 10. Munthawi imeneyi, microflora ya pathogenic mu minofu yofewa ya dzanja imafika pachimake pakukula kwa kuchuluka kwa anthu, kusokonekera kwa thupi kudzakhala kwamphamvu kwambiri kotero kuti thupi la wodwalayo silitha kuthana ndi kuchuluka kwa poizoni, impso sizingathenso kuthana ndi ntchito yakuyeretsa magazi ndipo kufa kudzachitika. Kusiyana kwake ndikuti ngati ululu ulipo ndi khungu louma, koma osatchulidwa, ndiye kuti mtundu wonyowa wa gangren umakhala wopweteka kwambiri.

Moyo wokhala ndi necrosis wam'munsi wamtunda umatheka pokhapokha ngati munthu ali ndi malingaliro oyenera ku thanzi lake, kapena ndi dokotala ndipo amadziwa bwino zomwe zikuwonetsa matendawa. Pazizindikiro zoyambirira za matendawa, sanazengereze ndipo nthawi yomweyo adapita kwa dotolo wothandizidwa, ndipo adotolo, adayamba kulandira chithandizo cha malo a necrosis - nthawi yomweyo. Ndi mikhalidwe yokhayo yomwe moyo ungakhalepo ndi gangrene, chithandizo chake chathanzi komanso kuponderezedwa kwa matendawa, kupewa kachilombo koyambitsa matenda kuti asakhudze madera onse akuluakulu amiyendo ndikumaliza ntchito yopanga minyewa pakuchita opaleshoni ya chiwalo. Ngakhale kuyesayesa konse kwa ogwira ntchito zachipatala, ngakhale pakali pano, kusankha kwamankhwala amodzi wamphamvu komanso njira yayitali yothandizira.

Kodi matendawa amatha kuchiritsidwa osadulidwa?

Ndizothekadi kuthana ndi gangore ngakhale atakhala kuti adachokera pati komanso osiyanasiyana, koma malinga ndi ziwerengero, palibe odwala 23% omwe amatha kupezanso matendawa popanda kutaya miyendo. Ichi ndi chidziwitso chotsika kwambiri cha chidziwitso chabwino cha madera abwino ndipo kupambana kwa zamankhwala kumalembedwa m'malo azachipatala zazikulu komanso zipatala zomwe zimakhala ndi zida zatsopano zakuzindikira, ndipo ogwira ntchito kuchipatala amagwiritsa ntchito akatswiri enieni. Pafupipafupi, m'magawo ang'onoang'ono, kuchuluka kwa chithandizo chamankhwala osadulidwa kumakhala kotsika komanso nthawi zambiri, madokotala amasankha kudula mwendo kwambiri ngakhale atangoyamba kumene necrosis, kuti asatayenso moyo wa wodwalayo.

Tilingalire mwatsatanetsatane mothandizidwa ndi njira zomwe mankhwala ndi njira zamankhwala zingatithandizire kuchiritsa anthu am'munsi osagwiritsa ntchito chodulira, ndikuwunikanso ndemanga za odwala omwe adagwiritsa ntchito njira zamtunduwu omwe adakwanitsa kuthana ndi matenda oyambitsidwa ndi matenda.

Opaleshoni ya mtima

Njira yochizira matenda a gangrene imagwiritsidwa ntchito ngati matendawa amayamba chifukwa chovindikira mitsempha yayikulu ya magazi, zomwe zimapangitsa kuti magazi asalowe m'miyendo yam'manja ndikukhazikika kwa necrosis yowuma kapena yonyowa. Pakadali pano, dokotalayo amachita opaleshoni ya bandi, ndikuyika chikwama cham'madzi chamkati ndikuchita opareshoni, mwakutero kuyeretsa mtsempha kapena mtsempha wamagazi kuchokera mu magazi omwe amasokoneza magazi.

Pambuyo pakuchotsa matenda omwe amayambitsa matendawa, magawo am'miyendo amalandiranso zakudya zamagazi ndipo njira ya kufa kwa cell imatha.

Magazi a shuga akhazikika

Amakhulupilira kuti mu 15% ya milandu yomwe amabwera chifukwa cha matenda omwe amachitika chifukwa choti anthu amadwala matenda amtundu woyamba 1 osaganizira kuti ali ndi nthendayi. Pachifukwa ichi, kuchuluka kwamakristali amwazi m'magazi kumatseka magazi ochepa kwambiri a capillaries, omwe amakhala chifukwa cha gangrene. Pofuna kupewa kudula ndikuchotsa matenda omwe amathandizira kuti matendawa athe, dokotalayo, mogwirizana ndi endocrinologist, amasankha wodwala mtundu wa insulin yoyenera kuti asunge kuchuluka kwa shuga m'magazi. Vutoli litathetsedwa, wodwalayo amachira, ndipo bala lake la miyendo pang'onopang'ono limachira.

Kwambiri maantibayotiki

Muzochitika zam'chipatalazo munthu akatembenukira kuchipatala koyamba thandizo, njira yabwino yochizira matenda osagwedeza miyendo ndikuwapatsa wodwala njira yodziwika bwino yotsatsira antibacterial. Mankhwalawa amasankhidwa payekha malinga ndi mtundu wanji wa ma virus omwe adalowa mu bala ndipo adayambitsa kupweteka kwamtunduwu ndi zizindikiritso za minofu, komanso kuwonongeka kwawo. Ndi mtundu wosakanizika wa matenda, pamene mabakiteriya awiri kapena kuposerapo apezeka kamodzi, chithandizo chophatikizika ndikuyambitsa mitundu ingapo ya maantibayotiki amachitidwa.

Mzere kudula

Pali mtundu wamatenda oyambitsidwa ndi matenda monga clostridia, omwe amakhala m'nthaka ndipo, ngati alowa mthupi la munthu kudzera pachiwonetsero, amalowa m'matipi akuya momwe mulibe mpweya. Pambuyo pake, kuchitika kwa thupi kumayamba ndi chizindikiro cha necrosis. Momwemo mpweya ukangolowa mu pathological yokhudzana ndi kuchuluka kwa costridial, microflora ya pathogen yomweyo imamwalira, katundu pa chitetezo cha mthupi amachepetsa kangapo, ndipo wodwalayo amatha kuchira osati chifukwa chamankhwala okha, komanso chifukwa cha zofunikira za thupi lake.

Kuti achite izi, dokotala wa opaleshoniyo m'chipinda chopangira opaleshoni amagwiritsa ntchito nyali yoyaka mozungulira mkono, wopunduka, ndikudula zodukiza, kenako ndikukhazikitsa ngalande kuti mbali zonse zamadzi zatulutsidwe ndi magazi atapangidwa pakuwola kwa nthambiyo kulowa m'chiwiya china chapadera ndipo osadziunjikira m'thupi akudwala, akumupweteketsa iye. Iyi ndi njira yabwino yochizira, koma imakhala pachiwopsezo cha moyo wa wodwalayo ndipo pali chiopsezo chachikulu chakuti kachilombo koyambanso kugwera m'mabala mabalare kenako kudulidwa sikungapeweke.

Mankhwala othandizira antiotic mankhwala

Njira ina yothanirana ndi ziwopsezo zam'mimba popanda kugwiritsa ntchito njira yodulira. Kuti muchite izi, maantibayotiki samaperekedwa kwa wodwala kudzera m'mitsempha kapena m'mitsempha, monga momwe zimakhalira nthawi zambiri pakapangidwa njira yochiritsira, ndipo wodwalayo amalandira jakisoni m'misempha yodutsa mwachindunji kuzungulira malo opititsa patsogolo gangore. Njirayi ndikofunikira kugwiritsa ntchito ngati palibe chizindikiro cha kuwonongeka kwa minofu pachiwendo.

Komanso, oyang'anira machitidwe a maantibayotiki amakupatsani mwayi woletsa kupititsa patsogolo kwa mzere wa demarcation womwe umalekanitsa gawo lakudwala la mwendo ndi wathanzi. Nthawi zambiri, antibacterial othandizira monga Bicelin, Erythromycin, Biodroxil, Rizolin, Sporidex amagwiritsidwa ntchito pochiza. Odwala omwe adachitapo chithandizo chamankhwala ogwiritsa ntchito njirayi amaganiza kuti njirayi imathandizadi kuchepetsa kufalikira kwa necrosis, koma jakisoni wovulaza mwachindunji mwendo wapweteka kumabweretsa ululu waukulu. Timalimbikitsa kuwerengera za momwe zimakhalira pakugonana kwa a Fournier.

Mafuta ndi mafuta

Gulu lina la mankhwala omwe ali m'gulu la mitundu yonse ya chithandizo chamankhwala amalola madokotala kuti apulumutse miyendo kwa wodwalayo, kupewa kufunika kochita opaleshoni. Chithandizo cha mankhwalawa ndikuti ngakhale mafuta osokoneza bongo, odana ndi kutupa ndi mabala ochiritsa mabala amamuyikira pamwamba pa khungu la mwendo womwe unasokonezeka, zigawo zothandiza zomwe zimalowa mkati mwa epithelial wosanjikiza ndikufikira mwachindunji pakukonzekera. Mankhwala ambiri omwe ali mgululi ndi mankhwala a antibacterial, koma okhawo omwe amapangidwa pamafuta.

Mafuta ndi mafuta othandiza kwambiri amaganiziridwa: Tetracycline, Levomycin, Clindamycin, Levomekol, Gentamicin, Erythromycin. Pafupipafupi pochira phazi lomwe limakhudzidwa ndi necrosis limakwaniritsidwa ndipo limachitidwa maola pafupifupi atatu aliwonse tsiku lonse. Kuchulukana kwa mankhwalawa kwa mankhwalawa kudzachulukitsa minyewa yamkamwa ndikuwachepetsa kwambiri yotupa, kupondereza kukula kwa microflora ya bakiteriya ndikuthandizira kuchira kwa minofu yofewa yowonongeka ndi gangrene.

Odwala omwe amagwiritsa ntchito mafuta othandizira komanso mafuta opaka pogwiritsa ntchito njira ya necrotic pamwendo amayankha bwino mtundu uwu wa mankhwalawa, chifukwa momwe zimagwiritsidwira ntchito ndizambiri, ndipo ululu panthawi yanthawi yochepa sikupezeka konse.

Njira zothetsera mavuto

Kukonzekera kwamadzimadzi komwe kumakhala ndi gawo limodzi la mankhwala a antibacterial, omwe amakhudzidwa ndi michere yoyipa yomwe imayambitsa kupitirira kwa gangrene. Popewa kudula, wodwalayo adayikidwa kuti apukute mawonekedwe a mabala ndi nkhope ya mwendo womwe wasintha mtundu, ndi mayankho monga Chlorhexidine omwe ali ndi ndende ya 3 kapena 16%, Furacilin, Miramistin, hydrogen peroxide, potaziyamu permanganate (wokonzekera payekhapayekha malinga ndi ogwira ntchito pachipatala kapena wodwalayo iyemwini ngati ili kunyumba, imasungunula makristali awiri a 2 a potaziyamu permanganate pa lita imodzi ya madzi ofunda. Odwala omwe ali ndi chonyowa mawonekedwe amakalamba okhala ndi mawonekedwe otseguka am'mimba amasonyezedwa kuti sangangopukuta miyendo, komanso kutsuka minyewa yoluka. Ndemanga za mtundu uwu wa chithandizo chamankhwala zitha kutchulidwa kuti ndizabwino, popeza kuopsa kwa njira yotupa kumachepetsedwa ndi masiku 2-3 kuyambira poyambira chithandizo. Onani zomwe zikuwonetsa kuti akudwala matenda osokoneza bongo.

Mankhwala osamba azitsamba

Awa ndi magawo ena a njira zochiritsira matenda osokoneza bongo, kuti musapange dzanja la opaleshoni. Chifukwa cha ichi, mankhwala othandizira masamba, zimayambira ndi maluwa azomera zamankhwala amagwiritsidwa ntchito. Zitha kugulidwa mwakukonzekera-mwanjira ya potions, kapena kukonzekereratu. Kuti muchite izi, ndikokwanira kugula paketi ya chamomile zouma, wort wa St. John, sage, coltsfoot, plantain kapena thyme. Ili yonse yazitsamba iyi yatchulira anti-yotupa, antibacterial ndi bala la mabala.

Magalamu 15 a mbewu zomwe zasonyezedwazo amaponyedwa mumtsuko wachitsulo choyera, amathiriridwa ndi madzi okwanira 1 litre ndikuwiritsa pamoto wapakati kwa mphindi 15-20. Munthawi imeneyi, zinthu zonse zothandiza komanso zochiritsa zomwe zimaphatikizidwa ndi zitsamba zamankhwala zimalowa m'madzi ndipo mothandizidwa ndi iwo ndizotheka kuchiza njira zotupa m'matumbo a zilonda zam'mimba. Msuzi wotsatira umawonjezedwa m'chi beseni ndi madzi ofunda kuchokera pa 1 lita imodzi ya msuzi mpaka malita atatu a madzi wamba. Chiwalo chomwe chakhudzidwa ndikuchiviika mumadzi amachiritso ndipo ma anti-kutupa amakhala atapangidwa.

Chiwerengero cholimbikitsidwa cha njira ndi katatu patsiku. Nthawi yomweyo, ndikofunikira kusunga lamulo loti madzi mu thanki asatenthe, mwachitsanzo, ndi ofunda ndipo sapitirira zizindikiro za kutentha kwa madigiri 38-40. Ndipokhapo pamene chithandizocho chitha kukwaniritsidwa. Odwala omwe amachiza matenda opatsirana pogwiritsa ntchito mankhwala azitsamba ndipo amatha kupewa kuduladula akuti njira imeneyi ndi yothandizadi, koma sangagwiritsidwe ntchito ngati njira yodziyimira payokha. Ndikofunika kuphatikiza mu dongosolo lonse la mankhwala.

Mankhwala a Hormonal

Gulu lina la mankhwala lomwe limagwiritsidwanso ntchito pochiza matenda osokoneza bongo, pakakhala mwayi weniweni wochotsa kutupa, siyani kuwola kwa minyewayo potero kuti mupewe kudula. Awa ndimankhwala opangidwa chifukwa cha mahomoni opanga, njira zothandizira ziwongo zomwe zimathandizira njira zama metabolic komanso kubwezeretsanso kwakukulu kwa maselo amisempha. Mahomoni osokoneza bongo amakhudzanso maselo a chitetezo chamthupi.

Chifukwa cha izi, kukana kwa thupi ku microflora ya bakiteriya, kuphatikizika kwa nthambi yotsika yomwe imakhudzidwa ndi necrosis, kumachulukana kangapo. Mankhwalawa amadziwika kuti ndi othandiza kwambiri ndipo amakupatsani mwayi woti muthane ndi vuto lodana ndi khungu lanu popanda kudula miyendo, koma mumakhala kuchepa kwakukulu, komwe kumakhalapo ndizotsatira zoyipa zomwe zimakhudza mayendedwe amakono a wodwala.

Komanso, pamlingo uliwonse wothandizira chovunda cham'mimba popanda kudulidwa, seramu ASD 2 ndi ASD 3 (chowonjezera cha antogogic) a Dorogov amagwiritsidwa ntchito. Micropreparation yomaliza imapangidwira chithandizo chakunja kwa dzanja, ndipo mtundu woyamba wa mankhwalawo umagwiritsidwa ntchito pakamwa. Mlingo ndi nthawi yayitali ya chithandizo chamankhwala imadziwika ndi adokotala okha, chifukwa mankhwalawa sanadutsebe mayesero onse azachipatala.